Public Health Practices

Protecting Voters at the Polls

The Virginia State Board of Elections (SBE) took a number of steps to prevent the spread of H1N1 during the Nov. 3, 2009 election. The SBE prepared by using a number of existing communication and outreach techniques, including hosting a conference call with electoral board members, general registrars, and Dr. Diane Helentjaris of the Virginia Department of Health (VDH) to hear her suggestions for election planning.

Vaccinating People Who Request It

Whom to vaccinate and when has been a very challenging aspect of responding to the novel H1N1 pandemic. The Virginia Department of Health (VDH) determined early on that people would not be turned away if they wanted to be vaccinated, regardless of priority groups. The primary reasons were to avoid creating an adversarial relationship between public health and residents, and to protect people's privacy, said Diane Helentjaris, MD, MPH, Deputy Director of Epidemiology for VDH.

K-12 School Closure Guidance

Two years before the emergence of novel H1N1 virus, Arizona Department of Health Services (ADHS) formed a unique partnership with the Arizona Department of Education (ADE) to collaborate on pandemic influenza preparedness efforts.

South Carolina H1N1 Vaccination Campaign

The South Carolina Department of Health and Environmental Control (SC DHEC) is conducting a voluntary vaccination campaign using a variety of approaches to reach target groups and strengthen the immunization workforce. School Clinics:

Risk-based vaccine allocation for American Indian population

The Arizona Department of Health Services allocated 10% of H1N1 vaccine and preparedness funding to tribal healthcare providers in response to large numbers of hospitalizations and deaths among American Indians.

Guidelines for Accessing the Hospital PPE Stockpile

The Hospital PPE Stockpile is separate from the Strategic National Stockpile (SNS). Guidelines for accessing personal protective equipment (PPE) from the Strategic National Stockpile are incident-specific with information available through the Wisconsin Division of Public Health.

H1N1 Benefit Program for the Uninsured

In response to the 2009 H1N1 influenza outbreak this spring, the Wisconsin Department of Health Services recruited a state-wide network of health care providers to participate in a limited benefit program to provide flu-related care to the uninsured. The Department chose not to implement the benefit program in the spring. However, due to the resurgence of H1N1 influenza during the fall, the Department implemented the benefit effective Monday, November 2. Establishing the Provider Network:

Mobile vaccination clinic for reaching a South Dakota reservation

An existing mobile clinic delivered H1N1 vaccine to remote reservation communities in South Dakota.

College and University Vaccination Campaign

Rhode Island is holding a statewide H1N1 vaccination campaign to reach college and university students over a three-week period, which started the week of November 30. In August, RI DOH had initial planning meetings with all colleges and universities in the state, but had to postpone implementation of the plans when the H1N1 vaccine was delayed.

Public antiviral stockpile program

The Florida Department of Health worked with pharmacies to develop a public antiviral stockpile accessible to everyone regardless of income and pharmacy supply.

Preparedness exercises allow county to open H1N1 mass vaccination sites

Thanks to the experience gained from previous exercises, a rural Minnesota county was able to quickly open three mass vaccination clinics in October 2009.

Arkansas school-based vaccination clinics

Arkansas planners worked with the governor and school nurses to allocate H1N1 vaccine to very young children.

Operational Framework for Partnering with Pharmacies for Administration of 2009 H1N1 Vaccine

The Association of State and Territorial Health Officials (ASTHO) created this guidance in consultation with national pharmacy and pharmacist associations, thought leaders from national and regional chain drug stores, ASTHO members, and key federal officials. The aim of the document is to assist health departments in maximizing the potential of chain and independent pharmacies as a viable resource for vaccination sites as part of an aggressive and comprehensive planning effort.

Healthcare facility inventory of respiratory protection equipment

During the H1N1 pandemic, the Minnesota Department of Health created an assessment tool to help hospitals conserve a short supply of respirators for high-risk procedures, if necessary.

School-based H1N1 vaccination clinics at each K-12 school

The Rhode Island Department of Health created parent and staff information that allowed for streamlined H1N1 vaccination clinics at every K-12 school.

H1N1 materials cover basic information, special groups, and school vaccination clinics

Educational resources, many of them tailored for school and parent use, are available in Arabic, Chinese, French, Hmong, Khmer, Lao, Portuguese, Russian, Spanish, Tagalog, Thai, and Vietnamese.

H1N1 Foreign and Sign Language Resources

The department maintains a clearinghouse of H1N1 resources in 32 different languages. Resources were gathered from numerous public health agencies and represent a variety of information. The quantity of materials available in each language varies. For instance, the CDC's vaccine information statements are only available in Spanish and Chinese, while H1N1 resources pertaining to refugees are available in Kirundi and Burmese.

H1N1 Fact Sheets in Multiple Languages

Fact sheets and resources from the Connecticut Department of Public Health provide basic information about H1N1 influenza in multiple languages. A fact sheet answers many frequently asked questions, including questions about influenza transmission, prevention, symptoms, and treatment. The fact sheet links to other documents, including documents that focus on preventing and containing influenza in children.

Red Cross Home Care for Pandemic Flu (National)

Home Care for Pandemic Flu is a two-page guide for the public on how to care for sick family members at home during a pandemic. The brochure includes a home care supply list, lists flu symptoms, describes how to prevent spreading the flu, gives guidelines on recognizing and treating fever and dehydration, and a recipe for oral rehydration solution (ORS). The ORS recipe provides another option for treating dehydration at home.

Home Care Guide: Providing Care at Home During Pandemic Flu

The Home Care Guide provides the public with a comprehensive description of how to care for sick family members at home during a pandemic. It includes lists of emergency supplies, guidelines on how to limit the spread of disease at home, instructions on how to take care of sick household members safely and effectively and basic information about pandemic flu. This guide was created prior to the emergence of novel H1N1 flu virus in 2009.

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