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Influenza A/H1N1_09: Australia and New Zealand's Winter of Discontent


Kotsimbos, T and Waterer, G and Jenkins, C and Kelly, PM and Cheng, A and Hancox, RJ and Holmes, M and Wood-Baker, R and Bowler, S and Irving, L and Thompson, P, Thoracic Society of Australia and New Zealand H1N1 Influenza 09 Task Force, Influenza A/H1N1_09: Australia and New Zealand's Winter of Discontent, American Journal of Respiratory and Critical Care Medicine, 181, (4) pp. 300-306. ISSN 1073-449X (2010) [Refereed Article]

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Copyright Statement

Copyright 2010 American Thoracic Society

DOI: doi:10.1164/rccm.200912-1878CP


Influenza A/H1N1_09 emerged in Mexico at the end of the Northern Hemisphere winter.Within weeks, the focus shifted to the Southern Hemisphere as the introduction of the novel virus coincided with the beginning of theinfluenzaseason. Intensive public healthandhealth services planning had occurred in Australia and New Zealand as preparation for an influenza pandemic before 2009. However, this first pandemic wave was quite different to what had been expected. Key elements of the pandemic and response are outlined from the perspective of clinicians working at the frontline of patient care. In particular, they examine why past influenza pandemics and recent history are poor predictors of the current pandemic, the discordance between potential for transmission and disease severity, the broad clinical spectrum of H1N1_09 infection, clinical and health service management issues, and the relationship between health care and government policy. Finally, they address the need for the respiratory community to show leadership in times of crisis. Lessons learned in Australia and New Zealand during 2009 have important messages for similarly resourced countries in the Northern Hemisphere in the coming months as they face their own influenza season.

Item Details

Item Type:Refereed Article
Keywords:Influenza A/H1N1_09; southern hemisphere; pandemic response plan; clinical perspective; health care policy
Research Division:Biomedical and Clinical Sciences
Research Group:Cardiovascular medicine and haematology
Research Field:Respiratory diseases
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Wood-Baker, R (Professor Richard Wood-Baker)
ID Code:65370
Year Published:2010
Web of Science® Times Cited:36
Deposited By:Menzies Institute for Medical Research
Deposited On:2010-11-10
Last Modified:2012-10-02

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