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Pandemic Flu
What You Can Do

A pandemic is likely to be a prolonged and widespread outbreak that could require temporary changes in many areas of society, such as schools, work, transportation and other public services. People who are informed and prepared can take appropriate actions to decrease their risk during a pandemic.

On this page:

  • Checklists: Families, Businesses, Communities, Community Organizations, Medical Clinics, Schools
  • Medicine: Should I buy my own supply of Tamiflu, or some other antiviral medication?
  • Masks:  Should I buy some?
  • Eye Protection:  Do I need it?
  • Poultry: Should I eat chicken?
  • Travel: Is it OK to travel to Asia/Europe?
  • Cover Your Cough: Materials for schools, healthcare providers, and communities.

Brochure - Pandemic Flu - 
What You Need to Know

Pandemic Flu -
What You Need to Know
Download or Order
this brochure

Checklists

People & Families Checklist

PDF Family Emergency Health Information Sheet (PDF)

Business Checklist

Community Checklist

Community Organization Checklist

Medical Office and Clinic Checklist

Schools

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Medicine:  Should I buy my own supply of Tamiflu, or some other antiviral medication?

No.  Health officials say in a pandemic flu outbreak, antivirials need to be available to those who need them most so public health employees and healthcare providers must be able to manage available supplies.  That’s not possible if people are hoarding antivirals.  Also, personal stockpiling may reduce supplies making it harder to treat “seasonal” flu in the elderly and others who are at risk of serious illness or death from complications of “seasonal” flu.

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Masks:  Should I buy some?

You may want to consider using face masks in a pandemic.  Face masks aren't a silver bullet and scientific studies regarding a mask's benefit during a pandemic situation are unclear.  However, common sense tells us masks might help if used correctly along with other protective measures like avoiding crowds, hand washing, covering your cough, staying away from sick people and staying home if you're sick.

Masks are currently recommended for healthcare providers to prevent exposure to respiratory infections.  State health officials say anyone who chooses to wear a mask may reduce the risk of contracting a virus.

There are three types of masks:

N95 – This type of mask reduces exposure to airborne particles.  A mask with a N95 rating is designed to filter extremely small infectious particles that float through the air (airborne spread).  A N95 mask is used to prevent diseases that travel this way, like tuberculosis.

***Healthcare workers who rely on this type of mask to prevent occupational exposure to disease are advised to undergo “fit testing” to ensure a secure fit.  Facial hair and variations in facial features may prevent a snug fit.

Surgical Masks – Surgical masks, which are usually used in surgery, help protect against larger particles, called droplets.  Droplets are produced when people infected with certain bacteria or viruses cough, sneeze, or spit into the air. 

Droplets are too large to travel very far and can settle on surfaces.  Droplets sometimes stay alive for several hours and can make you sick if you touch the surface and then touch your mouth, nose, or eyes.  Keeping surfaces clean and frequently washing your hands can prevent this.  A surgical mask may also help prevent you from touching your mouth or nose.  

Surgical masks offer protection against droplets that can transmit respiratory viruses. However, surgical masks may not adequately protect against airborne particles, primarily because they allow for leakage around the mask.

Homemade Mask –  Dry T-shirt or bath towel folded twice (4 layers thick) may offer some protection against droplets. 

For masks to work properly, a snug fit is important.  The mask should fit tightly around the mouth and nose.  Some experts recommend taping the edges of the mask to the face.

***A new report from the Institute of Medicine says people shouldn’t reuse disposable masks because there isn’t a simple, reliable way to decontaminate them.  Masks should be worn only once and then thrown away.

 Masks are not recommended for people with breathing problems.

Flu can be spread by airborne particles but it’s usually spread by droplets.  At this point no one knows how a pandemic flu virus (a new virus that spreads easily from person-to-person) will spread because there isn’t any pandemic flu in the world right now.  If a new flu virus emerges and is spreading person-to-person, public health officials will study it, determine how it spreads and how you can protect yourself.

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Eye Protection:  Do I need it?

Eye protection is also something you may want to consider during a pandemic.  Once again, the scientific studies regarding how much, if any, flu viruses are transmitted by droplets entering through the eye is unclear.  However, eye protection is recommended for healthcare providers in high-exposure situations.  Anyone else who chooses to wear eye protection may reduce the risk of contracting a virus.

Goggles - Appropriately fitted, indirectly-vented goggles may provide the most reliable eye protection from splashes, sprays and respiratory droplets.  Many styles of goggles fit over prescription glasses with minimal gaps. However, goggles must fit snugly, particularly from the corners of the eye across the brow. 

Safety Glasses –  Generally shouldn’t be used for infection control purposes.

What about contact lens wearers?

Contact lenses, by themselves, offer no infection control protection. However, contact lenses may be worn with any of the recommended eye protection devices.

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Poultry: Should I eat chicken?

It is safe to eat properly handled and cooked poultry. The U.S. government has also banned imported poultry from countries affected by various strains of bird flu, including H5N1.

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Travel: Is it OK to travel to Asia?

Yes. CDC does not recommend that people avoid travel to any of the countries affected by bird flu, but it does recommend that travelers follow certain precautions.

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Cover Your Cough
This link provides materials for schools, healthcare providers and communities.   Cover your mouth and nose with a tissue when coughing or sneezing. It may prevent those around you from getting sick.

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Contact:
If you have bird flu or pandemic flu questions or would like additional information, email birdflu@dhhs.ne.gov or call the DHHS Disease Surveillance area at 471-2937.


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