Anthrax
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- March 25, 2005
Anthrax Q&A: Treatment
From CDC
Updated treatment protocol for patients with inhalational and cutaneous anthrax.
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- September 3, 2003
Accuracy of Screening for Inhalational Anthrax after a Bioterrorist Attack
Bioterrorism using anthrax claimed five lives in the United States in 2001 and remains a potential public health threat. In the aftermath of a large-scale anthrax attack, mass screening to identify early inhalational anthrax may improve both the management of individual cases and the efficiency of health resource utilization.
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Monkeypox
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Ricin Biotoxin
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Severe Acute Respiratory Syndrome (SARS)
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- December 15, 2003
Guidelines for Laboratory Diagnosis of SARS-CoV Infection
It is no longer sufficient to test two samples of the same specimen using
RT-PCR to receive a definitive SARS laboratory diagnosis (it is impossible
to rule out contamination). Two or more specimens collected on the same
day or at two different times are needed to confirm diagnosis using RT-PCR.
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- December 3, 2003
In the Absence of SARS-CoV Transmission Worldwide: Guidance for Surveillance, Clinical and Laboratory Evaluation, and Reporting
During this period of no known SARS-CoV transmission in the world, healthcare and public health officials must prepare for the possibility that SARS-CoV may re-emerge. This document from the CDC provides guidance for surveillance, clinical and laboratory evaluation, and reporting in the setting of no SARS-CoV transmission worldwide. Recommendations supercede those in the draft Public Health Guidance for Community-Level Preparedness and Response to Severe Acute Respiratory Syndrome (SARS), which is currently being revised and finalized. Recommendations also supercede other SARS-related web materials on relevant topics that are under review.
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- July 18, 2003
Updated Interim U.S. Case Definition for Severe Acute Respiratory Syndrome (SARS)- July 18, 2003
The previous CDC SARS case definition (published July 16, 2003) has been updated as follows:
The Exclusion Criteria have been revised to allow exclusion of cases with a convalescent-phase serum sample (i.e., collected >28 days after symptom onset) that is negative for antibody to SARS-associated coronavirus (SARS-CoV). Testing results from serum previously collected between 22 and 28 days after symptom onset are acceptable and will not require collection of an additional sample >28 days after symptom onset.
The Case Classification has been revised to exclude probable and suspect SARS cases with convalescent-phase serum samples that are negative for antibody to SARS-CoV.
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- CDC Health Advisory - March 15, 2003 (.pdf file size 125 KB 4 pgs. )
The CDC issues this health alert about atypical pneumonia. It includes interim information and recommendations for health care providers, case finding, diagnosis evaluation, infection control, treatment and reporting. It also has medical references and text of a traveler's health alert card.
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- CDC Health Advisory - March 17, 2003 (.pdf file size 78 KB 2 pgs. )
This is an NJHA memo discussing SARS and provides reporting contact phone numbers for NJDHSS and CDC information hotlines.
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Smallpox
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- January 6, 2004
Updated Smallpox Case Definition
Surveillance for a disease that does not currently exist anywhere in the world presents unique challenges. The goal of pre-outbreak (pre-event) smallpox surveillance is to recognize the first case of smallpox, should it ever occur, without generating excessive numbers of false alarms, unnecessarily disrupting the health care and public health systems, or increasing public anxiety. In the absence of known smallpox disease, the predictive value of a positive smallpox diagnostic test is extremely low; therefore, testing to rule out smallpox should be limited to cases that fit the clinical case definition in order to lower the risk of obtaining a false-positive test result. It is neither feasible nor desirable, in the pre-event scenario, to perform laboratory testing for suspected cases that do not meet the clinical case definition.
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- Smallpox Vaccine Storage and Handling: Web-Based Training Course from DPDE/NIP
CDC announces the availability of Smallpox Vaccine Storage and Handling, an interactive, web-based training course. The overall goals of this training course are to ensure proper storage, handling, and shipping of the smallpox vaccine by healthcare providers and to support the national emergency preparedness response to bioterrorism events. The course is available free of charge through the National Immunization Program.
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2009 H1N1 Flu
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- March 23, 2010
Mechanical Ventilators in US Acute Care Hospitals
From HHS
The U.S. Department of Health and Human Services Assistant Secretary for Preparedness and Response (ASPR) Office of Preparedness and Emergency Operations partnered with the American Association for Respiratory Care (AARC) to conduct a comprehensive inventory of the total number and types of mechanical ventilators in every U.S. hospital as part of 2009 H1N1 flu response.
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- March 18, 2010
ESF-8 Pandemic Influenza Playbook
From HHS
This ESF-8 Pandemic Influenza Playbook provides guidance for executive-level decision makers within the Department of Health and Human Services (HHS), specifically the HHS Secretary and HHS Assistant Secretary for Preparedness and Response.
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- October 2, 2009
Disaster Alternate Care Facility Selection Tool
From AHRQ
A public health emergency can strain the capacity of hospitals and other traditional venues for medical services. In such emergencies, it may be necessary to select alternate facilities for providing medical care. Two new interactive tools, Disaster Alternate Care Facility Selection Tool and an ancillary tool, Alternate Care Facility Patient Selection Tool, will help institutions and communities select alternate care facilities and determine which patients to send to them. Both tools may be located on this page.
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- October 1, 2009
Hospital Surge Model
From AHRQ
A computer modeling tool that estimates the resources needed in hospitals to treat casualties from biological, chemical, nuclear, or radiological events. Estimates the number of casualties and needed hospital resources for each scenario.
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- October 1, 2009
Reopening Shuttered Hospitals to Expand Surge Capacity
From AHRQ
Guide for planners to determine in advance of a pandemic whether local shuttered hospitals could be used to increase surge capacity. Includes a detailed checklist to use during site inspections.
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- September 24, 2009
Mass Medical Care with Scarce Resources: The Essentials
From AHRQ
HHS' Agency for Healthcare Research and Quality (AHRQ) released a condensed version of a 2007 mass medical care planning guide that contains updated resources and new information specific to H1N1. Mass Medical Care with Scarce Resources: The Essentials is a resource for community planners to prepare for public health emergencies, such as pandemic flu, when demand for medical resources outweighs supply. The 70-page guide sets out a framework of basic steps that planners may take to prepare for a mass casualty event. It addresses key questions that each community should ask to properly plan for a well coordinated operational response.
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- August 31, 2009
CommunityFlu 1.0
CommunityFlu 1.0 is a software program that simulates the spread of influenza through a model community, and the impact of a variety of potential interventions (e.g., vaccinatins, school closings, wearing of face masks, patient and household isolation/self quarantine). CommunityFlu also calculates the cost, in terms of workdays lost, of influenza and the associated interventions.
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- August 31, 2009
FluLabSurge 1.0
FluLabSurge is a spreadsheet-based program designed to assist laboratory directors forecast demand for specimen testing during the next influenza pandemic (i.e., the surge in demand), and develop response plans.
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- April 28, 2009
Flu.gov
From US Department of Health and Human Services
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