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PANDEMIC PREPAREDNESS INFLUENZA A VIRUS (H7N9) UNIPSIL /UNCTDr Sam Kanyili Mathiu Chief Medical Officer April 2013
Types of Flu • There are many different types of ‘flu’ • viruses. • Their common characteristic is that they are usually host-specific.
Avian flu - bird flu viruses normally only infect birds and some animals hence are referred to as zoonotic infections • Seasonal flu – Is caused by a human virus that has a cyclic or seasonal pattern • Pandemic flu - caused by a new strain of virus. And because few people have immunity to this new virus strain, it can spread quickly to infect big numbers of humans.
AVIAN VIRUSES • They are normal flora of wild birds intestines but can cause severe and lethal infections in some birds especially the domestic ones - chicken, ducks, and turkeys. • Sometimes the virus can also infect pigs and human beings. If it spreads efficiently and sustainably among humans, then a pandemic occurs.
MODE OF SPREAD AVIAN FLU • Through direct contact with infected poultry (chicken, ducks & turkeys). • Through surfaces contaminated with secretions and droppings from infected birds. • Easy transmission from person to person, through droplets expelled from nose and mouth of infected person on coughing, sneezing or any other mode of exchange of respiratory fluids.
H7N9 • H7N9 is one of a subgroup of influenza viruses that normally circulates among birds. This is the first time that this virus has been identified in human. The exact source of infection, reservoir and mode of transmission of the virus are unknown • There is limited information about the disease scope and the source of exposure. The disease is of concern because most patients have been severely ill.
There is no indication so far that it can be transmitted between people, but both animal-to-human and human-to-human routes of transmission are being actively investigated. • As of yesterday 17 April 2013, there were 63 confirmed cases, with 14 deaths attributable to H7N9 in China.
CLINICAL MANIFESTATIONS • Sudden onset of fever over 38* C • Headache • Aching in muscles • Exhaustion and weakness • Loss of appetite • Sore throat • Dry cough • Runny or stuffy nose • Respiratory distress
GENERAL INFO ON H7N9 • WHO has indicated that there is no evidence of ongoing human-to-human transmission and no need for any special screening on borders nor travel and trade restrictions. • All duty stations/offices should remain at Level 1 Readiness Mode • Plans are to be formulated and updated in the context of the local/national authorities’ pandemic or medical plans based on risk assessments.
MEDICAL PREPAREDNESS • Level 1: Readiness Mode (WHO 1-3) Prepare, review and continuously update medical response plans and strategies. • Level 2: Crisis Response Mode (WHO 4-5) Confirmed new outbreaks causing human cases outside the region/country. Urgent scaling up of all preparedness actions; testing of medical response procedures
Level 3: Emergency Mode (WHO 5-6) • Human cases/outbreaks in the region/ country. • Full implementation of medical response measures required
OBJECTIVES of PREPAREDNESS • Minimize the impact of influenza pandemic on health and safety of staff • Maintain and ensure operational capacity of the UN during a pandemic situation • Build capacityamong staff in order to better cope with a pandemic • Collaborate with National Authorities and stakeholders in preparedness efforts
UNJMS STOCK PILES • Pandemic Vaccine: Currently not available. It takes 4-6 months to develop it • Antivirals ( Tamiflu): Enough stocks from the previous anticipated H1N1 • PPEs: Enough stocks from previous H1N1 • Seasonal Influenza Vaccine: We can easily procure some doses and then continue to promote and facilitate annual seasonal influenza vaccination
HEALTH MEASURES FOR UNIPSIL/UNCT STAFF • Awareness among staff to be raised in regards to pandemic prevention strategies of personal hygiene. • PPE are available in stock for staff in high risk categories and the staff are trained in their proper use and disposal.
Information circulars, brochures and posters to be distributed once ready. • Travelers to be issued advisories and precautionary information.
COMMUNICATION/ TRAINING • Staff will continue to receive updates on the status of the pandemic and preparedness activities • Presentation materials are being developed for future briefings and communication initiatives. • Materials to support pandemic response are being developed for dissemination to all staff.
Thank you ???