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Listening to Communities-- Pandemic FAQ
Frequently Asked Questions
Q: What is Listening to Communities?
A: Listening to Communities is a project designed to help communities address the
threat of a global outbreak of influenza and its potential effects. It is based on the
assumption that local communities can best prepare for such an event when residents and
policymakers come together to share information, concerns and ideas.
Q: Is there a Listening to Communities event in my area?
A: Four town hall meetings are planned in Grant County, in Silver City, Cliff/Gila, the
tri-city area of Bayard, Santa Clara, and Hurley, and the Mimbres. For a complete list of
Q: Who are the sponsors of Listening to Communities?
A: Listening to Communities is a project of the New Mexico Department of Health and
the University of New Mexico Institute for Public Health, with local support from the
Grant County Community Health Council, the Grant County Office of Emergency
Management, Gila Regional Medical Center, and the Black Range Resource
Conservation and Development Council.
Q: How can I contact Listening to Communities?
Q: What is an influenza pandemic?
A: A pandemic is a global disease outbreak. An influenza pandemic occurs when a new
influenza A virus emerges for which there is little or no immunity in the human
population, begins to cause serious illness and then spreads easily person-to-person
worldwide.
Q: What’s the difference between pandemic influenza and the influenza that makes
people sick every year?
A: The seasonal flu is caused by a strain of influenza virus that changes slightly every
year. Because the virus has been circulating in the human population for many years,
most people have at least some immunity to it. Influenza pandemics occur when a new
strain of the influenza virus – no one will have immunity to it. If a pandemic influenza
virus emerges, it will spread globally, inevitably, and unstoppably. Every person in the
world would be susceptible. Measures such as border closures and travel restrictions
might delay arrival of the virus in some countries or cities, but it cannot be stopped.
Q: Is an influenza pandemic really going to happen, or is this all just hype?
A: Most experts agree that a pandemic is imminent. Right now, the most likely candidate
appears to be H5N1, the “bird flu” virus currently circulating in Asia.
Q: When will an influenza pandemic occur?
A: Scientists do not know exactly when a pandemic will occur, but most agree that one is
“imminent.” A pandemic may be a decade away, or it may occur during the next few
months or years.
Q: Can we stop a pandemic from occurring?
A: Vaccinating and culling birds, imposing travel restrictions and other actions may
delay or slow the spread of pandemic disease. But the reality of a coming pandemic
cannot be avoided. Only its impact can be lessened.
Q: Have there been other pandemics?
A: Ten influenza pandemics have occurred over the past 300 years. During the twentieth
century, three influenza pandemics occurred: one in 1918-1919, one in 1957-58 and the
last one in 1968-69. The 1918-19 pandemic killed 50 to 100 million people globally and
at least 650,000 people in the United States. The two later pandemics, which were
considered mild, killed several tens of thousands of Americans.
Q: Is the world prepared for a pandemic?
A: Some governments and international health agencies such as World Health
Organization have started to prepare for a pandemic, but much more needs to be done by
national, state, and local governments, institutions, businesses, and individuals.
Q: What would be the impact of a pandemic?
A: Today, with a population of 6.5 billion, more than three times that of 1918, even a
"mild" pandemic could kill many millions of people. The Centers for Disease Control
predicts that during a "medium-level epidemic" up to 207,000 Americans would die,
734,000 would be hospitalized, and about a third of the U.S. population would fall ill.
Direct medical costs would top $166 billion, not including the costs of vaccination. The
effects of a severe epidemic, such as one caused by an H5N1 avian influenza that is
transmittable from human to human, would be beyond imagination. Assuming a mortality
rate of 20 percent and 80 million illnesses, 16 million Americans could die. Globally,
especially in developing countries, the mortality rate would be much higher.
Q: Would New Mexico be affected?
A: Yes. All areas of the world would be affected. The Centers for Diseases Control
predicts that nearly one-third (432,438) of New Mexicans will fall ill. Of those, 14,504
people will be hospitalized, and 3,244 people will die during an influenza pandemic.
Q: How long might an influenza pandemic last?
A: No one knows exactly how long a pandemic might last, but estimates range from one
to three years. Pandemic disease tends to spread in waves, with each peak of illness
lasting up to three months.
Q: Who is most susceptible?
A: Usually influenza is most dangerous for the very young, the very old, and those with
compromised immune systems. But in pandemic influenza, people with the strongest
immune systems are the must vulnerable. More than half of the people killed in the 1918-
1919 pandemic were 18 to 40 years old and generally healthy. Pregnant women were also
extremely vulnerable. This occurs because of a virus-induced response of the victim's
immune system called a cytokine storm. The person’s immune system attempts to fight
the disease and in doing so severely damages the lungs, resulting in a condition called
acute respiratory distress syndrome (ARDS). Victims of H5N1 have also suffered from
cytokine storms.
Q: Will a flu shot protect me?
A: A flu shot will not protect you from a new strain of influenza. However, it’s a good
idea to get a flu shot, because it will help to reduce the risk that you will be infected with
both strains of influenza at the same time.
Q: Is there a vaccine for this new form of influenza?
A: Because vaccines need to “match” the virus, a vaccine cannot be developed until the
virus develops a form that allows it to pass rapidly from human to human. Scientists
estimate that it would take at least six to nine months after the beginning of a pandemic to
develop a vaccine. Even after a vaccine is developed, it’s likely to be in short supply.
Q: What about antiviral medications?
A: There’s no clinical evidence that current antiviral medications, including Tamiflu, are
effective against H5N1 strains of avian influenza. If available, these drugs will be in short
supply and their use will probably be limited to health-care providers.
Q: What can I do to protect myself?
A: Get a pneumonia shot and learn about good hygiene measures. In the 1957-58 and
1968-69 pandemics, the primary cause of death was secondary bacterial pneumonias that
infected lungs weakened by influenza. Although such bacterial infections can often be
treated by antibiotics, these drugs would be either unavailable or in short supply for much
of the global population during a pandemic.
Q: What can I do to prepare?
A: Currently, public health experts recommend that people practice “social isolation,”
which means being ready to stay home and avoid contact with others during each wave of
pandemic illness. That could last as long as three months at a time. Stock up on enough
food to feed each person in your household for about three months. Choose foods that
will last, such as rice, beans, canned and dried goods. Ask your doctor about getting a
supply of any medications you take regularly.
Q: What if someone in my household gets sick?
A: Be prepared to care for people in the home. Health-care systems are likely to be
overwhelmed. Stock up on over-the-counter medications such as acetaminophen
(Tylenol) and ibuprofen (Advil). Purchase a supply of personal protective equipment,
including N95 masks, surgical masks, gloves, and goggles. For more information about
caring for any flu patient at home, see the Listening to Communities Guide to Home
Care (To come!).
Q: How might an influenza pandemic affect my community?
A: An influenza pandemic will affect every sector of our communities. Health-care
systems will be overloaded and medical supplies inadequate. Schools and businesses will
close and events will be cancelled. Supplies – including food, over-the-counter medicines
and medicines for chronic diseases, will be difficult to obtain. Services such as water,
gas, and electricity may be cut off.
Q: How might an influenza pandemic affect the world?
A: Some countries might impose quarantines or close borders and airports. Such closures
would interrupt trade, travel, and productivity, but scientists generally agree that they
would do little to stop the spread of influenza. Stock markets worldwide would drop
dramatically. Pandemic disease would also affect local and global security, as police and
armed forces also fall ill.
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