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First published online November 1, 2012

Selecting Nonpharmaceutical Strategies to Minimize Influenza Spread: The 2009 Influenza A (H1N1) Pandemic and beyond

Abstract

Shortly after the influenza A (H1N1) 2009 pandemic began, the U.S. government provided guidance to state and local authorities to assist decision-making for the use of nonpharmaceutical strategies to minimize influenza spread. This guidance included recommendations for flexible decision-making based on outbreak severity, and it allowed for uncertainty and course correction as the pandemic progressed. These recommendations build on a foundation of local, collaborative planning and posit a series of questions regarding epidemiology, the impact on the health-care system, and locally determined feasibility and acceptability of nonpharmaceutical strategies. This article describes recommendations and key questions for decision makers.

References

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Article first published online: November 1, 2012
Issue published: November-December 2012

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© 2012 US Surgeon General's Office.
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PubMed: 23115381

Authors

Affiliations

Lisa C. Barrios, MS, DrPH
Centers for Disease Control and Prevention, Division of Adolescent and School Health, Research Application and Evaluation Branch, Atlanta, GA
Lisa M. Koonin, MN, MPH
Centers for Disease Control and Prevention, Office of Infectious Diseases, Influenza Coordination Unit, Atlanta, GA
Katrin S. Kohl, MD, MPH, PhD
Centers for Disease Control and Prevention, Division of Global Migration and Quarantine, Atlanta, GA
Martin Cetron, MD
Centers for Disease Control and Prevention, Division of Global Migration and Quarantine, Atlanta, GA

Notes

Address correspondence to: Lisa C. Barrios, MS, DrPH, Centers for Disease Control and Prevention, Division of Adolescent and School Health, Research Application and Evaluation Branch, 4770 Buford Hwy. NE, MS K-12, Atlanta, GA 30033; tel. 770-488-6172; fax 770-488-5771; e-mail <[email protected]>

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