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IV. PHASES OF A PANDEMIC: 1 2 3 4 '5 6 POST PEAK PERIOD No circulating animal influenza virus has been reported to have spread to humans. A circulating animal influenza virus can spread to humans and is considered a threat. A circulating animal virus has caused disease in some people. A community-level outbreak has been verified. The virus has caused community-level outbreaks in two or more countries in one WHO region. The virus has caused sustained community- level outbreaks in at least one other country in another WHO region. Levels of influenza have dropped below peak levels in most countries. POST r Levels of influenza have PANDEMIC returned to the levels PERIOD seen for seasonal influenza in most countries. Plan: Develop, exercise, and revise national influenza pandemic preparedness and response plans. Monitor & Assess:. Collaborate with other agencies to develop a national surveillance system. Communicate : Communicate real and potential risks of the virus . Reduce Spread of Disease: Promote healthy behaviors in people for self-protection. Plan for the use of vaccines. Health Care Contimdty: Prepare the health system to scale up. Plan: Lead rapid pandemic containment activities to limit the spread of infection. Mon ito r & Assess: Increase surveillance and share findings. Communicate: Promote and communicate recommended interventions to prevent and reduce risk. Reduce 8pread of Disease: Implement rapid pandemic containment operations and other activities. Healtb Care Cont in uity ,: A~t!vate cOD~~ng~l1_C:Y l an ~ Plan: Coordinate and lead resources to reduce overall impacts of the outbreak. Mon itor & Assess: Continue surveillance to detect ensuing waves. I Commun icate: Regularly update the public on any changes to the status of the pandemic. Reduce Spread of D is e ase: Implement individual, societal, and pharmaceutical measures. Health Care Continuity: Implement contingency plans for health systems at all levels. Plan: Plan for additional resources for possible future waves. Monitor & Assess: Continue surveillance to detect subsequent waves. Communicate; Regularly update the public on any changes to the status of the pandemic. Reduce Spre-ad of Disease: Evaluate the effectiveness of the measures used to update guidelines and protocols. Health Care Continuity: Rest, restock, revise plans, and rebuild. Plan: Review lessons learned. Share experiences. Replenish resources. Monitbr &_Assess: Evaluate the pandemic characteristics for next time. Commtmicate: Acknowledge contributions of all communities, communicate the lessons learned. Reduce Spread ofDise.ase: Evaluate all interventions used. Healr h Care Continuity: Evaluate the response of the health system. Share the lessons learned. 65