Home / Pandemic Preparedness - Why should I prepare for a Swine Flu Pandemic?
A flu pandemic is a flu outbreak of global proportions, which occurs when a flu virus acquires the ability to spread easily from person to person, in several countries around the world at the same time.
A pandemic flu virus, like A(H1N1), is a brand new virus originated from a sudden, major change in the structure of an already known virus. Consequently, most people have no immunity against it.
The new flu virus can kill large numbers of people.
How does a flu pandemic differ from a seasonal flu outbreak?
Seasonal flu outbreaks are epidemics. This means that the responsible virus is capable of spreading quickly, and almost simultaneously, among people in a limited geographic region, usually a country. Immunity is somewhat present, due to previous exposure to the virus.
Usually, fewer people die from a flu epidemic than from a flu pandemic.
Are there other differences between pandemics and seasonal flu?
Flu pandemics and seasonal flu outbreaks differ for a number of other reasons. These are highlighted in the table below.
|
|
Pandemics |
Seasonal Flu |
|
Outbreaks |
Rare, generally occurring up to four times a century, and not limited to any particular season. |
Annual, usually occurring between October and March. |
|
Impact |
Restrictions on travel and public gatherings are possible. Schools and businesses likely to stay closed for long time periods.
Health systems are severely stretched.
Major impact on domestic and world economy. |
Modest impact on society with some schools closing for short time periods.
Health systems can usually meet public and patient needs.
Manageable impact on domestic economy. |
|
At-risk groups |
Young, fit adults aged 18 to 45. |
Infants aged up to two years; elderly aged 65 and over; and people with certain medical conditions (asthma, heart disease, lung disease, cancer and diabetes). |
|
Recovery |
Most patients don’t recover. Conditions get worse within 12 to 24 hours, leading to death in around 60% of cases. |
Most patients recover within one to two weeks. |
|
Death rate
|
High (50-100 million deaths worldwide in 1918. Of these, 675,000 in the US, and 255,000 in the UK). |
Significantly lower (250,000 to 500,000 deaths worldwide, each year. Of these, up to 40,000 in the US, and 12,000 in the UK). |
|
Vaccines |
May not be available or effective; available too late; or distributed sporadically. |
Mostly effective and available. |
|
Timescale |
Difficult to predict. May come in two or more waves, several months apart. Each wave may last six to eight weeks. |
Six months, usually from October to March. |
|
Adapted from: Pandemic – How to Survive the New Killer Virus, Lorena Tonarelli, Chris Barber. Mowbray Publishing, 2009.
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A flu outbreak turns into a pandemic when a flu virus becomes capable of sustained person-to-person transmission. This occurs when the virus can spread beyond three individuals, from person A to person B and, then, to person C.
The swine flu influenza A(H1N1) virus is capable of sustained transmission. Therefore, we are in swine flu pandemic.
The bird influenza A(H5N1) virus is not capable, yet, of sustained person-to-person transmission. But, it may mutate into a form capable of sustained transmission, in the future.
Symptoms and complications may, or may not, be different. For example, the symptoms and complications of seasonal flu are similar to those of swine flu, but differ from those of bird flu.
Why should I prepare?
Pandemic preparedness is crucial, for many reasons. As millions are expected to fall ill during a pandemic, difficulties may arise in maintaining adequate supplies of food and water; transportation and communication systems may collapse; power plants may not work; and mass panic may put our safety at risk. Also, healthcare professionals may be unable to cope with extremely large numbers of patients; and there may be a shortage of vaccines and medications.
Having a good pandemic preparedness plan will help you be better able to cope with these problems as they arise. It will give you peace of mind.
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Pandemic Phase:
Level 6 is characterized by community level outbreaks in at least one other country in a different WHO region in addition to human-to-human spread of the virus into at least two countries in one WHO region.
A global pandemic is now under way.
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