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Editor, Senior Moderator
Pandemic Response Lessons from Influenza H1N1 2009 in Asia
Dale Fisher FRACP1,*,
David Hui MD, FRACP3,
Zhancheng Gao MD, PhD4,
Christopher Lee MBBS, MRCP (UK)5,
Myoung-don Oh MD6,
Cao Bin MD7,
Tran Hien MD FRCP PhD8,
Krista Patlovich MPH2,
Jeremy Farrar FRCP, FMedSci, DPhil9
DOI: 10.1111/j.1440-1843.2011.02003.x
? 2011 The Authors. Respirology ? 2011 Asian Pacific Society of Respirology
Issue
Cover image for Vol. 16 Issue 4
Respirology
Accepted Article (Accepted, unedited articles published online for future issues)
Additional Information(Show All)
Author InformationPublication History
This is an Accepted Article that has been peer-reviewed and approved for publication in the Respirology, but has yet to undergo copy-editing and proof correction. Please cite this article as an ?Accepted Article?; doi: 10.1111/j.1440-1843.2011.02003.x
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Abstract
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Abstract
During April 2009, a novel H1N1 influenza A virus strain was identified in Mexico and the United States of America. Within weeks the virus had spread globally and the first pandemic of the 21st Century had been declared. It is unlikely to be the last and it is crucial that real lessons are learned from the experience. Asia is considered a hot spot for the emergence of new pathogens including past influenza pandemics. On this occasion whilst preparing for an avian, highly virulent influenza virus (H5N1 like) originating in Asia in fact the pandemic originated from swine, and was less virulent. This discrepancy between what was planned for and what emerged created its own challenges. The H1N1 pandemic has tested national healthcare infrastructures and exposed shortcomings in our preparedness as a region. Key health challenges include communication throughout the region, surge capacity, access to reliable information and access to quality care, health care worker skills, quality, density and distribution, access to essential medicines and lack of organizational infrastructure for emergency response. Despite years of preparation the public health and clinical research community were not ready to respond and opportunities for an immediate research response were missed. Despite warm words and pledges efforts to engage the international community to ensure equitable sharing of limited resources such as antivirals and vaccines fell short and stockpiles in the main remained in the rich world. This manuscript with authors from across the region describes some of the major challenges faced by Asia in response to the pandemic and draws lessons for the future.
http://onlinelibrary.wiley.com/doi/...4+June+from+10-12+BST+for+monthly+maintenance
Dale Fisher FRACP1,*,
David Hui MD, FRACP3,
Zhancheng Gao MD, PhD4,
Christopher Lee MBBS, MRCP (UK)5,
Myoung-don Oh MD6,
Cao Bin MD7,
Tran Hien MD FRCP PhD8,
Krista Patlovich MPH2,
Jeremy Farrar FRCP, FMedSci, DPhil9
DOI: 10.1111/j.1440-1843.2011.02003.x
? 2011 The Authors. Respirology ? 2011 Asian Pacific Society of Respirology
Issue
Cover image for Vol. 16 Issue 4
Respirology
Accepted Article (Accepted, unedited articles published online for future issues)
Additional Information(Show All)
Author InformationPublication History
This is an Accepted Article that has been peer-reviewed and approved for publication in the Respirology, but has yet to undergo copy-editing and proof correction. Please cite this article as an ?Accepted Article?; doi: 10.1111/j.1440-1843.2011.02003.x
SEARCH
Search Scope
Search String
Advanced >
Saved Searches >
ARTICLE TOOLS
Get PDF (119K)
Save to My Profile
E-mail Link to this Article
Export Citation for this Article
Get Citation Alerts
Request Permissions
Share|
Abstract
Cited By
Get PDF (119K)
Abstract
During April 2009, a novel H1N1 influenza A virus strain was identified in Mexico and the United States of America. Within weeks the virus had spread globally and the first pandemic of the 21st Century had been declared. It is unlikely to be the last and it is crucial that real lessons are learned from the experience. Asia is considered a hot spot for the emergence of new pathogens including past influenza pandemics. On this occasion whilst preparing for an avian, highly virulent influenza virus (H5N1 like) originating in Asia in fact the pandemic originated from swine, and was less virulent. This discrepancy between what was planned for and what emerged created its own challenges. The H1N1 pandemic has tested national healthcare infrastructures and exposed shortcomings in our preparedness as a region. Key health challenges include communication throughout the region, surge capacity, access to reliable information and access to quality care, health care worker skills, quality, density and distribution, access to essential medicines and lack of organizational infrastructure for emergency response. Despite years of preparation the public health and clinical research community were not ready to respond and opportunities for an immediate research response were missed. Despite warm words and pledges efforts to engage the international community to ensure equitable sharing of limited resources such as antivirals and vaccines fell short and stockpiles in the main remained in the rich world. This manuscript with authors from across the region describes some of the major challenges faced by Asia in response to the pandemic and draws lessons for the future.
http://onlinelibrary.wiley.com/doi/...4+June+from+10-12+BST+for+monthly+maintenance