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During the influenza A/H1N1pdm09 pandemic in 2009, influenza surveillance systems enabled monitoring of pandemic disease trends, severity and mortality [ 3– 5].
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During spring 2009, these systems were essential for real-time monitoring of the pandemic in NYC, e.g., documenting large increases in children with ILI seeking care at emergency departments) and for tracking its spread throughout the city from 1 school where it apparently was first introduced and amplified (9 ).
Improving and monitoring the homogeneity of the Chinese surveillance and health care system are challenging, yet vital, tasks to improve the monitoring of future pandemics.
We selected neurological and autoimmune diagnoses for follow-up in line with the European Medicines Agency strategy for monitoring the safety of pandemic vaccines, 21 defined according to ICD-10 (international classification of diseases, 10th revision) codes for hospital admissions and visits to specialist care (see web extra appendix).
The carriage of PVL genes, pulsed-field gel electrophoresis (PFGE), staphylococcal cassette chromosome mec (SCC mec) typing and multilocus sequence typing (MLST) were performed to monitor the evolutionary process of pandemic clones [ 3- 6].
Consequently, close monitoring of the antiviral susceptibility of pandemic (H1N1) 2009 strains is critical for controlling the spread of this virus (15 ).
While public health specialists seek more effective and equitable response systems, the methodological problems and the expense of many conventional epidemiological approaches continue to limit the usefulness of pandemic surveillance, program monitoring and evaluation.
Finally, to more effectively monitor the clinical and epidemiologic characteristic of pandemic (H1N1) 2009 during the fall and winter seasons, we established a sentinel hospital surveillance program at 5 sites where active surveillance and influenza testing were conducted on any patient with fever and respiratory syndromes.
Baseline data is necessary for monitoring how a population perceives the threat of pandemic influenza, and perceives how it would behave in the event of pandemic influenza.
Rapid and continuous monitoring of NAI-resistant viruses, including pandemic (H1N1) 2009 virus, and dissemination of the findings in timely manner remains essential.
The availability of surveillance systems for outpatient consultations rates allowed monitoring of influenza activity during the pandemic in the region and enabled this analysis to improve our understanding of epidemiology of the 2009 pandemic.
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