reflections on pandemic (h1n1) 2009 and the international response反思2009年h1n1流感大流行以及国际反应.pdfVIP

Essay Reflections on Pandemic (H1N1) 2009 and the International Response 1 2 Gabriel M. Leung *, Angus Nicoll 1 Food and Health Bureau, Government of the Hong Kong SAR, People’s Republic of China, 2 European Centre for Disease Prevention and Control, Stockholm, Sweden What Happened? which complications and mortality are Surveillance predominantly borne by the elderly [4]. There is general consensus that the only Similarly, the risk to pregnant women has Considerable effort in recent years had predictable characteristic of influenza vi- been higher than for seasonal influenza been dedicated to preparing for surveillance ruses and pandemics is their unpredict- [5,6], which was also noted in previous during a pandemic and to incorporating ability [1]. Given such uncertainty, rea- pandemics. The attributable premature modelling in planning in some countries. sonable application of the precautionary mortality may remain unclear for some The pandemic virus was detected and principle should prevail in the responses. time. Recent American analyses have isolated reasonably early, although too late Indeed many of the initial responses to the estimated many more deaths than those for any attempt at containment. It remains 2009 pandemic went well. Once isolated, officially reported with laboratory confir- unclear precisely when or where it first the pandemic virus strain was shared mation of infection and that years of life lost emerged, but the earli