From SARS in 2003 to H1N1 in 2009: lessons learned from Taiwan in preparation for the next pandemic
Identifieur interne : 002916 ( Ncbi/Merge ); précédent : 002915; suivant : 002917From SARS in 2003 to H1N1 in 2009: lessons learned from Taiwan in preparation for the next pandemic
Auteurs : M.-Y. Yen [Taïwan] ; A. W.-H. Chiu [Taïwan] ; J. Schwartz [États-Unis] ; C.-C. King [Taïwan] ; Y. E. Lin [Taïwan] ; S.-C. Chang [Taïwan] ; D. Armstrong [États-Unis] ; P.-R. Hsueh [Taïwan]Source :
- The Journal of Hospital Infection [ 0195-6701 ] ; 2014.
Descripteurs français
- KwdFr :
- Contrôle des maladies contagieuses (), Contrôle des maladies contagieuses (organisation et administration), Grippe humaine (virologie), Grippe humaine (épidémiologie), Humains, Pandémies (), Protection civile (), Protection civile (organisation et administration), Sous-type H1N1 du virus de la grippe A (isolement et purification), Syndrome respiratoire aigu sévère (épidémiologie), Taïwan (épidémiologie).
- MESH :
- isolement et purification : Sous-type H1N1 du virus de la grippe A.
- organisation et administration : Contrôle des maladies contagieuses, Protection civile.
- virologie : Grippe humaine.
- épidémiologie : Grippe humaine, Syndrome respiratoire aigu sévère, Taïwan.
- Contrôle des maladies contagieuses, Humains, Pandémies, Protection civile.
- Wicri :
- geographic : Taïwan.
English descriptors
- KwdEn :
- Civil Defense (methods), Civil Defense (organization & administration), Communicable Disease Control (methods), Communicable Disease Control (organization & administration), Humans, Influenza A Virus, H1N1 Subtype (isolation & purification), Influenza, Human (epidemiology), Influenza, Human (virology), Pandemics (prevention & control), Severe Acute Respiratory Syndrome (epidemiology), Taiwan (epidemiology).
- MESH :
- geographic , epidemiology : Taiwan.
- epidemiology : Influenza, Human, Severe Acute Respiratory Syndrome.
- isolation & purification : Influenza A Virus, H1N1 Subtype.
- methods : Civil Defense, Communicable Disease Control.
- organization & administration : Civil Defense, Communicable Disease Control.
- prevention & control : Pandemics.
- virology : Influenza, Human.
- Humans.
Abstract
In anticipation of a future pandemic potentially arising from H5N1, H7N9 avian influenza or Middle East Respiratory Syndrome, and in large part in response to severe acute respiratory syndrome (SARS) in 2003, the city of Taipei, Taiwan, has developed extensive new strategies to manage pandemics. These strategies were tested during the 2009 H1N1 outbreak. This article assesses pandemic preparedness in Taipei in the wake of recent pandemic experiences in order to draw lessons relevant to the broader international public health community. Drawing on Taiwan and Taipei Centers for Disease Control data on pandemic response and control, we evaluated the effectiveness of the changes in pandemic response policies developed by these governments over time, emphasizing hospital and medical interventions with particular attention paid to Traffic Control Bundling. SARS and H1N1 2009 catalysed the Taiwan and Taipei CDCs to continuously improve and adjust their strategies for a future pandemic. These new strategies for pandemic response and control have been largely effective at providing interim pandemic containment and control, while development and implementation of an effective vaccination programme is underway. As Taipei's experiences with these cases illustrate, in mitigating moderate or severe pandemic influenza, a graduated process including Traffic Control Bundles accompanied by hospital and medical interventions, as well as school- and community-focused interventions, provides an effective interim response while awaiting vaccine development. Once a vaccine is developed, to maximize pandemic control effectiveness, it should be allocated with priority given to vulnerable groups, healthcare workers and school children.
Url:
DOI: 10.1016/j.jhin.2014.05.005
PubMed: 24996515
PubMed Central: 7114835
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PMC:7114835Le document en format XML
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Yen</name><affiliation wicri:level="1"><nlm:aff id="aff1">Section of Infectious Diseases, Taipei City Hospital, Department of Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Section of Infectious Diseases, Taipei City Hospital, Department of Medicine, National Yang-Ming University School of Medicine, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Chiu, A W H" sort="Chiu, A W H" uniqKey="Chiu A" first="A. W.-H." last="Chiu">A. W.-H. Chiu</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Surgery, Taipei City Hospital, Department of Health, Taipei City Government and National Yang-Ming University School of Medicine, Taipei, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Surgery, Taipei City Hospital, Department of Health, Taipei City Government and National Yang-Ming University School of Medicine, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Schwartz, J" sort="Schwartz, J" uniqKey="Schwartz J" first="J." last="Schwartz">J. Schwartz</name><affiliation wicri:level="2"><nlm:aff id="aff3">Department of Political Science, State University of New York, New Paltz, NY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Political Science, State University of New York, New Paltz, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="King, C C" sort="King, C C" uniqKey="King C" first="C.-C." last="King">C.-C. King</name><affiliation wicri:level="1"><nlm:aff id="aff4">Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Lin, Y E" sort="Lin, Y E" uniqKey="Lin Y" first="Y. E." last="Lin">Y. E. Lin</name><affiliation wicri:level="1"><nlm:aff id="aff5">Center for Environmental Laboratory Services, National Kaohsiung Normal University, Kaohsiung, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Center for Environmental Laboratory Services, National Kaohsiung Normal University, Kaohsiung</wicri:regionArea><wicri:noRegion>Kaohsiung</wicri:noRegion></affiliation></author><author><name sortKey="Chang, S C" sort="Chang, S C" uniqKey="Chang S" first="S.-C." last="Chang">S.-C. Chang</name><affiliation wicri:level="1"><nlm:aff id="aff6">Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Armstrong, D" sort="Armstrong, D" uniqKey="Armstrong D" first="D." last="Armstrong">D. Armstrong</name><affiliation wicri:level="2"><nlm:aff id="aff7">Memorial Sloan Kettering Cancer Center, New York, NY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Memorial Sloan Kettering Cancer Center, New York, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Hsueh, P R" sort="Hsueh, P R" uniqKey="Hsueh P" first="P.-R." last="Hsueh">P.-R. Hsueh</name><affiliation wicri:level="1"><nlm:aff id="aff6">Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff8">Department of Laboratory Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Laboratory Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author></analytic><series><title level="j">The Journal of Hospital Infection</title><idno type="ISSN">0195-6701</idno><idno type="eISSN">1532-2939</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Civil Defense (methods)</term><term>Civil Defense (organization & administration)</term><term>Communicable Disease Control (methods)</term><term>Communicable Disease Control (organization & administration)</term><term>Humans</term><term>Influenza A Virus, H1N1 Subtype (isolation & purification)</term><term>Influenza, Human (epidemiology)</term><term>Influenza, Human (virology)</term><term>Pandemics (prevention & control)</term><term>Severe Acute Respiratory Syndrome (epidemiology)</term><term>Taiwan (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Contrôle des maladies contagieuses ()</term><term>Contrôle des maladies contagieuses (organisation et administration)</term><term>Grippe humaine (virologie)</term><term>Grippe humaine (épidémiologie)</term><term>Humains</term><term>Pandémies ()</term><term>Protection civile ()</term><term>Protection civile (organisation et administration)</term><term>Sous-type H1N1 du virus de la grippe A (isolement et purification)</term><term>Syndrome respiratoire aigu sévère (épidémiologie)</term><term>Taïwan (épidémiologie)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Taiwan</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Influenza, Human</term><term>Severe Acute Respiratory Syndrome</term></keywords><keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Influenza A Virus, H1N1 Subtype</term></keywords><keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>Sous-type H1N1 du virus de la grippe A</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Civil Defense</term><term>Communicable Disease Control</term></keywords><keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Contrôle des maladies contagieuses</term><term>Protection civile</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Civil Defense</term><term>Communicable Disease Control</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Pandemics</term></keywords><keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Grippe humaine</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Grippe humaine</term><term>Syndrome respiratoire aigu sévère</term><term>Taïwan</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Contrôle des maladies contagieuses</term><term>Humains</term><term>Pandémies</term><term>Protection civile</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Taïwan</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Summary</title><p>In anticipation of a future pandemic potentially arising from H5N1, H7N9 avian influenza or Middle East Respiratory Syndrome, and in large part in response to severe acute respiratory syndrome (SARS) in 2003, the city of Taipei, Taiwan, has developed extensive new strategies to manage pandemics. These strategies were tested during the 2009 H1N1 outbreak. This article assesses pandemic preparedness in Taipei in the wake of recent pandemic experiences in order to draw lessons relevant to the broader international public health community. Drawing on Taiwan and Taipei Centers for Disease Control data on pandemic response and control, we evaluated the effectiveness of the changes in pandemic response policies developed by these governments over time, emphasizing hospital and medical interventions with particular attention paid to Traffic Control Bundling. SARS and H1N1 2009 catalysed the Taiwan and Taipei CDCs to continuously improve and adjust their strategies for a future pandemic. These new strategies for pandemic response and control have been largely effective at providing interim pandemic containment and control, while development and implementation of an effective vaccination programme is underway. As Taipei's experiences with these cases illustrate, in mitigating moderate or severe pandemic influenza, a graduated process including Traffic Control Bundles accompanied by hospital and medical interventions, as well as school- and community-focused interventions, provides an effective interim response while awaiting vaccine development. Once a vaccine is developed, to maximize pandemic control effectiveness, it should be allocated with priority given to vulnerable groups, healthcare workers and school children.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Silverstein, G" uniqKey="Silverstein G">G. 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Lipsitchc</name></author></analytic></biblStruct></listBibl></div1></back></TEI><double pmid="24996515"><pmc><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">From SARS in 2003 to H1N1 in 2009: lessons learned from Taiwan in preparation for the next pandemic</title><author><name sortKey="Yen, M Y" sort="Yen, M Y" uniqKey="Yen M" first="M.-Y." last="Yen">M.-Y. Yen</name><affiliation wicri:level="1"><nlm:aff id="aff1">Section of Infectious Diseases, Taipei City Hospital, Department of Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Section of Infectious Diseases, Taipei City Hospital, Department of Medicine, National Yang-Ming University School of Medicine, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Chiu, A W H" sort="Chiu, A W H" uniqKey="Chiu A" first="A. W.-H." last="Chiu">A. W.-H. Chiu</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Surgery, Taipei City Hospital, Department of Health, Taipei City Government and National Yang-Ming University School of Medicine, Taipei, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Surgery, Taipei City Hospital, Department of Health, Taipei City Government and National Yang-Ming University School of Medicine, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Schwartz, J" sort="Schwartz, J" uniqKey="Schwartz J" first="J." last="Schwartz">J. Schwartz</name><affiliation wicri:level="2"><nlm:aff id="aff3">Department of Political Science, State University of New York, New Paltz, NY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Political Science, State University of New York, New Paltz, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="King, C C" sort="King, C C" uniqKey="King C" first="C.-C." last="King">C.-C. King</name><affiliation wicri:level="1"><nlm:aff id="aff4">Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Lin, Y E" sort="Lin, Y E" uniqKey="Lin Y" first="Y. E." last="Lin">Y. E. Lin</name><affiliation wicri:level="1"><nlm:aff id="aff5">Center for Environmental Laboratory Services, National Kaohsiung Normal University, Kaohsiung, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Center for Environmental Laboratory Services, National Kaohsiung Normal University, Kaohsiung</wicri:regionArea><wicri:noRegion>Kaohsiung</wicri:noRegion></affiliation></author><author><name sortKey="Chang, S C" sort="Chang, S C" uniqKey="Chang S" first="S.-C." last="Chang">S.-C. Chang</name><affiliation wicri:level="1"><nlm:aff id="aff6">Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Armstrong, D" sort="Armstrong, D" uniqKey="Armstrong D" first="D." last="Armstrong">D. Armstrong</name><affiliation wicri:level="2"><nlm:aff id="aff7">Memorial Sloan Kettering Cancer Center, New York, NY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Memorial Sloan Kettering Cancer Center, New York, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Hsueh, P R" sort="Hsueh, P R" uniqKey="Hsueh P" first="P.-R." last="Hsueh">P.-R. Hsueh</name><affiliation wicri:level="1"><nlm:aff id="aff6">Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff8">Department of Laboratory Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Laboratory Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24996515</idno><idno type="pmc">7114835</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7114835</idno><idno type="RBID">PMC:7114835</idno><idno type="doi">10.1016/j.jhin.2014.05.005</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">001829</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001829</idno><idno type="wicri:Area/Pmc/Curation">001829</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001829</idno><idno type="wicri:Area/Pmc/Checkpoint">000897</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000897</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">From SARS in 2003 to H1N1 in 2009: lessons learned from Taiwan in preparation for the next pandemic</title><author><name sortKey="Yen, M Y" sort="Yen, M Y" uniqKey="Yen M" first="M.-Y." last="Yen">M.-Y. Yen</name><affiliation wicri:level="1"><nlm:aff id="aff1">Section of Infectious Diseases, Taipei City Hospital, Department of Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Section of Infectious Diseases, Taipei City Hospital, Department of Medicine, National Yang-Ming University School of Medicine, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Chiu, A W H" sort="Chiu, A W H" uniqKey="Chiu A" first="A. W.-H." last="Chiu">A. W.-H. Chiu</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Surgery, Taipei City Hospital, Department of Health, Taipei City Government and National Yang-Ming University School of Medicine, Taipei, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Surgery, Taipei City Hospital, Department of Health, Taipei City Government and National Yang-Ming University School of Medicine, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Schwartz, J" sort="Schwartz, J" uniqKey="Schwartz J" first="J." last="Schwartz">J. Schwartz</name><affiliation wicri:level="2"><nlm:aff id="aff3">Department of Political Science, State University of New York, New Paltz, NY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Political Science, State University of New York, New Paltz, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="King, C C" sort="King, C C" uniqKey="King C" first="C.-C." last="King">C.-C. King</name><affiliation wicri:level="1"><nlm:aff id="aff4">Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Lin, Y E" sort="Lin, Y E" uniqKey="Lin Y" first="Y. E." last="Lin">Y. E. Lin</name><affiliation wicri:level="1"><nlm:aff id="aff5">Center for Environmental Laboratory Services, National Kaohsiung Normal University, Kaohsiung, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Center for Environmental Laboratory Services, National Kaohsiung Normal University, Kaohsiung</wicri:regionArea><wicri:noRegion>Kaohsiung</wicri:noRegion></affiliation></author><author><name sortKey="Chang, S C" sort="Chang, S C" uniqKey="Chang S" first="S.-C." last="Chang">S.-C. Chang</name><affiliation wicri:level="1"><nlm:aff id="aff6">Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Armstrong, D" sort="Armstrong, D" uniqKey="Armstrong D" first="D." last="Armstrong">D. Armstrong</name><affiliation wicri:level="2"><nlm:aff id="aff7">Memorial Sloan Kettering Cancer Center, New York, NY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Memorial Sloan Kettering Cancer Center, New York, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Hsueh, P R" sort="Hsueh, P R" uniqKey="Hsueh P" first="P.-R." last="Hsueh">P.-R. Hsueh</name><affiliation wicri:level="1"><nlm:aff id="aff6">Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff8">Department of Laboratory Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan</nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Laboratory Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author></analytic><series><title level="j">The Journal of Hospital Infection</title><idno type="ISSN">0195-6701</idno><idno type="eISSN">1532-2939</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Summary</title><p>In anticipation of a future pandemic potentially arising from H5N1, H7N9 avian influenza or Middle East Respiratory Syndrome, and in large part in response to severe acute respiratory syndrome (SARS) in 2003, the city of Taipei, Taiwan, has developed extensive new strategies to manage pandemics. These strategies were tested during the 2009 H1N1 outbreak. This article assesses pandemic preparedness in Taipei in the wake of recent pandemic experiences in order to draw lessons relevant to the broader international public health community. Drawing on Taiwan and Taipei Centers for Disease Control data on pandemic response and control, we evaluated the effectiveness of the changes in pandemic response policies developed by these governments over time, emphasizing hospital and medical interventions with particular attention paid to Traffic Control Bundling. SARS and H1N1 2009 catalysed the Taiwan and Taipei CDCs to continuously improve and adjust their strategies for a future pandemic. These new strategies for pandemic response and control have been largely effective at providing interim pandemic containment and control, while development and implementation of an effective vaccination programme is underway. As Taipei's experiences with these cases illustrate, in mitigating moderate or severe pandemic influenza, a graduated process including Traffic Control Bundles accompanied by hospital and medical interventions, as well as school- and community-focused interventions, provides an effective interim response while awaiting vaccine development. Once a vaccine is developed, to maximize pandemic control effectiveness, it should be allocated with priority given to vulnerable groups, healthcare workers and school children.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Silverstein, G" uniqKey="Silverstein G">G. 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Lipsitchc</name></author></analytic></biblStruct></listBibl></div1></back></TEI></pmc><pubmed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">From SARS in 2003 to H1N1 in 2009: lessons learned from Taiwan in preparation for the next pandemic.</title><author><name sortKey="Yen, M Y" sort="Yen, M Y" uniqKey="Yen M" first="M-Y" last="Yen">M-Y Yen</name><affiliation wicri:level="1"><nlm:affiliation>Section of Infectious Diseases, Taipei City Hospital, Department of Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan. Electronic address: myyen1121@gmail.com.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Section of Infectious Diseases, Taipei City Hospital, Department of Medicine, National Yang-Ming University School of Medicine, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Chiu, A W H" sort="Chiu, A W H" uniqKey="Chiu A" first="A W-H" last="Chiu">A W-H Chiu</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Taipei City Hospital, Department of Health, Taipei City Government and National Yang-Ming University School of Medicine, Taipei, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Surgery, Taipei City Hospital, Department of Health, Taipei City Government and National Yang-Ming University School of Medicine, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Schwartz, J" sort="Schwartz, J" uniqKey="Schwartz J" first="J" last="Schwartz">J. Schwartz</name><affiliation wicri:level="2"><nlm:affiliation>Department of Political Science, State University of New York, New Paltz, NY, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Political Science, State University of New York, New Paltz, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="King, C C" sort="King, C C" uniqKey="King C" first="C-C" last="King">C-C King</name><affiliation wicri:level="1"><nlm:affiliation>Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Lin, Y E" sort="Lin, Y E" uniqKey="Lin Y" first="Y E" last="Lin">Y E Lin</name><affiliation wicri:level="1"><nlm:affiliation>Center for Environmental Laboratory Services, National Kaohsiung Normal University, Kaohsiung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Center for Environmental Laboratory Services, National Kaohsiung Normal University, Kaohsiung</wicri:regionArea><wicri:noRegion>Kaohsiung</wicri:noRegion></affiliation></author><author><name sortKey="Chang, S C" sort="Chang, S C" uniqKey="Chang S" first="S-C" last="Chang">S-C Chang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Armstrong, D" sort="Armstrong, D" uniqKey="Armstrong D" first="D" last="Armstrong">D. Armstrong</name><affiliation wicri:level="2"><nlm:affiliation>Memorial Sloan Kettering Cancer Center, New York, NY, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Memorial Sloan Kettering Cancer Center, New York, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Hsueh, P R" sort="Hsueh, P R" uniqKey="Hsueh P" first="P-R" last="Hsueh">P-R Hsueh</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan; Department of Laboratory Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan. Electronic address: hsporen@ntu.edu.tw.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan; Department of Laboratory Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:24996515</idno><idno type="pmid">24996515</idno><idno type="doi">10.1016/j.jhin.2014.05.005</idno><idno type="wicri:Area/PubMed/Corpus">000F70</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000F70</idno><idno type="wicri:Area/PubMed/Curation">000F70</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000F70</idno><idno type="wicri:Area/PubMed/Checkpoint">000F98</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000F98</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">From SARS in 2003 to H1N1 in 2009: lessons learned from Taiwan in preparation for the next pandemic.</title><author><name sortKey="Yen, M Y" sort="Yen, M Y" uniqKey="Yen M" first="M-Y" last="Yen">M-Y Yen</name><affiliation wicri:level="1"><nlm:affiliation>Section of Infectious Diseases, Taipei City Hospital, Department of Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan. Electronic address: myyen1121@gmail.com.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Section of Infectious Diseases, Taipei City Hospital, Department of Medicine, National Yang-Ming University School of Medicine, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Chiu, A W H" sort="Chiu, A W H" uniqKey="Chiu A" first="A W-H" last="Chiu">A W-H Chiu</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery, Taipei City Hospital, Department of Health, Taipei City Government and National Yang-Ming University School of Medicine, Taipei, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Surgery, Taipei City Hospital, Department of Health, Taipei City Government and National Yang-Ming University School of Medicine, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Schwartz, J" sort="Schwartz, J" uniqKey="Schwartz J" first="J" last="Schwartz">J. Schwartz</name><affiliation wicri:level="2"><nlm:affiliation>Department of Political Science, State University of New York, New Paltz, NY, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Political Science, State University of New York, New Paltz, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="King, C C" sort="King, C C" uniqKey="King C" first="C-C" last="King">C-C King</name><affiliation wicri:level="1"><nlm:affiliation>Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Lin, Y E" sort="Lin, Y E" uniqKey="Lin Y" first="Y E" last="Lin">Y E Lin</name><affiliation wicri:level="1"><nlm:affiliation>Center for Environmental Laboratory Services, National Kaohsiung Normal University, Kaohsiung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Center for Environmental Laboratory Services, National Kaohsiung Normal University, Kaohsiung</wicri:regionArea><wicri:noRegion>Kaohsiung</wicri:noRegion></affiliation></author><author><name sortKey="Chang, S C" sort="Chang, S C" uniqKey="Chang S" first="S-C" last="Chang">S-C Chang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Armstrong, D" sort="Armstrong, D" uniqKey="Armstrong D" first="D" last="Armstrong">D. Armstrong</name><affiliation wicri:level="2"><nlm:affiliation>Memorial Sloan Kettering Cancer Center, New York, NY, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Memorial Sloan Kettering Cancer Center, New York, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Hsueh, P R" sort="Hsueh, P R" uniqKey="Hsueh P" first="P-R" last="Hsueh">P-R Hsueh</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan; Department of Laboratory Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan. Electronic address: hsporen@ntu.edu.tw.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan; Department of Laboratory Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author></analytic><series><title level="j">The Journal of hospital infection</title><idno type="eISSN">1532-2939</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Civil Defense (methods)</term><term>Civil Defense (organization & administration)</term><term>Communicable Disease Control (methods)</term><term>Communicable Disease Control (organization & administration)</term><term>Humans</term><term>Influenza A Virus, H1N1 Subtype (isolation & purification)</term><term>Influenza, Human (epidemiology)</term><term>Influenza, Human (virology)</term><term>Pandemics (prevention & control)</term><term>Severe Acute Respiratory Syndrome (epidemiology)</term><term>Taiwan (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Contrôle des maladies contagieuses ()</term><term>Contrôle des maladies contagieuses (organisation et administration)</term><term>Grippe humaine (virologie)</term><term>Grippe humaine (épidémiologie)</term><term>Humains</term><term>Pandémies ()</term><term>Protection civile ()</term><term>Protection civile (organisation et administration)</term><term>Sous-type H1N1 du virus de la grippe A (isolement et purification)</term><term>Syndrome respiratoire aigu sévère (épidémiologie)</term><term>Taïwan (épidémiologie)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Taiwan</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Influenza, Human</term><term>Severe Acute Respiratory Syndrome</term></keywords><keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Influenza A Virus, H1N1 Subtype</term></keywords><keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>Sous-type H1N1 du virus de la grippe A</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Civil Defense</term><term>Communicable Disease Control</term></keywords><keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Contrôle des maladies contagieuses</term><term>Protection civile</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Civil Defense</term><term>Communicable Disease Control</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Pandemics</term></keywords><keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Grippe humaine</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Grippe humaine</term><term>Syndrome respiratoire aigu sévère</term><term>Taïwan</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Contrôle des maladies contagieuses</term><term>Humains</term><term>Pandémies</term><term>Protection civile</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Taïwan</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In anticipation of a future pandemic potentially arising from H5N1, H7N9 avian influenza or Middle East Respiratory Syndrome, and in large part in response to severe acute respiratory syndrome (SARS) in 2003, the city of Taipei, Taiwan, has developed extensive new strategies to manage pandemics. These strategies were tested during the 2009 H1N1 outbreak. This article assesses pandemic preparedness in Taipei in the wake of recent pandemic experiences in order to draw lessons relevant to the broader international public health community. Drawing on Taiwan and Taipei Centers for Disease Control data on pandemic response and control, we evaluated the effectiveness of the changes in pandemic response policies developed by these governments over time, emphasizing hospital and medical interventions with particular attention paid to Traffic Control Bundling. SARS and H1N1 2009 catalysed the Taiwan and Taipei CDCs to continuously improve and adjust their strategies for a future pandemic. These new strategies for pandemic response and control have been largely effective at providing interim pandemic containment and control, while development and implementation of an effective vaccination programme is underway. As Taipei's experiences with these cases illustrate, in mitigating moderate or severe pandemic influenza, a graduated process including Traffic Control Bundles accompanied by hospital and medical interventions, as well as school- and community-focused interventions, provides an effective interim response while awaiting vaccine development. Once a vaccine is developed, to maximize pandemic control effectiveness, it should be allocated with priority given to vulnerable groups, healthcare workers and school children. </div></front></TEI></pubmed></double></record>Pour manipuler ce document sous Unix (Dilib)
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