Bahrain's Avian Influenza Website

[Blue]

http://ai.moh.gov.bh/
(hat tip crofsblog)

 

[Sally Furniss]

Re: Bahrain's Avian Influenza Website

Pandemic Plan

Contents

CHAPTER 1

Introduction ......................................................................................................................................13
The Disease in Birds: Impact and Control Measures ...............................................14
The Goal and Objectives of the Plan ........................................................................15
Phases in the plan..............................................................................................................................17
Description of Bahrain Phases ...........................................................................................................18
Interpandemic Period (Prepandemic Phase) .............................................................18
Pandemic Alert Period ..............................................................................................19
Pandemic Period ........................................................................................................20
CHAPTER 2

Clinical course and Treatment of Human Cases of H5N1 Avian Influenza ......................................22
Incubation Period......................................................................................................22
Case Definition for Avian Influenza (H5N1) ...........................................................22
Dealing with Suspected or Probable Case ...............................................................23
Samples to be taken from Patients............................................................................23
Post Mortum Specimens ..........................................................................................23
Investigations............................................................................................................23
Procedures for Influenza Diagnosis..........................................................................24
Infection Control Precautions for H5N1...................................................................25
Case Management.....................................................................................................27
Contacts Management and Public Health Measures ................................................29
CHAPTER 3

Disease Control Measures..................................................................................................................32
Border control.........................................................................................................32
Measures to Increase Social Distance.....................................................................32
The National Medicine Stockpile ...........................................................................33
Health Service Delivery..........................................................................................34
Pandemic Vaccinations ...........................................................................................35
Communications .....................................................................................................36
CHAPTER 4

Pubic Health Implementation Plan ...................................................................................................44
Epidemiology of Influenza ......................................................................................44
Impact of the Pandemic on Health and Social Services ..........................................45
Extent to which Interventions Might Ameliorate the Impact ..................................49
Surveillance
a) The Strategic Goal of Surveillance ...........................................................50
b) The Objectives to Achieve the Strategic Goal of the Surveillance ..........50
c) Building Blocks for Pandemic (Planning) ................................................51
d) Components of Surveillance .....................................................................52
e) Types of Surveillance ................................................................................60
f) Surveillance Activities in an Influenza Pandemic ....................................67
g) Monitoring and Evaluation of the Surveillance System ...........................67
h) Non-medical Interventions at the National Level .....................................70
i) Non-medical Interventions at the International Level ..............................74
j) Guide for the Surveillance Team ...............................................................76
k) Guidelines for Travel..................................................................................77
Diseases Control Section
قسم مكافحة الأمراض
8
ANNEXES

Annex 1. Infection Control Precautions for HPAI for Clinical Staff ....................................80
Annex 2. Suggested Checklist for H5N1 Trolley/Table ........................................................88
Annex 3 Isolation Room ........................................................................................................89
Annex 4. Infection Control Advice for Non Clinical Staff....................................................90
Annex 5: HPAI Case Notification Form................................................................................91
Annex 6: WHO Laboratory Biosafety Guidelines for Handling Specimens
Suspected of Containing Avian Influenza A Virus...................................................94
Annex 7 World Health Organization H5N1 Reference Laboratories ....................................96
Annex 8: Laboratory Guidelines for Sample Collection ......................................................97
Annex 9: Precautionary Measures Against the Importation of H5N1 Into Bahrain..............103
Annex 10: Key Infection Control Messages for the General Public .....................................108
Annex 11: Agriculture Response Relating to a Human Influenza H5N1pandemic...............109
Annex 12: Pandemic Vaccines ............................................................................................111
Annex 13: Antivirals..............................................................................................................115
Annex 14: Surveillance Forms 1-14 .....................................................................................119
Annex 15: Frequently Asked Questions ................................................................................135
Annex 16: Travellers Bulletin................................................................................................147
Annex 17: Health Declaration Card ....................................................................................149
Annex 18: Animal Health Frequently Asked Questions........................................................151
Annex 19: Ten Things You Need To Know About Pandemic Influenza ..............................157
Glossary ............................................................................................................................................160
References ........................................................................................................................................161