Monthly Archives: August 2009

NC State Updates H1N1 Protocols

(August/2009) The NC OEMS has released 2 new protocols related to the H1N1 influenza.

The Suspected Influenza Protocol has been revised addressing the use of N-95 masks. Additional content clarification has been inserted as well.

A new protocol for Immunization/Medication Distribution has been released. This protocols allows EMS Systems to assist local health departments with immunization programs or medication distribution.

Copies of both protocols are attached. They also can be found at


Emergency Planning for At-Risk Groups





This toolkit provides guidance to planners for identifying, engaging, communicating with and providing services to at-risk populations during public health emergencies such as pandemic influenza.

Who should use this toolkit?
While the toolkit was primarily designed for planners at local health departments, planners at other emergency response agencies and organizations may find these materials useful.

What topics are addressed by the toolkit?
The toolkit covers 5 areas of preparedness for at-risk populations developed by the Association of State and Territorial Health Officials (ASTHO). These areas are: 1) collaboration with and engagement of at-risk populations; 2) identifying at-risk populations; 3) communication with and education of at-risk populations; 4) provision of services (clinical and non-clinical); and 5) how to test, exercise, measure, and improve preparedness of at-risk populations.

What is included for each topic?
The toolkit contains 10 examples of local initiatives that have strengthened disaster preparedness and response for at-risk populations. For each local initiative, an audio clip with key contacts is provided to describe the activity and ways in which it was implemented.

Additional sections in each of the 5 main topic areas include “Tips and Suggested Planning Activities” and a “Topic Spotlight,” which provide practical guidelines for local planners interested in at-risk population planning.

The toolkit also includes ready-to-use PowerPoint templates that may be customized for presentations to at-risk groups or partner organizations in the community to obtain support for planning activities.

Who developed this toolkit?
This toolkit was developed in the spring of 2009 by the North Carolina Center for Public Health Preparedness (NCCPHP) at the UNC Gillings School of Global Public Health in partnership with the Office of Public Health Preparedness and Response at the North Carolina Division of Public Health. If you have questions or comments about this project, please contact NCCPHP at 919-843-5561 or

How was the toolkit developed?
NCCPHP conducted 5 focus groups with local planners at sites around the state of North Carolina from December 2008 through February 2009 to obtain key information about existing gaps in resources and perceived barriers to planning. One key theme from the focus groups was the lack of information on promising practices for at-risk population planning at local health departments in North Carolina. In response to this expressed need, NCCPHP solicited North Carolina local health departments and emergency management agencies for planning tools and success stories to include in the toolkit.