Influenza A (H1N1) 2009 : impact on Frankfurt in due consideration of health care and public health

  • Background: In April 2009 a novel influenza A H1N1/2009 virus was identified in Mexico and in the United States which quickly spread around the world. Most of the countries established infection surveillance systems in order to track the number of (laboratory-confirmed) H1N1 cases, hospitalizations and deaths. Methods: The impact of the emergence of the novel pandemic (H1N1) 2009 virus on Frankfurt was statistically evaluated by the Health Protection Authority, City of Frankfurt am Main. Vaccination rates of the health care workers (HCWs) of the University Hospital Frankfurt were measured by the Occupational Health Service. Results: Although the virulence of pandemic (H1N1) 2009 seems to be comparable with seasonal influenza, a major patient load and wave of hospital admissions occurred in the summer of 2009. Even though the 2009 vaccination rate of the University Hospital Frankfurt (seasonal influenza [40.5%], swine flu [36.3%]) is better than the average annual uptake of influenza vaccine in the German health care system (approximately 22% for seasonal and 15% for swine flu), vaccination levels remain insufficient. However, physicians were significantly (p < 0.001) more likely to have been vaccinated against swine flu and seasonal influenza than nurses. Conclusions: The outbreak of the pandemic (H1N1) 2009 in April 2009 provided a major challenge to health services around the world. Nosocomial transmission of H1N1/2009 has been documented. Present experience should be used to improve pandemic preparedness plans and vaccination programs ought to target as many HCWs as possible.

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Author:Sabine WickerORCiDGND, Holger RabenauORCiDGND, Harald Bias, Jan David Alexander GronebergORCiDGND, René GottschalkORCiDGND
URN:urn:nbn:de:hebis:30-77021
DOI:https://doi.org/doi:10.1186/1745-6673-5-10
ISSN:1745-6673
Pubmed Id:https://pubmed.ncbi.nlm.nih.gov/20420690
Parent Title (English):Journal of occupational medicine and toxicology
Publisher:BioMed Central
Place of publication:London
Document Type:Article
Language:English
Date of Publication (online):2010/05/18
Date of first Publication:2010/04/26
Publishing Institution:Universitätsbibliothek Johann Christian Senckenberg
Release Date:2010/05/18
Volume:5
Issue:Art. 10
Page Number:7
First Page:1
Last Page:7
Note:
© 2010 Wicker et al. , licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Source:Journal of Occupational Medicine and Toxicology 2010, 5:10 ; doi:10.1186/1745-6673-5-10 ; http://www.occup-med.com/content/5/1/10
HeBIS-PPN:223584479
Institutes:Medizin / Medizin
Dewey Decimal Classification:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Sammlungen:Universitätspublikationen
Licence (German):License LogoCreative Commons - Namensnennung 2.0