Influenza - Pandemic
Influenza virus
A graphic of the microscopic H5N1 virus.

Influenza, also known as the flu, is a contagious disease that is caused by the influenza virus. It attacks the respiratory tract in humans (nose, throat, and lungs). The flu is different from a cold. Influenza usually comes on suddenly and may include these symptoms: fever, headache, tiredness (can be extreme), dry cough, sore throat, nasal congestion and body aches. These symptoms are usually referred to as "flu-like symptoms."

Influenza A viruses periodically cause worldwide epidemics, or pandemics, with high rates of illness and death. Unlike other public welfare emergencies, an influenza pandemic will impact on multiple communities across the United States and require swift and coordinated action and cooperation by all levels of government. Advanced planning for a large scale and widespread health emergency is required to optimize health care delivery during a pandemic. In addition, prevention and preparedness activities facilitate the response and recovery during and after an influenza pandemic.

ALARACT PDF 25 Feb 06
INFLUENZA PREVENTION GUIDANCE
ALCOAST PDF 25 Oct 05
PANDEMIC INFLUENZA PREVENTIVE MEDICINE GUIDANCE.
08 Nov 05

Sample Q&A: Avian (Bird) Influenza Viruses

Are all of the currently reported outbreaks in birds equally dangerous for humans?

Avian influenza outbreaks caused by the H5N1 subtype are presently of the greatest concern for human health.

In assessing risks to human health, it is important to know exactly which avian virus subtypes are causing the outbreaks in birds. For example, the outbreak of avian influenza reported in Taiwan was caused by the H5N2 subtype, which is not highly pathogenic (not very harmful) in birds and has never been known to cause illness in humans. The outbreak announced in Pakistan was caused by H7 and H9 subtypes, and not by H5N1.

However, urgent control of all outbreaks of avian influenza in birds – even when caused by a subtype of low pathogenicity – is very important. Certain avian influenza virus subtypes, initially of low pathogenicity, can rapidly mutate (within 6 to 9 months) into a highly pathogenic subtype, if allowed to circulate in poultry populations.

Recommendations of the Advisory Committee on Immunization Practices (ACIP)
U.S. Department of Health & Human Services, Office of the Public Health Service Historian
U.S. Department of Health and Human Services
A Guide for Individuals and Families
U.S. Army Center for Health Promotion and Preventive Medicine
Recommendations of the Defense Health Board (DHB)
Recommendations of the Defense Health Board (DHB)
AFEB Select Subcommittee for DoD Pandemic Influenza Preparedness
Recommendations of the Armed Forces Epidemiological Board (AFEB)
Package Insert - Vaccine
Department of Health and Human Services
US Department of Health and Human Services & US Department of Homeland Security
Department of Health and Human Services
Department of Health and Human Services
Department of Health and Human Services
Flu.gov - One-stop access to U.S. Government H1N1, avian and pandemic flu information
Pandemic Flu Watchboard
Relenza
The Influenza of 1918 (Spanish Flu) and its effects on the US Navy
CBS News 09 Aug 12
CDC: 158 people infected with new strain of swine flu, up from 29 last week
CNN 31 Jul 12
Bird flu has jumped to baby seals, scientists discover
Author(s): Feighner BH, Chretien J, Murphy SP, Skora JF, Coberly JS, Dietz JE, Chaffee JL, Sikes ML, Mabee MJ, Russell BP, Gaydos JC
Publication: Military Medicine 174, 6:557, 2009
Subject: Threat
Disease: Influenza - Pandemic
Author(s): Bombardt J, Brown H
Publication: Institute for Defense Analysis
Subject: Threat
Disease: Influenza - Pandemic
Author(s): Planning Group
Publication: The National Academies
Subject: Disease
Disease: Influenza - Pandemic