Influenza Pandemic Preparation and Response: A Citizen's Guide
Phase 4: Small cluster(s) with limited human-to-human transmission but spread is highly localized, suggesting that the virus is not well adapted to humans.
Phase 5: Larger cluster(s) but human-to-human spread still localized, suggesting that the virus is becoming increasingly better adapted to humans, but may not yet be fully transmissible (substantial pandemic risk).
Pandemic Period
Phase 6: Pandemic phase: increased and sustained transmission in the general population.
For more information, please visit: www.who.int
Appendix B
World Health Organization Advice for Travelers as of November 2005
WHO recommendations relating to travelers coming from and going to countries experiencing outbreaks of highly pathogenic H5N1 avian influenza
These recommendations are in line with current phase 3 in the WHO 6-phase scale of pandemic alert.
These recommendations may change according to the change in the epidemiological situation and related risk assessments.
Restrictions on travel to areas affected by H5N1 avian influenza is not recommended
WHO does not recommend travel restrictions to areas experiencing outbreaks of highly pathogenic H5N1 avian influenza in birds, including countries that have reported associated cases of human infection.
Screening of travelers coming from H5N1 affected areas is not recommended
WHO does not, at present, recommend the routine screening of travelers coming from affected areas.
Local authorities may, however, usefully provide information to travelers on risks, risk avoidance, symptoms, and when and where to report should these symptoms develop.
Avoid contact with high-risk environments in affected countries
Travelers to areas affected by avian influenza in birds are not considered to be at elevated risk of infection unless direct and un-protected exposure to infected birds (including feathers, feces, and under-cooked meat and egg products) occurs.
WHO continues to recommend that travelers to affected areas should avoid contact with live animal markets and poultry farms, and any free-ranging or caged poultry.
Large amounts of the virus are known to be excreted in the droppings from infected birds. Populations in affected countries are advised to avoid contact with dead migratory birds or wild birds showing signs of disease.
Direct contact with infected poultry, or surfaces and objects contaminated by their droppings, is considered the main route of human infection. Exposure risk is considered highest during slaughter, defeathering, butchering, and preparation of poultry for cooking.
There is no evidence that properly cooked poultry or poultry products can be a source of infection.
Travelers should contact their local health providers or national health authorities for supplementary information.
Appendix C
Items to Stockpile for an Influenza Pandemic
Have at least 1-3 months worth of the following on hand for an extended stay at home
Foods and Nonperishable Items
- Ready-to-eat canned meats, fish, fruits, vegetables, beans, and soups
- Protein or fruit bars
- Dry cereal or granola
- Peanut butter or nuts
- Dried fruit
- Crackers
- Canned juices
- Bottled water (1 gallon per person, per day)
- Canned or jarred baby food and formula
- Pet food and supplies (flea treatment etc.)
- Salt
- Sugar
- Cooking oil
- Multi-vitamins
- Dried beans
- Rice
- Honey (not to be fed to infants under 1-year old)
- Instant baby rice cereal (for cereal-based oral rehydration solution)
- Water 1 gallon per person, per day
- When possible, try to purchase foods that are low in sodium
- For water: 2 quarts for drinking, 2 quarts for food preparation/sanitation - use clean plastic containers.
Avoid using containers that will decompose or break, such as milk cartons or glass bottles.
Medical, Health, and Emergency Supplies
- Alcohol-based hand rub, cleansing agent/soap
- Chlorine or iodine for disinfecting water
- Cell phone and charger
- Flashlight with extra batteries
- Portable radio and batteries, or hand-crank radio
- Manual can opener
- Garbage bags
- Thermometer
- Fluids with electrolytes
- Multi-vitamins
- Medicines for fever, such as acetaminophen or ibuprofen
- Anti-diarrhea medication
Sanitary Items
- Two 5 gallon buckets one for feces and one for urination
- Large garbage bags
- Lye sprinkle this on feces after each use it will help with odor and decomposition
- Tissues, toilet paper, disposable diapers, tampons, sanitary pads, and paper towels
Additional Materials
- Duct and masking tape
- Pens, pencils, and paper
- Spray paint
- Surgical/dust masks
- Shovel
- Temperature sensors
- Flashlights
- Plenty of extra batteries
- Money in small denominations
- Disposable plates, napkins, cups and plastic ware
- Bicycles fuel may be in short supply
- Novels
- Journal
- Games and books for children
- Deck of cards
- Baby toys
- Any items that you feel will provide you with comfort during a long stay at home
- To build a custom kit, visit the codeReady website at www.codeready.org/kit.cfm
Appendix D
Items for Treatment of Severe Influenza14
OTC (over- the-counter) products to have on hand for home treatment of one person with severe influenza.
If you have more than one person in your household, multiple the amounts suggested by the number of people. For example for a household with 4 people, have 4 lb of table salt available.
* Table salt: 1 lb
- Table sugar: 10 lbs
- Baking soda: 6 oz
- Household bleach 1 gallon
- Tums Ex: 500 tablets
- Acetaminophen 500mg #100 tablets
- Ibuprofen 200mg #100 tablets
- Caffeinated tea, dry loose 1 lb
- Electronic thermometer #211
- Automatic blood pressure monitor12
- Notebook for recording vital signs and fluid intake and output
- Kitchen measuring cup with 500 cc (two cup) capacity
- Diphenhydramine (Benadryl) 25mg capsules #60: 1 tablet every 4 hours as needed for nasal congestion, allergy, or itching.