Canadian survey on pandemic flu preparations

Ritvo, Paul; Wilson, Kumanan; Gibson, J. L.; Guglietti, C.; Tracy, C. S.; Nie, J. X.; Jadad, A. R.; Upshur, R. E. G.
January 2010
BMC Public Health;2010, Vol. 10 Issue 1, p125
Academic Journal
Background: The management of pandemic influenza creates public health challenges. An ethical framework, 'Stand on Guard for Thee: ethical considerations in pandemic influenza preparedness' that served as a template for the World Health Organization's global consultation on pandemic planning, was transformed into a survey administered to a random sample of 500 Canadians to obtain opinions on key ethical issues in pandemic preparedness planning. Methods: All framework authors and additional investigators created items that were pilot-tested with volunteers of both sexes and all socioeconomic strata. Surveys were telephone administered with random sampling achieved via random digit dialing (RDD). Eligible participants were adults, 18 years or older, with per province stratification equaling provincial percent of national population. Descriptive results were tabulated and logistic regression analyses were used to assess whether demographic factors were significantly associated with outcomes. Results: 5464 calls identified 559 eligible participants of whom 88.5% completed surveys. Over 90% of subjects agreed the most important goal of pandemic influenza preparations was saving lives, with 41% endorsing saving lives solely in Canada and 50% endorsing saving lives globally as the highest priority. Older age (OR = 8.51, p < 0.05) and current employment (OR = 9.48, p < 0.05) were associated with an endorsement of saving lives globally as highest priority. About 90% of respondents supported the obligation of health care workers to report to work and face influenza pandemic risks excepting those with a serious health condition that increased risks. Over 84% supported the government's provision of disability insurance and death benefits for health care workers facing elevated risk. Strong majorities favored stocking adequate protective antiviral dosages for all Canadians (92%) and, if effective, influenza vaccinations (95%). Over 70% agreed Canada should provide international assistance to poorer countries for pandemic preparation, even if resources for Canadians were reduced. While 92% of this group, believed provision should be 7 to 10% of all resources generated, 43% believed the provision should be greater than 10%. Conclusions: Results suggest trust in public health officials to make difficult decisions, providing emphasis on reciprocity and respect for individual rights.


Related Articles

  • Patterns of perception toward influenza pandemic among the front-line responsible health personnel in southern Thailand: a Q methodology approach. Prateepko, Tapanan; Chongsuvivatwong, Virasakdi // BMC Public Health;2009, Vol. 9 Issue 1, p1 

    Background: Thailand has joined the World Health Organization effort to prepare against a threat of an influenza pandemic. Regular monitoring on preparedness of health facilities and assessment on perception of the front-line responsible health personnel has never been done. This study aimed to...

  • New virus Influenza A (H1N1) Pandemic Background.  // Epidemiological Bulletin;2009, Vol. 28 Issue 2, p1 

    The article offers information related to the background and updates of the influenza A virus, also known as H1N1, pandemic. It states that the emergence of the virus has been observed when the laboratory of the World Health Organization (WHO) confirmed two human cases of new viruses in children...

  • Looming Illness.  // Canada & the World Backgrounder;Oct2007, Vol. 73 Issue 2, p14 

    The article focuses on the global flu pandemic. Spanish influenza in 1918 killed about 40 to 50 million people worldwide. The Asian influenza in 1957, and Hong Kong flu in 1968, were milder but still caused two million and one million deaths respectively. In 1997, at least a few hundred people...

  • We should not be complacent about our population-based public health response to the first influenza pandemic of the 21st century. Kelly, Heath A.; Priest, Patricia C.; Mercer, Geoffry N.; Dowse, Gary K. // BMC Public Health;2011, Vol. 11 Issue 1, p78 

    Background: More than a year after an influenza pandemic was declared in June 2009, the World Health Organization declared the pandemic to be over. Evaluations of the pandemic response are beginning to appear in the public domain. Discussion: We argue that, despite the enormous effort made to...

  • The WHO Pandemic Influenza Preparedness Framework: A Milestone in Global Governance for Health. Fidler, David P.; Gostin, Lawrence O. // JAMA: Journal of the American Medical Association;7/13/2011, Vol. 306 Issue 2, p200 

    The author offers views regarding the World Health Organization (WHO) pandemic influenza preparedness (PIP) framework. According to the author, the framework underscores the norm of sharing viruses, but fails to create legally binding duties on virus sharing. The author claims that framework is...

  • The World Health Organisation Appears Ready To Declare The First.  // AirGuide Online.com;6/15/2009, p2 

    The article reports that the World Health Organisation (WHO) is going to declare the first flu pandemic in more than 40 years. According to the WHO's latest tally, there have been 27,737 cases reported in 74 countries to date.

  • The World Health Organisation Is On The Verge Of.  // AirGuide Online.com;6/15/2009, p2 

    The article reports that the World Health Organisation (WHO) is going to declare the first influenza pandemic in more than 40 years. Keiji Fukuda, acting WHO assistant director-general, voiced concern at the sustained spread of the new H1N1. Fukuda says that WHO wants to ensure that countries...

  • Capacity of Thailand to Contain an Emerging Influenza Pandemic. Putthasri, Weerasak; Lertiendumrong, Jongkol; Chompook, Pornthip; Tangcharoensathien, Viroj; Coker, Richard // Emerging Infectious Diseases;Mar2009, Vol. 15 Issue 3, p423 

    Southeast Asia will likely be the epicenter of the next influenza pandemic. To determine whether health system resources in Thailand are sufficient to contain an emerging pandemic, we mapped health system resources in 76 provinces. We used 3 prepandemic scenarios of clustered cases and...

  • A Call for Radical Reformation of the World Health Organization. Milmo, Sean // Pharmaceutical Technology;Jan2016, Vol. 40 Issue 1, p8 

    The article focuses on the push for reinforcing the central role played by the World Health Organization (WHO) in international health security issues. Topics discussed include the criticisms leveled against the WHO for its lack of leadership during the 2013-2015 Ebola crisis and the call for...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics