1. DISASTER PREPAREDNESS: PANDEMIC INFLUENZA OUTBREAK Vanessa Tatoy COH 440

2. WHAT IS A PANDEMIC INFLUENZA OUTBREAK? What causes a pandemic influenza outbreak?Vulnerable PopulationsEconomic/Geographic

4. PURPOSE: PANDEMIC FLU OUTBREAKS THROUGHOUT HISTORY Flu Pandemic of 1918-1919: AKA Spanish Flu. H1N1 500 million infected 50-100 million deaths 1957-1958: Identified in the Far East. Came to the US. H2N2 2 million deaths worldwide 1968-1969: Hong Kong. Similar to strain that causes flu pandemic in 1957. H3N2 1 million deaths 209-2010: H1N1(Swine Flu) New H1N1 strain

5. GOALS AND OBJECTIVES: Establish preparedness organization/sites/committees Assess current preparedness/Quarantine protocol& policy Create coalitions between CDC, public emergency and medical care organizations Conduct risk assessment Education

6. RISK ASSESSMENT: IRAT: Influenza Risk Assessment Tool Assess potential pandemic risk that currently present in animals and not humans. Risk of ability to spread easily. Severity of human disease caused by virus(deaths/hospitalizations) Burden to society (missed workdays, strain on hospital..etc.)

8. EMERGENCY PLANNING FRAMEWORK National Strategy for Pandemic Influenza Implementation Plan. Homeland Security Council. May 2006 Health and Human Service Agency(ND). Pandemic influenza. http://www.sandiegocounty.gov/content/sdc/hhsa/programs/phs/pandemic_influenza/pandemic.html National Strategy Preparedness and communication Surveillance and detection Response and containment San Diego County Get educated Protect your health Develop preparedness plans

9. IMPLEMENTATION FRAMEWORK PREPAREDNESS: Before Education Vaccination During Avoid close contact Stay home if symptoms appear, if you are sick. Cover mouth and nose when coughing/sneezing Hand washing Avoid touching eyes, nose and mouth Practice good health behaviors After Obey and follow quarantine protocol Develop vaccine Outcome evaluation

10. ORGANIZATIONS Federal/State/Local Government CDC WHO Red Cross Hospitals Military NIH FEMA

11. MITIGATION Social Distancing, recovering cough/sneeze, hand washing, household ventilation Known public measures Decrease severity in illness Antiviral treatment Can take 2-6 months to make Pandemic Vaccine World Health Organization

12. CONCLUSION

13. REFERENCES Centers for Disease Control and Prevention(2014).Influenza Risk Assessment Tool(IRAT) Retrieved from:http://www.cdc.gov/flu/pandemic-resources/tools/risk New York State Department of Health.(2011),Pandemic influenza frequently asked questions.Retrieved from:https://www.health.ny.gov/diseases/communicable Federal Emergency Management Agency(2014).Pandemic.Retrieved from:http://ready.gov/pandemic U.S Department of Health and Human Services(1996).Pandemic Flu History.Retrived from:http://flu.gov/pandemic/history World Health Organization(2011).Pandemic Influenza Preparedness(PIP) Framework.Retrived from http://www.who.int/influenza/pip/en/ http://www.who.int/influenza/pip/en/