Pandemic flu planning checklist for individuals and families

Pandemic Flu Planning Checklist for
Individuals and Families
You can prepare for an influenza pandemic now. You should know both the magnitude of what can happen during a pandemic outbreak and what actions you can take to help lessen the impact of an influenza pandemic on you and your family. This checklist will help you gather the information and resources you may need in case of a flu pandemic. † Store a supply of water and food. During a pandemic, if you cannot get to a store, or if stores are out of supplies, it will be important for you to have extra supplies on hand. This can be useful in other types of emergencies, such as power outages and disasters. † Ask your doctor and insurance company if you can get an extra supply of your regular prescription † Have any nonprescription drugs and other health supplies on hand, including pain relievers, stomach remedies, cough and cold medicines, fluids with electrolytes, and vitamins. † Talk with family members and loved ones about how they would be cared for if they got sick, or what will be needed to care for them in your home. † Volunteer with local groups to prepare and assist with emergency response. † Get involved in your community as it works to prepare for an influenza pandemic. 2. To limit the spread of germs and prevent infection: † Teach your children to wash hands frequently with soap and water, and model the correct behavior. † Teach your children to cover coughs and sneezes with tissues, and be sure to model that behavior. † Teach your children to stay away from others as much as possible if they are sick. Stay home from Items to have on hand for an extended stay at home: Examples of food and non-perishables Examples of medical, health, and emergency supplies
† Prescribed medical supplies such as glucose and blood- † Soap and water, or alcohol-based hand wash † Medicines for fever, such as acetaminophen or ibuprofen † Portable radio † Manual can opener † Garbage bags † Tissues, toilet paper, disposable diapers It is important to think about health issues that could arise if an influenza pandemic occurs, and how they could affect you and your loved ones. For example, if a mass vaccination clinic is set up in your community, you may need to provide as much information as you can about your medical history when you go, especially if you have a serious health condition or allergy. Create a family emergency health plan using this information. Fill in information for each family member in the space provided. Like much of the planning for a pandemic, this can also help prepare for other emergencies. When you think of family remember older family members that you may need to assist (grandparents, parents, aunts and
For more information contact Redwood County Public Health at 507-637-4041 or Renville County Public
Health 320-523-2570.
Family Member Information: Please list name along with any additional allergies, medical conditions or medications on the back of form.
Please Print
This information is current of this date:_____________________________
First Name
Last Name
Date of Birth
Past/ Current Medical Conditions
Current Medications/ Dosages
(ex. asthma, skin, diabetes, etc.)
Coumadin 3mg M-W-F,see back of form for more info C:\Documents and Settings\PIZINGER\Local Settings\Temporary Internet Files\OLK79\Family Preparedness Plan 4-06.doc C:\Documents and Settings\PIZINGER\Local Settings\Temporary Internet Files\OLK79\Family Preparedness Plan 4-06.doc


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