New Issue
ECDC DAILY UPDATE 2009 influenza A (H1N1) pandemic
19 January 2010, The last Daily Update
The ECDC Public Health Event Strategy Team (PST) decided yesterday to downgrade our crisis management activities to Public Health Event level 0 (PHE 0). ECDC has been operating its pandemic response in under a crisis management plan since April 2009, diverting significant resources from other parts of the organisation to respond in a robust and coheren way. Although the pandemic is far from over and considerable uncertainties on developments in the coming months exist, currently the workload related to pandemic response has clearly decreased. The ECDC activities related to the pandemic will continue under a reinforced influenza programme.
Source: ECDC
Read more: http://ecdc.europa.eu/en/healthtopics/h1n1/pages/home.aspx
Research
ECDC DAILY UPDATE 2009 influenza A (H1N1) pandemic
19 January 2010, The last Daily Update
The ECDC Public Health Event Strategy Team (PST) decided yesterday to downgrade our crisis management activities to Public Health Event level 0 (PHE 0). ECDC has been operating its pandemic response in under a crisis management plan since April 2009, diverting significant resources from other parts of the organisation to respond in a robust and coheren way. Although the pandemic is far from over and considerable uncertainties on developments in the coming months exist, currently the workload related to pandemic response has clearly decreased. The ECDC activities related to the pandemic will continue under a reinforced influenza programme.
Source: ECDC
Read more: http://ecdc.europa.eu/en/healthtopics/h1n1/pages/home.aspx
Research
Public health management of pandemic (H1N1) 2009 infection in Australia: A failure!
Grant W. WATERER, 1,2,3 David S. HUI 4 * AND Christine R. JENKINS 5,6
ABSTRACT
In April 2009, severe cases of pneumonia preceded by influenza-like illness were noted to occur in Mexico and North America. A novel influenza A (H1N1) virus was identified as the cause and it rapidly evolved into a pandemic, leading to a large number of cases in Australia despite implementation of public health control measures. In this paper, two senior academics discuss the management of pandemic (H1N1) 2009 infection in Australia from the public health perspective.
CONCLUSION
It is important to note that geographically targeted non-pharmacological measures such as early case isolation, household quarantine, school/workplace closure and restrictions on travel are useful measures in controlling an influenza pandemic only at its early phase.42 As pointed out by both authors, these measures and their goals can only be achieved effectively through international collaboration, faster and more efficient coordination across the various national and interstate health planning bodies, with more surge capacity in clinical service, laboratory testing and more support for the general practitioners.24
Source: Interscience
Read more: http://www3.interscience.wiley.com/cgi-bin/fulltext/123226687/HTMLSTART?CRETRY=1&SRETRY=0
JACR: H1N1 outbreak yields low imaging utilization rates
In an evaluation of the utilization of radiology resources among individuals diagnosed with H1N1, 70 percent of patients were found to have received no imaging studies and patients sufficiently ill to require imaging underwent an average of 1.4 chest radiographic studies, said a recent study that appeared in the January issue of the Journal of the American College of Radiology. [...] The authors said that the result of the study “reveals both reassuring and troubling information. Of the 222 patients with documented H1N1 infection seen within our health system, only 30 percent received any kind of related diagnostic radiology exam, with all 66 receiving at least one chest radiograph. Resource use was highest in the ICU population, with a mean of 33.5 chest radiographs, 5.1 abdominal radiographs, 1.1 thoracic CT exams and 4.2 nonthoracic CT exams [per patient]."
During the length of the study, the authors found that 71 percent of all radiographic exams were obtained during one month in the ICU population, while the non-ICU populations’ imaging studies were spread out relatively evenly over the course of the study period. [...]
Source: healthimaging.com
Read more: http://www.healthimaging.com/index.php?option=com_articles&view=article&id=20248:jacr-h1n1-outbreak-yields-low-imaging-utilization-rates
Comment
Fear, for all the wrong reasons
Logic and fact have been replaced by self-serving spin. We need not live in this culture of dread.
Iwasn't born when President Franklin Delano Roosevelt said in his 1933 inaugural address that "the only thing we have to fear is fear itself," but I have finally gotten the message.
In an individual or in a society, fear instills a kind of depression that bogs us down. At its worst, it makes us passive, drives us to lose heart, quit making informed decisions, quit voting or caring. Today we have a culture of fear created by political, corporate and media hucksters cynically selling their ideas, their products, themselves.
Source: USA Today Blog
Read more: http://blogs.usatoday.com/oped/2010/01/column-fear-for-all-the-wrong-reasons-.html
Risk Communication
Grant W. WATERER, 1,2,3 David S. HUI 4 * AND Christine R. JENKINS 5,6
ABSTRACT
In April 2009, severe cases of pneumonia preceded by influenza-like illness were noted to occur in Mexico and North America. A novel influenza A (H1N1) virus was identified as the cause and it rapidly evolved into a pandemic, leading to a large number of cases in Australia despite implementation of public health control measures. In this paper, two senior academics discuss the management of pandemic (H1N1) 2009 infection in Australia from the public health perspective.
CONCLUSION
It is important to note that geographically targeted non-pharmacological measures such as early case isolation, household quarantine, school/workplace closure and restrictions on travel are useful measures in controlling an influenza pandemic only at its early phase.42 As pointed out by both authors, these measures and their goals can only be achieved effectively through international collaboration, faster and more efficient coordination across the various national and interstate health planning bodies, with more surge capacity in clinical service, laboratory testing and more support for the general practitioners.24
Source: Interscience
Read more: http://www3.interscience.wiley.com/cgi-bin/fulltext/123226687/HTMLSTART?CRETRY=1&SRETRY=0
JACR: H1N1 outbreak yields low imaging utilization rates
In an evaluation of the utilization of radiology resources among individuals diagnosed with H1N1, 70 percent of patients were found to have received no imaging studies and patients sufficiently ill to require imaging underwent an average of 1.4 chest radiographic studies, said a recent study that appeared in the January issue of the Journal of the American College of Radiology. [...] The authors said that the result of the study “reveals both reassuring and troubling information. Of the 222 patients with documented H1N1 infection seen within our health system, only 30 percent received any kind of related diagnostic radiology exam, with all 66 receiving at least one chest radiograph. Resource use was highest in the ICU population, with a mean of 33.5 chest radiographs, 5.1 abdominal radiographs, 1.1 thoracic CT exams and 4.2 nonthoracic CT exams [per patient]."
During the length of the study, the authors found that 71 percent of all radiographic exams were obtained during one month in the ICU population, while the non-ICU populations’ imaging studies were spread out relatively evenly over the course of the study period. [...]
Source: healthimaging.com
Read more: http://www.healthimaging.com/index.php?option=com_articles&view=article&id=20248:jacr-h1n1-outbreak-yields-low-imaging-utilization-rates
Comment
Fear, for all the wrong reasons
Logic and fact have been replaced by self-serving spin. We need not live in this culture of dread.
Iwasn't born when President Franklin Delano Roosevelt said in his 1933 inaugural address that "the only thing we have to fear is fear itself," but I have finally gotten the message.
In an individual or in a society, fear instills a kind of depression that bogs us down. At its worst, it makes us passive, drives us to lose heart, quit making informed decisions, quit voting or caring. Today we have a culture of fear created by political, corporate and media hucksters cynically selling their ideas, their products, themselves.
Source: USA Today Blog
Read more: http://blogs.usatoday.com/oped/2010/01/column-fear-for-all-the-wrong-reasons-.html
Risk Communication
Panic and Flight Behavior Reporting During Infectious Disease Events, Crises, and Disasters
The idea of people “panicking” due to disaster is a misnomer. The literature repeatedly shows the normal response is to bond and protect loved ones- to the point of even placing individuals in greater harm.
Assertions of the sociological and anthropological community are this phenomenon is universal for disasters of any etiology- including epidemics. However, a literature review of studies supporting the assertion that social behavior in the context of epidemic-caused disasters is similar to that seen in natural disasters is limited.
We undertook a review of ProMED reports for the ten-year period January 1, 1998 to December 31, 2007. Known biases in ProMED during this period included a bias towards English language reporting on human health events. The results were interesting. Only 1.7% of the reports in this period covering infectious disease events affecting humans or animals contained the word “panic”. Of these “panic” reports, we noted the following:
In total, only 0.1% of all reports contained mention of flight behavior where public-initiated abandonment of a community or family members due to an epidemic was reported.
Family member abandonment was documented in one instance: Marburg hemorrhagic fever in Uige, Angola. On the date of this particular report, May 4, 2005, there were 313 cases and 280 deaths (89% fatalities) reported the prior day. This was more than six weeks after the discovery of the first outbreak of Marburg hemorrhagic fever ever reported in Angola. A family reportedly abandoned a one-month-old baby whose mother had died of Marburg infection and fled the village. There was no indication the family abandoned any other family member. Neighbors feared contact with the baby and allowed the child to starve to death. The context of this report was one of epidemic resurgence involving substantial struggle with effective containment. Fatalities were reported on a daily basis.
In summary, The majority of “panic” and flight behavior reporting involved zoonotic diseases associated with causing active serious illness in humans at the time of reporting. Specifically, provocation of community and family abandonment involved diseases that, at the time of reporting, caused serious and lethal human disease. All reporting of community or familial abandonment occurred in undeveloped or developing countries. Of note, no reporting of “panic” or flight behavior was documented for Haiti in this ten-year period.
Despite the known biases in ProMED during the period of study and the fact all global infectious disease events during the time period studied were not reported in ProMED, we have found it to be highly analogous to our operational experience.
When considering the current critical information requirements for the Haiti disaster, it is our hope this information places “panic” and flight behavior reporting in perspective- it is a very rare phenomenon, but when documented usually represents a situation worthy of time-sensitive awareness and scrutiny.
Source: Biosurveillance blog
Read more: http://biosurveillance.typepad.com/biosurveillance/2010/01/panic-and-flight-behavior-reporting-during-infectious-disease-events-crises-and-disasters.html#
Photo
A child receives a vaccination against the H1N1 virus at a subway station in Mexico January 19, 2010. The service, provided by the Ministry of Health, is a government initiative offering free vaccinations against swine flu at all subway stations.
Source: REUTERS/Henry Romero (MEXICO - Tags: HEALTH SOCIETY) Yahoo news - Reuters
Read more: http://news.yahoo.com/nphotos/H1N1-Virus/ss/events/hl/042409swineflu/im:/100119/ids_photos_wl/r1356911557.jpg
Quote
"The government should put in place a special policy to provide support and help to serious H1N1 flu patients, because there are cases in a number of provinces in which patients have faced difficulty getting treatment due to financial strain"
Source: China Daily
Read more: http://www.chinadaily.com.cn/china/2010-01/20/content_9345534.htm
News Flash
The idea of people “panicking” due to disaster is a misnomer. The literature repeatedly shows the normal response is to bond and protect loved ones- to the point of even placing individuals in greater harm.
Assertions of the sociological and anthropological community are this phenomenon is universal for disasters of any etiology- including epidemics. However, a literature review of studies supporting the assertion that social behavior in the context of epidemic-caused disasters is similar to that seen in natural disasters is limited.
We undertook a review of ProMED reports for the ten-year period January 1, 1998 to December 31, 2007. Known biases in ProMED during this period included a bias towards English language reporting on human health events. The results were interesting. Only 1.7% of the reports in this period covering infectious disease events affecting humans or animals contained the word “panic”. Of these “panic” reports, we noted the following:
- Concern about the potential for “panic” (61%)
- “Panic” reported with no behavioral evidence (27%)
- “Panic” reported with behavioral evidence (12%) Bottom line, when “panic” was reported in association with an infectious disease event, it was a rare phenomenon. Evidence of actual anxiety behavior associated with the word “panic” was even more rare: 0.2% of all reports during a ten-year period.
In total, only 0.1% of all reports contained mention of flight behavior where public-initiated abandonment of a community or family members due to an epidemic was reported.
Family member abandonment was documented in one instance: Marburg hemorrhagic fever in Uige, Angola. On the date of this particular report, May 4, 2005, there were 313 cases and 280 deaths (89% fatalities) reported the prior day. This was more than six weeks after the discovery of the first outbreak of Marburg hemorrhagic fever ever reported in Angola. A family reportedly abandoned a one-month-old baby whose mother had died of Marburg infection and fled the village. There was no indication the family abandoned any other family member. Neighbors feared contact with the baby and allowed the child to starve to death. The context of this report was one of epidemic resurgence involving substantial struggle with effective containment. Fatalities were reported on a daily basis.
In summary, The majority of “panic” and flight behavior reporting involved zoonotic diseases associated with causing active serious illness in humans at the time of reporting. Specifically, provocation of community and family abandonment involved diseases that, at the time of reporting, caused serious and lethal human disease. All reporting of community or familial abandonment occurred in undeveloped or developing countries. Of note, no reporting of “panic” or flight behavior was documented for Haiti in this ten-year period.
Despite the known biases in ProMED during the period of study and the fact all global infectious disease events during the time period studied were not reported in ProMED, we have found it to be highly analogous to our operational experience.
When considering the current critical information requirements for the Haiti disaster, it is our hope this information places “panic” and flight behavior reporting in perspective- it is a very rare phenomenon, but when documented usually represents a situation worthy of time-sensitive awareness and scrutiny.
Source: Biosurveillance blog
Read more: http://biosurveillance.typepad.com/biosurveillance/2010/01/panic-and-flight-behavior-reporting-during-infectious-disease-events-crises-and-disasters.html#
Photo
Source: REUTERS/Henry Romero (MEXICO - Tags: HEALTH SOCIETY) Yahoo news - Reuters
Read more: http://news.yahoo.com/nphotos/H1N1-Virus/ss/events/hl/042409swineflu/im:/100119/ids_photos_wl/r1356911557.jpg
Quote
"The government should put in place a special policy to provide support and help to serious H1N1 flu patients, because there are cases in a number of provinces in which patients have faced difficulty getting treatment due to financial strain"
Source: China Daily
Read more: http://www.chinadaily.com.cn/china/2010-01/20/content_9345534.htm
News Flash
INDONESIA: Bird flu cases down but risk remains high
IRIN News
Indonesia reported fewer deaths from bird flu in 2009, but health specialists warn that the risk to humans remains high.
Read more: http://www.irinnews.org/Report.aspx?ReportId=87771
Chan: Lack of H1N1 vaccine demand surprising
CIDRAP
The H1N1 influenza pandemic brought no "devastating surprises," but what has surprised public health agencies is the public's lack of interest in getting vaccinated, Margaret Chan, director-general of the World Health Organization (WHO), said yesterday.
Read more: http://www.cidrap.umn.edu/cidrap/content/influenza/swineflu/news/jan1910chan.html
UPDATE 1-HK Disneyland lifts lid on financial losses
Reuters
[...] A paper by Hong Kong's Tourism Commission for local lawmakers, however, said Hong Kong Disneyland made the net loss in 2009 partly because of the "unfavourable impact" of the H1N1 swine flu outbreak and the global financial crisis. [...]
Read more: http://www.reuters.com/article/idUSTOE60I0AK20100119?type=marketsNews
Q&A: Dean Michael Klag of The Johns Hopkins Bloomberg School of Public Health
The JHU Gazette
I think we were very fortunate that we did not have an H5NI pandemic. Rather, it was anH1N1 pandemic. We knew we were going to have a pandemic of some sort ...
Read more: http://gazette.jhu.edu/2010/01/19/qa-with-the-deans-and-directors/
Mexican scientists reflect on swine flu lessons
Alert Net
Mexico's deadly swine flu outbreak exposed tensions between the country's academic scientists, on the one hand, and its government laboratories, on the other -- as well as its failure to invest enough in science and technology, say analysts.
Read more: http://www.alertnet.org/thenews/newsdesk/scidev/126381240726.htm
UPDATE: 2009 H1N1 Flu International Situation Update
CDC
This report provides an update to the international situation as of January 15, 2010. The World Health Organization (WHO) continues to report updated 2009 H1N1 flu-associated laboratory-confirmed cases and deaths on its Web page.
Read more: http://www.cdc.gov/h1n1flu/updates/international/
Microtest launches automated swine flu reporting service The Birchley Hall Press
Microtest, the UK’s fourth largest primary care clinical system supplier, has launched an automated swine flu reporting service to help its users meet primary care trust and Department of Health requirements quickly and easily.
Read more: http://www.bjhcim.co.uk/news/2010/n1001021.htm
WHO Dukung Inisiatif RI Dirikan "Collaborating Centre Influenza"
TV One
Direktur Jenderal Organisasi Kesehatan Sedunia (World Health Organization/WHO) DR Margaret Chan mendukung inisiatif RI mendirikan WHO Collaborating Centre Influenza di Indonesia.
Read more: http://www.tvone.co.id/berita/view/31843/2010/01/20/who_dukung_inisiatif_ri_dirikan_collaborating_centre_influenza
Disclaimer: Newsletter ini hanya merupakan kumpulan dari artikel/liputan/tulisan yang diambil dari berbagai sumber mengenai situasi terkini pandemi influenza di seluruh dunia termasuk Indonesia. Namun demikian isi/ilustrasi/foto tidak mewakili kepentingan atau kebijakan KOMNAS FBPI secara langsung
IRIN News
Indonesia reported fewer deaths from bird flu in 2009, but health specialists warn that the risk to humans remains high.
Read more: http://www.irinnews.org/Report.aspx?ReportId=87771
Chan: Lack of H1N1 vaccine demand surprising
CIDRAP
The H1N1 influenza pandemic brought no "devastating surprises," but what has surprised public health agencies is the public's lack of interest in getting vaccinated, Margaret Chan, director-general of the World Health Organization (WHO), said yesterday.
Read more: http://www.cidrap.umn.edu/cidrap/content/influenza/swineflu/news/jan1910chan.html
UPDATE 1-HK Disneyland lifts lid on financial losses
Reuters
[...] A paper by Hong Kong's Tourism Commission for local lawmakers, however, said Hong Kong Disneyland made the net loss in 2009 partly because of the "unfavourable impact" of the H1N1 swine flu outbreak and the global financial crisis. [...]
Read more: http://www.reuters.com/article/idUSTOE60I0AK20100119?type=marketsNews
Q&A: Dean Michael Klag of The Johns Hopkins Bloomberg School of Public Health
The JHU Gazette
I think we were very fortunate that we did not have an H5NI pandemic. Rather, it was anH1N1 pandemic. We knew we were going to have a pandemic of some sort ...
Read more: http://gazette.jhu.edu/2010/01/19/qa-with-the-deans-and-directors/
Mexican scientists reflect on swine flu lessons
Alert Net
Mexico's deadly swine flu outbreak exposed tensions between the country's academic scientists, on the one hand, and its government laboratories, on the other -- as well as its failure to invest enough in science and technology, say analysts.
Read more: http://www.alertnet.org/thenews/newsdesk/scidev/126381240726.htm
UPDATE: 2009 H1N1 Flu International Situation Update
CDC
This report provides an update to the international situation as of January 15, 2010. The World Health Organization (WHO) continues to report updated 2009 H1N1 flu-associated laboratory-confirmed cases and deaths on its Web page.
Read more: http://www.cdc.gov/h1n1flu/updates/international/
Microtest launches automated swine flu reporting service The Birchley Hall Press
Microtest, the UK’s fourth largest primary care clinical system supplier, has launched an automated swine flu reporting service to help its users meet primary care trust and Department of Health requirements quickly and easily.
Read more: http://www.bjhcim.co.uk/news/2010/n1001021.htm
WHO Dukung Inisiatif RI Dirikan "Collaborating Centre Influenza"
TV One
Direktur Jenderal Organisasi Kesehatan Sedunia (World Health Organization/WHO) DR Margaret Chan mendukung inisiatif RI mendirikan WHO Collaborating Centre Influenza di Indonesia.
Read more: http://www.tvone.co.id/berita/view/31843/2010/01/20/who_dukung_inisiatif_ri_dirikan_collaborating_centre_influenza
Disclaimer: Newsletter ini hanya merupakan kumpulan dari artikel/liputan/tulisan yang diambil dari berbagai sumber mengenai situasi terkini pandemi influenza di seluruh dunia termasuk Indonesia. Namun demikian isi/ilustrasi/foto tidak mewakili kepentingan atau kebijakan KOMNAS FBPI secara langsung
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