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Objective: This study was designed to investigate acute hospital pandemic influenza preparedness in Victoria, Australia, particularly focussing on planning and management efforts. Methods:A prospective study was conducted by questionnaire and semi-structured interview of health managers across the Victorian hospital system from July to October 2011. Participants with responsibility for emergency management, planning and operations were selected from every hospital in Victoria with an emergency department to complete a questionnaire (response rate 22/43 = 51%). Each respondent was invited to participate in a phone-based semi-structured interview (response rate 11/22 = 50%).Results: Rural/regional hospitals demonstrated higher levels of clinical (86%) and non-clinical (86%) staff contingency planning than metropolitan hospitals (60% and 40% respectively). Pandemic plans were not being sufficiently tested in exercises or drills, which is likely to undermine their effectiveness. All respondents reported hand hygiene and standard precautions programs in place, although only one-third (33%) of metropolitan respondents and no rural/regional respondents reported being able to meet patient needs with high levels of staff absenteeism. Almost half Victoria's healthcare workers were unvaccinated against influenza. Conclusions and implications:Hospitals across Victoria demonstrated different levels of influenza pandemic preparedness and planning. If a more severe influenza pandemic than that of 2009 arose, Victorian hospitals would struggle with workforce and infrastructure problems, particularly in rural/regional areas. Staff absenteeism threatens to undermine hospital pandemic responses. Various strategies, including education and communication, should be included with in-service training to provide staff with confidence in their ability to work safely during a future pandemic.

Despite the frequency of rebellions against the Neo-Assyrian king Sennacherib, very few events in his annals are described as such. Instead rebels are often described as having never submitted to Sennacherib before. This reluctance to write about rebellion is unusual in Assyrian inscriptions, but has not been commented upon in the previous scholarship. This study investigates the reasons for this peculiarity of Sennacherib’s inscriptions. It is argued that the description of rebels in this fashion was intended to draw attention away from the connection between these events and the death of Sennacherib’s father, Sargon II. A second instance of a death in Sennacherib’s family affecting the content of his inscriptions is also identified. His son Aššur-nādin-šumi’s death followed a pair of campaigns to the borders of Tabal, the location of Sargon’s death. Because of this it was viewed as a “punishment” for undertaking these campaigns to regions tainted by association with Sargon. After his death, Aššur-nādin-šumi is never mentioned in the same inscription as these campaigns. Although Sennacherib generally avoids mentioning rebellion, overcoming such events was an important facet of Assyrian royal ideology. Because of this, events in some ideologically or historically significant regions are explicitly stated to be rebellions in the annals. Sennacherib’s inscriptions therefore demonstrate, perhaps better than those of any other Assyrian king, the two sides of rebellion’s ideological importance as both an obstacle overcome by a heroic king, and as a punishment for a poor one. His attempts to obscure some occurrences of rebellion demonstrate a fear of the more negative ideological aspect of rebellion which is not usually present in the inscriptions of other kings. This provides new insight into the factors which influenced the composition of Sennacherib’s inscriptions.

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