Colorized transmission electron micrograph of Avian influenza A H5N1 viruses (seen in gold). Image provided by CDC/C. Goldsmith, J. Katz, and S. Zaki.
Latest Resources -- 01/12/07
- Estimate of potential global mortality from pandemic The Lancet 2006 368 2211 to2218
- Reusability of Facemasks IOM 2006
12/7/06
- Consumer Medication Stockpiling
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Resources specific to Consumer Medication Stockpiling added.
- Good Home Treatment of Influenza
- Excerpts from the updated Bird Flu Manual available for download in three formats.
Latest Articles
Updated 1/12/07
Obstetric care during the pandemic 22 Nov 2006
The care and treatment of women who are pregnant at the start of the pandemic or become pregnant during the emergency is
an area where planning and preparation can make a huge difference in patient outcomes. Pregnant women are at exceeding
high risk for death during pandemic influenza, as will be their newborn infants. Pregnant women had one of the highest
case fatality rate of any group during the Spanish Flu in 1918.
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Preventing Post-Influenza Pneumonia in Healthy Children and Adults During the Pandemic 25 Nov 2006
Recently I have heard from several people that they or their children were denied access to vaccination with
Pneumovax® used to prevent infectious diseases due to Streptococcus pneumoniae including post-influenza Pneumococcal
pneumonia. I was very surprised to hear about this for several reasons. It has been our internal medicine practice’s
policy to encourage health adults well as the elderly and younger adults with chronic medical conditions to take advantage
of this vaccine benefits for several years.
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Revisiting the CDC’s Priority Rationing Plan 19D ec 2006
An analysis of the US CDC’s current ration plan for scarce antiviral drugs and vaccines used for treatment of
pandemic influenza raises important questions about the logic and appropriateness underlying the assumptions used to
develop the policy. The CDC’s priority list is very similar to the one they recommend for use during seasonal
influenza, a tame and very different beast by comparison to pandemic flu.
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Consumer Drug Stockpiling Pros and Cons
Some in the medical, public health, and ethics communities have vigorously opposed the desire by consumers to stockpile prescription pharmaceuticals for future use during the next pandemic. Editorials and position statements in opposition to stockpiling have appeared in leading peer reviewed medical journals. 1, 2, 3, 4...Continue Reading
Pandemic Disruption of Essential Services and Supplies
The 1918 Spanish Flu Pandemic appears to be the most relevant historical model for gauging how a severe bird fu pandemic might affect our society. John Barry’s 2004 book, The Great Influenza, is an excellent source for information about this event. A major difference between then and now is that we are at much greater risk today because the world’s population is 3 times greater… Continue Reading
Infection Control and Water Purification Using Household Bleach
Bleach is a strong and effective disinfectant. Its active ingredient, sodium hypochlorite, kills viruses, bacteria, mold, fungi, and protozoa on contact by denaturing their vital proteins. Bleach is effective, inexpensive and widely available making it a good choice for use as a disinfectant and purifier... Continue Reading
Bird Flu Hanky Panky in Asia
One measure of how well adapted H5N1 bird flu is becoming to humankind is the growing ease with which people contract the disease from birds, other people, or animals like swine.
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The 1976 Swine Flu debacle
The consequences to bureaucrats who needlessly warn the public about flu pandemics that fail to occur are seared into the CDC’s institutional memory. In 1975 an American solder stationed in US died of influenza and evaluation proved the organism was H1N1 Swine Flu, the cause of the infamous 1918 Spanish Influenza that killed 80 million people worldwide and to which their was not sufficient heard immunity. Continue reading…
A Failsafe Pandemic Response Plan for State and Local Governments
Those elected to state and local office know their people and their needs better than anyone else. The voters chose them to lead during a crisis or emergency and have invested them with certain powers to enable them to carry out these functions. In our opinion, a major influenza pandemic will reduce the calculus of governing to a very basic level that most state and local officials rarely think about or consider or that is contemplated in the current national and state plans. Continue reading…
Constructing a steam tent for patients with breathing difficulty
A steam tent is one of the best ways to administer steam therapy especially for patients with severe wheezing and trouble with bronchial secretions. The actual steam tent can be constructed using 4-mil clear plastic and coat hangers for structure. The dimensions of the tent should be about 3 ft wide x 3 ft long x 3 ft deep square and must have at least two 6 inch cut out windows into the front and back of the tent to allow fresh air to enter the tent. Continue reading…