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Appendix 9: Pandemic Flu Checklist |
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This checklist is intended to be used in conjunction with the All Hazards Checklist in Appendix 1.
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PHASE 1 – PREPARATION
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Not Started
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In Progress
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Complete
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Distribute materials with basic information about pandemic influenza: signs and symptoms, how it is spread, ways to protect yourself and your family (e.g., respiratory hygiene and cough etiquette), and how to care for ill persons at home.
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Distribute sources for information on pandemic influenza: www.pandemicflu.gov and the Centers for Disease Control and Prevention (CDC) Hotline at: 1-800-CDC-INFO (1-800-232-4636). This line is available in English and Spanish, 24 hours a day, 7 days a week. TTY: 1-888-232-6348. Questions can be e-mailed to
This e-mail address is being protected from spambots. You need JavaScript enabled to view it
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Post reminders throughout your facility to encourage the following behaviors: - Wash hands frequently with soap and water - Cover your mouth and nose with a tissue when you cough or sneeze - Put used tissues in a waste basket - Cough or sneeze into your upper sleeve if you don't have a tissue - Clean your hands after coughing or sneezing. Use soap and water or an alcohol-based hand cleaner
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Set up policies to modify activities (including religious rites) that may facilitate virus spread from person to person to prevent the spread of pandemic influenza (e.g. guidance for respiratory hygiene and cough etiquette, and instructions for persons with influenza symptoms to stay home rather than visit in person.)
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Encourage yearly influenza vaccination for staff, members, and persons in the congregation and communities that you serve. (This will not protect individuals from the pandemic influenza, but it will help them stay healthy and protect them from the seasonal flu.)
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Obtain supplies needed to promote respiratory hygiene and cough etiquette to supplement the church’s disaster supplies.
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PHASE 2 – IMPACT
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Not Started
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In Progress
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Complete
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Follow information provided by public health authorities--state and local health departments, emergency management agencies, and CDC, including when to use facemasks and respirators (see Attachment 14, Recommendation for Facemask and Respirator Use During an Influenza Pandemic).
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Alter your organization’s operations according to the recommendations of public health authorities (modify activities to prevent virus spread of pandemic influenza)
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Focus your organization’s efforts during a pandemic to provide services that are most needed during the emergency (e.g. mental/spiritual health or social services).
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PHASE 3 – IMMEDIATE RESPONSE
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Not Started
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In Progress
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Complete
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Consult the All Hazards Checklist in Appendix 1 for actions to be accomplished during this phase.
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PHASE 4 – RELIEF
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Not Started
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In Progress
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Complete
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Consult the All Hazards Checklist in Appendix 1 for actions to be accomplished during this phase.
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PHASE 5 – RECOVERY
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Not Started
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In Progress
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Complete
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Consult the All Hazards Checklist in Appendix 1 for actions to be accomplished during this phase.
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Network of Hope
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941-727-3279
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