Government still behind the cruve again on swineflu
Take this advice current on the HPA's web site (Standard practical advice for investigating individuals with possible swine influenza infection v1 30 April 2009):
- 1. Which patients should be tested?
Currently we do not have transmission of swine influenza
A within the UK.
To be considered for testing a patient should have:
• Fever greater or equal to 38°C or history of fever,
AND flu-like illness or other severe illness suggestive
of an infective process
AND
• Onset within seven days of travel from an area known
to have cases of swine influenza. The updated list is
available at on the HPA website.
That means no secondary infection cases are automatically tested.
This document may have been downloaded and could be referred to for days by "health professionals".
Just a few hours ago the first confirmed human to human transmission case was identified in Scotland. Remember this case happened because someone was allowed to wonder round the country of a flight from Mexico and go out drinking with their rugby club.
If anyone from the HPA reads this here is what you need to do:
Put at the heading of each document a date by which that document should not be refered to any long and redownloaded. Currently you might like to restrict that to every 6 hours. ( Its only a little help to put a version number on because odds are the document's been printed out and is blue tacked to someone's office wall for goodness knows how long. Right now that has a real impact ).
Did no one think this stuff through ? The control of documentation is basic practice int he Engineering world, I'm just appauled by all of this. Command and control is definately lacking.
Update: They seem to have woken up in part to this on some other documents - other algorithm documents advice checking with the web site before taking action. Better to put an expired notice on it !
PS I'm told that health care professionals have had a hard time getting on the HPA web site at all today. Now maybe that's just a local internet connection thing, but maybe nobody stress tested their systems and its another sign that things have not been worked through.
















