Breiman Robert F, Nasidi Abdulsalami, Katz Mark A, Kariuki Njenga M, Vertefeuille John
US Centers for Disease Control and Prevention, Nairobi, Kenya.
Emerg Infect Dis. 2007 Oct;13(10):1453-8. doi: 10.3201/eid1310.070400.
Global concerns about an impending influenza pandemic escalated when highly pathogenic influenza A subtype H5N1 appeared in Nigeria in January 2006. The potential devastation from emergence of a pandemic strain in Africa has led to a sudden shift of public health focus to pandemic preparedness. Preparedness and control activities must work within the already strained capacity of health infrastructure in Africa to respond to immense existing public health problems. Massive attention and resources directed toward influenza could distort priorities and damage critical public health programs. Responses to concerns about pandemic influenza should strengthen human and veterinary surveillance and laboratory capacity to help address a variety of health threats. Experiences in Asia should provide bases for reassessing strategies for Africa and elsewhere. Fowl depopulation strategies will need to be adapted for Africa. Additionally, the role of avian vaccines should be comprehensively evaluated and clearly defined.
2006年1月高致病性甲型H5N1流感在尼日利亚出现后，全球对即将到来的流感大流行的担忧加剧。非洲出现大流行毒株可能造成的破坏，使得公共卫生重点突然转向大流行防范。防范和控制活动必须在非洲卫生基础设施本已紧张的能力范围内开展，以应对现有的巨大公共卫生问题。将大量注意力和资源投向流感可能会扭曲优先事项并损害关键的公共卫生项目。应对流感大流行的担忧应加强人类和兽医监测以及实验室能力，以帮助应对各种健康威胁。亚洲的经验应为重新评估非洲及其他地区的战略提供依据。家禽扑杀策略需要针对非洲进行调整。此外，应全面评估并明确界定禽流感疫苗的作用。
