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墨西哥甲型H1N1流感疫情。经验教训。

The influenza A(H1N1) epidemic in Mexico. Lessons learned.

作者信息

Córdova-Villalobos José A, Sarti Elsa, Arzoz-Padrés Jacqueline, Manuell-Lee Gabriel, Méndez Josefina Romero, Kuri-Morales Pablo

机构信息

Mexican Ministry of Health, Mexico.

出版信息

Health Res Policy Syst. 2009 Sep 28;7:21. doi: 10.1186/1478-4505-7-21.

DOI:10.1186/1478-4505-7-21
PMID:19785747
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2765941/
Abstract

Several influenza pandemics have taken place throughout history and it was assumed that the pandemic would emerge from a new human virus resulting from the adaptation of an avian virus strain. Mexico, since 2003 had developed a National Preparedness and Response Plan for an Influenza Pandemic focused in risk communication, health promotion, healthcare, epidemiological surveillance, strategic stockpile, research and development. This plan was challenged on April 2009, when a new influenza A(H1N1) strain of swine origen was detected in Mexico. The situation faced, the decisions and actions taken, allowed to control the first epidemic wave in the country. This document describes the critical moments faced and explicitly point out the lessons learned focused on the decided support by the government, the National Pandemic Influenza Plan, the coordination among all the government levels, the presence and solidarity of international organizations with timely and daily information, diagnosis and the positive effect on the population following the preventive hygienic measures recommended by the health authorities. The international community will be able to use the Mexican experience in the interest of global health.

摘要

历史上曾发生过几次流感大流行,人们认为大流行将源自禽流感病毒株适应后产生的新型人类病毒。自2003年以来,墨西哥制定了一项针对流感大流行的国家防范与应对计划,重点关注风险沟通、健康促进、医疗保健、流行病学监测、战略储备、研究与开发。2009年4月,该计划受到了挑战,当时在墨西哥检测到一种新型甲型H1N1猪源流感病毒株。面对这种情况,所采取的决策和行动使得该国的第一波疫情得到了控制。本文件描述了所面临的关键时刻,并明确指出了所吸取的经验教训,重点在于政府的坚定支持、国家流感大流行计划、各级政府之间的协调、国际组织的参与和团结以及及时和每日提供的信息、诊断,以及遵循卫生当局建议的预防性卫生措施对民众产生的积极影响。国际社会将能够利用墨西哥的经验以促进全球健康。

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