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Pandemic response lessons from influenza H1N1 2009 in Asia
Fisher, Dale1; Hui, David S.2; Gao, Zhancheng3; Lee, Christopher5; Oh, Myoung-Don6; Cao, Bin4; Tran Tinh Hien7; Patlovich, Krista1; Farrar, Jeremy7
关键词Global outbreak alert response network (GOARN) H1NI influenza outbreak pandemic
WOS标题词Science & Technology
类目[WOS]Respiratory System
研究领域[WOS]Respiratory System

During April 2009, a novel H1N1 influenza A virus strain was identified in Mexico and the USA. 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 while 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 health-care 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, healthcare 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.

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作者单位1.Natl Univ Singapore Hosp, Div Infect Dis, Singapore, Singapore
2.Chinese Univ Hong Kong, Div Resp Med, Hong Kong, Hong Kong, Peoples R China
3.Peking Univ, Dept Resp & Crit Care Med, Peoples Hosp, Beijing 100871, Peoples R China
4.Capital Med Univ, Dept Infect Dis & Clin Microbiol, Beijing Chao Yang Hosp, Beijing, Peoples R China
5.Sungai Buloh Hosp, Infect Dis Unit, Dept Med, Gombak, Selangor, Malaysia
6.Seoul Natl Univ Hosp, Div Infect Dis, Seoul 110744, South Korea
7.Univ Oxford, Hosp Trop Dis, Clin Res Unit, Ho Chi Minh City, Vietnam
Recommended Citation
GB/T 7714
Fisher, Dale,Hui, David S.,Gao, Zhancheng,et al. Pandemic response lessons from influenza H1N1 2009 in Asia[J]. RESPIROLOGY,2011,16(6):876-882.
APA Fisher, Dale.,Hui, David S..,Gao, Zhancheng.,Lee, Christopher.,Oh, Myoung-Don.,...&Farrar, Jeremy.(2011).Pandemic response lessons from influenza H1N1 2009 in Asia.RESPIROLOGY,16(6),876-882.
MLA Fisher, Dale,et al."Pandemic response lessons from influenza H1N1 2009 in Asia".RESPIROLOGY 16.6(2011):876-882.
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