Flu planning by American College of Emergency Physicians
If you’re curious about the "National Strategic Plan for Emergency Department Management of Outbreak of Novel H1N1 Influenza", as published by the American College of Emergency Physicians, the link is http://www.acep.org/WorkArea/DownloadAsset.aspx
Sobering. There are a lot of links for further information at the end of the document.
Risk AwarenessThreatIf the virus follows the pandemic patterns of the 20thcentury, health care providers should prepare for thepotential of higher level of virulence in the fall wave,which occurred in both 1918 and 1957. Patterns wouldsuggest cases could appear in early fall and will beoccurring well into the normal seasonal flu months. If thisoccurs, the population will not have had available vaccine,and similar patterns of infection are expected, with higherprevalence in children and young adults.Should a second wave occur in the early fall, a vaccineis unlikely to be available. Without vaccine, the bestdefense the nation will have in reducing transmissionwould be community mitigation strategies. Since caserates are highest in school-aged children, school closureswould likely be one of the first strategies employed. Thiswould result in parents needing to remain home withtheir children and the consequent loss of workplaceproductivity. This would include healthcare workers,reducing the ability of emergency departments andhospitals to function at peak efficiency. An equallyimportant community mitigation strategy is keepingpeople who are ill, even at the first sign, from enteringthe workplace. Encouraging social distancing andfrequent hand washing policies are important parts ofthe strategy. The combination of the effects of the diseaseand employing these measures could affect the businesspractices of all the critical infrastructure operators,possibly impeding their ability to maintain normaloperations.more………