From SARS to Avian Influenza Preparedness in Hong Kong

Clin Infect Dis. 2017 May 15;64(suppl_2):S98-S104. doi: 10.1093/cid/cix123.

Abstract

The first human H5N1 case was diagnosed in Hong Kong in 1997. Since then, experience in effective preparedness strategies that target novel influenza viruses has expanded. Here, we report on avian influenza preparedness in public hospitals in Hong Kong to illustrate policies and practices associated with control of emerging infectious diseases. The Hong Kong government's risk-based preparedness plan for influenza pandemics includes 3 response levels for command, control, and coordination frameworks for territory-wide responses. The tiered levels of alert, serious, and emergency response enable early detection based on epidemiological exposure followed by initiation of a care bundle. Information technology, laboratory preparedness, clinical and public health management, and infection control preparedness provide a comprehensive and generalizable preparedness plan for emerging infectious diseases.

Keywords: avian influenza; emerging infectious diseases; preparedness..

MeSH terms

  • Animals
  • Chickens / virology
  • Communicable Diseases, Emerging / epidemiology
  • Communicable Diseases, Emerging / prevention & control*
  • Communicable Diseases, Emerging / virology
  • Disease Outbreaks / prevention & control*
  • Hong Kong / epidemiology
  • Hospitals, Public / legislation & jurisprudence
  • Humans
  • Influenza A Virus, H5N1 Subtype / isolation & purification
  • Influenza in Birds / epidemiology
  • Influenza in Birds / prevention & control*
  • Influenza, Human / epidemiology
  • Influenza, Human / prevention & control*
  • Influenza, Human / virology
  • Pandemics / prevention & control
  • Poultry Diseases / prevention & control
  • Poultry Diseases / virology
  • Severe Acute Respiratory Syndrome / epidemiology
  • Severe Acute Respiratory Syndrome / prevention & control*
  • Severe Acute Respiratory Syndrome / virology