H1N1 Pandemic Update 2009

Out of
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Comes
Emergency Management & Safety Solutions
Opportunity

Emergency Management &
Safety Solutions

H1N1 Global Update:
Where are we now?

October 2009

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Obama Declares National
Emergency – October 23
•  Allows medical
officials to bypass
certain federal
requirements.
–  Officials described
the move as similar
to a declaration
ahead of a hurricane
making landfall.
www.ems-solutionsinc.com 2

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Novel H1N1 Virus
•  A triple reassortment -
three different flu viruses:
–  North American avian
influenza
–  Human influenza
–  Swine influenza virus
–  Typically found in Asia
and Europe
•  Very little change in virus since
its inception.


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191 Countries Infected
•  World Health Organization (WHO)
is no longer reporting the number of
cases globally as of July 16, 2009
–  “At this point, further spread of the pandemic,
within affected countries and to new countries,
is considered inevitable.”
–  Now in 191+ countries (out of a possible 194).
•  October 17 world death toll at least
5,000+
•  Numbers vary greatly by different
agencies around the world
–  Due to the change in testing, case
numbers no longer meaningful.


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•  Southern Hemisphere – Flu Season
minimal activity now
•  Tropical Asia increasing
rates of illness as they
enter the monsoon
season
–  increasing cases in India,
Thailand, Malaysia, and
Hong Kong.
•  Northern Hemisphere
began October 4, 2009
–  Widespread disease
reported in 46 states


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The Net Global Picture
•  Remains a mild disease •  Not the same as
•  H1N1 now the dominant seasonal influenza – likes
virus strain younger people < 25 yrs
•  Large populations •  Severe respiratory failure
susceptible to infection – 40% have been healthy
•  Monitoring for drug individuals
resistance (36 cases of •  Humans infecting animals
Tamiflu resistance to (pigs, birds & ferrets)
date) •  Developing world will
•  No significant mutations suffer the most (WHO)
noted to date

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Who is at greatest risk?
•  Vulnerable groups
–  Preferentially infects younger people (0
year to 25 years)
–  Pregnant women
–  Preexisting conditions – asthma, lung
conditions, obesity, cardiovascular disease


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Novel H1N1 Confirmed & Probable Case Rate in the US


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Novel H1N1 U.S. Hospitalization Rate per 100,000 Population, By Age


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Clinical Characteristics

August 11, 2009 www.ems-solutionsinc.com 19
Epidemiology/Surveillance Pandemic H1N1 Hospitalizations Reported to CDC as of 19 JUN 2009

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H1N1 Vaccine
Opportunity

Current Status Priority List (42 million)
•  45 million doses are the first •  Pregnant women
“likely” shipment •  People who live with or care
•  Effective at producing an for children younger than 6
immune response in 10 days months of age
•  Only one shot •  Health care and emergency
•  Kids under 10 get two shots medical services personnel
•  Limited supply with direct patient contact
•  Distribution challenging •  Children 6 months through 4
years of age
•  A priority list was established as
•  Children 5 through 18 years of
the original list had 159 million
age who have chronic medical
conditions


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AMA New Online Assessment Tool

www.AMAﬂuhelp.org


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Your Challenge

•  Remain vigilant – no
one knows what will
happen next.


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Even Dilbert is into
Pandemic Planning


Out of
Danger
Comes
Opportunity

Thank you

Regina Phelps, CEM, RN, BSN, MPA
San Francisco, California
415-643-4300
www.ems-solutionsinc.com
H1N1 pandemic flu blog - http://emssolutionsinc.wordpress.com


H1N1 Pandemic Update 2009

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