The document provides information from a presentation on pandemic influenza planning and preparedness. It defines pandemic influenza and describes factors that cause pandemics. It discusses past pandemics like the 1918 Spanish Flu pandemic. It also addresses the current threat of influenza, describing seasonal flu, avian flu, and the possibility of another influenza pandemic.

1. City of Worthington Pandemic Flu Initiative

3. Pandemic Influenza Planning and Preparedness Pandemic Influenza — The Threat Presented by: Chris Craig FF/NREMT-P City of Worthington Division of Fire

4. Objectives Describe the historical aspects associated with the last great pandemic — Spanish Flu Identify the factors associated with the cause of pandemics Identify the distinctions among various pandemics Identify the current peril associated with pandemic influenza

5. Understanding Pandemics

9. Influenza and Its Cause

14. The Spanish Flu Pandemic of 1918

20. America’s Forgotten Pandemic, page 65 The Second Wave (continued)

21. The Second Wave (continued) America’s Forgotten Pandemic, page 65

22. America’s Forgotten Pandemic, page 65 The Second Wave (continued)

23. America’s Forgotten Pandemic, page 65 The Second Wave (continued)

24. America’s Forgotten Pandemic, page 65 The Second Wave (continued)

27. Impact on Life in America

28. Impact on Life in America www.pbs.org

30. Impact on Life in America (continued) www.andypryke.com Deaths from pneumonia and influenza in U.S. in 1892 and 1918 pandemics (Massachusetts numbers)

31. Seattle Daily Times Archives seattletimes.nwsource.com Impact on Life in America (continued) Camp Funston, Kansas Emergency Hospital Courtesy of National Museum of Health and Medicine

32. Iowa State Gymnasium Tent Hospital Impact on Life in America (continued) Wartime Poster 1918 Courtesy of National Museum of Health and Medicine

33. Factors Causing Pandemics

38. Lesser Pandemics of the Twentieth Century

39. Lesser Pandemics of the Twentieth Century Asian Flu — 1957 — H2N2 Hong Kong Flu — 1968 — H3N2 Gargling Broth - 1957 nmhm.washingtondc.museum Vaccine Production - 1968 www.npr.org

45. The Current Situation

51. World Population Growth

58. Influenza

64. H5N1 What do the numbers and letters mean ?

66. Genetic Variability Mixing Scenario Source: CDC Influenza Branch

67. How is it spread?

69. The Flu Virus as a Contagion (continued) Incubation Symptomatic (Sick) Recovering Work, etc. Work/Home/Hospital Back to work, etc Day 0 Day 11 Day 4 Day 15 DANGER OF INFECTION Day 2 Infectious (Shedding Virus)

70. Flu Morbidity and Mortality (continued) Annual Peak of Influenza Cases

71. Avian Influenza

86. What can be done now for prevention?