Population Health, Queensland Health, Brisbane, QLD, Australia.
Med J Aust. 2010 Jan 18;192(2):94-7. doi: 10.5694/j.1326-5377.2010.tb03427.x.
A graded public health response was implemented to control the pandemic (H1N1) 2009 outbreak in Queensland. Public health measures to contain the outbreak included border control, enhanced surveillance, management of cases and contacts with isolation or quarantine and antivirals, school closures and public education messages. The first confirmed case in Australia was notified on 8 May 2009, in a traveller returning to Queensland from the United States. In Queensland, 593 laboratory-confirmed cases were notified with a date of onset between 26 April and 22 June 2009, when the Protect phase of the Australian Health Management Plan for Pandemic Influenza was implemented; 16 hospitalisations and no deaths were reported during this time. The largest number of confirmed cases was reported in the 10-19-years age group (167, 28% of cases), followed by the 20-29-years age group (153, 26% of cases). With ongoing community transmission, the focus has shifted from public health to the clinical domain, with an emphasis on protecting vulnerable groups. Considerable resources have been invested to prevent and control the spread of disease in Indigenous communities in Far North Queensland. The capacity of clinical services to cope with increased admissions, the potential for widespread antiviral resistance, and rollout of mass vaccination campaigns remain future challenges.
昆士兰州实施了分级公共卫生应对措施来控制 2009 年（H1N1）流感大流行。公共卫生措施包括边境管控、强化监测、病例和接触者的管理（包括隔离或检疫以及使用抗病毒药物）、学校关闭和公众健康教育信息。澳大利亚首例确诊病例于 2009 年 5 月 8 日报告，是一名从美国返回昆士兰州的旅行者。在昆士兰州，2009 年 4 月 26 日至 6 月 22 日期间报告了 593 例实验室确诊病例，澳大利亚大流感卫生管理计划的保护阶段开始实施；在此期间报告了 16 例住院病例，但无死亡病例。报告的确诊病例数最多的是 10-19 岁年龄组（167 例，占病例的 28%），其次是 20-29 岁年龄组（153 例，占病例的 26%）。随着社区传播的持续，重点已经从公共卫生转移到临床领域，重点是保护弱势群体。昆士兰州投入了大量资源来预防和控制远北地区土著社区的疾病传播。临床服务应对住院人数增加的能力、广泛的抗病毒耐药性的可能性以及大规模疫苗接种运动的开展仍然是未来的挑战。
