IV 
111TH CONGRESS 
1ST SESSION 
H. RES. 932 
Expressing the sense of the Congress that all State public health departments, 
local public health departments, hospitals, doctor offices, and other health 
care providers should adhere to guidelines issued from the Centers for 
Disease Control and Prevention with regard to the H1N1 influenza 
virus. 
IN THE HOUSE OF REPRESENTATIVES 
NOVEMBER 19, 2009 
Ms. CHU (for herself and Ms. MATSUI) submitted the following resolution; 
which was referred to the Committee on Energy and Commerce 
RESOLUTION 
Expressing the sense of the Congress that all State public 
health departments, local public health departments, hos-
pitals, doctor offices, and other health care providers 
should adhere to guidelines issued from the Centers for 
Disease Control and Prevention with regard to the H1N1 
influenza virus. 
Whereas, on April 21, 2009, the Centers for Disease Control 
and Prevention (CDC) first reported that 2 children in 
California had recovered from a unique influenza strain, 
which contained gene segments from H1N1 viruses; 
Whereas on April 26, Charles E. Johnson, then the Acting 
Secretary of Health and Human Services, declared a 
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public health emergency pursuant to section 319 of the 
Public Health Service Act; 
Whereas, on June 11, 2009, in response to the global spread 
of a new strain of H1N1 influenza, the World Health Or-
ganization (WHO) declared the outbreak to be an influ-
enza pandemic, the first since 1968; 
Whereas in the United States from August 30 though No-
vember 7, 2009, there have been 22,364 laboratory-con-
firmed influenza-associated hospitalizations and 877 lab-
oratory-confirmed influenza-associated deaths reported to 
the Centers for Disease Control and Prevention; 
Whereas the Centers for Disease Control and Prevention esti-
mates there have been 22,000,000 H1N1 influenza cases 
between April and October of this year; 
Whereas many public health departments, hospitals, and doc-
tors are doing a good job identifying, preventing, and 
treating cases of H1N1; 
Whereas 46 States are reporting widespread influenza activ-
ity; 
Whereas Monica Rodriguez, a pregnant mother of 3, was not 
given proper treatment from a hospital in Los Angeles 
County after 2 visits; 
Whereas she had severe flu symptoms including fever, conges-
tion, and cough that had lasted for several days and she 
was sent away with cough syrup; 
Whereas Monica and her husband knew they weren’t getting 
the help they needed and they went to another hospital 
where she was immediately admitted in intensive care; 
Whereas the time that had passed when she wasn’t ade-
quately treated was critical to her survival and Monica 
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Rodriguez and her unborn child passed away on October 
25th; 
Whereas Monica Rodriguez’s death might have been pre-
vented had the El Monte hospital strictly followed the 
guidelines of the Centers for Disease Control and Preven-
tion; 
Whereas this resolution is named in honor of Monica 
Rodriguez who died of the H1N1 influenza virus; 
Whereas the standard of care is the responsibility of the 
health care provider, not the patient; 
Whereas children are encouraged to seek medical attention 
for the flu if they experience fast breathing or trouble 
breathing; bluish skin color; not drinking enough fluids 
or stopping urinating; not waking up or not interacting; 
being so irritable that a child does not want to be held; 
flu-like symptoms that improve, but then return with 
fever, cough, or fever with a rash; 
Whereas adults are encouraged to seek medical attention for 
the flu if they experience difficulty breathing or shortness 
of breath, pain or pressure in the chest or abdomen, sud-
den dizziness, confusion, or severe or persistent vomiting; 
Whereas vaccines are the most important tool we have for 
preventing influenza; 
Whereas the Advisory Committee on Immunization Practices 
(ACIP) of the Centers for Disease Control and Preven-
tion recommends that vaccination efforts should focus 
first on people in 5 target groups who are at higher risk 
for 2009 H1N1 influenza or related complications; 
Whereas the 5 target groups are pregnant women, people 
who live with or provide care for infants younger than 6 
months, health care and emergency medical services per-
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sonnel, people 6 months through 24 years of age and 
people 25 years through 64 years of age who have certain 
medical conditions that put them at higher risk for influ-
enza-related complications; 
Whereas individuals should be encouraged to seek seasonal 
flu vaccine and there is still time for people to get vac-
cinated to protect themselves from becoming ill; 
Whereas there are many millions of doses yet to be distrib-
uted this season; 
Whereas 89,000,000 doses, or 77 percent of the total sea-
sonal influenza vaccine doses expected this season have 
been distributed in the private and public sectors; 
Whereas people can find seasonal vaccine distribution infor-
mation by checking the www.Flu.gov web site that identi-
fies clinics that have influenza vaccine available; 
Whereas the Centers for Disease Control and Prevention is 
working closely with States to ensure that vaccines get to 
the public as soon as the vaccines are received, and the 
Centers for Disease Control and Prevention has worked 
with its distributors to ensure round-the-clock shipping 
capabilities and 24 hour turn-around time on distribu-
tion; and 
Whereas the United States should be investing in shortening 
the time for development of vaccines as well as increasing 
the production capacity of vaccines: Now, therefore, be it 
Resolved, That it is a sense of the House of Rep-
resentatives that— 
(1) all State public health departments, local 
public health departments, hospitals, doctor offices, 
and other health care providers should adhere to 
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guidelines issued from the Centers for Disease Con-
trol and Prevention with regard to the H1N1 influ-
enza virus; 
(2) the 5 target groups of pregnant women, in-
cluding people who live with or provide care for in-
fants younger than 6 months, health care and emer-
gency medical services personnel, people 6 months 
through 24 years of age, and people 25 years 
through 64 years of age who have certain medical 
conditions should be encouraged to seek the vaccine 
and be the first priority for government responses; 
(3) the Federal Government should work closely 
with States, localities, and hospitals to ensure the 
vaccine for the H1N1 influenza virus is distributed 
as quickly and efficiently as possible; and 
(4) the Federal Government should study their 
response to the H1N1 influenza virus pandemic and 
work to improve the system and processes to en-
hance its response in the case that the United States 
faces another pandemic in the future. 
Æ 
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