Will it be July this year, assist by Chinese Government, hold, prevent and control the coordination committee by first type influenza in China, so as to advance the frame step of prevention and control of global influenza to work in coordination with.
Margaret Chan, Secretary General of WHO. (materials picture) With Margaret Chan during conference to first type scrupulous the intersection of statement and difference that influenza prevent and control, the health epidemic prevention of some countries, just severity of epidemic situation on the senior level of urban administration " Deliberately act contrary to big " . Reality is: Optimistic estimated and prevented and controlled and upgraded and coexisted, intend to seem exactly collapsing in coordination with the frame of global influenza prevention and control of every national defence epidemic disease step.
Serial number WHA62.10, amounts to 350 words. This lasts 5 days in annual World Health Assembly (WHA) Only influenza to first type H1N1 " The achievement " File. But aim at in this on the file prevented and controlled in coordination in the whole world, has not stated any new concrete measure, the substitute is " Reaffirm the need " ," promote and implement " ," advance the negotiation " When the debating on matters of principle wording.
The head of a family of WHO, Secretary General Margaret Chan cannot help but issues a statement and claims, will do one's utmost to promote " the multilateral coordinating mechanism will be cooperated in maximizing with member states ". "
Meanwhile, WHO conference close over one week, various countries burst at concrete the intersection of epidemic prevention and policy. Break out to make a definite diagnosis of two more countries of number of people as new influenza, Japan and American epidemic prevention measure obviously split up.
Japan is loose at first but afterwards tight, forced to close the school after finding the large-scale epidemic situation, because 85 million reach Philippines and 100 million vaccine production capacity in U.S.A., even given up the appearing in the newspaper singly of the case.
A multinational historical romance: The epidemic prevention action splits up day by day
"Because can't be present mortality is relatively low, most case symptoms are lighter and relax vigilance, the situation may change suddenly at any time. "
Various countries have gone through a lot of changes on the action of prevention and control. Before May 22, because the epidemic situation is complicated and confusing, WHO considered and warned the rank to rise to 5 grades several times, various countries relatively pay attention to inputting the control of the venereal disease example too. After May 22, the health ministers of China, U.S.A., Japan, Shikoku, Mexico went through a different one week, release one's own epidemic situations and prevent and control signals.
WHO expresses at the news briefing that is held on the 26th, change and warn the rank to define WHO, the United Nations will discuss with the scientist that decides within several weeks to public medical and health experts in the standard motion. 5 grades of states do not change temporarily, the whole world prevails " most probably " Arrival.
Article 23 of minutes of meeting of what has been announced finally wrote: "Because can't be present mortality is relatively low, most case symptoms are lighter and relax vigilance, the situation may change suddenly at any time. "
Chinese health minister Chen Zhu demands to expand national influenza and monitor the network after participating the meeting, print and distribute and carry out <
Find the first case from Hong Kong of China so far, the measure of prevention and control of Chinese Ministry of Public Health has been carried out according to the above-mentioned prediction scheme all the time, "that work hard is that disease accuses of the department, Ministry of Health and department of inspection and quarantine now, block one now, will lack a thousand while being following, example Wan. " Coordinate yellow Jianshi of the public health dean of medical college to tell the staff reporter in Beijing.
Similar to China, the country where Britain, Australia, Spain,etc. input venereal disease with cumulative example is all upgrading the tight action constantly too, issue and manage the scheme relevantly, has already " unified " 3 countries where the regionality has spread Adopt relaxing the action after WHO conference.
There is difference in all parts in the measure of prevention and control of U.S.A.. Because there are really too many cases, what U.S.A. has already basically given up to every case appears in the newspaper alone, "the case that probably American consciousness makes a definite diagnosis of till now is only a kick of iceberg, in this case, regular to monitor further more feasible, appear in the newspaper and make a definite diagnosis of one by one, has already made U.S.A. unable to bear. " The chief epidemiology expert of Center for Disease Prevention and Control of China has only told the staff reporter.
The greatest challenge of the public health system because closes the school, factory, public occasion while appraising, the losses that and the centralized epidemic prevention of social resource causes, the financial crisis has strengthened a cost appraising.
Hesitate several times, on May 25, 20 public schools in New York resume classes, includes the first to die the case links and receives the school " IntermediateSchool238 " where one stayses .
Though a lot of parents, teacher, corporation's leader think that should further expand the measure of suspending classes, but New York mayor Bloomberg still says, the measure does not have any function to spread in preventing influenza to suspend classes, unable to prevent students from assembling, " even if they do not go to the school, will go to the shopping center or park " .
The greatest characteristic that the American national defence accuses of is that it is regular to be paid attention to and monitor making with vaccine, this relates to U.S.A.'s developed monitoring system and vaccine production capacity too. On May 23, announce vaccine at 10 billion dollars produces and researches and develops the special fund in U.S.A.'s hygiene and public service department minister KathleenSebelius, it is public that this becomes U.S.A. " Sedative " .
As the first candidate vaccine is transported to U.S.A. CDC laboratory on May 25, it seems within sight that vaccine is made. Among them the purpose already signed reaches 6,600 million yuan, involve NovartisAG, SanofiAventis,
Industry giants such as GSK,etc.. KathleenSebelius unites two advertising agencies again, trumpets the epidemic prevention of first type influenza in the American media.
Asia " spread two times " The intersection of case and most Japan, in " prevent and control especially from input the intersection of venereal disease and example into, change here over to, spread, prevent and control " While,sampling a series of relax to move. The back is the worry whether influenza will crush straw of the last of Japan's economy after becoming the financial crisis. Japan is done one's utmost to oppose WHO will warn the rank to rise to be 6 grades highest.
Japan is thick to give birth to and trouble the minister YoichiMasuzoe explanation in the first news briefing after coming back home, new influenza is very strong, but most patients have not presented serious symptom, it is obvious to resist the medicine result of influenza.
Japan has determined to stop carrying on the routine and boarding and checking to the flights of Mexico, North American area, unless there is passenger's obvious symptom. Even so, the passenger close to the infected patient does not need either to accept that isolate.
Seeing that the acceleration rate of number of people of first type influenza is slowed down, Osaka, school of Kobe resume classes on May 25, enterprises return to normal to run again too. "We must equilibrate the demand of prevention and control and people's relation with convenient life. " YoichiMasuzoe says.
The wind is flat gradually in 2 swirl Mexico
" case No. zero " The Mexican boy EdgarHernandez is expected to travel as inspiration Mexico " Image messenger " . To his " The special treatment " Include portraying one's own sculptures in the hometown.
First type H1N1 begin with Mexico, but swirl in the intersection of here and flat wind gradually.
Is the acceleration rate of case of Mexico reduced? ? 6%, the government has already transferred attention to economy of inspiration, the medical treatment of 2,100 million dollars adds the industry and stimulates and invests the plan to already ferment and take shape.
Influenced by first type influenza, Mexican tourist industry gets into a difficult position. The directness of the travel industry includes and accounts for GDP8%, and offer 2 million working opportunities. How promote to some extent before busy season such as Xia Ri, reduce loss become the intersection of Mexican and problem that government have a headache.
" case No. zero " The Mexican boy EdgarHernandez is expected to travel as inspiration Mexico " Image messenger " .
To his " The special treatment " Include portraying one's own sculptures in the hometown LaGloria town. Cured the intersection of Crews and FidelHerrera, officer of state, Wei say EdgarHernandez lie in bed, rest, fully recover a few days at home only under the the intersection of LaGloria and town, travel as promoting Mexico again " Image messenger " Very suitable.
Another one " A little in straitened circumstances recently " Person Mexican Ministry of Public Health minister JoseCordova.
He have, make, answer during participating the meeting in Geneva " Travel minister " ,Say to the media " tourist attraction Mexico is safe, we are controlling tightly, visitors can rest assured to come " ,For this reason the black Ministry of Health has already transferred warning the rank to the normal condition.
The future trend as to influenza, the assistant Secretary General KeijiFukuda of WHO making a speech at first at the meeting dishes out three big problems: " whether the inputting virus will root in various countries " ; " whether the virus will morph " ; " whether the Southern Hemisphere would spread seriously suddenly " .
Mexican health minister JohnC making a speech subsequently Rdova says: "H1N1 virus contagiousness has already dropped, serious with the death case mainly because patient has cardiovascular vessel, asthma, diabetes or clinic been missed to cause. "
3 epidemic situation development trends become mysteries
After participating in attracting public sight in too much focus and politician, (first type) The epidemic situation of influenza has already been excessively played up.
Accuse of the reason why the measure further splits up as every national defence to the current situation of the epidemic situation and judgement of the development trend.
" this is a kind of virus different to fathom, we have a lot of clues, but there is no conclusion " ,Margaret Chan calls upon various countries to make good preparations for worsening in first type influenza situation, is it to cost one that watch out for by H1N1 virus and influenza viruses seasonal especially with " The way that can't be expected " Interaction. Even if in WHO's inside, how about the epidemic situation difficult to seek unity of talking to develop. On May 18, " first fire " has arisen in the backyard of WHO .
The same day, at the consultation meeting on the senior level, the professor JohnMackenzie of University of Science and Technology of Australian subject court giving a report on behalf of WHO's accident committee has expressed with old different views publicly.
"After participating in attracting public sight in too much focus and politician, (first type) The epidemic situation of influenza has already been excessively played up. "
John is inclined to the patient with influenza symptom, have a rest at home for two or three days, observe whether the condition is aggravated, and take some antiviral medicines by oneself, " though this is influenza never met in the past, but most people's symptom is all lighter in the existing case, there are greater relations between serious case and patient's own health status. "
More experts of WHO have supported Margaret Chan. At early May, WHO expert panel published on famous Science to potential prediction report that can work out in advance which propagates ability of H1N1 virus. According to calculating, the virus had already spread in Mexico through human of 14 to 73 generations before May, for this purpose, its ability of spread is obviously higher than seasonal influenza, and similar to lower estimated value of the large-scale influenza in the past.
The research is through propagating the modeling of the data to first type influenza, great influenza was compared with research to 1918, 1957, and combine genetic analysis and epidemiology and analyze that draws the conclusion.
Under the present state, because estimating a lot of uncertainties in advance to virus severity, incline to take the resolute measure. Whether cannot know to influence each other with seasonal influenza either in first type influenza. The development in future spread strength, antigen, toxicity and antibody of epidemic virus including H1N1 is very difficult to be predicted by the known fact.
4 WHO faces the difficult choice
The staff reporter learns, in July of 2009, will be assisted from Chinese Government, will hold first type influenza and prevent and control the coordination committee in China, push into the frame of global influenza prevention and control.
About the further negotiation result of the frame of prevention and control, still need to wait for January of 2010, the report in the 126th Meeting of executive committee of WHO.
The staff reporter learns, in July of this year, will be assisted from Chinese Government, will hold first type influenza and prevent and control the coordination committee in China, so as to advance the frame step of prevention and control of global influenza to work in coordination with.
But at the time of the sudden crisis of experience, it can be seen that the existing short board of frame of global influenza prevention and control is clear.
The frame of global influenza prevention and control is WHO since 2007 " Bird flu " Adopt many negotiations, a series of file resolution which coordinate forming among every government of member state after happening suddenly.
It is on January 19 this year to refer to the associated documents draft that the representitives of various countries discuss at WHO conference this year, the serial number is A62/5Add.1. Still of the file in order to discuss, as the original version, among them transfer etc. to intellectual property right and standard biomaterial " The technology is connected " Already basically consensus.
But is named as <
Have not had newer filed that has made after the conference yet either this year. According to WHO current " International Health Regulations " (2005 edition, get up to carry out in 2007) Regulation,which unify behavioral in various countries range poles main when lasting ranking.
In the guidance scheme among 5-6 grades, answer and " implements the measure of reducing social activity and is exposed to to the social first class measure of the influenced country, if suspend classes and adjust the work pattern temporarily; Propose reducing and travel and relieve the crowded public transit transportation system; Assess and determine whether should cancel, limit or change the public conference " . Guidance scheme of 6 grades thinks the word of the relevant measure in absolute terms, input the venereal disease example the country that influences hoping more before 62 conferences WHO will warn the rank to promote to be superfine, but the country propagated here worries economy is damaged.
"6 grades have very clear the whole world to spread the sign to warn representatives, will have a lot of corresponding segregation actions, it will initiate the fear, criticism of the suitable intensity if improper. "
Offer two (KeijiFukuda) in World Health Organization's health and assistant secretary general of the environmental security agent Feitian Deliver talking and expressing, every member state chooses their own public health policies really just as it needed on May 26, WHO show, support, " whether the intersection of various countries and concrete the intersection of prevention and control and mechanism how define important much rank compared with the public's consciousness " .
In vaccine and antiviral medicine are produced and assigned, WHO needs to equilibrate each side's interests, it is only the first step that Margaret Chan meets with Pan Ki-moon vaccine manufacturers during WHO conference.
Margaret Chan has already promised to low-income member state, the antiviral medicine in WHO's urgent stock will be offered to 72 less developed countries in advance, and will accelerate needing the supply level of the medicine badly.
Look for abundant donors under the economic crisis, guarantee to obtain enough membership dues, let less developed countries get enough medical resources before spreading in the epidemic situation, it is a more complicated problem.
Even if vaccine make smoothly, how about store, where to store in the game among countries. The reserve of vaccine of bird flu is planned until February of this year, it is relevant to be made by cooperating with WHO by Gates foundation and store the programme, it is uncertain to store the place specifically.
WHO especially proposes needing to find the government, organize one at this point " The plural cooperation route " . The most key problem is, how WHO promotes every member state to communicate under the current mechanism, clarify power and responsibility, avoid shirking one's responsibility each other. Criticizing must change more than the situation of cooperation.
Wait to test in everything, just as what special minutes of meeting have said: "Present influenza epidemic situation, the ones that can only be confirmed are that everything is uncertain. "
(The source of this text: Economy reports the author in the 21st century: Beautiful clothing roc Deng)
Global influenza is collapsing in coordination with the frame of prevention and control
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