Pandemic response lessons from influenza H1N1 2009 in Asia
Identifieur interne : 002246 ( Main/Exploration ); précédent : 002245; suivant : 002247Pandemic response lessons from influenza H1N1 2009 in Asia
Auteurs : Dale Fisher [Singapour] ; David S. Hui [Hong Kong] ; Zhancheng Gao ; Christopher Lee [Malaisie] ; Myoung-Don Oh [Corée du Sud] ; Bin Cao [République populaire de Chine] ; Tran Tinh Hien [Viêt Nam] ; Krista Patlovich [Singapour] ; Jeremy Farrar [Viêt Nam]Source :
- Respirology [ 1323-7799 ] ; 2011-08.
English descriptors
- Teeft :
- Antiviral, Apparent preparation, Asian society, Authors respirology, Border controls, Chinese university, Clinical management, Clinical research, Clinical research community, Community transmission, Containment, Containment measures, Critical care medicine, Diagnostic aspects, Distribution plans, Early cases, Entry screening, Essential medicines, Euro surveill, General population, Global outbreak, Goarn, Health challenges, Health managers, Hong kong, Hospital staff, Infectious disease outbreaks, Infectious disease physician, Infectious diseases, Intensive care, Intensive care units, Limited resources, Local transmission, Many countries, Mass disaster, Mortality surveillance, National infrastructures, National university hospital, Novel virus, Organizational infrastructure, Oseltamivir, Outbreak, Oxford university, Pandemic, Past pandemics, Patient management, Peking university hospital, Preparedness, Primary care, Public health, Public health emergencies, Quality care, Rapid response, Rapid spread, Recent epidemics, Research unit viet, Respiratory disease outbreak, Respiratory infections, Respiratory medicine, Respirology, Response network, Sars, School closures, Side effects, Singapore, Surge capacity, Surveillance data, Timely conduct, Understanding pathogenesis, Vaccine, Virus infection, Virus pandemic, Virus strain, World health organization.
Abstract
During April 2009, a novel H1N1 influenza A virus strain was identified in Mexico and the USA. Within weeks the virus had spread globally and the first pandemic of the 21st Century had been declared. It is unlikely to be the last and it is crucial that real lessons are learned from the experience. Asia is considered a hot spot for the emergence of new pathogens including past influenza pandemics. On this occasion while preparing for an avian, highly virulent influenza virus (H5N1 like) originating in Asia in fact the pandemic originated from swine, and was less virulent. This discrepancy between what was planned for and what emerged created its own challenges. The H1N1 pandemic has tested national health‐care infrastructures and exposed shortcomings in our preparedness as a region. Key health challenges include communication throughout the region, surge capacity, access to reliable information and access to quality care, health‐care worker skills, quality, density and distribution, access to essential medicines and lack of organizational infrastructure for emergency response. Despite years of preparation the public health and clinical research community were not ready to respond and opportunities for an immediate research response were missed. Despite warm words and pledges efforts to engage the international community to ensure equitable sharing of limited resources such as antivirals and vaccines fell short and stockpiles in the main remained in the rich world. This manuscript with authors from across the region describes some of the major challenges faced by Asia in response to the pandemic and draws lessons for the future.
Url:
DOI: 10.1111/j.1440-1843.2011.02003.x
Affiliations:
- Corée du Sud, Hong Kong, Malaisie, République populaire de Chine, Singapour, Viêt Nam
- Région capitale de Séoul
- Pékin, Sha Tin, Séoul
- Université chinoise de Hong Kong
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Le document en format XML
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strain</term><term>World health organization</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">During April 2009, a novel H1N1 influenza A virus strain was identified in Mexico and the USA. Within weeks the virus had spread globally and the first pandemic of the 21st Century had been declared. It is unlikely to be the last and it is crucial that real lessons are learned from the experience. Asia is considered a hot spot for the emergence of new pathogens including past influenza pandemics. On this occasion while preparing for an avian, highly virulent influenza virus (H5N1 like) originating in Asia in fact the pandemic originated from swine, and was less virulent. This discrepancy between what was planned for and what emerged created its own challenges. The H1N1 pandemic has tested national health‐care infrastructures and exposed shortcomings in our preparedness as a region. Key health challenges include communication throughout the region, surge capacity, access to reliable information and access to quality care, health‐care worker skills, quality, density and distribution, access to essential medicines and lack of organizational infrastructure for emergency response. Despite years of preparation the public health and clinical research community were not ready to respond and opportunities for an immediate research response were missed. Despite warm words and pledges efforts to engage the international community to ensure equitable sharing of limited resources such as antivirals and vaccines fell short and stockpiles in the main remained in the rich world. This manuscript with authors from across the region describes some of the major challenges faced by Asia in response to the pandemic and draws lessons for the future.</div></front></TEI><affiliations><list><country><li>Corée du Sud</li><li>Hong Kong</li><li>Malaisie</li><li>République populaire de Chine</li><li>Singapour</li><li>Viêt Nam</li></country><region><li>Région capitale de Séoul</li></region><settlement><li>Pékin</li><li>Sha Tin</li><li>Séoul</li></settlement><orgName><li>Université chinoise de Hong Kong</li></orgName></list><tree><noCountry><name sortKey="Gao, Zhancheng" sort="Gao, Zhancheng" uniqKey="Gao Z" first="Zhancheng" last="Gao">Zhancheng Gao</name></noCountry><country name="Singapour"><noRegion><name sortKey="Fisher, Dale" sort="Fisher, Dale" uniqKey="Fisher D" first="Dale" last="Fisher">Dale Fisher</name></noRegion><name sortKey="Fisher, Dale" sort="Fisher, Dale" uniqKey="Fisher D" first="Dale" last="Fisher">Dale Fisher</name><name sortKey="Patlovich, Krista" sort="Patlovich, Krista" uniqKey="Patlovich K" first="Krista" last="Patlovich">Krista Patlovich</name></country><country name="Hong Kong"><noRegion><name sortKey="Hui, David S" sort="Hui, David S" uniqKey="Hui D" first="David S." last="Hui">David S. 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