Guides and Checklists 

Pandemic Flu - Novant Health Checklist for Individuals & Families (PDF version)
En Espanol
Source: U.S. Department of Health and Human Services, January 2006
You can prepare for an influenza pandemic now. You should know both the magnitude of what can happen during a pandemic outbreak and what actions you can take to help lessen the impact of an influenza pandemic on you and your family. This checklist will help you gather the information and resources you may need in case of a flu pandemic.
To plan for a pandemic:

• Store a two-week supply of water and food. During a pandemic, if you cannot get to a store, or if stores are out of supplies, it will be important for you to have extra supplies on hand. This can be useful in other types of emergencies as well, such as power outages and disasters.
• Periodically check your regular prescription drugs to ensure a continuous supply in your home.
• Have any nonprescription drugs and other health supplies on hand, including pain relievers, stomach remedies, cough and cold medicines, fluids with electrolytes, and vitamins.
• Talk with family members and loved ones about how they would be cared for if they got sick, or what will be needed to care for them in your home.
• Volunteer with local groups to prepare and assist with emergency response.
• Get involved in your community as it works to prepare for an influenza pandemic.

• Teach your children to wash hands frequently with soap and water, and model the correct behavior.
• Teach your children to cover coughs and sneezes with tissues, and be sure to model that behavior.
• Teach your children to stay away from others as much as possible if they are sick. Stay home from work and school if sick.

• Ready-to-eat canned meats, fish, fruits, vegetables, beans and soups
• Bottled water
• Protein or fruit bars
• Dry cereal or granola
• Peanut butter or nuts
• Dried fruit
• Crackers
• Canned juices
• Canned or jarred baby food and formula
• Pet food

• Prescribed medical supplies such as glucose and blood-pressure monitoring equipment
• Soap and water, or alcohol-based (60-95%) hand wash
• Medicines for fever, such as acetaminophen or ibuprofen
• Thermometer
• Anti-diarrhea medication
• Vitamins
• Fluids with electrolytes
• Cleansing agent/soap
• Flashlight
• Batteries
• Portable radio
• Manual can opener
• Garbage bags
• Tissues, toilet paper, disposable diapers

• Family Emergency Health Information Sheet (or PDF format)
• Emergency Contacts Form (or PDF format)

• Visit www.pandemicflu.gov
• The Centers for Disease Control and Prevention (CDC) hotline, 1-800-CDC-INFO (1-800-232-4636), is available in English and Spanish, 24 hours a day, 7 days a week. TTY: 1-888-232-6348. Questions can be e-mailed to cdcinfo@cdc.gov.
• Links to state departments of public health can be found at http://www.cdc.gov/other.htm#states.

• Business Pandemic Influenza Planning Checklist (PDF)
• Child Care and Preschool Pandemic Influenza Planning Checklist (PDF)
• School District (K-12) Pandemic Influenza Planning Checklist (PDF)
• Colleges and Universities Pandemic Influenza Planning Checklist (PDF)
• Home Health Care Services Pandemic Influenza Planning Checklist (PDF)
• Faith-Based & Community Organizations Pandemic Influenza Preparedness Checklist (PDF)