Will routine annual influenza prevention and control systems serve the United States well in a pandemic?
OBJECTIVE
To assess the extent to which the systems in place for prevention and control of routine annual influenza could provide the information and experience needed to manage a pandemic.


METHODS
The authors conducted a qualitative assessment based on key informant interviews and the review of relevant documents.


RESULTS
Although there are a number of systems in place that would likely serve the United States well in a pandemic, much of the information and experience needed to manage a pandemic optimally is not available.


CONCLUSIONS
Systems in place for routine annual influenza prevention and control are necessary but not sufficient for managing a pandemic, nor are they used to their full potential for pandemic preparedness. Pandemic preparedness can be strengthened by building more explicitly upon routine influenza activities and the public health system's response to the unique challenges that arise each influenza season (eg, vaccine supply issues, higher than normal rates of influenza-related deaths).
Ringel
Jeanne S
JS
RAND Corporation, 1776 Main St, Santa Monica, CA 90407, USA. ringel@rand.org
Moore
Melinda
M
Zambrano
John
J
Lurie
Nicole
N
D000998:Antiviral Agents / Q000600:supply & distribution; D003140:Communicable Disease Control / Q000458:organization & administration*; D003142:Communication; D004189:Disaster Planning / Q000458:organization & administration*; D004196:Disease Outbreaks; D004630:Emergencies; D015276:Health Care Rationing / Q000458:organization & administration; D006801:Humans; D017589:Immunization Programs / Q000458:organization & administration; D007252:Influenza Vaccines / Q000600:supply & distribution / Q000627:therapeutic use; D007251:Influenza, Human / Q000517:prevention & control* / Q000628:therapy*; D011635:Public Health Administration / Q000379:methods; D036301:Qualitative Research; D018571:Sentinel Surveillance; D014481:United States / Q000453:epidemiology; D014483:United States Dept. of Health and Human Services / Q000458:organization & administration
D000998:Antiviral Agents; D007252:Influenza Vaccines