Disaster/Pandemic preparedness - page 7

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
    Taking care of the dead is another necessary aspect of pandemic planning.
    No one wants to face this, but we have to.

    New Zealand
    Quote from http://www.stuff.co.nz/4032934a20475.html
    ...Some bodies would not be able to be buried where families requested. Instead, they would have to go into a Government arranged plot. People who wished to be cremated may have to be buried, due to an expected shortage of medical professionals - two of whom are required to carry out a cremation.
    Manning said there was no chance authorities would have to resort to mass graves.
    Mitchell said legislative changes last year had enabled agencies "to streamline the process" of body disposal in a declared pandemic.
  2. by   indigo girl
    Pandemic Planning and the Blood Supply

    (hat tip PFIF/nightowl)

    Quote from www.aabb.org/documents/Programs_and_Services/Disaster_Response/fluplanning.pdf

    Efforts to Ensure a Safe, Available Blood Supply

    The blood community, under the auspices of AABB, has established the AABB
    Interorganizational Task Force on Pandemic Influenza and the Blood Supply ... to help identify the issues raised by, and planning options available to respond to, the threat of pandemic influenza... The third section provides a
    summary of recent communications between the task force and the federal government regarding the critical role blood may play in a pandemic and warranted government actions.

    The task of preparing for an event as severe as the 1918 pandemic appears overwhelming, but the benefits will be manifold...

    Blood Supply: The most useful framework for planning would seem to be a pandemic approaching the magnitude of the 1918 pandemic with clinical attack rates in the 25% to 35% range during the initial wave and high mortality. An additional 10% loss of both donors and staff can be anticipated due to the need to care for ill family and children in the event of school closures, or fear of workplaces and public venues. Current estimates for the first pandemic wave range from 8 to 17 weeks, and center on 12 weeks; the duration of waves could be shorter in individual communities. It is anticipated that there will be up to three waves, each separated by 12 weeks or more.
    Last edit by indigo girl on Sep 15, '07
  3. by   indigo girl
    We all depend on our utility companies to provide 24/7 service. Here is a conference that some will be attending designed to educate those companies regarding the ability to function during a pandemic emergency. This is serious and necessary planning that we will all benefit from should the need arise.
    (hat tip flutrackers/laidback al)
    Last edit by indigo girl on May 5, '07
  4. by   indigo girl
    Medical care will be different during a pandemic. It may be hard to wrap your mind around, but you need to realize that our current standards of care will no longer be met. Here is some commentary and an article from Washington state regarding some of what you can expect to occur.


    Quote from http://http://www.heraldnet.com/stories/07/04/22/100loc_a1flu001.cfm
    The public should be prepared to care for many of the sick at home, he said, with only the sickest of the sick, such as those who need mechanical ventilators to help them breathe, being treated at hospitals.

    "Everyone else, if we believe they could manage, we're going to try to keep them at home," he said.

    This warning is just one of the steps that health officials, both here and throughout the Puget Sound region, are taking to try to prepare the public for a global flu epidemic.

    These worldwide flu outbreaks have occurred periodically over the last 100 years, including the Spanish flu of 1918 and the Hong Kong flu of 1968-69.

    This week, health officials will meet with newspaper, radio and television journalists in Seattle to discuss how a major flu pandemic could be detected and how health care workers and law enforcement agencies would react.

    "Pandemics do happen," said Li-Vollmer, communication specialist for Public Health Seattle & King County.

    Although the public may have become a little jaded about reports of health threats, "it's a very realistic possibility that it will happen in the near future, although we can't predict exactly when," she said.

    Public services could be reduced or disrupted. "So people need to be prepared to stay at home for at least a week," she said.
    They do expect of course, that waves of infection of approximately 12 weeks duration will most likely occur at 2 to 3 times in a year. If you are able to, you should take this into account in your planning. Having only one week's worth of supplies means that you will have to go out into the community to try to restock. There is no guarantee that stores will have what you need or that they will be open. There are also personal safety issues to consider. If you have children or pets, think of what you will need to put by for them, and aim for 3 months worth of goods if you can. You do not want to be out fighting with other desperate people for food or water in a flu infected community to keep your family fed. You might also consider buying masks and gloves.
    Last edit by indigo girl on May 5, '07
  5. by   indigo girl
    ANA 2007 Quadrennial Policy Conference

    Nursing Care in Life, Death, and Disasters

    Functioning under a different and lesser standard of care is something that few of us have ever had to do. The ANA will face this timely issue in its conference addressing the different types of major disaster/emergencies that our nation may experience in the future.

    Atlanta, Georgia
    June 20 thru 22 2007


    The American Nurses Association is hosting its inaugural quadrennial policy conference, Nursing Care in Life, Death and Disaster, on June 20-22, 2007, at the Hyatt Regency Atlanta, in Atlanta , Georgia . This conference 1) is dedicated to considering the significant health and disaster preparedness policy questions related to an altered standard of care that can result from a major natural or manmade disaster, 2) will inform nurses, policy makers, government and other disaster planners and responders regarding reconciliation of the professional, legal and regulatory conflicts of a diminished standard of care and 3) will promote better decision-making, all to improve possible patient outcomes and the quality of care provided during a major disaster.
    (hat tip flutrackers/snowy owl)
    Last edit by indigo girl on Sep 15, '07
  6. by   indigo girl
    This is really quite a fascinating study on the communities that successfully were able to decrease the numbers of people infected with influenza in 1918. It is amazing that they were actually as effective as they were.

    It is an unfortunate fact that should our population become exposed again to a virulent novel virus as it was in 1918, we will have to resort to exactly the same type of measures to decrease infections and fatalities. Without an effective and targeted vaccine, and with scarce amounts of antivirals, there are simply no other options.

    Notice the govt agency that commissioned this study. To view the story of each community, click on each place in the upper right hand corner.


    Quote from www.med.umich.edu/medschool/chm/influenza/index.htm
    The Center for the History of Medicine

    The 1918-1920 Influenza Pandemic
    Escape Community Digital Document Archive

    In the summer of 2005, the Center for the History of Medicine at the University of Michigan Medical School was contacted by the Defense Threat Reduction Agency (DTRA) and asked to conduct research into and write a report on American communities that had experienced extremely low rates of influenza during the infamous 1918-1920 influenza pandemic [download a copy of the report]. A team of historians from the Center for the History of Medicine visited these communities to locate, assess, and collect available primary source material from libraries, archives, and other private and public holdings. We then undertook a historical evaluation of the non-pharmaceutical interventions (NPI) as employed by successful communities during the second wave (September-December 1918) of the pandemic.
  7. by   indigo girl
    The author of this essay was not half as surprised as I was to discover that the city of Edmonton in Canada is putting away a product called Cold Fx as part of its pandemic stockpile. I am familiar with Cold Fx because my own physician recommended it to me for cold prevention this winter. Cold viruses are not the same as flu viruses, obviously.

    But, given that there are so few options as there is not enough Tamiflu for everyone, and no vaccine exists for the use of the general public as of yet, I see that they want to have something, anything to offer their citizens. Cold Fx is supposed to boost the immune system, but is that a good thing with a disease that can kill thru cytokine storm? I don't think that anyone really knows.


    BTW, you should always check with your health care provider about any alternative remedy, and this post should not be taken as medical advice.
  8. by   indigo girl
    Fighting the Future

    An essay on pandemics and volunteering to help. Volunteering is something that many Americans have done in the past. The question is, will they do it now to help the nation get ready for something that is coming, but we don't know when?

    Last edit by indigo girl on Sep 15, '07
  9. by   indigo girl
    Voices to Heed, Books to Read

    An essay on Who's Who in the world of pandemic influenza
    If you are not familiar with any of them already, check this out.


    You can view Garrett and Osterholm on this very recent archived webcast.
    What they are saying is rather alarming.
    Last edit by indigo girl on Sep 15, '07
  10. by   indigo girl
    New York State is still soliciting comments from the public thru May on pandemic planning and ventilator use so if you want to contact them, you can. CIDRAP has an update on the discusssions.

    Some of what they are saying is amazing. Really, you should read this. It's important to
    understand the thinking behind these decisions.

    Quote from [url
    Comments invited
    The NYSDOH has publicized the proposal via many avenues, starting by posting it on the department's Web site. The plan has been sent to state emergency preparedness coordinators, the Association of State and Territorial Health Officials, certain medical societies, advocacy groups for people with disabilities, hospital associations, the National Kidney Foundation, and state and county health officials in New York. The department also ran a satellite video conference with hospitals around the state and briefed hospital officials in New York City.

    "We're very explicitly putting this out for public comment. We want to be sure people have ample opportunity for input," Birkhead said. The panel is asking for comments by the end of May.

    Powell said a number of other states are considering the problem of ventilator allocation, but she was not aware of any other state that has published recommendations.

    So far the response to the proposal has been positive, but some have asked for various clarifications, according to Powell. "Many facilities observe, quite correctly, that the document doesn't take you all the way to the level of detail of how you would operationalize it in your particular facility," she said. "So there's more work to be done.

    "Happily the feedback overall is positive. We're getting a lot of comments, so we're trying to incorporate those and make it better."
    Last edit by indigo girl on May 2, '07
  11. by   indigo girl
    The oral rehydration solution formula is an example of life saving information.

    If you want to do something positive to start preparing your
    family, put this information in a safe place, and make sure that you have
    what you need to prepare the formula. Remember that the pandemic flu
    plans for most states are assuming that the majority of flu cases will be treated at home, not in the hospital.

    Our communities have been told that we will be on our own. The cavalry is not coming to the rescue. As much as possible, we have to start taking responsibilty for protecting ourselves and our families. This means realistic and commonsense planning.

    This information is being provided with the intent to inform, not to alarm.
    There is a difference.

    Last edit by indigo girl on May 5, '07
  12. by   indigo girl
    Just a phase we're going through:

    This is why you should prepare your family.

  13. by   indigo girl
    This essay is from a poster at fluwiki. I am not endorsing everything he
    says because he has not provided links to some of the background info
    though I am familiar with it. What you should get out of this however if
    you read thru the whole document, is that there are some good reasons
    to become self sufficient that have nothing to do with pandemic flu. It is
    always wise to prepare your family for emergencies.