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PANDEMIC PREPAREDNESS FOR BUSINESSES

The CDC created a pandemic severity index based on the case fatality ratio - the key measurement meaning the percentage of deaths among clinically ill persons - and an excess mortality rate (death rate above that for a typical fl u season).

This severity index will allow communities to monitor an outbreak and take appropriate action based on the level of threat. The categories correspond to suggested mitigation activities described in the Interim Pre-pandemic Planning Guidance: Community Strategy for Pandemic Influenza Mitigation in the United States.

The CDC director will designate the category of an emerging pandemic and monitor that designation as more information becomes available.

Some of the key predictions for each category are described here. Additional details are included in the full index found in the pandemic planning guidance from CDC.

Pandemic Severity Index
Characteristics	Category (a)
Case fatality ratio (b) = < 0.1; Potential number of deaths = < 90,000; Prior 20th-century U.S. experience = seasonal infl uenza (illness rate 5–20 percent).	1
Case fatality ratio = 0.1 –< 0.5; Potential number of deaths = 90,000–450,000; Prior 20th-century U.S. experience = 1957 and 1968 pandemics.	2
Case fatality ratio = 0.5 –< 1.0; Potential number of deaths = 450,000–<900,000; Prior 20th-century U.S. experience = none.	3
Case fatality ratio = 1.0 –< 2.0; Potential number of deaths = 900,000–<1.8 million; Prior 20th-century U.S. experience = none.	4
Case fatality ratio = ≥2.0; Potential number of deaths = ≥1.8 million; Prior 20th-century U.S. experience = 1918 pandemic.	5

a - An illness rate of 20–40 percent of the population is estimated for each category.
b - The mortality rate of an illness, usually expressed per 100 cases.

Another good graphic represents the Flu Mortality Index






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