Re: CDC - Swine Influenza Site
http://www.pandemicflu.gov/plan/federal/fedresponsestages.htmlFederal Response Stages
Below is a table that maps the World Health Organization (WHO) pandemic phases to the U.S. federal response stages. Following the table is more detailed information for each of the federal response stages, including goals, actions, and policy decisions based on the outbreak situation and the risk posed to the U.S.
Federal Response Stages
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Stage 0
New Domestic Animal Outbreak in At?Risk Country
Goals
Provide coordination, support, technical guidance
Track outbreaks to resolution
Monitor for reoccurrence of disease
Actions
Support coordinated international response
Prepare to deploy rapid response team and materiel
Offer technical assistance, encourage information sharing
Policy Decisions
Deployment of countermeasures
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Stage 1
Suspected Human Outbreak Overseas
Goals
Rapidly investigate and confirm or refute
Coordination and logistical support
Actions
Initiate dialogue with WHO
Deploy rapid response team
Amplify lab-based and clinical surveillance to region
Prepare to implement screening and/or travel restrictions from affected area
Policy Decisions
Pre-positioning of U.S. contribution to international stockpile assets
Use of pre-pandemic vaccine
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Stage 2
Confirmed Human outbreak Overseas
Goals
Contain outbreak and limit potential for spread
Activate domestic medical response
Actions
Declare Incident of National Significance
Support international deployment of countermeasures
Implement layered screening measures; activate domestic quarantine stations
Prepare to limit domestic ports of entry
Prepare to produce monovalent vaccine
Policy Decisions
Contribution to countermeasures for affected region
Entry/exit screening criteria; isolation/quarantine protocols
Diversion of trivalent vaccine production to monovalent
Revise prioritization and allocation of pandemic vaccine and antiviral medications
WHO Phase 4 or 5
Pandemic Alert Period
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WHO Phase 1 or 2
Inter-Pandemic Period
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WHO Phase 3
Pandemic Alert Period
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Stage 3
Widespread Outbreaks Overseas
Goals
Delay emergence in North America
Ensure earliest warning of first case(s)
Prepare domestic containment and response mechanisms
Actions
Activate domestic emergency medical personnel plans
Maintain layered screening measures at borders
Deploy pre-pandemic vaccine and antiviral stockpiles; divert to monovalent vaccine production
Real-time modeling; heighten hospital-based surveillance
Prepare to implement surge plans at Federal medical facilities
Policy Decisions
Prioritize efforts for domestic preparedness and response
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Stage 4
First Human Case in North America
Goals
Contain first cases in North America
Antiviral treatment and prophylaxis
Implement national response
Actions
Ensure pandemic plans activated across all levels
Limit non-essential domestic travel
Deploy diagnostic reagents for pandemic virus to all laboratories
Continue development of pandemic vaccine
Antiviral treatment and targeted antiviral prophylaxis
Policy Decisions
Revision of prioritization and allocation scheme for pandemic vaccine
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Stage 5
Spread throughout United States
Goals
Support community response
Preserve critical infrastructure
Mitigate illness, suffering, and death
Mitigate impact to economy and society
Actions
Maintain overall situational awareness
Evaluate epidemiology; provide guidance on community measures
Deploy vaccine if available; prioritization guidance
Sustain critical infrastructure, support health and medical systems, maintain civil order
Provide guidance on use of key commodities
Policy Decisions
Federal support of critical infrastructure and availability of key goods and services
Lifting of travel restrictions
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WHO Phase 6
Pandemic Period
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