BMC Infectious Diseases | |
Influenza surveillance in the Pacific Island countries and territories during the 2009 pandemic: an observational study | |
Akanisi Dawainavesi1  Jennie Musto1  Boris Igor Pavlin2  Jacobus Leen Kool1  | |
[1]Division of Pacific Technical Support, World Health Organization, Suva, Fiji | |
[2]Office of the WHO Representative in Papua New Guinea, World Health Organization, Port Moresby, Papua New Guinea | |
关键词: Surveillance; Epidemiology; H1N1; Pandemic; Pacific; Influenza; | |
Others : 1158615 DOI : 10.1186/1471-2334-13-6 |
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received in 2012-04-05, accepted in 2012-12-28, 发布年份 2013 | |
【 摘 要 】
Background
Historically, Pacific island countries and territories (PICTs) have been more severely affected by influenza pandemics than any other part of the world. We herein describe the emergence and epidemiologic characteristics of pandemic influenza H1N1 in PICTs from 2009 to 2010.
Methods
The World Health Organization gathered reports of influenza-like-illness and laboratory-confirmed pandemic H1N1 cases from all 23 Pacific island countries and territories, from April 2009 through August 2010. Data were gathered through weekly email reports from Pacific island countries and territories and through email or telephone follow-up.
Results
Pacific island countries and territories started detecting pandemic H1N1 cases in June 2009, firstly in French Polynesia, with the last new detection occurring in August 2009 in Tuvalu. Nineteen Pacific island countries and territories reported 1,972 confirmed cases, peaking in August 2009. No confirmed pandemic H1N1 cases were identified in Niue, Pitcairn and Tokelau; the latter instituted strict maritime quarantine. Influenza-like-illness surveillance showed trends similar to surveillance of confirmed cases.
Seven Pacific island countries and territories reported 21 deaths of confirmed pandemic H1N1. Case-patients died of acute respiratory distress syndrome or multi-organ failure, or both. The most reported pre-existing conditions were obesity, lung disease, heart disease, and pregnancy.
Pacific island countries and territories instituted a variety of mitigation measures, including arrival health screening. Multiple partners facilitated influenza preparedness planning and outbreak response.
Conclusions
Pandemic influenza spread rapidly throughout the Pacific despite enormous distances and relative isolation. Tokelau and Pitcairn may be the only jurisdictions to have remained pandemic-free. Despite being well-prepared, Pacific island countries and territories experienced significant morbidity and mortality, consistent with other indigenous and low-resource settings.
For the first time, regional influenza-like-illness surveillance was conducted in the Pacific, allowing health authorities to monitor the pandemic’s spread and severity in real-time.
Future regional outbreak responses will likely benefit from the lessons learned during this outbreak.
【 授权许可】
2013 Kool et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
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20150408022536876.pdf | 647KB | download | |
Figure 3. | 68KB | Image | download |
Figure 2. | 41KB | Image | download |
Figure 1. | 30KB | Image | download |
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