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Stay updated on the novel Influenza A H1N1 virus outbreak in the USA with details on initial cases, response efforts, and planning for future outbreaks. Learn about the overwhelmed laboratory response, coordination with other states, and future surveillance strategies.
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Novel Influenza A H1N1 (swine-like) Virus Update Liz Delamater June 17, 2009
Background • Two original cases detected in Southern California • One of those, a 10-year-old boy, traveled to Dallas for an extended visit with relatives • April 23 press release stated that swine flu had been confirmed by the CDC in two 16-year-old boys from Guadalupe County near San Antonio • We received our first specimens on 4/24/09, one was reported as “Influenza A – Unable to type” on an 18-year-old boy from Guadalupe County • Confirmed by the CDC as Swine Flu
First Response • April 24, 2009 it was decided that the ICS (Incident Command Structure) would be used for the response • On April 25, 2009, the MACC was staffed. Unlike responses to natural disasters, the laboratory was included with a representative incident commander
Overwhelmed • Front Page of Austin American Statesman on May 2, 2009 • “Flood of flu tests clogs up state lab” • Received over 11,150 specimens total • Requested assistance from other state laboratories, Tennessee and Virginia agreed to help with testing
What Next? • Series of Hotwash meetings with various groups, both DSHS and regional/local staff • Developed a Flu Charter Workgroup to improve planning for the fall
Epi/Lab Workgroup • Identify objectives of surveillance • What is needed by leadership? • Criteria for submission to the laboratory • When do we stop?