1 10/2007 Institut Pasteur de Nouvelle-Calédonie Response to pandemic (H1N1) 2009 New Caledonia’s experience Dr Ann-Claire GOURINAT Institut Pasteur de.

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Presentation transcript:

1 10/2007 Institut Pasteur de Nouvelle-Calédonie Response to pandemic (H1N1) 2009 New Caledonia’s experience Dr Ann-Claire GOURINAT Institut Pasteur de Nouvelle-Calédonie National Influenza Centre

Institut Pasteur de Nouvelle-Calédonie New Caledonian influenza particular background French territory located in the Pacific, inhabitants Regularly confronted with the south hemisphere seasonal influenza epidemic (june-august) NC regularly confronted with the north hemisphere seasonal influenza epidemic (december-february) Many exchanges with Autralia and NZ

Institut Pasteur de Nouvelle-Calédonie Health authorities strategie and evolution of the (H1N1) pandemia: - Airport screening (thermal camera) - Symptomatic travellers : isolation / laboratory investigation - Exposed travellers : self health monitoring and illness reporting MayJuneJulyAugust 26 June : - First positive case (NZ traveller) - isolation + oseltamivir - prophylaxis for contact - cruise ship sreening ! 13 July : - First community case in Noumea - isolation home/hotel + oseltamivir - opening Influenza treatment centre (2) - - First school closure - ICU cases - Absenteeism workplace  (mother stay home to look after childs) - Stop school closure - Oseltamivir prescription:. GP. Risk factors, severe cases - End of airport screening

Institut Pasteur de Nouvelle-Calédonie Data on pandemic (H1N1) 2009 as at 14 August 311 cases (H1N1) pandemic confirmed : 45 imported : 28 Australia, 14 NZ, 1 Philippines, 1 Fidji, 1 de French Polynesia 10 cases related to imported (CLCI) 250 community cases (CL) 409 negatives with 24 A seasonnal flu (H3N2/H1N1) 720 Samples tested from May 2009 (CDC’s RT-PCR) :

Institut Pasteur de Nouvelle-Calédonie Organization of the Sentinel Network and Flu Center treatment (FCT)IPNC - FCT and Hospital samples : RT-PCR - Sentinel centers and pediatrics samples : RT-PCR and IF (A and B influenza, RSV, ADV, PIV3) - - ITC (2 in Noumea located near the main hospitals) - sentinel centers :  Nouméa : 1  South-NC: 3  North-NC: 4  Loyalty Islands: 3 - Hospital Samples MTV +/- swabs WHO Collaborating Centre for Reference and Research on Influenza Positive (H1N1) pandemic and seasonal A influenza specimens Data : - Health authorities (DASS NC) - FluNet - Wallis and Futuna Ethanol preserved samples