Logistics of control for an influenza pandemic

Epidemics. 2009 Jun;1(2):83-8. doi: 10.1016/j.epidem.2009.04.001. Epub 2009 Apr 14.

Abstract

Antiviral drugs will initially be the mainstay of pharmaceutical intervention in an influenza pandemic. Used primarily for therapeutic treatment, they can also lower transmission in the community. We use mathematical modelling to study the impact of different antiviral coverage strategies, with a limited stockpile. Aggressive coverage offers several advantages, even if this should exhaust the stockpile prematurely. However, where a sub-group of the population has a high mortality risk, a strategy to minimise deaths must be carefully balanced, and is not always in agreement with prioritising treatment for those at risk. We discuss implications for public health planning.

MeSH terms

  • Antiviral Agents / therapeutic use*
  • Computer Simulation
  • Drug Utilization
  • Humans
  • Influenza A Virus, H5N1 Subtype*
  • Influenza, Human / drug therapy*
  • Influenza, Human / mortality
  • Influenza, Human / prevention & control*
  • Models, Biological
  • Pandemics / prevention & control*
  • Public Health Practice

Substances

  • Antiviral Agents