Planning for the Inevitable: Preparing for Epidemic and Pandemic Respiratory Illness in the Shadow of H1N1 Influenza

Daugherty, Elizabeth Lee; Carlson, Abigail L.; Perl, Trish M.
April 2010
Clinical Infectious Diseases;4/15/2010, Vol. 50 Issue 8, p1145
Academic Journal
The recent outbreak of novel H1N1 influenza has underscored the importance of hospital preparedness in responding to epidemic and pandemic respiratory illness. Comprehensive planning for the emergence of novel respiratory pathogens should be based on an all-hazards approach, with the input of key stakeholders. A staged, scalable model allows for a flexible response, and the addition of a medical control chief and a situational assessment chief to the incident command system provides the clinical and epidemiologic expertise essential for effective implementation. Strategies for coordinated and efficient communication both within and outside the institution should be clearly outlined. Furthermore, the outbreak of novel H1N1 influenza demonstrated the necessity of (1) additional support roles within the hospital, (2) development of employee databases, and (3) incorporation of disease severity into staged planning. Careful consideration of these issues will allow institutions to better meet the challenges of treating epidemic and pandemic respiratory illness, both now and in the future.


Related Articles

  • Correction: Impact of the 2009 H1N1 Pandemic on Age-Specific Epidemic Curves of Other Respiratory Viruses: A Comparison of Pre-Pandemic, Pandemic and Post-Pandemic Periods in a Subtropical City. Yang, Lin; Chan, Kwok Hung; Suen, Lorna K. P.; Chan, King Pan; Wang, Xiling; Cao, Peihua; He, Daihai; Peiris, J. S. Malik; Wong, Chit Ming // PLoS ONE;7/20/2015, Vol. 10 Issue 7, p1 

    No abstract available.

  • Entry screening to delay local transmission of 2009 pandemic influenza A (H1N1). Cowling, Benjamin J.; Lau, Lincoln L. H.; Peng Wu; Wong, Helen W. C.; Fang, Vicky J.; Riley, Steven; Nishiura, Hiroshi // BMC Infectious Diseases;2010, Vol. 10 Issue 1, p82 

    Background: After the WHO issued the global alert for 2009 pandemic influenza A (H1N1), many national health agencies began to screen travelers on entry in airports, ports and border crossings to try to delay local transmission. Methods: We reviewed entry screening policies adopted by different...

  • Inside the Outbreak of the 2009 Influenza A (H1N1)v Virus in Mexico. Zepeda-Lopez, Hector M.; Perea-Araujo, Lizbeth; Miliar-García, Angel; Dominguez-López, Aarón; Xoconostle-Cázarez, Beatriz; Lara-Padilla, Eleazar; Hernandez, Jorge A. Ramírez; Sevilla-Reyes, Edgar; Orozco, Maria Esther; Ahued-Ortega, Armando; Villaseñor-Ruiz, Ignacio; Garcia-Cavazos, Ricardo J.; Teran, Luis M. // PLoS ONE;2010, Vol. 5 Issue 10, p1 

    Background: Influenza viruses pose a threat to human health because of their potential to cause global disease. Between mid March and mid April a pandemic influenza A virus emerged in Mexico. This report details 202 cases of infection of humans with the 2009 influenza A virus (H1N1)v which...

  • Intense Co-Circulation of Non-Influenza Respiratory Viruses during the First Wave of Pandemic Influenza pH1N1/2009: A Cohort Study in Reunion Island. Pascalis, Hervé; Temmam, Sarah; Turpin, Magali; Rollot, Olivier; Flahault, Antoine; Carrat, Fabrice; De Lamballerie, Xavier; Gérardin, Patrick; Dellagi, Koussay; Pyrc, Krzysztof // PLoS ONE;Sep2012, Vol. 7 Issue 9, Special section p1 

    Objective: The aim of the present study was to weigh up, at the community level, the respective roles played by pandemic Influenza (pH1N1) virus and co-circulating human Non-Influenza Respiratory Viruses (NIRVs) during the first wave of the 2009 pH1N1 pandemic. Methods: A population-based...

  • Novel Pandemic Influenza A(H1N1) Viruses Are Potently Inhibited by DAS181, a Sialidase Fusion Protein.  // PLoS ONE;2009, Vol. 4 Issue 11, p1 

    The article discusses a study which examined the activity of DAS181 against several pandemic influenza A (H1N1) virus isolates in MDCK cells, differentiated primary human respiratory tract culture, ex-vivo human bronchi tissue and mice. As explained, DAS181 (Fludase) is a sialidase fusion...

  • Prior immunity helps to explain wave-like behaviour of pandemic influenza in 1918-9. Mathews, John D.; McBryde, Emma S.; McVernon, Jodie; Pallaghy, Paul K.; McCaw, James M. // BMC Infectious Diseases;2010, Vol. 10 Issue 1, p128 

    Background: The ecology of influenza may be more complex than is usually assumed. For example, despite multiple waves in the influenza pandemic of 1918-19, many people in urban locations were apparently unaffected. Were they unexposed, or protected by pre-existing cross-immunity in the first...

  • Onset of a pandemic: characterizing the initial phase of the swine flu (H1N1) epidemic in Israel. Roll, Uri; Yaari, Rami; Katriel, Guy; Barnea, Oren; Stone, Lewi; Mendelson, Ella; Mandelboim, Michal; Huppert, Amit // BMC Infectious Diseases;2011, Vol. 11 Issue 1, p92 

    Background: The swine influenza H1N1 first identified in Mexico, spread rapidly across the globe and is considered the fastest moving pandemic in history. The early phase of an outbreak, in which data is relatively scarce, presents scientific challenges on key issues such as: scale, severity and...

  • Revised WHO pandemic scale requires higher incidence of disease for most alert levels. Collier, Roger // CMAJ: Canadian Medical Association Journal;6/9/2009, Vol. 180 Issue 12, pE95 

    The article focuses on the revision made by the World Health Organization on its 6-point scale pandemic alert system on A (H1N1) outbreak. It focuses on the addition of level Phase 4 from its Phase 3 alert system. It argues that Phase 4 of the Pandemic alert system should be raised where there...

  • Genetic Diversity of the 2009 Pandemic Influenza A(H1N1) Viruses in Finland. Ikonen, Niina; Haanpää, Minna; Rönkkö, Esa; Lyytikäinen, Outi; Kuusi, Markku; Ruutu, Petri; Kallio-Kokko, Hannimari; Mannonen, Laura; Lappalainen, Maija; Ziegler, Thedi; Julkunen, Ilkka // PLoS ONE;2010, Vol. 5 Issue 10, p1 

    Background: In Finland, the first infections caused by the 2009 pandemic influenza A(H1N1) virus were identified on May 10. During the next three months almost all infections were found from patients who had recently traveled abroad. In September 2009 the pandemic virus started to spread in the...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics