Appendix 1

International phases and their significance for the UK

International phasesSignificance for UK
Interpandemic period
1No new influenza virus subtypes detected in humans
2Animal influenza virus subtype poses substantial riskUK not affected
UK has strong travel/trade connections with affected country
UK affected
Pandemic alert period
3Human infection(s) with a new subtype, but no new human to human spread to a close contactUK not affected
4Small cluster(s) with limited human-to-human transmission but spread is highly localised, suggesting that the virus is not well adapted to humansUK has strong travel/trade connections with affected country
5Large cluster(s) but human-to-human spread still localised, suggesting that the virus is becoming increasingly better adapted to humansUK affected
Pandemic period
6Increased and sustained transmission in general populationAlert level
1Virus/cases only outside the UK
2Virus isolated in the UK
3Outbreak(s) in the UK
4Widespread activity across the UK
Post pandemic period
Return to interpandemic period