PandemieGrippaleV1, PascalFrancis, Corpus, bibRecord, 001991

China's Heath Care System and Avian Influenza Preparedness

Identifieur interne : 001991 ( PascalFrancis/Corpus ); précédent : 001990; suivant : 001992

China's Heath Care System and Avian Influenza Preparedness

Auteurs : Joan A. Kaufman

Source :

The Journal of infectious diseases [ 0022-1899 ] ; 2008.

RBID : Pascal:08-0262707

Descripteurs français

Pascal (Inist)
- Chine, Microbiologie, Infection, Grippe aviaire.

English descriptors

KwdEn :
- Avian influenza, China, Infection, Microbiology.

Abstract

The severe acute respiratory syndrome crisis exposed serious deficiencies in China's public health system and willingness to report outbreaks of threats to public health. Consequently, China may be one of the weak links in global preparedness for avian influenza. China's rural health care system has been weakened by 20 years of privatization and fiscal decentralization. China plays a huge role in the global poultry industry, with a poultry population of 14 billion birds, 70%-80% of which are reared in backyard conditions. Although surveillance has been strengthened, obstacles to the timely reporting of disease outbreaks still exist. The weakened health care system prevents many sick people from seeking care at a health care facility, where reporting would originate. Inadequate compensation to farmers for culled birds leads to nonreporting, and local officials may be complicit if they suspect that reporting might lead to economic losses for their communities. At the local level, China's crisis-management ability and multisectoral coordination are weak. The poor quality of infection control in many rural facilities is a serious and well-documented problem. However, traditions of community political mobilization suggest that the potential for providing rural citizens with public health information is possible when mandated from the central government. Addressing these issues now and working on capacity issues, authority structures, accountability, and local reporting and control structures will benefit the control of a potential avian influenza outbreak, as well as inevitable outbreaks of other emerging infectious diseases in China's Pearl River Delta or in other densely populated locations of animal husbandry in China.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

A01	`01`	`1`		`@0 0022-1899`
A02	`01`			`@0 JIDIAQ`
A03		`1`		`@0 J. infect. dis.`
A05				`@2 197`
A06				`@3 SUP1`
A08	`01`	`1`	`ENG`	`@1 China's Heath Care System and Avian Influenza Preparedness`
A09	`01`	`1`	`ENG`	`@1 Avian and Pandemic Influenza. A Biosocial Approach`
A11	`01`	`1`		`@1 KAUFMAN (Joan A.)`
A12	`01`	`1`		`@1 KLEINMAN (Arthur M.) @9 ed.`
A12	`02`	`1`		`@1 BLOOM (Barry R.) @9 ed.`
A12	`03`	`1`		`@1 SAICH (Anthony) @9 ed.`
A12	`04`	`1`		`@1 MASON (Katherine A.) @9 ed.`
A12	`05`	`1`		`@1 AULINO (Felicity) @9 ed.`
A14	`01`			`@1 AIDS Public Policy Project, John F. Kennedy School of Government, Harvard University, Cambridge, and Heller School for Social Policy and Management, Brandeis University @2 Waltham, Massachusetts @3 USA @Z 1 aut.`
A15	`01`			`@1 Department of Anthropology, Harvard University @2 Cambridge @3 USA @Z 1 aut. @Z 4 aut. @Z 5 aut.`
A15	`02`			`@1 John F. Kennedy School of Government, Harvard University @2 Cambridge @3 USA @Z 3 aut.`
A15	`03`			`@1 Harvard Asia Center, Harvard University @2 Cambridge @3 USA @Z 3 aut.`
A15	`04`			`@1 Department of Social Medicine, Harvard Medical School @2 Boston, Massachusetts @3 USA @Z 1 aut.`
A15	`05`			`@1 Harvard School of Public Health @2 Boston, Massachusetts @3 USA @Z 2 aut.`
A20				`@2 S7-S13`
A21				`@1 2008`
A23	`01`			`@0 ENG`
A43	`01`			`@1 INIST @2 2052 @5 354000183599690020`
A44				`@0 0000 @1 © 2008 INIST-CNRS. All rights reserved.`
A45				`@0 18 ref.`
A47	`01`	`1`		`@0 08-0262707`
A60				`@1 P @2 C`
A61				`@0 A`
A64	`01`	`1`		`@0 The Journal of infectious diseases`
A66	`01`			`@0 USA`
C01	`01`		`ENG`	@0 The severe acute respiratory syndrome crisis exposed serious deficiencies in China's public health system and willingness to report outbreaks of threats to public health. Consequently, China may be one of the weak links in global preparedness for avian influenza. China's rural health care system has been weakened by 20 years of privatization and fiscal decentralization. China plays a huge role in the global poultry industry, with a poultry population of 14 billion birds, 70%-80% of which are reared in backyard conditions. Although surveillance has been strengthened, obstacles to the timely reporting of disease outbreaks still exist. The weakened health care system prevents many sick people from seeking care at a health care facility, where reporting would originate. Inadequate compensation to farmers for culled birds leads to nonreporting, and local officials may be complicit if they suspect that reporting might lead to economic losses for their communities. At the local level, China's crisis-management ability and multisectoral coordination are weak. The poor quality of infection control in many rural facilities is a serious and well-documented problem. However, traditions of community political mobilization suggest that the potential for providing rural citizens with public health information is possible when mandated from the central government. Addressing these issues now and working on capacity issues, authority structures, accountability, and local reporting and control structures will benefit the control of a potential avian influenza outbreak, as well as inevitable outbreaks of other emerging infectious diseases in China's Pearl River Delta or in other densely populated locations of animal husbandry in China.
C02	`01`	`X`		`@0 002A05`
C02	`02`	`X`		`@0 002B05`
C03	`01`	`X`	`FRE`	`@0 Chine @2 NG @5 05`
C03	`01`	`X`	`ENG`	`@0 China @2 NG @5 05`
C03	`01`	`X`	`SPA`	`@0 China @2 NG @5 05`
C03	`02`	`X`	`FRE`	`@0 Microbiologie @5 06`
C03	`02`	`X`	`ENG`	`@0 Microbiology @5 06`
C03	`02`	`X`	`SPA`	`@0 Microbiología @5 06`
C03	`03`	`X`	`FRE`	`@0 Infection @5 07`
C03	`03`	`X`	`ENG`	`@0 Infection @5 07`
C03	`03`	`X`	`SPA`	`@0 Infección @5 07`
C03	`04`	`X`	`FRE`	`@0 Grippe aviaire @2 NM @5 14`
C03	`04`	`X`	`ENG`	`@0 Avian influenza @2 NM @5 14`
C03	`04`	`X`	`SPA`	`@0 Gripe aviar @2 NM @5 14`
C07	`01`	`X`	`FRE`	`@0 Asie @2 NG`
C07	`01`	`X`	`ENG`	`@0 Asia @2 NG`
C07	`01`	`X`	`SPA`	`@0 Asia @2 NG`
C07	`02`	`X`	`FRE`	`@0 Virose @5 13`
C07	`02`	`X`	`ENG`	`@0 Viral disease @5 13`
C07	`02`	`X`	`SPA`	`@0 Virosis @5 13`
N21				`@1 168`
N44	`01`			`@1 OTO`
N82				`@1 OTO`

A30	`01`	`1`	`ENG`	`@1 The Harvard University Asian Flus and Avian Influenza Workshop @3 USA @4 2006-12`

Format Inist (serveur)

NO :	PASCAL 08-0262707 INIST
ET :	China's Heath Care System and Avian Influenza Preparedness
AU :	KAUFMAN (Joan A.); KLEINMAN (Arthur M.); BLOOM (Barry R.); SAICH (Anthony); MASON (Katherine A.); AULINO (Felicity)
AF :	AIDS Public Policy Project, John F. Kennedy School of Government, Harvard University, Cambridge, and Heller School for Social Policy and Management, Brandeis University/Waltham, Massachusetts/Etats-Unis (1 aut.); Department of Anthropology, Harvard University/Cambridge/Etats-Unis (1 aut., 4 aut., 5 aut.); John F. Kennedy School of Government, Harvard University/Cambridge/Etats-Unis (3 aut.); Harvard Asia Center, Harvard University/Cambridge/Etats-Unis (3 aut.); Department of Social Medicine, Harvard Medical School/Boston, Massachusetts/Etats-Unis (1 aut.); Harvard School of Public Health/Boston, Massachusetts/Etats-Unis (2 aut.)
DT :	Publication en série; Congrès; Niveau analytique
SO :	The Journal of infectious diseases; ISSN 0022-1899; Coden JIDIAQ; Etats-Unis; Da. 2008; Vol. 197; No. SUP1; S7-S13; Bibl. 18 ref.
LA :	Anglais
EA :	The severe acute respiratory syndrome crisis exposed serious deficiencies in China's public health system and willingness to report outbreaks of threats to public health. Consequently, China may be one of the weak links in global preparedness for avian influenza. China's rural health care system has been weakened by 20 years of privatization and fiscal decentralization. China plays a huge role in the global poultry industry, with a poultry population of 14 billion birds, 70%-80% of which are reared in backyard conditions. Although surveillance has been strengthened, obstacles to the timely reporting of disease outbreaks still exist. The weakened health care system prevents many sick people from seeking care at a health care facility, where reporting would originate. Inadequate compensation to farmers for culled birds leads to nonreporting, and local officials may be complicit if they suspect that reporting might lead to economic losses for their communities. At the local level, China's crisis-management ability and multisectoral coordination are weak. The poor quality of infection control in many rural facilities is a serious and well-documented problem. However, traditions of community political mobilization suggest that the potential for providing rural citizens with public health information is possible when mandated from the central government. Addressing these issues now and working on capacity issues, authority structures, accountability, and local reporting and control structures will benefit the control of a potential avian influenza outbreak, as well as inevitable outbreaks of other emerging infectious diseases in China's Pearl River Delta or in other densely populated locations of animal husbandry in China.
CC :	002A05; 002B05
FD :	Chine; Microbiologie; Infection; Grippe aviaire
FG :	Asie; Virose
ED :	China; Microbiology; Infection; Avian influenza
EG :	Asia; Viral disease
SD :	China; Microbiología; Infección; Gripe aviar
LO :	INIST-2052.354000183599690020
ID :	08-0262707

Links to Exploration step

Pascal:08-0262707

Le document en format XML

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<front><div type="abstract" xml:lang="en">The severe acute respiratory syndrome crisis exposed serious deficiencies in China's public health system and willingness to report outbreaks of threats to public health. Consequently, China may be one of the weak links in global preparedness for avian influenza. China's rural health care system has been weakened by 20 years of privatization and fiscal decentralization. China plays a huge role in the global poultry industry, with a poultry population of 14 billion birds, 70%-80% of which are reared in backyard conditions. Although surveillance has been strengthened, obstacles to the timely reporting of disease outbreaks still exist. The weakened health care system prevents many sick people from seeking care at a health care facility, where reporting would originate. Inadequate compensation to farmers for culled birds leads to nonreporting, and local officials may be complicit if they suspect that reporting might lead to economic losses for their communities. At the local level, China's crisis-management ability and multisectoral coordination are weak. The poor quality of infection control in many rural facilities is a serious and well-documented problem. However, traditions of community political mobilization suggest that the potential for providing rural citizens with public health information is possible when mandated from the central government. Addressing these issues now and working on capacity issues, authority structures, accountability, and local reporting and control structures will benefit the control of a potential avian influenza outbreak, as well as inevitable outbreaks of other emerging infectious diseases in China's Pearl River Delta or in other densely populated locations of animal husbandry in China.</div>
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<sZ>5 aut.</sZ>
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<fC01 i1="01" l="ENG"><s0>The severe acute respiratory syndrome crisis exposed serious deficiencies in China's public health system and willingness to report outbreaks of threats to public health. Consequently, China may be one of the weak links in global preparedness for avian influenza. China's rural health care system has been weakened by 20 years of privatization and fiscal decentralization. China plays a huge role in the global poultry industry, with a poultry population of 14 billion birds, 70%-80% of which are reared in backyard conditions. Although surveillance has been strengthened, obstacles to the timely reporting of disease outbreaks still exist. The weakened health care system prevents many sick people from seeking care at a health care facility, where reporting would originate. Inadequate compensation to farmers for culled birds leads to nonreporting, and local officials may be complicit if they suspect that reporting might lead to economic losses for their communities. At the local level, China's crisis-management ability and multisectoral coordination are weak. The poor quality of infection control in many rural facilities is a serious and well-documented problem. However, traditions of community political mobilization suggest that the potential for providing rural citizens with public health information is possible when mandated from the central government. Addressing these issues now and working on capacity issues, authority structures, accountability, and local reporting and control structures will benefit the control of a potential avian influenza outbreak, as well as inevitable outbreaks of other emerging infectious diseases in China's Pearl River Delta or in other densely populated locations of animal husbandry in China.</s0>
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<s5>07</s5>
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<s5>07</s5>
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<s5>14</s5>
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<s2>NG</s2>
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<server><NO>PASCAL 08-0262707 INIST</NO>
<ET>China's Heath Care System and Avian Influenza Preparedness</ET>
<AU>KAUFMAN (Joan A.); KLEINMAN (Arthur M.); BLOOM (Barry R.); SAICH (Anthony); MASON (Katherine A.); AULINO (Felicity)</AU>
<AF>AIDS Public Policy Project, John F. Kennedy School of Government, Harvard University, Cambridge, and Heller School for Social Policy and Management, Brandeis University/Waltham, Massachusetts/Etats-Unis (1 aut.); Department of Anthropology, Harvard University/Cambridge/Etats-Unis (1 aut., 4 aut., 5 aut.); John F. Kennedy School of Government, Harvard University/Cambridge/Etats-Unis (3 aut.); Harvard Asia Center, Harvard University/Cambridge/Etats-Unis (3 aut.); Department of Social Medicine, Harvard Medical School/Boston, Massachusetts/Etats-Unis (1 aut.); Harvard School of Public Health/Boston, Massachusetts/Etats-Unis (2 aut.)</AF>
<DT>Publication en série; Congrès; Niveau analytique</DT>
<SO>The Journal of infectious diseases; ISSN 0022-1899; Coden JIDIAQ; Etats-Unis; Da. 2008; Vol. 197; No. SUP1; S7-S13; Bibl. 18 ref.</SO>
<LA>Anglais</LA>
<EA>The severe acute respiratory syndrome crisis exposed serious deficiencies in China's public health system and willingness to report outbreaks of threats to public health. Consequently, China may be one of the weak links in global preparedness for avian influenza. China's rural health care system has been weakened by 20 years of privatization and fiscal decentralization. China plays a huge role in the global poultry industry, with a poultry population of 14 billion birds, 70%-80% of which are reared in backyard conditions. Although surveillance has been strengthened, obstacles to the timely reporting of disease outbreaks still exist. The weakened health care system prevents many sick people from seeking care at a health care facility, where reporting would originate. Inadequate compensation to farmers for culled birds leads to nonreporting, and local officials may be complicit if they suspect that reporting might lead to economic losses for their communities. At the local level, China's crisis-management ability and multisectoral coordination are weak. The poor quality of infection control in many rural facilities is a serious and well-documented problem. However, traditions of community political mobilization suggest that the potential for providing rural citizens with public health information is possible when mandated from the central government. Addressing these issues now and working on capacity issues, authority structures, accountability, and local reporting and control structures will benefit the control of a potential avian influenza outbreak, as well as inevitable outbreaks of other emerging infectious diseases in China's Pearl River Delta or in other densely populated locations of animal husbandry in China.</EA>
<CC>002A05; 002B05</CC>
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<FG>Asie; Virose</FG>
<ED>China; Microbiology; Infection; Avian influenza</ED>
<EG>Asia; Viral disease</EG>
<SD>China; Microbiología; Infección; Gripe aviar</SD>
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	Serveur d'exploration sur les pandémies grippales
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Serveur d'exploration sur les pandémies grippales

China's Heath Care System and Avian Influenza Preparedness

China's Heath Care System and Avian Influenza Preparedness

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