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Pandemic Levels Definition – Pandemic alert level / Phase 1-6

  1. Phase 1 – no viruses circulating among animals have been reported to cause infections in humans.
  2. Phase 2 – an animal influenza virus circulating among domesticated or wild animals is known to have caused infection in humans, and is therefore considered a potential pandemic threat.
  3. Phase 3 – an animal or human-animal influenza reassortant virus has caused sporadic cases or small clusters of disease in people, but has not resulted in human-to-human transmission sufficient to sustain community-level outbreaks. Limited human-to-human transmission may occur under some circumstances, for example, when there is close contact between an infected person & an unprotected caregiver. However, limited transmission under such restricted circumstances does not indicate that the virus has gained the level of transmissibility among humans necessary to cause a pandemic.
  4. Phase 4 – is characterized by verified human-to-human transmission of an animal or human-animal influenza reassortant virus able to cause “community-level outbreaks.” The ability to cause sustained disease outbreaks in a community marks a significant upwards shift in the risk for a pandemic. Any country that suspects or has verified such an event should urgently consult with WHO so that the situation can be jointly assessed & a decision made by the affected country if implementation of a rapid pandemic containment operation is warranted. Phase 4 indicates a significant increase in risk of a pandemic but does not necessarily mean that a pandemic is a forgone conclusion.
  5. Phase 5 – is characterized by human to human spread of the virus into at least 2 countries in one WHO region. While most countries will not be affected at this stage, the declaration of Level 5 is a strong signal that a pandemic is imminent & that the time to finalize the organization, communication, and implementation of the planned mitigation measures is short.
  6. Phase 6 – the pandemic phase, is characterized by community level outbreaks in at least one other country in a different WHO region in addition to the criteria defined in Phase 5. Designation of this phase will indicate that a global pandemic is under way.

www.who.int

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