From the Public Health Law Program, Office of the Chief of Public
Health Practice, CDC
http://www2a.cdc.gov/phlp/
*** No Quiz
Winner this Month. No reader answered all five questions
correctly in last week's November Quiz. See below for correct
responses.
*** Graduated
Driver Licensing Tool Kit. The Healthy States Initiative,
a partnership of the Council of State Governments, the National
Black Caucus of State Legislators, and the National Hispanic
Caucus of State Legislators, presents the Graduated Driver
Licensing Tool Kit. The tool kit includes information on
passenger restrictions, nighttime driving restrictions, and
state-by-state licensing systems. The tool kit can be downloaded
from
http://www.healthystates.csg.org/NR/rdonlyres/586D340B-F422-4AB8-B092-9907A4CC2D3C/0/
GDLToolkit.pdf.
*** Public/Private
Legal Preparedness Initiative. The North Carolina Institute
for Public Health at the University of North Carolina School
of Public Health, has embarked on a two-year initiative to improve
emergency preparedness by removing the legal barriers that hinder
effective collaboration among the private, nonprofit, and public
sectors. The initiative will focus on Good Samaritan liability
for entities assisting in community emergencies and common human
resources policies for use during public health emergencies.
To learn more about the initiative, visit
http://www2.sph.unc.edu/nciph/law.
*** WHO
Job Vacancy (12/17). The World Health Organization is seeking
a Legal Health and Tax Officer to work within the agency's Tobacco
Free Initiative. The incumbent will be responsible for providing
support for national legislation and regulatory assistance (particularly
under the parameters of the Bloomberg Initiative, and relating
to taxation and illicit trade) to parties to the WHO Framework
Convention on Tobacco Control. The incumbent will work closely
with regional counterparts and national collaborators to develop
and assist in the implementation of comprehensive tobacco control
programs. For more information, visit
https://erecruit.who.int/e-jobs/public/hrd-cl-vac-view.cfm?o_c=1000&jobinfo_uid_c=6527&vaclng=en.
*** Public
Health Preparedness Summit (2/19-2/23). The National Association
of County and City Health Officials (NACCHO) along with other
public health organizations, will present, "Partnering for Preparedness:
Strategies and Solutions," on February 19-23, 2007 in Washington
DC. For more information, visit
http://www.phprep.org/index.shtml.
Top Story
1. 1918
flu epidemic teaching valuable lessons
States and
Localities
2. Delaware:
Foreign governments appeal dismissal of tobacco lawsuit in Delaware
3. Michigan:
A way to safely restrain students?
4. New
York: In epic battle, the rat patrol adjusts its aim and digs
in
National
5. Government
considers banning lead in children's jewelry
6. Outbreaks
reveal food safety net's holes
7. Report
says most states still aren't prepared for major emergencies
8. Tastes
so good but it's so bad
9. The
ethics and politics of compulsory HPV vaccination
10.
U.S. gets tough over alcohol testing kits
Briefly
Noted
Alabama
mobile morgue ∙ Illinois pet preparedness ∙ New Jersey needle
exchange ∙ New York trans fat enforcement ∙ Ohio smoking ban
∙ Ohio traffic camera restrictions ∙ Utah tobacco settlement
arbitration ∙ Virginia dairy lawsuit dismissal ∙ National school
recess cutbacks ∙ Lunch confiscation ∙ E. coli lawsuits
∙ Baby formula shoplifting ∙ Biodefense bill ∙ Canada pandemic
influenza plan ∙ Canada acupuncture regulation ∙ Canada mandatory
blood testing ∙ Spain smoking laws impact ∙ Switzerland pandemic
influenza vaccination plan ∙ Uganda cholera outbreak
Quotation
of the Week
Larry
Davis, president of the Ohio Trucking Association
This Week's
Feature
Law
Behind the News. This week, we bring you Canada's newly-updated
Pandemic Influenza Plan for the Health Sector. See below
for more.
_____________________________1_____________________________
"1918 flu epidemic
teaching valuable lessons"
Washington
Post (12/13/06)
David Brown
http://www.washingtonpost.com/wp-dyn/content/article/2006/12/12/AR2006121201628.html
New research
suggests that non-pharmaceutical interventions, such as school
closures, may have saved thousands of American lives during
the 1918 influenza pandemic. Earlier research had found that
non-pharmaceutical interventions may have delayed influenza's
impact in many cities, but probably had little impact on overall
mortality. Researchers, led by Dr. Howard Markel from the University
of Michigan Medical School, presented the new findings to CDC
experts who are formulating guidelines for local health departments
to follow during the initial stages of an influenza pandemic,
when a vaccine would not be available and antiviral drugs would
be in short supply. Martin Cetron, CDC's Director of Global
Migration and Quarantine, said, "There is reason for optimism.
Even almost 100 years ago, with some very simple tools, there
may have been an effect of these measures." Among the public
health measures used in 1918 were: isolation of the ill, home
quarantines, school closures, curfews, staggered work hours,
and use of face masks. The researchers concluded that St. Louis
(which closed schools when excess deaths due to flu were 21
per 100,000 per week) seems to have reduced flu mortality by
70 percent, and that Philadelphia (which did not invoke public
health measures until excess deaths due to flu were 250 per
100,000 per week) appears to have reduced mortality by 28 percent.
After a North Carolina county closed its schools because of
a seasonal influenza outbreak last month, a survey of households
found that 91 percent supported the school board's decision,
even though many adults had to take time off from work to care
for children.
_____________________________2_____________________________
"Foreign governments
appeal dismissal of tobacco lawsuit in Delaware"
Associated
Press (12/06/06)
Randall Chase
http://www.examiner.com/a-440286~Foreign_governments_appeal_dismissal_of_tobacco_
lawsuit_in_Del_.html
Panama and
the Brazilian state of Sao Paulo have asked the Delaware Supreme
Court to overturn a lower court dismissal of their damages lawsuit
against the tobacco industry to recover government medical expenditures
on smokers' illnesses. In 1998, the two foreign governments
filed their lawsuit in Louisiana state court, but the court
ruled that Louisiana was not the proper forum. Last year, the
governments filed their case in Delaware. A Delaware lower court
judge dismissed the lawsuit, holding that the governments were
not seeking damages for smokers' personal injuries, that they
had failed to prove that tobacco products proximately caused
the alleged economic injuries, and that they lacked standing
to sue (despite the governments' assertion that they could sue
as "parents" of their citizens). At a hearing on the appeal
to the Delaware Supreme Court, Justice Ridgely suggested that
foreign governments could ban tobacco sales or pass laws, which
would provide their own courts with jurisdiction to hear claims
against tobacco companies, "as opposed to coming to the United
States to litigate." Also at the hearing, Justice Berger asked
defendant Philip Morris USA to distinguish between the foreign
governments' lawsuit and the 1998 Master Settlement Agreement
between tobacco companies and the 46 U.S. states that recovered
costs for treating sick smokers. Philip Morris' attorney, Kenneth
Parsigian, responded that U.S. states gave away some sovereignty
to the federal government in exchange for being allowed to bring
their lawsuits. Parsigian argued that foreign governments lack
this right to sue and, "Even if you do have it, you still have
to prove a direct injury."
_____________________________3_____________________________
"A way to safely
restrain students?"
Detroit Free
Press (12/08/06)
Lori Higgins
http://www.freep.com/apps/pbcs.dll/article?AID=/20061208/NEWS06/612080435
In 2003, following
the death of an autistic student who had been physically restrained
by school staff, the Michigan Department of Education drafted
rules on the use of restraints and seclusion in schools. The
policies applied only to special-education students and allowed
staff to physically restrict the movement of violent students
and seclude them in a room. Yesterday, the state Board of Education
was to consider its fourth version of the policy this year.
Special-education advocates hope for a ban on "inhumane practices,"
while educators want a way to address children with "challenging
behaviors." Kathleen Straus, Board president, said she believes
the proposed policy strikes a good compromise. If approved,
the policy would apply to all students and would restrict the
use of seclusion and restraints to emergency situations. The
proposal would require that schools document each instance in
which seclusion or restraints are used, and would ban prone
(face down) restraint, or restraint in any manner that would
affect a student's ability to breathe. "These practices are
inherently dangerous," said Mark McWilliams, director of education
advocacy for the Michigan Protection and Advocacy Service. But
some guardians of potentially violent children worry that schools
would bar students if educators do not have the ability to protect
themselves. Some educators are concerned that the new policy
would place too many restrictions on them. "We're concerned
that classroom teachers and administrators ... would not have
the tools they need in potentially explosive situations," said
Tony Derezinski, of the Michigan Association of School Boards.
[Editor's note:
The Michigan Board of Education approved the policy yesterday.
See: "Student-restraint policy calls for training, reporting"
Kalamazoo Gazette
(12/13/06) Judy Putnam
http://www.mlive.com/news/kzgazette/index.ssf?/base/news-20/1166026802279240.xml&coll=7]
_____________________________4_____________________________
"In epic battle,
the rat patrol adjusts its aim and digs in"
The New York
Times (12/05/06)
Sewell Chan
http://www.nytimes.com/2006/12/05/nyregion/05rats.html?em&ex=1165467600&en=5d7e0260a8fb
0c06&ei=5087%0A (subscription required)
New York City
officials have drastically changed their approach to rat abatement,
adopting a policy now being watched by cities across the United
States. The program, known as "integrated pest management,"
takes a preventive approach to infestations by coordinating
the efforts of the Buildings, Health, Parks, and Sanitation
Departments, the Metropolitan Transportation Authority, and
the Housing Authority. In recent years, officials have responded
to residents' complaints simply by using rat poison and baits,
but officials are now moving away from that approach because
of human safety concerns about poisons, and because rats are
beginning to show resistance to them. Public health officials
have known the most effective strategy for centuries, but have
moved away from it, according to Stephen C. Frantz, a retired
State Department of Health official. "The key to success was
environmental management that focused on eliminating food sources,
water and harborage," he said. "Today, we place far too much
reliance on poisoning." The renewed effort involves cutting
off the rats' food supply (garbage), and controlling the clutter
and debris that provide shelter for rat communities. Inspectors
are currently collecting information to prioritize areas with
sites that need cleaning, to use rodenticides more selectively,
and to educate residents about disposing of garbage. Under the
city's Health Code, owners of private property are responsible
for dealing with rats on their premises, but the health department
sends exterminators and lot cleaners out if the owner fails
a follow-up inspection.
[Editor's note:
To learn more about the NYC Rodent Initiative, visit
http://www.nyc.gov/html/doh/html/pest/pest2.shtml.]
_____________________________5_____________________________
"Government
considers banning lead in children's jewelry"
Washington
Post (12/07/06)
Annys Shin and Juliet Eilperin
http://www.washingtonpost.com/wp-dyn/content/article/2006/12/06/AR2006120601882.html
The staff of
the Consumer Product Safety Commission (CPSC) has recommended
that the CPSC ban the sale of toy jewelry containing more than
0.06 percent lead. The CPSC is expected to vote on the proposal
next week. Lead is commonly added to children's jewelry for
heft. But the potential for children to ingest lead by sucking
or swallowing has led to numerous recalls since 2004. Besides
lead's potential to harm brain development, its ingestion can
prove fatal -- as it did in the case of a 4 year-old child who
swallowed a 99 percent lead bracelet earlier this year. The
Sierra Club petitioned the CPSC to request the ban and also
petitioned the U.S. Environmental Protection Agency (EPA) to
require that manufacturers provide health and safety studies
on lead in their products. EPA denied the petition, citing a
lack of agency authority. According to EPA spokeswoman Enesta
Jones, under the Toxic Substances Act, the EPA and the CPSC
share jurisdiction over lead in toy jewelry. Since regulation
of lead in vehicle emissions began in the 1970s, lead air pollution
has decreased by over 90 percent in most of the nation, thus
shifting public concern to other sources of lead, like paint
and toys.
_____________________________6______________________________
"Outbreaks
reveal food safety net's holes"
Washington
Post (12/11/06)
Annys Shin
http://www.washingtonpost.com/wp-dyn/content/article/2006/12/10/AR2006121000903.html
Consumer advocates
and government officials agree that the nation's food safety
system could do more to prevent outbreaks of food-borne illness
from fresh produce. And yet, three months after the spinach
E. coli outbreak that killed three people and sickened
about 200, there is little agreement about how to address the
problem. According to the U.S. Food and Drug Administration's
(FDA) David W.K. Acheson, "It's fairly clear something needs
to change. Having illness and repeated outbreaks, especially
the ones we've seen in the last couple of months, is clearly
unacceptable to everyone." Advocates want mandatory food safety
standards and increased enforcement. Food distributors and restaurants
want continued self-regulation. Meanwhile, growers and packers
have suggested a voluntary system with built-in oversight. The
FDA and the states share oversight of fruit and vegetable safety
but only have jurisdiction over processing plants, not farms.
Without authority to regulate the growing of food, FDA regulators
have relied on letters of admonishment and requests that the
produce industry publish voluntary guidelines. According to
Kevin Reilly, a California food safety official, "What's necessary
is an agreed-upon set of agricultural practices." Growers and
packers have made efforts to better regulate the safety of their
products under pressure from supermarket chains and distributors,
and the Food Marketing Institute and the National Restaurant
Association are developing separate guidelines.
[Editor's note:
To learn more about CDC's role in national food safety efforts,
visit
http://www.cdc.gov/foodsafety/.]
_____________________________7_____________________________
"Report says
most states still aren't prepared for major emergencies"
McClatchy Newspapers
(12/12/06) David Goldstein
http://www.mercurynews.com/mld/mercurynews/news/politics/16224038.htm
A report released
yesterday by the Trust for America's Health (TFAH) concluded
that the United States is not fully prepared to respond to a
major public health emergency. TFAH's fourth annual report,
Ready or Not? Protecting the Public's Health from Diseases,
Disasters and Bioterrorism, concludes that the nation's
public health emergency response system is underfunded and lacks
accountability. "The overall message is, to some degree we are
doing better. But we're not as prepared as we ought to be. There
is tremendous unevenness across the states," said Jeffrey Levi,
TFAH's executive director. According to the report, half of
U.S. states met six or fewer of the group's ten benchmarks established
to provide "a composite snapshot of preparedness, including
strengths and vulnerabilities." Oklahoma was the only state
to meet all ten criteria. Only Kansas met nine. Among other
findings, the report concluded that hospital beds would be depleted
in half of the states within two weeks of a moderate influenza
outbreak, compounded by the problem that forty states have a
nursing shortage. Only 15 states, New York City, and Chicago
could deliver pharmaceuticals quickly from CDC's Strategic National
Stockpile to affected areas. TFAH offered several recommendations,
including placing a single federal official at the U.S. Department
of Health and Human Services over all public health programs,
and establishing an emergency health benefit so the uninsured
would quickly seek treatment after an infectious disease event.
[Editor's note:
To read Ready or Not? Protecting the Public's Health from
Diseases, Disasters and Bioterrorism, visit
http://healthyamericans.org/reports/bioterror06/BioTerrorReport2006.pdf.]
_____________________________8_____________________________
"Tastes so
good but it's so bad"
Chicago Tribune
(12/10/06) Jeremy Manier
http://www.chicagotribune.com/news/nationworld/chi-0612100368dec10,1,6513283.story?coll=
chi-newsnationworld-hedd
New York City's
ban on trans fat has ignited a debate on how best to restrict
the harmful substance while avoiding the law of unintended consequences.
Artificial trans fat is formulated by adding hydrogen to a liquid
such as soybean oil. The resulting substance stays solid at
room temperature and fresh for a long time, properties that
bakers and fried food preparers appreciate. Yet, a decade of
research has found that trans fat increases bad cholesterol
and lowers good cholesterol, thus providing public health experts
with arguments for restricting it. Walter Willett, chairman
of the department of nutrition at the Harvard School of Public
Health, said, "By banning trans fat, we're removing a toxin
from the food supply that's man-made and should not be there."
But other experts say a trans fat ban could be almost as detrimental
to public health as not having a ban. Gil Leveille, former director
of research for Nabisco, noted that partially hydrogenated oil
was once considered healthier than lard, butter, and beef tallow,
which were all common a generation ago. And Gary List, a U.S.
Department of Agriculture researcher on fats and oils, stated,
"If you get rid of the trans fat but you have to replace it
with saturated fats, you're back to square one. If the goal
is to replace both trans fat and saturated fat, it's a lot tougher."
Some analysts point out that U.S. farmers are increasingly supplying
healthier oils which could be alternatives to trans fat.
[Editor's note:
The text of the New York City Department of Health and Mental
Hygiene's health code amendments restricting the use of trans
fat is available at
http://www.nyc.gov/html/doh/downloads/pdf/public/notice-adoption-hc-art81-08.pdf.
To learn more about trans fat from the FDA, visit
http://www.fda.gov/fdac/features/2003/503_fats.html.]
_____________________________9_____________________________
"The ethics
and politics of compulsory HPV vaccination"
New England
Journal of Medicine (12/07/06)
James Colgrove
http://content.nejm.org/cgi/content/full/355/23/2389
The author
of this article reviews ethical, epidemiologic, and political
arguments for and against mandating human papillomavirus (HPV)
vaccinations for young girls. HPV is the most common sexually
transmitted disease in the United States, infecting more than
six million people each year. Nearly 10,000 women a year are
diagnosed with cervical cancer, a disease caused by some strains
of the virus. The vaccine is most effective before girls become
sexually active. In September, a bill requiring HPV vaccines
for girls entering sixth grade was approved by Michigan's senate;
other states are likely to follow. Because of some issues specific
to HPV, the debate about compulsory vaccination is particularly
complicated. On one side are organizations such as Women in
Government, who support legal requirements and consider HPV
a women's health issue. Groups opposing legal mandates include
some religious conservatives who worry that compulsory vaccination
would threaten teens' sexual abstinence efforts. Other groups
question the vaccine's safety (although it has been licensed
as safe by FDA). Some parents might seek exemptions to vaccination
requirements on religious or non-religious, philosophical grounds.
To bioethicists, who tend to regard patient autonomy and informed
consent of highest value, mandatory vaccination with HPV vaccine
might be considered unacceptably paternalistic. The author comments
that, "Different ethical frameworks that accord varying weights
to communitarian and individualistic values will lead to contrasting
answers to this question."
_____________________________10______________________________
"U.S. gets
tough over alcohol testing kits"
Lloyd's List
(12/06/06) Rajesh Joshi
http://www.lloydslist.com (subscription required)
The United
States Coast Guard has reminded shippers that commercial ships
calling at U.S. harbors must have federally approved alcohol
testing kits onboard, or face stiff fines. A U.S. law that went
into effect in June allows for civil fines of up to $5,500 per
day if ship-owners and operators do not ensure that persons
on board involved in "serious marine incidents" are tested for
alcohol within two hours of the incident. The law also requires
testing for drugs within 32 hours of an incident. The federal
rule is estimated to affect 181,000 commercial vessels, including
foreign-flag ships, and is expected to cost $206 on average
per ship ($113 for the actual testing device and $93 for training).
Although some industry members commented that Congress intended
the Coast Guard to carry out the testing, the new rule states,
"The marine employer has the responsibility to ensure that the
alcohol testing occurs." According to the rule, requiring the
Coast Guard to take action in all cases would "impermissibly
burden limited Coast Guard resources." The rule is part of the
Coast Guard's implementation of the Coast Guard Appropriations
Act of 1998, which required post-incident alcohol testing within
two hours of an incident. If testing cannot be completed within
two hours because of "safety concerns directly related to the
casualty," the testing deadline can be extended by six hours.
During the 1990s, many marine casualties appear to have involved
alcohol.
_____________________BRIEFLY NOTED______________________
Alabama: State
emergency management agency prepares to deal with deaths
"Alabama only
state that has a rolling mortuary"
The Birmingham
News (12/11/06)
Ginny MacDonald
http://www.al.com/news/birminghamnews/index.ssf?/base/news/1165832439254760.xml&coll=2
Illinois: State
legislature approves proposal requiring that emergency plan
include pets
"Measure includes
pets in emergency plan"
Herald & Review
(12/06/06) Kurt Erickson
http://www.herald-review.com/articles/2006/12/06/news/state/1019635.txt
New Jersey:
Governor expected to sign needle exchange law
"Trenton: Legislature
approves needle exchange"
The New York
Times (12/12/06)
Richard G. Jones
http://www.nytimes.com/2006/12/12/nyregion/12mbrfs-needle.html?_r=1&oref=slogin&
pagewanted=print
New York: Enforcement
is next step in trans fat restriction
"Next for NYC
trans fat ban"
Associated
Press (12/10/06)
David B. Caruso
http://www.mercurynews.com/mld/mercurynews/news/breaking_news/16209999.htm
Ohio: Under
new law, truckers will be banned from lighting up
"Ohio smoking
ban includes truck cabs"
Associated
Press (12/06/06)
http://www.dispatch.com/news-story.php?story=231578
Ohio: Traffic-enforcement
cameras authorized in narrow circumstances
"Red-light
camera restrictions pass but opponent of bill sees bright side"
Toledo Blade
(12/07/06) Jim Provance
http://www.toledoblade.com/apps/pbcs.dll/article?AID=/20061207/NEWS24/612070390
Utah: Federal
court judge orders state into arbitration with tobacco companies
"Ruling could
cost Utah its tobacco settlement"
Deseret Morning
News (12/09/06)
Geoffrey Fattah
http://deseretnews.com/dn/view/0,1249,650213701,00.html
Virginia: Federal
court judge dismisses dieter's lawsuit against dairy industry
"Got lawsuit?
Milk dieter's is thrown out"
Washington
Post (12/07/06)
Jerry Markon
http://www.washingtonpost.com/wp-dyn/content/article/2006/12/06/AR2006120602161.htmll
National: School
districts cutting back on playtime
"Before children
ask: 'What's recess?'"
The New York
Times (12/10/06)
Debra Nussbaum
http://www.nytimes.com/2006/12/10/nyregion/nyregionspecial2/10Rrecess.html?pagewanted=1
National: U.S.
Border agents confiscate lunches to protect national security
"Brown-bag
crackdown"
The Globe and
Mail (12/07/06)
Barrie McKenna
http://www.theglobeandmail.com/servlet/story/LAC.20061207.RTRUCKERS07/TPStory/Business
National: Taco
Bell sued over E. coli
"E. coli
cases prompting an outbreak of lawsuits"
Philadelphia
Inquirer (12/09/06)
Adam Fifield, Sam Wood, and Harold Brubaker
http://www.philly.com/mld/inquirer/news/local/16199709.htm
National: Baby
formula shoplifting scheme impacts infant health
"Baby formula:
Thieves love it"
Salt Lake Tribune
(12/03/06) Lisa Rosetta
http://www.sltrib.com/ci_4764544
National:
President expected to sign biodefense legislation
"Law passes
retooling effort on bioterror"
Washington
Post (12/12/06)
Renae Merlee
http://www.washingtonpost.com/wp-dyn/content/article/2006/12/11/AR2006121101411.html
Canada: National
pandemic influenza plan updated after two years
"Health minister
releases updated pandemic flu plan for health sector"
Canadian Press
(12/09/06) Helen Branswell
http://origin.www.cbc.ca/cp/health/061209/x120917A.html
Canada: Ontario
regulates Chinese medicine
"Regulating
acupuncture welcomed as 'a blessing'"
London Free
Press (12/06/06)
John Miner
http://lfpress.ca/newsstand/News/Local/2006/12/06/2652845-sun.html
Canada: Mandatory
blood testing bill to benefit first responders
"Rescuers to
get faster results on infections"
Canadian Press
(12/08/06) Chinta Puxley
http://lfpress.ca/newsstand/CityandRegion/2006/12/08/2686252-sun.html
Spain: Anti-smoking
laws have impacted health
"Half a million
Spaniards stop smoking"
Deutsche Presse-Agentur
(12/11/06)
http://social.moldova.org/stiri/eng/21273/
Switzerland:
In case of pandemic flu, all Swiss will be vaccinated
"Swiss spell
out pandemic vaccination plan"
Swissinfo
(12/05/06) Adam Beaumont
http://www.swissinfo.org/eng/front/detail/Swiss_spell_out_pandemic_vaccination_plan.html?site
Sect=105&sid=7322504&cKey=1165352438000
Uganda: Kampala
City Council bans street food and drink sales
"Food vending
banned as cholera death toll rises"
The Monitor
(12/08/06) Robert Mwanje
http://allafrica.com/stories/200612080007.html
__________PHL NEWS QUOTATION OF THE WEEK___________
"The whole idea of the smoking ban is secondhand smoke. If you're
talking about one guy in one truck, how is that secondhand smoke?"
-- Larry Davis,
president of the Ohio Trucking Association, on Ohio's recent
smoking ban. The ban will prohibit smoking in all work places,
including company-owned vehicles. [See Briefly Noted item, above.]
__________________LAW BEHIND THE NEWS___________________
Last week,
Canada released the first official update of its national pandemic
influenza plan in nearly two years. The Canadian Pandemic
Influenza Plan for the Health Sector outlines actions that
the health sector should take during each pandemic phase, and
clarifies the roles and responsibilities of people who will
be involved. The plan places emphasis on the prioritized use
of vaccines and anti-viral drugs, and provides guidelines for
infection control, occupational health, and resource management
in traditional and non-traditional health care settings.
The revised
document includes more emphasis on pandemic planning for First
Nations (native peoples) communities and reserves, although
an updated version of that information is expected in January
2007. Other newly-added topics include public health measures
and surveillance. The plan also offers recommendations for public
education, management of individuals with "influenza-like illness,"
and community-based disease control strategies.
To read the
Canadian Pandemic Influenza Plan for the Health Sector,
visit
http://www.phac-aspc.gc.ca/cpip-pclcpi/pdf-e/CPIP-2006_e.pdf.
_______THE MONTHLY QUIZ ANSWERS: NOVEMBER 2006________
The November
Quiz covered the following issues of the CDC Public Health
Law News: November 1, November 8, November 15, and November
22. Here are the correct answers:
1. A survey
conducted by the Harvard School of Public Health assessing real-world
concerns related to social distancing plans for a pandemic found
that one in four adults could not afford to miss work
for one week. (Answer C)
2. The model
Uniform Emergency Volunteer Health Practitioners Act, an attempt
to remedy the lack of a uniform system to efficiently recognize
licensing privileges for interstate health practitioners during
emergencies, was approved unanimously by the American Bar
Association. (Answer D)
3. After being
elected Director-General of the World Health Organization by
the World Health Assembly, Dr. Margaret Chan said, "The health
of the people of Africa must therefore be the key indicator
of the performance of WHO." (Answer C)
4. In the case
of a Missouri man accused of knowingly having sex with five
women who did not know he was HIV positive, the defendant's
lawyer cited a 1998 Missouri law stating that a person's HIV
status "shall be strictly confidential." In response, the judge
closed the hearing to the public. (Answer D)
5. England's
Department of Health recently issued guidelines to reduce the
risk of methicillin-resistant Staphylococcus aureus (MRSA)
infection in health care settings. The guidelines recommend
that certain patients, including surgical ones, be screened
for MRSA. (Answer B)
___________________________________________________________
The CDC
Public Health Law News is published each Wednesday except
holidays, plus special issues when warranted. It is distributed
only in electronic form and is free of charge. News
content is selected solely on the basis of newsworthiness and
potential interest to readers. CDC and DHHS assume no responsibility
for the factual accuracy of the items presented. The selection,
omission, or content of items does not imply any endorsement
or other position taken by CDC or DHHS. Opinions expressed by
the original authors of items included in the News, or
persons quoted therein, are strictly their own and are in no
way meant to represent the opinion or views of CDC or DHHS.
References to products, trade names, publications, news sources,
and non-CDC web sites are provided solely for informational
purposes and do not imply endorsement by CDC or DHHS. Legal
cases are presented for educational purposes only, and are not
meant to represent the current state of the law. The findings
and conclusions in this document are those of the author(s)
and do not necessarily represent the views of the Centers for
Disease Control and Prevention. The News is in the public
domain and may be freely forwarded and reproduced without permission.
The original news sources and the CDC Public Health Law News
should be cited as sources. Readers should contact the cited
news sources for the full text of the articles.
For past issues
or to subscribe to the weekly CDC Public Health Law News,
visit
http://www2a.cdc.gov/phlp/cphln.asp. For help with subscriptions
or to make comments or suggestions, send an email to Rachel
Weiss at
rweiss@cdc.gov.
The News
is published by the Public Health Law Program, Office of the
Chief of Public Health Practice, Centers for Disease Control
and Prevention (CDC), U.S. Department of Health and Human Services
(DHHS). Rachel Weiss, J.D., Acting Editor; André Verani, J.D.,
Associate Editor; Frederic E. Shaw, M.D. J.D., Editorial Advisor.
See
More news... here.
Recommend PHL News