How prepared is Europe for pandemic influenza? Analysis of national plans
How prepared is Europe for pandemic influenza? Analysis of national plans
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DOI：
10.1016/s0140-6736(06)68511-5
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发表时间：
2006-04-29
期刊：
影响因子：
168.9
通讯作者：
Coker, RJ
中科院分区：
文献类型：
--
作者：
Mounier-Jack, S;Coker, RJ
人类流感大流行的威胁促使各国紧急制定防范计划。我们评估了这些计划，判断欧洲的大流行influenza.Methods的准备，从欧盟国家，两个加入国（保加利亚和罗马尼亚），挪威和瑞士的国家大流行性流感准备计划公布，进行了评估，从世界卫生组织的清单标准。如果在2002年1月1日至2005年11月30日之间正式公布，计划有资格纳入分析。虽然监测、规划和协调以及沟通的准备工作做得很好，但维持基本服务、将计划付诸行动以及公共卫生干预措施可能还不够。很少有国家在其计划中提到与邻国合作的必要性，尽管这是公认的当务之急。同样，明显缺乏及时分发现有医疗用品的计划。然而，备灾规划方面的差距依然存在，各国之间存在很大差异，对该区域和民族国家具有重要影响。可能需要加强各国之间的合作，以分享经验，并确保方法的一致性。
Background The threat of a human pandemic of influenza has prompted urgent development of national preparedness plans. We assessed these plans, to judge Europe's preparedness for pandemic influenza.Methods Published national pandemic influenza preparedness plans from the European Union countries, the two acceding countries (Bulgaria and Romania), Norway, and Switzerland, were evaluated against criteria taken from a WHO checklist. Plans were eligible for inclusion if formally published between Jan 1, 2002, and Nov 30, 2005.Findings 21 national plans were eligible for inclusion for analysis. Although preparation for surveillance, planning and coordination, and communication were good, maintenance of essential services, putting plans into action, and public-health interventions were probably inadequate. Few countries have addressed in their plans the need for collaboration with adjacent countries, despite this being an acknowledged imperative. Similarly, plans for the timely distribution of available medical supplies are notably absent.Interpretation Governmental commitment in most European countries is strong, and levels of preparedness are broadly good. However, gaps in preparedness planning remain, and substantial variations exist between countries, with important implications for the region and nation states. improved cooperation between countries may be needed to share experience, and to ensure coherence of approaches.