Flu on Call


Flu on Call

A Toolkit for State and Local Public Health

Flu on Call logo banner

How to Use this Toolkit

The goal of Flu on Call™ is to improve access to antiviral medications, reduce the need for face-to-face encounters with providers, and reduce the surge on medical facilities. This toolkit will help you better understand the Flu on Call model by including fact sheets, infographics, resources on creating private-public partnerships, and information about legal barriers, MOUs, and advance practice centers. The toolkit aims to create or further the dialogue between state and local public health departments and external partners such as poison control centers, 2-1-1 lines, and pharmacies. In addition, we hope that the toolkit will help generate new ideas about how to use existing resources - such as public health hotlines - as much as possible during a pandemic or other event.

Flu on Call Project Description

What is Flu on Call? The FAQ Sheet introduces the reader to Flu on Call and how it supplements state and community preparedness plans.

An easy-to-understand infographic that shows the flow of the Flu on Call system step-by-step.

The Issue Brief, "Flu on Call: An Innovative Strategy to Provide Services to Ill People and Reduce Demand," provides comprehensive project background and to-date milestones.

Koonin LM. "Flu on Call: Improving Access to Care and Antivirals in a Severe Pandemic." PowerPoint slides from the 2014 Preparedness Summit all-day workshop.

Journal Articles

Koonin LM and Hanfling D. (March 2013). "Broadening Access to Medical Care during a Severe Influenza Pandemic: The CDC Nurse Triage Line Project." Biosecur Bioterror. 11(1):75-80.

Fain BA, Koonin L, Stoto MA, Shah UA, Cooper SR, Piltch-Loeb RN, Kellermann AL. (Jan/Feb 2014). "Facilitating Access to Antiviral Medications and Information during an Influenza Pandemic: Engaging with the Public on Possible New Strategies." Biosecur Bioterror. (1):8-19.

Rubin SE, Schulman RM, Roszak AR, Herrmann J, Patel A, Koonin L. (2014 March/April). "Leveraging Partnerships among Community Pharmacists, Pharmacies, and Health Departments to Improve Pandemic Influenza Response."  Biosecur Bioterror. 12(2):76-84.

Spaulding AB, Radi D, Macleod H, Lynfield R, Larson M, Hyduke T, et al. (Sep/Oct 2012). "Design and Implementation of a Statewide Influenza Nurse Triage Line in Response to Pandemic H1N1 Influenza." Public Health Rep. 127(5):532-40.

Spaulding AB, Radi D, Macleod H, Lynfield R, Larson M, Hyduke T, et al. (Jan 2013). "Satisfaction and Public Health Cost of a Statewide Influenza Nurse Triage Line in Response to Pandemic H1N1 Influenza." PLoS One. 8(1):e50492.

Pharmacy Partnership Resources

Report, "Building and Sustaining Strong Partnerships between Pharmacies and Health Departments at State and Local Levels."

The Public Health - Seattle & King County Toolkit on Collaborative Practice Agreements.

For more information, please contact:

Association of State and Territorial Health Officials (ASTHO)



National Association of County and City Health Officials (NACCHO)



This toolkit was made possible through the support of Award Numbers 1U38OT000172-01 and 1U38OT000161-01 from the Centers for Disease Control and Prevention, Influenza Coordination Unit. NACCHO and ASTHO are grateful for this support. Its contents are solely the views of the authors and do not necessarily represent the official views of CDC.