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A National Framework For Responding To An Influenza Pandemic

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LIST OF ABBREVIATIONS AND TERMS USED

ABBREVIATIONS

ACDP

Advisory Committee on Dangerous Pathogens

A/H5 N1

A highly pathogenic avian influenza virus

BIS

British Infection Society

BTS

British Thoracic Society

CCA

Civil Contingencies Act 2004

CCC

Civil Contingencies Committee

CCO

Civil Contingencies Committee Officials

CPHM

Consultant in Public Health Medicine

CCS

Civil Contingencies Secretariat

CfI

HPA Centre for Infections

CMO

Chief Medical Officer(s)

COBR

Cabinet Office Briefing Room

COI

Central Office of Information

COSHH

Control of Substances Hazardous to Health (Regulations) 2002

DAs

Devolved Administration(s)

DCLG

Department for Communities and Local Government

Defra

Department of Environment, Food and Rural Affairs

DfES

Department for Education and Skills

DFID

Department for International Development

DPH

Director of Public Health

EC

European Commission

ECDC

European Centre for Disease Prevention and Control

EISS

European Influenza Surveillance Scheme

EMEA

European Agency for Evaluation of Medicinal Products

EU

European Union

EWRS

Early Warning and Response System ( of European network)

FAO

United Nations Food and Agriculture Organisation

FCO

Foreign and Commonwealth Office

FDA

Food and Drug Administration ( US)

FFP

International normative standard for respirators

FSA

Financial Services Authority

GDP

Gross Domestic Product

GHSAG

Global Health Security Action Group

GP

General Medical Practitioner

HB

Local Health Board

HDU

High Dependency Unit in acute hospitals

HPA

Health Protection Agency

HPAI

High Pathogenic Avian Influenza

HPS

Health Protection Scotland

HSE

Health and Safety Executive

ICT

Infection Control Team

ICU

Intensive Care Unit

IHRs

International Health Regulations (2005)

ITU

Intensive Therapy Unit

LA

Local Authority

LGD

Local Government Departments

LPAI

Low Pathogenic Avian Influenza

LRF (s)

Local Resilience Forum(s)

MISC

Ministerial Committee

MRC

Medical Research Council

MS

Member States

NCC

Government News Co-ordination Centre

NCL

National Collaborating Laboratories

NEPNI

National Expert Panel on New and Emerging Infections

NHS

National Health Service

NHS Direct

NHS Direct Wales

National Health Service telephone helplines

NHS 24 (Scotland)

NIBSC

National Institute for Biological Standards and Control

NIMR

National Institute for Medical Research

NIRL

National Influenza Reference Laboratory

OGDs

Other Government Departments

OIE

World Organisation for Animal Health

PPE

Personal Protective Equipment

Ro

Basic Reproduction Number

SAG

Scientific Advisory Group

SARS

Severe Acute Respiratory Syndrome

SE

Scottish Executive

SE

Scottish Executive Environment & Rural Affairs Department

SEHD

Scottish Executive Health Department

SEJD

Scottish Executive Justice Department

SI

Situation Report

UK

United Kingdom

UK

United Kingdom National Influenza Pandemic Committee

US

United States of America

VLA

Veterinary Laboratories Agency

WHO

World Health Organisation

DEFINITION OF TERMS

Antiviral medicine

Type of medicine used to treat influenza

Attack rate

Cumulative incidence rate of people infected observed for limited periods under special circumstances, such as during an epidemic

Asymptomatic

Infected but no symptoms

Case fatality rate

Proportion of individuals contracting a disease who die from it

Clinical attack rate

The cumulative incidence rate of people showing symptoms

Containment

Measures to limit the spread of infection and restrict an outbreak to the affected area(s)

Countermeasures

Measures to counter the effect of the illness/infection

Epidemic

A disease attacking or affecting many individuals in a community or a population simultaneously

Epidemiology

The study of the patterns, causes and control of disease in groups of people

Epidemiological Models

Consideration of how the disease will spread and the effectiveness of countermeasures

Exit/entry

Surveillance to detect individuals who develop signs of

Screening

illness (influenza) whilst exiting or entering the country

Hand hygiene

Hand washing with soap and water to remove dirt and germs or use of alcohol based products containing an emollient that do not require the use of water

Infectivity

The potential for a given micro-organism to cause an infection i.e. the ability of the organism to enter, survive and multiply in people/ the proportion of exposures to infection that result in disease

Isolation

Separation of individuals infected with a communicable disease from those who are not in order to prevent further spread

Modelling(risk)

Mapping out a range of possible risks to suggest which responses are robust over the range of uncertainty

'Operational' models

The mechanics of how countermeasures can be implemented

Outbreak

Sudden appearance, or increase, of a disease in a specific geographic area or population. An epidemic limited to localised increase in the incidence of disease, e.g. in a village, town, or closed institution; a cluster of cases of an infectious disease

Pandemic

A worldwide epidemic when a new or novel strain of influenza virus emerges to which people have little or no immunity, which develops the ability to infect and be passed between humans

Pathogenic

The ability to cause disease

Prophylaxis

Prevention of disease or of a process that can lead to disease. With respect to pandemic influenza this specifically refers to the administration of antiviral or other medicines or vaccines to healthy individuals to prevent influenza

Quarantine

Separation of those who have been exposed to a communicable infection but are not yet ill from others who have not been exposed to the infection in order to prevent further spread

Re-assortment

The fragmentation and reassembly of the genetic material of two similar viruses infecting the same cell to produce a new virus strain

Respirator

A face mask incorporating a filter. In this document it implies a particulate respirator, usually of a disposable type and often used in hospital to protect against inhaling infectious agents. Particulate respirators are 'air-purifying respirators' because they clean particles out of the air as one breathes

Segregation

Separation from others (in this case influenza cases from non influenza cases)

Social distancing

Infection control strategies that reduce the duration and/or the intimacy of social contacts and thereby limit the transmission of influenza

Surge capacity

The ability to expand provision beyond normal capacity to meet transient increases in demand, e.g. to provide care or services above usual capacity, or to expand manufacturing capacity to meet increased demand

Surgical mask

Disposable face masks that provide a physical barrier but no filtration

Surveillance

Close and continuous observation or testing. Monitoring health and disease in a population by collecting and using health data

Symptomatic

Showing symptoms/indications of disease or illness

Transmission

Process of the spread of a disease through a population.

Treatment course

A course of medicines prescribed as treatment (not prophylaxis) for a person infected

Viraemia

Refers to the existence of viruses or viral particles in the bloodstream

Virulence

The ability of a micro-organism to cause disease

Wave

The period during which an outbreak or epidemic occurs either within a community or aggregated across a larger geographical area. The disease wave includes the time during which the disease occurrence increase rapidly, peaks, and declines back towards baseline.

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Page updated: Thursday, March 15, 2007