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D.5 Pandemic <br />The goal of the City of Redwood City (City) Influenza Pandemic Annex is to enhance the ability of City <br />officials to continue to deliver essential services through City departments during an influenza <br />pandemic/public health emergency and protect the health and welfare of its employees and their <br />families. <br />The Pandemic Annex seeks to ensure continuity of essential government services during a public health <br />emergency by achieving pre -designed coordination among City departments and the elected and <br />administrative authorities of the City. <br />SITUATION AND ASSUMPTIONS <br />An Influenza Pandemic may occur when a novel subtype of Influenza A emerges. Required conditions <br />regarding the virus include: <br />• Humans have no or little immunity <br />• Causes moderate to severe illness (virulence) <br />• Is transmittable easily from person to person (contagiousness) <br />• Vaccines to prevent the illness are not available. <br />Pandemic influenza occurred three times in the 20th century. In 1918 the subtype H1N1 (Spanish Flu) <br />emerged and caused a severe pandemic that is referred to as the deadliest disease event in human <br />history, with nearly 40 million deaths worldwide. In 1957 the emergence of influenza subtype H2N2 <br />(Asian Flu) caused 70,000 U.S. deaths, and in 1968 the emergence of H3N2 (Hong Kong Flu) caused an <br />estimated 34,000 U.S. deaths. Most public health experts agree that it is inevitable that an influenza <br />pandemic will occur again. <br />ASSUMPTIONS <br />The City Pandemic Influenza Plan is based on the following planning assumptions provided as guidance <br />by Federal, State and county public health authorities: <br />• A new pandemic will be due to a new subtype of Influenza A <br />• Emergence of a new subtype is inevitable <br />• The event will be global but the emergency will be local <br />• Seasonality cannot be predicted with certainty <br />• Susceptibility to the new subtype will be universal <br />• Efficient and sustained person-to-person transmission signals an imminent pandemic <br />• The virus will have the ability to spread worldwide <br />• A novel virus could first emerge anywhere but most likely to emerge in the Far East <br />• Planning should be geared towards the more severe scenario (1918 Model) <br />• The pandemic has the potential to overwhelm health care, hospitals, mortuary systems, <br />as well as disrupt commerce and economic activity <br />• Risk groups cannot be predicted with certainty <br />• Clinical disease attack rates are likely to be 30% or higher <br />D-22 <br />