Serveur d'exploration sur la grippe au Canada

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Canadian survey on pandemic flu preparations.

Identifieur interne : 000688 ( Main/Exploration ); précédent : 000687; suivant : 000689

Canadian survey on pandemic flu preparations.

Auteurs : Paul Ritvo [Canada] ; Kumanan Wilson ; J L Gibson ; C. Guglietti ; C S Tracy ; J X Nie ; A R Jadad ; R E G. Upshur

Source :

RBID : pubmed:20219140

Descripteurs français

English descriptors

Abstract

BACKGROUND

The management of pandemic influenza creates public health challenges.An ethical framework, 'Stand on Guard for Thee: ethical considerations in pandemic influenza preparedness' that served as a template for the World Health Organization's global consultation on pandemic planning, was transformed into a survey administered to a random sample of 500 Canadians to obtain opinions on key ethical issues in pandemic preparedness planning.

METHODS

All framework authors and additional investigators created items that were pilot-tested with volunteers of both sexes and all socioeconomic strata. Surveys were telephone administered with random sampling achieved via random digit dialing (RDD). Eligible participants were adults, 18 years or older, with per province stratification equaling provincial percent of national population. Descriptive results were tabulated and logistic regression analyses were used to assess whether demographic factors were significantly associated with outcomes.

RESULTS

5464 calls identified 559 eligible participants of whom 88.5% completed surveys. Over 90% of subjects agreed the most important goal of pandemic influenza preparations was saving lives, with 41% endorsing saving lives solely in Canada and 50% endorsing saving lives globally as the highest priority. Older age (OR = 8.51, p < 0.05) and current employment (OR = 9.48, p < 0.05) were associated with an endorsement of saving lives globally as highest priority. About 90% of respondents supported the obligation of health care workers to report to work and face influenza pandemic risks excepting those with a serious health condition that increased risks. Over 84% supported the government's provision of disability insurance and death benefits for health care workers facing elevated risk. Strong majorities favored stocking adequate protective antiviral dosages for all Canadians (92%) and, if effective, influenza vaccinations (95%). Over 70% agreed Canada should provide international assistance to poorer countries for pandemic preparation, even if resources for Canadians were reduced. While 92% of this group, believed provision should be 7 to 10% of all resources generated, 43% believed the provision should be greater than 10%.

CONCLUSIONS

Results suggest trust in public health officials to make difficult decisions, providing emphasis on reciprocity and respect for individual rights.


DOI: 10.1186/1471-2458-10-125
PubMed: 20219140
PubMed Central: PMC2842233


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<term>Grippe humaine (épidémiologie)</term>
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<b>BACKGROUND</b>
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<p>The management of pandemic influenza creates public health challenges.An ethical framework, 'Stand on Guard for Thee: ethical considerations in pandemic influenza preparedness' that served as a template for the World Health Organization's global consultation on pandemic planning, was transformed into a survey administered to a random sample of 500 Canadians to obtain opinions on key ethical issues in pandemic preparedness planning.</p>
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<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
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<p>All framework authors and additional investigators created items that were pilot-tested with volunteers of both sexes and all socioeconomic strata. Surveys were telephone administered with random sampling achieved via random digit dialing (RDD). Eligible participants were adults, 18 years or older, with per province stratification equaling provincial percent of national population. Descriptive results were tabulated and logistic regression analyses were used to assess whether demographic factors were significantly associated with outcomes.</p>
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<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>5464 calls identified 559 eligible participants of whom 88.5% completed surveys. Over 90% of subjects agreed the most important goal of pandemic influenza preparations was saving lives, with 41% endorsing saving lives solely in Canada and 50% endorsing saving lives globally as the highest priority. Older age (OR = 8.51, p < 0.05) and current employment (OR = 9.48, p < 0.05) were associated with an endorsement of saving lives globally as highest priority. About 90% of respondents supported the obligation of health care workers to report to work and face influenza pandemic risks excepting those with a serious health condition that increased risks. Over 84% supported the government's provision of disability insurance and death benefits for health care workers facing elevated risk. Strong majorities favored stocking adequate protective antiviral dosages for all Canadians (92%) and, if effective, influenza vaccinations (95%). Over 70% agreed Canada should provide international assistance to poorer countries for pandemic preparation, even if resources for Canadians were reduced. While 92% of this group, believed provision should be 7 to 10% of all resources generated, 43% believed the provision should be greater than 10%.</p>
</div>
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<b>CONCLUSIONS</b>
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<p>Results suggest trust in public health officials to make difficult decisions, providing emphasis on reciprocity and respect for individual rights.</p>
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<Citation>BMC Med Ethics. 2006;7:E5</Citation>
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<ArticleId IdType="pubmed">16626488</ArticleId>
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<Reference>
<Citation>BMC Public Health. 2009;9:470</Citation>
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<li>Canada</li>
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<name sortKey="Gibson, J L" sort="Gibson, J L" uniqKey="Gibson J" first="J L" last="Gibson">J L Gibson</name>
<name sortKey="Guglietti, C" sort="Guglietti, C" uniqKey="Guglietti C" first="C" last="Guglietti">C. Guglietti</name>
<name sortKey="Jadad, A R" sort="Jadad, A R" uniqKey="Jadad A" first="A R" last="Jadad">A R Jadad</name>
<name sortKey="Nie, J X" sort="Nie, J X" uniqKey="Nie J" first="J X" last="Nie">J X Nie</name>
<name sortKey="Tracy, C S" sort="Tracy, C S" uniqKey="Tracy C" first="C S" last="Tracy">C S Tracy</name>
<name sortKey="Upshur, R E G" sort="Upshur, R E G" uniqKey="Upshur R" first="R E G" last="Upshur">R E G. Upshur</name>
<name sortKey="Wilson, Kumanan" sort="Wilson, Kumanan" uniqKey="Wilson K" first="Kumanan" last="Wilson">Kumanan Wilson</name>
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<name sortKey="Ritvo, Paul" sort="Ritvo, Paul" uniqKey="Ritvo P" first="Paul" last="Ritvo">Paul Ritvo</name>
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