Ethics and Preparedness Planning for an Influenza Pandemic

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In a press release on June 11, 2009, Dr. Margaret Chan, Director-General of the World Health Organization (WHO), announced the H1N1 influenza pandemic had been raised to a Phase 6 alert, the highest possible WHO classification (see Appendix A for WHO Alert phase descriptions). The WHO press release signaled the official start of the 2009 Influenza Pandemic (WHO, 2009) and public health officials, governments, emergency management planners and ordinary citizens may have feared that the world was facing a possible catastrophic event.

It was not until September 10, 2010 that the WHO declared the H1N1 influenza pandemic downgraded to the post-pandemic alert phase (WHO, 2010a). However, just because WHO declared the flu pandemic of 2009 – 2010 over does not mean H1N1 (commonly known as Swine flu) was eradicated – the virus is still present. Estimates at the end of the flu season in the spring and summer of 2010 put the range of the number of H1N1 deaths worldwide between 12,240 (CDC, 2010) and 18,097 (WHO, 2010b).

Although under 20,000 deaths due to H1N1 influenza in just one flu season is not insignificant, nor is the estimate of 26,000 deaths per year from “seasonal flu” (CDC, 2011), those numbers are not the millions of dead typically associated with an influenza pandemic and they do not represent the numbers used when planning for and discussing the next pandemic. Those numbers also do not represent all the consequences of the 2009 Influenza Pandemic either; millions of people were diagnosed, treated for and survived H1N1, as will no doubt be the case during the next flu pandemic. The range given by the Centers of Disease Control and Prevention for the total number of cases in the United States from April 2009 – March 201...

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...iage in the Event of an Influenza Pandemic. PhiSci Archive, University of Pittsburg. Accessed 2/19/2012

http://philsci-archive.pitt.edu/4208/

Thompson, A.K., Faith, K., Gibson, J.L. & Upshur, R. (2006). Pandemic influenza preparedness: an ethical framework to guide decision-making. BioMed Central. 7(12),

DOI: 10.1186/1472-6939-7-12

World Health Organization (WHO). (2009). World now at the start of the 2009 influenza pandemic. Accessed 2/19/2012 http://www.who.int/mediacentre/news/statements/2009/h1n1_pandemic_phase6_20090611/en/

World Health Organization. (2010a). H1N1 in post-pandemic period. Accessed 2/19/2012

http://www.who.int/mediacentre/news/statements/2010/h1n1_vpc_20100810/en/index.html

World Health Organization. (2010b). Weekly Update - Pandemic (H1N1) 2009 - update 101.

Accessed 2/19/2012 http://www.who.int/csr/don/2010_05_21/en/index.html

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