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24.1            As this manual is designed to be used in any country, it is difficult to advise what each individual country’s public health plans are with regard to response when Bird Flu strikes.

24.2            You are encouraged therefore to research your own country’s Government national preparedness and public health sector action plans.

24.3            There are some likely scenarios which the public health sectors will probably follow:

24.3.1            Generally, the public health sector will shift from provision of national preparedness direct care to the co-ordination, direction, logistic support and assistance of care provision by volunteers, community groups and individuals caring for sick family members.

24.3.2            Direction of release of Personal Protection Equipment to primary and secondary public health sectors occurs when the WHO issues a Code Red alert.

24.3.3            The public health sector will be providing direct care to only a very small proportion of all people who get sick.

24.3.4            Anti-virals will be released to the general population early in the wave, but there will not be sufficient to provide treatment for everybody who gets sick in a large wave.

24.3.5            It is possible more stringent prioritisation may be adopted (in this case likely to be age-based), which may exacerbate issues around the distribution of the medication.

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