Professor, Department of Community Medicine, Government Medical College, Manjeri, Kerala, India.
Professor, Department of Community Medicine, Believers Church Medical College and Hospital, Thiruvalla, Kerala, Director, PSG-FAIMER Regional Institute, Coimbatore, Tamil Nadu, India.
Indian J Public Health. 2019 Jul-Sep;63(3):261-264. doi: 10.4103/ijph.IJPH_117_19.
Asia Pacific region has been witnessing numerous public health emergencies in recent years with the Nipah outbreak in North Kerala (2018), India, needs special mention. Threats posed and experiences gained have compelled health systems to draft frameworks nationally and internationally for preparedness, outbreak response, and recovery. Our failure to obtain comprehensive guiding frameworks for application in the Indian context for Ebola, Severe Acute Respiratory Syndrome, Influenza A (H1N1), and Nipah outbreaks led us to the search outside India for frameworks that have worked in the past. A thorough review of the WHO, Centers for Disease Control and Prevention, and Malaysian framework was done to identify explicit components and replicable objectives to the national context. In the absence of a specific framework, Nipah recovery and response experience that worked in Kerala outbreak (2018) was compared against novel H1N1 (2015) guidelines at national level. This article provides the groundwork and insights as a value addition toward an India-specific framework of action for response and recovery for Nipah outbreaks in future.
亚太地区近年来见证了许多公共卫生突发事件，印度北喀拉拉邦的尼帕病毒爆发（2018 年）需要特别提及。所面临的威胁和所获得的经验迫使卫生系统在国家和国际层面制定准备、疫情应对和恢复框架。我们未能为印度的埃博拉、严重急性呼吸系统综合征、甲型流感（H1N1）和尼帕病毒爆发获得全面的指导框架，这促使我们在印度境外寻找过去行之有效的框架。我们对世界卫生组织、美国疾病控制与预防中心和马来西亚框架进行了全面审查，以确定明确的组成部分和可复制的目标，以适应国家背景。在没有特定框架的情况下，将在喀拉拉邦爆发（2018 年）中发挥作用的尼帕病毒恢复和应对经验与国家层面的新型 H1N1（2015 年）指南进行了比较。本文为未来针对印度尼帕病毒爆发的应对和恢复制定特定的行动计划框架提供了基础和见解。
