Scenario 1: Wild Bird H5N1 Infection Discovered in U.S.
1-1. What is bird flu? [messages drafted 110605]
1-2. How certain are you about this information? [messages drafted 110605]
1-3. What is the worst-case scenario? [messages drafted 110605]
1-4. Are people in danger?
1-5. What should people be doing now to prepare for the worst?
1-6. What is being done to keep H5N1 from becoming human pandemic influenza?
1-7. How can people protect themselves?
1-8. What can we expect to happen next?
1-9 What advice do you have for bird hunters?
1-10. What advice do you have for people who have pet birds?
1-11. What advice do you have for operators of commercial poultry flocks?
1-11. What are the symptoms of bird flu in birds?
1-12. What should a person do if they find a dead bird?
1-13. Is this the start of a pandemic?
1-14. What are you doing to protect commercial flocks?
1-15. What is being done in response to what happened?
1-16. What do you plan to do next to address this?
1-17. Who is in charge?
1-18. Who else is involved in the response?
1-19. How did the bird get here?
1-20. Do you expect to find more cases?
1-21. Would you describe the situation as under control?
1-22 What can I do to protect my family?
1-23 What foods (meats) should I avoid?
1-24 What can I do to protect my pets?
WHO PANDEMIC ALERT PHASES 3, 4, or 5
Scenario 2: Commercial Poultry H5N1 Infection Discovered in U.S.
1-1. Are people in danger?
1-2. What should people be doing now to prepare for the worst?
1-3. What is being done to keep H5N1 from becoming human pandemic influenza?
1-4. Is it safe to eat birds bought at stores?
1-5. Is it safe to clean and eat wild birds?
1-6. What can we expect to happen next?
1-7 What advice do you have for bird hunters?
1-8. What advice do you have for people who have pet birds?
1-9. What advice do you have for operators of other commercial poultry flocks?
1-10. What are the symptoms of bird flu in birds?
1-11. What should a person do if they find a dead bird?
1-12. Is this the start of a pandemic?
1-13. What are you doing to protect other commercial flocks?
1-14. What is being done in response to what happened?
1-15. What do you plan to do next to address this?
1-16. Who is in charge?
1-17. Who else is involved in the response?
1-18. How did the bird get the disease?
1-19. Do you expect to find more flocks infected?
1-20. Will people who have their flocks destroyed be reimbursed? By whom?
1-21. What is being done to protect poultry workers?
1-22. Would you describe the situation as under control?
1-23 What do you expect the economic impacts of this to be?
WHO PANDEMIC ALERT PHASES 3, 4, or 5
Scenario 3a. Confirmed Human-to-Human Transmission of H5N1 Influenza Somewhere in the World
The Disease
D-1. Does this mean an influenza pandemic has started?
D-2. How long will it take for this new virus to reach the U.S.?
D-3. What is the worst-case scenario?
D-4. How sure are you about this information?
D-5. How is this different from the bird flu virus that’s been present?
D-6. How is the disease transmitted from one person to another?
D-7 Could this be a false alarm?
D-8. Is this as bad as the 1918 influenza?
D-9. How would this disease be likely to get to the U.S.?
D-10. Could this have been prevented?
Response
R-1. What is being done to control the spread of the disease?
R-2. What is HHS doing about this new form of the disease?
R-3. What are other parts of the U.S. government doing about this new virus?
R-4. What are other countries doing about this new virus?
R-5. How effective do you expect the control measures to be?
R-6. What will happen if control measures don’t work?
R-7. What travel restrictions are you advising or ordering?
R-8. Is a vaccine being made to protect people against this new virus?
R-9. How long will it take before there is enough vaccine for everyone in the U.S.?
R-10. What makes you think the control measures will work?
R-11. Can this disease be treated?
R-12. What laboratory testing is being done to confirm this new disease?
R-13. What research is being done to study this new form of the virus?
R-14. Are there adequate supplies of medicine to control the outbreak?
R-15. How will supplies to control the outbreak get to the right place?
R-16. What will you do if the control measures fail?
R-17. What will be done to protect U.S. borders to keep this disease from getting in?
Preparation
P-1. What is the U.S. government doing to prepare for the disease here?
P-2. How prepared is the U.S. for emergence of this new form of the virus?
P-3. How worried should people be?
P-4. What should the public be doing?
WHO PANDEMIC ALERT PHASE 6
Scenario 3b: Asian Influenza Outbreak in People—There are now hundreds of current, confirmed cases of a new influenza virus in an Asian country.
3-1. Would you describe the situation as under control? [messages drafted 110605]
3-2. How worried should people be? [messages drafted 110605]
3-3. What can we expect next? [messages drafted 110605]
3-4. What should people be doing now to prepare for the worst?
3-5. Can people travel from the U.S. to Asia?
3.6. Will you close the borders?
3-7. What is being done to keep this disease out of the U.S.?
3-8. What are the symptoms of this disease?
3-9. What should someone do if they think they have this disease?
3-10 Is this pandemic influenza?
3-11. What is being done?
3-12. What do you plan to do next to address this?
3-13. Who is in charge?
3-14. Who else is involved in the response?
3-15. Do you expect this disease to get to people in the U.S.?
3-16. What will you do if someone in the U.S. is diagnosed with this disease?
3-17. What is being done about vaccine development and production for this disease?
3-18. How are antiviral medicines being used in the U.S. now to address this?
3-19. Will the U.S. provide antiviral medicines from the U.S. stockpile to the affected countries?
3-20. Could this have been prevented?
WHO PANDEMIC ALERT PHASE 6
Scenario 4: General Transmission (WHO Phase 6.1) —There is increased and sustained transmission of a new influenza virus in the general population in the U.S.
4-1. How much of our limited resources can we share? [messages drafted 110605]
4-2. Overarching message [messages drafted 110605]
4-3. What are you doing to protect your family? [messages drafted 110605]
4-4. What should people know now?
4-5. What should people be doing now?
4-6. How long will this go on?
4-7 How are you working to adjust your plan to the current circumstances?
4-8. What can people do to protect themselves?
4-9. What is the federal government doing to address the overwhelming of the health care system?
4-10. How many people will get the disease in the U.S.? How many will die?
4-11. What are the current travel restrictions?
4-12. What should someone do if they think they have this disease?
4-13. What is being done?
4-14. What do you plan to do next?
4-15. Who is in charge?
4-16. Who else is involved in the response?
4-17. What is being done about a vaccine for this disease?
4-18. Who is getting antiviral medicines?
4-19. What support can you provide to states and cities?
4-20. Could this have been prevented?
4-21. How effective do think quarantine, isolation, and travel restrictions will be in controlling the disease?
