Includes bibliographical references (p. [247]-249) and index.
English
Intro -- NATIONAL STRATEGY FOR INFLUENZA PANDEMIC -- NATIONAL STRATEGY FOR INFLUENZA PANDEMIC -- CONTENTS -- PREFACE∗ -- THE WHITE HOUSE WASHINGTON -- Chapter 1 EXECUTIVE SUMMARY -- THE PANDEMIC THREAT -- U.S. Government Planning for a Pandemic -- Federal Government Response to a Pandemic -- Command, Control, and Coordination of the Federal Response during a Pandemic -- International Efforts -- Actions to Implement the National Strategy for Pandemic Influenza -- Establish Surveillance Capability in Countries at Risk -- Expand Capacity for Animal Health Activities and Press for a Strong International Leadership Role -- Support a Coordinated Response by the International Community in Support of National Efforts -- Coordinate Public Communication -- Assist U.S. Citizens Traveling or Living Abroad -- Transportation and Borders -- Actions to Implement the National Strategy for Pandemic Influenza -- Modeling to Inform Transportation and Border Decisions -- Screening Mechanisms and Travel Restrictions -- Quarantine and Isolation of Travelers -- Trade and Movement of Cargo -- Sustaining the Transportation Infrastructure -- Protecting Human Health -- Actions to Implement the National Strategy for Pandemic Influenza -- Achieving National Goals for Production and Stockpiling of Vaccine and Antiviral Medications -- Prioritizing and Distributing Limited Supplies of Vaccine and Antiviral Medications -- Deploying Limited Federal Assets and Resources to Support Local Medical Surge -- Establishing Real-Time Clinical Surveillance -- Modeling to Inform Decision Making and Public Health Interventions -- Protecting Animal Health -- Actions to Implement the National Strategy for Pandemic Influenza -- Bolstering Domestic Surveillance -- Expanding the National Veterinary Stockpile -- Educating Bird Owners -- Advancing Our Domestic Outbreak Response Plans
Enhancing Infrastructure for Animal Health Research and Development -- Law Enforcement, Public Safety, and Security -- Actions to Implement the National Strategy for Pandemic Influenza -- Providing Guidance to State and Local Law Enforcement Entities -- Supporting Local Law Enforcement Activities -- Institutions: Protecting Personnel and Ensuring Continuity of Operations -- General Provisions -- Chapter 2 U.S. GOVERNMENT PLANNING FOR A PANDEMIC -- THE PANDEMIC THREAT -- THE NATIONAL STRATEGY FOR PANDEMIC INFLUENZA -- IMPLEMENTATION OF THE NATIONAL STRATEGY -- NECESSARY ENABLERS OF PANDEMIC PREPAREDNESS -- View Pandemic Preparedness as a National Security Issue -- Promote Connectivity -- Public Health and Medical Communities -- International Community -- Health and Non-Health Communities -- Animal and Human Health Communities -- Communicate Risk and Responsibility -- Support Multilateral Organizations -- Merge Preparedness for Natural and Deliberate Threats -- ADVANCING PANDEMIC PREPAREDNESS -- Enhancing Domestic Preparedness -- Developing, Producing, and Stockpiling Vaccines and Antiviral Medications -- Enhancing International Cooperation, Capacity, and Preparedness -- PLANNING ASSUMPTIONS -- Planning Assumptions for the Implementation Plan -- Chapter 3 FEDERAL GOVERNMENT RESPONSE TO A PANDEMIC -- COMMAND, CONTROL, AND COORDINATION OF THE FEDERAL RESPONSE -- ROLES AND RESPONSIBILITIES -- The Federal Government -- Non-Federal Entities -- FEDERAL GOVERNMENT ACTIONS DURING A PANDEMIC -- World Health Organization Phases of a Pandemic -- Inter-Pandemic Period (period of time between pandemics) -- Pandemic Alert Period -- Pandemic Period -- Stages of the Federal Government Response -- SUMMARY OF FEDERAL GOVERNMENT ACTIONS DURING A PANDEMIC -- Stage 0: New Domestic Animal Outbreak in At-Risk Country (WHO Phase 1, 2, or 3) -- Objectives
Immediate Actions -- Policy Decisions -- Communications and Outreach -- Stage 1: Suspected Human Outbreak Overseas (WHO Phase 3) -- Objectives -- Immediate Actions -- Policy Decisions -- Communications and Outreach -- Stage 2: Confirmed Human Outbreak Overseas (WHO Phase 4 or 5) -- Objectives -- Immediate Actions -- Policy Decisions -- Communications and Outreach -- Stage 3: Widespread Human Outbreaks in Multiple Locations Overseas (WHO Phase 6) -- Objectives -- Immediate Actions -- Policy Decisions -- Communications and Outreach -- Stage 4: First Human Case in North America (WHO Phase 6) -- Objectives -- Immediate Actions -- Policy Decisions -- Communications and Outreach -- Stage 5: Spread throughout United States (WHO Phase 6) -- Objectives -- Immediate Actions -- Policy Decisions -- Communications and Outreach -- Stage 6: Recovery and Preparation for Subsequent Waves (WHO Phase 6 or 5) -- Objectives -- Immediate Actions -- Policy Decisions -- Communications and Outreach -- Chapter 4 INTERNATIONAL EFFORTS -- INTRODUCTION -- KEY CONSIDERATIONS -- Limited International Capacity -- Preparedness and Planning -- Surveillance and Response -- Donor Coordination -- Strengthening International Animal Health Infrastructure -- Key Elements of Effective International Response and Containment -- Agreed Epidemiological "Trigger" for International Response and Containment -- Rapid, Transparent Reporting and Sharing of Samples -- Rapid Response Teams -- Stockpiles of Countermeasures -- Logistical Support for an International Response -- Surveillance to Limit Spread -- Development of Vaccines and Rapid Diagnostics -- Effective Public Communication -- Assistance to United States Citizens Traveling or Living Abroad -- Assistance to the United States -- ROLES AND RESPONSIBILITIES -- The Federal Government -- State, Local, and Tribal Entities
The Private Sector and Critical Infrastructure Entities -- Individuals and Families -- International Partners -- ACTIONS AND EXPECTATIONS -- 4.1. Pillar One: Preparedness and Communication -- a. Planning for a Pandemic -- 4.1.1. Support the Development and Exercising of Avian and Pandemic Response Plans -- 4.1.2. Expand In-Country and Abroad, Medical, Veterinary, and Scientific Capacity to Respond to an Outbreak -- 4.1.3. Educate People in Priority Countries about High-risk Practices that Increase the Likeli-hood of Virus Transmission from Animals and between Humans -- b. Communicating Expectations and Responsibilities -- 4.1.4. Work to Ensure Clear, Effective, and Coordinated Risk Communication, Domestically and Internationally, before and during a Pandemic. This Includes Identifying Credible Spokespersons at all Levels of Government to Effectively Coordinate and Communicate Helpful, Informative, and Consistent Messages in a Timely Manner -- c. Producing and Stockpiling Vaccines, Antiviral Medications, and Medical Material -- 4.1.5. Encourage Nations to Develop Production Capacity and Stockpiles to Support their Response Needs, to Include Pooling of Efforts to Create Regional Capacity -- 4.1.6. Facilitate Appropriate Coordination of Efforts Across the Vaccine Manufacturing Sector -- d. Establishing Distribution Plans for Vaccines and Antiviral Medications -- 4.1.7. Develop Credible Countermeasure Distribution Mechanisms for Vaccine and Antiviral Agents Prior to and during a Pandemic -- e. Advancing Scientific Knowledge and Accelerating Development -- 4.1.8. Ensure that there is Maximal Sharing of Scientific Information about Influenza Viruses between Governments, Scientific Entities, and the Private Sector -- 4.2. Pillar Two: Surveillance and Detection -- a. Ensuring Rapid Reporting of Outbreaks
4.2.1. Work through the International Partnership on Avian and Pandemic Influenza, as Well as through other Political and Diplomatic Channels such as the United Nations and the Asia-Pacific Economic Cooperation Forum, to Ensure Transparency, Scientific Cooperation, and Rapid Reporting of Avian and Human Influenza Cases -- 4.2.2. Support the Development of the Proper Scientific and Epidemiologic Expertise in Affected Regions to Ensure Early Recognition of Changes in the Pattern of Avian or Human Outbreaks -- 4.2.3. Support the Development and Sustainment of Sufficient U.S. and Host Nation Laboratory Capacity and Diagnostic Reagents in Affected Regions and Domestically, to Provide Rapid Confirmation of Cases in Animals or Humans -- b. Using Surveillance to Limit Spread -- 4.2.4. Develop Mechanisms to Rapidly Share Information on Travelers Who May Be Carrying or May Have Been Exposed to a Pandemic Strain of Influenza, for the Purposes of Contact Tracing and Outbreak Investigation -- 4.2.5. Develop and Exercise Mechanisms to Provide Active and Passive Surveillance during an Outbreak, Both within and Beyond Our Borders -- 4.2.6. Expand and Enhance Mechanisms for Screening and Monitoring Animals that may Harbor Viruses with Pandemic Potential -- 4.2.7. Develop Screening and Monitoring Mechanisms and Agreements to Appropriately Control the Movement and Shipping of Potentially Contaminated Products to and from Affected Regions if Necessary, and to Protect Unaffected Populations -- 4.2.8. Share guidance with international partners on best practices to prevent the spread of influenza, including within hospitals and clinical settings. -- 4.3. Pillar Three: Response and Containment -- a. Containing Outbreaks
4.3.1. Work to Develop a Coalition of Strong Partners to Coordinate Actions to Limit the Spread of a Virus with Pandemic Potential Beyond the Location where it is First Recognized Abroad in Order to Protect U.S. Interests