Several US Government entities have compiled recommendations for family
safety in the event of an influenza pandemic striking the United States.
From US Dept of Health & Human Services report "Mass Medical Care with
Scarce Resources"
"Indeed, it is likely that the
vast majority of victims of an MCE may end up being most appropriately
managed in the home setting, either because their illness or injury is
not severe enough to warrant institutionalized care or because the
successful outcome of such inpatient treatment in the setting of scarce
and limited resources would be considered futile and potentially
wasteful.
Many view the community hospital as a "safe haven," a place to go for
food, shelter, protection, and medical attention. However, particularly
in the event of a transmissible infectious disease in which hospitalized
patients represent the sickest patients in the community, the concept of
"safe haven" may not be applicable. In fact, it may be more
dangerous to be in the hospital setting than to remain at home. It is important for
community planners to highlight the concept of the home as a "safe
haven" in their risk communication strategies and develop measures to
support this concept. Emergency planners, therefore, must incorporate
the likelihood of home care delivery in all aspects of their planning
efforts. This planning must focus on the possibility that some
rudimentary degree of medical care will need to be delivered in the home
setting, often with limited outside professional assistance.
Incorporating Home Care Into Emergency Planning: Issues to Consider
Register patients being cared for in the home setting with a local
emergency management agency and the public health department to ensure
access to relevant information.
Ensure adequate stock of routine, chronic care medications.
Ensure adequate stock of
basic first aid supplies, including but not
limited to bandages, antipyretic medications (acetaminophen, ibuprofen),
oral electrolyte solutions, and thermometers.
Establish a "sick room" in the home for the primary management of ill
household members, particularly in the event of a transmissible
infectious disease.
In the event of caring for patients with advanced symptoms "too sick"
for hospital care, coordinate symptom palliation with a home care team
coordinated by local public health authorities.
From " The National Strategy for Pandemic Influenza" report from the
White House
Individuals and Families
The critical role of individuals and families in controlling a pandemic
cannot be overstated. Modeling of the transmission of influenza vividly
illustrates the impact of one individual’s behavior on the spread of
disease, by showing that an infection carried by one person can be
transmitted to tens or hundreds of others. For this reason, individual
action is perhaps the most important element of pandemic preparedness
and response.
Education on pandemic preparedness for the population should begin
before a pandemic, should be provided by all levels of government and
the private sector, and should occur in the context of preventing the
transmission of any infection, such as the annual influenza or the
common cold.
Responsibilities of the individual and families include:
Keeping supplies of materials at home, as recommended by authorities, to
support essential needs of the household for several days if necessary.
Taking precautions to prevent the spread of infection to others if an
individual or a family member has symptoms of influenza.
Being prepared to follow public health guidance that may include
limitation of attendance at public gatherings and non-essential travel
for several days or weeks.