Document Detail


The 2009 influenza A (H1N1) pandemic : Management and vaccination strategies in The Netherlands.
MedLine Citation:
PMID:  23275958     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Prior to 2009, The Netherlands had prepared itself extensively for a potential pandemic. Multidisciplinary guidelines had been drafted to control transmission and limit adverse outcomes for both a phase of early incidental introduction and for a phase with widespread transmission. The Ministry of Health had ensured a supply and distribution schedule for antivirals and negotiated a contract for vaccine purchases. During the pandemic, existing surveillance was expanded, the established infectious disease response structure was activated, and the previously prepared protocols for communication, diagnostics, use of antivirals, and vaccination implementation were operationalized and implemented.When the pandemic turned out to be less severe than many had anticipated, risk communication and rapid modification of guidelines and communication became a major challenge. Antivirals and pandemic vaccines were reserved for those at high risk for severe outcomes only. Overall, the impact of the pandemic was comparable to the impact of an average seasonal influenza epidemic, but with a shift in (severe) outcomes from the very young and elderly toward young adults. Established prepared protocols enabled timely coordinated responses. In preparing for the worst, sufficient attention must be given to preparing for a mild scenario as well.
Authors:
M A B van der Sande; A Jacobi; A Meijer; J Wallinga; W van der Hoek; M van der Lubben
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz     Volume:  56     ISSN:  1437-1588     ISO Abbreviation:  Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2012-12-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101181368     Medline TA:  Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz     Country:  -    
Other Details:
Languages:  ENG     Pagination:  67-75     Citation Subset:  -    
Affiliation:
RIVM - Centre Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven, 3720 BA, Bilthoven, The Netherlands, marianne.van.der.sande@rivm.nl.
Vernacular Title:
Die Influenza-A-(H1N1-)Pandemie 2009 : Bewältigung und Impfstrategien in den Niederlanden.
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