OHDEN, the Occupational Health Disaster Expert Network

Pandemic Influenza Information Site for Workplace and Workforce Planning

Home Page



Flu virus EM image from http://www.ncbi.nlm.nih.gov/ICTVdb

OHDEN Pandemic Introduction

About Pandemic Website
Pandemic Influenza Primers
Occupat. Health Advisory Committee (OH-AC) will be developing OHDEN

(Requires the Acrobat reader  )

Site Objectives

This website is intended to provide 4  types of information.

  1. Links to instructive materials and smart reference sites regarding either Avian Influenza H5N1, or to the concepts of Pandemic Influenza.

  2. Aspects pertaining to care and prevention of worker issues regarding these topics. This means special workforce situations (eg. poultry and healthworkers).

  3. Organizational needs regarding public health aspects or population concerns, including contingency management plans for major absenteeism and illness.

  4. Plans and programs created by other professionals responsible for Occupational & Environmental Health issues. Plans, spreadsheets, flow-charts, essays, ideas, commentary are collected.


WebSite Organization

There are 5 inter-linked pages to www.OHDEN.net/Pandemic

  1. Home page (this one), serves as introduction and directory. The OHDEN concept is introduced and links to the OHAC organization are provided. General reference sites are described and linked.

  2. The Federal page provides a detailed but incomplete compendium of links to sites in the U.S. Federal governmental resources, including NIOSH, CDC, NIEHS, NIH, NLM, EPA, DHS, DHHS. Many are already assembled at PandemicFlu.gov , but these do not selectively emphasize the issues regarding workplace and workforce issues.

  3. International resouces about pandemic issues are available from multi-national organizations and from other countries' national programs. Australia's program was the earliest and best tool available.

  4. The page dedicated to the "Community" of Occupational & Environmental Health professionals represents unique contributions from our own colleagues, in Medicine, Safety, Nursing, Hygiene and Human Relations. Many are subscribers of the Occ-Env-Med-L free international maillist, and thus have been able to discuss and share resources quite readily. Teaching materials and corporate plans are available. State and local plans will also be stored here.

  5. It is to be expected that each category will receive periodic updates, as new resources become available. Links to these new additions will be listed at the specific Update page, with dates and internal links provided for access and reference.

Origin of this resource: the OHDEN to come

This complex of materials is intended as both a substitute and a prototype for the eventual materials that will constitute OHDEN. Unfortunately, the Occupational Health Advisory Committee (OH-AC) organization is not yet funded. Once funds are available, the OHDEN process will provide much more than the materials seen here. In addition to the web-links and community contributions (as included here) regarding generic disaster preparedness, OHDEN will provide:

Please visit the OHDEN project site for more details about the organization's mandate, history, links to supporting organizations, and roster of the present leadership. If opportunities for sponsorship are identified, please contact any of us, or directly to Dr. Greenberg.

The OH-AC organization (and the eventual OHDEN) derives directly from a several-years collaboration by the American College of Occupational & Environmental Medicine's Emergency Preparedness / Bioterrorism effort. The information at the Emergency Preparedness website are practical, impressive and opportune.





Reference Sites on Avian Influenza & Pandemics

This is an amazing, dynamic, self-monitoring group effort that offers more than the page you're now looking at ever could or will. It is aimed at the general public and scientific literate readers. It has a separate page for Business Continuity that focuses on Occupational Health issues. I have linked to here (OHDEN) from their site.

  • "Preparing for the Coming Influenza Pandemic"

    Essay circulated as PDF file, by Grattan Woodson, MD FACP. Very effective, not reassuring, aimed at both lay and clinical readers.

  • Business Pandemic Influenza Checklist and Resources

  • GlobalSecurity.org's Homeland Security section on Pandemic Influenza

  • Several lengthy essays on flu pandemic topics, and an impressive list of 50+ links to general educational sites, specific papers and online tools, graphics, monitoring sites. Though a .ORG, the site is apparently supported with (lots of) advertising.

  • Center for Infectious Disease Research & Policy (CIDRAP)

  • University of Minnesota

    • Business Planning list of links
    • Pandemic Flu list of links


  • Book-Length Narrative References

    • The Great Influenza: The Epic Story of the Deadliest Plague in History

    • by John M. Barry (Paperback - Oct 4, 2005) 576 pages $16 Penguin (Non-Classics); ISBN: 0143036491 Amazon  B&N

      Recently authored, with an Avian Flu afterword, endorsed in President Bush's speech and by every speaker I've heard [GG]. Interestingly, the same author wrote "The Rising Tide", B&N Amazon analyzing the previous (1927) devastating Mississippi flood (the worst previous natural disaster in U.S. history) and discussing risks of recurrence. Audio: unabridged 19.5 hrs Audible, Amazon


    • Flu : The Story Of The Great Influenza Pandemic

    • by Gina Kolata (Paperback: - January 9, 2001) 352 pages $15 Touchstone; ISBN: 0743203984 Amazon B&N Written by a New York Times health reporter, this book predates the present spreading avian virus but reviews the efforts to control Avian flu in Asia (HongKong) and discusses efforts to rediscover the 1918 virus from archived specimens and frozen cemeteries. Audio: abridged 6 hrs. Audible


    • America's Forgotten Pandemic : The Influenza of 1918

      by Alfred W. Crosby (Paperback - July 21, 2003) 352 pages $23 Cambridge University Press ISBN: 0521541751 Amazon B&NLess frequently discussed, reviews the impact of the disease and the "curious loss of national memory of this cataclysmic event."

  • Commercial management consults to manage Avian Flu and to provide pandemic planning

    • Fee-based advice is now available from for-profit sources. To be fair, it seems reasonable to list / link those that are mentioned, especially if some information is provided to the public.at an open website.

      International SOS provides a Public Area, as well as a closed Clients/Members' Area. Higher levels of fee-based advice and planning are available as customized consults. One OEM-L subscriber stated that corporate plans were available "$5K to $15K for consulting". Pandemic Preparedness Protocols for memebers are described to include 120+ pages for employers, in additional to individualized advisory services.

      The free site includes detailed news tracking, travel advisory, and several Webinars for free playback. A University Plan (12/05), Pandemic Webinar (9/05) as well as an Executive Overview (11/05) are available.

  • Marsh's Guide to Business Response to Pandemic

  • Marsh, "the world's leading risk and insurance services firm"

      Shoreland has been publishing information resources and producing counseling tools for travel medicine practitioners since 1986. TRAVAX EnCompass unifies Shoreland's information products in a single browser-based package, giving you a common resource for providing travel health services.

      Links to their site requires free registration, immediate confirmation, then password.

      Downloads listed below were contributed by Shoreland's president for OHDEN to share with Occup. Health professionals from our own site, and are available here at OHDEN.

    Medical Summary 
    Other Medical Information
    Related Resources
    • Temperature & symptom monitoring sheet
  • Perry-Castañeda Library Map Collection, University of Texas Libraries

  • Maps, many, many! of the distribution of H5N1 influenza across the world. These include graphical kinetic studies, human-only, bird-only, overlaid bird migration, swine and poultry density ... you-name-it. These were prepared by BBC, WHO, many other publications.

    These are very worthwhile, and quite compelling. The page came to my attention when it was found that in some maps, Taiwan had been colored as having H5N1 cases, but only as a shared color with mainland China. No cases actually had occurred in Taiwan proper.


  • BBC News Site with many links to various aspects of "Bird Flu" news

  • Maps, stories, Q&A for public, Plans (for UK), poultry and bird tracking stories



      T. Warner Hudson, III, MD, FACOEM, FAAFP

        Dir Health Safety & Env DST Output

      Peter H. Wald, MD, MPH, FACP, FACOEM

        AVP Wellness , USAA F-SVC-E

        Planning grid / matrix (Excel file) for Pandemic stage-specific planning. These grids very compelling, and drive very specific steps, without overlapping suggestions and repetition.



Miscellaneous / Individualized Resources

  • Briefing Paper on Avian Influenza (H5N1) and Agricultural Workers, IUF

International Union of Food, Agricultural, Hotel, Restaurant, Catering, Tobacco and Allied Workers’ Associations (IUF), Web-Introduction Oct 28, 2005, paperAcrobat)

  • American Federation of State, County and Municipal Employees (ASFCME)

      Critique and Petition regarding the National Pandemic Flu plan

      The main focus is that there's little or no attention to protecting the huge mobilized workforce for healthcare. It requests higher standards of Engineering, personal and risk stratification.


  • Influenza, An Impending Pandemic, October 27, 2005 by Rashid Chotani, M.D. Dir. Global Infectious Disease Surveillance & Alert System, Johns Hopkins.

    Distributed by Supercourse at the University of Pittsburgh. Available as rather hard-to-read online powerpoint or larger file download

  • American Zoo and Aquarium Association Releases National Guidelines For Avian Flu Preparedness

  • Guidelines to Help Accredited Zoos, Aquariums Protect Animals, Monitor Virus

  • Poultry Industry Websites

    • Avian Influenza (Bird Flu) FAQ, discussion
    • Foster Farms' public information (providing consumers with the highest-quality, best-tasting poultry products available.)

    • National Chicken Council:

  • Epidemic Proportions: Building National Public Health Capabilities to Meet National Security Threats

  • Report  Acrobat to Senate Subcommittee on Bioterrorism and Public Health Preparedness, Senate Committee on Health, Education, Labor, and Pensions.

    Elin Gursky, ScD, Principal Deputy for Biodefense, National Strategies Support Directorate, ANSER Institute of Homeland Security, 9/25/2005, 46 pages, PDF file

  • Dr. Peter Sandman on Risk Communication
  • Strategies regarding discussing and planning for pandemic flu, including reaching government, public and healthcare audiences.

  • Business Executives for National Security
  • Metro Atlanta Region Homeland Security Advisory Group

    "Company Primer on Preparedness and Response Planning for Terrorist and Bioterrorist Attacks",  Acrobat 38 page general explanatory discussion, including 10+ pages of local resources for Georgia.

  • Business Survey Report, regarding pandemic preparedness

    Deloitte Center for Health Solutions and The ERISA Industry Committee. Results were discussed in press accounts, but the report was not circulated.

    Deloitte Center for Health Solutions, located in Washington, D.C., is part of Deloitte & Touche USA, LLP. The Center is led by Independent Chairman Tommy G. Thompson, former Secretary of Health and Human Services. The ERISA Industry Committee (ERIC) is a non-profit association committed to and represents exclusively the advancement of the employee retirement, health and compensation plans of America’s largest employers.

  • Corporate Pandemic Influenza Preparedness Survey 

      (Excel spreadsheet) by ORC Worldwide Occupational Safety, Health and Environmental Networks- November 2005. ORC Worldwide (ORC) is an international management consulting firm offering professional assistance in human resources management for industrial, nonprofit, and public organizations.

      37 large companies' responses to these questions:

      • Have Purchased Tamiflu for Employees?
      • Distribution Plan
      • How will you detect the changes in regional incidences of infection?
      • Preparedness Plans Developed or in Process
      • Maintaining systems to monitor employees who travel
      • Planning to use quarantine and other engineering controls
      • What are your communication plans?

    Additional (even BIGGER) ORC survey results from end-Nov, 2005 includes 195 companies and a much more extensive report  Acrobat  . "The majority of participants are still in a 'wait and see' mode, and will react to the avian influenza when a travel advisory is issued by either the WHO, CDC, SOS or their government agencies."


  • Pamphlet encouraging business preparedness
    • Healthy Americans.org (previously also known as health-track.org) developed a very compelling, short photographic pamphet  Acrobat  on business pandemic preparedness. It's not at all technical, but quite persuasive about the need to plan.


  • Rand Health: Public Health Preparedness Database
  • a searchable database of exercises used to evaluate public health preparedness.

    The website contains:

    • a searchable database of public health preparedness exercises (includes examples of selected exercises)
    • public health preparedness tools and documents
    • evaluation criteria to be used in evaluating an exercise
  • Preparedness & Community Response to Pandemics, and to Terrorism
  • Introductory course on pandemic influenza, at University of Albany, SUNY, "intended for a broad range of public health professionals and community responders."  The course is free, and offers 6 hrs of CME/CHES or 7.2 CNE.

    They also have "Terrorism, Preparedness, and Public Health: An Introduction" at the same website.

    University Risk Management and Insurance Association, 12 pages,  Acrobat  December 2005


      What makes pandemics really scary

      What about vaccines?

      What should a typical campus like mine do to prepare? Is BCP enough?

      Loss of Information, Loss of Access—and Loss of Personnel

      Basic Hygiene for Prevention

      Solving the long-term problem

      Resources for More Information

  • AON Insurer, White Paper: Pandemic Influenza Acrobat 
    • "Managing the risks of an invisible threat", October 2005. 28 pages.


        How Influenze causes a pandemic

        A brief history of influenza pandemics

        Lessons from history

      Today's Threat

      Business Planning

      Business Continuity


  • Wharton Business School Editorial
      Avian Flu: What to Expect and How Companies Can Prepare for It

      Audio or text, requires signin and email confirmation, but most fields on your demographic survey are optional.


    submitted by Bill Kojola
    Dept. of Occupational Safety and Health

  • American Council on Science &  Health (ACSH)
      Avian Influenza, or “Bird Flu”: What You Need to Know  Acrobat 

      26 page document, in Q&A format.

      As I often remind readers at Occ-Env-Med-L "ACSH is an organization routinely dubious about new claims of environmental health dangers". Many have pointed out that their funding sources include many commercial firms, often those involved in debates about accusations of pollution and environmental harm.

  • "Influenza Report"
  • New Book, Bird Flu: A Virus of Our Own Hatching , by Michael Greger, M.D.
    • Director, Public Health and Animal Agriculture, The Humane Society of the United States. The whole text is freely available, and all proceeds from the sale of the paper copies (& the author's speaking engagements) are to be donated to charity. The book includes 3168 references to other publications.


      Submitted by the author to include in OHDEN







For questions: e-mail OHDEN's moderator, Gary Greenberg, MD

View Visit Volume since 8/22/06