title: [Early phase medical system review in Kobe 2009 influenza A (H1N1) pandemic].
abstract: We discuss the efficacy 3 pandemic influenza, measures planned against an anticipated outbreak. First was an exclusive influenza outpatient clinic. Second was a medical call center for febrile illness subjects needing with fever clinic recommendation. The last was isolation. Before the outbreak, we had thought that all confirmed or suspected new influenza case should be quarantined. May 2009 brought the first A1/H1 pandemic influenza outbreak to Kobe, Japan. After the first infection announcement, call center and fever clinic consultations skyrocketed, filling all 55 designated Kobe hospital bed within 48 hours. Inquiries at call centers increased more rapidly than numbers of subjects rushing to fever clinics. Just after designated hospital beds were filled, medical service restrictions were rapidly relaxed. Our experiences suggest that compulsory hospitalization broke down quickest in the fever case overflow, so medical call centers may be crucial in preventing fever clinic overflows by subjects with fever of unknown origin not recommended to consult fever clinics. Those with severe influenza symptoms should be given priority in hospitalization and flexible policies are recommended.
authors.affiliation: Department of Pulmonary Medicine, Kobe City Medical Center General Hospital.
authors.forename: Michio
authors.initials: M
authors.lastname: Hayashi
authors.forename: Tsunekazu
authors.initials: T
authors.lastname: Haruta
authors.forename: Etsuko
authors.initials: E
authors.lastname: Sakamoto
authors.forename: Emiko
authors.initials: E
authors.lastname: Tatemizo
authors.forename: Masaaki
authors.initials: M
authors.lastname: Etoh
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Takegawa
authors.forename: Shinji
authors.initials: S
authors.lastname: Nakasako
mesh_terms: D004196:Disease Outbreaks; D004632:Emergency Medical Services / Q000458:organization & administration*; D005334:Fever; D006760:Hospitalization; D006801:Humans; D053118:Influenza A Virus, H1N1 Subtype; D007251:Influenza, Human / Q000453:epidemiology*; D007564:Japan / Q000453:epidemiology; D058873:Pandemics