Abstract:
:The failure to contain pandemic influenza A(H1N1) 2009 in Mexico has shifted global attention from containment to mitigation. Limited surveillance and reporting have, however, prevented detailed assessment of mitigation during the pandemic, particularly in low- and middle-income countries. To assess pandemic influenza case management capabilities in a resource-limited setting, the authors used a health system questionnaire and density-dependent, deterministic transmission model for Bali, Indonesia, determining resource gaps. The majority of health resources were focused in and around the provincial capital, Denpasar; however, gaps are found in every district for nursing staff, surgical masks, and N95 masks. A relatively low pathogenicity pandemic influenza virus would see an overall surplus for physicians, antivirals, and antimicrobials; however, a more pathogenic virus would lead to gaps in every resource except antimicrobials. Resources could be allocated more evenly across Bali. These, however, are in short supply universally and therefore redistribution would not fill resource gaps.
journal_name
Asia Pac J Public Healthjournal_title
Asia-Pacific journal of public healthauthors
Adisasmito W,Hunter BM,Krumkamp R,Latief K,Rudge JW,Hanvoravongchai P,Coker RJdoi
10.1177/1010539511421365subject
Has Abstractpub_date
2015-03-01 00:00:00pages
NP713-33issue
2eissn
1010-5395issn
1941-2479pii
1010539511421365journal_volume
27pub_type
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