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Healthcare epidemiology: the current status of planning for pandemic influenza and implications for health care planning in the United States.
Clin Infect Dis. 2008 Mar 15; 46(6):919-25.CI

Abstract

The United States needs to be better prepared for a large-scale medical catastrophe, be it a natural disaster, a bioterrorism act, or a pandemic. There are substantial planning efforts now devoted to responding to an influenza pandemic. Here, we review these efforts and identify some harsh realities: (1) the US health care system is private, competitive, broke, and at capacity, so that any demand for surge cannot be met with existing economic resources, hospital beds, manpower, or supplies; (2) the emphasis placed on the development and rapid production of an effective vaccine is excellent, but the effort is underfunded to meet global demand; (3) and the Centers for Disease Control and Prevention's community mitigation measures, such as the use nonpharmacological and social interventions (e.g., use of face masks or respirators, social distancing, and closure of schools), lack validation and could have substantial indirect and unintended consequences. Finally, international collaborations are essential for disease surveillance and to assure investigator access to influenza strains, equitable vaccine distribution, and availability of critical supplies from offshore sources.

Authors+Show Affiliations

Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. jb@jhmi.eduNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

18279045

Citation

Bartlett, John G., and Luciana Borio. "Healthcare Epidemiology: the Current Status of Planning for Pandemic Influenza and Implications for Health Care Planning in the United States." Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America, vol. 46, no. 6, 2008, pp. 919-25.
Bartlett JG, Borio L. Healthcare epidemiology: the current status of planning for pandemic influenza and implications for health care planning in the United States. Clin Infect Dis. 2008;46(6):919-25.
Bartlett, J. G., & Borio, L. (2008). Healthcare epidemiology: the current status of planning for pandemic influenza and implications for health care planning in the United States. Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America, 46(6), 919-25. https://doi.org/10.1086/528799
Bartlett JG, Borio L. Healthcare Epidemiology: the Current Status of Planning for Pandemic Influenza and Implications for Health Care Planning in the United States. Clin Infect Dis. 2008 Mar 15;46(6):919-25. PubMed PMID: 18279045.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Healthcare epidemiology: the current status of planning for pandemic influenza and implications for health care planning in the United States. AU - Bartlett,John G, AU - Borio,Luciana, PY - 2008/2/19/pubmed PY - 2008/3/19/medline PY - 2008/2/19/entrez SP - 919 EP - 25 JF - Clinical infectious diseases : an official publication of the Infectious Diseases Society of America JO - Clin Infect Dis VL - 46 IS - 6 N2 - The United States needs to be better prepared for a large-scale medical catastrophe, be it a natural disaster, a bioterrorism act, or a pandemic. There are substantial planning efforts now devoted to responding to an influenza pandemic. Here, we review these efforts and identify some harsh realities: (1) the US health care system is private, competitive, broke, and at capacity, so that any demand for surge cannot be met with existing economic resources, hospital beds, manpower, or supplies; (2) the emphasis placed on the development and rapid production of an effective vaccine is excellent, but the effort is underfunded to meet global demand; (3) and the Centers for Disease Control and Prevention's community mitigation measures, such as the use nonpharmacological and social interventions (e.g., use of face masks or respirators, social distancing, and closure of schools), lack validation and could have substantial indirect and unintended consequences. Finally, international collaborations are essential for disease surveillance and to assure investigator access to influenza strains, equitable vaccine distribution, and availability of critical supplies from offshore sources. SN - 1537-6591 UR - https://www.unboundmedicine.com/medline/citation/18279045/Healthcare_epidemiology:_the_current_status_of_planning_for_pandemic_influenza_and_implications_for_health_care_planning_in_the_United_States_ L2 - https://academic.oup.com/cid/article-lookup/doi/10.1086/528799 DB - PRIME DP - Unbound Medicine ER -