Coker Richard, Mounier-Jack Sandra
Department of Public Health and Policy, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK.
Lancet. 2006 Sep 2;368(9538):886-9. doi: 10.1016/S0140-6736(06)69209-X.
Concerns are mounting that the threat of another influenza pandemic will become a reality and that the epicentre of the outbreak could be the Asia-Pacific region. We assessed the documents that some Asia-Pacific countries have published as part of preparedness planning for an outbreak of influenza in people. Regional approaches were polarised. Thailand, China, and Vietnam had set out a strategic vision to strengthen future capacity in preparedness planning. By contrast, Hong Kong, Australia, and New Zealand took a strategic approach aimed mainly at harnessing available resources or preparing for the deployment of resources such as stockpiled antiviral agents and vaccines. The plans of Hong Kong, Australia, and New Zealand compared favourably with the best European plans. The plans of resource-poor countries addressed some issues that were largely neglected by most European plans. Other countries (including those that do not yet have plans) could benefit from analysis of the strengths and weaknesses of the plans drawn up by countries in the region and in Europe.
人们越来越担心,另一场流感大流行的威胁将成为现实,而且疫情的中心可能是亚太地区。我们评估了一些亚太国家作为人群流感疫情防范规划的一部分而发布的文件。区域方法两极分化。泰国、中国和越南制定了战略愿景,以加强未来防范规划的能力。相比之下,中国香港、澳大利亚和新西兰采取的战略方法主要旨在利用现有资源或为储备抗病毒药物和疫苗等资源的部署做准备。中国香港、澳大利亚和新西兰的计划与欧洲最好的计划相比毫不逊色。资源匮乏国家的计划解决了一些大多数欧洲计划基本忽略的问题。其他国家(包括那些尚未制定计划的国家)可以从对该地区和欧洲国家制定的计划的优缺点分析中受益。