Challenges of global surveillance during an influenza pandemic.
Challenges of global surveillance during an influenza pandemic.
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DOI：
10.1016/j.puhe.2010.12.007
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发表时间：
2011-05
期刊：
影响因子：
5.2
通讯作者：
Chamberland M
中科院分区：
文献类型：
--
作者：
Briand S;Mounts A;Chamberland M
监测是监测和评价任何疾病过程的重要基础，在出现新的疾病病原体时尤为重要。2009年H1N1流感大流行考验了各国按照2005年《国际卫生条例》的要求发现、评估、通报和报告事件的能力。正如《国际卫生条例》所详述的那样，世界卫生组织利用会员国的正式报告以及非官方来源（例如媒体警报），迅速报告和传播有关新型流感病毒出现的信息。已有的用于病毒学监测的全球流感监测网络也为快速开发疫苗和发现病毒变化提供了重要信息。然而，这次大流行也突出了全球呼吸系统疾病流行病学监测方面的一些缺陷。其中包括缺乏报告疾病、风险因素和死亡率数据的标准，以及缺乏系统报告流行病学数据的机制。这些措施将有助于直接比较各国之间的数据，并能更好地及时了解这一大流行病的特点和影响。本文描述了大流行前的监测战略以及在全球一级监测大流行所使用的方法。建议加强全球监测，以改进对未来类似事件的准备和反应。
Surveillance is an essential foundation for monitoring and evaluating any disease process, and is especially critical when new disease agents appear. The H1N1 influenza pandemic of 2009 tested the capacities of countries to detect, assess, notify and report events as required by the 2005 International Health Regulations (IHR). As detailed in the IHR, the World Health Organization drew on official reports from Member States as well as unofficial sources (e.g. media alerts) to quickly report and disseminate information about the appearance of the novel influenza virus. The pre-existing Global Influenza Surveillance Network for virological surveillance also provided crucial information for rapid development of a vaccine and for detection of changes in the virus. However, the pandemic also highlighted a number of shortcomings in global epidemiological surveillance for respiratory disease. These included the lack of standards for reporting illness, risk factor and mortality data, and a mechanism for systematic reporting of epidemiological data. Such measures would have facilitated direct comparison of data between countries and improved timely understanding of the characteristics and impact of the pandemic. This paper describes the surveillance strategies in place before the pandemic and the methods that were used at global level to monitor the pandemic. Enhancements of global surveillance are proposed to improve preparedness and response for similar events in the future.
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DOI：
10.1056/nejmp0904012
发表时间：
2009-05-21
期刊：
The New England journal of medicine
影响因子：
--
作者：
Brownstein JS;Freifeld CC;Madoff LC
通讯作者：
Madoff LC
影响因子：
11.8
作者：
Grein, T W;Kamara, K B;Rodier, G;Plant, A J;Bovier, P;Ryan, M J;Ohyama, T;Heymann, D L
通讯作者：
Heymann, D L
影响因子：
120.7
作者：
Markel, Howard;Lipman, Harvey B.;Cetron, Martin S.
通讯作者：
Cetron, Martin S.
影响因子：
120.7
作者：
Flahault, A;Dias-Ferrao, V;Lavanchy, D
通讯作者：
Lavanchy, D
DOI：
10.1002/9780470692097.ch2
发表时间：
2007-01-01
期刊：
INFECTIOUS DISEASE SURVEILLANCE, 1ST EDITION
影响因子：
--
作者：
Plotkin, Bruce J.;Hardiman, Max;Rodier, Guenael
通讯作者：
Rodier, Guenael