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A practical review of 'containment' during the influenza A (H1N1):an audit of the flu response centre in Yorkshire and the Humber

Padfield, S. and Kemp, M. and Saravanan, A. and Wensley, Adrian (2012) A practical review of 'containment' during the influenza A (H1N1):an audit of the flu response centre in Yorkshire and the Humber. Journal of Public Health, 34 (2). pp. 203-208. ISSN 1741-3842

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Abstract

BACKGROUND: During the 'containment' phase of the influenza A (H1N1) pandemic 2009, antivirals were used for treatment and prophylaxis. This audit aimed to review the speed of the process involved in delivering antivirals and to assess whether this was likely to have occurred fast enough to be in keeping with the aims of reducing transmission. METHODS: Flu Response Centres in each region were tasked with co-ordinating local delivery and all case data were entered into Fluzone (an electronic case management system). All data between 1 June and 2 July in the Yorkshire and Humber region were reviewed. Forty-eight hours from the onset of illness to treatment and prophylaxis were used as reference standards. RESULTS: The median estimate for the earliest point cases could have received treatment was 2 days (95% CI 2-3 days) and the earliest point contacts of cases could have received prophylaxis was 4 days (95% CI 4-5 days). CONCLUSIONS: The logistical difficulties of delivering 'containment' according to the national algorithms meant there were significant time delays involved and that this was likely to have reduced the effectiveness of the strategy. This would be important to consider if a 'containment' strategy was to be employed in any future emergency.

Item Type: Article
Journal or Publication Title: Journal of Public Health
Uncontrolled Keywords: Antiviral Agents ; Clinical Audit ; Containment of Biohazards ; Humans ; Influenza A Virus, H1N1 Subtype ; Influenza Vaccines ; Influenza, Human ; Pandemics ; Time Factors ; United Kingdom ; Journal Article
Subjects:
Departments: Faculty of Health and Medicine > Health Research
ID Code: 84939
Deposited By: ep_importer_pure
Deposited On: 28 Feb 2017 13:06
Refereed?: Yes
Published?: Published
Last Modified: 16 Dec 2017 06:47
Identification Number:
URI: http://eprints.lancs.ac.uk/id/eprint/84939

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