Lernout T, Durquety E, Chollet P, Helleisen F, Javaudin G, Lajoinie G, Filleul L
Cellule De L'institut De Veille Sanitaire En Région (cire) De L'océan Indien, Mayotte, France.
Bull Soc Pathol Exot. 2011 May;104(2):114-8. doi: 10.1007/s13149-010-0112-6. Epub 2010 Dec 20.
In response to the threat of the pandemic influenza A (H1N1) 2009 virus in Mayotte Island, influenza surveillance needed to be set up in a matter of weeks, to detect the introduction of the pandemic virus and monitor its spread and impact on public health. Surveillance was based on different systems, including a sentinel practitioner network for influenza-like illness, surveillance of the activity at the hospital emergency departments, virological surveillance, surveillance of severe and fatal cases, and data collection on sale of antipyretic and anti-viral drugs. Despite some weaknesses of the surveillance, results showed a good correlation between all systems, describing an epidemic period of approximately 8-9 weeks, with a peak between weeks 37 and 40, followed by a rapid decrease. Besides allowing monitoring and describing the impact of pandemic H1N1 2009 virus in Mayotte, the surveillance system provided an opportunity to create networks and globally strengthened surveillance of infectious diseases in the Island.
为应对2009年甲型H1N1大流行性流感病毒对马约特岛构成的威胁，需在数周内建立流感监测体系，以发现大流行性病毒的传入情况，并监测其传播及对公众健康的影响。监测基于不同系统，包括流感样疾病哨点医生网络、医院急诊科活动监测、病毒学监测、重症及死亡病例监测，以及解热和抗病毒药物销售数据收集。尽管监测存在一些薄弱环节，但结果显示所有系统之间具有良好的相关性，描述了一个约8 - 9周的流行期，在第37至40周之间达到高峰，随后迅速下降。除了能够监测和描述2009年甲型H1N1大流行性流感病毒在马约特岛的影响外，该监测系统还提供了建立网络的机会，并在全球范围内加强了该岛传染病的监测。
