Community Challenge of Pandemic Influenza. Michael P. Dailey, M.D., FACP North Fulton Regional Hospital Roswell, GA. Pandemic Influenza. Bird Flu Strikes Florida. The Question. Why worry about pandemic influenza?. The Answer. Flu Terms. Seasonal flu – influenza like illness year to year
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Michael P. Dailey, M.D., FACP
North Fulton Regional Hospital
Monto et al Arch Int Med 2000;160:3243-3247
-cluster of human cases associated with poultry
Claas et al Lancet 1998;351:472
-outbreaks in 8 Asian countries
Ungchusak et al NEJM 2005;352:333
Kandun et al NEJM 2006;355:2186
Medical Care Groups
The central issue for pandemic healthcare is how to respond to the loss of our most critical asset, the hospital.
How do we evaluate care needs in such a circumstance?
Hosker et al BMJ 1994; 308:701
VanNieuwenhoven et al Eur J App Phys 2000;83:578
Maloney et al Chest 2002;121:1806
Shah et al J Coll Physicians Surg Pak 2004;14:14
Dehydration and/or renal dysfunction occurs on 24 to 35% of hospital admissions for influenza
Save 360 with urgent care vs.
25 by critical care (i.e. > 10:1)