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Meeting the Challenge of Influenza Pandemic Preparedness in Developing Countries

Identifieur interne : 000350 ( Ncbi/Merge ); précédent : 000349; suivant : 000351

Meeting the Challenge of Influenza Pandemic Preparedness in Developing Countries

Auteurs : David S. Fedson

Source :

RBID : PMC:2681116

Abstract

One-sentence summary for table of contents: These countries should consider using inexpensive generic agents to confront the next pandemic.


Url:
DOI: 10.3201/eid1503.080857
PubMed: 19239746
PubMed Central: 2681116

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PMC:2681116

Le document en format XML

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<article-title>Meeting the Challenge of Influenza Pandemic Preparedness in Developing Countries </article-title>
<alt-title alt-title-type="running-head">Pandemic Preparedness in Developing Countries</alt-title>
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<aff id="aff1">University of Virginia, Charlottesville, Virginia, USA (retired)</aff>
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<corresp id="cor1">Address for correspondence: David S. Fedson, 57 Chemin du Lavoir, 01630 Sergy Haut, France; email:
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<p>One-sentence summary for table of contents: These countries should consider using inexpensive generic agents to confront the next pandemic.</p>
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<p>Developing countries face unique difficulties preparing for an influenza pandemic. Our current top-down approach will not provide these countries with adequate supplies of vaccines and antiviral agents. Consequently, they will have to use a bottom-up approach based on inexpensive generic agents that either modify the host response to influenza virus or act as antiviral agents. Several of these agents have shown promise, and many are currently produced in developing countries. Investigators must primarily identify agents for managing infection in populations and not simply seek explanations for how they work. They must determine in which countries these agents are produced and define patterns of distribution and costs. Because prepandemic research cannot establish whether these agents will be effective in a pandemic, randomized controlled trials must begin immediately after a new pandemic virus has emerged. Without this research, industrialized and developing countries could face an unprecedented health crisis.</p>
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<title>Keywords: </title>
<kwd>Pandemic</kwd>
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<kwd>H5N1</kwd>
<kwd>generic agents</kwd>
<kwd>statins</kwd>
<kwd>PPAR agonists</kwd>
<kwd>World Health Organization</kwd>
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