Mounier-Jack Sandra, Coker Richard J
Department of Public Health and Policy, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK.
Lancet. 2006 Apr 29;367(9520):1405-11. doi: 10.1016/S0140-6736(06)68511-5.
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.
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.
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.
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.
流感大流行对人类构成的威胁促使各国紧急制定防范计划。我们评估了这些计划，以判断欧洲对流感大流行的防范能力。
对照世界卫生组织清单中的标准，对欧盟国家、两个加入国（保加利亚和罗马尼亚）、挪威和瑞士已公布的国家流感大流行防范计划进行评估。2002年1月1日至2005年11月30日期间正式公布的计划才有资格纳入评估。
21个国家的计划有资格纳入分析。尽管在监测、规划与协调以及沟通方面的准备工作做得不错，但基本服务的维持、计划的实施以及公共卫生干预措施可能并不充分。尽管与邻国合作被公认为势在必行，但很少有国家在其计划中提及这一需求。同样，关于及时分发现有医疗用品的计划也明显缺失。
大多数欧洲国家政府的决心很大，防范水平总体良好。然而，防范计划仍存在差距，各国之间存在很大差异，这对该地区和各个国家都有重要影响。各国可能需要加强合作以分享经验，并确保方法的一致性。
