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     Our experts agree - EMS agencies need to stay informed about the status of the ongoing swine flu (H1N1) outbreak and to look first to their local and state pandemic preparedness guidelines. They should also inquire about any special instructions or notifications at their local, state or federal level.

     "This is a critical time," says Raphael M. Barishansky, public health emergency preparedness expert and EMS Magazine editorial advisory board member. "EMS agencies need to take this opportunity to be proactive in getting guidance and information."

     Following the initial outbreak in late April, the flu continued to spread through May but lacked the virulence or fatality factor initially feared. As of May 11, the CDC reported 2,618 cases with three deaths in the U.S. in a total of 44 states. Worldwide, 30 countries had officially reported a total of 4,694 cases.

     However, federal officials warned that it is too early for complacence. The CDC announced that it anticipates "more cases, more hospitalizations and more deaths associated with this new virus in the coming days and weeks because the population has little to no immunity against it."

     Officials also remain concerned that even if the flu fizzles out now, it might follow a cycle like the common flu and come back harder in the fall, although by then, they hope to have a vaccine.

     Regardless of whether this outbreak becomes a true pandemic, it has provided a revealing glimpse into modern global reaction and response.

     The World Health Organization (WHO) was quick to increase its pandemic alert levels to the second-highest level possible. Both the WHO and the CDC have provided daily online updates and guidelines, keeping the flow of information accurate and accessible. The media both informed and frightened the public while government officials debated travel restrictions, school closures and the canceling of public events. However, when the flu failed to meet expectations, there was less relief than public backlash over the "hype" and "fear-mongering."

     -Heather Caspi, EMSResponder.com

WHAT EMS PROVIDERS NEED TO KNOW ABOUT SWINE FLU