Studies Needed to Address Public Health Challenges of the
2009 H1N1 Influenza Pandemic:
Insights from Modeling
Maria D. Van Kerkhove1*, Tommi
Asikainen2, Niels G. Becker3, Steven Bjorge4, Jean-Claude Desenclos5, Thais dos
Santos4, Christophe Fraser1, Gabriel M. Leung6, Marc Lipsitch7, Ira M. Longini,
Jr.8,9, Emma S. McBryde10, Cathy E. Roth4, David K. Shay11, Derek J.
Smith12,13,14, Jacco Wallinga15,16, Peter J. White1,17, Neil M. Ferguson1,
Steven Riley18
PLoS Med 7(6): e1000275. doi:10.1371/journal.pmed.1000275 – June 2010
Available online at:
http://bit.ly/aiPbox
“……The emergence
and global spread of a novel strain of human influenza A/H1N1 during 2009
(pandemic [H1N1] 2009 influenza, or H1N1pdm) has highlighted the importance of
data from both detailed outbreak investigations and population surveillance for
the support of public health decision making.
For example, public health
organizations in several countries undertook detailed case investigations to build
databases of the first few hundred cases, which include laboratory confirmation
status, age, relative severity, exposure history, onset of symptoms, and
contact history (for example, the UK First Few Hundred project [1]).
Descriptive analyses of such data
allowed decision-makers to conclude rapidly that the disease caused by the
novel strain was relatively mild for the
majority of confirmed cases and that
it was being transmitted efficiently between children…”
WHO Informal Network
for Mathematical Modelling for Pandemic Influenza H1N1 2009 (Working Group on
Data Needs)
1 MRC Centre for Outbreak Analysis
and Modelling, Imperial College London, United Kingdom, 2 European Centre for
Disease Prevention and Control, 3 National Centre for Epidemiology and
Population Health, The Australian National University, Canberra, Australia, 4
World Health Organization, 5 Institut de Veille Sanitaire, Saint Maurice, France,
6 Food and Health Bureau, Government of Hong Kong SAR, Hong Kong SAR, 7 Center
for Communicable Disease Dynamics and Department of Epidemiology, Harvard
School of Public Health, Boston, Massachusetts, United States of America, 8
Center for Statistics and Quantitative Infectious Disease (CSQUID), Vaccine and
Infectious Diseases Institute, Hutchinson Research Center, Seattle, Washington,
United States of America, 9 Department of Biostatistics, University of
Washington, School of Public Health, Seattle, Washington, United States of
America, 10 Victorian Infectious Diseases Service, Royal Melbourne Hospital,
Melbourne, Victoria, Australia, 11 Influenza Division, US Centers for Disease
Control and Prevention, Atlanta, Georgia, United States of America, 12
Department of Zoology, University of Cambridge, Cambridge, United Kingdom, 13
Erasmus Medical Center, Department of Virology, Rotterdam, The Netherlands, 14
Fogarty International Center, National Institutes of Health, Bethesda,
Maryland, United States of America, 15 National Institute of Public Health and
the Environment (RIVM), Centre for Infectious Disease Control, Bilthoven, The
Netherlands, 16 University Medical Center Utrecht, Division Julius Center for
Health Sciences and Primary Care, Utrecht, The Netherlands, 17 Modelling and Economics
Unit, Health Protection Agency Centre for Infections, London, United Kingdom,
18 School of Public Health and Department of Community Medicine, The University
of Hong Kong, Hong Kong SAR
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