Nurse Triage Line Project


The Nurse Triage Line (NTL) Project is a collaborative effort between the Centers for Disease Control and Prevention (CDC), the Association of State and Territorial Health Officials (ASTHO), and the National Association of County and City Health Officials (NACCHO). The purpose of the NTL Project is to improve access to antiviral medications to ill persons during an influenza pandemic and, at the same time, lessen the burden on healthcare resources. The project is closely linked with the ASTHO, NACCHO, and CDC Antiviral Distribution collaborative.

To meet this purpose, the NTL Project is exploring the acceptability and feasibility of using nurse triage lines to assess the health status of callers, disseminate information, provide clinical advice, and make access to antiviral medications available, if appropriate. As part of this effort, the integration of poison control centers, nurse advice lines, 2-1-1 information lines, and other hotlines is being explored. The NTL Project also is investigating how nurse triage lines can meet the needs of uninsured/underinsured individuals for access to antiviral drugs during an influenza pandemic.

CDC, ASTHO, and NACCHO have assessed how nurse triage lines were used during the 2009 H1N1 pandemic, and are incorporating the lessons learned from those experiences into the Project.

ASTHO Resources

NTL Project Stakeholders Meeting

The NTL Project hosted a meeting in Atlanta, Georgia on March 20, 2012 to develop a roadmap for planning, developing, and operating coordinated nurse triage lines during an influenza pandemic. Key stakeholders were engaged at the meeting to synthesize findings about the acceptability and feasibility of a new coordinated system of nurse triage telephone lines for use during an influenza pandemic and also to identify challenges, barriers, and solutions for next steps. Post-meeting activities are currently in process with a focus on implementing a coordinated nurse triage line system in the future.

View presentations from the meeting

Report on the Role of Flu Information and Triage Lines

ASTHO NTL Advisory Committee

To provide guidance, direction, and technical expertise for this project, ASTHO convened the ASTHO NTL Advisory Committee. The committee is comprised of current and former State Health Officials, Deputy Health Officials, Preparedness Directors, State Epidemiologists, and other State public health staff. The committee will provide expert input into various project components, review pertinent information, and make recommendations on proposed alternative approaches. The committee will participate in this project as a group of valued stakeholders as a representative voice for state public health.

View the ASTHO NTL Advisory Committee membership


James Blumenstock, MA, Chief Program Officer, Health Security
Gerrit Bakker, Senior Director, Public Health Preparedness and Security
Heather Misner, MPP, Director, Preparedness and Clinical Outreach