UK Influenza Pandemic Preparedness Strategy – 5 June 2014

Posted on June 6, 2014. Filed under: Infectious Diseases | Tags: , , |

UK Influenza Pandemic Preparedness Strategy – 5 June 2014

“Guidance on preparing for and responding to an influenza pandemic.

These updated scientific evidence base reviews cover The Use of Antivirals in an influenza pandemic, The Impact of Mass Gatherings on an influenza pandemic, The Use of Facemasks and Respirators during an Influenza Pandemic and The Impact of school closures on an influenza pandemic. They were commissioned by the Department of Health and undertaken by Public Health England. These reviews update and supplement the previous reviews undertaken in 2011 and continue to underpin the UK Influenza Pandemic Preparedness Strategy 2011.”

 

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Public Engagement on Facilitating Access to Antiviral Medications and Information in an Influenza Pandemic – Workshop Series Summary – Institute of Medicine – 17 May 2012

Posted on May 18, 2012. Filed under: Infectious Diseases | Tags: , , , |

Public Engagement on Facilitating Access to Antiviral Medications and Information in an Influenza Pandemic – Workshop Series Summary – Institute of Medicine – 17 May 2012

full text

“Influenza pandemics overwhelm health care systems with thousands or hundreds of thousands of sick patients, as well as those worried they may be sick. In order to ensure a successful response to the patient swell caused by a pandemic, robust planning is essential to prepare for challenges public health officials may face. This includes the need to quickly distribute and dispense antiviral medications that can reduce the severity and duration of disease to large numbers of people.

In response to a request from the CDC, the IOM’s Forum on Medical and Public Health Preparedness for Catastrophic Events held a series of workshops that explored the public’s perception of how to facilitate access to antiviral medications and treatment during an influenza pandemic. To help inform potential strategies still in the development stages at the CDC, workshops were held in Fort Benton, Montana; Chattanooga, Tennessee; and Los Angeles, California; during February and March 2012 to consider the usefulness of several alternative strategies of delivering antiviral medication to the public. Participants considered how the normal systems for prescribing and dispensing antiviral medications could be adjusted to ensure that the public has quick, safe, and equitable access to both potentially life-saving drugs and information about the pandemic and treatment options. This document summarizes the workshops.”

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Pandemic Vaccine Distribution Policy for the Twenty-First Century – Homeland Security Affairs – 2012

Posted on February 29, 2012. Filed under: Infectious Diseases | Tags: , , |

Pandemic Vacscine Distribution Policy for the Twenty-First Century – Homeland Security Affairs – 2012

“Introduction

The nation’s response to the 2009 H1N1 Pandemic has been met with scrutiny, candor, and a collaborative effort among federal and state agencies, local public health authorities, associations, and experienced practitioners. The Institutes of Medicine and Center for Biosecurity have held conferences that have paved the way toward improving pandemic response.1 The workshop format used at these conferences resulted in the identification and exploration of issues relating to vaccine supply, administration, and distribution by both attendees and panelists. However, after-action vaccine distribution discussions failed to result in an overarching implementation strategy that could be linked to many elements of a coherent vaccine distribution strategy. This article presents a model that could serve as a conceptual framework for designing a pandemic vaccine distribution policy.”

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New Zealand Influenza Pandemic Plan: A framework for action – April 2010

Posted on May 18, 2010. Filed under: Infectious Diseases, Public Hlth & Hlth Promotion | Tags: , |

New Zealand Influenza Pandemic Plan: A framework for action
Date of publication (online): April 2010
ISBN number: 978-0-478-35907-7 (Online)
HP number: 5049
Citation: Ministry of Health. 2010. New Zealand Influenza Pandemic Plan: A framework for action. Wellington:Ministry of Health.

Summary of publication

Sets out the all of government measures to be taken to prepare for and respond to an influenza pandemic.

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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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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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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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NICE reviews guidance on the treatment of ‘flu

Posted on April 16, 2009. Filed under: Infectious Diseases | Tags: , , |

NICE reviews guidance on the treatment of ‘flu

The National Institute for Health and Clinical Excellence (NICE) has today (25 February 2009) published final guidance on the use of oseltamivir, amantadine and zanamivir for the treatment of influenza. NICE guidance recommends oseltamivir and zanamivir for the treatment of influenza in adults and children if all the following circumstances apply:

* national surveillance schemes indicate that influenza virus A or B is circulating
* the person is in an ‘at-risk’ group
* the person presents with an influenza-like illness and can start treatment within 48 hours (or within 36 hours for zanamivir treatment in children) of the onset of symptoms.

Following the review and reappraisal of this guidance people with chronic neurological conditions and people with chronic liver disease are now considered ‘at risk’. Also, zanamivir is now recommended as a treatment option for children between the ages of 5 and 12 years in ‘at-risk’ groups if influenza is circulating and they can start treatment within 36 hours of first symptoms.

During localised outbreaks of ‘flu-like illness the reviewed guidance now also recommends oseltamivir and zanamivir be used to treat ‘at-risk’ people living in long-term residential or nursing homes who have been in contact with the illness. However, this should be done only if there is a high level of certainty that the cause of the localised outbreak is influenza. Amantadine is not recommended for the treatment of influenza.

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