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Historically, assessment of influenza pandemic effects has been characterized by using an estimate of the overall CFR (4 ).
Epidemic modelers and public health experts propose that community mitigation measures might help communities limit pandemic effects.
By organizing and prioritizing data collection, this approach may inform an evidence-based assessment of pandemic effects and guide decision making.
A new framework to assess pandemic effects was developed to systematically assess the potential population effects of an influenza pandemic by characterizing data on both transmissibility and clinical severity and providing historical context from past pandemics and influenza seasons.
An evidence-based assessment of pandemic effects is essential to inform decision makers early in a pandemic and enable them to develop and communicate preventive recommendations to reduce illness and death.
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The relatively higher mortality rate from pandemic influenza for Māori military personnel in 1918 indicates that the excess pandemic effect was even seen among relatively fit young men.
What are the most important enabling components of effective community mitigation that yield a resilient community, able to surmount a pandemic's effects?
Country-based contingency plans, country's level of preparedness to deal with the pandemic, seasonal effects, weather conditions among others may be acting in a multiplicative way generating the observed behavior.
Health experts meeting in Jeddah in June 2009 made recommendations for reducing the pandemic's effects during the Hajj (7 ).
For the 1968 pandemic, the effects of the different antiviral targeting strategies were different than in the previous scenarios as a result of the different age-specific attack rates, which are shifted more towards the working population (Table 2).
Indeed, there have been serious setbacks in some regions, triggered by such disasters as armed conflict, the shrinking economies of many sub-Saharan African countries, the HIV/AIDS pandemic's effects on health workers and health systems, and decentralization so rapid that the critical central functions necessary to ensure good immunization programmes have faltered.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com