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U.S. National Viral Hepatitis Action Plan for 2017-2020
"Viral hepatitis poses a serious threat to the health of millions of Americans from all walks of life. The release of the first Action Plan for the Prevention, Care, & Treatment of Viral Hepatitis in 2011 marked the beginning of a coordinated national response to viral hepatitis in the United States. In the five years since that time, federal and nonfederal stakeholder efforts have evolved and advanced in response to the growing threat of viral hepatitis to the health of Americans. Despite this progress, viral hepatitis remains a serious threat to the health of Americans. The number of new hepatitis C virus (HCV) infections has increased rapidly, prior progress in reducing new hepatitis B virus (HBV) infections has stalled, and hepatitis-related deaths have increased. We are missing key opportunities to prevent transmission, diagnose and treat infections, prevent serious disease, and - in many cases - cure people. [...] We have the knowledge and tools to save lives and win the fight against viral hepatitis. This National Viral Hepatitis Action Plan for 2017-2020 (Action Plan) uses this knowledge and these tools to prevent new infections, improve the lives of people living with viral hepatitis, and chart a course toward elimination of these public health threats. We can do so by aligning goals and sharing strategies among key partners, engaging stakeholders across all sectors, leveraging important advances, confronting challenges, and prioritizing our efforts to reach the populations most impacted."
United States. Department of Health and Human Services
2017-01
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Community Response to Viral Hepatitis: Contributions Toward Achieving the Goals of the Viral Hepatitis Action Plan
"Millions of Americans from all walks of life are at-risk for or living with viral hepatitis. An estimated 3.5 million people are living with hepatitis C (HCV), the most-common type of viral hepatitis. An estimated 850,000 people are living with hepatitis B virus(HBV). Viral hepatitis is a silent and deadly disease. Hepatitis B and C often have no symptoms. So, many people do not know that they have the virus. Meanwhile, the virus is damaging their liver and they remain at risk for transmitting the virus to others. We are losing ground in the battle against viral hepatitis. Hepatitis C kills more Americans than all 60 other reportable infectious diseases. New cases of hepatitis have increased because of the opioid epidemic that is gripping communities across the United States. New hepatitis C infections increased more than 250% between 2010 and 2014. After decades of declines in hepatitis B cases, progress on hepatitis B prevention has stalled and in some areas new cases have increased."
United States. Department of Health and Human Services
2016-08
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Health Information Resources for CBRNE (Chemical, Biological, Radiological, Nuclear and Explosives)
"This class provides an overview of the concepts of CBRNE [Chemical, Biological, Radiological, Nuclear and Explosives], and the types of health-related information that support planning, response, and recovery in CBRNE incidents. This self-paced course includes a review of related tools and resources from the National Library of Medicine."
United States. Department of Health and Human Services
2017-02-08
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Fact Sheet: Ransomware and HIPAA
From the Document: "A recent U.S. Government interagency report indicates that, on average, there have been 4,000 daily ransomware attacks since early 2016 (a 300% increase over the 1,000 daily ransomware attacks reported in 2015). Ransomware exploits human and technical weaknesses to gain access to an organization's technical infrastructure in order to deny the organization access to its own data by encrypting that data. However, there are measures known to be effective to prevent the introduction of ransomware and to recover from a ransomware attack. This document describes ransomware attack prevention and recovery from a healthcare sector perspective, including the role the Health Insurance Portability and Accountability Act (HIPAA) has in assisting HIPAA covered entities and business associates to prevent and recover from ransomware attacks, and how HIPAA breach notification processes should be managed in response to a ransomware attack."
United States. Department of Health and Human Services
2016-07-11?
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U.S. Department of Health and Human Services Progress Report
"Senior staff at the Department have worked with the President, Congress, and White House Office of Health Reform Director Nancy-Ann DeParle during the first 100 days of the new Administration to begin laying the groundwork for enacting comprehensive health reform this year, and to implement the American Recovery and Reinvestment Act of 2009, which includes essential policies to prevent a surge in the number of uninsured Americans and makes positive investments now that will yield health and economic dividends later. Secretary Sebelius is committed to advancing the health of the nation. She shares the President's belief that health reform cannot wait another year, and she will work to continue effective and timely implementation of the health-related provisions of the Recovery Act. In addition, she will embrace the tremendous responsibilities of running the Department of Health and Human Services by working to ensure its divisions, agencies, and programs--ranging from the Centers for Medicare and Medicaid Services, the Food and Drug Administration, and the National Institutes of Health to the Administration on Children and Families, the Low Income Home Energy Assistance Program, and Head Start--can meet the challenges they face. She will work to rededicate the Department and its agencies to their core mission of promoting health and providing essential services, and by ensuring that science drives important policy decisions."
United States. Department of Health and Human Services
2009-04-29
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Considerations for Antiviral Drug Stockpiling by Employers in Preparation for an Influenza Pandemic
"Optimal planning and preparation for an influenza pandemic requires coordinated efforts by every part of society including individuals and families, communities, employers in public and private sectors, and all levels of government. Federal, State, and local governments will implement strategies to protect the public in an influenza pandemic. Employers also will play a key role in protecting employees' health and safety, thereby limiting pandemic impacts on health, the economy, and society. As part of their comprehensive pandemic planning, some employers (from public and private sectors) have asked for guidance about whether they should stockpile or otherwise arrange for influenza antiviral drugs to be available for their employees during a pandemic. Private stockpiles, in coordination with public health stockpiles, would extend protection more broadly than could be achieved through the public sector alone and improve the ability to achieve the national pandemic response goals of mitigating disease, suffering, and death, and minimizing impacts on the economy and functioning of society. The Federal Government strongly encourages all public and private sector employers, regardless of size, to plan for a pandemic, to protect the health of employees and assure continuity of operations. Influenza antiviral drugs (antivirals) are one of several approaches to protecting people during a pandemic and can serve as an important part of a layered approach to pandemic mitigation. In some cases, employees whose jobs would normally involve very high or high exposure risk to known/suspected pandemic patients may reduce or eliminate exposure through engineering, administrative and work practice strategies."
United States. Department of Health and Human Services
2008
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Pandemic and All-Hazards Preparedness Act (Public Law 109-417): Progress Report [November 2007]
This Progress Report published by the Department of Health and Human Services (HHS) "highlights some of the major activities that the Department has undertaken since the enactment of PAHPA (Pandemic and All-Hazards Preparedness Act). It also includes a preview of the Way Forward -- activities the Department plans as it moves ahead to continue implementing the legislation. The Report is divided into eight sections, each of which addresses a major program area under PAHPA. [...] This document represents a snapshot of current progress and the Department's plans for the immediate future; it is not meant to be a comprehensive overview of all aspects of the legislation. HHS recognizes that the implementation of a major piece of legislation like PAHPA is an iterative process and, as such, it requires ongoing evaluation and consultation. The Department continues to welcome the input of stakeholders and partners as it moves forward towards achieving our common goals. [...] In December 2006 Congress passed and the President signed the Pandemic and All-Hazards Preparedness Act (PAHPA), Public Law No. 109-417, which has broad implications for HHS's preparedness and response activities. The Act established within the Department a new Assistant Secretary for Preparedness and Response (ASPR); provided new authorities for a number of programs, including the advanced development and acquisition of medical countermeasures; and called for the establishment of a quadrennial National Health Security Strategy."
United States. Department of Health and Human Services
2007-11
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Public Health Implications of Great Lakes Areas of Concern (AOC)
"This report was developed by the Agency for Toxic Substances and Disease Registry (ATSDR) in response to a request by the International Joint Commission (IJC) regarding the public health implications of hazardous substances found at the U.S. Areas of Concern (AOCs). This report should not be construed as a traditional analytic epidemiologic evaluation. Instead, it should be viewed as an assessment to identify the co-occurrence of elevated patterns of morbidity and mortality and environmental contamination that may merit further hypothesis-based epidemiologic study. Despite limitations, this report provides a comprehensive evaluation of patterns of environmental contamination and the demographics of vulnerable populations in the 26 AOCs."
United States. Department of Health and Human Services
2007
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Guidance: Potassium Iodide as a Thyroid Blocking Agent in Radiation Emergencies
"The objective of this document is to provide guidance to other Federal agencies, including the Environmental Protection Agency (EPA) and the Nuclear Regulatory Commission (NRC), and to state and local governments regarding the safe and effective use of potassium iodide (KI) as an adjunct to other public health protective measures in the event that radioactive iodine is released into the environment. The adoption and implementation of these recommendations are at the discretion of the state and local governments responsible for developing regional emergency response plans related to radiation emergencies. This guidance updates the Food and Drug Administration (FDA) 1982 recommendations for the use of KI to reduce the risk of thyroid cancer in radiation emergencies involving the release of radioactive iodine. The recommendations in this guidance address KI dosage and the projected radiation exposure at which the drug should be used."
United States. Department of Health and Human Services
2001-12
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U.S. Department of Health and Human Services Pandemic Planning Update IV, A Report from Secretary Michael O. Leavitt [July 18, 2007]
This Department of Health and Human Services (HHS) report provides an update on pandemic planning for among other challenges as the H5N1 virus. The report also has information on monitoring and surveillance, vaccines and vaccine production capacity, antiviral drugs, state and local preparedness, and communications. "HHS has worked closely with Federal, State, tribal, and territorial communications specialists to develop plans that will help guide the public, the news media, health care providers, and other groups to respond appropriately in outbreak situations and to encourage people to follow the necessary public health measures. A government-wide public health emergency communications plan is now ready to activate in the event of a pandemic."
United States. Department of Health and Human Services
Leavitt, Michael O.
2007-07-18
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Electronic Media and Youth Violence: A CDC Issue Brief for Educators and Caregivers
This Issue Brief focuses on the phenomena of electronic aggression. Electronic aggression is defined as any kind of harassment or bullying that occurs through email, chat rooms, instant messaging, websites, blogs, or text messaging. The brief summarizes what is known about young people and electronic aggression, provides strategies for addressing the issue with young people, and discusses the implications for school staff, education policy makers, and parents and caregivers.
United States. Department of Health and Human Services
2008
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Safeguarding Communities from Chemical Exposures
"Environmental factors contribute to more than 25%of all diseases worldwide. In the United States, the yearly cost of just four childhood health problems linked to chemical exposures--lead poisoning, asthma, cancer, and developmental disabilities--is greater than $54 billion. Chemical exposures occur in homes, schools, workplaces, and throughout communities. Accidental releases, certain household products ,or hazardous sites are all possible causes of chemical exposures. Exposures that occur in the community may be difficult to identify and control. The Agency for Toxic Substances and Disease Registry (ATSDR) works to safeguard communities from chemical exposures. ATSDR investigates community exposures related to chemical sites and releases; works closely with federal, tribal, state, and local agencies to identify potential exposures; assesses associated health effects; and recommends actions to stop, prevent, or minimize these harmful effects. Many times, exposures occurred in the past and are difficult to evaluate. ATSDR scientists can estimate exposures based on previous similar situations (called modeling), test individuals in the area to determine whether exposures have occurred (bio-monitoring), and use cutting edge technology to understand these exposures. State of the art assessment methods-such as new sampling techniques and cancer modeling--help ATSDR evaluate the health effects of emerging contaminants such as perfluorochemicals".
United States. Department of Health and Human Services
2009
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Guidance on Antiviral Drug Use During an Influenza Pandemic
"The use of prescription antiviral drugs to treat and prevent infection will be an important component of a pandemic influenza response. While current antiviral drug use strategies and publicly maintained stockpiles are targeted primarily for treatment of persons with pandemic illness, expanded antiviral drug production has allowed additional strategies to be considered. An interagency working group, with input from representatives of State, local and tribal public health agencies, considered scientific issues, ethics and values, and perspectives of stakeholders in developing draft guidance on antiviral use strategies and stockpiling. The antiviral drug use guidance in this document replaces the recommendations developed in 2005 which are published as part of the Department of Health and Human Service's (HHS's) pandemic influenza plan. As guidance, this document does not create a requirement; rather, it defines a prudent strategy for antiviral drug stockpiling and use that can contribute to a more effective pandemic response. The guidance on antiviral use is based on the national pandemic response goals of slowing the spread of pandemic disease, reducing impacts on health, and minimizing societal and economic disruption."
United States. Department of Health and Human Services
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Chlordane (C10 H6 Cl8) Chemical Protocol
Very comprehensive description of the chemical agent, with coverage on many important aspects, including information on routes of exposure, sources and uses, exposure limits, physical characteristics, patient management, decontamination and treatment, incident reporting. Synonyms include a wide variety of trade names: Chlordan, Chlor-Kil, CD-68, Octachlor, Termi-Ded,
Toxichlor, Topichlor, and Velsicol 1068.
United States. Department of Health and Human Services
2000
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Carbon Disulfide (CS2) Chemical Protocol
Very comprehensive description of the chemical agent, with coverage on many important aspects, including information on routes of exposure, sources and uses, exposure limits, physical characteristics, patient management, decontamination and treatment, incident reporting. Synonyms include carbon bisulfide, carbon sulfide, and dithiocarbonic anhydride.
United States. Department of Health and Human Services
2000
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Crotonaldehyde (C4 H6 O) Chemical Protocol
Very comprehensive description of the chemical agent, with coverage on many important aspects, including information on routes of exposure, sources and uses, exposure limits, physical characteristics, patient management, decontamination and treatment, incident reporting. Synonyms include beta-methylacrolein; propylene aldehyde; ethylene propionate; crotonic aldehyde; but-2-enal; 2-butenal; crotonal; topanel; methyl acrolein; butenal; crotonaldehyde inhibited; (E)-crotonaldehyde;
(E)-2-butenal; trans-2-butenal.
United States. Department of Health and Human Services
2000
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Chlorine (Cl2) Chemical Protocol
Very comprehensive description of the chemical agent, with coverage on many important aspects, including information on routes of exposure, sources and uses, exposure limits, physical characteristics, patient management, decontamination and treatment, incident reporting. Synonyms include molecular chlorine.
United States. Department of Health and Human Services
2000
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Diborane (B2 H6) Chemical Protocol
Very comprehensive description of the chemical agent, with coverage on many important aspects, including information on routes of exposure, sources and uses, exposure limits, physical characteristics, patient management, decontamination and treatment, incident reporting. Synonyms include boroethane, boron hydride, diboron hexahydride.
United States. Department of Health and Human Services
2000
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Elemental Mercury (HG) Chemical Protocol
Very comprehensive description of the chemical agent, with coverage on many important aspects, including information on routes of exposure, sources and uses, exposure limits, physical characteristics, patient management, decontamination and treatment, incident reporting. Synonyms include colloidal mercury, quicksilver, liquid silver, metallic mercury, and hydrargyrum.
United States. Department of Health and Human Services
2000
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Formaldehyde (HCHO) Chemical Protocol
Very comprehensive description of the chemical agent, with coverage on many important aspects, including information on routes of exposure, sources and uses, exposure limits, physical characteristics, patient management, decontamination and treatment, incident reporting. Synonyms include formalin, formic aldehyde, methanal, methyl aldehyde, methylene oxide, oxomethane,and paraform.
United States. Department of Health and Human Services
2000
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Ethylene Glycol (C2 H6 O2) Chemical Protocol
Very comprehensive description of the chemical agent, with coverage on many important aspects, including information on routes of exposure, sources and uses, exposure limits, physical characteristics, patient management, decontamination and treatment, incident reporting. Synonyms include 1,2-dihydroxyethane, 1,2-ethanediol, 2-hydroxyethanol, ethylene alcohol, glycol,
glycol alcohol, monoethylene glycol, and ethylene dihydrate. Ethylene glycol is sold under a variety of brand names as automobile radiator antifreeze. It should not be confused with ethylene glycol ethers,which are a different group of chemicals.
United States. Department of Health and Human Services
2000
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Gasoline (Mixture) Chemical Protocol
Very comprehensive description of the chemical agent, with coverage on many important aspects, including information on routes of exposure, sources and uses, exposure limits, physical characteristics, patient management, decontamination and treatment, incident reporting. Synonyms include gas, petrol, casing head gasoline, motor spirit, natural gasoline, and motor fuel.
United States. Department of Health and Human Services
2000
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Ethylene Dibromide (C2H4Br2) Chemical Protocol
Very comprehensive description of the chemical agent, with coverage on many important aspects, including information on routes of exposure, sources and uses, exposure limits, physical characteristics, patient management, decontamination and treatment, incident reporting. Synonyms include 1,2-dibromoethane, glycoldibromide, and bromofume.
United States. Department of Health and Human Services
2000
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Acrylonitrile (CH2 =CHCN) Chemical Protocol
Very comprehensive description of the chemical agent, with coverage on many important aspects, including information on routes of exposure, sources and uses, exposure limits, physical characteristics, patient management, decontamination and treatment, incident reporting. Synonyms include AN, cyanoethylene, propenenitrile, VCN, vinyl cyanide, carbacryl, fumigain, and
ventox.
United States. Department of Health and Human Services
2000
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Aniline (C6 H5 NH2 ) Chemical Protocol
Very comprehensive description of the chemical agent, with coverage on many important aspects, including information on routes of exposure, sources and uses, exposure limits, physical characteristics, patient management, decontamination and treatment, incident reporting. Synonyms include aminobenzene, aminophen, arylamine, benzenamine, aniline oil, and phenylamine.
United States. Department of Health and Human Services
2000
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Benzene (C6 H6) Chemical Protocol
Very comprehensive description of the chemical agent, with coverage on many important aspects, including information on routes of exposure, sources and uses, exposure limits, physical characteristics, patient management, decontamination and treatment, incident reporting. Synonyms include benzol, coal tar naphtha, phenyl hydride, and cyclohexatriene.
United States. Department of Health and Human Services
2000
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1,3-Butadiene (C4 H6) Chemical Protocol
Very comprehensive description of the chemical agent, with coverage on many important aspects, including information on routes of exposure, sources and uses, exposure limits, physical characteristics, patient management, decontamination and treatment, incident reporting. Synonyms include butadiene, buta-1,3-diene, biethylene, bivinyl, vinylethylene, erythrene,
alpha,gamma-butadiene, divinyl, and pyrrolylene.
United States. Department of Health and Human Services
2000
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Arsine (AsH3) Chemical Protocol
Very comprehensive description of the chemical agent, with coverage on many important aspects, including information on routes of exposure, sources and uses, exposure limits, physical characteristics, patient management, decontamination and treatment, incident reporting. Synonyms include arsenic hydride, arsenic trihydride, arseniuretted hydrogen, arsenious hydride, and
hydrogen arsenide.
United States. Department of Health and Human Services
2000
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Hydrogen Cyanide (HCN) Chemical Protocol
Very comprehensive description of the chemical agent, with coverage on many important aspects, including information on routes of exposure, sources and uses, exposure limits, physical characteristics, patient management, decontamination and treatment, incident reporting. Synonyms include formonitrile. Aqueous solutions are referred to as hydrocyanic acid and prussic acid.
United States. Department of Health and Human Services
2000
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Methyl Isocyanate (C2H3NO) Chemical Protocol
Very comprehensive description of the chemical agent, with coverage on many important aspects, including information on routes of exposure, sources and uses, exposure limits, physical characteristics, patient management, decontamination and treatment, incident reporting. Synonyms include isocyanomethane, isocyanatomethane, methylcarbylamine, and MIC.
United States. Department of Health and Human Services
2000
