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DoD Declassifies Flu Pandemic Plan Containing Sobering Assumptions

An anonymous reader writes "The Department of Defense has just declassified a copy of its 2009 Concept of Operations Plan for an Influenza Pandemic. Among the Plan's scary yet reasonable assumptions are that in the United States, such a pandemic will kill 2 percent of the infected population, or about 2 million people. The plan also assumes that a vaccine won't be available for at least 4 to 6 months after confirmation of sustained human transmission, and that the weekly vaccine manufacturing capability will only produce 1 percent of the total US vaccine required. State and local governments will be overwhelmed, and civilian mortuary operations will require military augmentation. Measures such as limiting public gatherings, closing schools, social distancing, protective sequestration and masking will be required to limit transmission and reduce illness and death. International and interstate transportation will be restricted to contain the spread of the virus. If a pandemic starts outside the US, it will enter the country at multiple locations and spread quickly to other parts of the country. A related document, CONPLAN 3591-09, was released by DoD in 2010."

36 of 337 comments (clear)

  1. Sounds like an episode of Doomsday Preppers by Anonymous Coward · · Score: 5, Interesting

    I guess all the Preppers will have the last laugh as they eat their freeze dried food in their bunkers, with gun in lap, waiting for vaccine to become available.

    1. Re:Sounds like an episode of Doomsday Preppers by ruckc · · Score: 4, Insightful

      Plan for the worst, Hope for the best.

      Sadly, the plan would be the same for a zombie apocalypse.

    2. Re:Sounds like an episode of Doomsday Preppers by Anonymous Coward · · Score: 4, Insightful

      More sadly is that you are comparing a flu pandemic to a fictional zombie problem which hasn't and most likely never will.

    3. Re:Sounds like an episode of Doomsday Preppers by ebno-10db · · Score: 3, Informative

      I guess all the Preppers will have the last laugh as they eat their freeze dried food in their bunkers, with gun in lap, waiting for vaccine to become available.

      I believe Mr. Poe already addressed that issue: The Masque of the Red Death .

    4. Re:Sounds like an episode of Doomsday Preppers by drinkypoo · · Score: 3, Informative

      Do you really think those twinks are a substantial percentage even of the prepper population? Realize that from a certain standpoint, Mormons are preppers, and they use vaccines. I don't think that the anti-vaxxer religious prepper types are really that big a blip. If you're sure god will take you, you don't need supplies for the rapture.

      On the contrary, many if not most prepper sites include notes on which animal antibiotics you can safely use — you can get them over the counter.

      --
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    5. Re:Sounds like an episode of Doomsday Preppers by confused+one · · Score: 5, Insightful

      Trying to get people to consider preparation for a never to happen zombie apocalypse is effective in getting some people to incidentally prepare for a pandemic outbreak. If it works, then let it go; more people prepared for the inevitable emergency, the better -- it doesn't matter whether it's zombies, flu, or hurricanes.

    6. Re:Sounds like an episode of Doomsday Preppers by Beardo+the+Bearded · · Score: 4, Insightful

      No, it's so that we finally have an excuse to go on a shotgun rampage without guilt.

      Plus, we're already all zombies anyway so it doesn't matter much anyway.

      --

      ---
      ECHELON is a government program to find words like bomb, jihad, plutonium, assassinate, and anarchy.
    7. Re:Sounds like an episode of Doomsday Preppers by mhajicek · · Score: 3, Insightful

      I have non-adults in my family. If I want to protect them during an epidemic, that means keeping the infected away by any means necessary. There's also the likelihood of violent scavengers in the event our precarious food distribution system shuts down, as would happen if areas are quarantined. So instead of violent and infectious undead breaking into the house looking for something to eat, it would be violent and infectious fevered and desperate people, probably armed, breaking into the house looking for something to eat.

    8. Re:Sounds like an episode of Doomsday Preppers by Electricity+Likes+Me · · Score: 3, Interesting

      More sadly is that you are comparing a flu pandemic to a fictional zombie problem which hasn't and most likely never will.

      Why is that sad? While a zombie apocalypse will likely never happen, it's still a useful model for studying how diseases spread. Whether it's spread by bite or by some other method, the net effect is still the same. Besides, some diseases are spread by bite.

      The difference being that a zombie apocalypse is presumed to have infected as hostile-actors who have to be murdered, not victims who need to quarantined but will most likely survive if treated.

      Although now I'm thinking it would be a hell of a thing to make a movie where the zombie-virus worked that way, since that would wind up being a fairly accurate model of armed-crazy people during a flu pandemic.

    9. Re:Sounds like an episode of Doomsday Preppers by undeadbill · · Score: 3, Interesting

      You do understand that the idea of prepping for a zombie apocalypse is an allegorical exercise, right? The biggest danger during any large scale disaster isn't the disaster itself, but in how masses of people react to it.

    10. Re:Sounds like an episode of Doomsday Preppers by jeffmflanagan · · Score: 4, Informative

      The particularly bad ones are specifically bad for healthy adults with a non-compromised immune systems, so let's stop pretending that a healthy immune system protects against dangerous flu variants. http://en.wikipedia.org/wiki/Cytokine_storm

    11. Re:Sounds like an episode of Doomsday Preppers by mjr167 · · Score: 5, Insightful

      Emergency prep teams use zombie and alien drills all the time. Zombie == unknown pandemic and aliens == unknown invasion force. If you run the drill using a real world example, people will tailor to that example and then be unprepared for the unknown incident. With zombies and aliens you get to make up the rules and if someone complains about "there is no way that x would ever be able to do y" you can say "Zombies! Now shut up and accept the scenario."

    12. Re:Sounds like an episode of Doomsday Preppers by sjames · · Score: 3, Insightful

      If the quarantine areas also end up in a food shortage, it will also have hungry infected people who don't care if they infect your whole family and leave them to starve as long as they get your food. Some of them may warrant shooting.

  2. Definition of 'scary' by girlintraining · · Score: 5, Interesting

    I don't find this scary at all. It's the reality of the world we live in. What would be scary is if the people in charge of managing such a crisis didn't have a plan, and instead choose to stick their fingers in their ears and sing "glory glory halleluja" while the country died. Literally. Why do people always seem to think things like this are "scary"? That kind of attitude is what creates truly scary situations: The kind nobody was prepared for and is now ravaging the population unchecked. That is scary. A plan... that's reassuring.

    Or maybe I'm just from some bizarro alternate universe where being prepared is frightening and living in ignorance is bliss.

    --
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    1. Re:Definition of 'scary' by ColdWetDog · · Score: 5, Interesting

      What I find scary is the TFA:

      "The first priority of DOD support in the event of a PI is [REDACTED]".

      OK guys, just what exactly are you up to?

      --
      Faster! Faster! Faster would be better!
    2. Re:Definition of 'scary' by Nidi62 · · Score: 3, Interesting

      I don't find this scary at all. It's the reality of the world we live in. What would be scary is if the people in charge of managing such a crisis didn't have a plan, and instead choose to stick their fingers in their ears and sing "glory glory halleluja" while the country died. Literally. Why do people always seem to think things like this are "scary"? That kind of attitude is what creates truly scary situations: The kind nobody was prepared for and is now ravaging the population unchecked. That is scary. A plan... that's reassuring.

      Or maybe I'm just from some bizarro alternate universe where being prepared is frightening and living in ignorance is bliss.

      Luckily there is a large number of people that do work on and plan for such situations. The CDC, National Guard, FEMA, and even state and local emergency management departments. The good thing is that the same basic response is needed for most types of disasters; only a few details differ (containment of pathogen, isolation of infected people, etc). They still have to manage crowd control, logistics and evacuations, etc. The biggest problem isn't the government freaking out and not doing anything. The bigger danger is the general population freaking out and killing other people over things like food or gasoline, even if the pandemic is relatively short-lived. People scare easily, and when people can't go outside or interact with others in person they will flock to the internet, where fear and misinformation would spread faster than the actual virus would. THe government's response doesn't scare me; they train and plan for this all the time. Everyone else's reaction is what scares me.

      --
      The only thing necessary for evil to triumph is for it to be pitted against a slightly greater evil
    3. Re:Definition of 'scary' by Nidi62 · · Score: 4, Insightful

      What I find scary is the TFA:

      "The first priority of DOD support in the event of a PI is [REDACTED]".

      OK guys, just what exactly are you up to?

      The first priority of the DOD is probably the defense of the nation, ie the preservation of the government and therefore civil order. There are 2 ways to survive a pandemic: a coordinated, controlled response, and fragmentation. The first one requires the government to stay intact, to direct the medical and relief responses. They have to ensure that basic services stay intact, that people still have access to food and clean water, and are protected. The bigger cities probably look like Boston did after the bombing. Society stays intact, and the pandemic is defeated by a coordinated response including medical treatment as well as isolation and quarantine of infected populations. In the second response, everyone goes into survival mode: people hole up and refuse human contact, there will probably be looting as well as some killing. Society erodes, and the pandemic peters out through a lack of transmission: carriers die without passing on the virus to others. I think the first option is by far the better of the 2.

      --
      The only thing necessary for evil to triumph is for it to be pitted against a slightly greater evil
    4. Re:Definition of 'scary' by girlintraining · · Score: 5, Informative

      "The first priority of DOD support in the event of a PI is [REDACTED]".

      They're the military. It's redacted because it's not politically fashionable to say what they'd have to do, but put yourself in their shoes and it's obvious: Protect key government officials by evacuating them in secret while reassuring the public everything is fine and they haven't been disappeared and are now in a secret bunker somewhere.

      Military thinking on this is obvious to the point of being painful: You have to coordinate your response to the crisis, and that means first securing your chain of command, then securing communications, then securing your chain of supplies, and then finally deploying resources into the field to secure key assets.

      That's the response plan because that's what the situation dictates. You don't need a security clearance to figure this out... but confirming that's what they would do could complicate those efforts by a panic'd populace. And that's why it's classified. It's not because they're "up to something", it's because sometimes a little knowledge is a bad thing.

      It's like the Joker said; "You know... You know what I've noticed? Nobody panics when things go 'according to plan.' Even if the plan is horrifying! If, tomorrow, I tell the press that, like, a gang banger will get shot, or a truckload of soldiers will be blown up, nobody panics, because it's all 'part of the plan'. But when I say that one little old mayor will die, well then everyone loses their minds!"

      Chew on that awhile when you're wondering next time why the government classifies so many things; It's not because they're up to no good... it's because people are fucking stupid, and they panic at nothing. The whole point of the government during a crisis is to keep people separated and not in large groups where panic and hysteria can take over. Any crisis. It just so happens, it's a particularly good idea during a pandemic.

      --
      #fuckbeta #iamslashdot #dicemustdie
    5. Re:Definition of 'scary' by EmperorArthur · · Score: 4, Informative

      Yeah, I'll bet it's "Put dissidents in FEMA internment camps." Just like in Deus Ex: Human Revolution.

      More seriously. While you're probably correct, classifying things for political reasons is almost always a bad thing. This kind of mindset, that normal people can't handle the truth, is what leads to an unaccountable government. Government accountability can only happen with transparency.

      --
      So lets pretend that we've just completed writing this code, as opposed to having just completed sabotaging it -Altera
  3. Re:Assumptions Seem Dubious by ColdWetDog · · Score: 5, Informative

    The last great US flu epidemic only killed so many because of the crude state of medicine at the time and uneven sanitation in large U.S. cities. Even a virulent flu would be unlikely to rack up such a death toll in a first world nation.

    That's correct. Instead of a 3-5% mortality rate they're expecting a 2% (TFA) rate.

    Progress as promised!

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    Faster! Faster! Faster would be better!
  4. Redactions by intermodal · · Score: 5, Insightful

    I find it disturbing how many redacted gray boxes are found on something clearly marked "unclassified".

    --
    In SOVIET RUSSIA... erm...NSA AMERICA, the Internet logs onto YOU!
  5. Re:Assumptions Seem Dubious by bmo · · Score: 5, Informative

    World Population > The Infected Population.

    The article is calling out a 2% mortality rate for the infected population, not the population of the world.

    This is far less than the 3-5 percent mortality of the world population seen during the 1918 pandemic.

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    BMO

  6. Re:Wasted time by PCM2 · · Score: 5, Interesting

    Actually, the 2011 Steven Soderbergh movie Contagion is a fairly realistic depiction of a pandemic and the reaction in the US and around the world. Well-researched, keeps the fearmongering to a minimum while still depicting a scary scenario. Takes into account the role of fringe media in spreading panic/pseudoscientific "cures," among other clever touches. A public health organization arranged for a free screening in my area, with a Q&A period afterward, if that gives you any indication of its accuracy.

    --
    Breakfast served all day!
  7. Re:Sounds way to optimistic... by girlintraining · · Score: 5, Insightful

    I'd say 18-24 months for a vaccine, and 12%-14% population loss due to a real influenza pandemic.

    And your credentials, sir? Internet pundit. Okay, how about a citation? Don't have one of those either. Okay. Well thanks, but I think I'll go with the formerly classified document released by actual experts over your knee-jerk "I think it's optimistic, and here's some numbers I think are more realistic!" post.

    Purely for shits and giggles, I went and looked up what unclassified documents had to say about the likely timeline. Those numbers look similar to what's been revealed in this document. They, uhh, don't look like your numbers. According to WHO, it would take 5-6 months to produce a vaccine. Not nearly two years. If you were right, we would never have a flu vaccine available, yet every year like clockwork they show up at hospitals and clinics with those reminders to get vaccinated before the season starts. So I'm going to go with the DoD, CDC, and WHO's assessment on that timeframe, thanks.

    However, it's just re-arranging deck chairs on the titanic either way. Our vaccine production, whether optimistic, or pessimistic, won't matter; From start to finish, the entire pandemic would last from 6-8 to perhaps 12 weeks. That's about as long as it takes the vaccine to take effect. In other words, even if we developed a vaccine the same day as patient zero showed up, and completely eliminated the production side of the equation and assumed limitless vaccines available to everyone, and that somehow, by magical fairy dust, everyone got the vaccine that same day... over a third of the population would still get infected and still suffer whatever the casualty rate is. Knock that timetable out by a month and it's everyone. Vaccine is useless.

    In other words, the strategy outlined by the DoD -- containment and isolation, remains the only effective strategy. A vaccine being put in development would be there to prevent secondary infection and to have confidence that it is safe to end quarantine procedure. That's all a vaccine buys you; Some after-action security. Vaccination is not a priority. Even under super-optimal conditions, it's of limited value to us. We could throw billions at the problem trying to create a rapid response infrastructure and it would amount to exactly dick at a huge cost.

    Now as far as your population loss numbers... There's just no way to predict that with confidence. The numbers they quoted are based on a historical evaluation of data over the last 50 years... which seems reasonable from a statistical standpoint... but the Pandemic of 1918 killed over 90% of the population. It was on par with the Black Death. That's pretty much the worst-case scenario -- the average case is much, much more mild. But we do know it can happen... and it's just a gamble as to when.

    So I'm with the CDC and DoD on this; Containment. Isolation. Quarantine. That's our strategy, and given our current level of technology... it's the only viable one.

    --
    #fuckbeta #iamslashdot #dicemustdie
  8. Re:Sounds way to optimistic... by CrimsonAvenger · · Score: 4, Informative

    but the Pandemic of 1918 killed over 90% of the population

    Umm, no.

    The 1918 pandemic killed 10-20% of the people infected.

    Note that that particular flu infected ~25% of the world's population.

    --

    "I do not agree with what you say, but I will defend to the death your right to say it"
  9. Re:That's actually *better* than the Spanish Flu by kamapuaa · · Score: 5, Insightful

    Another factor is that WWI and medical practices at the time are blamed for making that flu much more deadly. Quoting wikipedia: "In civilian life, natural selection favours a mild strain. Those who get very ill stay home, and those mildly ill continue with their lives, preferentially spreading the mild strain. In the trenches, natural selection was reversed. Soldiers with a mild strain stayed where they were, while the severely ill were sent on crowded trains to crowded field hospitals, spreading the deadlier virus"

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  10. Re:Assumptions Seem Dubious by chill · · Score: 4, Funny
    --
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  11. Re:Assumptions Seem Dubious by Anonymous Coward · · Score: 3, Informative

    To further support your statement:

    The global mortality rate from the 1918/1919 pandemic is not known, but an estimated 10% to 20% of those who were infected died. With about a third of the world population infected, this case-fatality ratio means 3% to 6% of the entire global population died.[29] Influenza may have killed as many as 25 million people in its first 25 weeks. Older estimates say it killed 40–50 million people,[4] while current estimates say 50–100 million people worldwide were killed.[30]

  12. Think again. . . ."zombies" aren't what you think by Salgak1 · · Score: 3, Insightful

    You mean, fictional, SO FAR.

    Consider the progress of biotech. Then give it another 5-10 years, and imagine the biotech equivalent of a script kiddie. Playing with, for example, rabies. Then imagine some angry bio-scriptkiddie releasing an airborne, virulent rabies variant with a very short incubation period.

    No, it's not the hordes of the Living Dead, feasting on human flesh. But the effects might well be similar. . .

  13. So are Preppers still crazy? by suprcvic · · Score: 3, Insightful

    Shutting down interstate travel, social distancing, sequestration. Seems like I may need to start stockpiling that water, food and ammo.

  14. Re:Sounds way to optimistic... by Electricity+Likes+Me · · Score: 4, Informative

    In the case of a real pandemic on such a scale, I think you'd see labs working around the clock for a cure, and many of them. Not only would governments be putting a lot of pressure, the people working there would very likely feel the pain themselves (relatives, friends, etc.). Plus, for all the money grubbers, making a vaccine that needs to be used on millions of people is a surefire way of getting rich.

    It's not labs though, it's raw materials. There's only so many chickens and chicken eggs you can get to grow vaccine from, it can only be done so fast and there's a definite lag in converting existing production lines to create a new vaccine (since everything has to be isolated and grown up).

  15. Re:Think again. . . ."zombies" aren't what you thi by chooks · · Score: 3, Informative

    with a very short incubation period.

    You actually want a long incubation period so that the infected stay symptomless (but infective) for as long as possible. If the symptoms are severe and the incubation time short (e.g. flaviviridae like marburg or ebola) they kill the host before they have time to infect enough people. In essence, the virus is *too* virulent that it goes through the available susceptible people too quickly.

    More deadly would be a virus that has is lethal but does not show symptoms for a period that exceeds its infective period. A good example is the early years of the HIV era -- lethal virus, long time before symptoms start, and infectious much earlier than any symptoms start to show up.

    --
    -- The Genesis project? What's that?
  16. Re:Assumptions Seem Dubious by H0p313ss · · Score: 3, Insightful

    You know you're in trouble when Sealand is the answer to a question.

    --
    XML is a known as a key material required to create SMD: Software of Mass Destruction
  17. Re:Think again. . . ."zombies" aren't what you thi by Salgak1 · · Score: 3, Insightful

    Ebola kills TOO fast. For an honest-to-god Zombie Virus, you want one that deactivates/destroys higher mental functions and possibly ups aggression.

    Which I why my script-kiddie scenario suggested a rabies variant. . .

  18. Re:Assumptions Seem Dubious by CanHasDIY · · Score: 5, Insightful

    You know you're in trouble when Sealand is the answer to a question.

    You know, that statement seems scientifically sound enough to get it's own title.

    The Sealand Conjecture: anytime "move to Sealand" seems like a wise and/or appropriate response, you're already completely fucked.

    --
    An enigma, wrapped in a riddle, shrouded in bacon and cheese
  19. Re:Think again. . . ."zombies" aren't what you thi by Salgak1 · · Score: 3, Informative

    Really ??

    http://www.cdc.gov/rabies/

    Rabies is a preventable viral disease of mammals most often transmitted through the bite of a rabid animal. The vast majority of rabies cases reported to the Centers for Disease Control and Prevention (CDC) each year occur in wild animals like raccoons, skunks, bats, and foxes.

    The rabies virus infects the central nervous system, ultimately causing disease in the brain and death. The early symptoms of rabies in people are similar to that of many other illnesses, including fever, headache, and general weakness or discomfort. As the disease progresses, more specific symptoms appear and may include insomnia, anxiety, confusion, slight or partial paralysis, excitation, hallucinations, agitation, hypersalivation (increase in saliva), difficulty swallowing, and hydrophobia (fear of water). Death usually occurs within days of the onset of these symptoms.