“…In general, estimates of the CAR for the 2009 pandemic influenza A(H1N1) vary among countries: 0.01% in the central region of Portugal [20], 0.072% in Mexico [21], 18.3% in New Zealand [22], 30% in the Netherlands [23]. Across Europe the estimated CAR was 30% [24].…”
Section: Parameters Collected From the 2009 Influenza Pandemicmentioning
The response to the emergence of the 2009 influenza A(H1N1) pandemic was the result of a decade of pandemic planning, largely centred on the threat of an avian influenza A(H5N1) pandemic. Based on a literature review, this study aims to define a set of new pandemic scenarios that could be used in case of a future influenza pandemic. A total of 338 documents were identified using a searching strategy based on seven combinations of keywords. Eighty-three of these documents provided useful information on the 13 virusrelated and health-system-related parameters initially considered for describing scenarios. Among these, four parameters were finally selected (clinical attack rate, case fatality rate, hospital admission rate, and intensive care admission rate) and four different levels of severity for each of them were set. The definition of six most likely scenarios results from the combination of four different levels of severity of the four final parameters (256 possible scenarios). Although it has some limitations, this approach allows for more flexible scenarios and hence it is far from the classic scenarios structure used for pandemic plans until 2009.
“…In general, estimates of the CAR for the 2009 pandemic influenza A(H1N1) vary among countries: 0.01% in the central region of Portugal [20], 0.072% in Mexico [21], 18.3% in New Zealand [22], 30% in the Netherlands [23]. Across Europe the estimated CAR was 30% [24].…”
Section: Parameters Collected From the 2009 Influenza Pandemicmentioning
The response to the emergence of the 2009 influenza A(H1N1) pandemic was the result of a decade of pandemic planning, largely centred on the threat of an avian influenza A(H5N1) pandemic. Based on a literature review, this study aims to define a set of new pandemic scenarios that could be used in case of a future influenza pandemic. A total of 338 documents were identified using a searching strategy based on seven combinations of keywords. Eighty-three of these documents provided useful information on the 13 virusrelated and health-system-related parameters initially considered for describing scenarios. Among these, four parameters were finally selected (clinical attack rate, case fatality rate, hospital admission rate, and intensive care admission rate) and four different levels of severity for each of them were set. The definition of six most likely scenarios results from the combination of four different levels of severity of the four final parameters (256 possible scenarios). Although it has some limitations, this approach allows for more flexible scenarios and hence it is far from the classic scenarios structure used for pandemic plans until 2009.
“…Swine flu was first recognized in the state of Veracruz, in 2009 .In 2009 swine flu pandemic is a global outbreak of novel H1N1 strain invilving more than 170 countries spread Jutur & Naik; Mortality in Swine Flu over all the continents nearly affecting more than 1 lakh population. [4] Pune in India first reported the case and rapidly spearding involving more than 2500 confirmed cases with mor than 30 deaths. Nearly half of the swine flu positive patients were less than 15 years of age.…”
Section: Discussionmentioning
confidence: 99%
“…Exposure to pigs are at increased risk of swine flu infection. [4] Swine-flu has incubation period of 2 to 7 days and transmitted by droplets or fomites. Most present with mild symptoms of fever, cough, sore throat, headache, joint pain and myalgia.…”
Background: Swine influenza is an infection caused by any one of several types of swine influenza viruses. Swine influenza virus (SIV) or swine-origin influenza virus (S-OIV) is any strain of the influenza family of viruses that is endemic in pigs. As of 2009, the known SIV strains include influenza C and the subtypes of influenza A known as H1N1, H1N2, H2N1, H3N1, H3N2, and H2N3. Subjects and Methods: The patients with clinical features of Influenza like illness were enrolled. A complete clinical examination was carried out and relevant investigations done and documented in the proforma. Results: Most common symptoms at presentation were cough (93%), fever (92%) followed by sore throat (76%). Breathlessness was found in 28.76% of patients at presentation of which nearly 3/4th died. 72% patient died of ARDS and out of which 79% were female. Conclusion: Most common cause of death was acute respiratory distress syndrome (72%) followed by secondary infection with septicemia.
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