Response to the challenges of pandemic H1N1 in a small island state: the Barbadian experience
Identifieur interne : 002265 ( Ncbi/Merge ); précédent : 002264; suivant : 002266Response to the challenges of pandemic H1N1 in a small island state: the Barbadian experience
Auteurs : Natasha Sobers-Grannum ; Karen Springer ; Elizabeth Ferdinand ; Joy St JohnSource :
- BMC Public Health [ 1471-2458 ] ; 2010.
Descripteurs français
- KwdFr :
- Barbade (épidémiologie), Grippe humaine (), Grippe humaine (traitement médicamenteux), Grippe humaine (épidémiologie), Humains, Infections de l'appareil respiratoire (), Lutte contre l'infection (), Mâle, Notification des maladies à déclaration obligatoire, Sous-type H1N1 du virus de la grippe A, Surveillance de la population (), Surveillance sentinelle, Syndrome respiratoire aigu sévère (), Équipe soignante.
- MESH :
- traitement médicamenteux : Grippe humaine.
- épidémiologie : Barbade, Grippe humaine.
- Grippe humaine, Humains, Infections de l'appareil respiratoire, Lutte contre l'infection, Mâle, Notification des maladies à déclaration obligatoire, Sous-type H1N1 du virus de la grippe A, Surveillance de la population, Surveillance sentinelle, Syndrome respiratoire aigu sévère, Équipe soignante.
- Wicri :
- geographic : Barbade.
English descriptors
- KwdEn :
- Barbados (epidemiology), Disease Notification, Humans, Infection Control (methods), Influenza A Virus, H1N1 Subtype, Influenza, Human (drug therapy), Influenza, Human (epidemiology), Influenza, Human (prevention & control), Male, Patient Care Team, Population Surveillance (methods), Respiratory Tract Infections (prevention & control), Sentinel Surveillance, Severe Acute Respiratory Syndrome (prevention & control).
- MESH :
- geographic , epidemiology : Barbados.
- drug therapy : Influenza, Human.
- epidemiology : Influenza, Human.
- methods : Infection Control, Population Surveillance.
- prevention & control : Influenza, Human, Respiratory Tract Infections, Severe Acute Respiratory Syndrome.
- Disease Notification, Humans, Influenza A Virus, H1N1 Subtype, Male, Patient Care Team, Sentinel Surveillance.
Abstract
Having been overwhelmed by the complexity of the response needed for the severe acute respiratory syndrome (SARS) epidemic, public health professionals in the small island state of Barbados put various measures in place to improve its response in the event of a pandemic
Data for this study was collected using Barbados’ National Influenza Surveillance System, which was revitalized in 2007. It is comprised of ten sentinel sites which send weekly notifications of acute respiratory illness (ARI) and severe acute respiratory illness (SARI) to the Office of the National Epidemiologist. During the 2009 H1N1 pandemic, meetings of the National Pandemic Planning Committee and the Technical Command Committee were convened. The pharmaceutical and non-pharmaceutical interventions (NPIs) implemented as a result of these meetings form the basis of the results presented in this paper.
On June 3, 2009, Barbados reported its first case of 2009 H1N1. From June until October 2009, there were 155 laboratory confirmed cases of 2009 H1N1, with one additional case occurring in January 2010. For the outbreak period (June-October 2009), the surveillance team received reports of 2,483 ARI cases, compared to 412 cases for the same period in 2008. The total hospitalization rate due to SARIs for the year 2009 was 90.1 per 100,000 people, as compared to 7.3 per 100,000 people for 2008. Barbados’ pandemic response was characterized by a strong surveillance system combining active and passive surveillance, good risk communication strategy, a strengthened public and private sector partnership, and effective regional and international collaborations. Community restriction strategies such as school and workplace closures and cancellation of group events were not utilized as public health measures to delay the spread of the virus. Some health care facilities struggled with providing adequate isolation facilities.
The number of confirmed cases was small but the significant surge in ARI and SARI cases indicate that the impact of the virus on the island was moderate. As a result of 2009 H1N1, virological surveillance has improved significantly and local, regional and international partnerships have been strengthened.
Url:
DOI: 10.1186/1471-2458-10-S1-S10
PubMed: 21143820
PubMed Central: 3005570
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id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Ferdinand, Elizabeth" sort="Ferdinand, Elizabeth" uniqKey="Ferdinand E" first="Elizabeth" last="Ferdinand">Elizabeth Ferdinand</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="John, Joy St" sort="John, Joy St" uniqKey="John J" first="Joy St" last="John">Joy St John</name><affiliation><nlm:aff id="Aff1"></nlm:aff></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><keywords scheme="KwdEn" xml:lang="en"><term>Barbados (epidemiology)</term><term>Disease Notification</term><term>Humans</term><term>Infection Control (methods)</term><term>Influenza A Virus, H1N1 Subtype</term><term>Influenza, Human (drug therapy)</term><term>Influenza, Human (epidemiology)</term><term>Influenza, Human (prevention & control)</term><term>Male</term><term>Patient Care Team</term><term>Population Surveillance (methods)</term><term>Respiratory Tract Infections (prevention & control)</term><term>Sentinel Surveillance</term><term>Severe Acute Respiratory Syndrome (prevention & control)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Barbade (épidémiologie)</term><term>Grippe humaine ()</term><term>Grippe humaine (traitement médicamenteux)</term><term>Grippe humaine (épidémiologie)</term><term>Humains</term><term>Infections de l'appareil respiratoire ()</term><term>Lutte contre l'infection ()</term><term>Mâle</term><term>Notification des maladies à déclaration obligatoire</term><term>Sous-type H1N1 du virus de la grippe A</term><term>Surveillance de la population ()</term><term>Surveillance sentinelle</term><term>Syndrome respiratoire aigu sévère ()</term><term>Équipe soignante</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Barbados</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Infection Control</term><term>Population Surveillance</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Influenza, Human</term><term>Respiratory Tract Infections</term><term>Severe Acute Respiratory Syndrome</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Grippe humaine</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Barbade</term><term>Grippe humaine</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Disease Notification</term><term>Humans</term><term>Influenza A Virus, H1N1 Subtype</term><term>Male</term><term>Patient Care Team</term><term>Sentinel Surveillance</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Grippe humaine</term><term>Humains</term><term>Infections de l'appareil respiratoire</term><term>Lutte contre l'infection</term><term>Mâle</term><term>Notification des maladies à déclaration obligatoire</term><term>Sous-type H1N1 du virus de la grippe A</term><term>Surveillance de la population</term><term>Surveillance sentinelle</term><term>Syndrome respiratoire aigu sévère</term><term>Équipe soignante</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Barbade</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Having been overwhelmed by the complexity of the response needed for the severe acute respiratory syndrome (SARS) epidemic, public health professionals in the small island state of Barbados put various measures in place to improve its response in the event of a pandemic</p></sec><sec><title>Methods</title><p>Data for this study was collected using Barbados’ National Influenza Surveillance System, which was revitalized in 2007. It is comprised of ten sentinel sites which send weekly notifications of acute respiratory illness (ARI) and severe acute respiratory illness (SARI) to the Office of the National Epidemiologist. During the 2009 H1N1 pandemic, meetings of the National Pandemic Planning Committee and the Technical Command Committee were convened. The pharmaceutical and non-pharmaceutical interventions (NPIs) implemented as a result of these meetings form the basis of the results presented in this paper.</p></sec><sec><title>Results</title><p>On June 3, 2009, Barbados reported its first case of 2009 H1N1. From June until October 2009, there were 155 laboratory confirmed cases of 2009 H1N1, with one additional case occurring in January 2010. For the outbreak period (June-October 2009), the surveillance team received reports of 2,483 ARI cases, compared to 412 cases for the same period in 2008. The total hospitalization rate due to SARIs for the year 2009 was 90.1 per 100,000 people, as compared to 7.3 per 100,000 people for 2008. Barbados’ pandemic response was characterized by a strong surveillance system combining active and passive surveillance, good risk communication strategy, a strengthened public and private sector partnership, and effective regional and international collaborations. Community restriction strategies such as school and workplace closures and cancellation of group events were not utilized as public health measures to delay the spread of the virus. Some health care facilities struggled with providing adequate isolation facilities.</p></sec><sec><title>Conclusions</title><p>The number of confirmed cases was small but the significant surge in ARI and SARI cases indicate that the impact of the virus on the island was moderate. As a result of 2009 H1N1, virological surveillance has improved significantly and local, regional and international partnerships have been strengthened.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Harding, Sb" uniqKey="Harding S">SB Harding</name></author><author><name sortKey="Carter Taylor, D" uniqKey="Carter Taylor D">D Carter-Taylor</name></author><author><name sortKey="Chapman, R" uniqKey="Chapman R">R Chapman</name></author><author><name sortKey="Deane, S" uniqKey="Deane S">S Deane</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Aledort, Je" uniqKey="Aledort J">JE Aledort</name></author><author><name sortKey="Lurie, N" uniqKey="Lurie N">N Lurie</name></author><author><name sortKey="Wasserman, J" uniqKey="Wasserman J">J Wasserman</name></author><author><name sortKey="Bozzette, Sa" uniqKey="Bozzette S">SA Bozzette</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bell, Dm" uniqKey="Bell D">DM Bell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vukotich, Cj" uniqKey="Vukotich C">CJ Vukotich</name></author><author><name sortKey="Coulborn, Rm" uniqKey="Coulborn R">RM Coulborn</name></author><author><name sortKey="Aragon, Tj" uniqKey="Aragon T">TJ Aragon</name></author><author><name sortKey="Baker, Mg" uniqKey="Baker M">MG Baker</name></author><author><name sortKey="Burrus, Bb" uniqKey="Burrus B">BB Burrus</name></author><author><name sortKey="Aiello, Ae" uniqKey="Aiello A">AE Aiello</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Moore, T" uniqKey="Moore T">T Moore</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Boyce, Jm" uniqKey="Boyce J">JM Boyce</name></author><author><name sortKey="Pittet, D" uniqKey="Pittet D">D Pittet</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Aiello, Ae" uniqKey="Aiello A">AE Aiello</name></author><author><name sortKey="Coulborn, Rm" uniqKey="Coulborn R">RM Coulborn</name></author><author><name sortKey="Perez, V" uniqKey="Perez V">V Perez</name></author><author><name sortKey="Larson, El" uniqKey="Larson E">EL Larson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cazacu, Ac" uniqKey="Cazacu A">AC Cazacu</name></author><author><name sortKey="Chung, Se" uniqKey="Chung S">SE Chung</name></author><author><name sortKey="Greer, J" uniqKey="Greer J">J Greer</name></author><author><name sortKey="Demmler, Gj" uniqKey="Demmler G">GJ Demmler</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jefferson, T" uniqKey="Jefferson T">T Jefferson</name></author><author><name sortKey="Foxlee, R" uniqKey="Foxlee R">R Foxlee</name></author><author><name sortKey="Del Mar, C" uniqKey="Del Mar C">C Del Mar</name></author><author><name sortKey="Dooley, L" uniqKey="Dooley L">L Dooley</name></author><author><name sortKey="Ferroni, E" uniqKey="Ferroni E">E Ferroni</name></author><author><name sortKey="Hewak, B" uniqKey="Hewak B">B Hewak</name></author><author><name sortKey="Prabhala, A" uniqKey="Prabhala A">A Prabhala</name></author><author><name sortKey="Nair, S" uniqKey="Nair S">S Nair</name></author><author><name sortKey="Rivetti, A" uniqKey="Rivetti A">A Rivetti</name></author></analytic></biblStruct></listBibl></div1></back></TEI><double pmid="21143820"><pmc><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Response to the challenges of pandemic H1N1 in a small island state: the Barbadian experience</title><author><name sortKey="Sobers Grannum, Natasha" sort="Sobers Grannum, Natasha" uniqKey="Sobers Grannum N" first="Natasha" last="Sobers-Grannum">Natasha Sobers-Grannum</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Springer, Karen" sort="Springer, Karen" uniqKey="Springer K" first="Karen" last="Springer">Karen Springer</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Ferdinand, Elizabeth" sort="Ferdinand, Elizabeth" uniqKey="Ferdinand E" first="Elizabeth" last="Ferdinand">Elizabeth Ferdinand</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="John, Joy St" sort="John, Joy St" uniqKey="John J" first="Joy St" last="John">Joy St John</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">21143820</idno><idno type="pmc">3005570</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3005570</idno><idno type="RBID">PMC:3005570</idno><idno type="doi">10.1186/1471-2458-10-S1-S10</idno><date when="2010">2010</date><idno type="wicri:Area/Pmc/Corpus">000520</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000520</idno><idno type="wicri:Area/Pmc/Curation">000520</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000520</idno><idno type="wicri:Area/Pmc/Checkpoint">000B98</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000B98</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Response to the challenges of pandemic H1N1 in a small island state: the Barbadian experience</title><author><name sortKey="Sobers Grannum, Natasha" sort="Sobers Grannum, Natasha" uniqKey="Sobers Grannum N" first="Natasha" last="Sobers-Grannum">Natasha Sobers-Grannum</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Springer, Karen" sort="Springer, Karen" uniqKey="Springer K" first="Karen" last="Springer">Karen Springer</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="Ferdinand, Elizabeth" sort="Ferdinand, Elizabeth" uniqKey="Ferdinand E" first="Elizabeth" last="Ferdinand">Elizabeth Ferdinand</name><affiliation><nlm:aff id="Aff1"></nlm:aff></affiliation></author><author><name sortKey="John, Joy St" sort="John, Joy St" uniqKey="John J" first="Joy St" last="John">Joy St John</name><affiliation><nlm:aff id="Aff1"></nlm:aff></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"><sec><title>Background</title><p>Having been overwhelmed by the complexity of the response needed for the severe acute respiratory syndrome (SARS) epidemic, public health professionals in the small island state of Barbados put various measures in place to improve its response in the event of a pandemic</p></sec><sec><title>Methods</title><p>Data for this study was collected using Barbados’ National Influenza Surveillance System, which was revitalized in 2007. It is comprised of ten sentinel sites which send weekly notifications of acute respiratory illness (ARI) and severe acute respiratory illness (SARI) to the Office of the National Epidemiologist. During the 2009 H1N1 pandemic, meetings of the National Pandemic Planning Committee and the Technical Command Committee were convened. The pharmaceutical and non-pharmaceutical interventions (NPIs) implemented as a result of these meetings form the basis of the results presented in this paper.</p></sec><sec><title>Results</title><p>On June 3, 2009, Barbados reported its first case of 2009 H1N1. From June until October 2009, there were 155 laboratory confirmed cases of 2009 H1N1, with one additional case occurring in January 2010. For the outbreak period (June-October 2009), the surveillance team received reports of 2,483 ARI cases, compared to 412 cases for the same period in 2008. The total hospitalization rate due to SARIs for the year 2009 was 90.1 per 100,000 people, as compared to 7.3 per 100,000 people for 2008. Barbados’ pandemic response was characterized by a strong surveillance system combining active and passive surveillance, good risk communication strategy, a strengthened public and private sector partnership, and effective regional and international collaborations. Community restriction strategies such as school and workplace closures and cancellation of group events were not utilized as public health measures to delay the spread of the virus. Some health care facilities struggled with providing adequate isolation facilities.</p></sec><sec><title>Conclusions</title><p>The number of confirmed cases was small but the significant surge in ARI and SARI cases indicate that the impact of the virus on the island was moderate. As a result of 2009 H1N1, virological surveillance has improved significantly and local, regional and international partnerships have been strengthened.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Harding, Sb" uniqKey="Harding S">SB Harding</name></author><author><name sortKey="Carter Taylor, D" uniqKey="Carter Taylor D">D Carter-Taylor</name></author><author><name sortKey="Chapman, R" uniqKey="Chapman R">R Chapman</name></author><author><name sortKey="Deane, S" uniqKey="Deane S">S Deane</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Aledort, Je" uniqKey="Aledort J">JE Aledort</name></author><author><name sortKey="Lurie, N" uniqKey="Lurie N">N Lurie</name></author><author><name sortKey="Wasserman, J" uniqKey="Wasserman J">J Wasserman</name></author><author><name sortKey="Bozzette, Sa" uniqKey="Bozzette S">SA Bozzette</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bell, Dm" uniqKey="Bell D">DM Bell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vukotich, Cj" uniqKey="Vukotich C">CJ Vukotich</name></author><author><name sortKey="Coulborn, Rm" uniqKey="Coulborn R">RM Coulborn</name></author><author><name sortKey="Aragon, Tj" uniqKey="Aragon T">TJ Aragon</name></author><author><name sortKey="Baker, Mg" uniqKey="Baker M">MG Baker</name></author><author><name sortKey="Burrus, Bb" uniqKey="Burrus B">BB Burrus</name></author><author><name sortKey="Aiello, Ae" uniqKey="Aiello A">AE Aiello</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Moore, T" uniqKey="Moore T">T Moore</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Boyce, Jm" uniqKey="Boyce J">JM Boyce</name></author><author><name sortKey="Pittet, D" uniqKey="Pittet D">D Pittet</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Aiello, Ae" uniqKey="Aiello A">AE Aiello</name></author><author><name sortKey="Coulborn, Rm" uniqKey="Coulborn R">RM Coulborn</name></author><author><name sortKey="Perez, V" uniqKey="Perez V">V Perez</name></author><author><name sortKey="Larson, El" uniqKey="Larson E">EL Larson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cazacu, Ac" uniqKey="Cazacu A">AC Cazacu</name></author><author><name sortKey="Chung, Se" uniqKey="Chung S">SE Chung</name></author><author><name sortKey="Greer, J" uniqKey="Greer J">J Greer</name></author><author><name sortKey="Demmler, Gj" uniqKey="Demmler G">GJ Demmler</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jefferson, T" uniqKey="Jefferson T">T Jefferson</name></author><author><name sortKey="Foxlee, R" uniqKey="Foxlee R">R Foxlee</name></author><author><name sortKey="Del Mar, C" uniqKey="Del Mar C">C Del Mar</name></author><author><name sortKey="Dooley, L" uniqKey="Dooley L">L Dooley</name></author><author><name sortKey="Ferroni, E" uniqKey="Ferroni E">E Ferroni</name></author><author><name sortKey="Hewak, B" uniqKey="Hewak B">B Hewak</name></author><author><name sortKey="Prabhala, A" uniqKey="Prabhala A">A Prabhala</name></author><author><name sortKey="Nair, S" uniqKey="Nair S">S Nair</name></author><author><name sortKey="Rivetti, A" uniqKey="Rivetti A">A Rivetti</name></author></analytic></biblStruct></listBibl></div1></back></TEI></pmc><pubmed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Response to the challenges of pandemic H1N1 in a small island state: the Barbadian experience.</title><author><name sortKey="Sobers Grannum, Natasha" sort="Sobers Grannum, Natasha" uniqKey="Sobers Grannum N" first="Natasha" last="Sobers-Grannum">Natasha Sobers-Grannum</name><affiliation wicri:level="1"><nlm:affiliation>Ministry of Health, Frank Walcott Building, Culloden Road, St. Michael, Barbados. natasha.sobers@barbados.gov.bb</nlm:affiliation><country xml:lang="fr">Barbade</country><wicri:regionArea>Ministry of Health, Frank Walcott Building, Culloden Road, St. Michael</wicri:regionArea><wicri:noRegion>St. Michael</wicri:noRegion></affiliation></author><author><name sortKey="Springer, Karen" sort="Springer, Karen" uniqKey="Springer K" first="Karen" last="Springer">Karen Springer</name></author><author><name sortKey="Ferdinand, Elizabeth" sort="Ferdinand, Elizabeth" uniqKey="Ferdinand E" first="Elizabeth" last="Ferdinand">Elizabeth Ferdinand</name></author><author><name sortKey="St John, Joy" sort="St John, Joy" uniqKey="St John J" first="Joy" last="St John">Joy St John</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2010">2010</date><idno type="RBID">pubmed:21143820</idno><idno type="pmid">21143820</idno><idno type="doi">10.1186/1471-2458-10-S1-S10</idno><idno type="wicri:Area/PubMed/Corpus">001577</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001577</idno><idno type="wicri:Area/PubMed/Curation">001577</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001577</idno><idno type="wicri:Area/PubMed/Checkpoint">001603</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001603</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Response to the challenges of pandemic H1N1 in a small island state: the Barbadian experience.</title><author><name sortKey="Sobers Grannum, Natasha" sort="Sobers Grannum, Natasha" uniqKey="Sobers Grannum N" first="Natasha" last="Sobers-Grannum">Natasha Sobers-Grannum</name><affiliation wicri:level="1"><nlm:affiliation>Ministry of Health, Frank Walcott Building, Culloden Road, St. Michael, Barbados. natasha.sobers@barbados.gov.bb</nlm:affiliation><country xml:lang="fr">Barbade</country><wicri:regionArea>Ministry of Health, Frank Walcott Building, Culloden Road, St. Michael</wicri:regionArea><wicri:noRegion>St. Michael</wicri:noRegion></affiliation></author><author><name sortKey="Springer, Karen" sort="Springer, Karen" uniqKey="Springer K" first="Karen" last="Springer">Karen Springer</name></author><author><name sortKey="Ferdinand, Elizabeth" sort="Ferdinand, Elizabeth" uniqKey="Ferdinand E" first="Elizabeth" last="Ferdinand">Elizabeth Ferdinand</name></author><author><name sortKey="St John, Joy" sort="St John, Joy" uniqKey="St John J" first="Joy" last="St John">Joy St John</name></author></analytic><series><title level="j">BMC public health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2010" type="published">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Barbados (epidemiology)</term><term>Disease Notification</term><term>Humans</term><term>Infection Control (methods)</term><term>Influenza A Virus, H1N1 Subtype</term><term>Influenza, Human (drug therapy)</term><term>Influenza, Human (epidemiology)</term><term>Influenza, Human (prevention & control)</term><term>Male</term><term>Patient Care Team</term><term>Population Surveillance (methods)</term><term>Respiratory Tract Infections (prevention & control)</term><term>Sentinel Surveillance</term><term>Severe Acute Respiratory Syndrome (prevention & control)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Barbade (épidémiologie)</term><term>Grippe humaine ()</term><term>Grippe humaine (traitement médicamenteux)</term><term>Grippe humaine (épidémiologie)</term><term>Humains</term><term>Infections de l'appareil respiratoire ()</term><term>Lutte contre l'infection ()</term><term>Mâle</term><term>Notification des maladies à déclaration obligatoire</term><term>Sous-type H1N1 du virus de la grippe A</term><term>Surveillance de la population ()</term><term>Surveillance sentinelle</term><term>Syndrome respiratoire aigu sévère ()</term><term>Équipe soignante</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Barbados</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Infection Control</term><term>Population Surveillance</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Influenza, Human</term><term>Respiratory Tract Infections</term><term>Severe Acute Respiratory Syndrome</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Grippe humaine</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Barbade</term><term>Grippe humaine</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Disease Notification</term><term>Humans</term><term>Influenza A Virus, H1N1 Subtype</term><term>Male</term><term>Patient Care Team</term><term>Sentinel Surveillance</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Grippe humaine</term><term>Humains</term><term>Infections de l'appareil respiratoire</term><term>Lutte contre l'infection</term><term>Mâle</term><term>Notification des maladies à déclaration obligatoire</term><term>Sous-type H1N1 du virus de la grippe A</term><term>Surveillance de la population</term><term>Surveillance sentinelle</term><term>Syndrome respiratoire aigu sévère</term><term>Équipe soignante</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Barbade</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Having been overwhelmed by the complexity of the response needed for the severe acute respiratory syndrome (SARS) epidemic, public health professionals in the small island state of Barbados put various measures in place to improve its response in the event of a pandemic</div></front></TEI></pubmed></double></record>Pour manipuler ce document sous Unix (Dilib)
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