Transcript Response to Influenza (H1N1) 2009 in Thailand Dr. Unchalee Siripitayakunkit NVCO, DDC, MoPH 3rd NIC meeting Yuyang Hotel, Beijing August 19, 2009

Response to
Influenza (H1N1) 2009
in Thailand
Dr. Unchalee Siripitayakunkit
NVCO, DDC, MoPH
3rd NIC meeting
Yuyang Hotel, Beijing
August 19, 2009
Number of confirmed influenza A (H1N1)
in Thailand, 12 May – 15 August 2009
N=11,398
Death = 97
School
outbreak
Imported cases
Source: Bureau of Epidemiology, MOPH, Thailand
National pandemic
preparedness plan
National Strategic plan
on Avian Influenza and
Pandemic Influenza
Preparedness
The plan highlights
- community participation
- multi-sector/ international
cooperation
- national capacity building
for disease surveillance,
outbreak containment and
impact mitigation
The plan is
coordinated and
monitored by a
National Committee
Important response
• Application national strategies of pandemic
preparedness to H1N1 2009
• Comprehensive surveillance (virus, human)
and emergency response
• Communication to public :- current situation,
self prevention from H1N1 (hand washing,
mask use, social distancing)
• Medical treatment, antiviral use prescribed
by physicians
• Influenza vaccine production in country
Comprehensive surveillance
• Monitoring – pattern of influenza
characteristics (place-time-person,
attack rate, death and risk factors)
• Outbreak Investigation
• Sentinel surveillance of ILI (12 regional
centers + BKK)
• Laboratory monitoring, virology
parameter
• Model and Simulation/ Projection study
to better understand and response
Vaccine Preparation
Pandemic flu vaccine a most
important tool for health protection
Access to pandemic vaccine is
optionally secured by the capacity for
local production of flu vaccine (LAIV)
Increased use of flu vaccine to provide
market for locally produced seasonal flu
vaccine in inter-pandemic period
Increased use of influenza vaccine in
Thailand, 2000–2015 : projected scenario
Seasonal influenza
vaccination in health care
12000000
personnel
10000000
Started 2003
Target 400,000 / year
8000000
6000000
Seasonal influenza
vaccination in high-risk
population
2008: 120,000 persons > 65
with health conditions
2009: 1.8 mill. People, all
ages with health conditions
4000000
2000000
20
20
20
18
20
16
20
14
20
12
20
10
20
08
20
06
20
04
20
02
20
00
0
COPD, asthma, heart disease,
cerebro-vascular dis., renal failure,
chemotherapy, DM