Bahrain's Avian Influenza Website

[Blue]

http://ai.moh.gov.bh/

(hat tip crofsblog)

[Sally Furniss]

Re: Bahrain's Avian Influenza Website

Pandemic Plan

Contents

CHAPTER 1

Introduction .................................................. .................................................. ..................................13
The Disease in Birds: Impact and Control Measures ...............................................14
The Goal and Objectives of the Plan .................................................. ......................15
Phases in the plan.............................................. .................................................. ..............................17
Description of Bahrain Phases .................................................. .................................................. .......18
Interpandemic Period (Prepandemic Phase) .................................................. ...........18
Pandemic Alert Period .................................................. ............................................19
Pandemic Period .................................................. .................................................. ....20
CHAPTER 2

Clinical course and Treatment of Human Cases of H5N1 Avian Influenza ......................................22
Incubation Period............................................ .................................................. ........22
Case Definition for Avian Influenza (H5N1) .................................................. .........22
Dealing with Suspected or Probable Case .................................................. .............23
Samples to be taken from Patients.......................................... ..................................23
Post Mortum Specimens .................................................. ........................................23
Investigations.................................... .................................................. ......................23
Procedures for Influenza Diagnosis......................................... .................................24
Infection Control Precautions for H5N1.............................................. .....................25
Case Management........................................ .................................................. ...........27
Contacts Management and Public Health Measures ................................................29
CHAPTER 3

Disease Control Measures.......................................... .................................................. ......................32
Border control........................................... .................................................. ............32
Measures to Increase Social Distance.......................................... ...........................32
The National Medicine Stockpile .................................................. .........................33
Health Service Delivery.......................................... ................................................34
Pandemic Vaccinations .................................................. .........................................35
Communications .................................................. .................................................. .36
CHAPTER 4

Pubic Health Implementation Plan .................................................. .................................................4 4
Epidemiology of Influenza .................................................. ....................................44
Impact of the Pandemic on Health and Social Services ..........................................45
Extent to which Interventions Might Ameliorate the Impact ..................................49
Surveillance
a) The Strategic Goal of Surveillance .................................................. .........50
b) The Objectives to Achieve the Strategic Goal of the Surveillance ..........50
c) Building Blocks for Pandemic (Planning) ................................................51
d) Components of Surveillance .................................................. ...................52
e) Types of Surveillance .................................................. ..............................60
f) Surveillance Activities in an Influenza Pandemic ....................................67
g) Monitoring and Evaluation of the Surveillance System ...........................67
h) Non-medical Interventions at the National Level .....................................70
i) Non-medical Interventions at the International Level ..............................74
j) Guide for the Surveillance Team .................................................. .............76
k) Guidelines for Travel............................................ ......................................77
Diseases Control Section
قسم مكافحة الأمراض
8
ANNEXES

Annex 1. Infection Control Precautions for HPAI for Clinical Staff ....................................80
Annex 2. Suggested Checklist for H5N1 Trolley/Table .................................................. ......88
Annex 3 Isolation Room .................................................. .................................................. ....89
Annex 4. Infection Control Advice for Non Clinical Staff............................................. .......90
Annex 5: HPAI Case Notification Form.............................................. ..................................91
Annex 6: WHO Laboratory Biosafety Guidelines for Handling Specimens
Suspected of Containing Avian Influenza A Virus............................................. ......94
Annex 7 World Health Organization H5N1 Reference Laboratories ....................................96
Annex 8: Laboratory Guidelines for Sample Collection .................................................. ....97
Annex 9: Precautionary Measures Against the Importation of H5N1 Into Bahrain..............103
Annex 10: Key Infection Control Messages for the General Public .....................................108
Annex 11: Agriculture Response Relating to a Human Influenza H5N1pandemic...............109
Annex 12: Pandemic Vaccines .................................................. ..........................................111
Annex 13: Antivirals........................................ .................................................. ....................115
Annex 14: Surveillance Forms 1-14 .................................................. ...................................119
Annex 15: Frequently Asked Questions .................................................. ..............................135
Annex 16: Travellers Bulletin.......................................... .................................................. ....147
Annex 17: Health Declaration Card .................................................. ..................................149
Annex 18: Animal Health Frequently Asked Questions......................................... ...............151
Annex 19: Ten Things You Need To Know About Pandemic Influenza ..............................157
Glossary .................................................. .................................................. ........................................160
References .................................................. .................................................. ....................................161