Improvements in pandemic preparedness in 8 Central American countries, 2008-2012.
Identifieur interne : 000818 ( PubMed/Corpus ); précédent : 000817; suivant : 000819Improvements in pandemic preparedness in 8 Central American countries, 2008-2012.
Auteurs : Lucinda E A. Johnson ; Wilfrido Clará ; Manoj Gambhir ; Rafael Chac N-Fuentes ; Carlos Marín-Correa ; Jorge Jara ; Percy Minaya ; David Rodríguez ; Natalia Blanco ; Naomi Iihoshi ; Maribel Orozco ; Carmen Lange ; Sergio Vinicio Pérez ; Nydia Amador ; Marc-Alain Widdowson ; Ann C. Moen ; Eduardo Azziz-BaumgartnerSource :
- BMC health services research [ 1472-6963 ] ; 2014.
English descriptors
- KwdEn :
- MESH :
- geographic : Central America.
- isolation & purification : Influenza A Virus, H1N1 Subtype.
- prevention & control : Influenza, Human, Pandemics.
- standards : Disaster Planning.
- trends : Disaster Planning, Quality Improvement.
- Capacity Building, Databases, Factual, Humans.
Abstract
In view of ongoing pandemic threats such as the recent human cases of novel avian influenza A(H7N9) in China, it is important that all countries continue their preparedness efforts. Since 2006, Central American countries have received donor funding and technical assistance from the U.S. Centers for Disease Control and Prevention (CDC) to build and improve their capacity for influenza surveillance and pandemic preparedness. Our objective was to measure changes in pandemic preparedness in this region, and explore factors associated with these changes, using evaluations conducted between 2008 and 2012.
DOI: 10.1186/1472-6963-14-209
PubMed: 24886275
Links to Exploration step
pubmed:24886275Le document en format XML
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<author><name sortKey="Clara, Wilfrido" sort="Clara, Wilfrido" uniqKey="Clara W" first="Wilfrido" last="Clará">Wilfrido Clará</name>
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<author><name sortKey="Gambhir, Manoj" sort="Gambhir, Manoj" uniqKey="Gambhir M" first="Manoj" last="Gambhir">Manoj Gambhir</name>
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<author><name sortKey="Chac N Fuentes, Rafael" sort="Chac N Fuentes, Rafael" uniqKey="Chac N Fuentes R" first="Rafael" last="Chac N-Fuentes">Rafael Chac N-Fuentes</name>
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<author><name sortKey="Blanco, Natalia" sort="Blanco, Natalia" uniqKey="Blanco N" first="Natalia" last="Blanco">Natalia Blanco</name>
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<author><name sortKey="Widdowson, Marc Alain" sort="Widdowson, Marc Alain" uniqKey="Widdowson M" first="Marc-Alain" last="Widdowson">Marc-Alain Widdowson</name>
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<author><name sortKey="Moen, Ann C" sort="Moen, Ann C" uniqKey="Moen A" first="Ann C" last="Moen">Ann C. Moen</name>
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<author><name sortKey="Azziz Baumgartner, Eduardo" sort="Azziz Baumgartner, Eduardo" uniqKey="Azziz Baumgartner E" first="Eduardo" last="Azziz-Baumgartner">Eduardo Azziz-Baumgartner</name>
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<author><name sortKey="Johnson, Lucinda E A" sort="Johnson, Lucinda E A" uniqKey="Johnson L" first="Lucinda E A" last="Johnson">Lucinda E A. Johnson</name>
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<author><name sortKey="Clara, Wilfrido" sort="Clara, Wilfrido" uniqKey="Clara W" first="Wilfrido" last="Clará">Wilfrido Clará</name>
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<author><name sortKey="Gambhir, Manoj" sort="Gambhir, Manoj" uniqKey="Gambhir M" first="Manoj" last="Gambhir">Manoj Gambhir</name>
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<author><name sortKey="Chac N Fuentes, Rafael" sort="Chac N Fuentes, Rafael" uniqKey="Chac N Fuentes R" first="Rafael" last="Chac N-Fuentes">Rafael Chac N-Fuentes</name>
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<author><name sortKey="Marin Correa, Carlos" sort="Marin Correa, Carlos" uniqKey="Marin Correa C" first="Carlos" last="Marín-Correa">Carlos Marín-Correa</name>
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<author><name sortKey="Jara, Jorge" sort="Jara, Jorge" uniqKey="Jara J" first="Jorge" last="Jara">Jorge Jara</name>
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<author><name sortKey="Minaya, Percy" sort="Minaya, Percy" uniqKey="Minaya P" first="Percy" last="Minaya">Percy Minaya</name>
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<author><name sortKey="Rodriguez, David" sort="Rodriguez, David" uniqKey="Rodriguez D" first="David" last="Rodríguez">David Rodríguez</name>
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<author><name sortKey="Blanco, Natalia" sort="Blanco, Natalia" uniqKey="Blanco N" first="Natalia" last="Blanco">Natalia Blanco</name>
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<author><name sortKey="Iihoshi, Naomi" sort="Iihoshi, Naomi" uniqKey="Iihoshi N" first="Naomi" last="Iihoshi">Naomi Iihoshi</name>
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<author><name sortKey="Orozco, Maribel" sort="Orozco, Maribel" uniqKey="Orozco M" first="Maribel" last="Orozco">Maribel Orozco</name>
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<author><name sortKey="Lange, Carmen" sort="Lange, Carmen" uniqKey="Lange C" first="Carmen" last="Lange">Carmen Lange</name>
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<author><name sortKey="Perez, Sergio Vinicio" sort="Perez, Sergio Vinicio" uniqKey="Perez S" first="Sergio Vinicio" last="Pérez">Sergio Vinicio Pérez</name>
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<author><name sortKey="Amador, Nydia" sort="Amador, Nydia" uniqKey="Amador N" first="Nydia" last="Amador">Nydia Amador</name>
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<author><name sortKey="Widdowson, Marc Alain" sort="Widdowson, Marc Alain" uniqKey="Widdowson M" first="Marc-Alain" last="Widdowson">Marc-Alain Widdowson</name>
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<affiliation><nlm:affiliation>Influenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30333, USA. eha9@cdc.gov.</nlm:affiliation>
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<term>Central America</term>
<term>Databases, Factual</term>
<term>Disaster Planning (standards)</term>
<term>Disaster Planning (trends)</term>
<term>Humans</term>
<term>Influenza A Virus, H1N1 Subtype (isolation & purification)</term>
<term>Influenza, Human (prevention & control)</term>
<term>Pandemics (prevention & control)</term>
<term>Quality Improvement (trends)</term>
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<keywords scheme="MESH" type="geographic" xml:lang="en"><term>Central America</term>
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<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Influenza, Human</term>
<term>Pandemics</term>
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<keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Disaster Planning</term>
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<keywords scheme="MESH" qualifier="trends" xml:lang="en"><term>Disaster Planning</term>
<term>Quality Improvement</term>
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<front><div type="abstract" xml:lang="en">In view of ongoing pandemic threats such as the recent human cases of novel avian influenza A(H7N9) in China, it is important that all countries continue their preparedness efforts. Since 2006, Central American countries have received donor funding and technical assistance from the U.S. Centers for Disease Control and Prevention (CDC) to build and improve their capacity for influenza surveillance and pandemic preparedness. Our objective was to measure changes in pandemic preparedness in this region, and explore factors associated with these changes, using evaluations conducted between 2008 and 2012.</div>
</front>
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<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24886275</PMID>
<DateCompleted><Year>2015</Year>
<Month>01</Month>
<Day>15</Day>
</DateCompleted>
<DateRevised><Year>2019</Year>
<Month>01</Month>
<Day>08</Day>
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<Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1472-6963</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>14</Volume>
<PubDate><Year>2014</Year>
<Month>May</Month>
<Day>09</Day>
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<Title>BMC health services research</Title>
<ISOAbbreviation>BMC Health Serv Res</ISOAbbreviation>
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<ArticleTitle>Improvements in pandemic preparedness in 8 Central American countries, 2008-2012.</ArticleTitle>
<Pagination><MedlinePgn>209</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1186/1472-6963-14-209</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">In view of ongoing pandemic threats such as the recent human cases of novel avian influenza A(H7N9) in China, it is important that all countries continue their preparedness efforts. Since 2006, Central American countries have received donor funding and technical assistance from the U.S. Centers for Disease Control and Prevention (CDC) to build and improve their capacity for influenza surveillance and pandemic preparedness. Our objective was to measure changes in pandemic preparedness in this region, and explore factors associated with these changes, using evaluations conducted between 2008 and 2012.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Eight Central American countries scored their pandemic preparedness across 12 capabilities in 2008, 2010 and 2012, using a standardized tool developed by CDC. Scores were calculated by country and capability and compared between evaluation years using the Student's t-test and Wilcoxon Rank Sum test, respectively. Virological data reported to WHO were used to assess changes in testing capacity between evaluation years. Linear regression was used to examine associations between scores, donor funding, technical assistance and WHO reporting.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">All countries improved their pandemic preparedness between 2008 and 2012 and seven made statistically significant gains (p < 0.05). Increases in median scores were observed for all 12 capabilities over the same period and were statistically significant for eight of these (p < 0.05): country planning, communications, routine influenza surveillance, national respiratory disease surveillance, outbreak response, resources for containment, community interventions and health sector response. We found a positive association between preparedness scores and cumulative funding between 2006 and 2011 (R2 = 0.5, p < 0.01). The number of specimens reported to WHO from participating countries increased significantly from 5,551 (2008) to 18,172 (2012) (p < 0.01).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Central America has made significant improvements in influenza pandemic preparedness between 2008 and 2012. U.S. donor funding and technical assistance provided to the region is likely to have contributed to the improvements we observed, although information on other sources of funding and support was unavailable to study. Gains are also likely the result of countries' response to the 2009 influenza pandemic. Further research is required to determine the degree to which pandemic improvements are sustainable.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Johnson</LastName>
<ForeName>Lucinda E A</ForeName>
<Initials>LE</Initials>
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<Author ValidYN="Y"><LastName>Clará</LastName>
<ForeName>Wilfrido</ForeName>
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<Initials>AC</Initials>
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<Author ValidYN="Y"><LastName>Azziz-Baumgartner</LastName>
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<Initials>E</Initials>
<AffiliationInfo><Affiliation>Influenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30333, USA. eha9@cdc.gov.</Affiliation>
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