Xinhua News: United States Federal Government announced on November 2, a major influenza outbreak flu plan: If the Government would take control of air passengers, dispensing of antiviral drugs, throughout the community in the implementation of the "winter" system to prevent out of Office and to control the rumors, and other means to prevent the spread of the epidemic. Beauty in the Washington Post recently reported that up to 396-page document of the General principles and details: forced detention and combining automatic isolation
File lists the various recommendations, guidance for State and local health departments how to allocate scarce resources and manpower and resources. But in most cases, this document is not explicitly tell people exactly how to do specific.
Overall, this project is to a large extent dependent on the public understanding and cooperation. Plan only briefly mentioned the forced detention of infection is found after the outbreak of a response, but automatically quarantines (isolated at home) is the better choice, but normally it is sufficient. Bush was a prerequisite to a few weeks, after outbreaks may need to use the army, but this situation plan there is no mention of this in the book.
Plan says: "the massive flu could lead to disease control before any natural or man-made epidemic are incomparable challenge. ”
This proposal through text and chart provides numerous recommendations, including the doctor discovered a new form of flu after what you have to do with how the hospital should control virus transmission within the emergency room, with his family to protect themselves from infection. Plans also mentioned if the crisis lasts a year should be how to boost the morale of healthcare personnel and the vaccine for a limited number of cases which were first injection, and suggests that the public store some necessities.
Some people criticized the Bush Administration failed to come out of this project, especially since the Asian H5N1 avian influenza virus in the past two years have resulted in approximately 60 people were killed and recently came to Europe. But yesterday the proposal itself has not been any specific criticisms. Most experts and interest groups still trying to digest its contents.
Priority vaccinated populations
Project request private nursing homes, hospitals, Department of intensive care, centers for disease control and prevention and vaccine production enterprises, and various other departments doing projects and increases in influenza prevention and control.
The proposal is also based on two independent expert Committee's recommendation describes the vaccine for a limited number of cases which crowd is eligible to be vaccinated. The Government will provide 20 million people in the experimental H5N1 vaccine stockpile.
The top of the list at the top of the production of vaccines and antiviral drugs for workers (4 million), followed by practitioners and the public health sector employees (800 million — 900 million people), after 65 years of chronic disease (hypertension) patients (18 million) and a half years of age to 65 complications among high-risk groups.
States to develop plans may be adjusted to this list. For example, agriculture, some public health experts believe that in the pig and poultry farms of human influenza vaccination should be first, because they are the avian influenza virus from the animal to human body's potential vectors.
Vaccination of children is not important, because they are usually healthier, and less likely to die from influenza. Although private Sanatorium of mortality risk is very high, they should not enjoy the right of priority, because vaccination vaccine efficacy tend to them. However, the plan said that in the event of outbreaks, they should take take antiviral drugs, and other preventive measures.
Best "treatment" programme
This proposal also said that, ideally, the United States prepared 75 million "treatment" of antiviral drugs. The Federal Government will pay the 4400 million treatment courses of which, it is sufficient to cover hospitalization due to influenza patients, health professionals, some high risk patients, public health workers and emergency personnel. The Government will also pay other 3100 million treatment courses of 25%, State and local Government will pay the remaining 75%.
This project proposes to consider storage can use hospital 8 weeks of masks, protective clothing, gloves and "still body bag", and so on.
The plan also recommends that the United States companies consider home store enough food to eat for 10 days. This is because, in the event of the outbreak, local governments may implement the "snowy" system, isolate the crowd until the end of the incubation period of the virus. (End) (co-editor)
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