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(CAREC) PAHO/WHO Serving 21 Member Countries in the English and Dutch Speaking Caribbean 2009 Pandemic Influenza in CAREC Member Countries: Summary and Lessons Learnt Dr. Eldonna Boisson Caribbean Epidemiology Centre (CAREC/PAHO/WHO)
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Caribbean Epidemiology Centre (CAREC) PAHO/WHO Outline l Summary of 2009 influenza pandemic in CMCs l Respiratory illnesses in CMCs post pandemic l Lessons learnt from the influenza pandemic
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Caribbean Epidemiology Centre (CAREC) PAHO/WHO Summary of the influenza pandemic in CAREC Member Countries
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Caribbean Epidemiology Centre (CAREC) PAHO/WHO Influenza Pandemic in CAREC Member Countries l All 21 CAREC member countries reported laboratory confirmed cases of pandemic influenza A (H1N1) l Co-circulation of seasonal influenza A (H3N2 and H1N1) and influenza B
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Caribbean Epidemiology Centre (CAREC) PAHO/WHO
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Influenza Pandemic in CAREC Member Countries l Over 300 hospitalizations and 22 deaths l Region experienced two waves of pandemic l Second wave declined at the end of 2009 l No resistance to oseltamivir identified
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Caribbean Epidemiology Centre (CAREC) PAHO/WHO Respiratory illnesses post pandemic
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Caribbean Epidemiology Centre (CAREC) PAHO/WHO During 2010: l Co-circulation of pandemic influenza (H1N1), seasonal influenza A (H3N2) and influenza B at times l Influenza A(H3N2) was predominant type l Some RSV also circulating
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Caribbean Epidemiology Centre (CAREC) PAHO/WHO
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Lessons Learnt from the pandemic
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Caribbean Epidemiology Centre (CAREC) PAHO/WHO Pandemic Plans l Need to be prepared always, no comfort zone l Adequate intersectorial plan and planning is critical for each country l Plans require continuous evaluation and adaptation to meet the changing needs of the disease situation l Must include a vaccination strategy
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Caribbean Epidemiology Centre (CAREC) PAHO/WHO Surveillance and response l Has to be efficient and timely l Requires clinical, epidemiological and laboratory input in a collaborative manner l Surge capacity to support surveillance and response is essential l Surveillance for respiratory illnesses (NOT just pandemic influenza) needs to be strengthened
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Caribbean Epidemiology Centre (CAREC) PAHO/WHO Laboratory needs l Surge capacity for laboratory testing is essential l Reserves of laboratory supplies should be available prior to the influenza season. l A regional laboratory network is needed to support the detection of influenza and other respiratory illnesses.
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Caribbean Epidemiology Centre (CAREC) PAHO/WHO Communication l Public education and reassurance have to be continuous and at all levels of society l Sharing of experiences and technical information needs to be ongoing and is essential within and between countries
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Caribbean Epidemiology Centre (CAREC) PAHO/WHO Conclusion Caribbean Community responded well to a rapidly changing status of pandemic influenza Countries must be adequately prepared to identify and respond to other public health emergencies of international concern in the future with strong surveillance systems
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Caribbean Epidemiology Centre (CAREC) PAHO/WHO Thank you for your kind attention
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