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H1N1 COUNTERMEASURES STRATEGY AND ... - PHE Home

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NBSB Pandemic Influenza Working Group<br />

Detailed Report<br />

Day 2 - June 19, 2009<br />

Diagnostics – Strategies for Use of Diagnostics in a Pandemic<br />

8:00-8:15 Background Andrew Pavia<br />

8:15-8:35 Diagnostics and influenza pandemics: Dan Jernigan<br />

Lessons learned and future prospects<br />

8:35-8:55 FDA perspective: Diagnostics for Sally Hojvat<br />

pandemics and biodefense<br />

8:55-9:15 Influenza Diagnostic Algorithm and Dan Harms<br />

Identification Capability within DoD<br />

Clinical Laboratories.<br />

9:15-10:15 Panel Discussion Steve Cantrill<br />

Anthony Fiore<br />

Dan Jernigan<br />

Sally Hojvat<br />

Dan Harms<br />

Questions to consider:<br />

<br />

<br />

<br />

<br />

<br />

What is the optimal role of diagnostic testing for public health surveillance<br />

during a pandemic? Is it appropriate to have different goals during different phases,<br />

or is it a compromise based on limited capacity?<br />

What are the benefits of comprehensive testing at large medical centers? Is testing<br />

of hospitalized patients an important part of surveillance? Are there other models of<br />

sentinel surveillance?<br />

What might be the benefits of an accurate point of care test? What degree of accuracy<br />

would be needed? Do these hypothesized benefits need to be tested?<br />

How can diagnostic testing be integrated into community mitigation efforts (for example<br />

for school closure, voluntary quarantine, post exposure prophylaxis)<br />

Public health laboratories have very limited capacity. Do they need to be supplemented<br />

by other sources? Should restoring public health capacity take precedence over using<br />

clinical capacity?<br />

10:15-10:30 Break<br />

Antivirals<br />

10:30-11:10 I. Antiviral drugs in the development Fred Hayden<br />

II. What do we need from antiviral drugs<br />

11:10-11:30 GSK Zanamivir Strategy and Response Judith Ng-Cashin<br />

to Novel <strong>H1N1</strong><br />

11:30-11:50 Advanced Clinical Development of Peramivir William Sheridan<br />

3

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