Do you have a pandemic influenza plan? KCER, Swine Flu, and You.

The CMS Conditions for Coverage (link) require that all dialysis facilities have a plan for emergencies - including pandemic influenza. The KCER Pandemic Preparedness Response Team has developed resources for dialysis facilities and patients to create and support facility emergency plans. These tools are free and available on www.kcercoalition.com.

Even if your state does not have any cases of swine flu, it is critical to monitor local media and government agencies, and follow the CDC guidelines for "What You Can Do to Stay Healthy." Facilities should read theInterim Guidance for Clinicians & Public Health Professionals at http://cdc.gov/swineflu/guidance/ and maintain contact with their local ESRD Network for information specific to the area.

Each state follows different policies and procedures in the reporting and testing of suspected cases. Check to see if your state department of health has a swine flu hotline for general information.

Facilities should educate their staff and patients on swine flu and what they can do to stay healthy. The CDC recommends:

Stay informed. The CDC website will be updated regularly as information becomes available.

Influenza is thought to spread mainly person-to-person through coughing or sneezing of infected people.

Take everyday actions to stay healthy.

• Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.
• Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hands cleaners are also effective.
• Avoid touching your eyes, nose or mouth. Germs spread that way.Stay home if you get sick. CDC recommends that you stay home from work or school and limit contact with others to keep from infecting them.

Follow public health advice regarding school closures, avoiding crowds and other social distancing measures.

Develop a family emergency plan as a precaution. This should include storing a supply of food, medicines, facemasks, alcohol-based hand rubs and other essential supplies.

Call 1-800-CDC-INFO for more information.

Visit www.ready.gov for more information on developing a family plan.

ATTENTION!!! "Surviving the Storm: Disasters & Dialysis" POSTPONED DUE TO EMERGENCY RESPONSE

The Kidney Community Emergency Response Coalition (KCER) has decided to postpone SURVIVING THE STORM: DISASTERS AND DIALYSIS scheduled for Monday, May 4 in Dallas, Texas; and the KCER Strategic Planning Committee Meeting (May 5, Dallas, Texas) due the ongoing swine flu outbreaks.

We apologize for the incovnenience. Please stay tuned to www.kcercoalition.com for more information about the meeting. All registered participants will be notified of rescheduling plans. Thank you for your support of the KCER Coalition!

Swine Flu: 91 cases, 1 death confirmed by the CDC

There are everyday actions people can take to stay healthy.

• Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.
• Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hands cleaners are also effective.
• Avoid touching your eyes, nose or mouth. Germs spread that way.

Try to avoid close contact with sick people.

• Influenza is thought to spread mainly person-to-person through coughing or sneezing of infected people.
• If you get sick, CDC recommends that you stay home from work or school and limit contact with others to keep from infecting them.

WORLD HEALTH ORGANIZATION Swine influenza - update 4

28 April 2009--The situation continues to evolve rapidly. As of 19:15 GMT, 28 April 2009, seven countries have officially reported cases of swine influenza A/H1N1 infection. The United States Government has reported 64 laboratory confirmed human cases, with no deaths. Mexico has reported 26 confirmed human cases of infection including seven deaths.
The following countries have reported laboratory confirmed cases with no deaths - Canada (6), New Zealand (3), the United Kingdom (2), Israel (2) and Spain (2).

Further information on the situation will be available on the WHO website on a regular basis.
WHO advises no restriction of regular travel or closure of borders. It is considered prudent for people who are ill to delay international travel and for people developing symptoms following international travel to seek medical attention, in line with guidance from national authorities.

There is also no risk of infection from this virus from consumption of well-cooked pork and pork products. Individuals are advised to wash hands thoroughly with soap and water on a regular basis and should seek medical attention if they develop any symptoms of influenza-like illness.
Related links

Disasterville Volume 2 - May 2009

Welcome to Disasterville, Volume 2 (May 2009)
KCER Newsletter

We are pleased to present our new monthly KCER newsletter, Welcome to Disasterville! You can download a copy from our website at www.kcercoalition.com/newsletter.htm

KCER Pandemic Team Monitors U.S. Swine Flu Outbreak

The Kidney Community Emergency Response (KCER) Coalition's Pandemic Preparedness Team is actively monitoring the U.S. swine flu outbreak. KCER has distributed information to the ESRD Networks and is avaliable for technical assistance. Please visit www.kcercoalition.com for pandemic preparedness information and resources for the kidney community.

FDA Recalls Zoll AED Plus Defibrillator, Digoxin

ZOLL AED Plus Defibrillator

Audience: Emergency medical personnel
[Posted 04/09/2009] ZOLL Medical Corporation and FDA notified healthcare professionals of a Class 1 recall of ZOLL AED Plus Defibrillators distributed from May, 2004 through February 9, 2009. The recall was initiated because the device may fail to deliver a defibrillation shock, which could result in failure to resuscitate a patient during treatment of sudden cardiac arrest. On February 12 and March 31, 2009, the company sent their distributors and customers recall letters with recommendations and instructions for customers on specific steps to mitigate the identified problems with this device. Please visit http://www.fda.gov/cdrh/recalls/recall-021209b.html and http://www.zollaedplusbatteryhelp.com/

Digoxin, USP 0.125 mg, Digoxin, USP 0.25 mg (Caraco brand)

Audience: Pharmacists, cardiology healthcare professionals, consumers
[Posted 04/01/2009] Caraco Pharmaceutical Laboratories and FDA notified healthcare professionals of a consumer-level recall of Caraco brand Digoxin, USP, 0.125 mg, and Digoxin, USP, 0.25 mg, distributed prior to March 31, 2009, which are not expired and are within the expiration date of September, 2011. The tablets are being recalled because they may differ in size and therefore could have more or less of the active ingredient, digoxin, a drug product used to treat heart failure and abnormal heart rhythms. The drug has a narrow therapeutic index and the existence of higher than labeled dose may pose a risk of digoxin toxicity in patients with renal failure. Digoxin toxicity can cause nausea, vomiting, dizziness, low blood pressure, cardiac instability, and bradycardia. Death can also result from excessive digoxin intake. A lower than labeled dose may pose a risk of lack of efficacy potentially resulting in cardiac instability. Consumers with the recalled product should return these products to their pharmacy or place of purchase. Please visit http://www.fda.gov/oc/po/firmrecalls/caraco03_09.html

Florida flooding update, state emergency hotline activated

U.S. Highway 90 at the Suwannee River bridge (Madison and Suwannee County line) has closed to all traffic due to high water and flood conditions.

U.S. 90 Closed At The Suwannee River - Detour Route: http://www.floridadisaster.org/eoc/PressReleases2008/90%20Closure.pdf

The State Emergency Operations Center (SEOC) in Tallahassee has activated to a Level 1, or full activation, in response to the flooding conditions in the Panhandle and Big Bend regions of the state.

The Florida Emergency Information Line (FEIL) is now operational from 7 a.m. to 7 p.m. daily to provide residents information on current events and safety measures. The number for residents to call is:
800-342-3557

State of Florida - State Emergency Response Team
FOR IMMEDIATE RELEASE
CONTACT: ESF-14 Public Information

April 6, 2009
(850) 921-0217

STATE OF FLORIDA PREPARES FOR NORTH FLORIDA ROAD CLOSURES DUE TO FLOOD CONDITIONS ALONG THE SUWANNEE RIVER

TALLAHASSEE - State transportation, law enforcement and emergency management officials are preparing for the flooding of major roads in North Florida along the Suwannee River due to recent heavy rains in the region.

According to the Southeast River Forecast Center in Atlanta, the high levels of the Suwannee River could force the closure of U.S. 90 at the Suwannee River (Madison and Suwannee County line) as early as Wednesday.

If river water levels continue to rise, Interstate 10 (I-10) at the Suwannee River Bridge could also face closure as early as Thursday.

As a safety precaution, motorists are asked to delay or avoid travel through the impacted area until the conditions improve. Many smaller roads along the Suwannee River will be impacted as well over the
weekend.

To assist travelers, the state of Florida is coordinating response efforts with the state of Georgia to develop alternative routes through the region.

All motorists are advised to monitor their local media outlets for the latest information on weather conditions and possible road closures.

For real-time information on traffic conditions call 511 or visit www.FL511.com before getting on the road.

For additional information please visit www.FloridaDisaster.org

All students, teachers and parents can find educational information and free downloadable materials at: www.KidsGetAPlan.com

And for the latest daily situation and flash reports go to: www.YouTube.com/FloridaSERT