Khan Wasiq, El Rifay Amira, Malik Mamunur, Kayali Ghazi
Department of Health, University of Bath, United Kingdom.
Center of Excellence for Influenza Viruses, Child Health department National Research Centre, Giza, Egypt.
East Mediterr Health J. 2019 Oct 7;25(8):583-590. doi: 10.26719/emhj.18.070.
Preparedness is key to controlling influenza pandemics and epidemics.
A comprehensive literature review was conducted to analyse the response and preparedness to influenza pandemics in the World Health Organization Eastern Mediterranean Region (WHO/EMR).
Published and grey literatures were searched in PubMed, Scopus, and Google scholar, and the WHO/EMR online databases. International and national plans were searched via official websites of the relevant ministries of the countries.
We found that the response from EMR countries was minimal and scientific papers published were limited. Moreover, most of those papers studied the preparedness plan partially by focusing on one or more elements such as infection control measures and vaccines, or were directed to certain populations such as health workers. Continuous active surveillance is ignored in most of the countries although it was the most important lesson learned from the pandemic.
The national preparedness plans should be updated, taking guidance from the findings in the present report, to address any emerging pandemic virus as well as attending to surges of seasonal influenza cases.
防范是控制流感大流行和流行的关键。
进行全面的文献综述，以分析世界卫生组织东地中海区域（世卫组织/东地中海区域）对流感大流行的应对和防范情况。
在PubMed、Scopus和谷歌学术以及世卫组织/东地中海区域在线数据库中搜索已发表和灰色文献。通过各国相关部委的官方网站搜索国际和国家计划。
我们发现东地中海区域国家的应对措施极少，发表的科学论文也有限。此外，这些论文大多只部分研究了防范计划，侧重于感染控制措施和疫苗等一个或多个要素，或者针对医护人员等特定人群。尽管持续主动监测是从大流行中吸取的最重要教训，但大多数国家都忽略了这一点。
应根据本报告的研究结果更新国家防范计划，以应对任何新出现的大流行病毒，并应对季节性流感病例的激增。
