Rothstein Associates Inc.

PANDEMIC INFLUENZA:
EMERGENCY PLANNING AND COMMUNITY PREPAREDNESS
by Jeffrey R. Ryan

- Analyze the threat of pandemics in general, and influenza specifically
- Identify principles associated with the National Strategy for Pandemic Influenza
- Assess factors leading to an outbreak of the highly pathogenic avian influenza,
including its potential effect on the economy
- Evaluate the use of pharmaceutical and nonpharmaceutical measures
- Determine response actions of various emergency services disciplines as they relate
to communications, travel, and quarantine
- Examine the components of service continuation essential for the private sector to
remain intact during a severe pandemic

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“... an amazing resource ... Dr. Ryan has assembled some of the best experts in the field to
guide you in understanding the threat of pandemic influenza and how it can affect you and the
people you are responsible for. ...”

From the foreword by Lynn A. Slepski, Captain, United States Public Health Service

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No one is immune to the potential devastation of a mass pandemic influenza outbreak. Yet
despite recent small-scale outbreaks and dire warnings from the World Health Organization
that such an event is imminent and overdue, our preparedness continues to lag. Part of the
problem is that while a national plan is important, all the real action must occur at the local
level. Triage, care, and containment, along with maintenance of the infrastructure, are
functions that must be carried out by local planners and responders.

PANDEMIC INFLUENZA: EMERGENCY PLANNING AND COMMUNITY PREPAREDNESS
introduces readers to the critical global and domestic issues regarding a potential pandemic.
Featuring the contributions of leading experts, this volume arms planners and responders with
an understanding of outbreak containment and response planning and provides an analysis of
our present capabilities and potential weaknesses.

The first section reviews the history of pandemics and discusses the deadly 1918 Spanish
flu. The middle chapters examine the biology of the virus and the clinical aspects of influenza,
with special attention given to Avian Influenza. The final chapters examine international and
federal programs and discuss response at the local level, including service continuation
planning and fatality management.

Public health and emergency preparedness professionals, as well as policy makers at all
levels will find a wealth of information to help them create a plan and allocate the proper
resources to mitigate the devastation of a pandemic influenza.

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CONTENTS

DEFINING THE THREAT OF INFLUENZA
PAST PANDEMICS AND THEIR OUTCOME, J.R. Ryan, PhD
Disease Dynamics
The Black Death
Cholera
Acquired Immune Deficiency Syndrome
Influenza Pandemics
Factors Contributing to a Pandemic
Conclusion

THE SPANISH FLU OF 1918, L.M. Olson, EdD
The Genesis
The Second Wave
The Unforgettable Outcome

NATURAL HISTORY OF INFLUENZA
BIOLOGY OF THE VIRUS, J.R. Ryan, PhD
Introduction
Types of Influenza Virus and Their Characteristics
Influenza at the Molecular Level
Genetic Mutation and Antigenic Variation
Pandemic Potentialities
Conclusion

CLINICAL ASPECTS OF INFLUENZA, A.W. Kirchner, MD
Introduction
Uncomplicated Seasonal Influenza
Differential Diagnosis
Common Complications of Influenza
Avian Influenza Infection in Humans: Implications for the Coming Pandemic
Prevention of Influenza
Treatment of Influenza
Conclusion

AVIAN INFLUENZA, J.C. Wright, DVM, PhD, K.E. Nusbaum, DVM, PhD, and J.G.W.
Wenzel, DVM, PhD
Introduction
Influenza and Animal Health
Examples that Matter
Implications for Human Health
Containing the Contagion

DEFINING THE RESPONSE
INTERNATIONAL, FEDERAL PROGRAMS AND ASSETS, J.T. Cash, PhD, RN, COI, CHS,
MEP and M.G. Lavender, RN, MSN, DSN
Introduction
Federal Programs and Assets
National Strategy for Pandemic Influenza
HHS Pandemic Influenza Plan
Homeland Security Presidential Directive – 21
International Programs and Assets
Global Preparedness and Response
Summary

DEFINING THE RESPONSE AT THE LOCAL LEVEL, J.R. Ryan, PhD and J.F. Glarum,
EMT-P
Introduction
Pre-Incident Planning
Establishing Trigger Points
Pandemic Preparedness and Public Health
Nonpharmaceutical Measures
Risk Communications
Conclusion

SERVICE CONTINUATION PLANNING FOR BUSINESS, O. Grady-Erickson, BA
Introduction
Continuity Planning for Business
The Planning Cycle
Prioritization of Services
Development of a Pandemic Influenza Committee
Development of a Communications Plan
Human Resource Policies to be Implemented During a Pandemic
Conclusion

FATALITY MANAGEMENT, L.J. Hardin, MFS and J.P. Ahrens, MPA
Introduction
Myths Surrounding Fatality Management
Facts Bearing on Fatality Management
Planning Considerations
Identifying Roles for a Mass Fatality Incident
Death Management Practices and Possible Surge Solutions
Conclusion

EPILOGUE: PUTTING IT ALL TOGETHER, J.R. Ryan, PhD and J.F. Glarum, EMT-P
Introduction
Expectations and Responsibilities
Stakeholders
Conclusion

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ISBN: 9781420060874
ISBN 10: 1420060872
August, 2008. 280 pages.
Order #DR833

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