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Pandemic Influenza

Pandemic Influenza. Disaster Preparedness and Planning Present by: Nicole Berard Walden University April, 2012. History . Documented influenza pandemics 1918 1957 1968 2009. I mpact.

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Pandemic Influenza

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  1. Pandemic Influenza Disaster Preparedness and Planning Present by: Nicole Berard Walden University April, 2012

  2. History • Documented influenza pandemics • 1918 • 1957 • 1968 • 2009

  3. Impact • 1918- 40 million deaths • Average life span depressed • 1957- 20 million deaths • 1968- 1 million deaths • 2009- 8,900 to 18,300 deaths

  4. Clinical Presentation • Useful to be aware of clinical manifestations • Symptoms • Fever • Chills • Fatigue • Muscle aches • Headache • Dry cough • Upper respiratory congestion • Sore throat • Duration • Up to 2 weeks

  5. Clinical Presentation Past Pandemic Influenza • 1918 influenza pandemic manifestations • 1957 and 1968 influenza pandemic manifestations • Can occur in waves • 6-8 week period

  6. Future Pandemics • H5N1 and H7N7 • H5N1 • Population affected • Symptoms • Laboratory results • Transmission • H7N7 • Manifestations • Transmission

  7. H5N1 Diagnosis • 4-Hour RT-PCR assay • Distributed in all 50 states • Clinical manifestations to perform • Reporting results • Confirming results

  8. Future Pandemic Treatment/Prevention • Antiviral drugs • Vaccinations

  9. Disaster Preparedness For an Influenza Pandemic • Support of Healthcare worker staff • Define essential staff and services • Information technology and Public Health Communications • Surveillance and protocols • Training • Security

  10. Homeland Security Council Stages • Stages 0-1 • Before Pandemic • Stages 2-5 • During Pandemic • Stage 6 • Recovery and Preparation for subsequent pandemic waves

  11. Healthcare Facility Responsibilities Before a Pandemic • Stages 0-1 • Be prepared • Initiate planning and decision making strategies • Recognize deficiencies • Become familiar with local, state, and federal health agencies • Become familiar with security agencies

  12. Before a Pandemic cont… • Develop Written Plans

  13. Before Pandemic cont… • Work with Committees • Participate in exercises and drills

  14. Healthcare Facility Responsibilities During the Pandemic • Stages 2-3 • “Confirmed human outbreaks overseas” • Surveillance • Prepare to implement plan • Stages 4-5 • “Begins in or Enters the United States” • Activate plans • Surveillance • Identify and isolate • Surge capacity plans • Infection Control • Communication • Reporting Occupational Safety and Health Administration U.S. Department of Labor (OSHA). (2009). Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. Retrieved from http://www.osha.gov/Publications/OSHA_pandemic_health.pdf

  15. Healthcare Facility Recovery and Preparation for Subsequent Pandemic Waves • Stage 6 • Continue surveillance • Return to normal operations • Review plan • Identify issues • Keep communication open

  16. General Pandemic Resources Department of Health and Human Services http://www.pandemicflu.gov http://www.pandemicflu.gov/plan/tab6.ht ml Centers for Disease Control and Prevention http://www2a.cdc.gov/od/fluaid http://www.cdc.gov/flu/flusurge.htm

  17. Conclusion • Influenza pandemic = worldwide devastation • Recognize clinical manifestations and trends • Proper planning and preparedness • Resources available

  18. Reference Centers for Disease Control and prevention. (2011a). CDC Resources for Pandemic Flu. Retrieved from http://www.cdc.gov/flu/tools/fluaid/ Centers for Disease Control and Prevention. (2011b). Notice to readers: Revised estimates of the public health impact of 2009 pandemic influenza a (H1N1) vaccination. Morbidity and Mortality Weekly Report (MMWR). 60 (38). Pp 1321. Retrieved from http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6038a7.htm?s_cid=mm6038a7_x Centers for Disease Control and Prevention. (2007). Guidelines for Pandemic Emergency Preparedness Planning: A Road Map for Courts. Retrieved from http://www2a.cdc.gov/phlp/docs/Judiciary%20-%20BJA%20Road%20Map%20for%20Courts.pdf Occupational Safety and Health Administration U.S. Department of Labor (OSHA). (2009). Pandemic influenza preparedness and response guidance for healthcare workers and healthcare employers. Retrieved from http://www.osha.gov/Publications/OSHA_pandemic_health.pdf

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