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The WHO has proposed a number of measures in case of an influenza pandemic: recommendations on personal hygiene, quarantine, travel restrictions, closure of schools and other public gatherings [ 9, 10].
Although exposures to these medications are likely to be rare in the pre-pandemic period, collection of data on these exposures in a pregnancy registry, as has been used to collect data on other rare exposures (35 ), could provide important data to guide pandemic recommendations.
Therefore, a decision to close a school must be made under considerable uncertainty and, because information about virulence of a viral strain only becomes available during the course of the pandemic, recommendations about the need for school closures are likely to change as the pandemic progresses.
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Despite publication of numerous pandemic planning recommendations, little or no guidance has been available about this topic.
Despite publication of numerous pandemic planning recommendations, little or no specific guidance about the types of items and quantities of supplies needed has been available.
These strategies may include working with employers to ensure work-from-home or sick leave capabilities for nonessential employees and planning to provide state or federal supplementary income support and job protection for workers who would not be paid if they missed work because of official pandemic mitigation recommendations.
The data collection form contained questions about school closure during seasonal influenza epidemics and in pre-pandemic plans, recommendations, decision making and extent of school closure during the A(H1N1 pdm09 pandemic.
The Report of the Ebola Interim Assessment Panel, led by Barbara Stocking, noted that a similar review done after the 2009 influenza pandemic also made recommendations to reform the IHR; if those had been implemented, "the global community would have been in a far better position to face the Ebola crisis," the review said.
While still being in an inter-pandemic stage, nations plan for pandemic contingency following recommendations of the WHO [ 1, 2].
In the pandemic alert period, recommendations include isolation of patients and quarantine of contacts, accompanied by antiviral therapy.
However, the general increased awareness related to the A (H1N1 2009 pandemic, and specific recommendations from Portuguese health authorities to vaccinate children may have affected seasonal vaccine uptake.
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