Response to the challenges of pandemic H1N1 in a small island state: the Barbadian experience
Identifieur interne : 000520 ( Pmc/Curation ); précédent : 000519; suivant : 000521Response 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.
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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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 article-type="review-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Public Health</journal-id><journal-id journal-id-type="iso-abbrev">BMC Public Health</journal-id><journal-title-group><journal-title>BMC Public Health</journal-title></journal-title-group><issn pub-type="epub">1471-2458</issn><publisher><publisher-name>BioMed Central</publisher-name><publisher-loc>London</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">21143820</article-id><article-id pub-id-type="pmc">3005570</article-id><article-id pub-id-type="publisher-id">2717</article-id><article-id pub-id-type="doi">10.1186/1471-2458-10-S1-S10</article-id><article-categories><subj-group subj-group-type="heading"><subject>Review</subject></subj-group></article-categories><title-group><article-title>Response to the challenges of pandemic H1N1 in a small island state: the Barbadian experience</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Sobers-Grannum</surname><given-names>Natasha</given-names></name><address><email>natasha.sobers@barbados.gov.bb</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Springer</surname><given-names>Karen</given-names></name><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Ferdinand</surname><given-names>Elizabeth</given-names></name><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>John</surname><given-names>Joy St</given-names></name><xref ref-type="aff" rid="Aff1"></xref></contrib><aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.494359.6</institution-id><institution>Ministry of Health,</institution></institution-wrap>Frank Walcott Building, Culloden Road, St. Michael, Barbados</aff></contrib-group><pub-date pub-type="epub"><day>3</day><month>12</month><year>2010</year></pub-date><pub-date pub-type="pmc-release"><day>3</day><month>12</month><year>2010</year></pub-date><pub-date pub-type="collection"><year>2010</year></pub-date><volume>10</volume><issue>Suppl 1</issue><elocation-id>S10</elocation-id><permissions><copyright-statement>© Sobers-Grannum et al; licensee BioMed Central Ltd. 2010</copyright-statement><license license-type="OpenAccess"><license-p>This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0">http://creativecommons.org/licenses/by/2.0</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract id="Abs1"><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></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Influenza</kwd><kwd>Severe Acute Respiratory Syndrome</kwd><kwd>Oseltamivir</kwd><kwd>Hand Hygiene</kwd><kwd>Severe Acute Respiratory Syndrome</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© The Author(s) 2010</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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