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Governmental Sites, US
US Centers for Disease Control & Prevention
a compendium of resources by Department of Health & Human Services. It includes recommendations to:
Contributed by Warner Hudson, MD
Distributed via Health Alert Network Wednesday, June 07, 2006
spreadsheet-based model which provides hospital administrators and public health officials estimates of the surge in demand for hospital-based services during the next influenza pandemic.
test version of software created by programmers at the Centers for Disease Control and Prevention (CDC). It is designed to assist state and local level planners in preparing for the next influenza pandemic by providing estimates of potential impact specific to their locality.
NIOSH: Occupational Health Issues Associated with Swine Influenza (Flu)
Swine Influenza Resources for Workers (largely links to other CDC sites)
Interim Guidance documents:
NIOSH: Avian Influenza: Protecting Workers from Exposure
NIOSH Safety and Health Topic: updates at new site, with many links to other CDC resources, including Avian Influenza: Protecting Poultry Workers at Risk (from 2004)
U.S. Department of Agriculture (USDA) Monitoring & BioSecurity for poultry industry
Delmarva state-collaboration poultry cooperative document
National Chicken Council:
Questions and Answers on Avian Influenza
WHO Interim Guidelines for the Protection of Persons Involved in the Mass Slaughter of Animals Potentially Infected with Highly Pathogenic Avian Influenza Viruses
Food and Agriculture Organization of the United Nations Avian Influenza Site
Respirator / PPE Selection Topics
National Institute for Occupational Safety and Health (NIOSH)-certified respirators (N-95 or higher) are recommended for use during activities that have a high likelihood of generating infectious respiratory aerosols,[c] including the following high-risk situations:
If supplies of N-95 (or higher) respirators are not available, surgical masks can provide benefits against large droplet exposure, and should be worn for all health care activities for patients with confirmed or suspected pandemic-influenza.
Contributed by Gabor Lantos.
February 17, 2004 document on bird culling. Also states:
"Avian influenza viruses do not usually infect humans; however, several instances of human infections and outbreaks of avian influenza have been reported since 1997 (for more information, see “Basic Information About Avian Influenza” at www.cdc.gov/flu/avian/facts.htm)."
This is the addendum / update (dated May 2006) for the original National Strategy for Pandemic Influenza from Nov. 2005, now posted to the White House site (!)
Get Informed. Be Prepared. This (18 page) guide is designed to help you understand the threat of a pandemic flu outbreak in our country and your community. It describes common sense actions that you can take in preparing for a pandemic. Each individual and family should know both the magnitude of what can happen during a pandemic outbreak and what actions you can take to help lessen the impact of an influenza pandemic on you and your community.
Authorized emergency use of flu drugs, diagnostic test
Background On The Current Outbreak
Background On Influenza And Avian Flu
Routes Of Exposure To Avian Flu
Additional Sources Of Information
Ban On Importation Of Potentially Infected Animals
Guidance For Farm Workers / Animal Handlers
Guidance For Laboratory Workers
Guidance For Medical Workers That Transport/Treat Avian Flu Patients
Guidance For Food Handlers
Guidance For Airline Flight Crews
Guidance For Travelers
Inst. of Medicine's "Future of Emergency Care" series
Evacuation plans for international travelers, 13 separate contingency plans
Nothing that's not elsewhere, but updated frequently
The Department of the Interior - H5N1 National Surveillance Efforts
Avian Flu review page
To ensure that essential government services are available in emergencies, federal agencies are required to develop continuity of operations (COOP) plans. The Federal Emergency Management Agency (FEMA), within the Department of Homeland Security (DHS), is responsible for providing guidance to agencies on developing such plans. Its guidance states that in their continuity planning, agencies should consider the use of telework--that is, work performed at an employee's home or at a work location other than a traditional office.
This searchable database of exercises can be used to develop customized drills and training in Public Health disaster preparation. RAND corporation created this site for a Dept HHS Office of Public Health Emergency Preparedness (HHS-OPHEP) grant.
The (VA) pandemic influenza plan (140 pgs, and reportedly more detailed and cautious PPE recommendations (pg 30) regarding healthcare workers than the HHS broader plan).
submitted by Bill Kojola
Dept. of Occupational Safety and Health
Dedicated to establishing teams of local volunteer medical and public health professional to contribute their skills and expertise throughout the year as well as during times of community need. More about the MRC . MRC leaders and volunteers play an important role in building on existing public health infrastructure in their communities and will likely provide support in the event that this country is faced with the reality of an influenza pandemic. Today, many MRC units have begun the pandemic influenza planning process and have identified their roles and responsibilities in the event of an influenza pandemic. This guidance will help MRC units determine pandemic influenza planning and response actions that are in the purview, scope, training, and capabilities of the units and the communities which they serve.
The Pandemic Influenza Planning Guidance for Medical Reserve Corps (MRC) Units identifies specific activities MRC units can do now to prepare for such an event. It provides a broad range of pandemic influenza planning and response actions that can be adapted and used by MRC units nationwide.
Disaster Education at DisasterEducation.org is developed by the Red Cross. They provide patient and community education materials on dozens of potentially disastrous events in the community, including:
Hazardous material incidents
For questions:e-mail OHDEN's moderator, Gary Greenberg, MD