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Vol 279 No 7480 p609
1 December 2007

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Department of Health A national framework for responding to an influenza pandemic


Pharmacists to have new powers during pandemic

Routine services may be curtailed in a pandemic

Routine services may be curtailed in a pandemic

New powers are likely to be given to community pharmacists during an influenza pandemic to allow them to supply medicines and provide services in a more flexible manner.

A Department of Health consultation published last week details possible amendments to legislation, including proposals to extend powers for emergency supplies and to make minor ailment schemes widely available (see p617).

Increased measures to prepare for a possible pandemic, including doubling the Government’s stockpile of antivirals and buying 14.7 million courses of antibiotics, were also announced by health secretary Alan Johnson last week. The new clinical countermeasures strategy was revealed as the Government published its UK framework for responding to a pandemic.

The increased stockpile of antivirals will offer protection against flu in a worst case scenario for 50 per cent of the population. Although previous pandemics have seen clinical attack rates of around 25 per cent, the Government’s planning assumption has been raised as a precautionary measure to ensure its arrangements are robust and resilient, said Mr Johnson.

The antibiotics will be used to protect at-risk groups against the complications of flu. The strategy also includes buying 350 million surgical masks and 34 million respirators for NHS and social care staff who are caring for infected patients.

A stockpile of 3.3 million doses of H5N1 pre-pandemic vaccine for health care workers already exists and advance supply contracts have been awarded to GSK and Baxter to provide pandemic-specific vaccine as soon as the pandemic strain is identified.

Catch it, bin it, kill it Raising awareness of the need for good respiratory and hand hygiene to help combat viral transmission is the aim of a campaign launched by the DoH this week.

The “Catch it, bin it, kill it” campaign, which forms an important part of the Government’s pre-pandemic flu preparedness planning, encourages people to use a tissue when coughing or sneezing, dispose of it as soon as possible and to wash their hands.

Posters are being sent to hospital and community pharmacies in England.

A section on pharmacy in the new framework highlights the important role that both community and hospital pharmacists will play during a pandemic.

It says: “As the pandemic escalates, some of the routine functions and services provided by pharmacies may have to be reduced, or stopped for short or longer periods, as demands increase elsewhere. Specialist clinical pharmacists may be able to support doctors and other health care professionals in all settings, including primary care, hospitals and the community.”

“A national framework for responding to an influenza pandemic”, which was first issued for consultation in March 2007 (PJ, 24 March 2007, p331), updates and expands on health advice and information contained in previous plans issued by UK health departments.

Plans for the devolved administrations will take into account differences in organisational structures, responsibilities and operational arrangements. But the strategic aims, scientific advice and key planning assumptions are the same throughout the UK.

Details of the frameworks, supporting guidance and further consultations on related issues are available online

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