WHO
In order to analyze the institutional guidelines and protocols issued by the WHO a research on the official website www.who.int has been performed. The WHO website has a link on the home page, inside the section "Outbreaks and crisis" on "Avian influenza - Full coverage of the evolving situation". In this dedicated page a section called "Guidelines" comprises the official documents the WHO has issued on avian influenza, divided in 6 subjects. Among them, the ones offering methodological tools for preparing for avian influenza have been selected and analyzed (underlined). The research has been updated on the 26th of April 2008.
The list of the WHO documents analyzed follows, with their internet addresses, ordered according to the publishing date:
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2004 WHO guidelines for global surveillance of influenza A (H5N1)
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2005 WHO global influenza preparedness plan
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2005 WHO checklist for influenza pandemic preparedness planning
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2005 Avian influenza: assessing the pandemic threat
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2005 Recommended strategic actions Its concepts are taken up in the 2007 WHO strategic action plan for pandemic influenza
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2005 WHO recommendations on the use of rapid testing for influenza diagnosis
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2006 Outbreak communication: Best practices for communicating with the public during an outbreak
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2006 WHO Outbreak communication guidelines
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2006 WHO/FAO/UNICEF adhoc meeting for behavioural interventions for avian influenza risk reduction
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2006 WHO Rapid Advice Guidelines on pharmacological management of humans infected with avian influenza A (H5N1) virus
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2006 WHO guidelines for investigation of human cases of avian influenza A (H5N1)
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2007 Review of latest available evidence on potential transmission of avian influenza (H5N1) through water and sewage and ways to reduce the risks
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2006 Global pandemic influenza action plan to increase vaccine supply
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Recommendations and laboratory procedures for detection of avian influenza A(H5N1) virus in specimens from suspected human cases
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2006 Collecting, preserving and shipping specimens for the diagnosis of avian influenza A(H5N1) virus infection
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2007 WHO strategic action plan for pandemic influenza
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2007 WHO interim protocol: rapid operation to contain the initial emergence of pandemic influenza
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2007 Questions and answers on avian influenza in relation to animals, food and water
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2007 Clinical management of human infection with avian influenza A (H5N1) virus
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2007 The role of National Influenza Centres (NICs) during Interpandemic, Pandemic Alert and Pandemic Periods
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2007 Avian influenza, including influenza A (H5N1) in humans: WHO interim infection control guideline for health care facilities.
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2007 Questions & Answers on potential transmission of avian influenza (H5N1) through water, Sanitation and Hygiene and ways to reduce the risks to human health
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2007 Ethical considerations in developing a public health response to pandemic influenza
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2008 Protection of individual with high poultry contact in areas affected by avian influenza H5N1: Consolidation of pre-existing guidance.
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EUROPEAN UNION
A research on the official website http://ec.europa.eu/health/index_en.htm has been performed in order to analyze the institutional guidelines and protocols issued by the European Union and Member States. In the website home page, there is a link to "Threats to health"; this section has a dedicated section on "Influenza pandemic preparedness planning at EU level", which comprises the official documents concerning:
- "Generic preparedness",
- "Influenza Pandemic preparedness planning at national level",
- "Events organised to improve the EU state of preparedness".
In this page, there are dedicated sections concerning:
- Speeches
- Press Release
- Events
- Publications
- Links
- Key documents
- Legal documents
- Projects.
In this research, documents including methodological tools for prepare and implement a response plan for pandemic influenza have been selected and analyzed.
These documents are indicated as follows:
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LEGAL DOCUMENTS
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Decision n° 2119/98/EC of the European Parliament and of the Council setting up a network for the epidemiological surveillance and control of communicable diseases in the Community, 24 September 1998
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Commission Decision of 19 March 2002 laying down case definitions for reporting communicable diseases to the Community network under Decision No 2119/98/EC of the European Parliament and of the Council (2002/253/EC)
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Commission regulation (EC) n° 1085/2003
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Commission Regulation (EC) n°1084/2003
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Commission of the European Communities, Commission Working Paper on Community Influenza Pandemic Preparedness and Response Planning, Brussels, 26.03.2004, XXX
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Commission working paper on community influenza pandemic preparedness and response planning
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Council of the European Union, Pandemic Influenza Preparedness and response Planning, Brussels, 30 May 2005, ( N° 9419/05, SAN 81, PROCIV 74)
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Commission of the European Communities "Communication from the Commission to the Council, the European Parliament, the European Economic and Social Committee and the Committee of the Regions on strengthening coordination on generic preparedness planning for public health emergencies at EU level", N° 605/2005, Brussels 28.11.2005)
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Commission of the European Communities, Communication from the Commission to the Council, the European Parliament, the European Economic and Social Committee and the Committee of the Regions on Pandemic Influenza Preparedness and Response Planning in the European Community, Bruxelles, 28.11.2005, COM(2005) 607 final
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Commission of the European Communities, Communication from the Commission to the European Parliament and the Council on the International Health Regulations, Brussels, 26.09.2006, COM (2006) 552 final
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KEY DOCUMENTS
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Special Eurobarometer report: Avian Influenza
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Committee for proprietary medicinal products (CPMP), Guideline on submission of marketing authorisation applications for pandemic influenza vaccines through the centralised procedure, London 5 April 2004 (EMEA/CPMP/VEG/4986/03)
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European Commission, Interim Report: Technical guidance on generic preparedness planning for public health emergencies (interim document, April 2005)
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Health Security Committee and European vaccine manufacturers (HSC), "Towards sufficiency of Pandemic Influenza Vaccines in the EU", 22 April 2005
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European commission, Technical guidance document on procedure for communication to member states, the Commission and the European centre for disease prevention and control about highly pathogenic avian influenza events in humans
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European Vaccine Manufacturers, "A Public Private Partnership on European Pandemic Influenza"
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EU Commission, DG Health and Consumer Protection, Health threats Unit, "Biological Incident response & Environmental Sampling, a European Guideline on principles of Field Investigation", October 2006
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PUBLICATIONS
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Flu pandemic preparedness-Factsheet (July 2006)
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NATIONAL AND LOCAL PANDEMIC PLANS
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ITALY
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Ministry Of Health, "National Plan For Preparedness And Response To An Influenza Pandemic"
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Regione Lombardia, "Piano pandemico regionale di preparazione e risposta ad una pandemia influenzale secondo le direttive del ministero della salute", Delibera del consiglio regionale, 2 ottobre 2006, n° VII/216
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SPAIN
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Ministerio de Sanidad y Consumo, "Plan Nacional de Preparaciòn y respeusta ante una pandemia de gripe", Mayo 2005
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Ministerio de Sanidad y Consumo, "Actualización del plan nacional de preparación y respuesta ante una pandemia de gripe", Diciembre 2006
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Generalitat de Catalunya, Departament de Salut, "Plan de actuación en cataluña ante una posible pandemia de gripe", Enero de 2006
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Planificación y programas sanitarios
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Cataluña, Decreto 264/2005, De 13 De Diciembre, De Creación De La Estructura Organizativa Para La Prevención, Control Y Seguimiento De La Evolución De Una Posible Pandemia De Gripe.
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Cataluña, Decreto 38/2008, De 19 De Febrero, De Modificación Del Decreto 264/2005, De 13 De Diciembre, De Creación De La Estructura Organizativa Para La Prevención, Control Y Seguimiento De La Evolución De Una Posible Pandemia De Gripe.
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GREECE
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Ministry for Health and social solidarity, Center for disease control & prevention (H.C.D.C.P.), "National influenza pandemic plan", October 2005, (2nd edition)
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SLOVAK REPUBLIC
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"Detailed Plan Of Measures In Case Of An Influenza Pandemic In The Slovak Republic"
Developed By Public Health Office Of The Slovak Republic, 23 November, 2005
Approved By Ministry Of Health Of The Slovak Republic, Government Of The Slovak Republic, Resolution N°857/2005
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TURKEY
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Ministry of health, General Direction of primary health care "Influenza pandemic plan"
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LINK
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http://ec.europa.eu/health/ph_threats/com/Influenza/links_influenza_en.htm
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http://ec.europa.eu/health/ph_threats/com/Influenza/influhome/influenza_level_en.htm
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http://ecdpc.europa.eu/Health_topics/Pandemic_Influenza/phm.html
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http://www.eiss.org
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US CDC and EU CDC
On the US CDC website (http://www.cdc.gov/), a research has been done typing the keywords "pandemic flu" into the internal search engine. Moreover a research has been done in the A-Z Index looking for documents under the voice "pandemic flu". A list of documents has been found.
On the EU CDC website (http://ecdc.europa.eu/index.html), a research has been done in the Health Topics A-Z section looking for documents under the voice "pandemic influenza". Other documents have been found.
After collecting such documents, a selection has been made amongst them to select the more relevant ones for the purpose of the Healthreats project. Here after the final list is reported.
In brackets are the links to the webpage where the documents are available.
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List of selected documents
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US CDC Documents
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1. Ethical Guidelines in Pandemic Influenza
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2. HHS Pandemic Influenza Plan
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3. National Strategy for Pandemic Influenza
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4. Pandemic Influenza Implementation Plan - Part I of II
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5. FDA Pandemic Influenza Preparedness Strategic Plan
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6. Instructions For Review Of State Operational Plans For An Influenza Pandemic
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7. Federal Guidance To Assist States In Improving State-Level Pandemic Influenza Operating Plans
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8. Tabletop Exercises for Pandemic Influenza Preparedness in Local Public Health Agencies
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9. A New Quality Improvement Tool for Management of Routine Annual and Pandemic Influenza
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10. Communicating in a Crisis: Risk Communication Guidelines for Public Officials
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EU CDC Documents
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1. ECDC Background Advice on Public Health Measures that may be deployed in the event of an Influenza Pandemic or severe epidemics of seasonal influenza
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2. Influenza Surveillance in a Pandemic Paper from ECDC Working Group
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3. Pandemic influenza preparedness planning
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4. Assessment tool for influenza preparedness in European countries - with a main focus on pandemic preparedness
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5. Commission Working Paper on Community Influenza Pandemic Preparedness and Response Planning
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6. Pandemic Flu A national framework for responding to an influenza pandemic
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National Plans
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1. CDC Influenza Pandemic Operation Plan (OPLAN)
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2. UK Influenza Pandemic Contingency Plan
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3. Pandemic Influenza Preparedness Action Plan of the Japanese Government.
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4. Contingency Planning For Pandemic Influenza. National Measures.
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5. National plan for the prevention and control "Influenza pandemic"
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Others
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1. Il metodo Augustus
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