WHO Influenza Pandemic Preparedness Checklist（38pages）

http://www.wpro.who.int/NR/rdonlyres/25885074-7A3B-442A-834E-E96484D14D69/0/WHOInfluenzaPandemicPreparednessChecklist.pdf
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  L- X5 j* U$ wPART I. Introduction............................................................................................................................................... 3
Sometime in the future… ............................................................................................................................................ 3
$ l4 F! W8 n) I9 R. S( V5 d" lAre you prepared? .................................................................................................................................................. 3
An influenza pandemic................................................................................................................................................ 4
A new influenza virus: how it could cause a pandemic .......................................................................................... 4
$ e  @5 u, L5 C' r; UConsequences of an influenza pandemic................................................................................................................. 4
# ^) q' k: e$ b4 V& ZWhy prepare? .............................................................................................................................................................. 4
The pandemic preparedness checklist - how to use it ............................................................................................. 5
Pandemic preparedness is not a quick process ........................................................................................................ 5
6 p( G& t, x( s% nPART II. The Checklist ............................................................................................................................................ 6
+ ]; a4 d3 e$ o+ [The essential elements............................................................................................................................................ 6
1 n* q9 {; \) F  b, ~Preparing for an emergency..................................................................................................................................... 8
1. Getting started..................................................................................................................................................... 8
5 \  A& }3 g9 P0 |2. Command and control......................................................................................................................................... 9
3. Risk assessment ................................................................................................................................................ 10
4 w' l2 S7 Q) ^3 D5 |9 q4 n5 c6 y4. Communication ................................................................................................................................................ 11
/ F  W* C, a2 B" _1 j4.1 Public communication plan ....................................................................................................................... 11
4.2 Communication among people involved in the response.......................................................................... 12
: \- w4 E- r/ y! d! \5. Legal and ethical issues .................................................................................................................................... 12
5.1 Legal issues .............................................................................................................................................. 12
5.2 Ethical issues ............................................................................................................................................ 13
6. Response plan by pandemic phase................................................................................................................ 14
5 ]5 k' d! N5 c) B' Q2 }+ oSurveillance.............................................................................................................................................................. 15
) V7 N" x7 P9 d7. Clinical and virological surveillance ................................................................................................................. 15
9 ~/ ?& g# W' [. ^7.1 Inter-pandemic surveillance ...................................................................................................................... 15
7.2 Enhanced surveillance (pre-pandemic phase) ........................................................................................... 17
7.3 Pandemic Surveillance .............................................................................................................................. 18
Case investigation and treatment........................................................................................................................... 20
) R5 B1 o. r8 ?0 |8. Diagnostic capacity........................................................................................................................................ 20
, ~$ S! D& y8 _0 w& \WHO Influenza Pandemic Preparedness Checklist - Draft November 2004
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1 N0 T. z8 |3 v4 ]8.1 Local laboratory capacity .......................................................................................................................... 20
5 d; Y7 N- Z8 N- H" ?% F8.2 Reference laboratory availability .............................................................................................................. 21
2 y5 N7 i- h0 D" ?" L9. Epidemiological investigation and contact management........................................................................... 22
7 ~& m; W0 d8 ]! i4 S1 v6 ]10. Clinical management .................................................................................................................................... 23
10.1 Case management and treatment ............................................................................................................... 23
10.2 Infection control in health-care settings .................................................................................................... 23
6 c* P' c3 |" KPreventing spread of the disease in the community .............................................................................................. 25
0 i$ R' ^2 d  i" b. }. l11. Public health measures .................................................................................................................................. 25
11.1 General personal hygiene .......................................................................................................................... 25
5 N& H# Y% g$ r( B11.2 Community infection control measures..................................................................................................... 25
$ h& ?2 ?5 d; z! b2 o11.3 Social distancing and quarantine ............................................................................................................... 26
6 e& W. E& y) Y* ?) m11.4 Travel and trade restrictions ...................................................................................................................... 26
12. Vaccine programmes ..................................................................................................................................... 27
12.1 Routine influenza vaccine programme...................................................................................................... 27
12.2 Pandemic strain influenza vaccine programme ......................................................................................... 28
9 r8 _3 [7 Q2 {8 k/ V1 H13. Antiviral use as a prevention method ........................................................................................................... 29
Maintaining essential services ................................................................................................................................ 30
14. Health services ............................................................................................................................................... 30
/ T7 s2 l* G7 Z/ d( @# H- M) o2 Q14.1 Health service facilities ............................................................................................................................. 30
* W& P- Y* Q: K14.2 Health service personnel........................................................................................................................... 31
14.3 Health service supplies .............................................................................................................................. 31
14.4 Excess mortality ....................................................................................................................................... 31
5 H  Y; g, x& G+ s9 w15. Other essential services................................................................................................................................. 32
% T/ \/ o$ V. t0 F: Z16. Recovery.......................................................................................................................................................... 32
4 ^5 V# c8 B/ cResearch ................................................................................................................................................................... 34
: J+ C" w: y3 `& }' y6 @% y17. Research and evaluation............................................................................................................................... 34
17.1 Research during the pre-pandemic and pandemic period.......................................................................... 34
9 \( X" u, q0 F" M5 i  }; i17.2 From research to action ............................................................................................................................. 35
Implementation and revision.................................................................................................................................. 36
- M) |' N! _8 C9 }18. Implementation, testing and revision of the plan....................................................................................... 36