title: Selecting nonpharmaceutical strategies to minimize influenza spread: the 2009 influenza A (H1N1) pandemic and beyond.
abstract: Shortly after the influenza A (H1N1) 2009 pandemic began, the U.S. government provided guidance to state and local authorities to assist decision-making for the use of nonpharmaceutical strategies to minimize influenza spread. This guidance included recommendations for flexible decision-making based on outbreak severity, and it allowed for uncertainty and course correction as the pandemic progressed. These recommendations build on a foundation of local, collaborative planning and posit a series of questions regarding epidemiology, the impact on the health-care system, and locally determined feasibility and acceptability of nonpharmaceutical strategies. This article describes -recommendations and key questions for decision makers.
authors.affiliation: Centers for Disease Control and Prevention, Division of Adolescent and School Health, Research Application and Evaluation Branch, Atlanta, GA 30033, USA. LBarrios@cdc.gov
authors.forename: Lisa C
authors.initials: LC
authors.lastname: Barrios
authors.forename: Lisa M
authors.initials: LM
authors.lastname: Koonin
authors.forename: Katrin S
authors.initials: KS
authors.lastname: Kohl
authors.forename: Martin
authors.initials: M
authors.lastname: Cetron
mesh_terms: D003140:Communicable Disease Control / Q000379:methods*; D003299:Cooperative Behavior; D003657:Decision Making; D058015:Health Communication; D006287:Health Planning Guidelines; D006801:Humans; D053118:Influenza A Virus, H1N1 Subtype / Q000472:pathogenicity*; D007251:Influenza, Human / Q000453:epidemiology / Q000517:prevention & control* / Q000635:transmission; D058873:Pandemics; D014481:United States