Ethical considerations among response to h1n1 pandemic in china
This presentation is the property of its rightful owner.
Sponsored Links
1 / 20

Ethical considerations among Response to H1N1 Pandemic in China PowerPoint PPT Presentation


  • 47 Views
  • Uploaded on
  • Presentation posted in: General

Ethical considerations among Response to H1N1 Pandemic in China. China CDC, CFETP Huilai Ma, Guang Zeng. General Ethical Considerations during response to pandemic H1N1. Balancing potentially conflicting individual and community interests Evidence base for public health measures

Download Presentation

Ethical considerations among Response to H1N1 Pandemic in China

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Ethical considerations among response to h1n1 pandemic in china

Ethical considerations among Response to H1N1 Pandemic in China

China CDC, CFETP

Huilai Ma, Guang Zeng


General ethical considerations during response to pandemic h1n1

General Ethical Considerations during response to pandemic H1N1

  • Balancing potentially conflicting individual and community interests

  • Evidence base for public health measures

  • Resource constraints

    • Limited resources and immediate health-care needs


Factors affecting public health policy during pandemic h1n1 in china

Factors affecting Public health policy during pandemic H1N1 in China

  • A new influenza virus emerges:

    • Four different genes

  • Estimated case fatality ratio (CFR)

    • 0.4% (range 0.3% to 1.5%)

    • Clinical severity

  • WHO raised Level of influenza pandemic alert at phase 6 on June 11, 2009


Fundamental realities of china

Fundamental Realities of China

  • > 1.3 billion population

    • >700 million rural population

  • High and variable population density

  • About 140 million migrant population


Significant rural urban differences in medical resources in china

Significant Rural-Urban Differences in Medical Resources in China

Hospital beds/1000 population, 2008

Health professionals/1000 population, 2008


Ethical considerations among response to h1n1 pandemic in china

Amend statute on management of the pandemic H1N1 in due time

StageⅠ: April 30

Category B notifiable Disease

Adopt Category ADiseases

Managed as a Quarantinable Disease”


Confirmed pandemic h1n1 influenza cases china as of june 11 2010

June 11

Community transmission occurred

  • Quarantine and Isolation

  • Free treatment

  • Strategy for prevention school outbreak

May 29

First documented transmission

May 11

1st imported case documented

Confirmed pandemic (H1N1) influenza cases: China (as of June 11, 2010)

Number of Cases

May June

2009


Ethical considerations among response to h1n1 pandemic in china

Reporting & Investigation

Medical check-up

Close Contacts

CDC

Medical Service

If fever or respiratory symptoms

  • Transfer to designated medical service institution

  • Advise to stay home for isolation and treatment

  • Start specimen collection and testing immediately

  • Conduct medical observation for all close contacts

If close contacts showed no symptoms after 7 days of medical observation

If tested (-) for H1N1 influenza

End medical observation for

all close contacts

End

medical

observation

Management of Close Contacts


Ethical considerations among response to h1n1 pandemic in china

CFETP finding: highlight the need to prevent transmission by droplets and fomites during a pandemic H1N1


Population at high risk for developing severe h1n1 infection

Population at High Risk for Developing Severe H1N1 Infection


Ethical considerations among response to h1n1 pandemic in china

StageⅡ: July 10

Category B notifiable Disease

Adopt Category BDiseases

Managed as a Surveillance Disease

Amend statute on management of the pandemic H1N1 in due time

StageⅠ: April 30

Category B notifiable Disease

Adopt Category A Diseases

Managed as a Quarantinable Disease


Confirmed pandemic h1n1 influenza cases china as of feb 21 2010

Confirmed pandemic (H1N1) influenza cases: China (as of Feb. 21, 2010)

Strategy for reduce fatality rate

Sept. 16

Pandemic (H1N1) vaccination started

June 11

Community transmission occurred

14

10

Number of Cases (×1000)

6

2

May June July Aug. Sep. Oct. Nov. Dec. Jan. Feb.

2009 2010


Severe patients first principle

“Severe Patients First” Principle

Specify treatment responsibilities for different levels of medical providers

Arrange for patients in hospitalization based on patient condition and available resources


Help people in need

Help people in need

Enhanced cooperation among financial, human resource and social security departments

Provided assistance to people with financial difficulties

Needs-based

Various forms of assistance

Improved contents of assistance

Gave priority to treatment of hospitalized patients


Vaccination strategy in china

Vaccination Strategy in China

Make sure the vaccines were:

Well-informed of benefits as well as potential risks

Voluntary

Free of charge

The following areas were vaccinated first

Areas with outbreaks

Areas with high population density and mobilization

High priority group was selected by local government

Public service personnel at critical positions

Patients with chronic diseases

Pregnant women

Children aged 6-35 months

Others


Ethical considerations among response to h1n1 pandemic in china

Thank you!


Isolation and quarantine

Isolation and Quarantine

Was the decision on isolation and quarantine ethical?

Ethics problems include:

Should isolation and quarantine be implemented?

How should isolation and quarantine be carried out?


Treatment prioritization

Treatment Prioritization

If not all patients can receive medical treatment, which patients should be treated first?

What is the criteria for hospitalization?

What is the criteria for receiving intensive care?

How to provide medical services in western region, where resources are less abundant?


Ethical issues to be incorporated into the current draft plan

Ethical issues to be incorporated into the current draft plan

Is airport temperature check necessary?

Is quarantine of contacts necessary?

Containment at source country vs. quarantine

Priority of fund use


  • Login