Early response to the emergence of influenza A(H7N9) virus in humans in China: the central role of prompt information sharing and public communication

In 2003, China's handling of the early stages of the epidemic of severe acute respiratory syndrome (SARS) was heavily criticized and generally considered to be suboptimal. Following the SARS outbreak, China made huge investments to improve surveillance, emergency preparedness and response capac...

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Veröffentlicht in:	Bulletin of the World Health Organization Jg. 92; H. 4; S. 303 - 308
Hauptverfasser:	Vong, Sirenda, O’Leary, Michael, Feng, Zijian
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	Genève Organisation mondiale de la santé 01.04.2014 World Health Organization The World Health Organization
Schlagworte:	Animals Avian flu Avian influenza Biological and medical sciences China China (People's Republic) China - epidemiology Communication Cooperative Behavior Coordination Coronaviruses Disease control Disease Outbreaks - prevention & control Disease prevention Disease transmission Diseases Emergence Emergencies Emergency preparedness Emergency response Epidemics Epidemiology Family planning General aspects Health policy Health Policy & Services Health services Health surveillance Human Humans Infections Influenza Influenza A Virus, H7N9 Subtype Influenza in Birds Influenza, Human - epidemiology Influenza, Human - prevention & control Influenza, Human - transmission Information Dissemination Information exchange Information sharing Infrastructure Institutional investments Interinstitutional Relations Investigations Investment Investments Laboratories Lessons from the Field Medical sciences Miscellaneous Pneumonia Poultry Poultry - virology Public health Public Health Administration Public Health Practice Public health. Hygiene Public health. Hygiene-occupational medicine Public interest Risk Risk assessment SARS Sentinel Surveillance Severe acute respiratory syndrome Social networks Surveillance Surveillance systems Threats Veterinary services Viral infections Viruses World Health Organization Asia China Human Orthomyxoviridae Epidemiology Virus Influenzavirus A Information communication Influenza A virus Sharing Emergence Tropical medicine Early Public health WHO
ISSN:	0042-9686, 1564-0604, 1564-0604
Online-Zugang:	Volltext
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Zusammenfassung:	In 2003, China's handling of the early stages of the epidemic of severe acute respiratory syndrome (SARS) was heavily criticized and generally considered to be suboptimal. Following the SARS outbreak, China made huge investments to improve surveillance, emergency preparedness and response capacity and strengthen public health institutions. In 2013, the return on these investments was evaluated by investigating China's early response to the emergence of avian influenza A(H7N9) virus in humans. Clusters of human infection with a novel influenza virus were detected in China - by national surveillance of pneumonia of unknown etiology - on 26 February 2013. On 31 March 2013, China notified the World Health Organization (WHO) of the first recorded human infections with A(H7N9) virus. Poultry markets - which were rapidly identified as a major source of transmission of A(H7N9) to humans - were closed down in the affected areas. Surveillance in humans and poultry was heightened and technical guidelines were quickly updated and disseminated. The health authorities collaborated with WHO in risk assessments and risk communication. New cases were reported promptly and publicly. The relevant infrastructures, surveillance systems and response capacity need to be strengthened in preparation for future emergencies caused by emerging or existing disease threats. Results of risk assessments and other data should be released promptly and publicly and such release should not jeopardize future publication of the data in scientific journals. Coordination between public health and veterinary services would be stronger during an emergency if these services had already undertaken joint preparedness planning.
Bibliographie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 ObjectType-Article-2 ObjectType-Feature-1
ISSN:	0042-9686 1564-0604 1564-0604
DOI:	10.2471/BLT.13.125989