Showing posts with label Influenza. Show all posts
Showing posts with label Influenza. Show all posts

Thursday, April 30, 2009

Swine Flu gets a High Five


Whatever your view on Swine flu (which we now officially call H1N1) my reality is that it has taken up all my waking hours (and extended them) over the last week. I haven't had lunch since last Friday and there are journalists following this story with a dedication I have rarely witnessed. What is it that grips the collective imagination to such an extent? The Spanish flu of 1918 / 1919, which laid waste to an impressive 40 million people, is certainly a harrowing lesson of our time but really, how many people truly knew about it last week? (In fact, some accounts claim that as many as 100 million perished).

But how much has our world changed since 1919? How much has our world changed since 1999 for God's sake? Last night, at 22h00 Geneva time the World Health Organization (WHO) raised the global alert to level five. Again, people and journalists (often one and the same) who last week knew little about WHO, never mind phase four or five, are now providing sensational and, sorry to say, hysterical commentary. 

What we really need, in my view at least, is a sense of perspective. At the same time I fully acknowledge we also need people to consider and plan for the worst case scenarios. And this is very much part of our daily modus operandi if truth be told. Disaster preparedness has to consider the gloomiest possibilities, else it will not work.

There is a human need to know the "what if" and the "worst case". If you doubt me just tune in to your nearest tv station and chances are it will be betting on millions of us falling about out of our minds on nature's latest toxic creation a.k.a. swine flu a.ka. H1N1.

Today at 14h Geneva time, we went to the international media to present our plans for scaling up and our sober analysis. Four Red Cross people talking to more than 50 journalists from Geneva's international press corps, including 6 different TV stations. Some even carried live on major news channels like Sky and repeated on a number of other major media afterwards. So, what did we have to say that is so different?

On one side we concur with WHO's analysis about taking the situation seriously - how could you not? On the other hand we feel calm and even confident. Never has the world been so well prepared for a global pandemic. We know that more than 70% of our national Red Cross and Red Crescent societies are already active, contributing to reducing the risk of pandemic in their countries. Next week this figure will most likely be closer to 100%. 

And this is our niche. WHO provides the global guidance if you like, the Science. We, and many other governmental and civil society partners at the national and community level, carry out the much-needed efforts on the ground to drive the message home, coordinate efforts on the ground, deliver protective gear and advice and promote "respiratorial etiquette" (a wonderful phrase which I learned today - basically it means, don't cough in my face and I won't cough in yours).

It has been a real professional pleasure for me this week to be part of our crisis team, gearing itself up to support the global response of the international Red Cross. I have had the pleasure to work closely with some hugely experienced colleagues like Dr. Pierre Duplessis, our human influenza expert. Pierre is the former head of the Canadian Red Cross and has spearheaded our program to combat Avian flu over the last few years. A good guy to have in your corner, pandemic or not.

The situation has also provided an opportunity to reconnect with a former colleague, Marco Jimenez, in Mexico city, who has volunteered to report back for us and provide photographs so we can keep our worldwide network informed and provide some authentic images and stories to the world's media. 

When I worked in Sudan, Marco was my handler in Geneva and plenty of sparks flew. That was 5 years ago or so and now our roles are somewhat switched - and this time we were hooked up through facebook. 

There is no doubt that we are in a serious situation but we need to address it calmly, reassured in the knowledge that we have never been so well prepared. We have never had such early warning and early action. As far as I know all cases (more or less) have originated in Mexico and no more than a few dozen confirmed elsewhere. If we fail to prepare we prepare to fail - this is a truism and this is our thinking right now. And its Roy Keane's motto - and your a braver person than me if you take issue with his philosophy.

WHO is right when it advises that we are beyond containment. But we are absolutely not beyond mitigation and organizations such as the Red Cross will certainly make a massive difference in reducing the impact. Let's go about our business cooly and calmy, confident in our capacities to make a difference. Confident in knowing that we have learned some positive lessons from recent pandemic scares. Confident in our own common sense. Perspective is a good ally in such sensationalistic times.  

Btw; for the latest updates on H1N1 around the world, I highly recommend the Veratect twitter feed - the first with the latest for my money: http://twitter.com/veratect

/PC

Monday, April 27, 2009

Outbreak of Swine Flu grips the world

I have been in crisis mode all weekend and today. Busy providing support and guidance to our global membership and operations on how to communicate about the emergency of the so-called swine flu in Mexico. As I write, cases are now confirmed in the US, Canada, New Zealand and Spain with many other reported cases from around the world.

We can also imagine that surveillance and monitoring capacities in developing countries will mean that alot of swine flu cases may go undetected. It has been a very interesting experience working closely with our health experts, liasing with the World Health Organization (WHO), all in an attempt to get our messaging right and to provide good support to our member Red Cross and Red Crescent around the world.

At the start of such a potential pandemic it is generally advised to exercise caution in your public communication and not to contribute to any destabilizing over-reaction or panic due to sensational messages. At times like this it is usually advisable to stick to the science and leave the hyperbole to the tabloids.

At times like this it is also gratifying to see how crucial and effective organizations such as WHO and CDC are in providing the knowledge and direction for a global response to what is in reality a potentially severe and life-threthening pandemic which will be extremely difficult to stop.

This is the gist of our public communication issued first thing today in Geneva - alot more expected on this topic which has truly gripped the media and public's imagination.

IFRC: Swine flu outbreak is “a situation of immediate and serious concern”
27 April 2009

The confirmed Swine Flu outbreak in Mexico, and the reported cases in the United States, Canada, Brazil, The United Kingdom, France, Spain, Israel, Australia and New Zealand, is a situation of serious concern for the International Federation of Red Cross and Red Crescent Societies (IFRC). The IFRC shares the World Health Organization’s analysis that there is a potential for swine flu to develop into a global pandemic affecting a much larger geographical area of the world.

“This is a situation of immediate and serious concern,” says Bekele Geleta, Secretary General of the IFRC, “Our national Red Cross and Red Crescent societies, supported by IFRC health specialists, and working closely with their governments at the national level, are on full global alert. We will spare no resources in tackling this threat full on.”

In Mexico, the most affected country so far, Mexican Red Cross put its volunteers from 486 local branches in high alert, working closely with the authorities to limit the spread of the disease.

The worldwide network of Red Cross and Red Crescent has invested heavily in recent years in pandemic preparedness and provides a solid foundation at the community level to expedite critical alerts and actions. This is a key contribution to a well coordinated response at the local level that is in line with global priorities as well as existing practices and recommendations at the national level.

In addition, the IFRC has the ability to swiftly mobilize well-trained volunteers based in communities at risk which is a vital capability when dealing with pandemic threats. “At this moment in time we are on full alert” according to Dominique Praplan, head of the IFRC’s health department in Geneva, “and are preparing for all eventualities”.

“The best case scenario right now would be for national level epidemics to be managed which would lessen the likelihood of a widespread global pandemic. The worst case scenario is for the epidemic to develop into a severe, potentially life-threatening pandemic. If this transpires,” says Praplan, “the IFRC will apply the full vigour and commitment of its resources and expertise to join a global effort”.

If the threat of pandemics is to be effectively reduced it requires the international community to work in partnership. The IFRC works in close coordination with the World Health Organization, other United Nations agencies and with the International Committee of the Red Cross (ICRC) at regional and global levels, to ensure a complementary approach.


/PC