Review - Document Details

 



Review - Reviewer's Assessment

1. Short summary / abstract
The document outlines the Health Protection Agency’s plan for responding to an influenza pandemic. It provides a framework for the HPA’s response to an influenza pandemic in the context of the UK Health Departments’ overarching national arrangements.
Guidance is included so that individual divisions of the HPA can develop more detailed operational plans for their own areas of the response to include local and regional arrangements with NHS colleagues.
Specific HPA objectives to support the national response are set out in areas of detection, diagnosis, management, control and prevention and to support this necessary implementation of programmes for service development, improvement and research. The scope of the HPA’s responsibilities is defined within the national arrangements.
The epidemiology of pandemic flu and possible burden of illness is described including the scale and severity of illness and hence consequences, mortality in the UK and modelling studies to demonstrate speed with which the virus will reach the UK once cases occur elsewhere in the world. The possibility of more than one epidemic wave is discussed and the potential clinical and serological attack rate overall.
Planning assumptions are made and control principles outlined at individual and mass population level with discussion on the use of antiviral drugs and the use of vaccination once it becomes available.
The roles and responsibilities of the HPA, the Department of Health, Strategic Health Authorities, Primary Care Trusts and Ambulance trusts are outlined. A brief description is given of work being undertaken by other supporting organisations such as World Health Organisation, European Surveillance Schemes and the European Union plus national partner organisations such as DEFRA, NHS Direct, the Royal College of General Practitioners, the Medicines and Healthcare Regulatory Agency and the UK Vaccination Industry Group (UVIG)
WHO international phases of an outbreak and implications of a flu pandemic are summarized and the relation of UK alert levels to WHO international phases are included with clearly outlined responses and responsibilities at national, regional and local level for each UK phase.
The post pandemic period is discussed and information on when this will be decided both by the WHO and in the UK.
Appendix 1 gives details of the proposed Pandemic Working Group membership.


2. What question is the document addressing?
The document outlines the Health Protection Agency’s plan for responding to an influenza pandemic. It provides a framework for the HPA’s response to an influenza pandemic in the context of the UK Health Departments’ overarching national arrangements.

3. Type of study
Best Practice, Care guidelines

4. Methods valid & appropriate?
Yes

Comments:
should be read with Department of Health: UK Health Departments’ UK influenza pandemic contingency plan (October 2005)

5. Results / recommendations reliable?
Yes

6. Any major problems and biases?
Has not been tested in an outbreak situation so of necessity based on modelling and professional opinion, will be updated as new information and evidence arises and therefore web based version should be referred to as latest best practice.

7. Any other important / relevant studies which confirm or contradict?
1. Department of Health: UK Health Departments’ UK influenza pandemic contingency plan (October 2005)
http://www.dh.gov.uk/PublicationsAndStatistics/Publications/PublicationsPolicyAndGuidance/PublicationsPolicyAndGuidanceArticle/fs/en?CONTENT_ID=4104861&chk=KLK6/h
2. Department of Health: Explaining pandemic flu (19th October 2005) http://www.dh.gov.uk/assetRoot/04/12/17/49/04121749.pdf
3. Department of Health: Key Facts (19 October 2005) http://www.dh.gov.uk/assetRoot/04/12/17/47/04121747.pdf
4. Department of Health: Important information for you and your family (19 October 2005) http://www.dh.gov.uk/assetRoot/04/12/17/38/04121738.pdf
5. Department of Health: Frequently asked questions (19 October 2005) http://www.dh.gov.uk/assetRoot/04/12/17/40/04121740.pdf
6. Department of Health: Influenza pandemic contingency planning: Operational guidance for health service planners (12 May 2005) http://www.dh.gov.uk/assetRoot/04/11/10/82/04111082.pdf
7. Department of Health: UK operational framework for stockpiling, distributing and using antiviral medicines in the event of pandemic influenza (21 September 2005) http://www.dh.gov.uk/assetRoot/04/11/96/10/04119610.pdf
8. Department of Health: Clinical guidelines for patients with an influenza-like illness during an influenza pandemic (19 October 2005)
http://www.dh.gov.uk/assetRoot/04/12/17/55/04121755.pdf
9. Department of Health: Guidance for pandemic influenza: infection control in hospitals and primary care settings (19 October 2005) http://www.dh.gov.uk/assetRoot/04/12/17/54/04121754.pdf
10. Department of Health Pandemic influenza slide set (19 October 2005) http://www.dh.gov.uk/PolicyAndGuidance/EmergencyPlanning/PandemicFlu/PandemicFluList/fs/en?CONTENT_ID=4121650&chk=QHSLdt
11. Department of Health : DH statement on avian flu (14 October 2005) http://www.dh.gov.uk/PolicyAndGuidance/EmergencyPlanning/PandemicFlu/fs/en
12. Health protection Agency: General Information on avian influenza
http://www.hpa.org.uk/infections/topics_az/influenza/avian/
13. Department of Health. Pandemic Flu: Web Directory http://www.dh.gov.uk/PolicyAndGuidance/EmergencyPlanning/PandemicFlu/fs/en
14. World health Organization (WHO) Influenza Factsheet No 211 http://www.who.int/mediacentre/factsheets/2003/fs211/en/


8. Keywords
influenza pandemic influenza contingency plan



Reviewer's Details:

Name:Sue Wiseman
Post:Nurse Consultant –Infection Control, DH
Affiliations
(Society / Organisation / Advisory Committee):
Member Advisory Committee on Dangerous Pathogens
Health Protection Adviser Royal College of Nursing P/T
Member Infection Control Nurses Association


*** Note: These are the views of a professional expert rather than an official statement from his or her society, organisation or advisory committee.






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