National strategy for influenza pandemic / Nancy T. Bradley.

Format:

Book

Author/Creator:

Bradley, Nancy T.

Language:

English

Subjects (All):

Influenza--Prevention--Government policy--United States.

Influenza.

Health planning--United States.

Health planning.

Public health administration--United States.

Public health administration.

Physical Description:

1 online resource (280 p.)

Edition:

1st ed.

Place of Publication:

New York : Nova Science Publishers, c2009.

Language Note:

English

Summary:

In 1918, the first pandemic killed over 500,000 Americans and more than 20 million people world-wide. Pandemics in 1957 and 1968 killed tens of thousands of Americans and millions across the world. Scientists believe that viruses from birds played a role in each of those outbreaks.

Contents:

Intro

NATIONAL STRATEGY FOR INFLUENZA PANDEMIC

CONTENTS

PREFACE∗

THE WHITE HOUSE WASHINGTON

Chapter 1 EXECUTIVE SUMMARY

THE PANDEMIC THREAT

U.S. Government Planning for a Pandemic

Federal Government Response to a Pandemic

Command, Control, and Coordination of the Federal Response during a Pandemic

International Efforts

Actions to Implement the National Strategy for Pandemic Influenza

Establish Surveillance Capability in Countries at Risk

Expand Capacity for Animal Health Activities and Press for a Strong International Leadership Role

Support a Coordinated Response by the International Community in Support of National Efforts

Coordinate Public Communication

Assist U.S. Citizens Traveling or Living Abroad

Transportation and Borders

Modeling to Inform Transportation and Border Decisions

Screening Mechanisms and Travel Restrictions

Quarantine and Isolation of Travelers

Trade and Movement of Cargo

Sustaining the Transportation Infrastructure

Protecting Human Health

Achieving National Goals for Production and Stockpiling of Vaccine and Antiviral Medications

Prioritizing and Distributing Limited Supplies of Vaccine and Antiviral Medications

Deploying Limited Federal Assets and Resources to Support Local Medical Surge

Establishing Real-Time Clinical Surveillance

Modeling to Inform Decision Making and Public Health Interventions

Protecting Animal Health

Bolstering Domestic Surveillance

Expanding the National Veterinary Stockpile

Educating Bird Owners

Advancing Our Domestic Outbreak Response Plans.

Enhancing Infrastructure for Animal Health Research and Development

Law Enforcement, Public Safety, and Security

Providing Guidance to State and Local Law Enforcement Entities

Supporting Local Law Enforcement Activities

Institutions: Protecting Personnel and Ensuring Continuity of Operations

General Provisions

Chapter 2 U.S. GOVERNMENT PLANNING FOR A PANDEMIC

THE NATIONAL STRATEGY FOR PANDEMIC INFLUENZA

IMPLEMENTATION OF THE NATIONAL STRATEGY

NECESSARY ENABLERS OF PANDEMIC PREPAREDNESS

View Pandemic Preparedness as a National Security Issue

Promote Connectivity

Public Health and Medical Communities

International Community

Health and Non-Health Communities

Animal and Human Health Communities

Communicate Risk and Responsibility

Support Multilateral Organizations

Merge Preparedness for Natural and Deliberate Threats

ADVANCING PANDEMIC PREPAREDNESS

Enhancing Domestic Preparedness

Developing, Producing, and Stockpiling Vaccines and Antiviral Medications

Enhancing International Cooperation, Capacity, and Preparedness

PLANNING ASSUMPTIONS

Planning Assumptions for the Implementation Plan

Chapter 3 FEDERAL GOVERNMENT RESPONSE TO A PANDEMIC

COMMAND, CONTROL, AND COORDINATION OF THE FEDERAL RESPONSE

ROLES AND RESPONSIBILITIES

The Federal Government

Non-Federal Entities

FEDERAL GOVERNMENT ACTIONS DURING A PANDEMIC

World Health Organization Phases of a Pandemic

Inter-Pandemic Period (period of time between pandemics)

Pandemic Alert Period

Pandemic Period

Stages of the Federal Government Response

SUMMARY OF FEDERAL GOVERNMENT ACTIONS DURING A PANDEMIC

Stage 0: New Domestic Animal Outbreak in At-Risk Country (WHO Phase 1, 2, or 3)

Objectives.

Immediate Actions

Policy Decisions

Communications and Outreach

Stage 1: Suspected Human Outbreak Overseas (WHO Phase 3)

Objectives

Immediate Actions

Stage 2: Confirmed Human Outbreak Overseas (WHO Phase 4 or 5)

Stage 3: Widespread Human Outbreaks in Multiple Locations Overseas (WHO Phase 6)

Stage 4: First Human Case in North America (WHO Phase 6)

Stage 5: Spread throughout United States (WHO Phase 6)

Stage 6: Recovery and Preparation for Subsequent Waves (WHO Phase 6 or 5)

Chapter 4 INTERNATIONAL EFFORTS

INTRODUCTION

KEY CONSIDERATIONS

Limited International Capacity

Preparedness and Planning

Surveillance and Response

Donor Coordination

Strengthening International Animal Health Infrastructure

Key Elements of Effective International Response and Containment

Agreed Epidemiological "Trigger" for International Response and Containment

Rapid, Transparent Reporting and Sharing of Samples

Rapid Response Teams

Stockpiles of Countermeasures

Logistical Support for an International Response

Surveillance to Limit Spread

Development of Vaccines and Rapid Diagnostics

Effective Public Communication

Assistance to United States Citizens Traveling or Living Abroad

Assistance to the United States

State, Local, and Tribal Entities.

The Private Sector and Critical Infrastructure Entities

Individuals and Families

International Partners

ACTIONS AND EXPECTATIONS

4.1. Pillar One: Preparedness and Communication

a. Planning for a Pandemic

4.1.1. Support the Development and Exercising of Avian and Pandemic Response Plans

4.1.2. Expand In-Country and Abroad, Medical, Veterinary, and Scientific Capacity to Respond to an Outbreak

4.1.3. Educate People in Priority Countries about High-risk Practices that Increase the Likeli-hood of Virus Transmission from Animals and between Humans

b. Communicating Expectations and Responsibilities

4.1.4. Work to Ensure Clear, Effective, and Coordinated Risk Communication, Domestically and Internationally, before and during a Pandemic. This Includes Identifying Credible Spokespersons at all Levels of Government to Effectively Coordinate and Communicate Helpful, Informative, and Consistent Messages in a Timely Manner

c. Producing and Stockpiling Vaccines, Antiviral Medications, and Medical Material

4.1.5. Encourage Nations to Develop Production Capacity and Stockpiles to Support their Response Needs, to Include Pooling of Efforts to Create Regional Capacity

4.1.6. Facilitate Appropriate Coordination of Efforts Across the Vaccine Manufacturing Sector

d. Establishing Distribution Plans for Vaccines and Antiviral Medications

4.1.7. Develop Credible Countermeasure Distribution Mechanisms for Vaccine and Antiviral Agents Prior to and during a Pandemic

e. Advancing Scientific Knowledge and Accelerating Development

4.1.8. Ensure that there is Maximal Sharing of Scientific Information about Influenza Viruses between Governments, Scientific Entities, and the Private Sector

4.2. Pillar Two: Surveillance and Detection

a. Ensuring Rapid Reporting of Outbreaks.

4.2.1. Work through the International Partnership on Avian and Pandemic Influenza, as Well as through other Political and Diplomatic Channels such as the United Nations and the Asia-Pacific Economic Cooperation Forum, to Ensure Transparency, Scientific Cooperation, and Rapid Reporting of Avian and Human Influenza Cases

4.2.2. Support the Development of the Proper Scientific and Epidemiologic Expertise in Affected Regions to Ensure Early Recognition of Changes in the Pattern of Avian or Human Outbreaks

4.2.3. Support the Development and Sustainment of Sufficient U.S. and Host Nation Laboratory Capacity and Diagnostic Reagents in Affected Regions and Domestically, to Provide Rapid Confirmation of Cases in Animals or Humans

b. Using Surveillance to Limit Spread

4.2.4. Develop Mechanisms to Rapidly Share Information on Travelers Who May Be Carrying or May Have Been Exposed to a Pandemic Strain of Influenza, for the Purposes of Contact Tracing and Outbreak Investigation

4.2.5. Develop and Exercise Mechanisms to Provide Active and Passive Surveillance during an Outbreak, Both within and Beyond Our Borders

4.2.6. Expand and Enhance Mechanisms for Screening and Monitoring Animals that may Harbor Viruses with Pandemic Potential

4.2.7. Develop Screening and Monitoring Mechanisms and Agreements to Appropriately Control the Movement and Shipping of Potentially Contaminated Products to and from Affected Regions if Necessary, and to Protect Unaffected Populations

4.2.8. Share guidance with international partners on best practices to prevent the spread of influenza, including within hospitals and clinical settings.

4.3. Pillar Three: Response and Containment

a. Containing Outbreaks.

4.3.1. Work to Develop a Coalition of Strong Partners to Coordinate Actions to Limit the Spread of a Virus with Pandemic Potential Beyond the Location where it is First Recognized Abroad in Order to Protect U.S. Interests.

Notes:

Description based upon print version of record.

Includes bibliographical references (p. [247]-249) and index.

Description based on print version record.

ISBN:

1-61470-348-5

OCLC:

761314170