DISCUSSION: Prioritization in the Health Care and Community Support Services (HC/CSS) Group

COMMENT THREAD

• Health Care personnel exposure, why vaccinate those who've recovered?
  

  Submitted by Brant Goode   on 12/5/07 07:18 AM

  • doesn't make sense to use antivirals for weeks as preventative
    

    Submitted by Caroline Bridgers on 12/5/07 07:38 AM

    • great comments
      

      Submitted by Terry Adirim   on 12/5/07 08:03 AM

      • I thought there was a test
        

        Submitted by Caroline Bridgers on 12/5/07 08:44 AM

      • disagree with prophylaxis use of Tami
        

        Submitted by Roy Kamen on 12/5/07 09:09 AM

        • use of antivirals for H5N1
          

          Submitted by eric kelley on 12/5/07 10:37 AM

          • Tamiflu used successfully in Indonesia and Egypt.
            

            Submitted by Roy Kamen on 12/5/07 10:40 AM

            • Will The Tamiflu Blankets hold?
              

              Submitted by Roy Kamen on 12/5/07 10:44 AM

            • Will The Tamiflu Blankets hold?
              

              Submitted by Roy Kamen on 12/5/07 11:15 AM

            • sorry double post.
              

              Submitted by Roy Kamen on 12/5/07 11:16 AM

            • Tamiflu use
              

              Submitted by eric kelley on 12/5/07 01:23 PM

  • OSHA can't figure this out for for personal protective equipment
    

    Submitted by Nick Kelley on 12/5/07 09:02 AM

    • Interesting conversation - but is it On-track?
      

      Submitted by Nicholas Dewar   on 12/5/07 10:09 AM

      • Hard to seperate
        

        Submitted by Nick Kelley on 12/5/07 11:22 AM

  • Verifying immunity to virus
    

    Submitted by Sharon Hutchins on 12/5/07 10:16 AM

    • A high attack rate/ case fatality rate scenario
      

      Submitted by Catherine Jackie Mitchell on 12/5/07 10:25 AM

      • high priority for infrastructure
        

        Submitted by Roy Kamen on 12/5/07 10:38 AM

        • but also
          

          Submitted by Catherine Jackie Mitchell on 12/5/07 11:02 AM

          • Agreed
            

            Submitted by Roy Kamen on 12/5/07 11:17 AM

        • NG cannot keep the lights on
          

          Submitted by larry wright on 12/5/07 01:30 PM

• Healthcare and vaccination
  

  Submitted by Joel Palmer on 12/5/07 07:24 AM

  • Healthcare and vaccination
    

    Submitted by Victoria Davey   on 12/5/07 07:38 AM

    • Won't we have tests to determine who has been infected?
      

      Submitted by Caroline Bridgers on 12/5/07 07:59 AM

      • Won't we have tests to determine who is infected?
        

        Submitted by Victoria Davey   on 12/5/07 08:27 AM

      • Tests to document immunity from infection or vaccine
        

        Submitted by Brant Goode   on 12/5/07 08:33 AM

        • Don't assume the infected cannot be reinfected
          

          Submitted by Katharine Fisher on 12/6/07 07:14 AM

  • HCWs acquiring and treated for influenza during pandemic.
    

    Submitted by Mona Wenger on 12/5/07 09:03 AM

    • H5N1 patients recovering
      

      Submitted by Cindy Deutsch on 12/5/07 01:42 PM

      • The virus is more than a respiratory illness
        

        Submitted by Roy Kamen on 12/5/07 02:11 PM

  • recovered individuals in the most exposure-heavy positions
    

    Submitted by Antanina Perricone on 12/6/07 10:34 AM

• not only health care workers, but first responders
  

  Submitted by Tanya Silva on 12/5/07 07:59 AM

  • Vaccination of HCW's and First Responders
    

    Submitted by Karen Rose on 12/5/07 08:08 AM

    • mutation and subsequent waves
      

      Submitted by Catherine Jackie Mitchell on 12/5/07 08:12 AM

      • not necessarily
        

        Submitted by Roy Kamen on 12/5/07 09:15 AM

        • yes but would the CFR drop
          

          Submitted by Catherine Jackie Mitchell on 12/5/07 09:21 AM

          • Worth pursuing
            

            Submitted by Karen Rose on 12/5/07 10:14 AM

          • CFR in subsequent waves
            

            Submitted by Cindy Deutsch on 12/5/07 01:29 PM

        • Will first vaccine work against subsequent waves?
          

          Submitted by Sharon Hutchins on 12/5/07 10:22 AM

          • non-vaccine options
            

            Submitted by Allison Merrick on 12/5/07 10:40 AM

            • non-vaccine containment
              

              Submitted by Sharon Hutchins on 12/5/07 10:49 AM

          • Will first vaccine work against subsequent waves?
            

            Submitted by Glenda Ford-Lee on 12/6/07 06:41 AM

      • Re: mutation and subsequent waves
        

        Submitted by Karen Rose on 12/5/07 09:24 AM

        • How does this immunity affect the prioritization proposed in the Guidance?
          

          Submitted by Nicholas Dewar   on 12/5/07 10:13 AM

          • Back to the thread
            

            Submitted by Karen Rose on 12/5/07 10:17 AM

          • No one has mentioned Non-Clinical hospital staff yet
            

            Submitted by Susan Webb on 12/5/07 12:01 PM

            • So which tier would you put them in?
              

              Submitted by Nicholas Dewar   on 12/5/07 12:31 PM

              • Include a small percentage of Non-Clinical hospital workers in Tier 1
                

                Submitted by Susan Webb on 12/5/07 12:43 PM

            • Front Line Workers
              

              Submitted by Glenda Ford-Lee on 12/6/07 06:38 AM

          • How does this immunity affect the prioritization proposed in the
            

            Submitted by Glenda Ford-Lee on 12/6/07 06:44 AM

      • How long is someone protected from subsequent infections with mutated strains?
        

        Submitted by Brant Goode   on 12/5/07 10:38 AM

    • protection against mutated strains--need to revax front line workers?
      

      Submitted by Brant Goode   on 12/5/07 10:20 AM

    • can we predict whether vaccine would be effective in 2nd and subsequent waves of a pandemic?
      

      Submitted by Victoria Davey   on 12/5/07 10:26 AM

• What if anti-virals are not provided or not effective to treat strain?
  

  Submitted by Debra Mattas on 12/5/07 08:13 AM

  • What if anti-virals are not provided or not effective to treat strain?
    

    Submitted by Eleanor Peters   on 12/5/07 08:30 AM

    • hedge our bets
      

      Submitted by Roy Kamen on 12/5/07 09:13 AM

      • When the Stores Reopen
        

        Submitted by Glenda Ford-Lee on 12/6/07 06:48 AM

    • Anti-virals for Volunteers
      

      Submitted by Bill Pritchard on 12/5/07 09:18 AM

  • I was not suggesting exclusing health care workers
    

    Submitted by Caroline Bridgers on 12/5/07 10:11 AM

    • Can you frame comments in this thread as proposals for changes to the Guidance?
      

      Submitted by Nicholas Dewar   on 12/5/07 10:17 AM

      • Testing before vaccination
        

        Submitted by Karen Rose on 12/5/07 10:25 AM

        • Thanks: that framing is helpful
          

          Submitted by Nicholas Dewar   on 12/5/07 10:31 AM

      • prioritization for those who have immunity
        

        Submitted by Caroline Bridgers on 12/5/07 01:30 PM

        • Excellent Idea
          

          Submitted by Catherine Jackie Mitchell on 12/6/07 05:16 AM

  • health care workers treating the public
    

    Submitted by Catherine Jackie Mitchell on 12/5/07 11:14 AM

    • So how would you change the prioritization to handle this?
      

      Submitted by Nicholas Dewar   on 12/5/07 12:36 PM

      • General Population involved in mitigation
        

        Submitted by Catherine Jackie Mitchell on 12/5/07 02:39 PM

        • Community Resiliency
          

          Submitted by Catherine Jackie Mitchell on 12/5/07 02:42 PM

          • HCW's and First Responders Key to Survival
            

            Submitted by Karen Rose on 12/5/07 03:21 PM

• N95 protective equipment
  

  Submitted by eric kelley on 12/5/07 10:29 AM

  • Please explain codes and Acronyms
    

    Submitted by Nicholas Dewar   on 12/5/07 10:34 AM

    • Explaining codes and acronyms
      

      Submitted by eric kelley on 12/5/07 01:48 PM

  • Effectiveness of PPE
    

    Submitted by Karen Rose on 12/5/07 12:04 PM

    • PPE's and being off the subject material
      

      Submitted by eric kelley on 12/5/07 01:30 PM

  • Healthcare Workers and SARS
    

    Submitted by Glenda Ford-Lee on 12/6/07 06:30 AM

• Healthcare Workers and SARS
  

  Submitted by Glenda Ford-Lee on 12/6/07 06:06 AM