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The Domestic and International Impacts of the 2009-H1N1 Influenza A Pandemic: Global Challenges, Global Solutions: Workshop Summary (Excerpts, edited)

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  • The Domestic and International Impacts of the 2009-H1N1 Influenza A Pandemic: Global Challenges, Global Solutions: Workshop Summary (Excerpts, edited)

    The Domestic and International Impacts of the 2009-H1N1 Influenza A Pandemic: Global Challenges, Global Solutions: Workshop Summary (Excerpts, edited)

    The Domestic and International Impacts of the 2009-H1N1 Influenza A Pandemic: Global Challenges, Global Solutions: Workshop Summary

    [Source Full PDF Summary: LINK. EDITED.]

    PREPUBLICATION COPY: UNCORRECTED PROOFS

    Copyright National Academy of Sciences. All rights reserved.
    This executive summary plus thousands more available at http://www.nap.edu


    Workshop Overview

    THE DOMESTIC AND INTERNATIONAL IMPACTS OF THE 2009-H1N1 INFLUENZA A PANDEMIC: GLOBAL CHALLENGES, GLOBAL SOLUTIONS


    In March and early April 2009, a new, swine-origin 2009-H1N1 influenza A2 virus (S-OIV) emerged in Mexico and the United States. During the first few weeks of surveillance, the virus spread by human-to-human transmission worldwide to over 30 countries, causing the World Heath Organization (WHO) to raise its pandemic alert level to Phase 5 of 6. On June 11, 2009, the WHO raised the worldwide pandemic alert level to Phase 6 in response to the ongoing global spread of the 2009-H1N1 influenza A virus.

    President Obama, on October 24, 2009, signed an official proclamation declaring the 2009-H1N1 influenza A swine flu outbreak a national emergency in the United States (The White House, 2009). This declaration does ?hereby find and proclaim that, given that the rapid increase in illness across the Nation may overburden health care resources and that the temporary waiver of certain standard Federal requirements may be warranted in order to enable U.S. health care facilities to implement emergency operations plans, the 2009 H1N1 influenza pandemic in the United States constitutes a national emergency.?

    This novel, swine-origin, influenza A virus has now become the first pandemic of the twenty-first century. The international scientific, public health, security, and policy communities quickly mobilized to characterize the novel virus (hereinafter 2009-H1N1 influenza A) and address its potential effects. Within six months of the discovery of the 2009-H1N1 influenza A virus, researchers have gained considerable knowledge about the latest pandemic influenza virus and produced a vaccine against it, but many scientific and policy questions raised by the 2009-H1N1 influenza A virus remain to be answered.

    The arrival of an influenza pandemic in 2009 was both anticipated and unexpected. That a novel, readily transmissible influenza virus would spread widely and rapidly along with its globe-trotting hosts seemed inevitable; that this pandemic strain emerged in the Americas, rather than Asia, surprised many infectious disease experts. ?We have all been preparing for a pandemic,? veteran flu researcher Robert Webster of St. Jude Children?s Research Hospital remarked recently (Webster, 2009).

    ?H5N1 [Avian influenza] has been at the top of our list and surprise, surprise, 2009-H1N1 influenza A came out of left field.?

    In the months since the initial identification of the 2009-H1N1 influenza A virus, the disease has now spread to over 191 countries and territories while scientists, healthcare providers, policy makers, the media, and the general public attempted to (...)


    (1) The Forum?s role was limited to planning the workshop, and this workshop summary has been prepared by the workshop rapporteurs as a factual summary of what occurred at the workshop.
    (2) While this pandemic H1N1 strain of influenza A virus has gone by many, many names?including ?swine flu??since it was first recognized and characterized in April 2009, for the purposes of this document we refer to it using the nomenclature found in the ?Report to the President on theH1N1 Influenza? (PCAST, 2009).

    (...)
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