1. Pandemic Response and Activities: Bangladesh Mr. Barun Dev Mittra, Additional Secretary, Ministry of Health and Family Welfare Dr. M Mushtuq Husain, PhD Senior Scientific Officer, IEDCR (NIC, Bangladesh) Dr. Be-Nazir Ahmed, Principal Scientific Officer, IEDCR (NIC, Bangladesh) Pandemic Response and Activities: Bangladesh

2. Pandemic Situation in Bangladesh Identification of first case: 18 th June, 2009 Total number of lab confirmed cases: 74 (19.08.09) Epidemiological features (36 cases) Primary cases (Returning from abroad): 24(66.7%) Secondary cases: 12 (33.3%) Age range: 1 to 46 yrs Male/ Female: 21 (58.3%)/ 15(41.7%) Number cured : 30 Number under treatment: 6 Pandemic Response and Activities: Bangladesh

3. Detection of Cases a.Through surveillance on ILI and S ARI i.Community surveillance ii.Hospital based surveillance iii.36 cases detected b.Through screening at Points of Entry (PoE): 4 cases detected c.Event based surveillance: a.Rapid Response Teams: National (1), District (64) and Sub-district (481) b.34 cases detected Pandemic Response and Activities: Bangladesh

4. Hospital based Influenza Surveillance: May 2007 to June 2009 Sample positivity S ARI and severe pneumonia Influenza Like Illness Sample collected4484707 Influenza positive 111(25%) 495 (11%) Influenza types Influenza A 110 (99%) 307 (62%) Influenza B 1 (1%) 188 (38%) Influenza types Influenza A (H1) 0 (0%) 137 (45%) Influenza A (H3) 110 (100%) 170 (55%) Influenza A (H5) 0 (0%) Pandemic H1N1 0 (0%)

5. Preparedness Establishment of Influenza ward/isolation units – 30 district general hospitals – 20 medical college and specialized hospitals – Formation of Pandemic Influenza Management Committees Lab facilities – test for Influenza A (H1N1) 2009 with real time RT-PCR in two labs – two BSL 3 labs (IEDCR and ICDDRB) are almost ready to start functioning Training – 5000 physicians, 150 lab medicine specialist, Red Crescent personnel Antiviral stock – Oseltamivir: 2.5 million capsules Pandemic Response and Activities: Bangladesh

6. Conclusion Strong rapid response teams Effective surveillance system A dedicated group at NIC Good collaboration and coordination: intra/inter national Managed the 38 pandemic cases, contact tracing professionally Has capability to handle up to several thousand cases with ease Challenges: – Constraint to increase surge capacity on a huge scale Pandemic Response and Activities: Bangladesh

7. Thank You Pandemic Response and Activities: Bangladesh