A GP work plan for pandemic flu.

The possibility of an influenza pandemic is real - and while it is impossible to predict when such a pandemic might occur, general practitioners must be prepared. Pandemic influenza has an alarming potential for death and disruption over a prolonged period. In the 1918-1919 pandemic, young, fit adults were more likely to be infected and 99% of those who died were aged less than 65 years. Current influenza plans emphasise the role of hospitals and fever clinics, with GPs often mentioned in a supporting capacity. The reality is likely to be very different, with many sick and anxious people turning first to their GP as their primary contact.