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The 1918 Influenza Pandemic

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In light of the 1918 Spanish Flu pandemic and the more recent 2009 H1N1 influenza pandemic, what are some of the epidemiological patterns that were noted in 1918 that must be taken to avoid another major pandemics in the global society?
How would you create a new plan to mitigate the level of morbidity and mortality to the next pandemic that should occur?

"Hospital 'Full-Up': The 1918 Influenza Pandemic" http://web.upmc-biosecurity.org/video/1918/.

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The solution discusses the 1918 influenza pandemic.

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Questions:
- Can hospitals cope with people converging on them in large numbers?
- Are there enough healthcare workers to manage the infectious disease process?

Most hospitals do have emergency preparedness plans in place that supports hospital emergency preparedness planning and response to mass casualty incidents or pandemic events.

- How will healthcare workers be protected from contagions?

Today, prevention, good influenza surveillance, more trained medical and public health personnel at all levels, established prevention programs with annual required vaccinations for influenza and pneumococcal vaccines, and a national and international prevention infrastructure are in place to combat influenza outbreaks, and prevent healthcare workers from becoming infected.

- Are they adequate medication and supplies for a sustained outbreak?

Due to the concern about the spread of H5N1, efforts over the past decade by both the US government and international health agencies have improved pandemic preparedness with stockpiles of antivirals, vaccines, and antibiotics, as well as increasing surge capacity of hospitals and emergency medical facilities.

-Are we any better today than our 1918 counterparts in our ability to handle a public health emergency?

We are better-prepared than we ever have been, but providing widespread access to medications and medical care, particularly in impoverished regions, is still a challenge (Morens, Taubenberger, Harvey, Memoli, 2010).

The 1918 to 1919 H1N1 influenza pandemic is among the most deadly events in recorded human history, having killed an estimated 675,000 people in the US, and 50 to 100 million worldwide (Johnson, ...

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