tetano
Editor, Senior Moderator
Int J Health Policy Manag. 2017 May 9;7(2):154-166. doi: 10.15171/ijhpm.2017.54.
[h=1]Public Health Policy and Experience of the 2009 H1N1 Influenza Pandemic in Pune, India.[/h] Purohit V[SUP]1,[/SUP][SUP]2[/SUP], Kudale A[SUP]1,[/SUP][SUP]2[/SUP], Sundaram N[SUP]3,[/SUP][SUP]4,[/SUP][SUP]5[/SUP], Joseph S[SUP]1,[/SUP][SUP]2[/SUP], Schaetti C[SUP]3,[/SUP][SUP]4[/SUP], Weiss MG[SUP]3,[/SUP][SUP]4[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]BACKGROUND:[/h] Prior experience and the persisting threat of influenza pandemic indicate the need for global and local preparedness and public health response capacity. The pandemic of 2009 highlighted the importance of such planning and the value of prior efforts at all levels. Our review of the public health response to this pandemic in Pune, India, considers the challenges of integrating global and national strategies in local programmes and lessons learned for influenza pandemic preparedness.
[h=4]METHODS:[/h] Global, national and local pandemic preparedness and response plans have been reviewed. In-depth interviews were undertaken with district health policy-makers and administrators who coordinated the pandemic response in Pune.
[h=4]RESULTS:[/h] In the absence of a comprehensive district-level pandemic preparedness plan, the response had to be improvised. Media reporting of the influenza pandemic and inaccurate information that was reported at times contributed to anxiety in the general public and to widespread fear and panic. Additional challenges included inadequate public health services and reluctance of private healthcare providers to treat people with flu-like symptoms. Policy-makers developed a response strategy that they referred to as the Pune plan, which relied on powers sanctioned by the Epidemic Act of 1897 and resources made available by the union health ministry, state health department and a government diagnostic laboratory in Pune.
[h=4]CONCLUSION:[/h] The World Health Organization's (WHO's) global strategy for pandemic control focuses on national planning, but state-level and local experience in a large nation like India shows how national planning may be adapted and implemented. The priority of local experience and requirements does not negate the need for higher level planning. It does, however, indicate the importance of local adaptability as an essential feature of the planning process. Experience and the implicit Pune plan that emerged are relevant for pandemic preparedness and other public health emergencies.
? 2018 The Author(s); Published by Kerman University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
[h=4]KEYWORDS:[/h] H1N1; India; Influenza; Local-Level Pandemic Response; Pandemic Preparedness Plans
PMID: 29524939 PMCID: PMC5819375 DOI: 10.15171/ijhpm.2017.54
[h=1]Public Health Policy and Experience of the 2009 H1N1 Influenza Pandemic in Pune, India.[/h] Purohit V[SUP]1,[/SUP][SUP]2[/SUP], Kudale A[SUP]1,[/SUP][SUP]2[/SUP], Sundaram N[SUP]3,[/SUP][SUP]4,[/SUP][SUP]5[/SUP], Joseph S[SUP]1,[/SUP][SUP]2[/SUP], Schaetti C[SUP]3,[/SUP][SUP]4[/SUP], Weiss MG[SUP]3,[/SUP][SUP]4[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] [h=4]BACKGROUND:[/h] Prior experience and the persisting threat of influenza pandemic indicate the need for global and local preparedness and public health response capacity. The pandemic of 2009 highlighted the importance of such planning and the value of prior efforts at all levels. Our review of the public health response to this pandemic in Pune, India, considers the challenges of integrating global and national strategies in local programmes and lessons learned for influenza pandemic preparedness.
[h=4]METHODS:[/h] Global, national and local pandemic preparedness and response plans have been reviewed. In-depth interviews were undertaken with district health policy-makers and administrators who coordinated the pandemic response in Pune.
[h=4]RESULTS:[/h] In the absence of a comprehensive district-level pandemic preparedness plan, the response had to be improvised. Media reporting of the influenza pandemic and inaccurate information that was reported at times contributed to anxiety in the general public and to widespread fear and panic. Additional challenges included inadequate public health services and reluctance of private healthcare providers to treat people with flu-like symptoms. Policy-makers developed a response strategy that they referred to as the Pune plan, which relied on powers sanctioned by the Epidemic Act of 1897 and resources made available by the union health ministry, state health department and a government diagnostic laboratory in Pune.
[h=4]CONCLUSION:[/h] The World Health Organization's (WHO's) global strategy for pandemic control focuses on national planning, but state-level and local experience in a large nation like India shows how national planning may be adapted and implemented. The priority of local experience and requirements does not negate the need for higher level planning. It does, however, indicate the importance of local adaptability as an essential feature of the planning process. Experience and the implicit Pune plan that emerged are relevant for pandemic preparedness and other public health emergencies.
? 2018 The Author(s); Published by Kerman University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
[h=4]KEYWORDS:[/h] H1N1; India; Influenza; Local-Level Pandemic Response; Pandemic Preparedness Plans
PMID: 29524939 PMCID: PMC5819375 DOI: 10.15171/ijhpm.2017.54