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A Systematic Analytic Approach to Pandemic Influenza Preparedness Planning 英文参考文献
Open access, freely available online
Policy Forum
A Systematic Analytic Approach to Pandemic
In?uenza Preparedness Planning
Daniel J. Barnett*, Ran D. Balicer, Daniel R. Lucey, George S. Everly, Jr., Saad B. Omer, Mark C. Steinhoff, Itamar Grotto
T
The urgent need for comprehensive
pandemic in?uenza planning is
profound: an in?uenza pandemic
starting today may have major
international consequences, including
global economic and political
destabilization, an overwhelming of
health care resources, and panic [21].
Current international plans [18,22],
he prospect of a pandemic with
avian in?uenza is an urgent
concern for public health
an updated plan is anticipated by
September 2005.
leaders worldwide [1]. As pathogenic
avian in?uenza A (H5N1) strains
(Figure 1) continue to spread in East
Asia, with recently reported expansion
to Siberia and westward regions in
Russia [2,3] as well as to migratory
birds [4,5], the risk for reassortment
of avian and human strains increases.
Evidence cited by the World Health
Organization in May 2005 suggests that
H5N1 may be adapting to humans, thus
potentially setting the stage for the next
in?uenza pandemic [6].
DOI: 10.1371/journal.pmed.0020359.g001
Figure 1. Colorized Transmission Electron
Micrograph of Avian In?uenza A H5N1
Viruses Grown in MDCK Cells
The viruses are gold, and the MDCK cells are
green.
Citation: Barnett DJ, Balicer RD, Lucey DR, Everly GS Jr,
Omer SB, et al. (2005) A systematic analytic approach
to pandemic in?uenza preparedness planning. PLoS
Med 2(12): e359.
Animal data suggest that the current
H5N1 strain appears to be even more
deadly than the original 1997 Hong
Kong avian in?uenza, a ?nding that
correlates well with the observed
Copyright: ? 2005 Barnett et al.This is an open-
access article distributed under the terms of the
Creative Commons Attribution License, which permits
unrestricted use, distribution, and reproduction in
any medium, provided the original work is properly
cited.
(Photo: CDC/C. Gold
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