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Resources: H1N1 Influenza Virus

Guidance | Response Planning | Agency Minutes | Agency Publications
Public Education | Background | Levels | Federal SourcesDefinitions

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This webpage is a source for fire and emergency service chief officers to understand H1N1 flu and access various guidance documents and resources being generated for public health and safety officials.

The IAFC's EMS Section maintained its Emerging Disease Committee following work in 2005-2006 on avian influenza. The Committee is fully monitoring the H1N1 flu situation and will continue to update this page with useful information for IAFC members and the fire and EMS community.

Joint IAFF/IAFC/EMS Section letter to House and Senate Appropriations (pdf) calling for increased pandemic influenza funding. 

Guidance

In response to inquiries on administering influenza vaccines for fire/EMS personnel, the IAFC’s EMS section provides a best practice document (pdf) that answers questions about the vaccines and explains their importance.

Interim Guidance for EMS Systems and 9-1-1 Public Safety Answering Points for Management of Patients with Confirmed or Suspected H1N1 Flu. From the NHTSA Office of EMS and the DHS Office of Health Affairs. PDF version

The Centers for Disease Control and Prevention’s (CDC) website for H1N1 Flu: This site contains current medical investigation and planning information.

Visit the CDC guidance webpage for the latest editions of Interim Guidance for Clinicians & Public Health Professionals covering:

  • Patient care
  • Patient screening in currently non-impacted areas
  • Antiviral recommendations
  • Infection control
  • Specimen collection
  • Medical product use


The CDC guidance is updated daily; check this page often to be knowledgeable on the most current recommendations for your community.

CDC interim recommendations and guidance for health directors about strategic national stockpile material. 

Masks

Mask recommendations may differ in various states by their state pandemic plans. Make sure you’re familiar with your state's plan and how your department fits into it at the Federal Pandemic Flu website > State and Local Planning and Response.

CDC information and recommendations regarding the use of masks and respirators in non-occupational community settings:


FDA: Masks and N95 Respirators

Vaccines

Vaccination is key to reducing illness and preventing hospitalizations and deaths. Health care workers, including fire and EMS providers, have been prioritized to receive H1N1 vaccinations when available. Departments should offer all members a seasonal flu vaccine to protect their workforces, families and community. Follow progress on the CDC website: H1N1 vaccine.

Vehicle Cleaning

The HHS has released interim general guidelines for cleaning or maintaining EMS transport vehicles after transporting a suspected influenza patient during a pandemic.

Emergency Response Planning

Visit the federal pandemic flu website for information including planning, response and patient care information at the state and local levels.

Memphis Fire Department Pandemic Plan April 2009 (pdf): Guidance on the 3-level planning approach for departments considering how to stage EMS, public health and department personnel response to an outbreak in their communities

The U.S. Department of Heath and Human Services has created an EMS and Non-Emergency (Medical) Transport Organizations Pandemic Influenza Planning Checklist to help patient care providers assess and improve their preparedness for responding to pandemic influenza. Review this checklist and your state’s pandemic flu planning.

The National Highway Transportation Safety Administration (NHTSA) Office of EMS released the EMS Pandemic Influenza Guidelines for Statewide Adoption in 2007 as guidance for state and local agencies in pandemic preparedness. It contains beneficial information on planning, EMS operations, legal authority and patient care in a pandemic.

CDC and Other Agency Minutes and Alerts

The IAFC EMS Section's Emerging Disease Committee is participating in CDC conference calls and other activities to monitor the H1N1 flu situation.  

CDC and WHO Information Publications

WHO Guidance: Pandemic Influenza Preparedness and Response (pdf) (Phase descriptions begin on page 24)

The CDC has released 2 new guidance updates on current cases (MMWR April 28) and antiviral drug susceptibility (MMWR April 28)

H1N1 flu information can be found in the CDC’s Morbidity and Mortality Weekly Report. The May 1, 2009 edition (Volume 58, #16) contains information about the H1N1 virus throughout the edition.


The WHO Epidemic and Pandemic Alert and Response website provides breaking news on developing disease outbreaks.  Informative updates are listed daily. 

Educating the Public

H1N1 flu FAQ document for the public from Fulton County, GA (in English and Spanish) (MS Word doc)

CDC general information on H1N1 flu for your public education efforts:

  • Fact sheets
  • Answers to expected questions
  • Webcast links for video education tools

Background: Public Health Declarations

On April 26, 2009, the U.S. Department of Heath and Human Services issued a nationwide public health emergency declaration in response to recent human cases of H1N1 influenza A virus infection. This action will help HHS prepare for prevention and mitigation activities by enabling Food and Drug Administration (FDA) emergency use authorizations of drugs, devices or medical tests under certain circumstances. 

Go to the transcript of the April 26, 2009 White House press briefing on H1N1 flu.

Current Status

Know the Federal Sources

Know the Pandemic Phase Levels

Upgraded to Pandemic Phase Level 6 by the WHO (6/11/09)
Pandemic Level 6 (pdf): What it means to fire and EMS chiefs. By EMS Coordinator Mike McEvoy

Upgraded to Pandemic Phase Level 5 by the WHO (4/29/09)
Pandemic Level 5 (pdf): What it means to fire and EMS chiefs. By EMS Coordinator Mike McEvoy

Upgraded to Pandemic Phase Level 4 by the WHO (4/28/09)
Pandemic Level 4 (pdf): What it means to fire and EMS chiefs. By EMS Coordinator Mike McEvoy

Disease stages are also described in phases of 1 through 6. Go to the WHO’s explanations of each phase and where we currently stand.

Know the Definitions

According to the CDC, a distinction between H1N1 and avian (H5N1) influenza is that laboratory testing has found the H1N1 influenza A virus is susceptible to some antiviral drugs. There is no known antiviral for the different, avian influenza strain. 

As this issue unfolds, it's important to understand the differing terminology of a spreading disease. 

  • Outbreak: A sudden increase in the number of a certain illness, which reflects the current situation.  [Source: NRP Morning Edition 4/27/2009]
  • Epidemic: An outbreak of a contagious disease that spreads rapidly and widely. [Source: NRP Morning Edition 4/27/2009]
  • Pandemic: When a disease is spread across a wide geographic area and is affecting a large portion of the population, typically in the millions. [Source: NRP Morning Edition 4/27/2009]


For more definitions:


 

 

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