Influenza A(H1N1) / Swine Flu

Getting behind the curve, is the new NHS ready for pandemic flu? – Centre for Health and the Public Interest [UK] – 3 January 2014

Posted on January 10, 2014. Filed under: Infectious Diseases, Influenza A(H1N1) / Swine Flu | Tags: , |

Getting behind the curve, is the new NHS ready for pandemic flu? – Centre for Health and the Public Interest [UK] – 3 January 2014

“This report finds that reforms made to the NHS following the Health and Social Care Act of 2012 have impacted upon its ability to deal effectively with a possible flu pandemic. It highlights three potential problems which the new NHS now faces in dealing with a possible pandemic. A loss of expertise, personal relationships and institutional memory in dealing with public health emergencies from within the NHS as a result of the 2012 reforms, the lack of clear accountability arrangements and a ‘clear line of sight’ under the new system and the co-ordination of increasing numbers of private providers of NHS services in a health care system underpinned by contracts.”

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Perspectives on Research with H5N1 Avian Influenza: Scientific Inquiry, Communication, Controversy: Summary of a Workshop – Institute of Medicine – 2013

Posted on April 9, 2013. Filed under: Infectious Diseases, Influenza A(H1N1) / Swine Flu, Research | Tags: , |

Perspectives on Research with H5N1 Avian Influenza: Scientific Inquiry, Communication, Controversy: Summary of a Workshop – Institute of Medicine – 2013

“When, in late 2011, it became public knowledge that two research groups had submitted for publication manuscripts that reported on their work on mammalian transmissibility of a lethal H5N1 avian influenza strain, the information caused an international debate about the appropriateness and communication of the researchers’ work, the risks associated with the work, partial or complete censorship of scientific publications, and dual-use research of concern in general.

Recognizing that the H5N1 research is only the most recent scientific activity subject to widespread attention due to safety and security concerns, on May 1, 2012, the National Research Council’s Committee on Science, Technology and Law, in conjunction with the Board on Life Sciences and the Institute of Medicine’s Forum on Microbial Threats, convened a one-day public workshop for the purposes of 1) discussing the H5N1 controversy; 2) considering responses by the National Institute of Allergy and Infectious Diseases (NIAID), which had funded this research, the World Health Organization, the U.S. National Science Advisory Board for Biosecurity (NSABB), scientific publishers, and members of the international research community; and 3) providing a forum wherein the concerns and interests of the broader community of stakeholders, including policy makers, biosafety and biosecurity experts, non-governmental organizations, international organizations, and the general public might be articulated.
Perspectives on Research with H5N1 Avian Influenza: Scientific Enquiry, Communication, Controversy summarizes the proceedings of the workshop.”

ISBN-10: 0-309-26775-7
ISBN-13: 978-0-309-26775-5

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Review of Australia’s Health Sector Response to Pandemic (H1N1) 2009: Lessons Identified – Australian Department of Health and Ageing – October 2011

Posted on November 16, 2011. Filed under: Infectious Diseases, Influenza A(H1N1) / Swine Flu | Tags: |

Review of Australia’s Health Sector Response to Pandemic (H1N1) 2009: Lessons Identified – Australian Department of Health and Ageing – October 2011

Print ISBN: 978-1-74241-551-2    Online ISBN: 978-1-74241-552-9

“This review examines the Australian health sector’s response to pandemic (H1N1) 2009 (the 2009 pandemic) in the context of what was planned for and what occurred during the response. The review identifies what worked well, as well as issues that require further consideration to strengthen the planning, management and operational aspects of pandemic health response arrangements in Australia. The recommendations included in this review accordingly focus on the issues identified. This review does not attempt to resolve these issues; an implementation process will be developed jointly with state and territory health officials through the Australian Health Protection Committee (AHPC).”

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Seasonal Flu Vaccination: Why Don’t More Americans Get It? – RAND – February 2011

Posted on February 15, 2011. Filed under: Infectious Diseases, Influenza A(H1N1) / Swine Flu | Tags: , |

Seasonal Flu Vaccination: Why Don’t More Americans Get It? – RAND – February 2011

by Katherine M. Harris, Juergen Maurer, Lori Uscher-Pines, Arthur L. Kellermann, Nicole Lurie

“RAND researchers found that less than half of U.S. adults received flu vaccinations in 2010. Strategies to increase flu vaccination rates should include stronger efforts to address public skepticism and negative perceptions.”

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Universal flu vaccine successfully tested – ABC – 7 February 2011

Posted on February 7, 2011. Filed under: Infectious Diseases, Influenza A(H1N1) / Swine Flu | Tags: |

Universal flu vaccine successfully tested: report

Copied from the ABC website:
“Scientists in Britain have successfully tested a vaccine which could work against all known flu strains, the Guardian newspaper reports.

The new vaccine, developed by scientists at Oxford University, differs from traditional treatments by targeting proteins inside the flu virus rather than proteins on the flu’s external coat.

The two proteins within the virus are similar across strains and less likely to mutate, meaning new vaccines would not have to be developed for each new strain of the illness.”  … continues on the ABC site

About Dr Sarah Gilbert

More

News report on the research

Google news on the research

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Pandemics in the Age of Twitter: Content Analysis of Tweets during the 2009 H1N1 Outbreak. PLoS ONE 2010, 5(11): e14118

Posted on February 1, 2011. Filed under: Health Informatics, Infectious Diseases, Influenza A(H1N1) / Swine Flu |

Chew C, Eysenbach G, 2010 Pandemics in the Age of Twitter: Content Analysis of Tweets during the 2009 H1N1 Outbreak. PLoS ONE 5(11): e14118

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Preventing Transmission of Pandemic Influenza and Other Viral Respiratory Diseases: Personal Protective Equipment for Healthcare Personnel Update 2010 – Institute of Medicine [US] – Released: 27 January 2011

Posted on January 28, 2011. Filed under: Infection Control, Infectious Diseases, Influenza A(H1N1) / Swine Flu, Workforce | Tags: , , |

Preventing Transmission of Pandemic Influenza and Other Viral Respiratory Diseases: Personal Protective Equipment for Healthcare Personnel Update 2010 – Institute of Medicine [US] – Released: 27 January 2011

Full text online

“In light of the unanswered research questions following the 2009 H1N1 influenza pandemic, the National Personal Protective Technology Laboratory at the National Institute for Occupational Safety and Health (NIOSH) asked the IOM to assess the progress of PPE research and to identify future directions for PPE for healthcare personnel. While the IOM finds that there are gaps and deficiencies in the research about PPE use in health care, there is sufficient knowledge to recommend a four-pronged strategy for effective PPE use:

Deliberate planning and preparation at the leadership and organizational levels
Comprehensive training for all personnel, including supervisors and managers
Widespread and convenient availability of appropriate PPE devices
Accountability at all levels of the organization

The IOM also offers several recommendations for continuing the momentum of PPE research that are detailed in the report and the report brief. The more scientists and researchers know about how to maximize the effectiveness of PPE and its use, the more prepared we will be for the next influenza pandemic.”

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The Impact of the H1N1 Pandemic on Canadian Hospitals – November 2010

Posted on January 10, 2011. Filed under: Acute Care, Infectious Diseases, Influenza A(H1N1) / Swine Flu |

The Impact of the H1N1 Pandemic on Canadian Hospitals – November 2010

“While the H1N1 global pandemic may not have resulted in as many severe cases as originally predicted, a new study released today by the Canadian Institute for Health Information (CIHI) shows that more than 15,000 Canadians were admitted to hospital for H1N1 in Canada between April and December 2009. This is about 6,500 more patients than the number of lab-confirmed hospitalization cases reported at the end of last year, as it includes the number of both confirmed and probable H1N1 acute care hospitalizations.

The Impact of the H1N1 Pandemic on Canadian Hospitals uses the combined total of probable and confirmed H1N1 cases to assess the impact on Canada’s acute care hospital system because many hospitalizations for unspecified influenza are assumed to have been H1N1. The number of cases released last year followed the World Health Organization’s guidelines and focused on lab-confirmed H1N1 only.”

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Detecting flu and other disease outbreaks sooner – 2 September 2010

Posted on September 6, 2010. Filed under: Infectious Diseases, Influenza A(H1N1) / Swine Flu | Tags: , |

2 September 2010
Detecting flu and other disease outbreaks sooner

“New methods for detecting disease outbreaks earlier have been developed in a collaborative effort between CSIRO and NSW Health.
According to an article published recently in the journal Institute of Industrial Engineers Transactions, the new methodologies may enable health authorities to take action sooner to implement disease outbreak control measures.
“New methods developed by CSIRO statisticians have the potential to give an earlier-than-ever indication of whether a flu season is behaving normally or not,” says CSIRO Mathematics, Informatics and Statistics’ Chief, Dr Louise Ryan.”
…continues on the site

About the article mentioned:

Understanding sources of variation in syndromic surveillance for early warning of natural or intentional disease outbreaks 
Authors: Ross Sparksa; Chris Carterb; Petra Grahamc; David Muscatellod; Tim Churchesd; Jill Kaldord; Robyn Turnerd; Wei Zhengd; Louise Ryan
IIE Transactions, Volume 42, Issue 9 September 2010 , pages 613 – 631
DOI: 10.1080/07408170902942667
http://dx.doi.org/10.1080/07408170902942667

Abstract
Daily counts of computer records of hospital emergency department arrivals grouped according to diagnosis (called here syndrome groupings) can be monitored by epidemiologists for changes in frequency that could provide early warning of bioterrorism events or naturally occurring disease outbreaks and epidemics. This type of public health surveillance is sometimes called syndromic surveillance. We used transitional Poisson regression models to obtain one-day-ahead arrival forecasts. Regression parameter estimates and forecasts were updated for each day using the latest 365 days of data. The resulting time series of recursive estimates of parameters such as the amplitude and location of the seasonal peaks as well as the one-day-ahead forecasts and forecast errors can be monitored to understand changes in epidemiology of each syndrome grouping.

The counts for each syndrome grouping were autocorrelated and non-homogeneous Poisson. As such, the main methodological contribution of the article is the adaptation of Cumulative Sum (CUSUM) and Exponentially Weighted Moving Average (EWMA) plans for monitoring non-homogeneous counts. These plans were valid for small counts where the assumption of normally distributed one-day-ahead forecasts errors, typically used in other papers, breaks down. In addition, these adaptive plans have the advantage that control limits do not have to be trained for different syndrome groupings or aggregations of emergency departments.

Conventional methods for signaling increases in syndrome grouping counts, Shewhart, CUSUM, and EWMA control charts of the standardized forecast errors were also examined. Shewhart charts were, at times, insensitive to shifts of interest. CUSUM and EWMA charts were only reasonable for large counts. We illustrate our methods with respiratory, influenza, diarrhea, and abdominal pain syndrome groupings.

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MMWR 6 August 2010 – Prevention and control of influenza with vaccines: recommendations of the Advisory Committee on Immunization Practices (ACIP), 2010

Posted on August 19, 2010. Filed under: Infectious Diseases, Influenza A(H1N1) / Swine Flu | Tags: , |

MMWR Recomm Rep. 2010 Aug 6;59(RR-8):1-62.
Prevention and control of influenza with vaccines: recommendations of the Advisory Committee on Immunization Practices (ACIP), 2010.

Fiore AE, Uyeki TM, Broder K, Finelli L, Euler GL, Singleton JA, Iskander JK, Wortley PM, Shay DK, Bresee JS, Cox NJ; Centers for Disease Control and Prevention (CDC).

Influenza Division, National Center for Immunization and Respiratory Diseases, CDC, 1600 Clifton Road, N.E., MS A-20, Atlanta, GA 30333, USA.

Abstract
This report updates the 2009 recommendations by CDC’s Advisory Committee on Immunization Practices (ACIP) regarding the use of influenza vaccine for the prevention and control of influenza (CDC. Prevention and control of influenza: recommendations of the Advisory Committee on Immunization Practices [ACIP]. MMWR 2009;58[No. RR-8] and CDC. Use of influenza A (H1N1) 2009 monovalent vaccine—recommendations of the Advisory Committee on Immunization Practices [ACIP], 2009. MMWR 2009;58:[No. RR-10]). The 2010 influenza recommendations include new and updated information. Highlights of the 2010 recommendations include 1) a recommendation that annual vaccination be administered to all persons aged >or=6 months for the 2010-11 influenza season; 2) a recommendation that children aged 6 months–8 years whose vaccination status is unknown or who have never received seasonal influenza vaccine before (or who received seasonal vaccine for the first time in 2009-10 but received only 1 dose in their first year of vaccination) as well as children who did not receive at least 1 dose of an influenza A (H1N1) 2009 monovalent vaccine regardless of previous influenza vaccine history should receive 2 doses of a 2010-11 seasonal influenza vaccine (minimum interval: 4 weeks) during the 2010–11 season; 3) a recommendation that vaccines containing the 2010-11 trivalent vaccine virus strains A/California/7/2009 (H1N1)-like (the same strain as was used for 2009 H1N1 monovalent vaccines), A/Perth/16/2009 (H3N2)-like, and B/Brisbane/60/2008-like antigens be used; 4) information about Fluzone High-Dose, a newly approved vaccine for persons aged >or=65 years; and 5) information about other standard-dose newly approved influenza vaccines and previously approved vaccines with expanded age indications. Vaccination efforts should begin as soon as the 2010-11 seasonal influenza vaccine is available and continue through the influenza season. These recommendations also include a summary of safety data for U.S.-licensed influenza vaccines. These recommendations and other information are available at CDC’s influenza website (http://www.cdc.gov/flu); any updates or supplements that might be required during the 2010-11 influenza season also will be available at this website. Recommendations for influenza diagnosis and antiviral use will be published before the start of the 2010-11 influenza season. Vaccination and health-care providers should be alert to announcements of recommendation updates and should check the CDC influenza website periodically for additional information.

PMID: 20689501 [PubMed – indexed for MEDLINE]

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Ministerial Review into the Public Health Response into the Adverse Events to the Seasonal Influenza Vaccine – WA – released 11 August 2010

Posted on August 13, 2010. Filed under: Infectious Diseases, Influenza A(H1N1) / Swine Flu | Tags: , |

11 August 2010
Ministerial Review into the Public Health Response into the Adverse Events to the Seasonal Influenza Vaccine – Final Report to the Minister for Health (PDF 2.52MB) – Western Australia

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Lessons from the Frontlines Report on H1N1 Response Released – Canada – 12 August 2010

Posted on August 13, 2010. Filed under: Influenza A(H1N1) / Swine Flu |

Lessons from the Frontlines Report on H1N1 Response Released – Canada – 12 August 2010

“August 12, 2010 – The Canadian Medical Association (CMA), the College of Family Physicians of Canada (CFPC), and the National Specialty Society of Community Medicine (NSSCM) today released Lessons from the Frontlines, a collaborative report on H1N1 describing the physician experience on the frontlines of the pandemic.

“The H1N1 influenza pandemic strained public health resources and primary care providers alike,” noted NSSCM President, Dr. Matthew Hodge. “Preparing for the future means we must strengthen the relationship of these critical frontline workers.”

The national organizations, representing over 80,000 physicians engaged in all aspects of Canada’s health care and public health systems, have proposed concrete steps to improve Canada’s pandemic response capability:”

…continues

Access the report: Lessons from the Frontlines (pdf)

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Pandemic Influenza Preparedness Programme Team, social care flu resilience social care self-assessment tool – UK – 30 June 2010

Posted on July 8, 2010. Filed under: Influenza A(H1N1) / Swine Flu | Tags: |

Pandemic Influenza Preparedness Programme Team, social care flu resilience social care self-assessment tool – UK –

Document type: Publication
Author: Department of Health
Published date: 30 June 2010

“This report contains the results of the social care self assessment tool issued to local authorities (LAs) with social services responsibilities in England in October 2009. The results will help LAs in reviewing and improving their pandemic preparedness plans.”

Download Pandemic Influenza Preparedness Programme Team social care flu resilience, social care self-assessment tool (PDF, 293K)

Download executive summary (PDF, 53K)

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Report of the Swine Flu Critical Care Clinical Group and Key Learning Points for Future Surge Planning – UK – 1 July 2010

Posted on July 8, 2010. Filed under: Influenza A(H1N1) / Swine Flu | Tags: |

Report of the Swine Flu Critical Care Clinical Group and Key Learning Points for Future Surge Planning – UK – 1 July 2010

Document type: Report
Author: Department of Health
Pages: 48

The Critical care report builds on the work undertaken during the 2009/10 swine flu pandemic to increase critical care capacity. The report incorporates key learning points for future surge planning. The most important is the recommended work for critical care networks, which must be robust and well prepared as the essential foundation for any response for surge in demand.

Download Report of the Swine Flu Critical Care Clinical Group (PDF, 415K)

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Learning the lessons from the H1N1 vaccination campaign for Health Care Workers – UK – 1 July 2010

Posted on July 8, 2010. Filed under: Influenza A(H1N1) / Swine Flu | Tags: |

Learning the lessons from the H1N1 vaccination campaign for Health Care Workers – UK – 1 July 2010

Document type: Report
Author: Department of Health
Pages: 31

This report provides the NHS and social care sector with information on lessons learnt from the H1N1 health and social care worker vaccination programme.

Download Learning the lessons from the H1N1 vaccination campaign for Health Care Workers (PDF, 207K)

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The Domestic and International Impacts of the 2009-H1N1 Influenza A Pandemic: Global Challenges, Global Solutions: Workshop Summary – 28 June 2010

Posted on July 2, 2010. Filed under: Infectious Diseases, Influenza A(H1N1) / Swine Flu | Tags: , , |

The Domestic and International Impacts of the 2009-H1N1 Influenza A Pandemic: Global Challenges, Global Solutions: Workshop  Summary
Institute of Medicine (US) Forum on Microbial Threats
nap12799
Created: June 28, 2010.

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Seroprevalence of the 2009 influenza A (H1N1) pandemic in New Zealand – June 2010

Posted on June 4, 2010. Filed under: Influenza A(H1N1) / Swine Flu |

Seroprevalence of the 2009 influenza A (H1N1) pandemic in New Zealand
Date of publication (online): June 2010

Full text in pdf

“Summary of publication

A new scientific study shows the full effect of Pandemic Influenza H1N1 in New Zealand in 2009

The Ministry commissioned study, conducted by Environmental Science and Reaseach (ESR), estimates that 1.26 million or 29% of New Zealanders were immune to the pandemic influenza virus by March this year.

About 480,000 people had some immunity prior to last year’s pandemic wave, mostly in the older age groups. An additional 780,000 were estimated to have been infected during 2009. The highest rate of infection during 2009 was in school age children – where one in three children were affected. Almost half of those infected showed no obvious symptoms.”

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Investigation Into Febrile Convulsions In Young Children After Seasonal Influenza Vaccination Interim Findings And Recommendations – 1 June 2010

Posted on June 2, 2010. Filed under: Child Health / Paediatrics, Infectious Diseases, Influenza A(H1N1) / Swine Flu |

Investigation Into Febrile Convulsions In Young Children After Seasonal Influenza Vaccination Interim Findings And Recommendations 1 June 2010 (PDF 69 KB)
Professor Jim Bishop
Commonwealth Chief Medical Officer
1 June 2010

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H1N1 in Canada—A Context for Understanding Patients and Their Use of Hospital Services – 11 February 2010

Posted on February 15, 2010. Filed under: Influenza A(H1N1) / Swine Flu | Tags: , |

“H1N1 patients required more intensive hospital care than typical flu patients

February 11, 2010—When compared to a typical flu, the H1N1 virus resulted in a higher proportion of patients requiring specialized hospital services—and affected younger people more—according to a new study released today by the Canadian Institute for Health Information (CIHI).

The study, H1N1 in Canada—A Context for Understanding Patients and Their Use of Hospital Services,is the first of its kind to examine at a pan-Canadian level how hospitalizations for H1N1 differed from hospitalizations associated with a typical flu. It compares Public Health Agency of Canada FluWatch analysis from April to December 2009 with CIHI hospital statistics for the baseline year 2007–2008. The comparison group included patients with influenza and/or pneumonia, the most common complication of influenza.

“The H1N1 pandemic was met with an unprecedented response from public health officials. As the spread of the virus subsides, it is important to pause and look at how H1N1 compares to a typical flu season,” says Jean-Marie Berthelot, Vice President of Programs at CIHI. “Our study shows that proportionately more H1N1 patients needed specialized and intensive hospital services than what we’ve come to expect in a typical flu season.”

Specifically, the study found that from April 12, 2009, to January 2, 2010, the proportion of hospitalized H1N1 patients requiring intensive care was 50% higher than for those admitted to hospital with influenza or pneumonia in the baseline year—with almost one in six H1N1 hospitalized patients admitted to an intensive care unit (ICU). In addition, an estimated 1 in 10 patients admitted to hospital with H1N1 required ventilation to assist with breathing; proportionally, this was more than double the influenza/pneumonia group.”

…continues on the website

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Pandemic influenza: summary infection control guidance for ambulance services during an influenza pandemic – UK – 8 January 2010

Posted on January 12, 2010. Filed under: Infection Control, Infectious Diseases, Influenza A(H1N1) / Swine Flu | Tags: , |

Pandemic influenza: summary infection control guidance for ambulance services during an influenza pandemic – UK – 8 January 2010

Document type: Guidance
Author: Department of Health
Published date: 8 January 2010
Pages: 25

“The purpose of this document is to set out concise summary guidance for infection control for the ambulance services and it is intended for use during the pandemic. The guidance in this document is equally applicable to lay responders, who should adopt the same infection control and hygiene measures.

This guidance document includes sections on patient management, infection control precautions, use of personal protective equipment (PPE) and environmental infection control, as well as occupational health.”

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Pandemic (H1N1) influenza: a summary of guidance for infection control in healthcare settings – UK – 8 January 2010

Posted on January 12, 2010. Filed under: Infection Control, Infectious Diseases, Influenza A(H1N1) / Swine Flu | Tags: |

Pandemic (H1N1) influenza:  a summary of guidance for infection control in healthcare settings  – 8 January 2010

Document type: Guidance
Author: Department of Health and Health Protection Agency
Published date: 8 January 2010
Pages: 32

Supersedes/replaces: Pandemic influenza: guidance for infection control in hospitals and primary care settings

“This document is an updated version of Pandemic flu: A summary of guidance for infection control in health care settings issued in September 2007. It is specific to the current pandemic influenza virus, pandemic (H1N1), and thus represents current guidance.

This document is based on the currently available virological and epidemiological knowledge about pandemic (H1N1) influenza and includes new or updated information regarding:

transmission characteristics of pandemic (H1N1) influenza aerosol-generating procedures occupational health: deployment of staff at high risk of complications from influenza setting-specific guidance for mortuaries and dental surgeries.The guidance document has been written for the NHS, but the infection control principles apply to other settings delivering healthcare.”

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The Domestic and International Impacts of the 2009-H1N1 Influenza A Pandemic: Global Challenges, Global Solutions – Institute of Medicine – 29 December 2009

Posted on January 6, 2010. Filed under: Influenza A(H1N1) / Swine Flu | Tags: , |

The Domestic and International Impacts of the 2009-H1N1 Influenza A Pandemic: Global Challenges, Global Solutions – Institute of Medicine     Released: December 29, 2009
Type: Workshop Summary

Full text online

“Note: Workshop Summaries contain the opinion of the presenters, but do NOT reflect the conclusions of the IOM. Learn more about the differences between Workshop Summaries and Consensus Reports.

In March 2009, a new H1N1 influenza A virus emerged in Mexico and the United States. On June 11, 2009, the World Health Organization declared a pandemic in response to the sustained global spread of the virus. President Obama, on October 24, 2009, signed an official proclamation declaring the 2009-H1N1 influenza A swine flu outbreak a national emergency in the United States. While the 2009 H1N1 pandemic appears to be the mildest pandemic of the past century, many scientific and policy questions related to this virus remain unanswered.

On September 15-16, 2009, the IOM’s Forum on Microbial Threats held a public workshop to discuss the domestic and international impacts of the 2009 H1N1 influenza A pandemic. Participants explored the origins, evolution, and epidemiology of the 2009 H1N1 influenza A virus as well as prospects for development and distribution of vaccines and other mitigation measures. In addition, participants discussed the value of disease detection and surveillance in understanding the epidemiology of the virus and in evaluating the success of various interventions to reduce the virus’s spread. This report summarizes the workshop’s discussions.”

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TGA approves Pandemic (H1N1) 2009 influenza vaccine for use in children aged from 6 months of age – 3 December 2009

Posted on December 3, 2009. Filed under: Influenza A(H1N1) / Swine Flu | Tags: , , , |

TGA approves Pandemic (H1N1) 2009 influenza vaccine for use in children aged from 6 months of age
3 December 2009

“Australia’s medicines regulator, the Therapeutic Goods Administration (TGA), has today approved the use of Panvax® H1N1 influenza vaccine to include children aged from 6 months of age.

In addition, the TGA has also approved Panvax H1N1 Junior® influenza vaccine specifically for use in children aged from 6 months up to 3 years of age.

The TGA approved the use of Panvax® H1N1 influenza vaccine in children, and Panvax H1N1 Junior®, following analysis of paediatric clinical trial data.

The TGA approved Panvax® H1N1 influenza vaccine on 18 September 2009 for use in adults and children over 10 years of age.

Panvax® H1N1 influenza vaccine and Panvax H1N1 Junior® are manufactured by the Australian company, CSL Limited, using the same processes as those used to manufacture seasonal influenza vaccines.

Information on the vaccination dosage and planned roll-out of the vaccine programme can be found at http://www.healthemergency.gov.au.

Healthcare practitioners and consumers are encouraged to report any side effects by telephoning 18 02 007 or by using the online reporting form available from the TGA website at http://www.tga.gov.au/problem/panvaxh1n1.htm.

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Enforcement Procedures for High to Very High Occupational Exposure Risk to 2009 H1N1 Influenza – US – 20 November 2009

Posted on November 24, 2009. Filed under: Infection Control, Infectious Diseases, Influenza A(H1N1) / Swine Flu, Occupational Hlth Safety | Tags: |

Enforcement Procedures for High to Very High Occupational Exposure Risk to 2009 H1N1 Influenza – US Department of Labor, Occupational Safety and Health Administration – OSHA Instruction – Directive CPL-02-02-075 – 20 November 2009

“This Instruction establishes agency enforcement policies and provides instructions to ensure uniform procedures when conducting inspections to minimize high to very high occupational exposure risk to the virus identified as 2009 H1N1 influenza of workers whose occupational activities involve contact with patients or contaminated material in a healthcare or clinical laboratory setting.”

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Google Launches Online H1N1, Seasonal Flu Vaccine Finder Tool

Posted on November 12, 2009. Filed under: Health Informatics, Influenza A(H1N1) / Swine Flu |

Google Launches Online H1N1, Seasonal Flu Vaccine Finder Tool – from iHealthBeat – 11 Nov 2009

“In collaboration with HHS, Google has launched an online map tool designed to help users find the nearest location to get the seasonal or H1N1 flu vaccines, Time reports.

After users enter a ZIP code or town, the tool displays color-coded syringes on a map.  Pink syringes indicate the availability of seasonal flu vaccinations, blue syringes represent the availability of H1N1 flu vaccinations, and pink and blue syringes mean both vaccinations are available (Sharples O’Callaghan, Time, 11/10).

The American Lung Association and HHS’s flu.gov collaborators also worked on the project.

The flu shot finder includes data for about 20 states (Merrill, Healthcare IT News, 11/11). Developers say they plan to update the map with data for the entire U.S. (Time, 11/10).”

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Mass Medical Care with Scarce Resources – The Essentials – September 2009

Posted on November 10, 2009. Filed under: Influenza A(H1N1) / Swine Flu, Public Hlth & Hlth Promotion | Tags: , |

Mass Medical Care with Scarce Resources – The Essentials – September 2009

“This guide from Department of Health & Human Services’ (HHS) Agency for Healthcare Research and Quality (AHRQ) can help community planners prepare for public health emergencies, such as pandemic flu, when demand for medical resources outweighs supply. The guide includes information on ethical and legal issues, and on the provision of services to address pre-hospital, acute hospital care, alternative care sites, and palliative care during a public health emergency.

To illustrate how to apply these basic principles, the guide includes a special section on influenza pandemic preparedness. This new guide is an abbreviated version of Mass Medical Care with Scarce Resources, published by AHRQ in 2007.”

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CDC Guidance for Responses to Influenza for Institutions of Higher Education during the 2009-2010 Academic Year

Posted on August 26, 2009. Filed under: Infectious Diseases, Influenza A(H1N1) / Swine Flu | Tags: |

CDC Guidance for Responses to Influenza for Institutions of Higher Education during the 2009-2010 Academic Year
US Centers for Disease Control and Prevention

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Report to the President on US preparations for 2009 – H1N1 influenza – August 7, 2009

Posted on August 25, 2009. Filed under: Infectious Diseases, Influenza A(H1N1) / Swine Flu | Tags: |

Report to the President on US preparations for 2009 – H1N1 influenza – August 7, 2009

“…prepared by your Council of Advisors on Science and Technology (PCAST). This report examines the strategic issues raised by the likely resurgence this fall of the novel influenza virus called 2009-H1N1.”

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WHO Guidelines for Pharmacological Management of Pandemic (H1N1) 2009 Influenza and other Influenza Viruses – 20 August 2009

Posted on August 25, 2009. Filed under: Infectious Diseases, Influenza A(H1N1) / Swine Flu | Tags: , , |

WHO Guidelines for Pharmacological Management of Pandemic (H1N1) 2009 Influenza and other Influenza Viruses
Publication date: 20 August 2009

“The purpose of this document is to provide a basis for advice to clinicians on the use of the currently available antivirals for patients presenting with illness due to influenza virus infection as well the potential use of the medicines for chemoprophylaxis. The document addresses specifically the two neuraminidase inhibitors oseltamivir and zanamivir, and the two M2 inhibitors amantadine and rimantadine. It includes recommendations on the use of some other potential pharmacological treatments. While the focus of the document is on management of patients with pandemic influenza (H1N1) 2009 virus infection, the document includes guidance on the use of the antivirals for other seasonal influenza virus strains, and for infections due to novel influenza A virus strains. WHO recommends that country and local public health authorities issue local guidance for clinicians from time to time that places these recommendations in the context of epidemiological and antiviral susceptibility data on the locally circulating influenza strains.

This guidance expands on the recommendations published in May 2009 titled “Clinical management of human infection with new influenza A (H1N1) virus: Initial guidance”. The recommendations are based on a review of data obtained with previously circulating strains, and treatment of human H5N1 influenza virus infections. It is anticipated that as the prevalence and severity of the current epidemic changes, further information will become available that may warrant revision of the recommendations.”

Download the document [pdf 984kb]

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NLM & NCBI Launches “Rapid Research Notes” Archive and PLoS Currents: Influenza

Posted on August 24, 2009. Filed under: Infectious Diseases, Influenza A(H1N1) / Swine Flu, Research | Tags: |

NLM Launches “Rapid Research Notes” Archive

“The National Library of Medicine announces the introduction of Rapid Research Notes (RRN), a new resource developed by the National Center for Biotechnology Information (NCBI), a division of NLM, to archive research made available through online venues for rapid scientific communication. The RRN archive (www.ncbi.nlm.nih.gov/rrn) allows users to access research that is provided through participating publisher programs designed for immediate communication.

Creating such an archive has been discussed often by NCBI’s public advisors, but the recent outbreak of H1N1 influenza provided an increased impetus for the project. Responding to the call for a means to quickly share research information about H1N1, the Public Library of Science developed PLoS Currents: Influenza (www.ploscurrents.org/influenza), an open-access, online resource for immediate communication and discussion of new scientific data, analyses, and ideas in the area of influenza. In order to make research available as soon as possible, submissions are not peer reviewed in depth, but are screened by a group of leading researchers in the field who decide whether a contribution is suitable; those judged suitable are immediately posted to the PLoS Currents: Influenza Web site and archived at RRN with a stable ID.

PLoS Currents: Influenza is the first collection to be archived in RRN. NCBI expects the RRN archive to expand over time to include additional collections in other high-interest biomedical fields.”

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Pandemic flu: planning and responding to primary care capacity challenges – UK – August 2009

Posted on August 24, 2009. Filed under: Infectious Diseases, Influenza A(H1N1) / Swine Flu | Tags: |

Pandemic flu: planning and responding to primary care capacity challenges

New guidance has been published for PCTs on how to deliver primary care services whilst potentially short staffed and how to cope with increased patient demand during the pandemic and the anticipated seasonal flu.

UK Department of Health – publications

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Providing a Safer Environment for Health Care Personnel and Patients through Influenza Vaccination: Strategies from Research and Practice – US The Joint Commission – 22 July 2009

Posted on August 19, 2009. Filed under: Infectious Diseases, Influenza A(H1N1) / Swine Flu | Tags: , |

Providing a Safer Environment for Health Care Personnel and Patients through Influenza Vaccination: Strategies from Research and Practice – US The Joint Commission – 22 July 2009

“The Joint Commission is releasing “Providing a Safer Environment for Health Care Personnel and Patients through Influenza Vaccination:  Strategies from Research and Practice,” a free monograph, to help health care organizations of all types improve seasonal influenza vaccination rates in health care personnel.  The monograph:

  • Highlights strategies submitted from health care organizations through the Strategies for Implementing Successful Influenza Immunization Programs for Health Care Personnel Project, a collaboration with leading infection prevention and control professional organizations.
  • Provides an overview of evidence-based guidelines, published research studies, legislative and regulatory efforts, and accreditation considerations related to improving seasonal influenza vaccination rates in health care personnel.

The Joint Commission’s Division of Quality Measurement and Research authored the monograph in collaboration with the following organizations:

  • The Association for Professionals in Infection Control and Epidemiology, Inc.
  • The Centers for Disease Control and Prevention
  • The National Foundation for Infectious Diseases
  • The Society for Healthcare Epidemiology of America

The monograph was supported in part by an unrestricted educational grant provided by sanofi pasteur and can be downloaded at no charge. (The monograph is only available by download.)”

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Swine flu pandemic advice – UK Care Quality Commission – 12 August 2009

Posted on August 17, 2009. Filed under: Influenza A(H1N1) / Swine Flu | Tags: , |

Swine flu pandemic advice – UK Care Quality Commission
12 August 2009

“We have developed advice for care providers during the swine flu pandemic.

Health and adult social care regulations continue to apply during a flu pandemic, unless otherwise announced by the Department of Health. This situation is being kept under review and may change.

Please refer to the National Pandemic Flu Service for all the latest information and advice on swine flu:

We have also developed some specific questions and answers for care providers:

* information for social care providers
* information for healthcare providers

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Risk Communication in the Early Stages of the H1N1 (Swine Flu) Alert – How Effective Were State and Local Public Health Departments? – US – August 2009

Posted on August 14, 2009. Filed under: Influenza A(H1N1) / Swine Flu, Public Hlth & Hlth Promotion | Tags: , , |

Risk Communication in the Early Stages of the H1N1 (Swine Flu) Alert – How Effective Were State and Local Public Health  Departments?
By: Jeanne S. Ringel, Elizabeth Trentacost, Nicole Lurie

Presents an assessment of how effectively state and local health departments communicated information regarding the April 2009 H1N1 virus (swine flu) outbreak via the Web to their constituents.

RAND Corporation   3 p.    Document Number: RB-9466   Year: 2009

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Pandemic vaccine priority for most at risk – UK – 13 August 2009

Posted on August 14, 2009. Filed under: Infectious Diseases, Influenza A(H1N1) / Swine Flu | Tags: , , |

Pandemic vaccine priority for most at risk
13 August 2009 17:25
UK  Department of Health   (National)

“More than 11 million people in England will be targeted first

The priority groups who will be first in line for vaccination against swine flu will include pregnant women, frontline health and social care workers, and everyone in at-risk groups aged over six months, Health Secretary Andy Burnham announced today.

This follows advice from independent experts on who should be first in line for vaccination.

The Joint Committee on Vaccination and Immunisation reviewed the evidence and advised the Department of Health on the crucial risk groups to be offered vaccination in order to reduce the rate or possibility of serious illness.

This advice was also scrutinised and endorsed by the Scientific Advisory Group for Emergencies (SAGE).”

… continues on the website

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Exercise Cold Play II – pandemic planning exercise – UK – 13 August 2009

Posted on August 13, 2009. Filed under: Infectious Diseases, Influenza A(H1N1) / Swine Flu | Tags: |

Exercise Cold Play II

Document type:      Guidance
Author:   UK Department of Health
Published date:    13 August 2009
Primary audience:  Health and social care professionals

“Exercise Cold Play II is a Department of Health funded exercise designed as an ‘off the shelf’ package for use by health organisations and partner organisations within the UK. It has been developed from experience gained in previous pandemic influenza exercises and is intended to provide a generic format which can be adapted to suit the selected target audience. This exercise has been updated from the original Cold Play to ensure it is in-line with the Department of Health Pandemic Influenza Plan 2007.”

Download Exercise Cold Play II – guidance handbook (PDF, 130K)

Download Cold Play II – presentation (PPT, 286K)

Download Cold Play II – model spreadsheeet (XLS, 43K)

Download Scenario and questions (PDF, 132K)

Download Action plans / Lessons identified – template (RTF, 844K)

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Pandemic influenza: guidance on meeting the needs of those who are or may become vulnerable during the pandemic – UK – 5 August 2009

Posted on August 6, 2009. Filed under: Infectious Diseases, Influenza A(H1N1) / Swine Flu | Tags: , |

Pandemic influenza: guidance on meeting the needs of those who are or may become vulnerable during the pandemic

Document type:      Guidance
Author:   UK  Department of Health
Published date:      5 August 2009
Pages:      22

This is an update of draft guidance published in August 2008. This updated guidance is to support organisations in their planning for those people who are or may become vulnerable during the pandemic.

Full text of the pandemic influenza guidance

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Influenza Pandemic: Gaps in Pandemic Planning and Preparedness Need to Be Addressed – US GAO – 29 July 2009

Posted on July 31, 2009. Filed under: Infectious Diseases, Influenza A(H1N1) / Swine Flu | Tags: , |

Influenza Pandemic: Gaps in Pandemic Planning and Preparedness Need to Be Addressed – Statement of Bernice Steinhardt Director, Strategic Issues, US Government Accountability Office – 29 July 2009  30p.

Why GAO Did This Study

As the current H1N1 outbreak underscores, an influenza pandemic remains a real threat to our nation. Over the past 3 years, GAO conducted a body of work, consisting of 12 reports and 4 testimonies, to help the nation better prepare for a possible pandemic. In February 2009, GAO synthesized the results of most of this work and, in June 2009, GAO issued an additional report on agency accountability for protecting the federal workforce in the event of a pandemic. GAO’s work points out that while a number of actions have been taken to plan for a pandemic, including developing a national strategy and implementation plan, many gaps in pandemic planning and preparedness still remain.

This statement covers six thematic areas: (1) leadership, authority, and coordination; (2) detecting threats and managing risks; (3) planning, training, and exercising; (4) capacity to respond and recover; (5) information sharing and communication; and (6) performance and accountability.

What GAO Recommends

This statement discusses the status of GAO’s prior recommendations on the nation’s planning and preparedness for a pandemic. Key open recommendations concern the need to exercise the shared federal leadership roles for a pandemic, address planning gaps at all levels of government and in the private sector, and monitor and report on agencies’ plans to protect their workers.”

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National Pandemic Flu Service launched as England reaches 100,000 new cases – 23 July 2009

Posted on July 24, 2009. Filed under: Influenza A(H1N1) / Swine Flu | Tags: |

National Pandemic Flu Service launched as England reaches 100,000 new cases from:  The British Journal of Healthcare Computing and Information Management    23 July 2009

“The National Pandemic Flu Service was launched this afternoon by Health Secretary Andy Burnham. The new service is a dedicated website and phone line for people to check their symptoms and get a unique number which will give them access to antivirals if necessary. The service is only for England at the moment, with the other regions of the UK using existing services for advice (see below for details).

The website was overloaded shortly after being launched, no doubt due to the intense media interest, and links off the home page displayed a holding page asking people to return later.

The service was launched with announcement of the latest weekly pandemic flu update from the Health Protection Agency (HPA). The HPA reported that there were an estimated 100,000 new cases of swine flu in England in the last week (estimate range is +/- 40%). The figure has to be estimated based on clinical diagnosis by GPs as there is no longer laboratory confirmation of infection, so many cases may not be swine flu but other common infections that give similar symptoms such as sore throat.”

…continues on the website

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Psychosocial care for NHS staff during an influenza pandemic – 22 July 2009

Posted on July 23, 2009. Filed under: Infectious Diseases, Influenza A(H1N1) / Swine Flu | Tags: , , |

Psychosocial care for NHS staff during an influenza pandemic

Document type:      Guidance
Author:  UK  Department of Health
Published date:      22 July 2009
Pages:      12

“The purpose of the guidance is to set out the psychosocial care strategy that NHS and social care organisations need to have in place for supporting staff resilience. The guidance emphasises the need to manage the psychosocial resilience in NHS staff who are working over a sustained period on flu pandemic.

* It will ensure that appropriate staff are available to work during the indeterminate period of the flu pandemic
* It will support staff to achieve a swift recovery phase back to normal services

As the NHS Operating Framework requires all NHS organisations to have robust plans to respond to a flu pandemic in place by the end of 2008. The guidance advises the following actions to facilitate that process for the immediate future and beyond:

* Identifies the factors that influences physical, psychosocial and mental health of staff to enable organisations pre-empt through forward planning
* The psychosocial guidance document suggests actions to support and monitor the various levels of the strategy.
* Within the framework for delivering psychosocial care for staff reaffirms the importance of preparation and aims to assure that staff will be resilient.”

Download Psychosocial care for NHS staff during an influenza pandemic (PDF, 159K)

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NHS flu line to go live next week – Fiona Barr – UK – 17 July 2009

Posted on July 20, 2009. Filed under: Influenza A(H1N1) / Swine Flu |

NHS flu line to go live next week – information copied frome-health-insider site

“The interim National Pandemic Flu Service is to go live in England from the end of next week, the Department of Health has announced.

The service, renamed from the originally planned Flu Line, will consist of a dedicated website and call centres.

Patients will be able to contact the service if they suspect they have swine flu and those diagnosed with the illness will be given an authorisation number which a ‘flu friend’ can use to pick up antivirals from a local antiviral collection point.

The DH said it was particularly important for people with chronic lung, kidney or heart disease, under fives, over 65s and pregnant women to use the new service as soon as they have symptoms.

Sir Liam Donaldson, chief medical officer, told the BBC that the service would offer an alternative route of access to the health service through the internet and a telephone line.

He added: “That will relieve the pressure on GPs and hospitals to treat the most seriously ill patients.”

Sir Liam said swine flu was increasing particularly in West Midlands and London but that it was now spreading to other parts of the country and that in some of the “hotspots” were well over epidemic levels.

Sir Liam said the DH was placing a lot of trust in the public by enabling patients to self-diagnose and get drugs via the internet. He said a public information campaign would make it clear that patients should only take antivirals if necessary.

He said patients would also be given a unique identifier and would have one supply of drugs and it would be difficult for them to get additional antivirals after that.

The telephone service will be staffed by 2,000 people in call centres. The number for the service has yet to be released.

Latest swine flu figures show that there have been 29 deaths in the UK with more than 600 people in hospital and between 37,000 and 55,000 cases. The DH is predicting that eventual deaths from swine flu could range from anywhere between 3,000 and 65,000.

The DH said the flu service would only be switched on in England at the moment as it said the service was not yet needed in Scotland and Wales although the situation was being kept under constant review.

The full National Pandemic Flu Service will not be ready until October after delays in the plans for the original Flu Line.”

Fiona Barr

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Swine flu: UK planning assumptions – 16 July 2009

Posted on July 17, 2009. Filed under: Influenza A(H1N1) / Swine Flu |

Swine flu: UK planning assumptions

Document type:      Guidance
Author:  UK Department of Health
Published date:    16 July 2009
Pages:      6

“This document contains revised planning assumptions in relation to the current A(H1N1) Swine Flu pandemic. The assumptions are intended to assist local planning across all public and private sector organisations.

Planning assumptions are for both pan-UK and local areas, to take account of the potential variation in epidemic profile from one local area to another.

These assumptions are revised, reasonable worst case scenarios for planning purposes, based on what we have learned from the virus so far. They are not predictions of how we expect the virus to behave. They support effective planning for every eventuality.”

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Pandemic flu: ensuring the NHS is ready – NHS confederation briefing – 13 July 2009

Posted on July 14, 2009. Filed under: Infectious Diseases, Influenza A(H1N1) / Swine Flu | Tags: , |

Pandemic flu: ensuring the NHS is ready – NHS confederation briefing – 13 July 2009 – 6 p.

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National Strategic Plan for Emergency Department Management of Outbreaks of Novel H1N1 Influenza – American College of Emergency Physicians – 6 July 2009

Posted on July 9, 2009. Filed under: Emergency Medicine, Influenza A(H1N1) / Swine Flu | Tags: |

National Strategic Plan for Emergency Department Management of Outbreaks of Novel H1N1 Influenza – American College of Emergency Physicians – 6 July 2009

“The National Strategic Plan For Emergency Department Management of Outbreaks of Novel H1N1 Influenza was produced under contract to the Office of the Assistant Secretary for Preparedness and Response (ASPR) and the Emergency Care Coordination Center (ECCC). This document was developed in collaboration with ASPR, ECCC and the American College of Emergency Physicians (ACEP).”

“This plan informs health care personnel, public health, and government officials at all levels of the necessary capabilities that must be present for successful emergency department management of an outbreak of H1N1. It also enumerates the necessary actions that must be taken to attain these capabilities.”   … continues on the website

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Health Departments Get Mixed Marks for Using Web to Communicate About Flu Crisis – RAND US – 7 July 2009

Posted on July 8, 2009. Filed under: Influenza A(H1N1) / Swine Flu | Tags: |

FOR RELEASE
Tuesday  July 7, 2009

Health Departments Get Mixed Marks for Using Web to Communicate About Flu Crisis

State and local health departments get mixed marks for efforts to convey information about the H1N1 virus to the public using their Web sites immediately after U.S. officials declared a public health emergency in April, according to a new RAND Corporation study.”    … continues on the website

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Swine Flu Sample Resistant to Antiviral Oseltamivir – UK Health Protection Agency – 30 June 2009

Posted on July 1, 2009. Filed under: Influenza A(H1N1) / Swine Flu | Tags: , |

Swine Flu Sample Resistant to Antiviral Oseltamivir

Info copied from the HPA website.

“The National Influenza Centre of Denmark at Statens Serum Institut has reported to the World Health Organisation (WHO) the identification of an isolate of swine flu (H1N1v) resistant to the antiviral oseltamivir.

Following testing in Denmark, resistance was also confirmed by the WHO Collaborating Centre at the Medical Research Council (MRC) National Institute for Medical Research (NIMR) in the UK.

The virus remained susceptible to the antiviral zanamivir.”  … continues on the website

For further information on swine flu visit the Health Protection Agency’s website.

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New swine flu vaccine developed – ABC News report – 29 June 2009

Posted on June 29, 2009. Filed under: Influenza A(H1N1) / Swine Flu | Tags: |

New swine flu vaccine developed Monday, 29 June 2009 Dani Cooper

“An egg-free vaccine for swine flu that can be produced from scratch within weeks has been made by Australian researchers.

The vaccine, which is currently not registered for use in Australia, matches the virus found in the 10-year-old boy from San Diego who was the first US case of the illness.

Professor Anton Middelberg, of the Australian Institute for Bioengineering and Nanotechnology at the University of Queensland in Brisbane, says it is different from conventionally produced vaccines because it is made in cell cultures instead of in eggs.

Middelberg says the advantage of the new technology, developed by US company Protein Sciences Corporation (PSC), is the speed and potency of the vaccine.
Pure protein

He says while the vaccine contains the same amount of protein as conventionally produced vaccines, it contains virus protein rather than a combination from egg and virus.

This means a single dose delivers three times as much of the virus protein as a conventional vaccine.

For those people considered at high risk this will generate a higher immune response in the body and therefore greater protection, he says.

Another advantage is because the vaccine is only made up of virus protein it opens up a variety of methods of delivery apart from injection.”  … continues on the ABC website

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Trial of Novel H1N1 ‘Swine’ Flu candidate vaccine to take place in Adelaide – 29 June 2009

Posted on June 29, 2009. Filed under: Influenza A(H1N1) / Swine Flu | Tags: , |

Trial of Novel H1N1 ‘Swine’ Flu candidate vaccine to take place in Adelaide Melbourne, Australia — 29/06/2009

“CSL Limited, Australia’s leading biopharmaceutical company, will shortly be commencing a clinical trial of a candidate vaccine against Novel H1N1 ‘Swine’ Flu. The trial will be undertaken in partnership with Clinical Research Organisation CMAX and the Royal Adelaide Hospital in South Australia. ” … continues on the website

Download the Release:
Trial of Novel H1N1 ‘Swine’ Flu candidate vaccine to take place in Adelaide (0.22Mb)

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The Flu Pandemic Game: a business continuity training resource – UK Department of Health – 23 June 2009

Posted on June 24, 2009. Filed under: Educ for Hlth Professions, Infectious Diseases, Influenza A(H1N1) / Swine Flu | Tags: |

The Flu Pandemic Game: a business continuity training resource

Document type:      Guidance
Author:   UK Department of Health
Published date:      23 June 2009

“The Flu Pandemic Game was originally developed by Camden Primary Care Trust using NHS resources in partnership with Camden Council. It was designed as a training resource for their staff and to help managers of local businesses and voluntary organisations develop their business continuity plans.

The Department of Health has adapted the game and there are two versions available, one specifically for use in GP Practices and the other for use by healthcare and other related organisations.”

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ASID/TSANZ guidelines: treatment and prevention of H1N1 influenza 09 (human swine influenza) with antiviral agents – 18 June 2009

Posted on June 23, 2009. Filed under: Influenza A(H1N1) / Swine Flu | Tags: , , , |

ASID/TSANZ guidelines: treatment and prevention of H1N1 influenza 09 (human swine influenza) with antiviral agents
Australasian Society for Infectious Diseases (ASID)   /   Thoracic Society of Australia and New Zealand (TSANZ)
Allen C Cheng, Dominic E Dwyer, A Thomas C Kotsimbos, Mike Starr, Tony M Korman, Jim P Buttery, Christine R Jenkins, Vicki L Krause and Paul DR Johnson
Medical Journal of Australia  18 June 2009 (Rapid Online Publication)

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NEJM – articles and editorials on Influenza A (H1N1) – 18 June 2009

Posted on June 18, 2009. Filed under: Influenza A(H1N1) / Swine Flu | Tags: |

NEJM issue table of contents for 18 June 2009

The New England Journal of Medicine is offering free full text access to these articles.

The Signature Features of Influenza Pandemics — Implications for Policy
M. A. Miller, C. Viboud, M. Balinska, and L. Simonsen

Emergence of a Novel Swine-Origin Influenza A (H1N1) Virus in Humans
Novel Swine-Origin Influenza A (H1N1) Virus Investigation Team

Triple-Reassortant Swine Influenza A (H1) in Humans in the United States, 2005–2009
V. Shinde and Others

Editorials

H1N1 Influenza A Disease — Information for Health Professionals
L. R. Baden and Others

Implications of the Emergence of a Novel H1 Influenza Virus
R. B. Belshe

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Updated antiviral guidelines and rapid tests for diagnosing influenza – Australian National Prescribing Service June 2009

Posted on June 10, 2009. Filed under: Diagnostics, Infectious Diseases, Influenza A(H1N1) / Swine Flu, Pathology, Pharmacy |

Updated antiviral guidelines and rapid tests for diagnosing influenza

“Guidelines for prescribing antivirals for people who have been in contact with suspected or confirmed cases of swine influenza (H1N1) have been updated by the Department of Health and Ageing following more confirmed cases in Australia. The Department now recommends the following.

Antiviral medication may be prescribed to close contacts of confirmed or influenza A positive suspected cases provided it is commenced within 7 days of last contact with the patient while the patient was still infectious.

Any prescription of antiviral medication should be on the recommendation of the local public health unit.” …continues on the website

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Flu Trends across Australia from google

Posted on June 8, 2009. Filed under: Infectious Diseases, Influenza A(H1N1) / Swine Flu | Tags: |

Flu Trends across Australia from google

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MedlinePlus® Go Local Sites Can Quickly Create and Post Emergency Response Pages – 28 May 2009

Posted on May 29, 2009. Filed under: Disaster Management, Health Informatics, Influenza A(H1N1) / Swine Flu | Tags: |

May 28, 2009
MedlinePlus® Go Local Sites Can Quickly Create and Post Emergency Response Pages

“As of May 13, 2009, Go Local areas using the NLM® -hosted input system can quickly create and display a page with emergency response information. Staff at each Go Local site decide if and when to use the Emergency Response Page. They can tailor the content of the page as appropriate to the situation, and can link to the general services for disaster preparation and recovery listing that is already available on the site. Go Local sites may prepare Emergency Response Pages in advance for situations common to an area, such as hurricanes in Texas.

When activated, a link to the Emergency Response Page appears in an alert banner on the site’s header (see Figure 1). Go Local project staff can display the banner on all pages on the site, or only on the homepage.”

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UK Health Protection Agency produces swine flu vaccine candidate – 28 May 2009

Posted on May 29, 2009. Filed under: Influenza A(H1N1) / Swine Flu | Tags: |

Health Protection Agency produces swine flu vaccine candidate

“A crucial step towards large scale production of a vaccine against swine flu has been completed in the UK by the National Institute for Biological Standards and Control (NIBSC), part of the Health Protection Agency.

A strain of virus suitable for vaccine manufacture has now been produced and is being made available to the pharmaceutical industry and other flu laboratories.

NIBSC is one of a handful of laboratories around the world belonging to a WHO collaborative network that have been racing to produce a strain of virus suitable for manufacturing vaccine in eggs, the mainstay of influenza vaccine production.  Without suitable starting strains vaccine production on a global scale cannot begin. ” … continues on the website

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NEJM 27 May 2009 – 2 open access flu articles

Posted on May 28, 2009. Filed under: Infectious Diseases, Influenza A(H1N1) / Swine Flu |

Published at http://www.nejm.org May 27, 2009 (10.1056/NEJMp0904380) –  open access
Managing and Reducing Uncertainty in an Emerging Influenza Pandemic
Marc Lipsitch, D.Phil., Steven Riley, D.Phil., Simon Cauchemez, Ph.D., Azra C. Ghani, Ph.D., and Neil M. Ferguson, D.Phil.

Published at http://www.nejm.org May 27, 2009 (10.1056/NEJMp0904572) –  open access
Geographic Dependence, Surveillance, and Origins of the 2009 Influenza A (H1N1) Virus
Vladimir Trifonov, Ph.D., Hossein Khiabanian, Ph.D., and Raul Rabadan, Ph.D.

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Guidance notes for midwives on swine flu – May 2009 Royal College of Nursing UK

Posted on May 14, 2009. Filed under: Influenza A(H1N1) / Swine Flu, Nursing, Obstetrics | Tags: , |

Guidance notes for midwives on swine flu

This guidance describes the differences between seasonal, swine and avian influenza, including information on symptoms, avoiding infection, and what advice to give women and their families.

(Royal College of Nursing – publications)

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Breastfeeding and H1N1 influenza – advice from the Academy of Breastfeeding Medicine May 2009

Posted on May 14, 2009. Filed under: Influenza A(H1N1) / Swine Flu | Tags: |

Breastfeeding and H1N1 influenza – advice for physicians from the Academy of Breastfeeding Medicine May 2009

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Pandemic flu: gaps in preparedness remain (with the logistics of drug and vaccine distribution) 11 May 2009

Posted on May 12, 2009. Filed under: Influenza A(H1N1) / Swine Flu |

Pandemic flu: gaps in preparedness remain byHedwig Kresse, Datamonitor infectious diseases senior analyst
Spokesperson: Datamonitor
Date: Tuesday, 11 May 2009
Also online at:

http://www.medadnews.com/News/Index.cfm?articleid=625586 &

http://drugdiscovery.pharmaceutical-business-review.com/comment/pandemic_flu_gaps_in_preparedness_remain_110509 &

Originally:
http://about.datamonitor.com/media/archives/2588

“The current outbreak of influenza A (H1N1) is testing pandemic preparedness strategies across the globe. While widely implemented strategies seem to have prepared the world better than ever before for such an outbreak, important gaps regarding the logistics of drug and vaccine distribution remain.” …continues on the sites

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Pandemic Potential of a Strain of Influenza A (H1N1) : Early Findings – article from Science 11 May 2009

Posted on May 12, 2009. Filed under: Influenza A(H1N1) / Swine Flu | Tags: , |

Pandemic Potential of a Strain of Influenza A (H1N1) : Early Findings – article in Science
Christophe Fraser 1, Christl A. Donnelly 1, Simon Cauchemez 1, William P. Hanage 1, Maria D. Van Kerkhove 1, T. Déirdre Hollingsworth 1, Jamie Griffin 1, Rebecca F. Baggaley 1, Helen E. Jenkins 1, Emily J. Lyons 1, Thibaut Jombart 1, Wes R. Hinsley 1, Nicholas C. Grassly 1, Francois Balloux 1, Azra C. Ghani 1, Neil M. Ferguson 1*, Andrew Rambaut 2, Oliver G. Pybus 3, Hugo Lopez-Gatell 4, Celia M Apluche-Aranda 5, Ietza Bojorquez Chapela 4, Ethel Palacios Zavala 4, Dulce Ma. Espejo Guevara 6, Francesco Checchi 7, Erika Garcia 7, Stephane Hugonnet 7, Cathy Roth 7, The WHO Rapid Pandemic Assessment Collaboration

Published Online May 11, 2009
Science DOI:    http://dx.doi.org/10.1126/science.1176062
Submitted on May 5, 2009
Accepted on May 11, 2009

1 MRC Centre for Outbreak Analysis & Modelling, Department of Infectious Disease Epidemiology, Imperial College London, Faculty of Medicine, Norfolk Place, London W2 1PG, UK.
2 Institute of Evolutionary Biology, University of Edinburgh, Ashworth Laboratories Edinburgh EH9 3JT, UK.
3 Department of Zoology, University of Oxford, South Parks Road, Oxford OX1 3PS, UK.
4 Directorate General of Epidemiology, FCO. De P. Miranda 177 5th Floor, Mexico City, 01480, Mexico.
5 National Institute of Epidemiological Diagnosis and Reference, Prolongación Carpio No. 470 (3° piso), Col Santo Tomás, México City, C.P. 11340, Mexico.
6 Secretaría de Salud – Servicios de Salud de Veracruz Soconusco No. 36 Colonia Aguacatal C.P. 910 Xalapa, Veracruz, México State.
7 World Health Organization, 20 Av. Appia, 1211 Geneva, Switzerland.

To whom correspondence should be addressed.
Neil M. Ferguson , E-mail: neil.ferguson@imperial.ac.uk
These authors contributed equally to this work.
All authors are members of this collaboration.

“A novel influenza A (H1N1) virus has spread rapidly across the globe. Judging its pandemic potential is difficult with limited data, but nevertheless essential to inform appropriate health responses. By analyzing the outbreak in Mexico, early data on international spread, and viral genetic diversity, we make an early assessment of transmissibility and severity. Our estimates suggest that 23,000 (range 6,000-32,000) individuals had been infected in Mexico by late April, giving an estimated case fatality ratio (CFR) of 0.4% (range 0.3% to 1.5%) based on confirmed and suspect deaths reported to that time. In a community outbreak in the small community of La Gloria, Veracruz no deaths were attributed to infection, giving an upper 95% bound on CFR of 0.6%. Thus while substantial uncertainty remains, clinical severity appears less than that seen in 1918 but comparable with that seen in 1957. Clinical attack rates in children in La Gloria were twice that in adults (<15 years-of-age: 61%, ≥15: 29%). Three different epidemiological analyses gave R0 estimates in the range 1.4-1.6, while a genetic analysis gave a central estimate of 1.2. This range of values is, consistent with 14 to 73 generations of human-to-human transmission having occurred in Mexico to late April. Transmissibility is therefore substantially higher than seasonal flu, and comparable with lower estimates of R0 obtained from previous influenza pandemics.”

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Rapid tests for the diagnosis of influenza – article from Australian Prescriber April 2009

Posted on May 12, 2009. Filed under: Diagnostics, Influenza A(H1N1) / Swine Flu |

Rapid tests for the diagnosis of influenza
Hong Foo, Microbiology Registrar, and Dominic E Dwyer, Clinical Professor of Medicine, Centre for Infectious Diseases and  Microbiology, Institute of Clinical Pathology and Medical Research, Westmead Hospital, Sydney
from: Australian Prescriber

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New England Journal of Medicine – Influenza A(H1N1) – 7 May 2009

Posted on May 8, 2009. Filed under: Influenza A(H1N1) / Swine Flu | Tags: |

Online First from the New England Journal of Medicine
May 7, 2009

ORIGINAL ARTICLES
Emergence of a Novel Swine-Origin Influenza A (H1N1) Virus in Humans
Novel Swine-Origin Influenza A (H1N1) Virus Investigation Team

Triple-Reassortant Swine Influenza A (H1) in Humans in the United States, 2005–2009
V. Shinde and Others

EDITORIALS
H1N1 Influenza A Disease — Information for Health Professionals
L.R. Baden and Others

Implications of the Emergence of a Novel H1 Influenza Virus
R.B. Belshe

PERSPECTIVE
Digital Disease Detection — Harnessing the Web for Public Health Surveillance
J.S. Brownstein, C.C. Freifeld, and L.C. Madoff

Influenza A (H1N1) Virus, 2009 — Online Monitoring
J.S. Brownstein, C.C. Freifeld, and L.C. Madoff

The Signature Features of Influenza Pandemics — Implications for Policy
M.A. Miller and Others

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Canada sequences swine flu virus – 7 May 2009

Posted on May 7, 2009. Filed under: Influenza A(H1N1) / Swine Flu | Tags: |

Canada sequences swine flu virus Information from ABC Science

Thursday, 7 May 2009

“Canadian scientists have completed the full genetic sequencing of the H1N1 swine flu virus, which officials say will help in better understanding the outbreak and developing a vaccine.

Scientists at the Public Health Agency of Canada‘s microbiology lab cracked the genetic makeup of samples from Mexico and two Canadian provinces, says Canadian Health Minister Leona Aglukkaq.”
… continues on the website

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Ten things your emergency department should consider to prepare for pandemic influenza – article in Emergency Medicine Journal 2009

Posted on May 6, 2009. Filed under: Emergency Medicine, Infectious Diseases, Influenza A(H1N1) / Swine Flu |

Ten things your emergency department should consider to prepare for pandemic influenza
S M Robinson, H R Sutherland, D J W Spooner, T J H Bennett,1 C-H A Lit, C A Graham
Emergency Medicine Journal 22/4/09 10:42:52

ABSTRACT
Pandemic influenza remains a potential major threat to global public health. It is essential for emergency departments to be involved in planning for the management of such a major event. It is also important for emergency departments to be clear on their internal arrangements for staff and for patient care. This paper outlines 10 suggestions for UK emergency departments based on the recent experience of emergency departments in Hong Kong and elsewhere.

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qSurveillance qFlu qResearch – UK

Posted on May 6, 2009. Filed under: Health Informatics, Infectious Diseases, Influenza A(H1N1) / Swine Flu, Public Hlth & Hlth Promotion |

qSurveillance is a near real time surveillance scheme which will collect, analyse and report on rates infectious diseases as well influenza related conditions, flu vaccine and pneumococcal vaccine uptake.

qFLU is a new daily collection and analysis service specifically established to support pandemic flu planning. It has been set up by the University of Nottingham and EMIS (the main supplier of general practice computer systems within the UK) in collaboration with the Health Protection Agency.

qRESEARCH is a large consolidated database derived from the anonymised health records of over 11 million patients.
The data currently come from 574 general practices using the EMIS clinical computer system.
The practices are spread throughout the UK and include data from patients who are currently registered with the practices as well as historical patients who may have died or left.
Historical records extend back to the early 1990’s making it one of the largest and richest general practice databases in the world.

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NHS Evidence Hot Topic – Preparation for potential pandemic influenza

Posted on May 6, 2009. Filed under: Influenza A(H1N1) / Swine Flu |

NHS Evidence Preparation for potential pandemic influenza

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Preparations for pandemic influenza: Guidance for hospital medical specialties on management during a pandemic influenza outbreak – Royal College of Physicians May 2009

Posted on May 6, 2009. Filed under: Infectious Diseases, Influenza A(H1N1) / Swine Flu | Tags: |

Preparations for pandemic influenza:  Guidance for hospital medical specialties on management during a pandemic influenza outbreak – Royal College of Physicians May 2009

Summary

“Preparations for pandemic influenza has been developed by the Royal College of Physicians to help hospitals and staff coordinate care during an influenza outbreak.

The guidelines have been developed and edited during recent months with publication originally set for June this year. Due to current global events the College felt an early release of the information  was merited, and hence a pre-press version of the guidance can be found below. However, please note that, as yet, the document is still at proof stage (with author corrections still pending) and the document is not in its final navigable format. All data will be present in the final version, which will be released during May to replace this version.”  …. continues on the website

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NHS appoints a new National Director for NHS Flu Resilience 5 May 2009

Posted on May 6, 2009. Filed under: Influenza A(H1N1) / Swine Flu | Tags: |

UK Department of Health Ian Dalton has been appointed the new National Director for NHS Flu Resilience at the Department of Health, Health Secretary Alan Johnson announced today [5 May 2009]

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Simulation suggests that rapid activation of social distancing can arrest epidemic development due to a novel strain of influenza – BMC Public Health 29 April 2009

Posted on May 5, 2009. Filed under: Infectious Diseases, Influenza A(H1N1) / Swine Flu |

Simulation suggests that rapid activation of social distancing can arrest epidemic development due to a novel strain of influenza
Joel K Kelso , George J Milne  and Heath Kelly
BMC Public Health 2009, 9:117
Published: 29 April 2009

Abstract (provisional)

Background
Social distancing interventions such as school closure and prohibition of public gatherings are present in pandemic influenza preparedness plans. Predicting the effectiveness of intervention strategies in a pandemic is difficult. In the absence of other evidence, computer simulation can be used to help policy makers plan for a potential future influenza pandemic. We conducted simulations of a small community to determine the magnitude and timing of activation that would be necessary for social distancing interventions to arrest a future pandemic.

Methods
We used a detailed, individual-based model of a real community with a population of approximately 30,000. We simulated the effect of four social distancing interventions: school closure, increased isolation of symptomatic individuals in their household, workplace nonattendance, and reduction of contact in the wider community. We simulated each of the intervention measures in isolation and in several combinations; and examined the effect of delays in the activation of interventions on the final and daily attack rates.

Results
For an epidemic with an R0 value of 1.5, a combination of all four social distancing measures could reduce the final attack rate from 33% to below 10% if introduced within 6 weeks from the introduction of the first case. In contrast, for an R0 of 2.5 these measures must be introduced within 2 weeks of the first case to achieve a similar reduction; delays of 2, 3 and 4 weeks resulted in final attack rates of 7%, 21% and 45% respectively. For an R0 of 3.5 the combination of all four measures could reduce the final attack rate from 73% to 16%, but only if introduced without delay; delays of 1, 2 or 3 weeks resulted in final attack rates of 19%, 35% or 63% respectively. For the higher R0 values no single measure has a significant impact on attack rates.

Conclusions
Our results suggest a critical role of social distancing in the potential control of a future pandemic and indicate that such interventions are capable of arresting influenza epidemic development, but only if they are used in combination, activated without delay and maintained for a relatively long period.

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Vacines for Influenza A(H1N1) / Swine Flu 5 May 2009

Posted on May 5, 2009. Filed under: Infectious Diseases, Influenza A(H1N1) / Swine Flu |

WHO – FAQs on Vaccines

GenBank Sequences from the 2009 H1N1 outbreak

Resources for laboratories – from the CDC

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UK – Pandemic flu: managing demand and capacity in health care organisations (surge) 1 May 2009

Posted on May 1, 2009. Filed under: Infectious Diseases, Influenza A(H1N1) / Swine Flu |

Pandemic flu: managing demand and capacity in health care organisations (surge)

Document type:      Guidance
Author:   UK Department of Health
Published date:      1 May 2009
Pages:      127
Supersedes/replaces:         Pandemic influenza: Surge capacity and prioritisation in health services (draft for comment)

This guidance on managing demand and capacity in health care organisations (surge) is available today (1 May 2009) to NHS organisations as planned. We are aware of the interest the organisations have shown in the guidance and encourage them to use the document in their on-going planning work.

The aim of the guidance is to support NHS and social care organisations to build on their existing preparedness plans and enable clinicians to work within an ethical framework during a pandemic, when there may be a significant increase in demand for care.

This document is intended to provide staff with guidance on the following:

* Operational issues around the increase in demand for services
* Supporting clinicians with the decision making processes on triaging patients

To help in the face-to-face application of this guidance by those responding to patients with influenza symptoms, a package of clinical pathways and decision parameters will be available in the next few days. These will include:

* swine flu community assessment tools for adults and children under 16
* swine flu hospital assessment tools with Inpatient pathways for adults and children under 16 years
* a GP authorisation voucher for the supply of oseltamavir liquid medication for under 1’s
* general supporting information.

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UK National Flu Line service update

Posted on May 1, 2009. Filed under: Health Informatics, Infectious Diseases, Influenza A(H1N1) / Swine Flu, Public Hlth & Hlth Promotion |

No National Flu Line until autumn – note – this information was reported on ethe e-health-insider website 29 April 2009

“A telephone and web-based National Flu Line service to offer advice and authorise access to antiviral medicines in the event of a pandemic will not be ready until the autumn, the Department of Health has admitted.

The service is still being created, even though it was first included in a Cabinet Office/DH framework for responding to a pandemic published in 2007.

The National Flu Line has also been flagged as the main route for getting advice and antiviral drugs to the public in subsequent advice to primary care planners and GPs, with different documents saying it will be activated at World Health Organisation pandemic alert phase four or five. ”  …. continues on the e-health-insider website

Related articles:
Software aids planning for pandemic flu

Written by:
Fiona Barr

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Initial Evaluation of the Cities Readiness Initiative – March 2009

Posted on April 29, 2009. Filed under: Disaster Management, Infectious Diseases, Influenza A(H1N1) / Swine Flu, Pharmacy | Tags: |

Initial Evaluation of the Cities Readiness Initiative

By: Henry H. Willis, Christopher Nelson, Shoshana R. Shelton, Andrew M. Parker, John A. Zambrano, Edward W. Chan, Jeffrey Wasserman, Brian A. Jackson

RAND Corporation  March 2009

The Cities Readiness Initiative (CRI) was created in 2004 to help the nation’s largest metropolitan areas develop the ability to provide life-saving medications in the event of a large-scale biological terrorist attack or naturally occurring disease outbreak. In 2007, the Centers for Disease Control and Prevention asked RAND to provide an initial evaluation of the impact of the Cities Readiness Initiative on awardees’ readiness and capability to conduct mass countermeasure dispensing above and beyond what would be the case without the program. The subsequent study drew on available empirical evidence, including data from the Technical Assistance Review, a CDC-administered assessment of jurisdictions’ capabilities in 12 core functional areas associated with countermeasure distribution and dispensing, as well as qualitative data collected through discussions with personnel involved with countermeasure dispensing in nine metropolitan areas (both CRI awardees and non-CRI jurisdictions). The evaluation showed that, overall, CRI awardees had benefited from the program’s preparedness guidance and scenario focus and that the program had strengthened or encouraged the development of partnerships with other stakeholders. The program also encouraged a variety of changes to awardees’ training plans and had spillover effects on non-CRI sites. However, this evaluation did not address questions of how the documented benefits compare to the program costs.

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Institute of Medicine President releases free electronic edition of The Swine Flu Affair, offering lessons from the 1976 swine flu scare

Posted on April 29, 2009. Filed under: Infectious Diseases, Influenza A(H1N1) / Swine Flu | Tags: , , |

Institute of Medicine President releases free electronic edition of The Swine Flu Affair, offering lessons from the 1976 swine flu scare

In 1976, a small group of soldiers at Fort Dix were infected with a swine flu virus that was deemed similar to the virus responsible for the great 1918-19 world-wide flu pandemic. The U.S. government initiated an unprecedented effort to immunize every American against the disease. While a qualified success in terms of numbers reached-more than 40 million Americans received the vaccine-the disease never reappeared. The program was marked by controversy, delay, administrative troubles, legal complications, unforeseen side effects and a progressive loss of credibility for public health authorities. In the waning days of the flu season, the incoming Secretary of what was then the Department of Health, Education and Welfare, Joseph Califano, asked Richard Neustadt and Harvey Fineberg to examine what happened and to extract lessons to help cope with similar situations in the future. The result was their report, The Swine Flu Affair: Decision-Making on a Slippery Disease.

In response to the recent outbreak of swine flu in North America, Dr. Fineberg has released a new electronic edition of this report, The Swine Flu Affair, dedicated to the memory of Richard Neustadt, and available for download by the public. Dr. Fineberg is president of the Institute of Medicine of the National Academies.   28 April 2009

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Influenza A(H1N1) / Swine Flu in Australia and WA – Information Sources

Posted on April 29, 2009. Filed under: Infectious Diseases, Influenza A(H1N1) / Swine Flu | Tags: |

The post links health professionals to information from:
WA, Australia, CDC, NLM, the World Health Organization, other international health agencies, and publishers who’re proving free access to quality information. It also links to information intended for the public.

Western Australian Health information

Swine flu – what Western Australians need to know

From WA Public Health (for Health Providers)

Australian Information Sources

Information from the Australian Department of Health and Ageing’s Health Emergency website on the Swine Influenza Outbreaks

ASID/TSANZ guidelines: treatment and prevention of H1N1 influenza 09 (human swine influenza) with antiviral agents Australasian Society for Infectious Diseases (ASID)   /   Thoracic Society of Australia and New Zealand (TSANZ)   Cheng A.C. et al    Medical Journal of Australia  18 June 2009

17 June 2009, Pandemic Phase Protect declared in Australia

The Australian Government has declared swine influenza to be a quarantinable disease in humans under the Quarantine Act 1908 – Amendment Proclamation 2009 (no.1).   28 April 2009   This means the federal government has the power under the  Act to take appropriate actions in an emergency to prevent or control the spread of a disease.  Explanatory statement.

Australian Department of Health and Ageing

Australian Department of Health and Ageing Pandemic Influenza website

Updated antiviral guidelines and rapid tests for diagnosing influenza – National Prescribing Service – June 2009

SmartTraveller.gov.au  – swine influenza information

ABC Health Report on flu research 27 April 2009

International Information Agencies

Centers for Disease Control and Prevention (CDC) Swine Influenza (Flu) site

Centers for Disease Control and Prevention (CDC) Emergency Twitter site – for breaking news

CDC Interim Guidance for Infection Control for Care of Patients with Confirmed or Suspected Swine Influenza A (H1N1) Virus Infection in a Healthcare Setting 28 April 2009

US National Library of Medicine Information – includes US Federal Response, International Resources, Genetic Sequence Information, Maps, Pre-set Searches from the National Library of Medicine, Veterinary Resources, Información en Español

US Pandemic Flu website

World Health Organization Swine Influenza website

European Centre for Disease Prevention and Control

Institute of Medicine (IOM) Releases Guide to Recent Studies and Workshops on Pandemic Flu 5 May 2009
This guide highlights action and information that could be useful for near-term implementation of pandemic planning and response in the following areas:
* Communicating with and engaging the public
* Use of masks and personal protective equipment
* Use of antiviral drugs and vaccines
* Outbreak mitigation (e.g., social distancing, school closures)
* Surveillance, research, and evaluation during a pandemic
The guide is available online or for download as a PDF.”

Swine flu clinical package – UK Department of Health – 16 June 2009
“The swine flu clinical package is a set of tools for use in a pandemic situation by frontline healthcare professionals.”

UK Health Protection Agency Swine Influenza website     Flu Survey (part of the Epiwork Project)

Other entries from this blog

Flu Wiki

Publishers

New England Journal of Medicine

The Lancet

BMJ Group Swine Flu articles BMJ Pandemic Flu site

NHS Evidence Hot Topic – Preparation for potential pandemic influenza

DynaMed Swine Flu summary

UpToDate topics – Epidemiology, clinical manifestations, and diagnosis of swine H1N1 influenza A,    Treatment and prevention of swine H1N1 influenza A

Global Health Database from CABI –  a not-for-profit science-based development and information organization &
CABI’s Swine Flu Dashboard

Wiley-Blackwell

MacIntyre CR, Epid MA, Cauchemez S, Dwyer DE, Seale H, Cheung P, et al. Face mask use and control of respiratory virus transmission in households. Emerg Infect Dis [serial on the Internet]. 2009 Feb [date cited].   Abstract:  Many countries are stockpiling face masks for use as nonpharmaceutical interventions to reduce viral transmission during an influenza pandemic. We conducted a prospective cluster-randomized trial comparing surgical masks, non–fit-tested P2 masks, and no masks in prevention of influenza-like illness (ILI) in households. … We concluded that household use of masks is associated with low adherence and is ineffective in controlling seasonal ILI. If adherence were greater, mask use might reduce transmission during a severe influenza pandemic.

NursingCenter.com Special report: swine flu update

Information for the Public

Information from WA Health

How does an animal flu become a human flu? ABC Science Ask an Expert topic – Expert is Dr David Smith from PathWest

NLM MedlinePlus on Swine Flu

UpToDate Patient Update Topic


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