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    The elusive definition of pandemic influenza

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    Author
    Doshi, Peter
    Date
    2008-07-01
    Publisher
    World Health Organization
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://www.ncbi.nlm.nih.gov/pubmed/21734768
    Abstract
    There has been considerable controversy over the past year, particularly in Europe, over whether the World Health Organization (WHO) changed its definition of pandemic influenza in 2009, after novel H1N1 influenza was identified. Some have argued that not only was the definition changed, but that it was done to pave the way for declaring a pandemic. Others claim that the definition was never changed and that this allegation is completely unfounded. Such polarized views have hampered our ability to draw important conclusions. This impasse, combined with concerns over potential conflicts of interest and doubts about the proportionality of the response to the H1N1 influenza outbreak, has undermined the public trust in health officials and our collective capacity to effectively respond to future disease threats. WHO did not change its definition of pandemic influenza for the simple reason that it has never formally defined pandemic influenza. While WHO has put forth many descriptions of pandemic influenza, it has never established a formal definition and the criteria for declaring a pandemic caused by the H1N1 virus derived from "pandemic phase" definitions, not from a definition of "pandemic influenza". The fact that despite ten years of pandemic preparedness activities no formal definition of pandemic influenza has been formulated reveals important underlying assumptions about the nature of this infectious disease. In particular, the limitations of "virus-centric" approaches merit further attention and should inform ongoing efforts to "learn lessons" that will guide the response to future outbreaks of novel infectious diseases.
    Citation
    Doshi, P. (2008). The elusive definition of pandemic influenza. Bulletin of the World Health Organization. 89(7):532-8. DOI: 10.2471/BLT.11.086173
    Keyword
    Humans
    Influenza A Virus, H1N1 Subtype
    Influenza, Human--epidemiology
    Influenza, Human--virology
    Pandemics
    Semantics
    World Health Organization
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/6669
    ae974a485f413a2113503eed53cd6c53
    10.2471/BLT.11.086173
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    Dr. Peter Doshi

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