Schaade L, Reuss A, Haas W, Krause G
Robert Koch-Institut, Nordufer 20, 13353, Berlin, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2010 Dec;53(12):1277-82. doi: 10.1007/s00103-010-1162-4.
Since 2001, the German states and federal institutions have been engaged in systematic pandemic preparedness planning. Preparedness was largely in an advanced stage and most probably contributed to successful control of the influenza H1N1 (2009) pandemic in Germany. Adaptation and improvement are needed most in the fields of vaccine logistics and communication. In the future, the national plan as well as the WHO pandemic plan should distinguish more clearly between pandemic warning phases for preparation of structures, on the one hand, and epidemiologic situations for activation of measures, on the other hand. The proper balance between a uniform national approach and the local adaptation of measures within Germany remains another challenge. Although the course of the influenza pandemic (H1N1) 2009 was moderate, pandemic preparedness planning remains of utmost importance and must be adapted rigorously and early according to the recent experience.
自2001年以来，德国各州和联邦机构一直在进行系统的大流行防范规划。防范工作大多处于 advanced stage，很可能有助于德国成功控制2009年甲型H1N1流感大流行。疫苗物流和沟通领域最需要进行调整和改进。未来，国家计划以及世卫组织大流行计划应更明确地区分一方面为结构准备的大流行预警阶段，另一方面为启动措施的流行病学情况。在统一的国家方法与德国境内措施的地方适应性之间取得适当平衡仍然是另一项挑战。尽管2009年甲型H1N1流感大流行的过程较为温和，但大流行防范规划仍然至关重要，必须根据最近的经验尽早进行严格调整。
