DHSS Home State Home Ask Us Disclaimer   
DHSS Logo
  
 

Pandemic Influenza Community Preparedness Tookit

Order Form

Please indicate quantity for each item wanted and complete the required information at the
bottom of the order form. Quanitity limits do not apply to local public health agencies.
Items listed in alphabetical order.


 
Quantity Requested Stock
No. 		Title        Quantity Limit  
1031 Cover Your Cough/Clean Your Hands (flyer/poster)
 		 200  
1032 Cover Your Cough/Clean Your Hands (bookmark)
 		 100  
952 Dirty Hands Spread Disease Wash Them! (magnet)
 		 25  
466 Dirty Hands Spread Disease WASH THEM! (sticker)
 		 25  
155 Influenza Immunization Among Health Care Workers
 		 none  
1015 Pandemic Flu: The Case for Preparing NOW (DVD)
 		 1  
1014 Pandemic Flu: The Case for Preparing NOW (VHS)
 		 1  
384 Preparing for an Influenza Pandemic: A Guide to Planning for Business
 		 25  
204 Preparing for Pandemic Flu: A Community Guide (English)
 		 250  
212 Preparing for Pandemic Flu: A Community Guide (Spanish)
 		 250  
222 Preparing for Pandemic Flu: A Community Guide (Bosnian)
 		 250  
440 Preparing for Pandemic Flu: A Community Guide (Braille)
 		 15  
153 Ready in 3 Emergencies Happen Being Prepared Saves Lives (Bookmark)
 		 250  
193 Ready in 3 Planning for Emergencies: Three Steps to be Prepared A Family Safety Guide (English)
 		 250  
194 Ready in 3 Planning for Emergencies: Three Steps to be Prepared A Family Safety Guide (Spanish)
 		 250  
104 Ready in 3 Planning for Emergencies: Three Steps to be Prepared A Family Safety Guide (Bosnian)
 		 250  
441 Ready in 3 Planning for Emergencies: Three Steps to be Prepared A Family Safety Guide (Braille)
 		 15  
814 Speakers’ Bureau on Emergency Response (brochure)
 		 none  
425 Special Health Care Needs (insert)
 		 200  
1034 Stay home if you are sick! (8½x11 poster)
 		 200  
1030 Stay home if you are sick! (11x14 poster)
 		 25  
173 Stop Help Protect Our Patients! (flyer/poster)
 		 none  
172 Stop Help Protect Our Residents (flyer/poster)
 		 none  
256 The STOP DISEASE Method of HANDWASHING (flyer/poster)
 		 25  
319 Top 3 Reasons to Get Your Flu Vaccine (flyer/poster)
 		 none  
332 Wash your Hands (flyer/poster)
 		 200  
Requestor's Org Name:   Date:
Contact Persons Name:  Phone Number:
Shipping Address:  (P.O. Box holders must include street address)
City:   State:   Zip Code:
Email: 
If you have any questions about pandemic influenza or resources listed above, please contact
the Office of Community Public Health Emergency Coordination at 573-751-6161.
 
 
Allow 2-3 weeks for delivery.   Click "submit" only once, as numerous clicks will result in multiple orders.