Limits...
Capacity of Thailand to contain an emerging influenza pandemic.

Putthasri W, Lertiendumrong J, Chompook P, Tangcharoensathien V, Coker R - Emerging Infect. Dis. (2009)

Bottom Line: We found that gaps exist in many resource categories, even under scenarios in which few cases occur.Such gaps are likely to be profound if a severe pandemic occurs.Alternatively, explicit assumptions must be made regarding allocation of scarce resources, standards of care, and priority setting during a pandemic.

View Article: PubMed Central - PubMed

Affiliation: International Health Policy Programme, Ministry of Public Health, Nonthaburi, Thailand.

ABSTRACT
Southeast Asia will likely be the epicenter of the next influenza pandemic. To determine whether health system resources in Thailand are sufficient to contain an emerging pandemic, we mapped health system resources in 76 provinces. We used 3 prepandemic scenarios of clustered cases and determined resource needs, availability, and gaps. We extended this analysis to a scenario of a modest pandemic and assumed that the same standards of clinical care would be required. We found that gaps exist in many resource categories, even under scenarios in which few cases occur. Such gaps are likely to be profound if a severe pandemic occurs. These gaps exist in infrastructure, personnel and materials, and surveillance capacity. Policy makers must determine whether such resource gaps can realistically be closed, ideally before a pandemic occurs. Alternatively, explicit assumptions must be made regarding allocation of scarce resources, standards of care, and priority setting during a pandemic.

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Related in: MedlinePlus

Density of selected health system resources available for pandemic influenza across provinces, Thailand. A) Surveillance and rapid response team personnel; B) internal medicine physicians; C) critical care nurses.
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Related In: Results  -  Collection


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Figure 1: Density of selected health system resources available for pandemic influenza across provinces, Thailand. A) Surveillance and rapid response team personnel; B) internal medicine physicians; C) critical care nurses.

Mentions: The differences in resource availability across provinces are illustrated through 7 selected resources (Figures 1, 2). These selected resources offer insights into the geographic variations in preparedness in relation to surveillance capacity (surveillance and rapid response team [SRRT] personnel), case investigation capacity (SRRT, internal medicine doctors), case-patient treatment capacity (oseltamivir treatment courses, respirators, critical care nurses), and capacity to prevent spread of disease in the community (negative-pressure rooms, isolation rooms, surgical masks).


Capacity of Thailand to contain an emerging influenza pandemic.

Putthasri W, Lertiendumrong J, Chompook P, Tangcharoensathien V, Coker R - Emerging Infect. Dis. (2009)

Density of selected health system resources available for pandemic influenza across provinces, Thailand. A) Surveillance and rapid response team personnel; B) internal medicine physicians; C) critical care nurses.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2666290&req=5

Figure 1: Density of selected health system resources available for pandemic influenza across provinces, Thailand. A) Surveillance and rapid response team personnel; B) internal medicine physicians; C) critical care nurses.
Mentions: The differences in resource availability across provinces are illustrated through 7 selected resources (Figures 1, 2). These selected resources offer insights into the geographic variations in preparedness in relation to surveillance capacity (surveillance and rapid response team [SRRT] personnel), case investigation capacity (SRRT, internal medicine doctors), case-patient treatment capacity (oseltamivir treatment courses, respirators, critical care nurses), and capacity to prevent spread of disease in the community (negative-pressure rooms, isolation rooms, surgical masks).

Bottom Line: We found that gaps exist in many resource categories, even under scenarios in which few cases occur.Such gaps are likely to be profound if a severe pandemic occurs.Alternatively, explicit assumptions must be made regarding allocation of scarce resources, standards of care, and priority setting during a pandemic.

View Article: PubMed Central - PubMed

Affiliation: International Health Policy Programme, Ministry of Public Health, Nonthaburi, Thailand.

ABSTRACT
Southeast Asia will likely be the epicenter of the next influenza pandemic. To determine whether health system resources in Thailand are sufficient to contain an emerging pandemic, we mapped health system resources in 76 provinces. We used 3 prepandemic scenarios of clustered cases and determined resource needs, availability, and gaps. We extended this analysis to a scenario of a modest pandemic and assumed that the same standards of clinical care would be required. We found that gaps exist in many resource categories, even under scenarios in which few cases occur. Such gaps are likely to be profound if a severe pandemic occurs. These gaps exist in infrastructure, personnel and materials, and surveillance capacity. Policy makers must determine whether such resource gaps can realistically be closed, ideally before a pandemic occurs. Alternatively, explicit assumptions must be made regarding allocation of scarce resources, standards of care, and priority setting during a pandemic.

Show MeSH
Related in: MedlinePlus