Showing posts with label Mexico. Show all posts
Showing posts with label Mexico. Show all posts

Thursday, May 7, 2009

Swine Flu ain't over till it's over

Right, a factory worker at a mask factory in the Philippines where production has tripled in the last few weeks.

Swine flu (H1N1) is still with us despite the sharp fall off in media interest. Yesterday, I had to watch main news channels for ten minutes or so before the pandemic was mentioned, if at all. One news editor told me he instructed his journalists to ‘give up on swine flu. It’s a story that’s going nowhere’.

I have heard doubts and even criticism expressed from some quarters on ‘scare-mongering’ or ‘crying wolf’. What is it about human nature? Do we really want the ‘proof’ of a lethal pandemic before our eyes till we truly kick into action? Is it not in our DNA make-up to tackle life-threatening events before they happen if we are lucky and wise enough to act early based on clear warning signs?

Deliberately or not the media has contributed to a misperception that the threat has faded. This shows little respect or understanding for the nature of pandemics and could even undo all the good prevention and mitigation work that has taken root in many countries up to now.

A real and present scenario is that the current strain of H1N1 will go underground and reappear with a vengeance during the northern hemisphere’s winter influenza season in a few months time. There are many other equally unappealing scenarios.

It seems now that pigs are basically Petri dishes for the virus and not just direct transmitters. The case in Canada where infected humans passed the virus to pigs and back again proves this. What will be the scenario if this happens in Asia where avian influenza (H5N1) is still very much around. What mutant scenario will we get if these two hook up? 

In the hard-fought business of preventive health you have to base your reasoning on a whole range of scenarios. We do not have the luxury to wait till our scenarios play out, say “Told You So” and head home to wait it out in a bunker.

Now is the time to take action. We don’t need to sit around to see ‘what if’. We are programmed to prevent ‘what if’ and that is a good strategy (and a good investment) even if at times the highly unpredictable out-maneuvers us or evaporates into the ether.

Understandably, Mexico, which has absorbed a lot of media inquiry and its fair share of bad press, is keen to portray a return to pre-outbreak stability. But we are not there yet. All you have to do is look at the figures. The number of confirmed cases has more than doubled around the world since last week, as has the number of countries where swine flu (or H1N1) is now prevalent. In Spain there are some 80 confirmed cases and the UK is not far behind. In all probability these numbers are far higher. Why? Because confirmed cases are based on the capacity of laboratories to diagnose, not on the reality as such.

 Swine Flu about to “take off”

The renowned medics at International SOS had an interview with Professor John Oxford yesterday. He confirmed that, over the last 2 days, the influenza H1N1 virus has been behaving in the UK as predicted by previous mathematical models. That is, the virus is scattered over the country due to multiple introductions. 

In keeping with those models, he expects that the virus will suddenly "take off" in the UK in about 5 weeks. On the issue of severity, Professor Oxford believes that it is likely to get worse, not better. He does not think that it will "peter out". The Professor’s credentials are also worth noting. He is Professor of Virology at St Bartholomew's and the Royal London Hospital, Queen Mary's School  of Medicine and Dentistry, and is Scientific Director of Retroscreen Virology (pictured above, a ballet class in Hong Kong).

Meanwhile, today in Paris, far from the media glare, leaders from more than 30 Red Cross societies from all over the world met to discuss the current influenza outbreak and seek ways to better prepare and respond to the threat of a global pandemic. They were joined by representatives from partner organizations, including UN agencies.

Our Secretary General, Bekele Geleta stated clearly that “it is too early to claim victory over the H1N1 virus and we must remain vigilant, especially in case the virus comes again in a few months with renewed strength. We can never be too prepared to face such a threat.” 

Another colleague, an expert in pandemics and health emergencies said it another way: It ain't over till it's over. So, when it comes to pandemics, its Head Down Eyes Open all the way to the winning vaccine.

/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