title: Preparing military installations for pandemic influenza through tabletop exercises.
abstract: Effective Department of Defense (DoD) response to pandemic influenza requires robust and well-exercised plans at the installation level. This article describes proceedings and key findings from a half-day "train-the-trainer" pandemic influenza tabletop exercise for Tri-Service installation public health emergency officers (PHEOs) at the August 2008 Force Health Protection conference. Exercise participants were expected to facilitate the execution of a pandemic influenza exercise at their respective installations within 6 months of attendance. On a 6-month follow-up survey (N= 50), 68% indicated their installations had since created a new pandemic influenza plan or revised an existing one, whereas 44% indicated that their installation had since conducted a pandemic influenza exercise. Chief reported barriers to conducting installation-level pandemic influenza exercises included competing priorities, followed by time, personnel, and budget limitations. Relevant policy implications for installation-level pandemic influenza readiness include access to higher level plans, strategic utilization of assets to optimize surge capacity, and cross-training of personnel.
authors.affiliation: Armed Forces Health Surveillance Center, Silver Spring, MD 20910, USA.
authors.forename: Jean Lin
authors.initials: JL
authors.lastname: Otto
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Lipnick
authors.forename: Jose L
authors.initials: JL
authors.lastname: Sanchez
authors.forename: Robert F
authors.initials: RF
authors.lastname: DeFraites
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Barnett
mesh_terms: D004189:Disaster Planning / Q000379:methods*; D004196:Disease Outbreaks / Q000517:prevention & control*; D006077:Government Agencies; D006284:Health Plan Implementation / Q000379:methods*; D006801:Humans; D007251:Influenza, Human / Q000517:prevention & control*; D008887:Military Medicine