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numbers of hospitalizations or deaths increasing? What percent of these hospitalized patients require admission to intensive care units? How many influenza deaths have occurred in the community? Are some groups being disproportionately affected?

  • How busy are local health care providers and emergency departments? How many visits are they getting for influenza-like illness? Are they able to meet the increased demand for care from persons with influenza-like illness? Are local health care providers or emergency departments becoming overburdened?

  • Are the hospital and intensive care unit (ICU) beds full with influenza patients? Is there available space in the ICUs? Are there enough ventilators?

  • Do the hospitals have enough staff to provide care? Is there increasing absenteeism in health care workers due to influenza-like illness in themselves or their family members?

  • Is there enough antiviral medication to treat sick patients at high risk for complications?

Can Local Education Agencies or Schools Determine and Share Information About the Following?

  • What are school absenteeism rates? How many visits are being made to school health offices daily? How many students with influenza-like illness are being sent home during the school day?


Do You Have the Resources to Implement the Strategies Being Considered?

  • What resources are available? Do you have access to the funds, personnel, equipment, and space needed?

  • How long will the strategies take to implement? How long can the strategies be sustained?

  • Are changes to legal authority or policy needed? How feasible are these changes?

  • How can you most clearly communicate with the community about steps parents, students, individuals and families need to take and the reasons for recommendations?

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