Facing the threat of influenza pandemic - roles of and implications to general practitioners
Identifieur interne : 000142 ( Pmc/Curation ); précédent : 000141; suivant : 000143Facing the threat of influenza pandemic - roles of and implications to general practitioners
Auteurs : Albert Lee ; Antonio At ChuhSource :
- BMC Public Health [ 1471-2458 ] ; 2010.
Abstract
The 2009 pandemic of H1N1 influenza, compounded with seasonal influenza, posed a global challenge. Despite the announcement of post-pandemic period on 10 August 2010 by theWHO, H1N1 (2009) virus would continue to circulate as a seasonal virus for some years and national health authorities should remain vigilant due to unpredictable behaviour of the virus. Majority of the world population is living in countries with inadequate resources to purchase vaccines and stockpile antiviral drugs. Basic hygienic measures such as wearing face masks and the hygienic practice of hand washing could reduce the spread of the respiratory viruses. However, the imminent issue is translating these measures into day-to-day practice. The experience from Severe Acute Respiratory Syndrome (SARS) in Hong Kong has shown that general practitioners (GPs) were willing to discharge their duties despite risks of getting infected themselves. SARS event has highlighted the inadequate interface between primary and secondary care and valuable health care resources were thus inappropriately matched to community needs.
There are various ways for GPs to contribute in combating the influenza pandemic. They are prompt in detecting and monitoring epidemics and mini-epidemics of viral illnesses in the community. They can empower and raise the health literacy of the community such as advocating personal hygiene and other precautious measures. GPs could also assist in the development of protocols for primary care management of patients with flu-like illnesses and conduct clinical audits on the standards of preventive and treatment measures. GPs with adequate liaison with public health agencies would facilitate early diagnosis of patients with influenza.
In this article, we summarise the primary care actions for phases 4-6 of the pandemic. We shall discuss the novel roles of GPs as alternative source of health care for patients who would otherwise be cared for in the secondary care level. The health care system would thus remain sustainable during the public health crisis.
Url:
DOI: 10.1186/1471-2458-10-661
PubMed: 21044300
PubMed Central: 2988738
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Albert Lee<affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.415197.f</institution-id><institution-id institution-id-type="ISNI">0000000417647206</institution-id><institution>School of Public Health and Primary Care,</institution><institution>The Chinese University of Hong Kong, 4th Floor, School of Public Health, Prince of Wales Hospital,</institution></institution-wrap>Shatin, N.T. Hong Kong</nlm:aff><wicri:noCountry code="subfield">N.T. Hong Kong</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.411377.7</institution-id><institution-id institution-id-type="ISNI">000000010790959X</institution-id><institution>Adjunct Professor of Applied Health Science,</institution><institution>School of Health, Physical Education and Recreation, Indiana University,</institution></institution-wrap>Bloomington, Indiana USA</nlm:aff><wicri:noCountry code="subfield">Indiana USA</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.411377.7</institution-id><institution-id institution-id-type="ISNI">000000010790959X</institution-id><institution>Adjunct Professor of Applied Health Science,</institution><institution>School of Health, Physical Education and Recreation, Indiana University,</institution></institution-wrap>Bloomington, Indiana USA</nlm:aff><wicri:noCountry code="subfield">Indiana USA</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.415197.f</institution-id><institution-id institution-id-type="ISNI">0000000417647206</institution-id><institution>School of Public Health and Primary Care,</institution><institution>The Chinese University of Hong Kong, 4th Floor, School of Public Health, Prince of Wales Hospital,</institution></institution-wrap>Shatin, N.T. Hong Kong</nlm:aff><wicri:noCountry code="subfield">N.T. Hong Kong</wicri:noCountry></affiliation>Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Facing the threat of influenza pandemic - roles of and implications to general practitioners</title><author><name sortKey="Lee, Albert" sort="Lee, Albert" uniqKey="Lee A" first="Albert" last="Lee">Albert Lee</name><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.415197.f</institution-id><institution-id institution-id-type="ISNI">0000000417647206</institution-id><institution>School of Public Health and Primary Care,</institution><institution>The Chinese University of Hong Kong, 4th Floor, School of Public Health, Prince of Wales Hospital,</institution></institution-wrap>Shatin, N.T. Hong Kong</nlm:aff><wicri:noCountry code="subfield">N.T. 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Hong Kong</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">21044300</idno><idno type="pmc">2988738</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2988738</idno><idno type="RBID">PMC:2988738</idno><idno type="doi">10.1186/1471-2458-10-661</idno><date when="2010">2010</date><idno type="wicri:Area/Pmc/Corpus">000142</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000142</idno><idno type="wicri:Area/Pmc/Curation">000142</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000142</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Facing the threat of influenza pandemic - roles of and implications to general practitioners</title><author><name sortKey="Lee, Albert" sort="Lee, Albert" uniqKey="Lee A" first="Albert" last="Lee">Albert Lee</name><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.415197.f</institution-id><institution-id institution-id-type="ISNI">0000000417647206</institution-id><institution>School of Public Health and Primary Care,</institution><institution>The Chinese University of Hong Kong, 4th Floor, School of Public Health, Prince of Wales Hospital,</institution></institution-wrap>Shatin, N.T. Hong Kong</nlm:aff><wicri:noCountry code="subfield">N.T. Hong Kong</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.411377.7</institution-id><institution-id institution-id-type="ISNI">000000010790959X</institution-id><institution>Adjunct Professor of Applied Health Science,</institution><institution>School of Health, Physical Education and Recreation, Indiana University,</institution></institution-wrap>Bloomington, Indiana USA</nlm:aff><wicri:noCountry code="subfield">Indiana USA</wicri:noCountry></affiliation></author><author><name sortKey="Chuh, Antonio At" sort="Chuh, Antonio At" uniqKey="Chuh A" first="Antonio At" last="Chuh">Antonio At Chuh</name><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.415197.f</institution-id><institution-id institution-id-type="ISNI">0000000417647206</institution-id><institution>School of Public Health and Primary Care,</institution><institution>The Chinese University of Hong Kong, 4th Floor, School of Public Health, Prince of Wales Hospital,</institution></institution-wrap>Shatin, N.T. Hong Kong</nlm:aff><wicri:noCountry code="subfield">N.T. Hong Kong</wicri:noCountry></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The 2009 pandemic of H1N1 influenza, compounded with seasonal influenza, posed a global challenge. Despite the announcement of post-pandemic period on 10 August 2010 by theWHO, H1N1 (2009) virus would continue to circulate as a seasonal virus for some years and national health authorities should remain vigilant due to unpredictable behaviour of the virus. Majority of the world population is living in countries with inadequate resources to purchase vaccines and stockpile antiviral drugs. Basic hygienic measures such as wearing face masks and the hygienic practice of hand washing could reduce the spread of the respiratory viruses. However, the imminent issue is translating these measures into day-to-day practice. The experience from Severe Acute Respiratory Syndrome (SARS) in Hong Kong has shown that general practitioners (GPs) were willing to discharge their duties despite risks of getting infected themselves. SARS event has highlighted the inadequate interface between primary and secondary care and valuable health care resources were thus inappropriately matched to community needs.</p><p>There are various ways for GPs to contribute in combating the influenza pandemic. They are prompt in detecting and monitoring epidemics and mini-epidemics of viral illnesses in the community. They can empower and raise the health literacy of the community such as advocating personal hygiene and other precautious measures. GPs could also assist in the development of protocols for primary care management of patients with flu-like illnesses and conduct clinical audits on the standards of preventive and treatment measures. GPs with adequate liaison with public health agencies would facilitate early diagnosis of patients with influenza.</p><p>In this article, we summarise the primary care actions for phases 4-6 of the pandemic. We shall discuss the novel roles of GPs as alternative source of health care for patients who would otherwise be cared for in the secondary care level. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Public Health</journal-id><journal-id journal-id-type="iso-abbrev">BMC Public Health</journal-id><journal-title-group><journal-title>BMC Public Health</journal-title></journal-title-group><issn pub-type="epub">1471-2458</issn><publisher><publisher-name>BioMed Central</publisher-name><publisher-loc>London</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">21044300</article-id><article-id pub-id-type="pmc">2988738</article-id><article-id pub-id-type="publisher-id">2572</article-id><article-id pub-id-type="doi">10.1186/1471-2458-10-661</article-id><article-categories><subj-group subj-group-type="heading"><subject>Correspondence</subject></subj-group></article-categories><title-group><article-title>Facing the threat of influenza pandemic - roles of and implications to general practitioners</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Lee</surname><given-names>Albert</given-names></name><address><email>alee@cuhk.edu.hk</email></address><xref ref-type="aff" rid="Aff1">1</xref><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Chuh</surname><given-names>Antonio AT</given-names></name><address><email>antonio.chuh@yahoo.com.hk</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><aff id="Aff1"><label>1</label><institution-wrap><institution-id institution-id-type="GRID">grid.415197.f</institution-id><institution-id institution-id-type="ISNI">0000000417647206</institution-id><institution>School of Public Health and Primary Care,</institution><institution>The Chinese University of Hong Kong, 4th Floor, School of Public Health, Prince of Wales Hospital,</institution></institution-wrap>Shatin, N.T. Hong Kong</aff><aff id="Aff2"><label>2</label><institution-wrap><institution-id institution-id-type="GRID">grid.411377.7</institution-id><institution-id institution-id-type="ISNI">000000010790959X</institution-id><institution>Adjunct Professor of Applied Health Science,</institution><institution>School of Health, Physical Education and Recreation, Indiana University,</institution></institution-wrap>Bloomington, Indiana USA</aff></contrib-group><pub-date pub-type="epub"><day>2</day><month>11</month><year>2010</year></pub-date><pub-date pub-type="pmc-release"><day>2</day><month>11</month><year>2010</year></pub-date><pub-date pub-type="collection"><year>2010</year></pub-date><volume>10</volume><elocation-id>661</elocation-id><history><date date-type="received"><day>14</day><month>4</month><year>2010</year></date><date date-type="accepted"><day>2</day><month>11</month><year>2010</year></date></history><permissions><copyright-statement>© Lee and Chuh; licensee BioMed Central Ltd. 2010</copyright-statement><license license-type="OpenAccess"><license-p>This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0">http://creativecommons.org/licenses/by/2.0</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract id="Abs1"><p>The 2009 pandemic of H1N1 influenza, compounded with seasonal influenza, posed a global challenge. Despite the announcement of post-pandemic period on 10 August 2010 by theWHO, H1N1 (2009) virus would continue to circulate as a seasonal virus for some years and national health authorities should remain vigilant due to unpredictable behaviour of the virus. Majority of the world population is living in countries with inadequate resources to purchase vaccines and stockpile antiviral drugs. Basic hygienic measures such as wearing face masks and the hygienic practice of hand washing could reduce the spread of the respiratory viruses. However, the imminent issue is translating these measures into day-to-day practice. The experience from Severe Acute Respiratory Syndrome (SARS) in Hong Kong has shown that general practitioners (GPs) were willing to discharge their duties despite risks of getting infected themselves. SARS event has highlighted the inadequate interface between primary and secondary care and valuable health care resources were thus inappropriately matched to community needs.</p><p>There are various ways for GPs to contribute in combating the influenza pandemic. They are prompt in detecting and monitoring epidemics and mini-epidemics of viral illnesses in the community. They can empower and raise the health literacy of the community such as advocating personal hygiene and other precautious measures. GPs could also assist in the development of protocols for primary care management of patients with flu-like illnesses and conduct clinical audits on the standards of preventive and treatment measures. GPs with adequate liaison with public health agencies would facilitate early diagnosis of patients with influenza.</p><p>In this article, we summarise the primary care actions for phases 4-6 of the pandemic. We shall discuss the novel roles of GPs as alternative source of health care for patients who would otherwise be cared for in the secondary care level. The health care system would thus remain sustainable during the public health crisis.</p></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Influenza</kwd><kwd>Severe Acute Respiratory Syndrome</kwd><kwd>Oseltamivir</kwd><kwd>Secondary Care</kwd><kwd>Influenza Pandemic</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© The Author(s) 2010</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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