Prepared Citizens

Do unto others as you would have them do unto you.

  • Previous Posts

  • Michael Osterholm Quotes:

    “What we need to be doing now is the basic planning of how we get our communities through 12 to 18 months of a pandemic.”

    “Ninety-five out of 100 will live. But with the nation in crisis, will we have food and water? Are we going to have police and security? Will people come to work at all?”

    “It's the perfect setup. Then you put air travel in and it could be around the world overnight.”

    “We can predict now 12 to 18 months of stress of watching loved ones die, of wondering if you are going to have food on the table the next day. Those are all things that are going to mean that we are going to have to plan -- unlike any other crisis that we have had in literally the last 80-some years in this country.”

  • US Health and Human Services

    Secretary Michael Leavitt

    "If there is one message on pandemic preparedness that I could leave today that you would remember, it would be this:

    Any community that fails to prepare with the expectation that the federal government or for that matter the state government will be able to step forward and come to their rescue at the final hour will be tragically wrong,

    not because government will lack a will, not because we lack a collective wallet, but because there is no way that you can respond to every hometown in America at the same time."
  • Joseph C. Napoli, MD of Resiliency LLC

    "I think a new meaning is evolving for resiliency and resilience.

    In some contexts the words are being used to mean the strength to resist being impacted by an adverse event rather than either the “capacity to rebound” or “act of rebounding” from adversity.

    Therefore, resiliency and resilience appear to be assuming the meaning of fortitude, that is, “the strength or firmness of mind that enables a person to encounter danger with coolness and courage or to bear pain or adversity without despondency” as defined in the Webster’s Third New International Dictionary.

    If so, we are coming full circle with science accepting a religious moral virtue – fortitude – as written in the Bible’s Book of Wisdom"

  • Faith Based Resources

    John Piper
    Jonathan Edwards
    Pink-Saving Faith
    Pink-Christian Ethics

    "Examine yourselves, whether ye be in the faith; prove your own selves"
    (2 Corinthians 13:5).

    Why Faith Groups Must Care

    When the Darkness Will Not Lift by John Piper


    Be Not Afraid
    Overcoming the fear of Death
    by Johann Christoph Arnold

    While I am not a professional journalist, I do embrace the code of ethics put forth by the Society of Professional Journalists and the statement of purpose by the Association of Health Care Journalists and above all else I strive to "do no harm".

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  • Definitions

    from Wikipedia

    Pandemic Influenza

    An influenza pandemic is an epidemic of the influenza virus that spreads on a worldwide scale and infects a large proportion of the human population.

    In contrast to the regular seasonal epidemics of influenza, these pandemics occur irregularly, with the 1918 Spanish flu the most serious pandemic in recent history.

    Pandemics can cause high levels of mortality, with the Spanish influenza being responsible for the deaths of over 50 million people.

    There have been about 3 influenza pandemics in each century for the last 300 years. The most recent ones were the Asian Flu in 1957 and the Hong Kong Flu in 1968.

    Seasonal Influenza

    Flu season is the portion of the year in which there is a regular outbreak in flu cases.

    It occurs during the cold half of the year in each hemisphere.

    Flu activity can sometimes be predicted and even tracked geographically. While the beginning of major flu activity in each season varies by location, in any specific location these minor epidemics usually take about 3 weeks to peak and another 3 weeks to significantly diminish.

    Individual cases of the flu however, usually only last a few days. In some countries such as Japan and China, infected persons sometimes wear a surgical mask out of respect for others.

    Avian (Bird) Flu
    Avian influenza,

    sometimes Avian flu, and commonly Bird flu refers to "influenza caused by viruses adapted to birds."

    "Bird flu" is a phrase similar to "Swine flu", "Dog flu", "Horse flu", or "Human flu" in that it refers to an illness caused by any of many different strains of influenza viruses that have adapted to a specific host.

    All known viruses that cause influenza in birds belong to the species: Influenza A virus.

    All subtypes (but not all strains of all subtypes) of Influenza A virus are adapted to birds, which is why for many purposes avian flu virus is the Influenza A virus (note that the "A" does not stand for "avian").
    Adaptation is non-exclusive.

    Being adapted towards a particular species does not preclude adaptations, or partial adaptations, towards infecting different species.

    In this way strains of influenza viruses are adapted to multiple species, though may be preferential towards a particular host.

    For example, viruses responsible for influenza pandemics are adapted to both humans and birds.

    Recent influenza research into the genes of the Spanish Flu virus shows it to have genes adapted to both birds and humans; with more of its genes from birds than less deadly later pandemic strains.

    H5N1 Strain

    Influenza A virus subtype H5N1, also known as A(H5N1) or simply H5N1, is a subtype of the Influenza A virus which can cause illness in humans and many other animal species.

    A bird-adapted strain of H5N1, called HPAI A(H5N1) for "highly pathogenic avian influenza virus of type A of subtype H5N1", is the causative agent of H5N1 flu, commonly known as "avian influenza" or "bird flu".

    It is enzootic in many bird populations, especially in Southeast Asia. One strain of HPAI A(H5N1) is spreading globally after first appearing in Asia.

    It is epizootic (an epidemic in nonhumans) and panzootic (affecting animals of many species, especially over a wide area), killing tens of millions of birds and spurring the culling of hundreds of millions of others to stem its spread.

    Most references to "bird flu" and H5N1 in the popular media refer to this strain.

    As of the July 25, 2008 FAO Avian Influenza Disease Emergency Situation Update, H5N1 pathogenicity is continuing to gradually rise in wild birds in endemic areas but the avian influenza disease situation in farmed birds is being held in check by vaccination.

    Eleven outbreaks of H5N1 were reported worldwide in June 2008 in five countries (China, Egypt, Indonesia, Pakistan and Vietnam) compared to 65 outbreaks in June 2006 and 55 in June 2007.

    The "global HPAI situation can be said to have improved markedly in the first half of 2008 [but] cases of HPAI are still underestimated and underreported in many countries because of limitations in country disease surveillance systems".

    Pandemic Severity Index

    The Pandemic Severity Index (PSI) is a proposed classification scale for reporting the severity of influenza pandemics in the United States.

    The PSI was accompanied by a set of guidelines intended to help communicate appropriate actions for communities to follow in potential pandemic situations. [1]

    Released by the United States Department of Health and Human Services (HHS) on February 1, 2007, the PSI was designed to resemble the Saffir-Simpson Hurricane Scale

    From the Massachusetts Health and Human Services


    refers to separating people who are ill from other people to prevent the spread of a communicable disease.


    refers to separating and restricting the movement of people who have been exposed to a communicable disease and are not yet ill.
  • Additional Information

    Creative Commons License
    Prepared Citizens by Catherine "Jackie" Mitchell is licensed under a Creative Commons Attribution-Noncommercial-Share Alike 3.0 United States License.
    Based on a work at

    The posts on this site are subject to change. Mostly due to errors in spelling or grammar. I never said I am a professional journalist. I have new appreciation for the job that they do. Also, not all comments made by others will make it onto this site. Comments that advertise a commercial product do not get posted most of the time.

    View blog top tags
  • standingfirm

about Fluwiki

Posted by preparedcitizens on October 7, 2008

Fellow bloggers have said that when we write a post about other bloggers and wikis it is because of lack of our own inspiration.

This post is probably the most important post I have ever written. The reason, because THIS is where I get my information for the most part. I participate in any webinars that I am aware of and I have taken most of the available online public health trainings that I can find, and I would like to do more. But day in and day out, this is where I go for information.

So I hope everyone is reading Fluwiki.

It is much easier to follow up on these “puffs of smoke” that are these mystery illnesses on Flu Wiki Forum. The folks there do an excellent job of reporting, following up, and presenting all the nuances of what is happening in a given area.  So I will point to those cases in Alaska, Zambia and Pakistan that those who read this blog should be looking at on the wiki. “You are on your own” -YOYO- we can help each other to find the tools that we will need to protect our families in the days ahead but I would be doing my readers a disservice by becoming their source of information. We need a “deep bench” and it might as well start here.

We all have to get used to seeking out this information ourselves. And we really should become part of that deep bench in our own communities. Our ability to be resilient depends on this one point.

The folks from Flu Wiki – Greg Dworkin is someone who I have had the pleasure of getting to know over the years. He really is a good man with a huge heart – although I think that he blushes when I say stuff like this. Susan Chu, whom I have met personally, is a ball of energy. And that energy has been directed towards helping as many people as she can to prepare. I believe that this comes from a true physicians heart. She is familiar with pain and wants to help us avoid the pain of loss. Both of these folks have seen me through some tough times both personally and on the preparedness front. Greg even promised to come out and give a presentation to the citizens of the Town of Monson whenever…. it is an open ended invitation (within reason).

Susan Chu came through for me when I stood outside the Kmart that cold and snowy morning in November 2007. She flew from Washington DC to Hartford just for little ole me. We met, she gave me all sorts of presentation materials, helped me to get the brochures printed and ready to hand out, all so that we in this area would be able to take advantage of any head start that we might have beforehand. Sometimes I speak about circles of trust, these folks have stood shoulder to shoulder with me. I do trust them and I trust the heads up that they are trying their hardest to give us all.

Bronco Bill, steady as a rock Bill. He never toots his own horn. But *I* know how much he has done to help others.

There are so many people at Fluwiki whose names, LMWatBullRun, Kobie, Clawdia, Pixie, GraceRN, Gardner, AlohaOR, Carol@SC, Richard-Fl, Jane, pugmom, Readymom, UK-Bird, maryinhawaii, cottontop, Nimbus, gs, ssal…..I could go on and on and I am sure that I have missed the screen names of some people who have contributed tons of valuable resources to the community. I trust their observations and learned opinions.

Over the many years that we all have been trying to stay on top of this problem, they have been steady and true. We may not *always* agree, more often than not any debate is centered around what would be the most helpful course of action for all. These are good folks. And many more join the wiki and simply read… That is what I do most of the time. I want to learn all I can from these very knowledgeable people so that I can serve others to the best of my ability in the days ahead in whatever capacity I am called to do so. Or even no capacity whatsoever.

Kind of scary if you ask me, but hey, life is like that sometimes.

Additional Resources:

What people are saying around the world

translated by Google – Gazette de Zonegrippeaviaire

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