1. Personal Pandemic Preparedness: An Individual and Family Discussion Exercise Alabama Department of Public Health Center for Emergency Preparedness January 2008

2. Influenza (Flu) Terms Seasonal (or common) flu Seasonal (or common) flu Respiratory illness Respiratory illness Transmitted person to person Transmitted person to person Most people have some immunity Most people have some immunity Vaccine is available Vaccine is available Only H1N1 and H3N2 are commonly circulating Only H1N1 and H3N2 are commonly circulating Avian (or bird) flu Avian (or bird) flu Influenza viruses that occur naturally among wild birds. Influenza viruses that occur naturally among wild birds. Low pathogenic is common in birds Low pathogenic is common in birds Highly pathogenic H5N1 is deadly to domestic fowl Highly pathogenic H5N1 is deadly to domestic fowl Can be transmitted from birds to humans Can be transmitted from birds to humans Deadly to humans Deadly to humans Pandemic flu Pandemic flu Human flu that causes a global outbreak Human flu that causes a global outbreak Little natural immunity Little natural immunity Spreads easily from person to person. Spreads easily from person to person.

3. Alabama Influenza & Pneumonia Deaths 1914 - 1919 Annual Report of the State Board of Health, 1919, p. 60

4. Cumulative Number of Confirmed Human Cases of H5N1 http://www.who.int/csr/disease/avian_influenza/country/cases_table_2008_01_21/en/index.html

5. “Any community that fails to prepare, with the expectation that the federal government or, for that matter, the state government will be able to step forward and come to their rescue at the final hour, will be tragically wrong, not because the government will lack a will, not because we will lack a collective wallet, but because there is no way that you can respond to every hometown in America at the same time.” Secretary Michael Leavitt April 20, 2006

6. Forecasted Impact of Pandemic Influenza Alabama Characteristic Moderate (1958/68-like) Severe(1918-like) Illness (30%) 1.35 million Outpatient Medical Care (50%) 675,000 Hospitalization 12,975148,500 ICU care 1,93122,275 Mechanical ventilation 97311,183 Deaths 3,13528,545 Based upon Table 1 of HHS Planning Assumptions

7. Community Volunteers Needed During a Pandemic Comfort Care Centers (CCC) Comfort Care Centers (CCC) Patient follow-up data entry Patient follow-up data entry Point of Dispensing (POD) site Point of Dispensing (POD) site Back fill hospitals and other healthcare providers Back fill hospitals and other healthcare providers Grief counseling Grief counseling

8. Today’s News Late Breaking Pandemic Influenza News Video Late Breaking Pandemic Influenza News Video

9. Discussion Question Categories Family Plan Family Plan Child Child Parents Parents Pets Pets Stockpile Stockpile Food and water Food and water OTC prescription OTC prescription Medical Care Medical Care Prescription Prescription Home care Home care

10. Is your family ready for a pandemic influenza second wave?

11. For more information about preparing your family, go online: Alabama Department of Public Health, Center for Emergency Preparedness www.adph.org/cep Alabama Department of Public Health, Center for Emergency Preparedness www.adph.org/cepwww.adph.org/cep Health and Human Services www.pandemicflu.gov Health and Human Services www.pandemicflu.govwww.pandemicflu.gov Federal Emergency Management Agency www.fema.gov Federal Emergency Management Agency www.fema.govwww.fema.gov US Department of Homeland Security www.ready.gov US Department of Homeland Security www.ready.govwww.ready.gov Contact your local county health department or call the Alabama Department of Public Health at 1-888-264-4073 or 1-800-ALA-1818