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World Health Organization (WHO)
Pandemic Alert
 

CDC Tracking - U.S. Human Cases
of H1N1 Flu Infection (Swine Flu)



Pandemic Alert
In the 2009 revision of the phase descriptions, the World Health Organization (WHO) has retained the use of a six-phased approach
for easy incorporation of new recommendations and approaches into existing national preparedness and response plans. The grouping
and description of pandemic phases have been revised to make them easier to understand, more precise, and based upon observable phenomena. Phases 1–3 correlate with preparedness, including capacity development and response planning activities, while Phases
4–6 clearly signal the need for response and mitigation efforts. Furthermore, periods after the first pandemic wave are elaborated to
facilitate post pandemic recovery activities.

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WHO - Phases of Pandemic Alerts http://www.who.int/csr/disease/avian_influenza/phase/en/

WHO - Pandemic Preparedness
http://www.who.int/csr/disease/influenza/pandemic/en/index.html

PandemicFlu.gov - Swine Influenza (H1N1) Information
http://www.pandemicflu.gov/

 
  Phase 1- 3
In nature, influenza viruses circulate continuously among animals, especially birds. Even though such viruses might theoretically
develop into pandemic viruses, in Phase 1 no viruses circulating among animals have been reported to cause infections in humans.

In Phase 2 an animal influenza virus circulating among domesticated or wild animals is known to have caused infection in humans,
and is therefore considered a potential pandemic threat.

In Phase 3, an animal or human-animal influenza reassortant virus has caused sporadic cases or small clusters of disease in people,
but has not resulted in human-to-human transmission sufficient to sustain community-level outbreaks. Limited human-to-human
transmission may occur under some circumstances, for example, when there is close contact between an infected person and an unprotected caregiver. However, limited transmission under such restricted circumstances does not indicate that the virus has gained
the level of transmissibility among humans necessary to cause a pandemic.

 
 
 
 
Phase 4 is characterized by verified human-to-human transmission of an animal or human-animal influenza reassortant virus able
to cause “community-level outbreaks.” The ability to cause sustained disease outbreaks in a community marks a significant upwards
shift in the risk for a pandemic. Any country that suspects or has verified such an event should urgently consult with WHO so that the situation can be jointly assessed and a decision made by the affected country if implementation of a rapid pandemic containment
operation is warranted. Phase 4 indicates a significant increase in risk of a pandemic but does not necessarily mean that a pandemic is a forgone conclusion.
 
 
 
  Phase 5 is characterized by human-to-human spread of the virus into at least two countries in one WHO region. While most countries will not be affected at this stage, the declaration of Phase 5 is a strong signal that a pandemic is imminent and that the time to finalize the organization, communication, and implementation of the planned mitigation measures is short.

 
 
 
  Phase 6, the pandemic phase, is characterized by community level outbreaks in at least one other country in a different WHO region in addition to the criteria defined in Phase 5. Designation of this phase will indicate that a global pandemic is under way.
WHO Reference Page >

 
 

Assessing the Pandemic Threat

 
 
 
     
 
 
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