van der Sande Marianne A B, van der Hoek Wim, Hooiveld Mariëtte, Donker Gé A, van Steenbergen Jim E, van Boven Michiel, Wallinga Jacco
Rijksinstituut voor Volksgezondheid en Milieu, Centrum Infectieziektebestrijding, Bilthoven, The Netherlands.
Ned Tijdschr Geneeskd. 2009;153:A771.
Intensive surveillance in Mexico, the US, Canada, Spain and the UK has resulted in the first data on the new influenza A (H1N1) virus. As of yet, it is still unknown if, how and where further transmission within the Netherlands will take place. Therefore, intensified surveillance in the Netherlands is essential. Information on individual patients and their contacts is available through the compulsory notification of the new influenza. The number of general practitioners and nursing homes participating in surveillance through national networks is extended. In addition mortality statistics and internet-based surveillance are being used (the Dutch Great Influenza Survey). Based on studies on previous flu epidemics and mathematical models we can estimate the expected effect of non-pharmaceutical interventions.The reduction of social contacts, in particular through the closure of schools, hand washing routines and wearing of facemasks if done correctly, are expected to be effective non-pharmaceutical interventions in slowing the transmission of the new influenza virus.
在墨西哥、美国、加拿大、西班牙和英国开展的强化监测已产生了关于新型甲型H1N1流感病毒的首批数据。截至目前，荷兰境内是否会发生进一步传播、如何传播以及在何处传播仍不得而知。因此，在荷兰加强监测至关重要。通过对新型流感进行强制通报，可获取个体患者及其接触者的信息。参与全国性网络监测的全科医生和疗养院数量有所增加。此外，正在利用死亡率统计数据和基于互联网的监测（荷兰大流感调查）。基于以往流感疫情的研究和数学模型，我们可以估算非药物干预措施的预期效果。减少社交接触，尤其是通过关闭学校、正确洗手和佩戴口罩等方式，有望成为减缓新型流感病毒传播的有效非药物干预措施。
