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Influenza

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Swine Origin H1N1 Influenza (SO-IV)

Unless otherwise noted, the following links connect to pages on CDC's website. SHEA encourages use of CDC's site as the preeminent source of information on this pandemic.

General

Key Facts 

Guidance for Healthcare Professionals

Infection Control

Infection Control for Care of Patients with Confirmed or Suspected Swine Influenza A (H1N1) Virus Infection in a Healthcare Setting

Community Mitigation

Antivirals

Antiviral Drugs

SHEA/IDSA: Infectious Disease Doctors Urge Public Not to Hoard Tamiflu statement

Personal Protective Equipment

Face Masks and Respirators

SHEA/IDSA/APIC Statement on PPE for Healthcare Workers

Grid Summary of Recommendations

Screening

Guidelines for the Submission of Tissue Specimens for the Pathologic Evaluation of Influenza Virus Infections

Case Definitions

Biosafety for Lab Workers

Screening tools, signage, and informational fliers have been provided for download and use as needed.

Screening Tools

Providence Healthcare

University of Pennsylvania

General Precautions for Patients Signs

University of Pennsylvania

Information, Policies, Downloads

Johns Hopkins University


SHEA Position Papers and Statements

  • SHEA Position Statement: Interim Guidance on Infection Control Precautions for Novel Swine-Origin Influenza A H1N1 in Healthcare Facilities

  • SHEA, APIC, ACOEM, and IDSA Joint Position Statement: Healthcare Personnel at High-Risk for Severe Influenza Illness: Care of Patients with Suspected or Confirmed Novel H1N1 Influenza A

  • SHEA/IDSA Public Statement to IOM Panel

  • Infectious Disease Doctors Urge Public Not to Hoard Tamiflu: Groups Say National, Institutional Stockpiles Needed to Protect Against Pandemic Flu: IDSA and SHEA are urging members of the public not to stockpile oseltamivir (Tamiflu), amid concerns about a possible shortage of the antiviral drug that is used to treat influenza. Press Release (pdf); Stockpiling Statement (pdf)
    • Influenza Vaccination of Healthcare Workers: A guidance for allocation of influenza vaccine to healthcare workers during times of vaccine shortage and recommendations for improving vaccination of healthcare workers via a multifaceted program.  Paper (pdf)

    Pandemic Planning

    Federal

  • White House National Strategy for Pandemic Influenza Implementation Plan; comments from the Center for Biosecurity of UPMC; comments by CDC Director
  • Pandemic Flu.gov - Information about Influenza Pandemics 
  • Subcommittee on Biosecurity and Bioterrorism: Meeting Report - Hospital Preparedness for Pandemic Influenza
  • OSHA's Guidance on Preparing Workplaces for Influenza Pandemic
  • AHRQ – Providing Mass Medical Care with Scarce Resources: A Community Planning Guide: A guide (available in PDF format on the website) written by experts at DHHS and AHRQ to provide community planners and planners at institutional, state, and federal levels with information on planning and responding to mass casualty events (MCE).

  • OSHA Pandemic Flu Guidance for Healthcare Workers: The guidance covers a range of healthcare settings and serves as a follow-up to guidelines released all types of workplaces.

  • HHS guide to help communities retool their health-related call centers into systems for meeting the needs of the public in homes or shelters during emergencies such as a pandemic or bioterrorist attack. Published by the HHS Agency for Healthcare Research and Quality (AHRQ), the 224-page guide is aimed at boosting the capabilities of poison-control centers, nurse advice lines, drug information centers, and health agency hotlines. It focuses on four main scenarios: anthrax attacks, pandemic influenza, plague, and food contamination. article

  • Local

     

  • NGA Preparing for a Pandemic Influenza: A Primer for Governors & Senior State Officials
  • NACCHO Local Health Department Guide to Pandemic Influenza Planning
  • San Francisco Department of Public Health: Communicable Pandemic Influenza Infection Control Table Top Exercise. 100% of San Francisco’s hospitals participated in the exercise.  Link includes the After Action Report with lessons learned, the power point presentation of the scenario, and other details of the exercise.
  • Other Resources

  • A report was released in September 07 by an ad hoc IOM committee on the study of PPE for healthcare workers during an influenza pandemic.  SHEA members Trish Perl, MD, MSc, Leonard Mermel, DO, SCm, Keith Woeltje, MD, PhD, and David Calfee, MD testified to the committee.  Dr. Perl participated on the committee and Dr. Mermel served as a reviewer of the document.  slide show; executive summary
  • IDSA - Pandemic and Seasonal Influenza Principles for US Action 
  • IOM - Modeling Community Containment for Pandemic Influenza: A Letter Report: a report detailing computer models and analyses of past flu outbreaks and the role of community-wide intervention.  free registration required
  • PNAS - Mitigation strategies for pandemic influenza in the US 
  • Nature - Strategies for mitigating an influenza pandemic
  • Committee for the Assessment of the NIOSH Head-and Face Anthropometric Survey of the US Respirator Users - order book

  • Avian Flu

  • Current Situation: summary, human H5N1 cases, animal H5N1 cases, assessment of current situation, bird import ban, travel, and CDC response
  • Avian Influenza A Viruses 
  • Birds  
  • Estimating Potential Impact of an Influenza Pandemic Using 1968 and 1918 Type Scenarios (MMWR)
  • FluSurge: a spreadsheet-based model providing hospital administrators and public health officials estimates of the surge in demand for hospital-based services during an influenza pandemic 
  • Health Professionals (resources) 
  • Infection Control in Health-Care Facilities Caring for Patients with Known or Suspected Avian Influenza (interim recommendations) 
  • Infection in Humans (avian influenza) 
  • Key Facts About Avian Influenza and Avian Influenza A (H5N1) Virus
  • Past Avain Influenza Outbreaks
  • Prevention and Control of Influenza: MMWR 2006 Recommendations 
  • Transmission of Influenza A Viruses Between Animals and People
  • Travelers
  • Vaccines (avian influenza)
  • WHO Procedures for Obtaining Release of H5N1 Sequences to the Public Domain

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