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The Domestic and International Impacts of the 2009-H1N1 Influenza A Pandemic: Global Challenges, Global Solutions: Workshop Summary (2010)
Board on Global Health (BGH)

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. "A13 Influenza (H1N1) Pandemic 2009." The Domestic and International Impacts of the 2009-H1N1 Influenza A Pandemic: Global Challenges, Global Solutions: Workshop Summary. Washington, DC: The National Academies Press, 2010.

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The Domestic and International Impacts of the 2009-H1N1 Influenza a Pandemic: Global Challenges, Global Solutions - Workshop Summary
FIGURE A13-3 Temporal presentation of cases and contacts in the school population under study, May 16-31, 2009 (n = 102).

FIGURE A13-3 Temporal presentation of cases and contacts in the school population under study, May 16-31, 2009 (n = 102).

SOURCE: Ministry of Health National Surveillance System.

estimated that the transmission to close contacts at home was 1.1 percent versus 8.7 percent in school. It was also found that the incubation period at school was 48 hours and that dissemination rate was R0 = 2.4.

By that time a large number of schools that had been affected or were highly suspected to be affected were identified, given the high interaction of students in extracurricular programs ranging from academics to sports and social activities (Figure A13-4).

Based on the school data and the estimated population of schools north of Greater Buenos Aires, Ciudad Autónoma de Buenos Aires (CABA), a mathematical model estimated that of 100,000 people, 8,000 cases would appear in 13 days, which would be sufficient for spread through the general population. For this reason, the national health authorities recommended closing schools from June 8th to 19th in the indicated area. Unfortunately, this did not happen because health and education authorities in these jurisdictions did not believe the measure was appropriate.

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Front Matter (R1-R22)
Workshop Overview (1-94)
Appendix A1 Technical Report for State and Local Public Health Officials and School Administrators on CDC Guidance for School (K-12) Responses to Influenza during the 2009-2010 School Year (95-110)
A2 Predicting Emerging Diseases in the Twenty-first Century: The Case of Zoonotic Influenza (111-119)
A3 The Spring 2009 Influenza A H1N1 Outbreak: A Local Public Health Perspective (120-136)
A4 I nternational Law and Equitable Access to Vaccines and Antivirals in the Context of 2009-H1N1 Influenza (137-154)
A5 In Vitro and In Vivo Characterization of New Swine-Origin H1N1 Influenza Viruses (155-190)
A6 Estimation of the Reproductive Number and the Serial Interval in Early Phase of the 2009 Influenza A⁄H1N1 Pandemic in the USA (191-207)
A7 The Severity of Pandemic H1N1 Influenza in the United States, from April to July 2009: A Bayesian Analysis (208-247)
A8 Hard Choices in Difficult Situations: Ethical Issues in Public Health Emergencies (248-268)
A9 Rumors of Pandemic: Monitoring Emerging Disease Outbreaks on the Internet (269-282)
A10 Preliminary Observation of the Epidemiology of Seasonal and Pandemic Influenza A (H1N1) in South Africa, 2009 (283-296)
A11 Reflections on the 1976 Swine Flu Vaccination Program (297-305)
A12 Southern Hemisphere, Northern Hemisphere: A Global Influenza World (306-326)
A13 Influenza (H1N1) Pandemic 2009 (327-341)
A14 Origins and Evolutionary Genomics of the 2009 Swine-Origin H1N1 Influenza A Epidemic (342-380)
Appendix B Agenda (381-385)
Appendix C Acronyms (386-388)
Appendix D Glossary (389-396)
Appendix E Forum Member Biographies (397-418)