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".

  • Recent Comments

    preparedcitizens on Michael T. Osterholm, PhD, MPH…
    bryansail33 on Michael T. Osterholm, PhD, MPH…
    preparedcitizens on Michael T. Osterholm, PhD, MPH…
    bryan on Michael T. Osterholm, PhD, MPH…
    Catherine Mitchell on What Are You Throwing Awa…
  • 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

Archive for the ‘politics’ Category

WHO: Addressing Ethical Issues in Pandemic Influenza Planning

Posted by preparedcitizens on December 16, 2008



The World Health Organization has released this 119 page collection of discussion papers regarding ethical issues in pandemic influenza planning. I cannot tell by the website when this was released for public consumption or even when the information was compiled into this form. It definitely is an important source of information for those interested in ethical considerations regarding infectious disease outbreaks and how they will be responded to by a world body.

Experts in the subjects of law, public health, ethics, WHO staff and country representatives were brought together into working groups to discuss the major issues that we will face in the days ahead.

The topic headings…

  • I Equitable access to therapeutic and prophylactic measures – prepared by chairperson Marcel Verweij of Utrecht University (Netherlands)
  • II Isolation, quarantine, border control and social-distancing measures – written by Larry Gostin, chairperson
    of the working group on “Isolation, quarantine, border control, and social distancing” and Ben Berkman, both of Georgetown University
  • III The role and obligations of health-care workers during an outbreak of pandemic influenza – prepared by chairperson Ross Upshur of the University of Toronto (Canada)
  • IV Pandemic influenza planning and response – transnational issues for governments – prepared by Robert Archer, chairperson

I am just getting into the meat of this document now but I highly recommend it.


Posted in politics, Preparedness, Public Health, World Health Politics | Tagged: | Leave a Comment »

What Has Not Changed With The Election of A New President

Posted by preparedcitizens on November 7, 2008

Eternal truths do not change, thankfully so.

We elect new presidents, new ideologies are promoted, new ideas explored, yet the Glory of God is the eternal light that illuminates the path ahead.

To be honest, this election stirred up fear deep within my soul. The outcome of the election caused me to become depressed and disillusioned – I had the opposite of hope. I had deep despair. I was brought so low by this despair especially for the unborn, so low that I could have lost sight of the much larger vision of all that is under God’s control.

Even within my despair this verse kept weighing heavily on me. For good reason. The Holy Spirit was and is continually reminding me of the right heart response.

We must do what is pleasing in the sight of God our Savior.

1 Timothy 2:1-4

Pray for All People

First of all, then, I urge that supplications, prayers, intercessions, and thanksgivings be made for all people, for kings and all who are in high positions, that we may lead a peaceful and quiet life, godly and dignified in every way. This is good, and it is pleasing in the sight of God our Savior, who desires all people to be saved and to come to the knowledge of the truth.


Often when I find myself unable to see my way through to heart full of thanksgiving I grab Foxe’s Book of Martyrs or Dietrich Bonhoeffer’s writings. I live in less trying times for now and searching out the wisdom and insight of others who have lived in more difficult times or under more difficult circumstances and remained true, well, there is light unto my own path.

Not knowing what is ahead – how our young president will be tested, how we all will be tested, I found this gem that spoke to me. Perhaps it will speak to you also.

“To understand reality is not the same as to know about outward events. It is to perceive the essential nature of things.

The best-informed man is not necessarily the wisest. Indeed there is a danger that precisely in the multiplicity of his knowledge he will lose sight of what is essential.

But on the other hand, knowledge of an apparently trivial detail quite often makes it possible to see into the depth of things. And so the wise man will seek to acquire the best possible knowledge about events, but always without becoming dependent upon this knowledge.

To recognize the significant in the factual is wisdom.

The wise man is aware of the limited receptiveness of reality for principles; for he knows that reality is not built upon principles but that it rests upon the living and creating God.

He knows too, therefore that reality cannot be helped by even the purest of principles or even the best of wills, but only by the living God.

Principles are only the tools in God’s hand, soon to be thrown away as unserviceable.

To look in freedom at God and at reality, which rests solely upon him, this is to combine simplicity with wisdom.

There is no true simplicity without wisdom and there is no wisdom without simplicity.

~Dietrich Bonhoeffer

So what has changed over the last 72 hours other than the realization that change is coming – for better, for worse – no man can know.

We still must be about our day, living and loving with the same intensity, the same morality, the same devotion to Christ Jesus that causes us to love our neighbor and even our enemy as well as our friend – in season and out of season.

We still must be respectful and obedient to authority, rendering unto Caesar all that is Caesar’s and unto God all that is God’s. And we still must do so being wise as serpent’s and harmless as doves.

A pandemic threat remains. And even now there is yet another death in Indonesia where H5N1 is suspected as the cause

Could this be the international crisis that tests the mettle of our new, young, president and our mettle as Americans? It could very well be. This is the simple reality that we must face. And there is wisdom in this simplicity.

Paul tells us what our response must be, “First of all, then, I urge that supplications, prayers, intercessions, and thanksgivings be made for all people, for kings and all who are in high positions, that we may lead a peaceful and quiet life, godly and dignified in every way.” I is health for us to desire a peaceful and quiet life in order that we may live godly and dignified. He tells us how this is accomplished – through supplications, prayers, intercessions and thanksgivings made for ALL people, for kings and all who are in high positions.

This is good, and it is pleasing in the sight of God our Savior, who desires all people to be saved and to come to the knowledge of the truth.

By heaping coals of kindness.

Marks of the True Christian

Let love be genuine. Abhor what is evil; hold fast to what is good. Love one another with brotherly affection. Outdo one another in showing honor. Do not be slothful in zeal, be fervent in spirit, serve the Lord. Rejoice in hope, be patient in tribulation, be constant in prayer. Contribute to the needs of the saints and seek to show hospitality.

Bless those who persecute you; bless and do not curse them. Rejoice with those who rejoice, weep with those who weep. Live in harmony with one another. Do not be haughty, but associate with the lowly. Never be wise in your own sight. Repay no one evil for evil, but give thought to do what is honorable in the sight of all.

If possible, so far as it depends on you, live peaceably with all. Beloved, never avenge yourselves, but leave it to the wrath of God, for it is written, “Vengeance is mine, I will repay, says the Lord.” To the contrary, “if your enemy is hungry, feed him; if he is thirsty, give him something to drink; for by so doing you will heap burning coals on his head.” Do not be overcome by evil, but overcome evil with good.

~Romans 12:9-21

Our world is our mission field and we are all ambassadors of Christ Jesus. Through death, illness, pain, suffering – I pray for the strength and resilience of all.

Onward and Upwards

Posted in politics, Public Health | Tagged: , , | Leave a Comment »

On the Eve of the Election

Posted by preparedcitizens on October 31, 2008

…and on the eve of what is to come, no matter what that is.

So many times in my life I have gotten caught up in asking God, at times pleading with God, the question of “Why?”. Why have you allowed this or that to come into my life when I love you so. Why have you allowed this tragedy, or this pain. Why have you allowed it to go on for so long, when I love you so much?

It took years and years of asking the why’s and not having the answer to some of these events until much later to realize that even in the very bad things I found growth, and even blessing.

I was adopted into a dysfunctional family and abused as a child. Why, why why?

Why? Because this is how I learned to forgive. This is how I learned to endure and remain steadfast in my love for Jesus Christ. This is how I learned to have a heart for others suffering in similar ways. How else could a great glorious work have been done in my life unless some pain was allowed?

God does not promise health and prosperity to anyone.

He does not promise a painless existence or trouble free days.

In fact, He promises that we will have trouble. He allows these things so that even through the very bad things, very good can shine through.

So, on the eve of an historical and divisive election and more trouble in the world inevitably coming our way, I say do not give up hope.

Even when things are meant for bad or for evil purposes, God will use them for our good and in order to fulfill all that He has promised in the fulfillment of Scripture.

Do not give up hope.

Do not be troubled,

Do not fear that which will make you stronger

…or what will lead you to a saving knowledge of Jesus Christ.

Even when it seems like God is not to be found, all we need do is turn toward Him and He is there.

So, for me, I will continue to pray for all of our leaders, elected and not elected, no matter who they are. I will pray that Gods will is accomplished in and for their lives and that our nation remains strong and not adversarial towards Gods will. I will pray that each and every voter exercises their right to go to the polls and vote their conscience but that they do not hate or fear what is to come from any elected leader. If it is time for this nation to experience a time of trouble, so be it, and I hope and pray that we learn from whatever comes our way.

"When I shut up the heavens so that there is no rain, or command locusts to devour the land or send a plague among my people, and  my people who are called by My name humble themselves and pray and seek My face and turn from their wicked ways, then I will hear from heaven, will forgive their sin and will heal their land.” ~2 Chronicles 7:13-14

Posted in politics, Public Health | Tagged: | Leave a Comment »

After a week of world financial meltdown

Posted by preparedcitizens on October 10, 2008

After a week of watching world financial meltdown I sought the word of God for understanding.

I am not financially savvy. When I watch the news or read the stories, it is almost as though people are speaking a foreign language. My life is lived almost totally unfocused on money and the world of finance. No kidding. It isn’t that I feel dirty carrying or using the stuff I just have never really sought “fortune” or fame for that matter.

As long as we were not hungry, as long as my children were fed while they were growing up under our care, as long as my bills were/are paid on time, for the most part I am ready to ignore the stuff. I have simple wants and needs. I am satisfied to buy and wear used clothing or cheap t-shirts and jeans that are 20 years old. Read the rest of this entry »

Posted in politics, Public Health | Tagged: , , , | Leave a Comment »

The Financial Crisis has another lesson for us

Posted by preparedcitizens on September 30, 2008

When those who understand the complexities of an issue do not do a good job educating us in the public about the nuances of any particular crisis and the effects of each reaction, people in turn react with shortsightedness and self protection. Chaos results, vengeful feelings take control and these feelings that govern our thoughts rather than rational thinking and planning govern our actions and reactions.

This is not the proper way to react to any crisis.
Political expedience must not be a factor when making decisions that effect us all. Read the rest of this entry »

Posted in Life, pandemic, politics, President, Public Health | Tagged: , , , | Leave a Comment »

Test the spirits!

Posted by preparedcitizens on August 25, 2008

1 John 4:1-6
Dear friends, do not believe every spirit, but test the spirits to see whether they are from God, because many false prophets have gone out into the world. This is how you can recognize the Spirit of God: Every spirit that acknowledges that Jesus Christ has come in the flesh is from God, but every spirit that does not acknowledge Jesus is not from God. This is the spirit of the antichrist, which you have heard is coming and even now is already in the world.
You, dear children, are from God and have overcome them, because the one who is in you is greater than the one who is in the world. They are from the world and therefore speak from the viewpoint of the world, and the world listens to them. We are from God, and whoever knows God listens to us; but whoever is not from God does not listen to us. This is how we recognize the Spirit of truth and the spirit of falsehood.

Just because someone claims to be a believer, a follower of Jesus Christ, does not mean that he or she is.

“Every spirit that acknowledges that Jesus Christ has come in the flesh is from God…”

We must learn to discern between the spirit of truth and the spirit of error. Read the rest of this entry »

Posted in Christianity, Faith based, Life, Overcomers, politics | Tagged: , , | Leave a Comment »

“Ask not what your country can do for you…”

Posted by preparedcitizens on April 3, 2008

At one time in our history, leaders were thrust into the helm based on their skills and experience, their ability to inspire us in the here and now, and their vision for the future. We have been blessed in this country to have leaders who have not failed us – every one was the man for his day, they have led, they have inspired, and they have carried us forward. Read the rest of this entry »

Posted in pandemic, politics, Prepare, Public Health | Tagged: , , , , , , | Leave a Comment »

“A Journey through the World of Pandemic Influenza” SophiaZoe

Posted by preparedcitizens on January 1, 2008

SophiaZoe had a great post today Politics and bird flu are not a good mix

Voices carry—we need a chorus. Thanks SophiaZoe for speaking out!

Posted in Health, pandemic, politics, Public Health | Tagged: , | Leave a Comment »