1. REGIONAL MEETING ABOUT THE PREPARATION AND RESPONSE OF HEALTH SERVICES TO AN INFLUENZA PANDEMIC GROUP 3: SPANISH SPEAKING HEALTH SERVICES MANAGEMENT

2. QUESTIONS ABOUT ORGANIZATION AT DIFFENT COMPELXITY LEVELS TOPICCONSENSUS EVALUATIONRequirements to be developed by the WHO/PAHO through expert networks Is there enough illustration Adjustments to the Actual are required New Developments are Required Demand Structure The information, methodologies and current tools require adjustments to respond to additional information needs Countries must determine the demand structure, taking into account their epidemiological profile, socioeconomic context and health system situation. Countries may request support from the WHO/PAHO, according to particular needs. In the current models the risk estimate must be included as well as the potential impact of population intervention against the pandemic. Requirements at Different Complexity Levels There is enough illustration Outpatient Management Adjustments are required to what is available The PAHO must support the development of strategies for inter sector work, as well as protocols for working at an outpatient and domiciliary level. Attention in Non Conventional Centers New developments are requiredPAHO can support the development of guides and protocols for the organization and functioning of non conventional centers for attention in an influenza pandemic situation. The Emergency and Disaster Committees have experience in the implementation of non conventional establishments that must be adopted for a pandemic situation. Primary Health Attention There is enough information It is necessary to give more importance to primary health attention

3. QUESTIONS ABOUT EXCESS MORALITY TOPICCONSENSUS EVALUATIONRequirements to be developed by the WHO/PAHO through expert networks There is enough illustration Adjustments to the actual are required New developments are required Corpse managemnt There is enough illustration QUESTIONS ABOUT SUPPLIES TOPICCONSENSUS EVALUATIONRequirements to be developed by the WHO/PAHO through expert networks There is enough illustration Adjustments to the actual are required New developments are required Supplies There is enough illustration The development of methodologies and criteria must be supported in order to calculate the requirements of a basic or minimum stock of supplies necessary for an influenza pandemic. It is requested that the PAHO disseminate experiences on this topic, such as the one in Mexico.

4. QUESTIONS ABOUT BIOSECURITY MEASURES QUESTIONS ABOUT EMERGENCIES AND DISASTERS TOPICCONSENSUS EVALUATIONRequirements to be developed by the WHO/PHO through expert networks There is enough illustration Adjustments to the actual are required New developments are required Norms for outpatient, hospital and domiciliary levels There is enough illustration Appropriate norms must be detailed at an ambulatory and domiciliary level Disinfection materials There is enough illustration Biosecurity Elements There is enough illustration It is necessary to create additional information to protect ambulatory attention personnel. The PHO can support disseminating information to countries that have advances such as Chile and Mexico. It can also support countries that have to develop standards and support dissemination with the member countries. TOPICCONSENSUS EVALUATIONRequirements to be developed by the WHO/PAHO through expert networks There is enough illustration Adjustments to the actual are required New developments are required Hospital emergency plans There is enough illustration Articulation of national response to a pandemic disaster There is enough illustration

5. REQUESTS TO THE PAHO/WHO FOR NEW DEVELOPMENTS THROUGH THE EXPERT’S NEWTORK 1.Develop strategies to elaborate response plans for the health services in border areas in order to confront the pandemic. 2.Develop reference and counter reference mechanisms between patients and levels of assistance in the network services, as well as between health institutions during the pandemic 3.Support identification of sources of financing as well as laws to mobilize resources at a national and international level 4.Define mechanisms for the purchase of critical supplies at a regional level to confront the pandemic 5.Integrate interdisciplinary groups to supply technical support to countries during phases 4 and 5 6.Define mechanism and methodologies for the systematic evaluation of the national pandemic plans in the countries