Response to Response to Influenza (H1N1) 2009Influenza (H1N1) 2009

in Thailandin Thailand

Dr. Unchalee SiripitayakunkitDr. Unchalee Siripitayakunkit

NVCO, DDC, MoPHNVCO, DDC, MoPH

33rdrd NIC meeting NIC meeting

Yuyang Hotel, BeijingYuyang Hotel, Beijing

August 19, 2009August 19, 2009

Number of confirmed influenza A (H1N1) in Thailand, 12 May – 15 August 2009

Source: Bureau of Epidemiology, MOPH, Thailand

N=11,398

Imported cases

School outbreak

Death = 97Death = 97

National pandemic preparedness plan

National Strategic plan on Avian Influenza and Pandemic Influenza Preparedness

The plan highlights The plan highlights - community participation - community participation - multi-sector/ international - multi-sector/ international cooperation cooperation - national capacity building - national capacity building for disease surveillance, for disease surveillance, outbreak containment and outbreak containment and impact mitigationimpact mitigation

The plan is coordinated and coordinated and monitored by a monitored by a National CommitteeNational Committee

Important responseImportant response

• Application national strategies of pandemic Application national strategies of pandemic preparedness to H1N1 2009preparedness to H1N1 2009

• Comprehensive surveillance (virus, human) Comprehensive surveillance (virus, human) and emergency response and emergency response

• Communication to public :- current situation, Communication to public :- current situation, self prevention from H1N1 (hand washing, self prevention from H1N1 (hand washing, mask use, social distancing)mask use, social distancing)

• Medical treatment, antiviral use prescribed Medical treatment, antiviral use prescribed by physiciansby physicians

• Influenza vaccine production in countryInfluenza vaccine production in country

Comprehensive surveillance Comprehensive surveillance

• Monitoring – pattern of influenza Monitoring – pattern of influenza characteristics (place-time-person, characteristics (place-time-person, attack rate, death and risk factors)attack rate, death and risk factors)

• Outbreak InvestigationOutbreak Investigation• Sentinel surveillance of ILI (12 regional Sentinel surveillance of ILI (12 regional

centers + BKK)centers + BKK)• Laboratory monitoring, virology Laboratory monitoring, virology

parameterparameter• Model and Simulation/ Projection studyModel and Simulation/ Projection study

to better understand and responseto better understand and response

VaccineVaccine PreparationPreparation

Pandemic flu vaccine a most Pandemic flu vaccine a most important tool for health protectionimportant tool for health protection

Access to pandemic vaccine is Access to pandemic vaccine is optionally secured by the capacity for optionally secured by the capacity for local production of flu vaccine (LAIV)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 Increased use of influenza vaccine in Thailand, 2000–2015 : projected scenarioThailand, 2000–2015 : projected scenario

0

2000000

4000000

6000000

8000000

10000000

12000000

Seasonal influenza vaccination in high-risk

population

2008: 120,000 persons > 65 2008: 120,000 persons > 65 with health conditionswith health conditions

2009: 1.8 mill. People, all 2009: 1.8 mill. People, all ages with health conditionsages with health conditions

Seasonal influenza Seasonal influenza vaccination in health care vaccination in health care

personnelpersonnelStarted 2003Started 2003Target 400,000 / yearTarget 400,000 / year

COPD, asthma, heart disease, COPD, asthma, heart disease, cerebro-vascular dis., renal failure, cerebro-vascular dis., renal failure,

chemotherapy, DMchemotherapy, DM