Disaster/Pandemic preparedness - page 19

I was looking the the other Disaster/Pandemic thread that Florida1 started. She mentioned that after the hurricanes, that they had problems getting basic supplies and food stores were often closed... Read More

  1. by   indigo girl
    Santa Clara County Home Treatment for Pandemic Influenza Guide

    Kudos to the Santa Clara County Public Health Department for providing this
    document, and thanks to flutrackers.com for pointing it out. This is really
    excellent, and will save lives. Downloading this is highly recommended:



    About Pandemic Flu

    Pandemic flu or pandemic influenza is a worldwide outbreak of a
    new flu virus for which there is little or no immunity (protection)
    in the human population.
    Scientists and health professionals are
    concerned that the flu virus that has been reported in birds - called
    avian flu - will develop into the next human pandemic.

    When a new pandemic flu spreads it creates a public health emer-
    This emergency will be different than other emergencies we
    have faced before - it will last longer, make more people seriously ill
    and may cause more deaths than any other health crisis in our time.

    While we cannot stop a pandemic from happening, it is important
    to plan ahead. As many as one (1) in four (4) people could get sick
    during a pandemic, with many of these people getting seriously ill.
    Because so many people will be sick, the services and supplies that
    we count on every day may not be readily available.
    That means
    each individual and family should have emergency supplies like
    food and water, as well as other supplies they'll need to take care of
    their loved ones at home.

    ...It will be important for you to stay informed, read and
    listen to the news, and check the Public Health Department's Web site
    at www.sccphd.org for home isolation and other important

    Home Preparation is Important

    Since so many people will be sick during a pandemic, it is likely
    that families will need to take care of their loved ones at home.

    When caring for an adult or child who is sick during a pandemic, it
    will be very important to be prepared.

    You need to have the right supplies and medicines on hand. You
    need to know how to care for a sick family or household member
    including how to isolate (or separate) them at home, how to treat
    their symptoms and when to call for medical advice. You will also
    need to know how to control the spread of the disease in your
    own home.

    Please remember, most people will survive the pandemic flu. But it
    is important to be prepared so that you give the best care to your
    family and household members who may get sick during a pan-
    demic. The information provided in the following pages will help
    you prepare so that you will be better able to care for your loved
    ones at home.

  2. by   indigo girl
    More about the Santa Clara County Home Treatment for Pandemic Influenza Guide

  3. by   indigo girl
    From SophiaZoe's blog:

    A Prime Directive Forgotten


    Quote from birdflujourney.typepad.com/a_journey_through_the_wor/2008/01/a-prime-directi.html

    After much personal reflection I have come to the conclusion that my "bucket" contains a requirement for me to keep at this--whatever this is, irrespective of its effectiveness. And, although I am suffering an acutely felt abandonment of muse, I am an optimist at heart, an optimist that hears the clarion call of responsibility. Even if my responsibility isn't to save the world, I feel it is my responsibility to continue to "speak", to continue to chip away at the crumbling stone statue reflecting Narcissus in the hopes that the flower of understanding will take root and receive enough sustenance to bloom. Presumptuous? No doubt. I am, admittedly, a rather presumptuous person.
  4. by   Ayrman
    I find myself wondering how many people who have bothered to read this thread have actually undertaken ANY sort of preps.

    The federal government in particular, and to a lesser degree various state and local governmental bodies have been promoting preparedness for.... well, for whatever, up to and including an infectious disease pandemic, for several years now. But how many people have actually listened and taken the messages to heart?

  5. by   sharona97
    Quote from Ayrman
    I find myself wondering how many people who have bothered to read this thread have actually undertaken ANY sort of preps.

    The federal government in particular, and to a lesser degree various state and local governmental bodies have been promoting preparedness for.... well, for whatever, up to and including an infectious disease pandemic, for several years now. But how many people have actually listened and taken the messages to heart?

    Great question! I myself have followed tis thread for over a year and we are prepared! Aren't all nurses lol? Seriously, this is a real forseen danger and I agree with you. Where I live I have found at least 6 dead birds in the yard and caled the state hotline to report. What a joke. You can't even speak to someone.
    Thank God for the OP.
  6. by   indigo girl
    Don't know where to go to get information on preparing for natural
    disasters or other emergencies such as pandemic influenza? Here
    is a link to a new preparedness site.

    Congratulations on a job well done to those who contributed their talents
    for a common cause, that of reducing morbidity and mortality:

    Quote from afludiary.blogspot.com/2008/01/launch-of-getpandemicreadyorg.html

    This website boasts more than 30 small PDF files with preparedness advice that you can download. They are easy to read, illustrated, and chock full of solid advice.
  7. by   indigo girl
    Don't Rely on Drugs to Delay Pandemic - a message from the U.S. Government Accountability Office


    This information may be surprising to some, but this is how it really is. Once
    people understand this, it is hoped that they will begin preparing their families.
    No one can do this for you. You have to know that this threat is not science
    fiction and act accordingly.

    Quote from http://www.reuters.com/article/governmentFilingsNews/

    Vaccines and drugs will not be enough to slow or prevent a pandemic of influenza, according to a U.S. government report released on Tuesday.

    The report from the U.S. Government Accountability Office confirms what most experts have been stressing for years -- that the pharmaceutical industry cannot be relied on alone to protect the world from bird flu.

    "The use of antivirals and vaccines to forestall the onset of a pandemic would likely be constrained by their uncertain effectiveness and limited availability," the GAO report reads.

    Health experts almost universally agree that a global epidemic -- a pandemic -- of influenza is inevitable and even overdue. Flu is always circulating but, every few decades, a completely new strain emerges and makes millions sicker than usual.

    One prime suspect is the H5N1 strain of avian influenza. It is entrenched in poultry across much of Asia, the Middle East and Africa, pops up regularly in Europe and has forced the slaughter of hundreds of millions of birds.


    "Current antiviral production capacity is inadequate to reach the number of antivirals WHO (World Health Organization) estimates will be needed to contain a pandemic," it added.

    "Increasing global production capacity of vaccines and antivirals will take several years as new production facilities are built, materials necessary for production are acquired, and the necessary approval is received to market these medical products in various countries."
    Last edit by indigo girl on Jan 23, '08
  8. by   indigo girl
    Get Pandemic Ready: First Aid

    What if you were the only person available to help your family and your
    neighbors? Could you do it? Would you have some basic supplies on
    hand? Think about it. There may be no medical care available. Hard to
    imagine that situation, but this could happen. I am not suggesting that
    you get a medical degree, just that maybe it would be useful to you to
    have some basic first aide equipment around.

    I am keeping in mind that this is a nursing forum and that we do not offer
    medical advice, but it might be helpful for you to look at this information:


    Quote from afludiary.blogspot.com/2008/01/get-pandemic-ready-first-aid.html

    In a pandemic, health care services may be overwhelmed, or you may not wish to leave home and risk exposure to the flu virus. You may be required to administer more advanced medical care to yourself or others than you have in the past. If communications with a healthcare provider is available, you will need supplies and knowledge to be able to follow their directions. If no medical care is available, you might find yourself the sole provider of care for those around you. You will need supplies and skills.
  9. by   indigo girl
    With the permission of Effect Measure:

    Marketing preparedness, Effect Measure style

    Quote from Revere

    Predictable as clockwork, no sooner does the Director General of the World Organization for Animal Health (OIE), M. Bernard Vallat tell us that things are looking up for bird flu then we have a massive outbreak threatening to devastate the poultry industry of India. So the poultry problem is neither stable nor under control, whatever M. Vallat says (and I daresay he probably regrets saying it). The Indian problem is a big deal, with reports of villagers eating birds that died of the virus and violent resistance to culling efforts. Clearly India was unprepared for this poultry outbreak, despite ample warning and plenty of examples elsewhere.

    Nor is their health care system -- even their best hospitals -- prepared. Last year India dumped its plans to train health professionals midway through last year:

    There are three vital training aspects -- clinical, preventive-medicine and microbiology -- to handle avian influenza outbreak. The team, last year, held clinical training sessions for health professionals. However, it could not complete its work, as it was 'abandoned' apparently for no good reason.

    Effectively, the health professionals, including paramedics, lab technicians, professors and assistant professors do not have any idea about preventive and microbiology aspects, in case there is an outbreak. Three experts from clinical, microbiology and preventive medicine from city teaching hospitals were appointed for the rapid response team. The three members were sent to National Institute of Communicable Diseases (NICD), New Delhi, to get trained by avian influenza researchers. The members of the team were given a mandate to set-up a response team in the State, which could be deployed at a short notice in the event of an outbreak. (The Hindu)

    So the only rapid response in India is panic.

    Meanwhile, yet another conference of bird flu scientists is taking place, this time in Bangkok, Thailand. Meetings where scientists come face to face are still a major means of disseminating scientific information. The usual scientific sessions may provide the news but the work gets done in the corridors, lunch tables and other informal venues. No Power Point presentations there. Just scientists discussing their problems and often disagreeing and arguing about them.

    And make no mistake. There is much to discuss and argue about. One school of thought says H5N1 is poised to become a pandemic strain, where and when no one knows. Robert Webster from St. Jude's in Memphis, the dean of flu virologists is in that camp. He is matched on the other side by Peter Palese, an equally eminent flu virus scientist from Mt. Sinai. Palese is by no means complacent about H5N1, but has wondered for a long time if there is some biological barrier to this subtype assuming pandemic features:

    "I'm not convinced H5 really has the ability to jump into humans and cause the next pandemic," Peter Palese, a professor at the Mount Sinai School of Medicine in New York, told Reuters.

    "Most of the human cases are the result of a large dose infection," he said, such as victims who come into close contact with sick birds.

    "If you are a chicken it's a serious problem, but I'm not so sure it's the next pandemic strain," he said. (Reuters)

    I don't know if Peter is right about this or not (and neither does he). It's not impossible. But I do believe we should act as if Rob Webster is right. There's too much we don't know, including the essential elements:

    "We don't really know what it takes to be transmissible and we don't know where it's coming from. Where is it hiding out?" Webster told Reuters.

    But how we act as if H5N1 could become a pandemic agent is also a matter that requires thought. My view, often expressed here, is that we are best served by investing in strengthening the public health and social service infrastructures of our communities (something we are not doing; on the contrary, we are weakening them with budget cuts). That way it doesn't matter who is right, Webster or Palese, because we will be acting in a way that covers them both.

    I've said that before. Often. Just following the old adage, "The secret to marketing is repetition. The secret to marketing is repetition. The secret to marketing is repetition . . . "

    The Editors of Effect Measure are senior public health scientists and practitioners. Paul Revere was a member of the first local Board of Health in the United States (Boston, 1799). The Editors sign their posts "Revere" to recognize the public service of a professional forerunner better known for other things.
  10. by   indigo girl
    Authors Defend Study of Nondrug Measures in 1918


    If you read Barry's book, in the few places that did use measures such as isolation and quarantine, it appeared to help reduce morbidity and mortality. Too bad that New York was not one of those places.

    Quote from www.cidrap.umn.edu//cidrap/content/influenza/panflu/news

    The authors of a 2007 study of nonpharmaceutical measures used in the 1918 influenza pandemic, responding to a critique from historian John M. Barry, argued last week that there is strong evidence that New York City used isolation and quarantine to battle the Spanish flu.

    In a study published in August, Dr. Howard Markel and colleagues said their analysis of historical records from 43 US cities indicated that the early use of nonpharmaceutical interventions (NPIs), such as isolating the sick and banning public gatherings, saved lives in the 1918-19 pandemic.

    Their study, which appeared in the Aug 8 Journal of the American Medical Association, had a major influence on the Centers for Disease Control and Prevention's (CDC's) recommendations early in 2007 for the early, targeted use of NPIs in a flu pandemic. Two of the authors, including senior author Dr. Martin Cetron, work at the CDC Division of Global Migration and Quarantine.

  11. by   indigo girl
    No Magic Bullets to Fight Panflu


    H1N1 is a seasonal flu. As you know, it's the kind of flu that some people
    get an annual vaccination to prevent each flu season. It is a type A
    influenza, as is H5N1, the notorious bird flu.

    Quote from www.scottmcpherson.net/journal/2008/1/30/no-magic-

    We have known for years that H5N1 was slowly gaining Tamiflu resistance in some areas, most notably Egypt. We have also known that about 3% of Japanese seasonal Influenza B had shown some Tamiflu resistance.

    What I don't think we knew was that H1N1 was showing a markedly increased resistance to Tamiflu, and we did not know the CDC was actually tracking and cataloguing those resistance markers...
  12. by   indigo girl
    Hospitals Not Ready for Pandemic

    You already knew this, right?


    Quote from afludiary.blogspot.com

    The federal government's voluminous plans for dealing with pandemic flu do not adequately account for the overwhelming strain an outbreak would place on hospitals and public health systems trying to cope with millions of seriously ill Americans, some public health experts and local health officials say.

    The Bush administration's plans, which run more than 1,000 pages, contemplate the nightmare medical scenarios that many experts fear, but critics say federal officials have left too much of the responsibility and the cost of preparing to a health-care system that even in normal times is stretched to the breaking point and leaves millions of people without adequate access to care.
  13. by   indigo girl
    Rescinding Community Mitigation Strategies in an Influenza Pandemic

    (hat tip fluwiki)

    Quote from www.cdc.gov

    An earlier study of this computational model demonstrated that closing schools and
    curtailing contacts of children and teenagers for the duration of a mild 1957-like epidemic in a stylized community reduced the number of infected persons by >90% (10). The model was constructed with assumptions that children and teenagers are responsible for influenza transmission in a community because of the frequency and nature of their person-to-person contacts (11). However, sensitivity analyses showed that permutations of mitigation strategies that included adults were effective at reducing infections in the model population, even for more highly infective 1918-like viral strains or with removal of enhanced children/teenagers' role in transmission...