National Centre for Epidemiology, Surveillance and Health Promotion, Istituto Superiore di Sanita (ISS, National Institute of Health), Rome, Italy.
Euro Surveill. 2010 Dec 9;15(49):19744. doi: 10.2807/ese.15.49.19744-en.
In Italy, the arrival of the 2009 pandemic influenza A(H1N1) virus triggered an integrated response that was mainly based on the 2006 National Pandemic Preparedness and Response Plan. In this article we analyse the main activities implemented for epidemiological surveillance, containment and mitigation of the pandemic influenza and the lesson learned from this experience. Overall, from week 31 (27 July – 2 August) of 2009 to week 17 (26 April – 2 May) of 2010, we estimate that there were approximately 5,600,000 cases of influenza-like illness (ILI) who received medical attention (with almost 2,000 laboratory-confirmed cases of pandemic influenza from May to October 2009). A total of 1,106 confirmed cases were admitted to hospital for serious conditions, of whom 532 were admitted to intensive care units. There were 260 reported deaths due to pandemic influenza. Approximately 870,000 first doses of the pandemic vaccine were administered, representing a vaccine coverage of 4% of the target population. One of the possible reasons for the low uptake of the pandemic vaccine in the target population could be the communication strategy adopted, for both the general population and healthcare workers, which turned out to be a major challenge. Active involvement of all health professionals (at local, regional and national level) in influenza pandemic preparedness and response should be encouraged in the future.
在意大利，2009 年大流行性流感 A(H1N1)病毒的到来引发了一项综合应对措施，该措施主要基于 2006 年国家大流行性流感防备和应对计划。本文分析了为进行大流行性流感的流行病学监测、遏制和缓解而实施的主要活动，并总结了从这一经验中汲取的教训。总体而言，从 2009 年第 31 周（7 月 27 日至 8 月 2 日）到 2010 年第 17 周（4 月 26 日至 5 月 2 日），我们估计约有 560 万例流感样疾病（ILI）患者接受了医疗护理（其中 2009 年 5 月至 10 月间有近 2000 例经实验室确认的大流行性流感病例）。共有 1106 例确诊病例因严重病情住院，其中 532 例住进了重症监护病房。有 260 例报告的大流行性流感死亡病例。大约接种了 87 万剂大流行性流感疫苗，这相当于目标人群疫苗接种覆盖率的 4%。目标人群中大流行性流感疫苗接种率低的一个可能原因是针对一般人群和卫生保健工作者采用的沟通策略，事实证明这是一个重大挑战。今后应鼓励所有卫生专业人员（在地方、区域和国家各级）积极参与大流行性流感防备和应对工作。
