Influenza pandemics: past, present and future challengesReport as inadecuate

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Public Health Reviews

, Volume 32, Issue 1, pp 319–340

First Online: 29 May 2010DOI: 10.1007-BF03391605

Cite this article as: Flahault, A. & Zylberman, P. Public Health Rev 2010 32: 319. doi:10.1007-BF03391605


Influenza epidemics occur regularly and prediction of their conversion to pandemics and their impact is difficult. Coordination of efforts on a global scale to control or reduce the impact is fraught with potential for under and overreaction. In light of the 1956 pandemic and more recently the SARS and H1N1 pandemics, the public health community took steps toward strengthening global surveillance and a coordinated response in keeping with the continuing memory of the tragedy seen in 1918. The scientific, professional, and technical resources of the 21 century are now advanced far beyond those then available. The H1N1 pandemic which commenced in 2009 progressed differently than predicted; its course was difficult to predict with any degree of certainty. Public responses to national immunization programs against the H1N1 virus have been weak. International movement of diseases can lead to creation of new endemic areas and continuous spread such as that which happened with West Nile Fever and Chikungunya. The lessons learned and the public and political responses to each actual or threatened pandemic will serve public health well in dealing with future challenges.

Key Wordsinfluenza A H1N1 influenza policy global influenza monitoring pandemic 1918 1976 vaccination SARS antivirals  Download to read the full article text

Author: Antoine Flahault - Patrick Zylberman


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