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From SARS in 2003 to H1N1 in 2009: lessons learned from Taiwan in preparation for the next pandemic

Identifieur interne : 000897 ( Pmc/Checkpoint ); précédent : 000896; suivant : 000898

From 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 :

RBID : PMC:7114835

Abstract

Summary

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


Affiliations:


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PMC:7114835

Le document en format XML

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<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>
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</TEI>
<pmc article-type="review-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Hosp Infect</journal-id>
<journal-id journal-id-type="iso-abbrev">J. Hosp. Infect</journal-id>
<journal-title-group>
<journal-title>The Journal of Hospital Infection</journal-title>
</journal-title-group>
<issn pub-type="ppub">0195-6701</issn>
<issn pub-type="epub">1532-2939</issn>
<publisher>
<publisher-name>The Healthcare Infection Society. Published by Elsevier Ltd.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">24996515</article-id>
<article-id pub-id-type="pmc">7114835</article-id>
<article-id pub-id-type="publisher-id">S0195-6701(14)00156-X</article-id>
<article-id pub-id-type="doi">10.1016/j.jhin.2014.05.005</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>From SARS in 2003 to H1N1 in 2009: lessons learned from Taiwan in preparation for the next pandemic</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" id="au1">
<name>
<surname>Yen</surname>
<given-names>M.-Y.</given-names>
</name>
<email>myyen1121@gmail.com</email>
<xref rid="aff1" ref-type="aff">a</xref>
<xref rid="cor1" ref-type="corresp"></xref>
</contrib>
<contrib contrib-type="author" id="au2">
<name>
<surname>Chiu</surname>
<given-names>A.W.-H.</given-names>
</name>
<xref rid="aff2" ref-type="aff">b</xref>
</contrib>
<contrib contrib-type="author" id="au3">
<name>
<surname>Schwartz</surname>
<given-names>J.</given-names>
</name>
<xref rid="aff3" ref-type="aff">c</xref>
</contrib>
<contrib contrib-type="author" id="au4">
<name>
<surname>King</surname>
<given-names>C.-C.</given-names>
</name>
<xref rid="aff4" ref-type="aff">d</xref>
</contrib>
<contrib contrib-type="author" id="au5">
<name>
<surname>Lin</surname>
<given-names>Y.E.</given-names>
</name>
<xref rid="aff5" ref-type="aff">e</xref>
</contrib>
<contrib contrib-type="author" id="au6">
<name>
<surname>Chang</surname>
<given-names>S.-C.</given-names>
</name>
<xref rid="aff6" ref-type="aff">f</xref>
</contrib>
<contrib contrib-type="author" id="au7">
<name>
<surname>Armstrong</surname>
<given-names>D.</given-names>
</name>
<xref rid="aff7" ref-type="aff">g</xref>
</contrib>
<contrib contrib-type="author" id="au8">
<name>
<surname>Hsueh</surname>
<given-names>P.-R.</given-names>
</name>
<email>hsporen@ntu.edu.tw</email>
<xref rid="aff6" ref-type="aff">f</xref>
<xref rid="aff8" ref-type="aff">h</xref>
<xref rid="cor2" ref-type="corresp">∗∗</xref>
</contrib>
</contrib-group>
<aff id="aff1">
<label>a</label>
Section of Infectious Diseases, Taipei City Hospital, Department of Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan</aff>
<aff id="aff2">
<label>b</label>
Department of Surgery, Taipei City Hospital, Department of Health, Taipei City Government and National Yang-Ming University School of Medicine, Taipei, Taiwan</aff>
<aff id="aff3">
<label>c</label>
Department of Political Science, State University of New York, New Paltz, NY, USA</aff>
<aff id="aff4">
<label>d</label>
Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan</aff>
<aff id="aff5">
<label>e</label>
Center for Environmental Laboratory Services, National Kaohsiung Normal University, Kaohsiung, Taiwan</aff>
<aff id="aff6">
<label>f</label>
Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan</aff>
<aff id="aff7">
<label>g</label>
Memorial Sloan Kettering Cancer Center, New York, NY, USA</aff>
<aff id="aff8">
<label>h</label>
Department of Laboratory Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan</aff>
<author-notes>
<corresp id="cor1">
<label></label>
Corresponding author. Taipei City Hospital, Department of Medicine, National Yang-Ming University School of Medicine, Taipei 11221, Taiwan, No. 100, KunMing Street, Taipei City, 10844 Taiwan. Tel.: +886 921699678; fax: +886 2 23703747.
<email>myyen1121@gmail.com</email>
</corresp>
<corresp id="cor2">
<label>∗∗</label>
Corresponding author. Department of Laboratory Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, No. 7 Chung-Shan South Road, Taipei 100, Taiwan. Tel.: +886 2 23123456x65355; fax: +886 2 23224263.
<email>hsporen@ntu.edu.tw</email>
</corresp>
</author-notes>
<pub-date pub-type="pmc-release">
<day>11</day>
<month>6</month>
<year>2014</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub">
<month>8</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub">
<day>11</day>
<month>6</month>
<year>2014</year>
</pub-date>
<volume>87</volume>
<issue>4</issue>
<fpage>185</fpage>
<lpage>193</lpage>
<history>
<date date-type="received">
<day>23</day>
<month>9</month>
<year>2013</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2014 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.</copyright-statement>
<copyright-year>2014</copyright-year>
<copyright-holder>The Healthcare Infection Society</copyright-holder>
<license>
<license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p>
</license>
</permissions>
<abstract id="abs0010">
<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>
</abstract>
<kwd-group id="kwrds0010">
<title>Keywords</title>
<kwd>H1N1</kwd>
<kwd>Pandemic preparedness</kwd>
<kwd>Severe acute respiratory syndrome</kwd>
<kwd>Six Sigma</kwd>
<kwd>Traffic Control Bundles</kwd>
<kwd>Vaccination campaigns</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations>
<list>
<country>
<li>Taïwan</li>
<li>États-Unis</li>
</country>
<region>
<li>État de New York</li>
</region>
</list>
<tree>
<country name="Taïwan">
<noRegion>
<name sortKey="Yen, M Y" sort="Yen, M Y" uniqKey="Yen M" first="M.-Y." last="Yen">M.-Y. Yen</name>
</noRegion>
<name sortKey="Chang, S C" sort="Chang, S C" uniqKey="Chang S" first="S.-C." last="Chang">S.-C. Chang</name>
<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>
<name sortKey="Hsueh, P R" sort="Hsueh, P R" uniqKey="Hsueh P" first="P.-R." last="Hsueh">P.-R. Hsueh</name>
<name sortKey="Hsueh, P R" sort="Hsueh, P R" uniqKey="Hsueh P" first="P.-R." last="Hsueh">P.-R. Hsueh</name>
<name sortKey="King, C C" sort="King, C C" uniqKey="King C" first="C.-C." last="King">C.-C. King</name>
<name sortKey="Lin, Y E" sort="Lin, Y E" uniqKey="Lin Y" first="Y. E." last="Lin">Y. E. Lin</name>
</country>
<country name="États-Unis">
<region name="État de New York">
<name sortKey="Schwartz, J" sort="Schwartz, J" uniqKey="Schwartz J" first="J." last="Schwartz">J. Schwartz</name>
</region>
<name sortKey="Armstrong, D" sort="Armstrong, D" uniqKey="Armstrong D" first="D." last="Armstrong">D. Armstrong</name>
</country>
</tree>
</affiliations>
</record>

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