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

Discussion List > Discussion: Prioritization in the Health Care and Community Support Services (HC/CSS) Group > Comment

COMMENT: Community Resiliency

Submitted by Catherine Jackie Mitchell on 12/5/07 2:42 PM

Community resiliency is also extremely important for recovery between waves and after the pandemic. Community involvement is crucial. This is why I would drop health care workers down on the list. They are important but not the end all, be all, to this situation. That being said, I am not demeaning their basic value to society as a whole.

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Won't health care workers naturally be exposed to pandemic flu through their jobs?

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

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