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Topic Collection: Epidemic/ Pandemic Flu

In 2009, the world watched as the H1N1 influenza virus circulated the globe. Many emergency departments were filled with symptomatic patients and the “worried well.” The resources in this Topic Collection include the lessons learned from that pandemic, strategies for maintaining “business as usual” for healthcare facilities, checklists, and others that can help emergency medical staff plan for and respond to a pandemic.

This ASPR TRACIE Topic Collection is in the process of being developed and comprehensively reviewed. If you have resources to recommend for inclusion in this Topic Collection, specifically illustrative examples, plans, tools or templates, please email your recommendations to askasprtracie@hhs.gov.

Topic Collection (PDF - 619.4 KB)

American College of Emergency Physicians. (n.d.). National Strategic Plan for Emergency Department Management of Outbreaks of Novel H1N1 Influenza. (Accessed 3/23/2017.)

This plan can help healthcare providers manage an H1N1 outbreak or other large scale epidemic or pandemic.
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Center for Infectious Disease Research and Policy. (2009). Doing Business During an Influenza Pandemic. Prepared by the Center for Infectious Disease Research and Policy (CIDRAP).

The authors synthesized Federal guidance with promising practices and created this guide to help workplaces minimize infection and absenteeism.
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Centers for Disease Control and Prevention. (n.d.). Hospital 2009 H1N1 Pandemic Influenza Readiness Review Checklist. (Accessed 3/23/2017.)

This checklist can help hospital staff with decision making and influenza flu plan development.
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Centers for Disease Control and Prevention. (2006). Home Health Care Services Pandemic Influenza Planning Checklist.

This checklist can help public and private healthcare organizations assess and better their pandemic influenza preparedness and planning.
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New York City Department of Health and Mental Hygiene. (n.d.). Mystery Patient Drill Toolkit. (Accessed 1/19/2017.)

This toolkit is intended for use by hospital emergency departments, and tests how long it takes for a potential patient with a highly infectious disease to be identified and for staff to begin exposure mitigation procedures; how long it takes for a patient to be transferred to an isolation room; and the capability of the facility to make notifications internally and to the health department. The Toolkit includes scenarios for Ebola Virus Disease, Middle East Respiratory Syndrome, and Measles, but may be modified to suit healthcare facilities of any nature and any type of disease outbreak.
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San Francisco Department of Public Health. (2011). Infectious Disease Emergency Response Plan.

This plan contains the following sections: command, plans section (by unit), operations section, logistics, and finance. Four annexes that focus on different threats are included, as are sample forms and other appendices.
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Spaulding, A., Radi, D., Macleod, H., et al. (2012). Design and Implementation of a Statewide Influenza Nurse Triage Line in Response to Pandemic H1N1 Influenza. Public Health Reports. 127(5): 532–540.

The Minnesota Department of Public Health developed several tools to support healthcare providers during the 2009 H1N1 influenza pandemic, including MN FluLine, a nurse triage line, that reached many rural and uninsured residents, and, according to the authors, may have prevented up to 11,000 in-person health-care encounters.
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Trust for America's Health. (2009). Pandemic Flu Preparedness: Lessons from the Frontlines.

This report examines early lessons learned by the healthcare system from the response to the 2009 H1N1 pandemic and highlights ongoing concerns about overall U.S. preparedness for potential outbreaks.
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U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response. (2012). An HHS Retrospective on the 2009 H1N1 Influenza Pandemic to Advance All Hazards Preparedness.

The authors share lessons learned from the 2009 influenza pandemic, grouped into the following categories: surveillance, mitigation measures, vaccination, and communications and education.
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U.S. Government Accountability Office. (2009). Influenza Pandemic: Monitoring and Assessing the Status of the National Pandemic Implementation Plan Needs Improvement.

The U.S. Government Accountability Office was charged with 1) determining how the Homeland Security Council and the responsible Federal agencies were monitoring the progress and completion of the Implementation Plan for the National Strategy for Pandemic Influenza, and 2) assessing the extent to which selected action items have been completed.
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