tag:blogger.com,1999:blog-74265538079362732132024-03-17T10:17:56.464+01:00Pandemic : pay attention - Pandémie : attention !Dr Michel S. F. Vermeulenhttp://www.blogger.com/profile/04324998188525891029noreply@blogger.comBlogger13125tag:blogger.com,1999:blog-7426553807936273213.post-62107205400068018982018-06-29T15:25:00.000+02:002018-06-29T15:26:24.736+02:00HbF and Cancer<div dir="ltr" style="text-align: left;" trbidi="on">
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Dr Michel S. F. Vermeulenhttp://www.blogger.com/profile/04324998188525891029noreply@blogger.com0tag:blogger.com,1999:blog-7426553807936273213.post-40249984499715591982018-06-19T18:28:00.000+02:002018-06-29T15:27:12.391+02:00HbF et Cancer - HbF and Cancer - Update <div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="background-color: #cfe2f3;"><b><u><span style="color: black; font-family: "times new roman" , "serif"; font-size: 14pt;">Summary :</span></u></b><span style="color: black; font-family: "times new roman" , "serif"; font-size: 14pt;"><o:p></o:p></span></span></div>
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<span style="background-color: #cfe2f3;"><span style="color: black; font-family: "times new roman" , "serif"; font-size: 14pt;">Le dénominateur commun pour la tumeur maligne solide et le foetus se trouve être l'HbF.</span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 14pt;"><o:p></o:p></span></span></div>
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<span style="background-color: #cfe2f3;"><span style="color: black; font-family: "times new roman" , "serif"; font-size: 14pt;">La caractéristique de cette HbF est d'avoir une plus grande affinité pour l'O2, dans le cadre de tissus à croissance rapide, tel que le foetus et certaines tumeurs solides.</span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 14pt;"><o:p></o:p></span></span></div>
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<span style="background-color: #cfe2f3;"><span style="color: black; font-family: "times new roman" , "serif"; font-size: 14pt;">L'HbF peut être un marqueur de certains cancers, et cela détectés par immuno-histochimie. </span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 14pt;"><o:p></o:p></span></span></div>
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<span style="background-color: #cfe2f3;"><span style="color: black; font-family: "verdana" , "sans-serif"; font-size: 12pt;">L'approvisionnement en oxygène du foetus est facilité essentiellement par trois facteurs<br />-différences de concentration et de pression partielle de l'oxygène dans la circulation foeto-maternelle<br />-l'affinité élevée de l'HbF pour l'O2<br />-l'effet Bohr</span><span style="font-size: 12pt;"><a href="http://www.embryology.ch/francais/fplacenta/physio02.html" target="_blank"><span style="font-family: "verdana" , "sans-serif"; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: FR-BE;">http://www.embryology.ch/francais/fplacenta/physio02.html</span></a></span><span style="color: black; font-family: "verdana" , "sans-serif"; font-size: 12pt;"><br /><br />CHEZ L'ADULTE SAIN : Chez l'adulte normal, l'hémoglobine F ne subsiste plus qu'à l'état de traces inférieures à 1 % et reste limitée à une population cellulaire restreinte, les "cellules F". Ces dernières, dont le nombre semble génétiquement déterminé, représentent 1 à 7 % de l'ensemble des érythrocytes, et correspondraient à des hématies dont la différenciation est différente de celle des cellules ne synthétisant que de l'hémoglobine A. (Source : INRP.Fr)</span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12pt;"><o:p></o:p></span></span></div>
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<span style="background-color: #cfe2f3;"><span style="color: black; font-family: "verdana" , "sans-serif"; font-size: 12pt;"> Il semblerait que cette HbF permettrait de mieux oxygéné la tumeur, conjointement à l’effort fourni par la néovascularisation de la tumeur ayant atteint un certain volume, sous l’effet du Vascular Endothelial Growth Factor ou VEGF).</span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12pt;"><o:p></o:p></span></span></div>
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<span style="background-color: #cfe2f3;"><b><u><span style="color: black; font-family: "verdana" , "sans-serif"; font-size: 12pt;">Conclusion</span></u></b><span style="color: black; font-family: "verdana" , "sans-serif"; font-size: 12pt;"> : en ciblant et neutralisant l'HbF , par des techniques d'immunothérapie (immunité cellulaire) par les anticorps monoclonaux (immunité plasmatique), ou par génie génétique, ainsi, on diminuerait l'apport en oxygène si nécessaire à la croissance rapide des cellules tumorales </span><span style="color: black; font-family: "times new roman" , "serif"; font-size: 12pt;"><o:p></o:p></span></span></div>
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<span style="background-color: #cfe2f3;"><b style="mso-bidi-font-weight: normal;"><u><span lang="EN-US" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: black; font-family: "verdana" , "sans-serif";">Sources : </span></u></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; font-size: 14pt;"><o:p></o:p></span></b></span></div>
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<span style="background-color: #cfe2f3;"><b><span lang="EN-US" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: black; font-family: "arial" , "sans-serif";">- Progress in Tumor Marker Research</span></b><b><span lang="EN-US" style="color: black; font-family: "arial" , "sans-serif"; font-size: 26pt;"><o:p></o:p></span></b></span></div>
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<span style="background-color: #cfe2f3;"><span style="color: black; font-family: "arial" , "sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: FR-BE;">De Lee I. Swenson</span><span style="font-family: "times new roman" , "serif"; font-size: 14pt;"><o:p></o:p></span></span></div>
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<span style="background-color: #cfe2f3;"><span style="color: black; font-family: "verdana" , "sans-serif"; mso-bidi-font-family: Verdana; mso-fareast-font-family: Verdana; mso-fareast-language: FR-BE;"><span style="mso-list: Ignore;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> - </span></span></span><b><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: black; font-family: "verdana" , "sans-serif";">Rôle de placenta dans les échanges dans les échanges foeto-maternels. <span style="mso-spacerun: yes;"> </span></span></b><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: black; font-family: "verdana" , "sans-serif";">http://www.embryology.ch/francais/fplacenta/physio02.html</span><span style="color: black; font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: FR-BE;"><o:p></o:p></span></span></div>
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<span style="background-color: #cfe2f3;"><span style="color: black; font-family: "verdana" , "sans-serif"; mso-bidi-font-family: Verdana; mso-fareast-font-family: Verdana; mso-fareast-language: FR-BE;"><span style="mso-list: Ignore;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> - </span></span></span><b><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: black; font-family: "arial" , "sans-serif";">BCL11A : </span></b><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: black; font-family: "arial" , "sans-serif";">inhibe la production d'hémoglobine fœtale.<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>https://fr.wikipedia.org/wiki/BCL11A</span><span style="color: black; font-family: "times new roman" , "serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: FR-BE;"><o:p></o:p></span></span></div>
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<span style="background-color: #cfe2f3;"><span lang="EN-US" style="color: black; font-family: "verdana" , "sans-serif"; mso-ansi-language: EN-US; mso-bidi-font-family: Verdana; mso-fareast-font-family: Verdana; mso-fareast-language: FR-BE;"><span style="mso-list: Ignore;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> - </span></span></span><b><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: black; font-family: "arial" , "sans-serif";">Cellules sanguines avec de l'hémoglobine foetale détectée par immunohistochimie comme indicateur de tumeurs solides. </span></b><b><span lang="EN-US" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: black; font-family: "helvetica" , "sans-serif";">Blood cells with fetal haemoglobin (F-cells) detected by immunohistochemistry as indicators of solid tumours. </span></b><span lang="EN-US" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: black; font-family: "times new roman" , "serif";"><o:p></o:p></span></span></div>
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<span style="background-color: #cfe2f3;"><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: FR-BE;"><span style="mso-spacerun: yes;"> </span>M. Wolk ,</span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: black; font-family: "symbol";">·</span><span lang="EN-US" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: black; font-family: "times new roman" , "serif";"><span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: FR-BE;">J E Martin<span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;">,</span></span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: black; font-family: "symbol";">·</span><span lang="EN-US" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: black; font-family: "times new roman" , "serif";"><span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: FR-BE;">R Constantin<o:p></o:p></span></span></div>
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<span lang="EN-US" style="background-color: #cfe2f3; color: black; font-family: "times new roman" , "serif";"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;">http://jcp.bmj.com/content/57/7/740<o:p></o:p></span></span></div>
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<span style="background-color: #cfe2f3;"><span lang="EN-US" style="color: black; font-family: "verdana" , "sans-serif"; mso-ansi-language: EN-US; mso-bidi-font-family: Verdana; mso-fareast-font-family: Verdana; mso-fareast-language: FR-BE;"><span style="mso-list: Ignore;">-<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"> - </span></span></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: black; font-family: "arial" , "sans-serif";">Foetal haemoglobin-blood cells (F-cells) as a feature of embryonic tumours (blastomas)</span></b><span lang="EN-US" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: black; font-family: "arial" , "sans-serif";"> </span><a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=Wolk%20M%5BAuthor%5D&cauthor=true&cauthor_uid=17595660"><span lang="EN-US" style="font-family: "arial" , "sans-serif"; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: FR-BE;">M Wolk</span></a><span lang="EN-US" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: black; font-family: "arial" , "sans-serif";">, </span><a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=Martin%20JE%5BAuthor%5D&cauthor=true&cauthor_uid=17595660"><span lang="EN-US" style="font-family: "arial" , "sans-serif"; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: FR-BE;">J E Martin</span></a><span lang="EN-US" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: black; font-family: "arial" , "sans-serif";">, and </span><a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=Nowicki%20M%5BAuthor%5D&cauthor=true&cauthor_uid=17595660"><span lang="EN-US" style="font-family: "arial" , "sans-serif"; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: FR-BE;">M Nowicki</span></a><span lang="EN-US" style="color: black; font-family: "times new roman" , "serif"; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: FR-BE;"><o:p></o:p></span></span></div>
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<span lang="EN-US" style="background-color: #cfe2f3; color: black; font-family: "arial" , "sans-serif";"><span style="mso-spacerun: yes;"> </span>https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2360326/</span></div>
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<span style="background-color: #cfe2f3;"><span lang="EN-US" style="text-indent: -18pt;"><span style="font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; line-height: normal;"><span style="font-family: "times new roman" , serif;">-</span></span><span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><b style="text-indent: -18pt;"><span lang="EN-US" style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; font-family: "segoe ui" , sans-serif;">Different articles from </span></b><span lang="EN-US" style="font-family: "segoe ui" , sans-serif; text-indent: -18pt;">Cleo Goyvaerts VUB </span><a href="https://www.researchgate.net/profile/Cleo_Goyvaerts" style="font-family: "Segoe UI", sans-serif; text-indent: -18pt;">https://www.researchgate.net/profile/Cleo_Goyvaerts</a></span></div>
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Dr Michel S. F. Vermeulenhttp://www.blogger.com/profile/04324998188525891029noreply@blogger.com0tag:blogger.com,1999:blog-7426553807936273213.post-22228838305650548472009-10-04T15:39:00.010+02:002009-10-04T17:00:13.402+02:00A lot of Links about Pandemic Flu -- (Crofsblog)<h2 style="color: rgb(255, 255, 51); font-weight: bold;" class="module-header"><span style="font-size:180%;">H1N1 Resources</span></h2> <ul class="module-list"><li class="module-list-item"><a href="http://trancy.net/">A/H1N1 Swine Flu (Influenza) Timeline</a><br /></li><li class="module-list-item"><a href="http://swine-flu.alltop.com/">Alltop - Swine Flu News</a><br /></li><li class="module-list-item"><a href="http://www.acha.org/ILI_Surveillance.cfm">American College Health Association Pandemic Influenza Surveillance</a><br /></li><li class="module-list-item"><a href="http://www.healthemergency.gov.au/internet/healthemergency/publishing.nsf/Content/health-swine_influenza-index.htm">Australian Department of Health: H1N1 Influenza 09 Outbreak</a><br /></li><li class="module-list-item"><a href="http://blogs.gartner.com/business-continuity/">Business Continuity — The Pandemic Threat</a><br /></li><li class="module-list-item"><a href="http://www.cdc.gov/swineflu/?s_cid=swineFlu_outbreak_001">CDC: H1N1 Website</a><br /></li><li class="module-list-item"><a href="http://www.cdc.gov/mmwr/">CDC: Morbidity and Mortality Weekly Report</a><br /></li><li class="module-list-item"><a href="http://www.cdc.gov/h1n1flu/whatsnew.htm">CDC: What's New on the H1N1 Flu Site</a><br /></li><li class="module-list-item"><a href="http://www.cidrap.umn.edu/cidrap/content/influenza/panflu/index.html">CIDRAP: Pandemic Influenza</a><br /></li><li class="module-list-item"><a href="http://www.cidrap.umn.edu/cidrap/content/influenza/swineflu/index.html">CIDRAP: Swine Influenza</a><br /></li><li class="module-list-item"><a href="http://www.doh.gov.ph/">Department of Health | Republic of the Philippines</a></li><li style="color: rgb(255, 0, 0);" class="module-list-item"><br /></li><li style="color: rgb(255, 255, 51);" class="module-list-item"><h2 class="module-header"><span style="font-size:180%;">H5N1/H1N1 Hot Zone Sources</span></h2> </li><li class="module-list-item"><a href="http://www.abc.net.au/news/events/swine-flu/">ABC News: Swine Flu (Australia)</a><br /></li><li class="module-list-item"><a href="http://www.abs-cbnnews.com/nation">ABS-CBN News Online (Philippines)</a><br /></li><li class="module-list-item"><a href="http://www.almasryonline.com/portal/page/portal/MasryPortal/HOME_EN">Al Masry Al Youm (Egypt)</a><br /></li><li class="module-list-item"><a href="http://allafrica.com/health/">AllAfrica.com: Health and Medicine</a><br /></li><li class="module-list-item"><a href="http://www.antara.co.id/en/">ANTARA - Indonesian News</a><br /></li><li class="module-list-item"><a href="http://www.arabnews.com/">Arab News </a><br /></li><li class="module-list-item"><a href="http://www.bangkokpost.net/">Bangkok Post </a><br /></li><li class="module-list-item"><a href="http://fluburung-indo.blogspot.com/">Bidang Komunikasi Komnas FBPI (Indonesia)</a><br /></li><li class="module-list-item"><a href="http://www.buenosairesherald.com/BreakingNews">Buenos Aires Herald </a><br /></li><li class="module-list-item"><a href="http://www.chinadaily.com.cn/english/home/index.html">China Daily</a><br /></li><li class="module-list-item"><a href="http://www.chinacdc.net.cn/n272562/index.html">Chinese Center for Disease Control and Prevention</a><br /></li><li class="module-list-item"><a href="http://www.thedailystar.net/">Daily Star (Bangladesh)</a><br /></li><li class="module-list-item"><a href="http://news.egypt.com/en/home.html">Egypt News</a><br /></li><li class="module-list-item"><a href="http://www.kantipuronline.com/">eKantipur.com (Nepal)</a><br /></li><li class="module-list-item"><a href="http://mediapartnership.wordpress.com/">FAO Media Partnership’s Weblog</a><br /></li><li class="module-list-item"><a href="http://english.farsnews.com/NewsV.php?srv=3">Fars News Agency (Iran)</a><br /></li><li class="module-list-item"><a href="http://www.theglobeandmail.com/">Globe and Mail (Canada)</a><br /></li><li class="module-list-item"><a href="http://www.hindustantimes.com/HomePage/Homepage.aspx">Hindustan Times</a><br /></li><li class="module-list-item"><a href="http://www.news.gov.hk/en/index.shtml">Hong Kong Government News</a><br /></li><li class="module-list-item"><a href="http://www.gov.hk/en/theme/fightpandemic/latest_news.htm">Hong Kong Government: Fight Against Pandemic</a><br /></li><li class="module-list-item"><a href="http://www.indianexpress.com/LifeStyle-Health/">Indian Express</a><br /></li><li class="module-list-item"><a href="http://www.thejakartaglobe.com/home/">Jakarta Globe</a><br /></li><li class="module-list-item"><a href="http://www.thejakartapost.com/">Jakarta Post</a><br /></li><li class="module-list-item"><a href="http://www.japantimes.co.jp/">Japan Times</a><br /></li><li class="module-list-item"><a href="http://www.komnasfbpi.go.id/utama_eng.php">Komnas FBPI (Indonesia)</a><br /></li><li class="module-list-item"><a href="http://etna.mcot.net/">Mass Communications Organization of Thailand</a><br /></li><li class="module-list-item"><a href="http://www.metrotvnews.com/newMetro.asp">Metro TV Online (Bahasa Indonesia)</a><br /></li><li class="module-list-item"><a href="http://www.depkes.go.id/en/index_en.htm">Ministry of Health, Indonesia</a><br /></li><li class="module-list-item"><a href="http://momento24.com/en/">Momento 24 (Argentina)</a><br /></li><li class="module-list-item"><a href="http://www.mmtimes.com/">Myanmar Times</a><br /></li><li class="module-list-item"><a href="http://www.newagebd.com/index.html">New Age (Bangladesh)</a><br /></li><li class="module-list-item"><a href="http://www.nytimes.com/">New York Times </a><br /></li><li class="module-list-item"><a href="http://www.kidon.com/media-link/english.php">News in English, Kidon Media-Link</a><br /></li><li class="module-list-item"><a href="http://www.onlinenewspapers.com/">Onlinenewspapers.com</a><br /></li><li class="module-list-item"><a href="http://english.people.com.cn/">People's Daily Online (China)</a><br /></li><li class="module-list-item"><a href="http://www.saidr.org/index.php">SAIDR: Strengthening Avian Influenza Detection and Response in Egypt</a><br /></li><li class="module-list-item"><a href="http://portal.salud.gob.mx/">Secretaría de Salud (México) en español</a><br /></li><li class="module-list-item"><a href="http://thanhniennews.com/">Thanh Nien Daily (Vietnam)</a><br /></li><li class="module-list-item"><a href="http://www.theaustralian.news.com.au/health/">The Australian</a><br /></li><li class="module-list-item"><a href="http://www.irrawaddy.org/index.php">The Irrawaddy</a><br /></li><li class="module-list-item"><a href="http://www.koreatimes.co.kr/www/index.asp">The Korea Times</a><br /></li><li class="module-list-item"><a href="http://www.nationmultimedia.com/">The Nation (Thailand)</a><br /></li><li class="module-list-item"><a href="http://www.thenews.com.mx/home/tnportada_h.asp">The News (Mexico City)</a><br /></li><li class="module-list-item"><a href="http://www.thestandard.com.hk/">The Standard (Hong Kong)</a><br /></li><li class="module-list-item"><a href="http://www.thestatesman.net/page.news.php?usrsess=1&clid=1">The Statesman (India)</a><br /></li><li class="module-list-item"><a href="http://timesofindia.indiatimes.com/">The Times of India</a><br /></li><li class="module-list-item"><a href="http://www.vientianetimes.org.la/">Vientiane Times</a><br /></li><li class="module-list-item"><a href="http://vietnamnews.vnagency.com.vn/">Viet Nam News</a><br /></li><li class="module-list-item"><a href="http://www.vnagency.com.vn/Home/EN/tabid/118/itemid/36/Default.aspx">Vietnam News Agency (VNA)</a><br /></li><li class="module-list-item"><a href="http://english.vietnamnet.vn/">VietnamNet Bridge</a><br /></li><li class="module-list-item"><a href="http://www.winnipegfreepress.com/">Winnipeg Free Press</a><br /></li><li class="module-list-item"><a href="http://www.xinhuanet.com/english/index.htm">Xinhua (China)</a></li><li style="color: rgb(255, 255, 0);" class="module-list-item"><h2 class="module-header"><span style="font-size:180%;">Influenza: español</span></h2> </li><li class="module-list-item"><a href="http://infogripeporcina.blogspot.com/">Blog Gripe Porcina A(H1N1) (Colombia)</a><br /></li><li class="module-list-item"><a href="http://www.cdc.gov/flu/espanol/index.htm">CDC - Influenza Español (Flu) | La Gripe</a><br /></li><li class="module-list-item"><a href="http://www.guiademidia.com.br/acessar_ji.htm?http://www.clarin.com/">Clarín.com (Argentina)</a><br /></li><li class="module-list-item"><a href="http://www.eldiario.net/">El Diario (Bolivia)</a><br /></li><li class="module-list-item"><a href="http://www.elespectador.com/articulo149001-contagiados-gripe-colombia-ascienden-111">El Espectador (Colombia)</a><br /></li><li class="module-list-item"><a href="http://www.guiademidia.com.br/acessar_ji.htm?http://www.elmercurio.com/">El Mercurio (Chile)</a><br /></li><li class="module-list-item"><a href="http://www.elpais.com/sociedad/">El País (España)</a><br /></li><li class="module-list-item"><a href="http://www.guiademidia.com.br/acessar_ji.htm?http://www.elpais.com.uy/">El País (Uruguay)</a><br /></li><li class="module-list-item"><a href="http://www.eluniversal.com.mx/noticias.html">El Universal (México)</a><br /></li><li class="module-list-item"><a href="http://enferlugo.blogspot.com/">Enferlugo (España)</a><br /></li><li class="module-list-item"><a href="http://www.europapress.es/salud/">Europa Press - Salud</a><br /></li><li class="module-list-item"><a href="http://www.exonline.com.mx/diario/cobertura/Alertaporinfluenza">Excélsior: Todo sobre la influenza (México)</a><br /></li><li class="module-list-item"><a href="http://gripeaargentina.blogspot.com/">Gripe A (H1N1)</a><br /></li><li class="module-list-item"><a href="http://gripeaargentina.host22.com/">Gripe A h1n1 influenza en Argentina</a><br /></li><li class="module-list-item"><a href="http://gripeycalma.wordpress.com/">Gripe A: ante todo mucha calma (España)</a><br /></li><li class="module-list-item"><a href="http://blog.h1n1.influenza.bvsalud.org/es/">Gripe por A (H1N1) Blog</a><br /></li><li class="module-list-item"><a href="http://h1n1.influenza.bvsalud.org/php/index.php">Gripe por A(H1N1)(Biblioteca virtual en salud) </a><br /></li><li class="module-list-item"><a href="http://www.gripeporcina.com.uy/">Gripe Porcina - Clipping (Uruguay)</a><br /></li><li class="module-list-item"><a href="http://www.sld.cu/sitios/influenzaporcina/">Influenza A(H1N1)(Cuba)</a><br /></li><li class="module-list-item"><a href="http://epidemiah1n1.blogspot.com/">Influenza AH1N1: Noticias de la epidemia (Venezuela)</a><br /></li><li class="module-list-item"><a href="http://medicablogs.diariomedico.com/inquietudesap/">Inquietudes en primaria: Reflexiones de un médico de familia</a><br /></li><li class="module-list-item"><a href="http://www.intramed.net/contenidover.asp?contenidoID=60353">IntraMed - Artículos - Recursos sobre Influenza A (H1/N1)</a><br /></li><li class="module-list-item"><a href="http://www.google.com.ar/intl/es/landing/swine_flu_jul09.html">La Gripe A (H1N1) en Argentina</a><br /></li><li class="module-list-item"><a href="http://www.lanacion.com.ar/index.asp">La Nación (Argentina)</a><br /></li><li class="module-list-item"><a href="http://www.milenio.com/">Milenio.com | La noticia minuto a minuto</a><br /></li><li class="module-list-item"><a href="http://www.minproteccionsocial.gov.co/VBeContent/NewsDetail.asp?ID=18750&IDCompany=3">Ministerio de la Proteccion Social /Información completa sobre el virus Influenza AH1N1 (Colombia)</a><br /></li><li class="module-list-item"><a href="http://www.minsal.cl/">Ministerio de Salud (Chile)</a><br /></li><li class="module-list-item"><a href="http://municipios.msal.gov.ar/h1n1/index.php">Ministerio de Salud: Gripe A(H1N1) (Argentina)</a><br /></li><li class="module-list-item"><a href="http://www.msc.es/servCiudadanos/alertas/comunicadosNuevaGripe.jsp">Ministerio de Sanidad y Política Social (España) - Alertas - Comunicados sobre la nueva gripe</a><br /></li><li class="module-list-item"><a href="http://www.notimex.com.mx/">Notimex</a><br /></li><li class="module-list-item"><a href="http://gripenueva.blogspot.com/">Nueva Gripe A H1N1</a><br /></li><li class="module-list-item"><a href="http://www.who.int/countries/mex/es/">OMS | México</a><br /></li><li class="module-list-item"><a href="http://www.who.int/es/index.html">OMS | Organización Mundial de la Salud</a><br /></li><li class="module-list-item"><a href="http://www.col.ops-oms.org/ah1n1/default.asp">OPS Colombia: Gripe por A(H1N1) </a><br /></li><li class="module-list-item"><a href="http://new.paho.org/hq/index.php?option=com_frontpage&Itemid=1&lang=es">Organización Panamericana de la Salud</a><br /></li><li class="module-list-item"><a href="http://devserver.paho.org/virtualcampus/moodle/course/view.php?id=50">PAHO: Curso Virtual A/H1N1</a><br /></li><li class="module-list-item"><a href="http://espanol.pandemicflu.gov/pandemicflu/enes/24/_www_pandemicflu_gov/">PandemicFlu.gov en español</a><br /></li><li class="module-list-item"><a href="http://www.prensa-latina.cu/index.php?task=viewcat&cat=CI">Prensa Latina (Cuba)</a><br /></li><li class="module-list-item"><a href="http://news.google.es/news?pz=1&ned=es&topic=m">Salud: Google Noticias</a><br /></li><li class="module-list-item"><a href="http://www.salud.gob.mx/">Secretaría de Salud (México)</a><br /></li><li class="module-list-item"><a href="http://www.minsa.gob.pe/portada/Especiales/2009/AH1N1/index.html">TODO SOBRE LA INFLUENZA A H1N1 (Perú)</a><br /></li><li class="module-list-item"><a href="http://www.reporteinfluenza.org/">ReporteInfluenza.org | Portal ciudadano de difusión de noticias en esta epidemia de influenza</a><br /></li><li class="module-list-item"><a href="http://www.prevencioninfluenza.gob.mx/">Portal informativo sobre la Influenza A (H1N1) (México)</a><br /></li><li class="module-list-item"><a href="http://new.paho.org/arg/index.php?option=com_content&task=view&id=239&Itemid=226">Recursos educativos y de prevención ante la Nueva Gripe (PAHO Argentina)</a><br /></li><li class="module-list-item"><a href="http://www.prevencioninfluenza.gob.mx/">Portal informativo sobre la Influenza A (H1N1) | Gobierno Federal (México)</a></li><li style="color: rgb(255, 255, 51);" class="module-list-item"><h2 class="module-header"><span style="font-size:180%;">H5N1/H1N1 Bloggers</span></h2> </li><li class="module-list-item"><a href="http://pandemicchronicle.com/">A Pandemic Chronicle</a><br />SophiaZoe always has a personal and insightful response to H5N1 issues.</li><li class="module-list-item"><a href="http://hygimia69.blogspot.com/">A Time's Memory</a><br />Offers highly detailed surveys of news stories and scientific reports. </li><li class="module-list-item"><a href="http://blog.ehesp.fr/">Antoine Flahault’s blog (Français/English)</a><br /></li><li class="module-list-item"><a href="http://afludiary.blogspot.com/">Avian Flu Diary</a><br />Excellent news coverage and even better analysis.</li><li class="module-list-item"><a href="http://aidailydigest.blogspot.com/">Avian/Pandemic Influenza Daily Digest</a><br />Excellent survey site.</li><li class="module-list-item"><a href="http://birdflucorner.wordpress.com/">Bird Flu Information Corner (Indonesia/Japan)</a><br />Invaluable coverage of H5N1 and H1N1 in Indonesia, with translations from local media reports.</li><li class="module-list-item"><a href="http://www.birdflu-manual.com/">Bird Flu Manual </a><br />Emphasis on business planning for pandemic.</li><li class="module-list-item"><a href="http://www.dowell-netherlands.com/">Chen Qi - A Morning Fresh Breeze (English/Chinese)</a><br />Excellent reports on H5N1 and related health issues from a blogger in the Netherlands.</li><li class="module-list-item"><a href="http://www.scienceblogs.com/effectmeasure/">Effect Measure</a><br />Required reading.</li><li class="module-list-item"><a href="http://egyptianchronicles.blogspot.com/">Egyptian Chronicles</a><br />Good coverage of Egyptian flu news, and Zeinobia is fun to read on any topic.</li><li class="module-list-item"><a href="http://www.bbc.co.uk/blogs/thereporters/ferguswalsh/">Fergus On Flu (BBC)</a><br /></li><li class="module-list-item"><a href="http://blog.swinefluindia.com/">Fight Against H1N1 Pandemic (India)</a><br /></li><li class="module-list-item"><a href="http://cottontopssandbox.wordpress.com/">Flu News Network</a><br />Good coverage of H1N1 reports.</li><li class="module-list-item"><a href="http://getreadyforflu.blogspot.com/">Get Ready for Flu (American Public Health Association)</a><br />Low-key, readable, informative.</li><li class="module-list-item"><a href="http://h1n1dailymedia.blogspot.com/?zx=790b6b3261a01c5c">H1N1 Daily Media with Emphasis on Manitoba and Canada</a><br /></li><li class="module-list-item"><a href="http://swineflu.breaking.sg/">H1N1 Swine Flu Outbreak 2009 Blog (Singapore) </a><br /></li><li class="module-list-item"><a href="http://pandemicinformationnews.blogspot.com/">Pandemic Information News</a><br />Wide-ranging coverage in several languages, with computer translations of many reports.</li><li class="module-list-item"><a href="http://penumbra-pandemia.blogspot.com/">Penumbra Pandemia (English/Finnish)</a><br />Good perspectives from a longtime flubie.</li><li class="module-list-item"><a href="http://www.philipalcabes.com/blog/">Philip Alcabes: Challenging myths of health, behavior, and risk</a><br />Always worth reading, Dr. Alcabes is a public-health expert with a sharp eye for the links between pandemics and politics.</li><li class="module-list-item"><a href="http://www.recombinomics.com/whats_new.html">Recombinomics Commentary</a><br />Comment from a longtime H5N1-watcher.</li><li class="module-list-item"><a href="http://www.scottmcpherson.net/display/ShowJournal?moduleId=1366394&categoryId=116462">Scott McPherson </a><br />Flublogia's infotech wizard, with an eye on H5N1 and other emerging diseases.</li><li class="module-list-item"><a href="http://drugresistantstaph.blogspot.com/">Superbug (Maryn McKenna on MRSA)</a><br />Excellent insights into the whole public-health system from a different point of view.</li><li class="module-list-item"><a href="http://www.whitehaven-news.co.uk/news/swine_flu/swine_flu_blog_1_587149">Swine flu blog (UK)</a><br /></li><li class="module-list-item"><a href="http://swinefluceo.com/">Swine Flu CEO </a><br /></li><li class="module-list-item"><a href="http://ozswineflu.wordpress.com/">Swine Flu in Australia</a><br />An important new blog with emphasis on analyzing rates and trends in the spread and impact of H1N1.</li><li class="module-list-item"><a href="http://www.virology.ws/">virology blog</a><br />Dr. Vincent Racaniello offers expert comment and analysis in posts that non-experts can understand.</li><li class="module-list-item"><a href="http://avianflunetwork.blogspot.com/">What's new in the world of pandemic and avian flu? (CARE)</a></li><li class="module-list-item"><div class="module-typelist module"> <h2 style="color: rgb(255, 255, 0);" class="module-header"><span style="font-size:180%;">Health Agencies</span></h2> <div class="module-content"> <ul class="module-list"><li class="module-list-item"><a title="" href="http://www.bccdc.ca/default.htm">BC Centre for Disease Control</a></li><li class="module-list-item"><a title="" href="http://www.bccdc.ca/dis-cond/DiseaseStatsReports/influSurveillanceReports.htm">BC Centre for Disease Control: Influenza Surveillance Reports</a></li><li class="module-list-item"><a title="" href="http://www.bccdc.org/content.php?item=150">BC Pandemic Influenza Preparedness Plan</a></li><li class="module-list-item"><a title="" href="http://www.inspection.gc.ca/english/anima/heasan/disemala/avflu/situatione.shtml">Canadian Food Inspection Agency -Avian Influenza</a></li><li class="module-list-item"><a title="" href="http://www.cdc.gov/flu/avian/">CDC - Avian Flu</a></li><li class="module-list-item"><a title="" href="http://www.cdc.gov/flu/swine/investigation.htm">CDC - Swine Influenza (Flu) Investigation</a></li><li class="module-list-item"><a title="" href="http://www.cdcchatter.net/index.php">CDC Chatter: A Blog to Discuss Issues at CDC</a></li><li class="module-list-item"><a title="" href="http://www.clevelandhealth.org/EmergencyPreparedness/PandemicFlu.html">Cleveland Department of Public Health: Pandemic Flu</a></li><li class="module-list-item"><a title="" href="http://www.defra.gov.uk/animalh/diseases/notifiable/ai/index.htm">Defra, UK - Avian Influenza</a></li><li class="module-list-item"><a title="" href="http://www.phac-aspc.gc.ca/fluwatch/">FluWatch - Public Health Agency of Canada</a></li><li class="module-list-item"><a title="" href="http://www.phac-aspc.gc.ca/media/nr-rp/2004/2004_gphin-rmispbk_e.html#7">Global Public Health Intelligence Network (GPHIN) - Information - Public Health Agency of Canada</a></li><li class="module-list-item"><a title="" href="http://www.spc.int/phs/ROSSP/Epidemies/Grippe_aviaire.htm">Grippe aviaire - Conseils du ROSSP </a></li><li class="module-list-item"><a title="" href="http://fluplan.larimerhealth.org/">Larimer County (Colorado) Pandemic Influenza Planning Partnership</a></li><li class="module-list-item"><a title="" href="http://www.gov.mb.ca/flu/index.html">Manitoba Health: H1N1 Flu</a></li><li class="module-list-item"><a title="" href="http://www.cdc.gov/mmwr/">Morbidity and Mortality Weekly Report (CDC)</a></li><li class="module-list-item"><a title="" href="http://www.gnb.ca/0053/pandemic/pdf/Pandemic_Plan-e.pdf">New Brunswick Pandemic Influenza Plan for the Health Sector</a></li><li class="module-list-item"><a title="" href="http://www.offlu.net/">Offlu: OIE/FAO Network of Expertise on Avian Influenza</a></li><li class="module-list-item"><a title="" href="http://www.oie.int/eng/en_index.htm">OIE - World Organisation for Animal Health</a></li><li class="module-list-item"><a title="" href="http://www.oie.int/downld/AVIAN%20INFLUENZA/A_AI-Asia.htm">OIE DAILY UPDATE ON AVIAN INFLUENZA IN BIRDS</a></li><li class="module-list-item"><a title="" href="http://www.who.int/topics/avian_influenza/es/">OMS | Gripe aviar</a></li><li class="module-list-item"><a title="" href="http://www.health.gov.on.ca/english/providers/program/emu/pan_flu/pan_flu_plan.html">Ontario Health Plan for an Influenza Pandemic</a></li><li class="module-list-item"><a title="" href="http://www.paho.org/English/AD/DPC/CD/flu-avi.htm">Pan American Health Organization Avian Influenza (English, español e português)</a></li><li class="module-list-item"><a title="" href="http://www.phac-aspc.gc.ca/influenza/pandemic_e.html">Pandemic Influenza and Pandemic Influenza Planning- Public Health Agency of Canada</a></li><li class="module-list-item"><a title="" href="http://www.dh.gov.uk/PolicyAndGuidance/EmergencyPlanning/PandemicFlu/PandemicFluList/fs/en?CONTENT_ID=4121650&chk=QHSLdt">Pandemic influenza slide set (UK Department of Health)</a></li><li class="module-list-item"><a title="" href="http://www.info.gov.hk/info/flu/eng/">Prevention of Avian Influenza (Hong Kong Centre for Health Protection)</a></li><li class="module-list-item"><a title="" href="http://www.who.int/csr/disease/avian_influenza/country/en/">WHO | Confirmed Human Cases of Avian Influenza A(H5N1)</a></li><li style="color: rgb(255, 255, 51);" class="module-list-item"><h2 class="module-header"><span style="font-size:180%;">H5N1/H1N1 Bloggers</span></h2> </li><li class="module-list-item"><a href="http://pandemicchronicle.com/">A Pandemic Chronicle</a><br />SophiaZoe always has a personal and insightful response to H5N1 issues.</li><li class="module-list-item"><a href="http://hygimia69.blogspot.com/">A Time's Memory</a><br />Offers highly detailed surveys of news stories and scientific reports. </li><li class="module-list-item"><a href="http://blog.ehesp.fr/">Antoine Flahault’s blog (Français/English)</a><br /></li><li class="module-list-item"><a href="http://afludiary.blogspot.com/">Avian Flu Diary</a><br />Excellent news coverage and even better analysis.</li><li class="module-list-item"><a href="http://aidailydigest.blogspot.com/">Avian/Pandemic Influenza Daily Digest</a><br />Excellent survey site.</li><li class="module-list-item"><a href="http://birdflucorner.wordpress.com/">Bird Flu Information Corner (Indonesia/Japan)</a><br />Invaluable coverage of H5N1 and H1N1 in Indonesia, with translations from local media reports.</li><li class="module-list-item"><a href="http://www.birdflu-manual.com/">Bird Flu Manual </a><br />Emphasis on business planning for pandemic.</li><li class="module-list-item"><a href="http://www.dowell-netherlands.com/">Chen Qi - A Morning Fresh Breeze (English/Chinese)</a><br />Excellent reports on H5N1 and related health issues from a blogger in the Netherlands.</li><li class="module-list-item"><a href="http://www.scienceblogs.com/effectmeasure/">Effect Measure</a><br />Required reading.</li><li class="module-list-item"><a href="http://egyptianchronicles.blogspot.com/">Egyptian Chronicles</a><br />Good coverage of Egyptian flu news, and Zeinobia is fun to read on any topic.</li><li class="module-list-item"><a href="http://www.bbc.co.uk/blogs/thereporters/ferguswalsh/">Fergus On Flu (BBC)</a><br /></li><li class="module-list-item"><a href="http://blog.swinefluindia.com/">Fight Against H1N1 Pandemic (India)</a><br /></li><li class="module-list-item"><a href="http://cottontopssandbox.wordpress.com/">Flu News Network</a><br />Good coverage of H1N1 reports.</li><li class="module-list-item"><a href="http://getreadyforflu.blogspot.com/">Get Ready for Flu (American Public Health Association)</a><br />Low-key, readable, informative.</li><li class="module-list-item"><a href="http://h1n1dailymedia.blogspot.com/?zx=790b6b3261a01c5c">H1N1 Daily Media with Emphasis on Manitoba and Canada</a><br /></li><li class="module-list-item"><a href="http://swineflu.breaking.sg/">H1N1 Swine Flu Outbreak 2009 Blog (Singapore) </a><br /></li><li class="module-list-item"><a href="http://pandemicinformationnews.blogspot.com/">Pandemic Information News</a><br />Wide-ranging coverage in several languages, with computer translations of many reports.</li><li class="module-list-item"><a href="http://penumbra-pandemia.blogspot.com/">Penumbra Pandemia (English/Finnish)</a><br />Good perspectives from a longtime flubie.</li><li class="module-list-item"><a href="http://www.philipalcabes.com/blog/">Philip Alcabes: Challenging myths of health, behavior, and risk</a><br />Always worth reading, Dr. Alcabes is a public-health expert with a sharp eye for the links between pandemics and politics.</li><li class="module-list-item"><a href="http://www.recombinomics.com/whats_new.html">Recombinomics Commentary</a><br />Comment from a longtime H5N1-watcher.</li><li class="module-list-item"><a href="http://www.scottmcpherson.net/display/ShowJournal?moduleId=1366394&categoryId=116462">Scott McPherson </a><br />Flublogia's infotech wizard, with an eye on H5N1 and other emerging diseases.</li><li class="module-list-item"><a href="http://drugresistantstaph.blogspot.com/">Superbug (Maryn McKenna on MRSA)</a><br />Excellent insights into the whole public-health system from a different point of view.</li><li class="module-list-item"><a href="http://www.whitehaven-news.co.uk/news/swine_flu/swine_flu_blog_1_587149">Swine flu blog (UK)</a><br /></li><li class="module-list-item"><a href="http://swinefluceo.com/">Swine Flu CEO </a><br /></li><li class="module-list-item"><a href="http://ozswineflu.wordpress.com/">Swine Flu in Australia</a><br />An important new blog with emphasis on analyzing rates and trends in the spread and impact of H1N1.</li><li class="module-list-item"><a href="http://www.virology.ws/">virology blog</a><br />Dr. Vincent Racaniello offers expert comment and analysis in posts that non-experts can understand.</li><li class="module-list-item"><a href="http://avianflunetwork.blogspot.com/">What's new in the world of pandemic and avian flu? (CARE)</a></li><li class="module-list-item"><div class="module-typelist module"> <h2 style="color: rgb(255, 255, 51);" class="module-header"><span style="font-size:180%;">WHO Sites</span></h2> <div class="module-content"> <ul class="module-list"><li class="module-list-item"><a title="" href="http://www.who.int/csr/disease/avian_influenza/phase/en/index.html">Current WHO Phase of Pandemic Alert</a></li><li class="module-list-item"><a title="" href="http://www.who.int/csr/disease/avian_influenza/avianinfluenza_factsheetJan2006/en/index.html">WHO Avian Influenza ("bird flu") Fact Sheet</a></li><li class="module-list-item"><a title="" href="http://www.who.int/csr/disease/avian_influenza/country/en/">WHO Confirmed Human Cases of Avian Influenza A(H5N1)</a></li><li class="module-list-item"><a title="" href="http://www.who.int/csr/en/">WHO Epidemic and Pandemic Alert and Response </a></li><li class="module-list-item"><a title="" href="http://www.who.int/about/licensing/podcast/en/index.html">WHO Podcasts</a></li><li class="module-list-item"><a title="" href="http://www.who.int/csr/disease/avian_influenza/updates/en/index.html">WHO Situation updates - Avian influenza</a></li><li class="module-list-item"><a title="" href="http://www.who.int/statistics/en/">WHO Statistical Information System (WHOSIS)</a></li><li class="module-list-item"><a title="" href="http://www.who.int/wer/en/">WHO Weekly Epidemiological Record</a></li><li class="module-list-item"><a title="" href="http://www.who.int/foodsafety/micro/avian/en/index.html">WHO | Avian influenza: food safety issues</a></li><li class="module-list-item"><a title="" href="http://www.who.int/csr/disease/avian_influenza/guidelines/clinicalmanage07/en/index.html">WHO | Clinical management of human infection with avian influenza A (H5N1) virus</a></li><li class="module-list-item"><a title="" href="http://www.who.int/csr/disease/swineflu/en/index.html">WHO | Swine influenza</a></li><li class="module-list-item"><a title="" href="http://www.wpro.who.int/sites/csr/data/data_Graphs.htm">WHO/WPRO-Human Avian Influenza A/H5N1 Cases by Onset Date</a></li><li class="module-list-item"><a title="" href="http://www.who.int/csr/disease/avian_influenza/guidelines/h5_labs/en/index.html">WHO: Acceptable Labs for Positive PCR Results of H5 Infection in Humans</a></li><li class="module-list-item"><a title="" href="http://www.who.int/en/">World Health Organization Home Page</a></li><li class="module-list-item"><div class="module-typelist module"> <h2 style="color: rgb(255, 255, 51);" class="module-header"><span style="font-size:180%;">Health Agencies</span></h2> <div class="module-content"> <ul class="module-list"><li class="module-list-item"><a title="" href="http://www.bccdc.ca/default.htm">BC Centre for Disease Control</a></li><li class="module-list-item"><a title="" href="http://www.bccdc.ca/dis-cond/DiseaseStatsReports/influSurveillanceReports.htm">BC Centre for Disease Control: Influenza Surveillance Reports</a></li><li class="module-list-item"><a title="" href="http://www.bccdc.org/content.php?item=150">BC Pandemic Influenza Preparedness Plan</a></li><li class="module-list-item"><a title="" href="http://www.inspection.gc.ca/english/anima/heasan/disemala/avflu/situatione.shtml">Canadian Food Inspection Agency -Avian Influenza</a></li><li class="module-list-item"><a title="" href="http://www.cdc.gov/flu/avian/">CDC - Avian Flu</a></li><li class="module-list-item"><a title="" href="http://www.cdc.gov/flu/swine/investigation.htm">CDC - Swine Influenza (Flu) Investigation</a></li><li class="module-list-item"><a title="" href="http://www.cdcchatter.net/index.php">CDC Chatter: A Blog to Discuss Issues at CDC</a></li><li class="module-list-item"><a title="" href="http://www.clevelandhealth.org/EmergencyPreparedness/PandemicFlu.html">Cleveland Department of Public Health: Pandemic Flu</a></li><li class="module-list-item"><a title="" href="http://www.defra.gov.uk/animalh/diseases/notifiable/ai/index.htm">Defra, UK - Avian Influenza</a></li><li class="module-list-item"><a title="" href="http://www.phac-aspc.gc.ca/fluwatch/">FluWatch - Public Health Agency of Canada</a></li><li class="module-list-item"><a title="" href="http://www.phac-aspc.gc.ca/media/nr-rp/2004/2004_gphin-rmispbk_e.html#7">Global Public Health Intelligence Network (GPHIN) - Information - Public Health Agency of Canada</a></li><li class="module-list-item"><a title="" href="http://www.spc.int/phs/ROSSP/Epidemies/Grippe_aviaire.htm">Grippe aviaire - Conseils du ROSSP </a></li><li class="module-list-item"><a title="" href="http://fluplan.larimerhealth.org/">Larimer County (Colorado) Pandemic Influenza Planning Partnership</a></li><li class="module-list-item"><a title="" href="http://www.gov.mb.ca/flu/index.html">Manitoba Health: H1N1 Flu</a></li><li class="module-list-item"><a title="" href="http://www.cdc.gov/mmwr/">Morbidity and Mortality Weekly Report (CDC)</a></li><li class="module-list-item"><a title="" href="http://www.gnb.ca/0053/pandemic/pdf/Pandemic_Plan-e.pdf">New Brunswick Pandemic Influenza Plan for the Health Sector</a></li><li class="module-list-item"><a title="" href="http://www.offlu.net/">Offlu: OIE/FAO Network of Expertise on Avian Influenza</a></li><li class="module-list-item"><a title="" href="http://www.oie.int/eng/en_index.htm">OIE - World Organisation for Animal Health</a></li><li class="module-list-item"><a title="" href="http://www.oie.int/downld/AVIAN%20INFLUENZA/A_AI-Asia.htm">OIE DAILY UPDATE ON AVIAN INFLUENZA IN BIRDS</a></li><li class="module-list-item"><a title="" href="http://www.who.int/topics/avian_influenza/es/">OMS | Gripe aviar</a></li><li class="module-list-item"><a title="" href="http://www.health.gov.on.ca/english/providers/program/emu/pan_flu/pan_flu_plan.html">Ontario Health Plan for an Influenza Pandemic</a></li><li class="module-list-item"><a title="" href="http://www.paho.org/English/AD/DPC/CD/flu-avi.htm">Pan American Health Organization Avian Influenza (English, español e português)</a></li><li class="module-list-item"><a title="" href="http://www.phac-aspc.gc.ca/influenza/pandemic_e.html">Pandemic Influenza and Pandemic Influenza Planning- Public Health Agency of Canada</a></li><li class="module-list-item"><a title="" href="http://www.dh.gov.uk/PolicyAndGuidance/EmergencyPlanning/PandemicFlu/PandemicFluList/fs/en?CONTENT_ID=4121650&chk=QHSLdt">Pandemic influenza slide set (UK Department of Health)</a></li><li class="module-list-item"><a title="" href="http://www.info.gov.hk/info/flu/eng/">Prevention of Avian Influenza (Hong Kong Centre for Health Protection)</a></li><li class="module-list-item"><a title="" href="http://www.who.int/csr/disease/avian_influenza/country/en/">WHO | Confirmed Human Cases of Avian Influenza A(H5N1)</a></li><li class="module-list-item"><div class="module-typelist module"> <h2 style="color: rgb(255, 255, 51);" class="module-header"><span style="font-size:180%;">H5N1 Crisis Planning & Management</span></h2> <div class="module-content"> <ul class="module-list"><li class="module-list-item"><a title="" href="http://medicine.plosjournals.org/perlserv/?request=get-document&doi=10.1371/journal.pmed.0020359">A Systematic Analytic Approach to Pandemic Influenza Preparedness Planning</a></li><li class="module-list-item"><a title="" href="http://www.usda.gov/oig/webdocs/33701-01-HY.pdf">Audit Report: USDA's Implementation of the National Strategy for Pandemic Influenza</a></li><li class="module-list-item"><a title="" href="http://www.health.gov.bc.ca/pandemic/index.html">British Columbia Ministry of Health Services: Pandemic Influenza</a></li><li class="module-list-item"><a title="" href="http://www.computerweekly.com/Articles/2007/07/27/225807/business-continuity-the-expert-view.htm">Business continuity: the expert view</a></li><li class="module-list-item"><a title="" href="http://www.ccohs.ca/pandemic/">CCOHS: Pandemic Planning</a></li><li class="module-list-item"><a title="" href="http://www.pandemicpractices.org/practices/article.do;jsessionid=85EB6EE5649D61F6A0205FA0DFD905EC?page=home">CIDRAP: Promising Practices</a></li><li class="module-list-item"><a title="" href="http://www.mitroff.net/">Dr. Ian Mitroff</a></li><li class="module-list-item"><a title="" href="http://www.fspanfluexercise.com/">FBIIC/FSSC Pandemic Flu Exercise of 2007</a></li><li class="module-list-item"><a title="" href="http://www.getpandemicready.org/">Get Pandemic Ready </a></li><li class="module-list-item"><a title="" href="http://www.global-consulting.ca/">Global Consulting: Emergency Preparedness Specialists</a></li><li class="module-list-item"><a title="" href="http://www.crisisexperts.com/memo1_main.html">ICM-Research Publications</a></li><li class="module-list-item"><a title="" href="http://www.marsh.com/MarshPortal/PortalMain">Marsh. The world's #1 risk specialist.</a></li><li class="module-list-item"><a title="" href="http://www.mercerhr.com/avianflu">Mercer HR: Preparing employers for an avian flu pandemic</a></li><li class="module-list-item"><a title="" href="http://www.ncdp.mailman.columbia.edu/index.html">National Center for Disaster Preparedness</a></li><li class="module-list-item"><a title="" href="http://www.psandman.com/col/pandemic.htm">Pandemic Influenza Risk Communication</a></li><li class="module-list-item"><a title="" href="http://reports.typepad.com/pandemic_plan/">Pandemic Plan</a></li><li class="module-list-item"><a title="" href="http://www.preparedcitizens.org/">Prepared Citizens </a></li><li class="module-list-item"><a title="" href="http://www.steps-centre.org/ourresearch/avianflu.html">STEPS centre avian flu</a></li><li class="module-list-item"><a title="" href="http://www.comminit.com/avianinfluenza.html">The Communication Initiative - Avian Influenza</a></li><li class="module-list-item"><a title="" href="http://healthyamericans.org/">Trust for America's Health</a></li><li class="module-list-item"><a title="" href="http://www.whatifcolorado.com/">What If? Colorado | Influenza</a></li><li class="module-list-item"><a title="" href="http://www.who.int/csr/resources/publications/influenza/WHO_CDS_CSR_GIP_2005_5/en/index.html">WHO global influenza preparedness plan</a></li><li class="module-list-item"><a title="" href="http://web.worldbank.org/WBSITE/EXTERNAL/TOPICS/EXTAVIANFLU/0,,menuPK:3124605%7EpagePK:149018%7EpiPK:149093%7EtheSitePK:3124441,00.html">World Bank Avian Flu Page</a></li><li style="color: rgb(255, 255, 51);" class="module-list-item"><h2 class="module-header"><span style="font-size:180%;">H5N1/H1N1 Technical Sources</span></h2> </li><li class="module-list-item"><a href="http://www.liebertonline.com/bsp?cookieSet=1">Biosecurity and Bioterrorism</a><br /></li><li class="module-list-item"><a href="http://biosurveillance.typepad.com/biosurveillance/">Biosurveillance</a><br /></li><li class="module-list-item"><a href="http://www.birdflumanual.com/default.asp">Bird Flu Manual (Dr. Grattan Woodson)</a><br /></li><li class="module-list-item"><a href="http://cidrapsource.com/register/do/framework">CIDRAP 10-Point Framework for Pandemic Influenza Business Contingency Planning</a><br /></li><li class="module-list-item"><a href="http://www.cidrap.umn.edu/cidrap/content/influenza/avianflu/index.html">CIDRAP Avian Influenza</a><br /></li><li class="module-list-item"><a href="http://www.cidrap.umn.edu/index.html">CIDRAP: Center for Infectious Disease Research and Policy</a><br /></li><li class="module-list-item"><a href="http://www.cidrap.umn.edu/cidrap/content/influenza/panflu/news/index.html">CIDRAP: Pandemic Puzzle Vaccine Series and Other News</a><br /></li><li class="module-list-item"><a href="http://www.pandemicpractices.org/practices/article.do;jsessionid=85EB6EE5649D61F6A0205FA0DFD905EC?page=home">CIDRAP: Promising Practices</a><br /></li><li class="module-list-item"><a href="http://www.birds.cornell.edu/birdflu">Cornell Lab of Ornithology: Bird Flu</a><br /></li><li class="module-list-item"><a href="http://www.cste.org/">Council of State and Territorial Epidemiologists</a><br /></li><li class="module-list-item"><a href="http://www.eht-forum.org/index.html">Emerging Health Threats Forum</a><br /></li><li class="module-list-item"><a href="http://www.cdc.gov/ncidod/EID/">Emerging Infectious Diseases</a><br /></li><li class="module-list-item"><a href="http://www.eurosurveillance.org/Default.aspx">Eurosurveillance</a><br /></li><li class="module-list-item"><a href="http://influenza.sph.unimelb.edu.au/index.php">FluWeb Historical Influenza Database</a><br /></li><li class="module-list-item"><a href="http://www.gains.org/Home/tabid/36/Default.aspx">Global Avian Influenza Network for Surveillance</a><br /></li><li class="module-list-item"><a href="http://www.globalhealthprogress.org/index.php?parent=home">Global Health Progress</a><br /></li><li class="module-list-item"><a href="http://www.gvfi.org/index.html">Global Viral Forecasting Initiative</a><br /></li><li class="module-list-item"><a href="http://scholar.google.com/scholar?as_q=&num=50&btnG=Search%20Scholar&as_epq=h5n1&as_oq=&as_eq=&as_occt=any&as_sauthors=&as_publication=&as_ylo=&as_yhi=&as_allsubj=all&hl=en&lr=&newwindow=1&safe=off">Google Scholar "h5n1" (all articles)</a><br /></li><li class="module-list-item"><a href="http://scholar.google.com/scholar?q=%20%22h5n1%22&num=50&hl=en&lr=&newwindow=1&safe=off&scoring=r&as_ylo=2007">Google Scholar "h5n1" (since 2007)</a><br /></li><li class="module-list-item"><a href="http://wildlifedisease.nbii.gov/ai/">Highly Pathogenic Avian Influenza Early Detection Data System (HEDDS)</a><br /></li><li class="module-list-item"><a href="http://immuneepitope.org/home.do">Immune Epitope Database and Analysis Resource</a><br /></li><li class="module-list-item"><a href="http://www.influenzareport.com/">Influenza Report 2006</a><br /></li><li class="module-list-item"><a href="http://www.ifpma.org/influenza/index.aspx?1">International Federation of Pharmaceutical Manufacturers & Associations: The Influenza Virus</a><br /></li><li class="module-list-item"><a href="http://www.nature.com/avianflu/index.html">Nature Reports Avian Flu</a><br /></li><li class="module-list-item"><a href="http://www.oie.int/wahis/public.php?page=home">OIE World Animal Health Information Database</a><br /></li><li class="module-list-item"><a href="http://www.promedmail.org/pls/otn/f?p=2400:1000">ProMED-mail</a><br /></li><li class="module-list-item"><a href="http://www.werc.usgs.gov/sattrack/">Satellite Tracking Migratory Bird (USGS)</a><br /></li><li class="module-list-item"><a href="http://targetpopulation.wordpress.com/">Target Population</a><br /></li><li class="module-list-item"><a href="http://www.thelancet.com/journals/laninf">The Lancet Infectious Diseases</a><br />Free registration required</li><li class="module-list-item"><a href="http://www.thelancet.com/online/focus/avian_flu">The Lancet: Avian Influenza</a><br /></li><li class="module-list-item"><a href="http://www.twiv.tv/">This Week in Virology</a><br /></li><li class="module-list-item"><a href="http://www.unicef.org/influenzaresources/">UNICEF - Avian and pandemic influenza communication resource</a></li><li class="module-list-item"><div class="module-typelist module"> <h2 style="color: rgb(255, 255, 51);" class="module-header"><span style="font-size:180%;">H5N1 Discussions</span></h2> <div class="module-content"> <ul class="module-list"><li class="module-list-item"><a title="" href="http://www.curevents.com/vb/forumdisplay.php?f=40">CurEvents.com - The Flu Clinic</a></li><li class="module-list-item"><a title="" href="http://www.flutrackers.com/forum/">FluTrackers</a></li><li class="module-list-item"><a title="" href="http://www.influenzah5n1.fr/">Forum sur la grippe aviaire - virus H5N1 - Forum Influenzah5n1.fr</a></li><li class="module-list-item"><a title="" href="http://listes.inra.fr/wws/info/h5n1">h5n1 - l'actualité de la grippe aviaire </a></li><li class="module-list-item"><a title="" href="http://www.newfluwiki2.com/frontPage.do">New Flu Wiki Forum</a></li><li class="module-list-item"><a title="" href="http://www.singtomeohmuse.com/index.php?sid=2d0f94c34e6f57d8aca7b1ca24a3e461">Pandemic Flu Information Forum</a></li><li class="module-list-item"><a title="" href="http://www.planforpandemic.com/">Plan for Pandemic</a></li><li class="module-list-item"><a title="" href="http://www.swineflu.org/">Swine Flu </a></li><li class="module-list-item"><a title="" href="http://www.curevents.org/forumdisplay.php?s=ee009b355432aeb60f29081082beb22c&f=28">The Flu Clinic - CurEvents.org</a></li><li class="module-list-item"><a title="" href="http://www.zonegrippeaviaire.com/forumdisplay.php?f=15">Zone grippe aviaire (English/Anglais)</a></li><li class="module-list-item"><div class="module-typelist module"> <h2 style="color: rgb(255, 255, 51);" class="module-header"><span style="font-size:180%;">H5N1 Crisis Planning & Management</span></h2> <div class="module-content"> <ul class="module-list"><li class="module-list-item"><a title="" href="http://medicine.plosjournals.org/perlserv/?request=get-document&doi=10.1371/journal.pmed.0020359">A Systematic Analytic Approach to Pandemic Influenza Preparedness Planning</a></li><li class="module-list-item"><a title="" href="http://www.usda.gov/oig/webdocs/33701-01-HY.pdf">Audit Report: USDA's Implementation of the National Strategy for Pandemic Influenza</a></li><li class="module-list-item"><a title="" href="http://www.health.gov.bc.ca/pandemic/index.html">British Columbia Ministry of Health Services: Pandemic Influenza</a></li><li class="module-list-item"><a title="" href="http://www.computerweekly.com/Articles/2007/07/27/225807/business-continuity-the-expert-view.htm">Business continuity: the expert view</a></li><li class="module-list-item"><a title="" href="http://www.ccohs.ca/pandemic/">CCOHS: Pandemic Planning</a></li><li class="module-list-item"><a title="" href="http://www.pandemicpractices.org/practices/article.do;jsessionid=85EB6EE5649D61F6A0205FA0DFD905EC?page=home">CIDRAP: Promising Practices</a></li><li class="module-list-item"><a title="" href="http://www.mitroff.net/">Dr. Ian Mitroff</a></li><li class="module-list-item"><a title="" href="http://www.fspanfluexercise.com/">FBIIC/FSSC Pandemic Flu Exercise of 2007</a></li><li class="module-list-item"><a title="" href="http://www.getpandemicready.org/">Get Pandemic Ready </a></li><li class="module-list-item"><a title="" href="http://www.global-consulting.ca/">Global Consulting: Emergency Preparedness Specialists</a></li><li class="module-list-item"><a title="" href="http://www.crisisexperts.com/memo1_main.html">ICM-Research Publications</a></li><li class="module-list-item"><a title="" href="http://www.marsh.com/MarshPortal/PortalMain">Marsh. The world's #1 risk </a></li><li class="module-list-item"><a title="" href="http://www.marsh.com/MarshPortal/PortalMain">specialist.</a></li><li class="module-list-item"><a title="" href="http://www.mercerhr.com/avianflu">Mercer HR: Preparing employers for an avian flu pandemic</a></li><li class="module-list-item"><a title="" href="http://www.ncdp.mailman.columbia.edu/index.html">National Center for Disaster Preparedness</a></li><li class="module-list-item"><a title="" href="http://www.psandman.com/col/pandemic.htm">Pandemic Influenza Risk Communication</a></li><li class="module-list-item"><a title="" href="http://reports.typepad.com/pandemic_plan/">Pandemic Plan</a></li><li class="module-list-item"><a title="" href="http://www.preparedcitizens.org/">Prepared Citizens </a></li><li class="module-list-item"><a title="" href="http://www.steps-centre.org/ourresearch/avianflu.html">STEPS centre avian flu</a></li><li class="module-list-item"><a title="" href="http://www.comminit.com/avianinfluenza.html">The Communication Initiative - Avian Influenza</a></li><li class="module-list-item"><a title="" href="http://healthyamericans.org/">Trust for America's Health</a></li><li class="module-list-item"><a title="" href="http://www.whatifcolorado.com/">What If? Colorado | Influenza</a></li><li class="module-list-item"><a title="" href="http://www.who.int/csr/resources/publications/influenza/WHO_CDS_CSR_GIP_2005_5/en/index.html">WHO global influenza preparedness plan</a></li><li class="module-list-item"><a title="" href="http://web.worldbank.org/WBSITE/EXTERNAL/TOPICS/EXTAVIANFLU/0,,menuPK:3124605%7EpagePK:149018%7EpiPK:149093%7EtheSitePK:3124441,00.html">World Bank Avian Flu Page</a></li></ul> </div> </div></li></ul> </div> </div></li></ul> </div> </div></li></ul> </div> </div></li></ul></div></div></li></ul></div></div></li><li style="color: rgb(255, 255, 51);" class="module-list-item"><h2 class="module-header"><span style="font-size:180%;">H5N1 News Gatherers</span></h2> </li><li class="module-list-item"><a href="http://chealth.canoe.ca/">C-Health</a><br /></li><li class="module-list-item"><a href="http://www.cempakaindonesia.com/Pages/Cempaka-Health-and-Welfare.html">Cempaka Health & Welfare (Indonesia)</a><br /></li><li class="module-list-item"><a href="http://www.google.org/flutrends/">Google Flu Trends</a><br /></li><li class="module-list-item"><a href="http://www.google.com/search?num=50&hl=en&newwindow=1&safe=off&cx=health_conditions_devel%21&q=avian%20influenza&btnG=Search">Google Health avian influenza</a><br /></li><li class="module-list-item"><a href="http://news.google.com/news?num=50&hl=en&newwindow=1&q=bird+flu+more:condition_overview&cx=health_conditions_devel%21&resnum=0&oe=UTF-8&um=1&ie=UTF-8&tab=wn&resnum=0&ct=property-revision&cd=1&scoring=n">Google Health Bird Flu (sorted by date)</a><br /></li><li class="module-list-item"><a href="http://www.google.com/search?num=50&hl=en&newwindow=1&safe=off&cx=health_conditions_devel%21&q=h5n1&btnG=Search">Google Health h5n1</a><br /></li><li class="module-list-item"><a href="http://www.healthmap.org/en">HealthMap | Global disease alert map</a><br /></li><li class="module-list-item"><a href="http://www.newsnow.co.uk/newsfeed/?name=Bird%20Flu">NewsNow: Bird Flu</a><br /></li><li class="module-list-item"><a href="http://www.oie.int/downld/avian%20influenza/A_AI-Asia.htm">OIE avian flu updates</a><br /></li><li class="module-list-item"><a href="http://www.pandemicfluandyou.org/">Pandemic Flu and You </a><br /></li><li class="module-list-item"><a href="http://www.alertnet.org/db/crisisprofiles/BIRDFLU.htm?v=newsdesk">Reuters AlertNet - Bird Flu</a><br /></li><li class="module-list-item"><a href="http://www.silobreaker.com/View360.aspx?Item=11_333705&q=Bird+Flu+%5bKeyphrase%5d&rd=true">Silobreaker: Bird Flu</a><br /></li><li class="module-list-item"><a href="http://www.xinhuanet.com/english/wfabf2005/index.htm">Worldwide Fight Against Bird Flu (China)</a></li><li style="color: rgb(255, 255, 51);" class="module-list-item"><h2 class="module-header"><span style="font-size:180%;">H5N1/H1N1 Technical Sources</span></h2> </li><li class="module-list-item"><a href="http://www.liebertonline.com/bsp?cookieSet=1">Biosecurity and Bioterrorism</a><br /></li><li class="module-list-item"><a href="http://biosurveillance.typepad.com/biosurveillance/">Biosurveillance</a><br /></li><li class="module-list-item"><a href="http://www.birdflumanual.com/default.asp">Bird Flu Manual (Dr. Grattan Woodson)</a><br /></li><li class="module-list-item"><a href="http://cidrapsource.com/register/do/framework">CIDRAP 10-Point Framework for Pandemic Influenza Business Contingency Planning</a><br /></li><li class="module-list-item"><a href="http://www.cidrap.umn.edu/cidrap/content/influenza/avianflu/index.html">CIDRAP Avian Influenza</a><br /></li><li class="module-list-item"><a href="http://www.cidrap.umn.edu/index.html">CIDRAP: Center for Infectious Disease Research and Policy</a><br /></li><li class="module-list-item"><a href="http://www.cidrap.umn.edu/cidrap/content/influenza/panflu/news/index.html">CIDRAP: Pandemic Puzzle Vaccine Series and Other News</a><br /></li><li class="module-list-item"><a href="http://www.pandemicpractices.org/practices/article.do;jsessionid=85EB6EE5649D61F6A0205FA0DFD905EC?page=home">CIDRAP: Promising Practices</a><br /></li><li class="module-list-item"><a href="http://www.birds.cornell.edu/birdflu">Cornell Lab of Ornithology: Bird Flu</a><br /></li><li class="module-list-item"><a href="http://www.cste.org/">Council of State and Territorial Epidemiologists</a><br /></li><li class="module-list-item"><a href="http://www.eht-forum.org/index.html">Emerging Health Threats Forum</a><br /></li><li class="module-list-item"><a href="http://www.cdc.gov/ncidod/EID/">Emerging Infectious Diseases</a><br /></li><li class="module-list-item"><a href="http://www.eurosurveillance.org/Default.aspx">Eurosurveillance</a><br /></li><li class="module-list-item"><a href="http://influenza.sph.unimelb.edu.au/index.php">FluWeb Historical Influenza Database</a><br /></li><li class="module-list-item"><a href="http://www.gains.org/Home/tabid/36/Default.aspx">Global Avian Influenza Network for Surveillance</a><br /></li><li class="module-list-item"><a href="http://www.globalhealthprogress.org/index.php?parent=home">Global Health Progress</a><br /></li><li class="module-list-item"><a href="http://www.gvfi.org/index.html">Global Viral Forecasting Initiative</a><br /></li><li class="module-list-item"><a href="http://scholar.google.com/scholar?as_q=&num=50&btnG=Search%20Scholar&as_epq=h5n1&as_oq=&as_eq=&as_occt=any&as_sauthors=&as_publication=&as_ylo=&as_yhi=&as_allsubj=all&hl=en&lr=&newwindow=1&safe=off">Google Scholar "h5n1" (all articles)</a><br /></li><li class="module-list-item"><a href="http://scholar.google.com/scholar?q=%20%22h5n1%22&num=50&hl=en&lr=&newwindow=1&safe=off&scoring=r&as_ylo=2007">Google Scholar "h5n1" (since 2007)</a><br /></li><li class="module-list-item"><a href="http://wildlifedisease.nbii.gov/ai/">Highly Pathogenic Avian Influenza Early Detection Data System (HEDDS)</a><br /></li><li class="module-list-item"><a href="http://immuneepitope.org/home.do">Immune Epitope Database and Analysis Resource</a><br /></li><li class="module-list-item"><a href="http://www.influenzareport.com/">Influenza Report 2006</a><br /></li><li class="module-list-item"><a href="http://www.ifpma.org/influenza/index.aspx?1">International Federation of Pharmaceutical Manufacturers & Associations: The Influenza Virus</a><br /></li><li class="module-list-item"><a href="http://www.nature.com/avianflu/index.html">Nature Reports Avian Flu</a><br /></li><li class="module-list-item"><a href="http://www.oie.int/wahis/public.php?page=home">OIE World Animal Health Information Database</a><br /></li><li class="module-list-item"><a href="http://www.promedmail.org/pls/otn/f?p=2400:1000">ProMED-mail</a><br /></li><li class="module-list-item"><a href="http://www.werc.usgs.gov/sattrack/">Satellite Tracking Migratory Bird (USGS)</a><br /></li><li class="module-list-item"><a href="http://targetpopulation.wordpress.com/">Target Population</a><br /></li><li class="module-list-item"><a href="http://www.thelancet.com/journals/laninf">The Lancet Infectious Diseases</a><br />Free registration required</li><li class="module-list-item"><a href="http://www.thelancet.com/online/focus/avian_flu">The Lancet: Avian Influenza</a><br /></li><li class="module-list-item"><a href="http://www.twiv.tv/">This Week in Virology</a><br /></li><li class="module-list-item"><a href="http://www.unicef.org/influenzaresources/">UNICEF - Avian and pandemic influenza communication resources</a></li><li class="module-list-item"><div class="module-typelist module"> <h2 style="color: rgb(255, 255, 0);" class="module-header"><span style="font-size:180%;">H5N1 Journal Articles</span></h2> <div class="module-content"> <ul class="module-list"><li class="module-list-item"><a title="" href="http://www.cdc.gov/ncidod/EID/vol11no09/04-1344.htm">Antiviral Use During Influenza Pandemic | CDC EID</a></li><li class="module-list-item"><a title="" href="http://bmj.bmjjournals.com/cgi/content/full/331/7529/1412?ijkey=FXyhZx2lyNbaVLE&keytype=ref">Are US flu death figures more PR than science? -- Doshi 331 (7529): 1412 -- BMJ</a></li><li class="module-list-item"><a title="" href="http://content.healthaffairs.org/cgi/content/full/hlthaff.25.w15/DC1">Attitudes Toward The Use Of Quarantine In A Public Health Emergency In Four Countries</a></li><li class="module-list-item"><a title="" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=16255619">Entrez PubMed</a></li><li class="module-list-item"><a title="" href="http://www.cdc.gov/ncidod/EID/vol11no10/05-0644.htm">Evolution of H5N1 Avian Influenza Viruses in Asia (CDC)</a></li><li class="module-list-item"><a title="" href="http://content.nejm.org/cgi/content/short/352/7/686">Fatal Avian Influenza A (H5N1) in a Child Presenting with Diarrhea Followed by Coma</a></li><li class="module-list-item"><a title="" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?holding=npg&cmd=Retrieve&db=PubMed&list_uids=15241415&dopt=Abstract">Genesis of a highly pathogenic and potentially pandemic H5N1 influenza virus in eastern Asia.</a></li><li class="module-list-item"><a title="" href="http://www.jornaldaciencia.org.br/Detalhe.jsp?id=33056">Gripe aviária: a resposta brasileira, artigo de Saraiva Felipe</a></li><li class="module-list-item"><a title="" href="http://www.cdc.gov/ncidod/EID/vol12no06/06-0227.htm#cit">H5N1 Influenza A Virus and Infected Human Plasma</a></li><li class="module-list-item"><a title="" href="http://www.cdc.gov/ncidod/EID/vol11no08/04-1317.htm">Influenza A H5N1 Detection | CDC EID</a></li><li class="module-list-item"><a title="" href="http://bmj.bmjjournals.com/cgi/content/full/331/7524/1066?ehom">Influenza pandemics and avian flu -- BMJ</a></li><li class="module-list-item"><a title="" href="http://www.nber.org/%7Ealmond/jmp3.pdf">Is the 1918 Influenza Pandemic Over?</a></li><li class="module-list-item"><a title="" href="http://www.nature.com/nature/journal/v435/n7041/index.html">Nature Special Issue on Avian Flu</a></li><li class="module-list-item"><a title="" href="http://content.nejm.org/cgi/content/full/355/21/2179">NEJM -- Avian Influenza A (H5N1) Infection in Eastern Turkey in 2006</a></li><li class="module-list-item"><a title="" href="http://content.nejm.org/cgi/content/full/353/13/1374">NEJM -- Avian Influenza A (H5N1) Infection in Humans</a></li><li class="module-list-item"><a title="" href="http://content.nejm.org/cgi/content/full/355/21/2174">NEJM -- H5N1 Influenza -- Continuing Evolution and Spread (Webster & Gorokova)</a></li><li class="module-list-item"><a title="" href="http://content.nejm.org/cgi/content/full/353/25/2633">NEJM -- Oseltamivir Resistance -- Disabling Our Influenza Defenses</a></li><li class="module-list-item"><a title="" href="http://content.nejm.org/cgi/content/full/353/25/2667">NEJM -- Oseltamivir Resistance during Treatment of Influenza A (H5N1) Infection</a></li><li class="module-list-item"><a title="" href="http://content.nejm.org/cgi/content/full/352/18/1839">NEJM -- Preparing for the Next Pandemic</a></li><li class="module-list-item"><a title="" href="http://content.nejm.org/cgi/content/full/353/21/2209">NEJM -- The Origins of Pandemic Influenza -- Lessons from the 1918 Virus</a></li><li class="module-list-item"><a title="" href="http://content.nejm.org/cgi/content/full/355/21/2186">NEJM -- Three Indonesian Clusters of H5N1 Virus Infection in 2005</a></li><li class="module-list-item"><a title="" href="http://content.nejm.org/cgi/content/full/358/3/261">NEJM -- Update on Avian Influenza A (H5N1) Virus Infection in Humans</a></li><li class="module-list-item"><a title="" href="http://www.cdc.gov/ncidod/EID/vol12no01/05-1370.htm">Nonpharmaceutical Interventions for Pandemic Flu</a></li><li class="module-list-item"><a title="" href="http://medicine.plosjournals.org/perlserv/?request=get-document&doi=10%2E1371%2Fjournal%2Epmed%2E0030135">Pandemic Influenza: Risk of Multiple Introductions and the Need to Prepare for Them</a></li><li class="module-list-item"><a title="" href="http://medicine.plosjournals.org/perlserv/?request=get-document&doi=10.1371/journal.pmed.0020359">PLoS Medicine: A Systematic Analytic Approach to Pandemic Influenza Preparedness Planning</a></li><li class="module-list-item"><a title="" href="http://jvi.asm.org/cgi/content/abstract/80/4/1959">Protection of Mice and Poultry from Lethal H5N1 Avian Influenza Virus through Adenovirus-Based Immunization (Abstract)</a></li><li class="module-list-item"><a title="" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Display&dopt=pubmed_pubmed&from_uid=16255619">PubMed Journal Articles on Pandemic Preparedness Planning</a></li><li class="module-list-item"><a title="" href="http://medicine.plosjournals.org/perlserv/?request=get-document&doi=10%2E1371%2Fjournal%2Epmed%2E0030361">Reducing the Impact of the Next Influenza Pandemic Using Household-Based Public Health Interventions</a></li><li class="module-list-item"><a title="" href="http://www.nature.com/nature/journal/vaop/ncurrent/full/nature04795.html">Strategies for mitigating an influenza pandemic : Nature</a></li><li class="module-list-item"><a title="" href="http://www.cdc.gov/ncidod/eid/vol5no2/snacken.htm">The Next Influenza Pandemic: Lessons from Hong Kong, 1997 </a></li><li class="module-list-item"><a title="" href="http://www.recombinomics.com/News/02210502/Real_Fatality_Rate_H5N1.html">The Real Case Fatality Rate of H5N1 Avian Influenza</a></li><li style="color: rgb(255, 255, 51);" class="module-list-item"><h2 class="module-header"><span style="font-size:180%;">H5N1/H1N1 Government Sites</span></h2> </li><li class="module-list-item"><a href="http://www.grippeaviaire.gouv.fr/">Accueil - Grippe aviaire</a><br /></li><li class="module-list-item"><a href="http://www.fws.gov/migratorybirds/issues/AvianFlu/WBAvianFlu.htm">Avian Influenza in Wild Birds (US Fish & Wildlife Service)</a><br /></li><li class="module-list-item"><a href="http://www.info.gov.hk/info/flu/chi/index.htm">Hong Kong Government Flu Site (in Chinese)</a><br /></li><li class="module-list-item"><a href="http://pandemicflu.gov/">Pandemic Flu (US Government Official Site)</a><br /></li><li class="module-list-item"><a href="http://www.avianinfluenza.com.au/">Avianinfluenza.com.au (Australian Government Site)</a><br /></li><li class="module-list-item"><a href="http://ai.moh.gov.bh/">Avian Influenza (Bahrain)</a><br /></li><li class="module-list-item"><a href="http://www.vdh.virginia.gov/pandemicflu/">Virginia Department of Health: Pandemic Influenza</a><br /></li><li class="module-list-item"><a href="http://www.info.gov.hk/info/flu/eng/index.htm">Hong Kong Government Flu Site (in English)</a><br /></li><li class="module-list-item"><a href="http://www.flu.gov.sg/">Singapore Government Flu Website</a><br /></li><li class="module-list-item"><a href="http://mohfw.nic.in/avian.html">Avian Flu Page (Ministry of Health & Family Welfare, India)</a><br /></li><li class="module-list-item"><a href="http://www.influenza.gc.ca/">Pandemic Influenza - Pandémie d'influenza (Canada)</a><br /></li><li class="module-list-item"><a href="http://www.fda.gov/oc/opacom/hottopics/flu.html">US Food and Drug Administration: Flu Information</a><br /></li><li class="module-list-item"><a href="http://www.health.state.ny.us/diseases/communicable/influenza/avian/">New York State Avian Influenza Page</a><br /></li><li class="module-list-item"><a href="http://www.usda.gov/wps/portal/usdahome?navtype=SU&navid=AVIAN_INFLUENZA">US Department of Agriculture - Avian Influenza</a><br /></li><li class="module-list-item"><a href="http://www.health.gov.bc.ca/pandemic">British Columbia Pandemic Preparedness</a><br /></li><li class="module-list-item"><a href="http://birdflu.sis.gov.eg/html/index.htm">Bird Flu (Egypt)</a><br /></li><li class="module-list-item"><a href="http://influenza.bvsalud.org/php/index.php?lang=pt">Portal Influenza Aviária (Brasil)</a><br /></li><li class="module-list-item"><a href="http://www.virology.nl/index-influenza.htm">Infectieziekten: Vogelgriep (Nederlands)</a><br /></li><li class="module-list-item"><a href="http://www.nyc.gov/html/doh/html/cd/cd-panflu.shtml">Pandemic Flu: New York City</a><br /></li><li class="module-list-item"><a href="http://www.cidrap.umn.edu/cidrap/files/87/countryinfo.pdf">CIDRAP International Government Pandemic Flu Resources</a><br /></li><li class="module-list-item"><a href="http://www.depkes.go.id/en/index_en.htm">Ministry of Health, Indonesia</a><br /></li><li class="module-list-item"><a href="http://www.doh.wa.gov/panflu/">Pandemic Flu - WA State Dept. of Health</a><br /></li><li class="module-list-item"><a href="http://www.nwhc.usgs.gov/disease_information/avian_influenza/index.jsp">USGS National Wildlife Health Center - Avian Influenza</a><br /></li><li class="module-list-item"><a href="http://www.pandemicflu.utah.gov/">Utah Pandemic Influenza Site</a><br /></li><li class="module-list-item"><a href="http://ai.moh.gov.bh/arabic/default.asp"> إنفلونزا الطيور</a><br /></li><li class="module-list-item"><a href="http://www.msal.gov.ar/htm/site/gripe_aviar/site/default.asp">Gripe Aviar (Argentina)</a><br /></li><li class="module-list-item"><a href="http://www.mhlw.go.jp/english/topics/influenza/index.html">Pandemic Influenza and Avian Influenza (Japan)</a><br /></li><li class="module-list-item"><a href="http://maineflu.gov/">Flu in Maine</a><br /></li><li class="module-list-item"><a href="http://www.ukresilience.info/">UK Resilience</a><br /></li><li class="module-list-item"><a href="http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_080734">Pandemic flu: A national framework for responding to an influenza pandemic (UK)</a><br /></li><li class="module-list-item"><a href="http://un-influenza.org/">Avian Influenza and the Pandemic Threat: UN portal on response</a><br /></li><li class="module-list-item"><a href="http://www.chinacdc.net.cn/n272562/index.html">Chinese Center for Disease Control and Prevention</a><br /></li><li class="module-list-item"><a href="http://www.nih.org.pk/">National Institute of Health (Pakistan)</a><br /></li><li class="module-list-item"><a href="http://www.mohp.gov.eg/sec/heducation/birdflu.asp">وزارة الصحة و السكان - التثقيف الصحى</a><br /></li><li class="module-list-item"><a href="http://fluburung-indo.blogspot.com/">Media Center Komnas FBPI (Indonesia)</a><br /></li><li class="module-list-item"><a href="http://www.mrtv3.net.mm/open/birdhome.html">Burmese Ministry of Livestock and Fisheries: Bird Flu</a><br /></li><li class="module-list-item"><a href="http://www.avianinfluenza.org.vn/">Viet Nam Partnership for Avian and Human Pandemic Influenza </a><br /></li><li class="module-list-item"><a href="http://www.moh.gov.cn/2.htm">中华人民共和国卫生部 (China Ministry of Health)</a><br /></li><li class="module-list-item"><a href="http://science.america.gov/science/health/avianflu.html">US Department of State: Avian Influenza </a><br /></li><li class="module-list-item"><a href="http://www.aseanplus3-eid.info/">ASEAN Plus Three Countries Information on Emerging Infectious Diseases</a><br /></li><li class="module-list-item"><a href="http://www.crisis.gov.sg/flu/">Singapore Flu Portal</a><br /></li><li class="module-list-item"><a href="http://www.ohiopandemicflu.gov/">Ohio Pandemic Influenza</a><br /></li><li class="module-list-item"><a href="http://www.panfluidaho.org/">PanFluidaho.org</a><br /></li><li class="module-list-item"><a href="http://www.aitoolkit.org/Default.aspx">Avian Influenza Toolkit (Australia)</a><br /></li><li class="module-list-item"><a href="http://www.moh.gov.sa/h5n1/map.htm"> Saudi Arabia (in Arabic) الحملة الوطنية للتوعية بانفلونزا الطيور</a><br /></li><li class="module-list-item"><a href="http://ppfluburung.org/?option=com_frontpage&Itemid=26">Pilot Project of Avian Influenza Control, Tangerang (English/Bahasa)</a><br /></li><li class="module-list-item"><a href="http://www.toronto.ca/health/index.htm">Toronto Public Health</a><br /></li><li class="module-list-item"><a href="http://www.saidr.org/index.php">SAIDR: Strengthening Avian Influenza Detection and Response in Egypt</a><br /></li><li class="module-list-item"><a href="http://www.pandemiequebec.gouv.qc.ca/en/news/news.shtml">Pandemic Québec</a><br /></li><li class="module-list-item"><a href="https://www.pandemicflu.direct.gov.uk/">NATIONAL PANDEMIC FLU LINE SERVICE (UK)</a><br /></li><li class="module-list-item"><a href="http://www.h1n1inpa.com/">H1N1 in PA(Pennsylvania)</a></li><li style="color: rgb(255, 255, 51);" class="module-list-item"><h2 class="module-header"><span style="font-size:180%;">H5N1/H1N1 Special Reports</span></h2> </li><li class="module-list-item"><a href="http://www.unicef.org/eapro/activities_7065.html">A training manual for media workshops on avian influenza (UNICEF)</a><br /></li><li class="module-list-item"><a href="http://www.aclu.org/privacy/medical/33642pub20080114.html">ACLU: Pandemic Preparedness: The Need for a Public Health — Not a Law Enforcement/National Security — Approach</a><br /></li><li class="module-list-item"><a href="http://birdflubook.com/g.php?id=5">Bird Flu: A Virus Of Our Own Hatching (online book)</a><br /></li><li class="module-list-item"><a href="http://www.bmonesbittburns.com/economics/reports/20060313/report.pdf">BMO Financial Group: The Avian Flu Crisis</a><br /></li><li class="module-list-item">BMO Nesbitt Burns Investor's Guide to Avian Flu (August 2005)<br /></li><li class="module-list-item"><a href="http://www.bmonesbittburns.com/economics/reports/20051011/dont_fear_fear.pdf">BMO Nesbitt Burns: Don't Fear Fear (October 2005)</a><br /></li><li class="module-list-item"><a href="http://www.boozallen.com/media/file/Influenza_Pandemic_Simulation.pdf">Booz Allen Hamilton: Influenza Pandemic Simulation: Implications for the Public and Private Sectors</a><br /></li><li class="module-list-item"><a href="http://www.phac-aspc.gc.ca/cpip-pclcpi/index.html">Canadian Pandemic Influenza Plan for the Health Sector</a><br /></li><li class="module-list-item"><a href="http://crofsblogs.typepad.com/h5n1/files/deutsche_bank_flu_conference.pdf">Deutsche Bank : Bulls, Bears and Birds</a><br /></li><li class="module-list-item"><a href="http://www.publications.parliament.uk/pa/ld200708/ldselect/ldintergov/143/143.pdf">Diseases Know No Frontiers (UK: House of Lords 2008)</a><br /></li><li class="module-list-item"><a href="http://www.afcd.gov.hk/files/english/EPI_Report_Eng_v3.pdf">Epidemiology Report on the Highly Pathogenic Avian Influenza H5N1 Outbreak in December 2008 in a Chicken Farm in Ha Tsuen, New Territories</a><br /></li><li class="module-list-item"><a href="http://influenzareport.com/">Influenza Report 2006 | A Medical Textbook</a><br /></li><li class="module-list-item"><a href="http://www.lowyinstitute.org/Publication.asp?pid=345">Lowy Institute: Global Macroeconomic Consequences of Pandemic Influenza</a><br /></li><li class="module-list-item"><a href="http://healthyamericans.org/reports/flurecession/FluRecession.pdf">Pandemic Flu and the Potential for US Economic Recession (Trust for America's Health)</a><br /></li><li class="module-list-item"><a href="http://www.pogo.org/p/socialservice/so-080306-flu.html">Pandemic Flu: Lack of Leadership and Disclosure, Plague Vaccine Program</a><br /></li><li class="module-list-item"><a href="http://www.bmj.com/cgi/content/full/bmj.39393.510347.BEv1">Physical interventions to interrupt or reduce the spread of respiratory viruses: systematic review</a><br /></li><li class="module-list-item"><a href="http://www.roche.com/sus_csoc-acc_influenza.pdf">Preparing for the Next Pandemic Influenza: Roles and Responsibilities of Roche and Other Stakeholders</a><br /></li><li class="module-list-item"><a href="http://www.who.int/gb/ebwha/pdf_files/WHA59/A59_4-en.pdf">Strengthening Pandemic Influenza Preparedness and Response (WHO)</a><br /></li><li class="module-list-item"><a href="http://www.fao.org/avianflu/en/conferences/june2007/documents.html">Technical Meeting on Highly Pathogenic Avian Influenza and Human H5N1 infection</a><br /></li><li class="module-list-item"><a href="http://www.ifri.org/files/Sante_env/AI_Feb2009.pdf">The Global Fight Against Avian Influenza (Institut Français des Relations Internationales)</a><br /></li><li class="module-list-item"><a href="http://www.pandemicflu.utah.gov/docs/PandInfluTaskforceFinalReport.pdf">Utah Taskforce for Pandemic Influenza Preparedness: Final Report</a></li><li style="color: rgb(255, 255, 51);" class="module-list-item"><h2 class="module-header"><span style="font-size:180%;">H5N1/H1N1 Français</span></h2> </li><li class="module-list-item"><a href="http://www.grippeaviaire.gouv.fr/">Accueil - Grippe aviaire</a><br /></li><li class="module-list-item"><a href="http://www.fluwikie.com/index.php?n=Main.Fr-HomePage">Flu Wiki en français</a><br /></li><li class="module-list-item"><a href="http://www.agoravox.fr/rubrique_mot.php3?id_mot=172">AgoraVox - grippe aviare</a><br /></li><li class="module-list-item"><a href="http://drmsfvermeulen.skynetblogs.be/?date=20051009&number=7&unit=days">La Grippe Aviare: urgence! danger!</a><br /></li><li class="module-list-item"><a href="http://www.sante.gouv.fr/htm/dossiers/grippe_aviaire/sommaire.htm">La grippe aviaire </a><br /></li><li class="module-list-item"><a href="http://influenza.h5n1.over-blog.com/">La grippe aviaire : le nouveau risque mondial?</a><br /></li><li class="module-list-item"><a href="http://www.geocities.com/gdh5n1/h5n1_3_n.html">Taxus Pharma (H5N1)(Français/English)</a><br /></li><li class="module-list-item"><a href="http://listes.inra.fr/wws/info/h5n1">h5n1 - l'actualité de la grippe aviaire </a><br /></li><li class="module-list-item"><a href="http://www.republicain-niger.com/">Republicain (Niger)</a><br /></li><li class="module-list-item"><a href="http://bluefeeling.typepad.com/h5n1_grippe_aviaire/">H5N1- Ultimate News - grippe aviaire (Suisse)</a><br /></li><li class="module-list-item"><a href="http://h5n1-theses-hypotheses.over-blog.com/"> le blog h5n1-theses-hypotheses</a><br /></li><li class="module-list-item"><a href="http://www.phac-aspc.gc.ca/cpip-pclcpi/index_f.html">Plan canadien de lutte contre la pandémie d'influenza dans le secteur de la santé </a><br /></li><li class="module-list-item"><a href="http://www.espace-ethique.org/fr/grippe.php">Pandémie grippale, éthique, société</a><br /></li><li class="module-list-item"><a href="http://www.influenzah5n1.fr/">Forum sur la grippe aviaire - virus H5N1 - Forum Influenzah5n1.fr</a><br /></li><li class="module-list-item"><a href="http://www.zonegrippeaviaire.com/">Zone grippe aviaire </a><br /></li><li class="module-list-item"><a href="http://lecourrier.vnagency.com.vn/default.asp?xt=xt33&ct=ct50&page=news&linkID=73&menu=3">Courrier du Vietnam: Santé</a><br /></li><li class="module-list-item"><a href="http://www.zonegrippeaviaire.com/showthread.php?t=1561">Gazette de Zonegrippeaviaire </a><br /></li><li class="module-list-item"><a href="http://www.pandemiequebec.gouv.qc.ca/fr/actualites/actualites.shtml">Pandémie Québec</a><br /></li><li class="module-list-item"><a href="http://grippe-a-h1n1.over-blog.com/">Grippe A H1N1</a></li><li class="module-list-item"><div class="module-typelist module"> <h2 style="color: rgb(255, 255, 51);" class="module-header"><span style="font-size:180%;">H5N1 General International</span></h2> <div class="module-content"> <ul class="module-list"><li class="module-list-item"><a title="" href="http://avianinfluenza.blogfa.com/">Avian Influenza (Farsi)</a></li><li class="module-list-item"><a title="" href="http://avianflunews.blogspot.com/">Avian Influenza News (Iran)</a></li><li class="module-list-item"><a title="" href="http://www.asahi-net.or.jp/%7Eie3t-tnok/jyouhou/BIRDFLU/jyouhougen.html">Bird Flu(Japan)</a></li><li class="module-list-item"><a title="" href="http://konyvtar.univet.hu/ugro/links/birdflu.htm">Birdflu/Madárinfluenzáról (Magyar)</a></li><li class="module-list-item"><a title="" href="http://www.cidrap.umn.edu/cidrap/files/87/countryinfo.pdf">CIDRAP International Government Pandemic Flu Resources</a></li><li class="module-list-item"><a title="" href="http://epistheme-tonydemoya.blogspot.com/">Epistheme (español)</a></li><li class="module-list-item"><a title="" href="http://www.flu.org.cn/en/default.html">FIC: Flu in China</a></li><li class="module-list-item"><a title="" href="http://fijnefeitjes.web-log.nl/">FijneFeitjes - web-log.nl</a></li><li class="module-list-item"><a title="" href="http://nyhetene.blogspot.com/">Fugleinfluensa : Nyhetene.blogspot.com (Norsk)</a></li><li class="module-list-item"><a title="" href="http://www.vg.no/nyheter/spesial/fugleviruset/">Fugleinfluensaen - (Norsk)</a></li><li class="module-list-item"><a title="" href="http://griep.blog.nl/">Griep.blog.nl | Weblog over de link tussen griep, vogelgriep en Spaanse griep</a></li><li class="module-list-item"><a title="" href="http://geosalud.com/enfermedades_infecciosas/gripeaviar.htm">Gripe Aviar (español)</a></li><li class="module-list-item"><a title="" href="http://pandemiah5n1.blogspot.com/">Gripe das Aves (Português/English) </a></li><li class="module-list-item"><a title="" href="http://www.influenza.cl/">Influenza Gripe Aviar Chile</a></li><li class="module-list-item"><a title="" href="http://fluburung-indo.blogspot.com/">Media Center Komnas FBPI (Indonesia)</a></li><li class="module-list-item"><a title="" href="http://mikrobiolog.blogspot.com/">MIKROBioLOG (Slovenia)</a></li><li class="module-list-item"><a title="" href="http://www.shashum.com.ar/noticias-salud-mx/">Noticias Salud México (español)</a></li><li class="module-list-item"><a title="" href="http://www.paho.org/English/AD/DPC/CD/flu-avi.htm">Pan American Health Organization Avian Influenza (English, español e português)</a></li><li class="module-list-item"><a title="" href="http://pandemitalia.blogspot.com/">PandemItalia</a></li><li class="module-list-item"><a title="" href="http://vogelgriep.pagina.nl/">Vogelgriep.pagina.nl</a></li><li class="module-list-item"><a title="" href="http://pandemie.blogspot.com/">Vogelgrippe Virus und Influenza-Pandemie </a></li><li class="module-list-item"><a title="" href="http://web.worldbank.org/WBSITE/EXTERNAL/TOPICS/EXTHEALTHNUTRITIONANDPOPULATION/EXTTOPAVIFLU/0,,menuPK:1793605%7EpagePK:64168427%7EpiPK:64168435%7EtheSitePK:1793593,00.html">World Bank Avian Flu Page</a></li><li class="module-list-item"><div class="module-typelist module"> <h2 style="color: rgb(255, 255, 51);" class="module-header"><span style="font-size:180%;">Books on Influenza</span></h2> <div class="typelist-thumbnailed module-content"> <ul class="module-list"><li class="module-list-item"><div class="typelist-thumbnail"><a href="http://www.amazon.com/exec/obidos/ASIN/0393331563/1n9867a-20"><img alt="Allen, Arthur: Vaccine: The Controversial Story of Medicine's Greatest Lifesaver" src="http://a1.typepad.com/6a00d83451bd6d69e200e5521b52a18834-75hi" /></a></div><p class="typelist-description"><a href="http://www.amazon.com/exec/obidos/ASIN/0393331563/1n9867a-20">Allen, Arthur: Vaccine: The Controversial Story of Medicine's Greatest Lifesaver</a></p></li><li class="module-list-item"><div class="typelist-thumbnail"><a href="http://www.amazon.com/exec/obidos/ASIN/0670894737/1n9867a-20"><img alt="Barry, John M. : The Great Influenza: The Epic Story of the Deadliest Plague In History" src="http://a3.typepad.com/6a00d83451bd6d69e200e54fee69cb8834-75hi" /></a></div><p class="typelist-description"><a href="http://www.amazon.com/exec/obidos/ASIN/0670894737/1n9867a-20">Barry, John M. : The Great Influenza: The Epic Story of the Deadliest Plague In History</a></p></li><li class="module-list-item"><div class="typelist-thumbnail"><a href="http://www.amazon.com/exec/obidos/ASIN/0375504966/1n9867a-20"><img alt="Chase, Marilyn : The Barbary Plague: The Black Death in Victorian San Francisco" src="http://a7.typepad.com/6a00d83451bd6d69e200e55000254f8833-75hi" /></a></div><p class="typelist-description"><a href="http://www.amazon.com/exec/obidos/ASIN/0375504966/1n9867a-20">Chase, Marilyn : The Barbary Plague: The Black Death in Victorian San Francisco</a></p></li><li class="module-list-item"><a href="http://www.amazon.com/exec/obidos/ASIN/2213626928/1n9867a-20">Derenne, Jean-Philippe, et al.: Pandémie: La grande menace</a></li><li class="module-list-item"><div class="typelist-thumbnail"><a href="http://www.amazon.com/exec/obidos/ASIN/0802087485/1n9867a-20"><img alt="Duncan, Kirsty E. : Hunting the 1918 Flu: One Scientist's Search for a Killer Virus" src="http://a0.typepad.com/6a00d83451bd6d69e200e54fee69d08834-75hi" /></a></div><p class="typelist-description"><a href="http://www.amazon.com/exec/obidos/ASIN/0802087485/1n9867a-20">Duncan, Kirsty E. : Hunting the 1918 Flu: One Scientist's Search for a Killer Virus</a></p></li><li class="module-list-item"><div class="typelist-thumbnail"><a href="http://www.amazon.com/exec/obidos/ASIN/0060587229/1n9867a-20"><img alt="Greenfeld, Karl Taro: China Syndrome: The True Story of the 21st Century's First Great Epidemic" src="http://a1.typepad.com/6a00d83451bd6d69e200e54fde47718834-75hi" /></a></div><p class="typelist-description"><a href="http://www.amazon.com/exec/obidos/ASIN/0060587229/1n9867a-20">Greenfeld, Karl Taro: China Syndrome: The True Story of the 21st Century's First Great Epidemic</a></p></li><li class="module-list-item"><div class="typelist-thumbnail"><a href="http://www.amazon.com/exec/obidos/ASIN/1590560981/1n9867a-20"><img alt="Greger, Dr. Michael: Bird Flu: A Virus of Our Own Hatching" src="http://a6.typepad.com/6a00d83451bd6d69e200e54fd752de8833-75hi" /></a></div><p class="typelist-description"><a href="http://www.amazon.com/exec/obidos/ASIN/1590560981/1n9867a-20">Greger, Dr. Michael: Bird Flu: A Virus of Our Own Hatching</a></p></li><li class="module-list-item"><div class="typelist-thumbnail"><a href="http://www.amazon.com/exec/obidos/ASIN/0812973011/1n9867a-20"><img alt="Kidder, Tracy: Mountains Beyond Mountains : The Quest of Dr. Paul Farmer, a Man Who Would Cure the World" src="http://a6.typepad.com/6a00d83451bd6d69e200e54fdd6b768834-75hi" /></a></div><p class="typelist-description"><a href="http://www.amazon.com/exec/obidos/ASIN/0812973011/1n9867a-20">Kidder, Tracy: Mountains Beyond Mountains : The Quest of Dr. Paul Farmer, a Man Who Would Cure the World</a></p></li><li class="module-list-item"><div class="typelist-thumbnail"><a href="http://www.amazon.com/exec/obidos/ASIN/0374157065/1n9867a-20"><img alt="Kolata, Gina Bari : Flu: The Story of the Great Influenza Pandemic of 1918 and the Search for the Virus That Caused It" src="http://a0.typepad.com/6a00d83451bd6d69e200e54fee69c88834-75hi" /></a></div><p class="typelist-description"><a href="http://www.amazon.com/exec/obidos/ASIN/0374157065/1n9867a-20">Kolata, Gina Bari : Flu: The Story of the Great Influenza Pandemic of 1918 and the Search for the Virus That Caused It</a></p></li><li class="module-list-item"><div class="typelist-thumbnail"><a href="http://www.amazon.com/exec/obidos/ASIN/0385662777/1n9867a-20"><img alt="Lam, Dr. Vincent and Dr. Colin Lee: The Flu Pandemic and You: A Canadian Guide" src="http://a1.typepad.com/6a00d83451bd6d69e200e54fe18bb98834-75hi" /></a></div><p class="typelist-description"><a href="http://www.amazon.com/exec/obidos/ASIN/0385662777/1n9867a-20">Lam, Dr. Vincent and Dr. Colin Lee: The Flu Pandemic and You: A Canadian Guide</a></p></li><li class="module-list-item"><a href="http://www.amazon.com/exec/obidos/ASIN/0888331045/1n9867a-20">Pettigrew, Eileen : Silent Enemy: Canada and the Deadly Flu of 1918</a></li><li class="module-list-item"><div class="typelist-thumbnail"><a href="http://www.amazon.com/exec/obidos/ASIN/0757304982/1n9867a-20"><img alt="Woodson, Dr. Grattan : The Bird Flu Preparedness Planner" src="http://a6.typepad.com/6a00d83451bd6d69e200e54fc95dd68833-75hi" /></a></div><p class="typelist-description"><a href="http://www.amazon.com/exec/obidos/ASIN/0757304982/1n9867a-20">Woodson, Dr. Grattan : The Bird Flu Preparedness Planner</a></p></li><li style="color: rgb(255, 255, 51);" class="module-list-item"><h2 id="banner-description"><span style="font-size:180%;"><b><b>News and Resources about Pandemic Influenza (crofsblogs.typepad.com)</b></b></span></h2></li><li class="module-list-item"><h3 class="r"><a href="http://crofsblogs.typepad.com/h5n1/" class="l" onmousedown="return rwt(this,'','','res','1','AFQjCNEiGZfDLVRalE6NkN5T-5cqYKeThw','&sig2=PxL1KjwfgRyeDQLZAEIp8A')">Crofsblogs.typepad.com (one of the best blogger)<br /></a></h3><span style="display: inline-block;"><button class="w10"></button><button class="w20"></button></span><span class="m"> <span dir="ltr">-</span></span></li></ul> </div> </div></li></ul> </div> </div></li></ul> </div> </div></li></ul>Dr Michel S. F. Vermeulenhttp://www.blogger.com/profile/04324998188525891029noreply@blogger.com0tag:blogger.com,1999:blog-7426553807936273213.post-24064073495778941592009-08-29T22:21:00.005+02:002009-08-29T22:36:17.440+02:00TOUTES LES NOUVELLES ET ARTICLES QUOTIDIENS SUR LA GRIPPE A(H1N1) EN BELGIQUE + VIDÉOS.<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://tree.bio.ed.ac.uk/groups/influenza/wiki/aea97/images/__thumbs__/39b02.png"><img style="margin: 0px auto 10px; display: block; text-align: center; cursor: pointer; width: 467px; height: 700px;" src="http://tree.bio.ed.ac.uk/groups/influenza/wiki/aea97/images/__thumbs__/39b02.png" alt="" border="0" /></a><br /><br /><br /><br /><span style="font-weight: bold;">cliquez sur le lien suivant</span> : <span style="font-size:130%;"><span style="font-size:180%;"><a href="http://scherpamichel.skynetblogs.be/">TOUTES LES NOUVELLES ET ARTICLES QUOTIDIENS SUR LA GRIPPE A(H1N1) EN BELGIQUE + VIDÉOS.</a></span><span style="font-weight: bold;"><a><span style="font-weight: bold;"><br /></span></a></span></span>Dr Michel S. F. Vermeulenhttp://www.blogger.com/profile/04324998188525891029noreply@blogger.com0tag:blogger.com,1999:blog-7426553807936273213.post-24033687897958365922009-05-11T10:58:00.003+02:002009-05-11T11:29:13.831+02:00La grippe et la faim ou la grippe et la fin.<meta equiv="Content-Type" content="text/html; charset=utf-8"><meta name="ProgId" content="Word.Document"><meta name="Generator" content="Microsoft Word 12"><meta name="Originator" content="Microsoft Word 12"><link rel="File-List" href="file:///C:%5CUsers%5CMiche%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_filelist.xml"><link rel="themeData" href="file:///C:%5CUsers%5CMiche%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_themedata.thmx"><link rel="colorSchemeMapping" href="file:///C:%5CUsers%5CMiche%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_colorschememapping.xml"><!--[if gte mso 9]><xml> <w:worddocument> <w:view>Normal</w:View> <w:zoom>0</w:Zoom> <w:trackmoves/> <w:trackformatting/> 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style="font-weight: bold; color: rgb(255, 153, 255);" class="MsoNormal"><span style="font-size:100%;">Jean est un homme satisfait, car, il à la satisfaction d’avoir jusqu’à présent bien réussi sa vie.</span></p> <p style="font-weight: bold; color: rgb(255, 153, 255);" class="MsoNormal"><span style="font-size:100%;">Il habite une petite maison fermette dans une petite rue d’un village en Brabant wallon. </span></p> <p style="font-weight: bold; color: rgb(255, 153, 255);" class="MsoNormal"><span style="font-size:100%;">Il a un bon métier grâce à une de ses qualités maitresse : savoir d’où vient le vent, ce qui lui permet comme une girouette, d’être dans le bon sens. Il a pu grâce à sa navigation, utiliser quelques <span style=""> </span>passe- droits utiles à sa progression. De cette façon, il n’habite pas la ville « comme tout le monde ». </span></p> <p style="font-weight: bold; color: rgb(255, 153, 255);" class="MsoNormal"><span style="font-size:100%;">Jean, ce n’est pas n’importe qui, tout le monde le respecte et l’envie dans son service. Nombreux sont ceux qui ont pu admirer sa fermette lors d’un barbecue.</span></p> <p style="font-weight: bold; color: rgb(255, 153, 255);" class="MsoNormal"><span style="font-size:100%;">Ainsi, il peut se rendre chaque matin dans un bureau, et sa fonction à de la garantie, car il est nommé à vie en temps que fonctionnaire de l’état. </span></p> <p style="font-weight: bold; color: rgb(255, 153, 255);" class="MsoNormal"><span style="font-size:100%;">Heureux, car <span style=""> </span>entouré par <span style=""> </span>sa compagne, <span style=""> </span>ses deux enfants, <span style=""> </span>ses <span style=""> </span>deux chiens, <span style=""> </span>ses deux voitures, et son barbecue avec plein <span style=""> </span>d’amis. </span></p> <p style="font-weight: bold; color: rgb(255, 153, 255);" class="MsoNormal"><span style="font-size:100%;">Jean est malin et prévoyant. Il a internet avec des jeux vidéos, mais il ne faut pas croire qu’il est bête. </span></p> <p style="font-weight: bold; color: rgb(255, 153, 255);" class="MsoNormal"><span style="font-size:100%;">Jean s’informe, et le soir quand madame regarde un film trop <span style=""> </span>à « l’eau de rose » à la télévision, il s’enferme dans sa « pièce de travail », avec une bonne bière bien fraiche.</span></p> <p style="font-weight: bold; color: rgb(255, 153, 255);" class="MsoNormal"><span style="font-size:100%;">Il appelle cette pièce son « bureau ». Personne ne peut entrer, et de plus quand il quitte la maison, il garde la clé de la pièce refermée, ainsi close pour les regards indiscrets. <span style=""> </span></span></p> <p style="font-weight: bold; color: rgb(255, 153, 255);" class="MsoNormal"><span style="font-size:100%;">Il craint les investigations de sa chère et tendre, ou l’emploi intempestif de l’ordinateur par ses enfants. On ne sait jamais….. </span></p> <p style="font-weight: bold; color: rgb(255, 153, 255);" class="MsoNormal"><span style="font-size:100%;">Un jour Jean au gré du hasard tombe sur un drôle d’article intitulé « comment survivre en temps de pandémie de grippe ». Curieux <span style=""> </span>de nature, il ouvre le lien. Il découvre l’article. Celui-ci parle d’une maladie mortelle : la grippe pandémique. Celle-ci aurait pour conséquence de priver les gens de ce qui les aide à vivre confortablement : l’eau, la nourriture, l’éclairage, le chauffage, la télévision, les matchs de foot, le travail, les écoles….car le nombre de personnes actives seraient malades ou mortes.</span></p> <p style="font-weight: bold; color: rgb(255, 153, 255);" class="MsoNormal"><span style="font-size:100%;">Bigre alors, <span style=""> </span>il faut qu’il vérifie cette information, et il se met à taper frénétiquement <span style=""> </span>les « mots clés », tout en vidant bière sur bière, la réalité se précise jusqu’au moment où un petit grattement sur la porte lui fait comprendre que madame l’attend pour aller dormir. <span style=""> </span><span style=""> </span>À suivre…..</span></p> <p style="font-weight: bold; color: rgb(255, 153, 255);" class="MsoNormal"><span style="font-size:100%;"><span style=""> </span></span></p> Dr Michel S. F. Vermeulenhttp://www.blogger.com/profile/04324998188525891029noreply@blogger.com0tag:blogger.com,1999:blog-7426553807936273213.post-71231580960287751632009-05-07T16:48:00.000+02:002009-05-07T16:50:12.781+02:00Subject: Joint FAO/WHO/OIE Statement on influenza A(H1N1) and the safety of porkStatement WHO/4<br /><br />7 May 2009<br /><br /><br />Joint FAO/WHO/OIE Statement on influenza A(H1N1)<br /><br />and the safety of pork<br /><br />To avoid any misunderstanding FAO, WHO and OIE would like to reissue their<br />joint statement originally issued on 30 April 2009.<br /><br />In the ongoing spread of influenza A(H1N1), concerns about the possibility of<br />this virus being found in pigs and the safety of pork and pork products have<br />been raised.<br /><br />Influenza viruses are not known to be transmissible to people through eating<br />processed pork or other food products derived from pigs.<br /><br />Heat treatments commonly used in cooking meat (e.g. 70°C/160°F core<br />temperature) will readily inactivate any viruses potentially present in raw<br />meat products.<br /><br />Pork and pork products, handled in accordance with good hygienic practices<br />recommended by the WHO , Codex Alimentarius Commission and the OIE, will not<br />be a source of infection<br /><br />Authorities and consumers should ensure that meat from sick pigs or pigs<br />found dead are not processed or used for human consumption under any<br />circumstances.Dr Michel S. F. Vermeulenhttp://www.blogger.com/profile/04324998188525891029noreply@blogger.com0tag:blogger.com,1999:blog-7426553807936273213.post-65867298707130972142008-12-19T14:11:00.002+01:002008-12-19T15:13:20.769+01:00Realities and principles for a plan for public health.<span style="font-weight: bold; color: rgb(255, 0, 0);font-size:130%;" >CONTENTS </span><br /><br /><span style="font-weight: bold; color: rgb(51, 51, 255);">Introduction</span><br /><span style="font-weight: bold; color: rgb(51, 51, 255);">A) The GPs</span><br /><span style="font-weight: bold; color: rgb(51, 51, 255);">B) Pharmacies</span><br /><span style="font-weight: bold; color: rgb(51, 51, 255);">C) Hospital Structures</span><br /><span style="font-weight: bold; color: rgb(51, 51, 255);">D) The population</span><br /><br /><span style="font-weight: bold; color: rgb(255, 0, 0);font-size:130%;" >INTRODUCTION </span><br /><br /><span style="color: rgb(51, 204, 0);">The wording of the text is</span> intended to generate reflection, to realize the problem and so that solutions can be initiated.<br /><br /><span style="color: rgb(51, 204, 0);">The thread of my thoughts are based on</span> the work that I performed as GP, hospital doctor, and in Africa as head of a hospital and a health zone. Having worked in these diverse areas, Africa and now in the city (Brussels-Schaerbeeck), I have some experience in these two circles of life.<br /><br /><span style="color: rgb(51, 204, 0);">If this humble working</span> on the problem of a pandemic flu <span style="color: rgb(51, 204, 0);">raises reactions</span>, then my goal will be reached.<br /><br /><span style="font-weight: bold;font-size:130%;" > <span style="color: rgb(255, 0, 0);">A) GENERAL PRACTITIONERS </span></span><br /><br /><span style="font-weight: bold; color: rgb(255, 0, 0);font-size:130%;" >1) Doctors will be unable to ensure continuity of care of "current" patients with the influx of flu ill patients.</span><br /><br /><br /><span style="font-weight: bold; color: rgb(51, 51, 255);font-size:130%;" >a) The work overload </span><br /><br />In normal times, a full-time general supports an average of medical and administrative work, of around 60-70 hours per week. This places it well beyond most of the hourly average of other professions. It follows that in times of a pandemic, excessive workload to ensure both continuity of care will soon be intolerable, and doctors will be "overbooked" and sadly finally exhausted, disorganized, and sometimes ill. Some will close their offices to escape an unmanageable situation.<br /><br /><span style="font-weight: bold; color: rgb(51, 102, 255);font-size:130%;" >b) The safety of doctor and his entourage of work or family </span><br /><br />The safety of the doctor and his family could be seriously disturbed by the intrusion and aggression at his home and/or firm by individuals in search of antiviral drugs or any other solution.<br /><br /><span style="font-weight: bold; color: rgb(51, 102, 255);font-size:130%;" >c) Care of both (flu sick and not flu sick) impossible. </span><br /><br />For obvious reasons of hygiene and contamination, it is clear that it is impossible to merge together in a waiting room these two types of patients, thus increasing the spread of the disease.<br /><br /><span style="font-weight: bold; color: rgb(255, 0, 0);font-size:130%;" >2) Solution: specialized mobile team (EMS) </span><span style="font-size:130%;"><br /></span><br /><span style="font-weight: bold; color: rgb(51, 102, 255);font-size:130%;" >a) Composition: </span><br /><br />- A <span style="color: rgb(255, 0, 0);">doctor trained</span> in screening patients and the curative and preventive care.<br />- An <span style="color: rgb(255, 0, 0);">ambulance driver</span><br />- A <span style="color: rgb(255, 0, 0);">2d ambulance</span>.<br />- <span style="color: rgb(255, 0, 0);">Equipment</span>: Ambulance transport or realistic, protective equipment, communication equipment, materials and antiviral treatments, antibiotics and symptomatic.<br /><br />Either --------------> modeled on the SAMU<br /><br /><span style="font-weight: bold; color: rgb(51, 102, 255);font-size:130%;" >b) The role of doctor </span><br /><br />- <span style="color: rgb(51, 204, 0); font-weight: bold;">Treatments:</span> Antivirals medication administered within 36 hours for those presenting with flu and their entourage.<br /><br />- <span style="font-weight: bold; color: rgb(51, 204, 0);">Sorting patients</span><span style="color: rgb(51, 204, 0);">:</span><br /><br />> Those presenting with flu symptoms within 36 hours + his entourage. (See above)<br /><br />> Those with flu presenting with complications (triage to Specialized Center) + patients entourage (triage to prophylactic treatment).<br /><br />> Those with flu who are incurable (sent to a CTS for palliative medicine) around her + (triage to prophylactic treatment).<br /><br />> Flu Patients who have succumbed: Funeral Services specializes prophylactic treatment + the entourage.<br /><br />- <span style="font-weight: bold; color: rgb(51, 204, 0);">A second possible visit </span>to the home already visited for new problems of infections, and possibly to give guidance to nursing care after visiting the designated or sick.<br /><br /><br /><span style="font-weight: bold; color: rgb(255, 0, 0);font-size:130%;" >3) Draft organization to locate the mobile team that specializes </span><br /><br />At the<span style="font-weight: bold; color: rgb(51, 51, 255);"> top </span>of the organization will be naturally <span style="font-weight: bold; color: rgb(51, 204, 0);">Comissariat inter-ministerial to lead the public health plan and manage the socio-economic stages of the pandemic.</span><br /><br />A <span style="font-weight: bold; color: rgb(255, 102, 0);">call-center telephone number unique </span>and easy to remember composed of persons qualified <span style="font-weight: bold; color: rgb(0, 204, 204);">to answer questions about the growing needs of the population in distress</span> (socio-economic) in the channel to adequate services.<br />The other role of call-center will <span style="color: rgb(0, 204, 204); font-weight: bold;">provide a pilot of a territorial entity </span>(common), appeals and addresses of patients seized, and centralized unit responsible for leading mobile teams specialized in a route optimized.<br /><br />Rem: <span style="color: rgb(255, 0, 0);">The body of fire </span>was a great experience for the management of calls, dispatching and the evacuation of the sick (flu complications ---> See above)<br /><br /><span style="font-weight: bold; color: rgb(255, 0, 0);font-size:130%;" >4) Benefits of the intervention of the mobile team specialized health care front line. </span><span style="font-size:130%;"><br /></span><br />a) <span style="font-weight: bold; color: rgb(51, 204, 0);">The continuity of care "current"</span> will be provided normally by the body active generalists.<br /><br />b) The <span style="font-weight: bold; color: rgb(51, 204, 0);">overbooking and burn-out</span> leading to failure will be avoided.<br /><br />c) The distibution of antiviral drugs will not be by the general practitioner, health centers and pharmacies, and <span style="font-weight: bold; color: rgb(51, 204, 0);">the safety of those involved in health is maintained</span>.<br /><br />d) The speed and effectiveness of EMS (specialized mobile teams) will <span style="font-weight: bold; color: rgb(51, 204, 0);">respond effectively and quickly to the request of patients seized while ensuring a sort of patients may be referred</span> to other appropriate structures, a treatment center for specialized treat patients with complications or palliative treatment for patients dying (with the agreement of their families).<br /><br />Also, <span style="font-weight: bold; color: rgb(51, 204, 0);">the matter of funeral arrangements</span> must be approached with rapport. A responder trained in managing the end of life matters, death of a patient, and necessary and appropriate funeral arrangements. (To enable recycling of pre Funeral Services and provide management of the burial, and ensure burial places are available)<br /><br /><br />e) The speed and Efficiencies of EMS (specialized mobile teams) <span style="font-weight: bold; color: rgb(51, 204, 0);">will unload the hospital patients </span>spontaneously heading to the emergency services of hospitals.<br /><br />d) These changes will <span style="font-weight: bold; color: rgb(51, 204, 0);">inhibit public panic</span>, putting their lives further in danger.<br /><br /><span style="font-weight: bold;font-size:130%;" > <span style="color: rgb(255, 0, 0);">B) THE PHARMACY </span></span><br /><br /><span style="font-weight: bold; color: rgb(255, 0, 0);font-size:130%;" >1) Role of Pharmacy </span><br /><br />The role of pharmacies is <span style="color: rgb(51, 204, 0); font-weight: bold;">to deliver the medicines prescribed by a doctor like in the non-pandemic times,</span> and this will clearly be served by all channels of information to the public: either that drugs can be issued by EMS CTS. (Team Specialized Mobile and Specialized Treatment Center) as quickly and effectively receiving a response to medical problems encountered in phase of a pandemic.<br /><br />So it is pointless to try to go get antiviral drugs in hospitals and pharmacies, or a doctor.<br /><br /><br /><span style="font-weight: bold; color: rgb(255, 0, 0);font-size:130%;" >2) But the approach </span><br /><br />Ensure the <span style="font-weight: bold; color: rgb(51, 204, 0);">delivery to the pharmacy of medicines prescribed</span> to enable continuity of care in an atmosphere of serenity, or an atmosphere that <span style="color: rgb(51, 204, 0);">excludes threats and violence</span>.<br /><br /><span style="font-weight: bold; color: rgb(255, 0, 0);font-size:130%;" >C) HOSPITAL</span><br /><br /><span style="font-weight: bold; color: rgb(255, 0, 0);font-size:130%;" >1) The inability of hospitals to jointly ensure the continuity of care "normal" and ill. </span><br /><br /><span style="font-weight: bold; color: rgb(51, 102, 255);font-size:130%;" >a) modeling calculation and quantification of the problem. </span><br /><br />"The initial results out of calculation model (Computer program for calculating Professor Van Ranst: see article in the site influenza.be, heading scientific article entitled" Model prepare for a pandemic flu in the date of 28.04.06 ), And analysis of previous pandemics can craidre that the existing health facilities are inadequate during a pandemic. (Phrase taken from the article published by the official website of the Belgian Inter Belgian Comissariat (influenza.be) in an article published in the scientific section in the date 28/04/06, entitled "Second line Pandemic flu ".<br /><br /><span style="font-weight: bold; color: rgb(51, 102, 255);font-size:130%;" >b) Seasonal Flu </span><br /><br />All doctors with a number of years of practice knows that for some seasonal flu seasons when there is a little higher number of patients, hospitals have been quickly saturated by the number of hospitalized patients, particularly for older persons, and any subject burdened with a chronic illness. As a justifiable precautionary principle we may hospitalize these patients so they can receive a more intensive and more specialized care and avoid unfortunate death.<br /><br /><span style="font-weight: bold; color: rgb(51, 102, 255);font-size:130%;" >c) Practicality </span><br /><br /><span style="font-weight: bold; color: rgb(51, 204, 0);font-size:130%;" >In terms of emergency</span><span style="font-size:130%;">:</span> it would be highly damaging when a portion of ill patients mix with other patients for the obvious reasons of contamination.<br />Also, this will present a security problem. Remember, only one solution out: the mobile team triages - whether to a hospital or treatment in a "CTS"<br /><br /><span style="font-weight: bold; color: rgb(51, 204, 0);font-size:130%;" >At the hospital itself</span>, it is very difficult in terms of contamination and hygiene, to separate the ill from other patients, and negative pressure rooms are very expensive and their numbers rapidly become inadequate. Respirators that function respiratory therapist assisted will keep their first destination, ie for cases requiring conventional resuscitation, and where their numbers are satisfactory.<br /><br />The movement in the corridors of ill patients would be a disaster, and movement within the hospital should be reduced to their simplest expression, and rigorously controlled by persons protected against contamination and assault.<br /><br /><span style="font-weight: bold; color: rgb(255, 0, 0);font-size:130%;" >2) test solution centers for the ill (CSMG) </span><br /><br /><span style="font-weight: bold; color: rgb(51, 51, 255);font-size:130%;" >a) Definition </span><br /><br /><span style="font-weight: bold; color: rgb(51, 204, 0);">Any building adaptable and technically </span>meeting the criteria of feasibility of care for patients with complications from illness, and the terminally ill. The building must be clearly separated in space from conventional hospitals so as not to mix the flu ill patients with those with other illness.<br /><br /><span style="color: rgb(51, 204, 0); font-weight: bold;">Patients seized can arise spontaneously CSMG</span>, but will first have been seen by the mobile team triage physician to determine the presenting illness. Thus the center has no mandate to treat those infected with flu whose treatment can be conducted at home. As a result, these centers will not be saturated by an influx of people not suitable for the type of care that is provided.<br /><br /><span style="font-weight: bold; color: rgb(51, 51, 255);font-size:130%;" >b) Role centers </span><br /><br />1 Apply <span style="color: rgb(51, 204, 0); font-weight: bold;">a curative treatment</span> for patients with complications seized.<br /><br />2 Apply <span style="font-weight: bold; color: rgb(51, 204, 0);">a palliative medicine </span>to terminally ill.<br /><br /><span style="font-weight: bold; color: rgb(51, 51, 255);font-size:130%;" >c) Construction of buildings and selection of qualified personnel. </span><span style="font-size:130%;"><br /></span><br /><span style="color: rgb(51, 204, 0); font-weight: bold;">The layout of buildings equipment and specialized staff</span>, could be done following the experience of complicated cases already dealt with in different countries around the world who have faced this problem of "avian flu".<br /><br /><span style="font-weight: bold; color: rgb(51, 204, 0);">The quality of nursing staff will be following</span> internal medicine and palliative medicine.<br /><br /><span style="font-weight: bold; color: rgb(51, 204, 0);">The inventory and the choice of buildings available</span>, meeting the feasibility criteria should be made early with the help of authorities taking into account the territorial entity (municipalities) to provide early theoretical processing thereof by architects in this field.<br /><br /><span style="font-weight: bold; color: rgb(51, 204, 0);">Establish a reserve for possible development of buildings</span> or buildings suitable for not being overtaken by the problem, if "worst case" presents itself. (the most serious pandemic).<br /><br /><span style="font-weight: bold; color: rgb(51, 51, 255);font-size:130%;" >3) Advantages </span><span style="font-size:130%;"><br /></span><br />a) <span style="font-weight: bold; color: rgb(51, 204, 0);">Allowing hospitals classic function normally</span> to ensure continuity of care and avoid the saturation of a malfunction Illness<br /><br />b) <span style="font-weight: bold; color: rgb(51, 204, 0);">Avoid mixing problems and consequent contamination </span>of the entrances to hospitals, the emergency department, and the hospital itself.<br /><br />c) <span style="font-weight: bold; color: rgb(51, 204, 0);">To ensure the safety of care and urgency</span>, and the hospital itself.<br /><br />d) To recall, <span style="font-weight: bold; color: rgb(51, 204, 0);">the sequence of different phases of the action </span>would be specialized mobile team with yard-treatment, and sometimes then possible to send a specialized center for treatment for sick seized (CSMG).<br /><br /><span style="font-weight: bold; color: rgb(255, 0, 0);font-size:130%;" >D) THE PEOPLE </span><br /><br /><span style="font-weight: bold; color: rgb(255, 0, 0);font-size:130%;" >1) Role of the population </span><br /><br />Some<span style="font-weight: bold; color: rgb(51, 204, 0);"> secular or religious multicultural communities</span> might be tempted to play an important role on the survival of some people more vulnerable by their age and their isolation.<br /><br />These volunteers could be a <span style="font-weight: bold; color: rgb(51, 204, 0);">source of both information </span>and <span style="color: rgb(51, 204, 0); font-weight: bold;">source of services </span>made to poorest.<br /><br />This information among secular and religious leaders, could now begin to define the outline of the services provided, after input from their members.<br /><br /><span style="font-weight: bold; color: rgb(255, 0, 0);font-size:130%;" >2) Advantages </span><br /><br />a) <span style="font-weight: bold; color: rgb(51, 204, 0);">Solidarity has its full expression in terms of efficiency</span>, when people know each other by their close knit neighborhood, their conviction, and their friendships.<br />The spontaneous solidarity of a people suffering has no barriers, and the history of the past century recounting of the wartime past is full of anecdotes of mutual assistance and generosity.<br /><br />b) <span style="font-weight: bold; color: rgb(51, 204, 0);">The participation, accountability, and organization of members of a population </span>is that is supportive in adversity results in reduced anxiety, reduced crime, and relief from the misery of a serious disease, which is painful for the entire community.Dr Michel S. F. Vermeulenhttp://www.blogger.com/profile/04324998188525891029noreply@blogger.com0tag:blogger.com,1999:blog-7426553807936273213.post-74350862402260447042008-12-15T21:25:00.006+01:002008-12-15T21:30:23.163+01:00Realities and principles for a plan for public health.CONTENTS<br /><br />Introduction<br />A) The GPs<br />B) Pharmacies<br />C) Hospital Structures<br />D) The population<br /><br />INTRODUCTION<br /><br />The wording of the text is intended to generate reflection, to realize the problem and so that solutions can be initiated.<br /><br />The thread of my thoughts are based on the work that I performed as GP, hospital doctor, and in Africa as head of a hospital and a health zone. Having worked in these diverse areas, Africa and now in the city (Brussels-Schaerbeeck), I have some experience in these two circles of life.<br /><br />If this humble working on the problem of a pandemic flu raises reactions, then my goal will be reached.<br /><br />A) GENERAL PRACTITIONERS<br /><br />1) Doctors will be unable to ensure continuity of care of "current" patients with the influx of flu ill patients.<br /><br /><br />a) The work overload<br /><br />In normal times, a full-time general supports an average of medical and administrative work, of around 60-70 hours per week. This places it well beyond most of the hourly average of other professions. It follows that in times of a pandemic, excessive workload to ensure both continuity of care will soon be intolerable, and doctors will be "overbooked" and sadly finally exhausted, disorganized, and sometimes ill. Some will close their offices to escape an unmanageable situation.<br /><br />b) The safety of doctor and his entourage of work or family<br /><br />The safety of the doctor and his family could be seriously disturbed by the intrusion and aggression at his home and/or firm by individuals in search of antiviral drugs or any other solution.<br /><br />c) Care of both (flu sick and not flu sick) impossible.<br /><br />For obvious reasons of hygiene and contamination, it is clear that it is impossible to merge together in a waiting room these two types of patients, thus increasing the spread of the disease.<br /><br />2) Solution: specialized mobile team (EMS)<br /><br />a) Composition:<br /><br />- A doctor trained in screening patients and the curative and preventive care.<br />- An ambulance driver<br />- A 2d ambulance.<br />- Equipment: Ambulance transport or realistic, protective equipment, communication equipment, materials and antiviral treatments, antibiotics and symptomatic.<br /><br />Either --------------> modeled on the SAMU<br /><br />b) The role of doctor<br /><br />- Treatments: Antivirals medication administered within 36 hours for those presenting with flu and their entourage.<br /><br />- Sorting patients:<br /><br />> Those presenting with flu symptoms within 36 hours + his entourage. (See above)<br /><br />> Those with flu presenting with complications (triage to Specialized Center) + patients entourage (triage to prophylactic treatment).<br /><br />> Those with flu who are incurable (sent to a CTS for palliative medicine) around her + (triage to prophylactic treatment).<br /><br />> Flu Patients who have succumbed: Funeral Services specializes prophylactic treatment + the entourage.<br /><br />- A second possible visit to the home already visited for new problems of infections, and possibly to give guidance to nursing care after visiting the designated or sick.<br /><br /><br />3) Draft organization to locate the mobile team that specializes<br /><br />At the top of the organization will be naturally Comissariat inter-ministerial to lead the public health plan and manage the socio-economic stages of the pandemic.<br /><br />A call-center telephone number unique and easy to remember composed of persons qualified to answer questions about the growing needs of the population in distress (socio-economic) in the channel to adequate services.<br />The other role of call-center will provide a pilot of a territorial entity (common), appeals and addresses of patients seized, and centralized unit responsible for leading mobile teams specialized in a route optimized.<br /><br />Rem: The body of fire was a great experience for the management of calls, dispatching and the evacuation of the sick (flu complications ---> See above)<br /><br />4) Benefits of the intervention of the mobile team specialized health care front line.<br /><br />a) The continuity of care "current" will be provided normally by the body active generalists.<br /><br />b) The overbooking and burn-out leading to failure will be avoided.<br /><br />c) The distibution of antiviral drugs will not be by the general practitioner, health centers and pharmacies, and the safety of those involved in health is maintained.<br /><br />d) The speed and effectiveness of EMS (specialized mobile teams) will respond effectively and quickly to the request of patients seized while ensuring a sort of patients may be referred to other appropriate structures, a treatment center for specialized treat patients with complications or palliative treatment for patients dying (with the agreement of their families).<br /><br />Also, the matter of funeral arrangements must be approached with rapport. A responder trained in managing the end of life matters, death of a patient, and necessary and appropriate funeral arrangements. (To enable recycling of pre Funeral Services and provide management of the burial, and ensure burial places are available)<br /><br /><br />e) The speed and Efficiencies of EMS (specialized mobile teams) will unload the hospital patients spontaneously heading to the emergency services of hospitals.<br /><br />d) These changes will inhibit public panic, putting their lives further in danger.<br /><br />B) THE PHARMACY<br /><br />1) Role of Pharmacy<br /><br />The role of pharmacies is to deliver the medicines prescribed by a doctor in non-pandemic times, and this will clearly be served by all channels of information to the public: either that drugs can be issued by EMS CTS. (Team Specialized Mobile and Specialized Treatment Center) as quickly and effectively receiving a response to medical problems encountered in phase of a pandemic.<br /><br />So it is pointless to try to go get antiviral drugs in hospitals and pharmacies, or a doctor.<br /><br /><br />2) But the approach<br /><br />Ensure the delivery to the pharmacy of medicines prescribed to enable continuity of care in an atmosphere of serenity, or an atmosphere that excludes threats and violence.<br /><br />C) hospital<br /><br />1) The inability of hospitals to jointly ensure the continuity of care "normal" and ill.<br /><br />a) modeling calculation and quantification of the problem.<br /><br />"The initial results out of calculation model (Computer program for calculating Professor Van Ranst: see article in the site influenza.be, heading scientific article entitled" Model prepare for a pandemic flu in the date of 28.04.06 ), And analysis of previous pandemics can craidre that the existing health facilities are inadequate during a pandemic. (Phrase taken from the article published by the official website of the Belgian Inter Belgian Comissariat (influenza.be) in an article published in the scientific section in the date 28/04/06, entitled "Second line Pandemic flu ".<br /><br />b) Seasonal Flu<br /><br />All doctors with a number of years of practice knows that for some seasonal flu seasons when there is a little higher number of patients, hospitals have been quickly saturated by the number of hospitalized patients, particularly for older persons, and any subject burdened with a chronic illness. As a justifiable precautionary principle we may hospitalize these patients so they can receive a more intensive and more specialized care and avoid unfortunate death.<br /><br />c) Practicality<br /><br />In terms of emergency: it would be highly damaging when a portion of ill patients mix with other patients for the obvious reasons of contamination.<br />Also, this will present a security problem. Remember, only one solution out: the mobile team triages - whether to a hospital or treatment in a "CTS"<br /><br />At the hospital itself, it is very difficult in terms of contamination and hygiene, to separate the ill from other patients, and negative pressure rooms are very expensive and their numbers rapidly become inadequate. Respirators that function respiratory therapist assisted will keep their first destination, ie for cases requiring conventional resuscitation, and where their numbers are satisfactory.<br /><br />The movement in the corridors of ill patients would be a disaster, and movement within the hospital should be reduced to their simplest expression, and rigorously controlled by persons protected against contamination and assault.<br /><br />2) test solution centers for the ill (CSMG)<br /><br />a) Definition<br /><br />Any building adaptable and technically meeting the criteria of feasibility of care for patients with complications from illness, and the terminally ill. The building must be clearly separated in space from conventional hospitals so as not to mix the flu ill patients with those with other illness.<br /><br />Patients seized can arise spontaneously CSMG, but will first have been seen by the mobile team triage physician to determine the presenting illness. Thus the center has no mandate to treat those infected with flu whose treatment can be conducted at home. As a result, these centers will not be saturated by an influx of people not suitable for the type of care that is provided.<br /><br />b) Role centers<br /><br />1 Apply a curative treatment for patients with complications seized.<br /><br />2 Apply a palliative medicine to terminally ill.<br /><br />c) Construction of buildings and selection of qualified personnel.<br /><br />The layout of buildings equipment and specialized staff, could be done following the experience of complicated cases already dealt with in different countries around the world who have faced this problem of "avian flu".<br /><br />The quality of nursing staff will be following internal medicine and palliative medicine.<br /><br />The inventory and the choice of buildings available, meeting the feasibility criteria should be made early with the help of authorities taking into account the territorial entity (municipalities) to provide early theoretical processing thereof by architects in this field.<br /><br />Establish a reserve for possible development of buildings or buildings suitable for not being overtaken by the problem, if "worst case" presents itself. (the most serious pandemic).<br /><br />3) Advantages<br /><br />[Michel – “Malfunction illness” is that hysteria???] a) Allowing hospitals classic function normally to ensure continuity of care and avoid the saturation of a malfunction Illness<br /><br />b) Avoid mixing problems and consequent contamination of the entrances to hospitals, the emergency department, and the hospital itself.<br /><br />c) To ensure the safety of care and urgency, and the hospital itself.<br /><br />d) To recall, the sequence of different phases of the action would be specialized mobile team with yard-treatment, and sometimes then possible to send a specialized center for treatment for sick seized (CSMG).<br /><br />D) THE PEOPLE<br /><br /><br /><br />1) Role of the population<br /><br />Some secular or religious multicultural communities might be tempted to play an important role on the survival of some people more vulnerable by their age and their isolation.<br /><br />These volunteers could be a source of both information and source of services made to poorest.<br /><br />This information among secular and religious leaders, could now begin to define the outline of the services provided, after input from their members.<br /><br />2) Advantages<br /><br />a) Solidarity has its full expression in terms of efficiency, when people know each other by their close knit neighborhood, their conviction, and their friendships.<br />The spontaneous solidarity of a people suffering has no barriers, and the history of the past century recounting of the wartime past is full of anecdotes of mutual assistance and generosity.<br /><br />b) The participation, accountability, and organization of members of a population is that is supportive in adversity results in reduced anxiety, reduced crime, and relief from the misery of a serious disease, which is painful for the entire community.Dr Michel S. F. Vermeulenhttp://www.blogger.com/profile/04324998188525891029noreply@blogger.com0tag:blogger.com,1999:blog-7426553807936273213.post-8599329197137724712008-12-08T18:24:00.009+01:002008-12-08T22:57:28.283+01:00PROBLÈMES DES TÉLÉCOMMUNICATIONS EN TEMPS DE PANDÉMIE.<meta equiv="Content-Type" content="text/html; charset=utf-8"><meta name="ProgId" content="Word.Document"><meta name="Generator" content="Microsoft Word 12"><meta name="Originator" content="Microsoft Word 12"><link rel="File-List" href="file:///C:%5CUsers%5CMiche%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_filelist.xml"><link rel="themeData" href="file:///C:%5CUsers%5CMiche%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_themedata.thmx"><link rel="colorSchemeMapping" href="file:///C:%5CUsers%5CMiche%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_colorschememapping.xml"><!--[if gte mso 9]><xml> <w:worddocument> <w:view>Normal</w:View> <w:zoom>0</w:Zoom> <w:trackmoves/> <w:trackformatting/> 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line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin;} </style> <![endif]--> </p><p class="MsoListParagraph" style="margin-bottom: 0.0001pt; line-height: normal;"><b style=""><u><span style=""> <span style="color: rgb(255, 0, 0);">Difficulté de fonctionnement des télécommunications en temps de pandémie </span><o:p></o:p></span></u></b></p> <p></p><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><span style="">
<br /></span></p><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><span style="">-<span style=""> </span>Diminution des effectifs (personnes malades ou retenues chez elles du fait de la fermeture des <span style=""> </span>crèches et des écoles, des perturbations des transports en commun…)
<br /><!--[if gte vml 1]><v:shape id="_x0000_i1026" type="#_x0000_t75" alt="" style="'width:3pt;height:3pt'/"><![endif]--><!--[if !vml]--><img src="file:///C:/Users/Miche/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" shapes="_x0000_i1026" width="4" height="4" /><!--[endif]-->-<span style=""> </span>Impact sur la production et les services aux clients
<br /><!--[if gte vml 1]><v:shape id="_x0000_i1027" type="#_x0000_t75" alt="" style="'width:3pt;height:3pt'/"><![endif]--><!--[if !vml]--><img src="file:///C:/Users/Miche/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" shapes="_x0000_i1027" width="4" height="4" /><!--[endif]-->- <span style=""> </span>Difficultés d’approvisionnement
<br /><!--[if gte vml 1]><v:shape id="_x0000_i1028" type="#_x0000_t75" alt="" style="'width:3pt;height:3pt'/"><![endif]--><!--[if !vml]--><img src="file:///C:/Users/Miche/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" shapes="_x0000_i1028" width="4" height="4" /><!--[endif]-->-<span style=""> </span>Dégradation de services tels que l’énergie, les télécommunications et les transports
<br /><!--[if gte vml 1]><v:shape id="_x0000_i1029" type="#_x0000_t75" alt="" style="'width:3pt;height:3pt'/"><![endif]--><!--[if !vml]--><img src="file:///C:/Users/Miche/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" shapes="_x0000_i1029" width="4" height="4" /><!--[endif]-->-<span style=""> </span>Perturbation des circuits financiers
<br /><!--[if gte vml 1]><v:shape id="_x0000_i1030" type="#_x0000_t75" alt="" style="'width:3pt;height:3pt'/"><![endif]--><!--[if !vml]--><img src="file:///C:/Users/Miche/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" shapes="_x0000_i1030" width="4" height="4" /><!--[endif]-->-<span style=""> </span>Restrictions de la circulation sur le territoire national
<br /><!--[if gte vml 1]><v:shape id="_x0000_i1031" type="#_x0000_t75" alt="" style="'width:3pt;height:3pt'/"><![endif]--><!--[if !vml]--><img src="file:///C:/Users/Miche/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" shapes="_x0000_i1031" width="4" height="4" /><!--[endif]-->-<span style=""> </span>Restrictions des échanges internationaux<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><span style=""><o:p> </o:p></span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><b style=""><u><span style=""><span style="color: rgb(255, 0, 0);">
<br /></span></span></u></b></p><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><b style=""><u><span style=""><span style="color: rgb(255, 0, 0);">Les télécommunications : définition</span><o:p></o:p></span></u></b></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><span style=""><o:p> </o:p></span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><span style="">
<br /></span></p><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><span style="">A l'époque actuelle, les télécommunications concernent généralement l'utilisation d'équipements électroniques associés à des réseaux analogiques ou numériques comme le téléphone fixe ou mobile, la radio, la télévision et l’ordinateur. <o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><span style=""><o:p> </o:p></span></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><b style=""><u><span style=""><span style="color: rgb(255, 0, 0);">
<br /></span></span></u></b></p><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><b style=""><u><span style=""><span style="color: rgb(255, 0, 0);">Rôle des télécommunications en temps de pandémie.</span><o:p></o:p></span></u></b></p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><span style=""><o:p> </o:p></span></p> <p class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 18.8pt; text-indent: 0cm; line-height: normal;"><!--[if !supportLists]--><b style="color: rgb(51, 51, 255);"><span style=""><span style="">a)<span style=";font-family:";font-size:7;" > </span></span></span></b><!--[endif]--><b style="color: rgb(51, 51, 255);"><span style="">La population :</span></b><span style=""><o:p></o:p></span></p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 18pt; line-height: normal;"><b style=""><span style=""><span style=""> </span><o:p></o:p></span></b></p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 18pt; text-indent: -18pt; line-height: normal;"><b style=""><span style=""><span style=""> </span><span style=""> </span><span style=""> </span><span style="color: rgb(51, 204, 0);">Type de télécommunication</span> : </span></b><span style="">Télévision, Radio<o:p></o:p></span></p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 18pt; line-height: normal;"><span style=""><o:p> </o:p></span></p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 18pt; line-height: normal;"><b style=""><span style=""><span style="color: rgb(51, 204, 0);"> Utilités</span> :<o:p></o:p></span></b></p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 18pt; line-height: normal;"><b style=""><span style=""><span style=""> </span><o:p></o:p></span></b></p> <p class="MsoListParagraphCxSpFirst" style="margin-bottom: 0.0001pt; text-indent: -18pt; line-height: normal;"><!--[if !supportLists]--><span style=""><span style="">-<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">rôle d’information des différents évènements concernant l’actualité de la pandémie <o:p></o:p></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; text-indent: -18pt; line-height: normal;"><!--[if !supportLists]--><span style=""><span style="">-<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">rôle de transmission des directives envoyées par la cellule de pilotage de la pandémie <o:p></o:p></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; text-indent: -18pt; line-height: normal;"><!--[if !supportLists]--><span style=""><span style="">-<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">rôle d’éducation <span style=""> </span>des élèves renvoyés des écoles pour contrer ou diminuer <span style=""> </span>la contamination <o:p></o:p></span></p> <p class="MsoListParagraphCxSpLast" style="margin-bottom: 0.0001pt; text-indent: -18pt; line-height: normal;"><!--[if !supportLists]--><span style=""><span style="">-<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><span style="">rôle <span style=""> </span>psychologique de distraction de la population stressée (concert, match de foot….)<o:p></o:p></span></p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 18pt; line-height: normal;"><span style=""><o:p> </o:p></span></p> <p class="MsoListParagraph" style="margin-bottom: 0.0001pt; text-indent: -18pt; line-height: normal;"><!--[if !supportLists]--><b style=""><span style=""><span style=""> <span style=";font-family:";font-size:7;" > <span style="color: rgb(51, 51, 255);"> </span></span></span></span></b><!--[endif]--><b style=""><span style=""><span style="color: rgb(51, 51, 255);"> b) Les intervenants</span><o:p></o:p></span></b></p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 18pt; line-height: normal;"><b style=""><span style=""><span style=""> </span><o:p></o:p></span></b></p> <p class="MsoListParagraphCxSpFirst" style="margin-bottom: 0.0001pt; line-height: normal;"><b style=""><span style=""><span style="color: rgb(51, 204, 0);">
<br /></span></span></b></p><p class="MsoListParagraphCxSpFirst" style="margin-bottom: 0.0001pt; line-height: normal;"><b style=""><span style=""><span style="color: rgb(51, 204, 0);">Type de télécommunication</span> : </span></b><span style="">Téléphones <span style=""> </span>fixe et mobile, l’internet. <b style=""><span style=""> </span><o:p></o:p></b></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; line-height: normal;"><b style=""><span style=""><o:p> </o:p></span></b></p> <p class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; line-height: normal;"><b style=""><span style=""><span style="color: rgb(51, 204, 0);">Utilités </span>: <o:p></o:p></span></b></p> <p class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; line-height: normal;"><b style=""><span style=""><o:p> </o:p></span></b></p> <p class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; line-height: normal;"><b style=""><span style="">
<br /></span></b></p><p class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; line-height: normal;"><b style=""><span style="">Intervenants d’un pays </span></b><span style="">: tout l’organigramme des différents intervenants <span style=""> </span>d’un pays devra, pour être opérationnel, être doté d’un système de télécommunication sans failles. <o:p></o:p></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; line-height: normal;"><span style="">Cette armée pacifique aux rôles multiples, devra pour permettre une bonne coordination des opérations,<span style=""> </span>être dotée d’un système continu et fiable <span style=""> </span>permettant de transmettre un flux d’informations prioritaires. <b style=""><span style=""> </span><o:p></o:p></b></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; line-height: normal;"><b style=""><span style=""><o:p> </o:p></span></b></p> <p class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; line-height: normal;"><b style=""><span style="">
<br /></span></b></p><p class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; line-height: normal;"><b style=""><span style="">Intervenants des pays : </span></b><span style="">l’échange des informations entre les pays <span style=""> </span>est incontournable pour permettre de suivre l’évolution épidémiologique de la pandémie, pour définir les aides éventuelles à apporter aux pays en difficulté, pour continuer à gérer les flux<span style=""> </span>des informations scientifiques et économiques, pour permettre de gérer tous les problèmes diplomatiques conséquents du bouleversement mondial. <o:p></o:p></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; line-height: normal;"><span style=""><o:p> </o:p></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; line-height: normal;"><b style=""><u><span style=""><span style="color: rgb(255, 0, 0);">
<br /></span></span></u></b></p><p class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; line-height: normal;"><b style=""><u><span style=""><span style="color: rgb(255, 0, 0);">
<br /></span></span></u></b></p><p class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; line-height: normal;"><b style=""><u><span style=""><span style="color: rgb(255, 0, 0);">Difficulté de fonctionnement des télécommunications en temps de pandémie </span><o:p></o:p></span></u></b></p> <p class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; line-height: normal;"><b style=""><u><span style=""><o:p><span style="text-decoration: none;"> </span></o:p></span></u></b></p> <p class="MsoListParagraphCxSpLast" style="margin: 0cm 0cm 0.0001pt 54pt; text-indent: -18pt; line-height: normal;"><!--[if !supportLists]--><b style="color: rgb(51, 51, 255);"><span style=""><span style="">1)<span style=";font-family:";font-size:7;" > </span></span></span></b><!--[endif]--><b style=""><span style=""><span style="color: rgb(51, 51, 255);">L’énergie : électricité. </span><o:p></o:p></span></b></p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 36pt; line-height: normal;"><b style=""><span style=""><o:p> </o:p></span></b></p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 36pt; line-height: normal;"><span style="">Celle-ci pourrait faire défaut par manque de personnel employé à produire de l’électricité au moment les plus forts d’une pandémie au scénario difficile, <span style=""> </span>car les personnes attachées à tous les échelons de la filière de <span style=""> </span>production <span style=""> </span>pourraient être absentes du travail, ou malade ou décédées. <o:p></o:p></span></p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 36pt; line-height: normal;"><span style=""><o:p> </o:p></span></p> <p class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 54pt; text-indent: -18pt; line-height: normal;"><!--[if !supportLists]--><b style="color: rgb(51, 51, 255);"><span style=""><span style="">2)<span style=";font-family:";font-size:7;" > </span></span></span></b><!--[endif]--><b style=""><span style=""><span style="color: rgb(51, 51, 255);">Les personnes travaillant dans les différentes sections de la télécommunication. </span><o:p></o:p></span></b></p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 36pt; line-height: normal;"><span style=""><o:p> </o:p></span></p> <p class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 54pt; text-indent: -18pt; line-height: normal;"><!--[if !supportLists]--><span style="color: rgb(51, 204, 0);"><span style="">a)<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><b style="color: rgb(51, 204, 0);"><span style="">La télévision</span></b><span style=""><span style="color: rgb(51, 204, 0);"> </span>: quand nous<span style=""> </span>considérons <span style=""> </span>tous les intervenants de la chaine de production d’une émission de télévision, nous sommes étonnés par la quantité de personnes nécessaire au bon fonctionnement de ce moyen de communication.<o:p></o:p></span></p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 36pt; line-height: normal;"><span style=""><o:p> </o:p></span></p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 54pt; line-height: normal;"><span style="">On conçoit sans difficulté qu’une baisse brutale du personnel empêché pour danger de contamination réciproque, pour maladie<span style=""> </span>ou pour décès ,handicaperait grandement le fonctionnement de télévision. <o:p></o:p></span></p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 54pt; line-height: normal;"><span style=""><o:p> </o:p></span></p> <p class="MsoListParagraph" style="margin: 0cm 0cm 0.0001pt 54pt; text-indent: -18pt; line-height: normal;"><!--[if !supportLists]--><span style="color: rgb(51, 204, 0);"><span style="">b)<span style=";font-family:";font-size:7;" > </span></span></span><!--[endif]--><b style="color: rgb(51, 204, 0);"><span style="" lang="EN-US">L’internet</span></b><span style="" lang="EN-US"> : <span style=""> </span>“ <i style="">I am decidedly pessimistic about the ability of the Internet to stay viable during a severe influenza pandemic”.</i> <span style=""> </span></span><span style="">Je suis <span style=""> </span>décidément pessimiste quant à la capacité pour l’internet<span style=""> </span>de rester viable durant une <span style=""> </span>sévère <span style=""> </span>pandémie <span style=""> </span>(Scott Mc Pherson Web Presence )<span style=""> </span><span style=""> </span><a href="http://www.scottmcpherson.net/display/ShowJournal?moduleId=1366394&categoryId=119657&currentPage=2">http://www.scottmcpherson.net/display/ShowJournal?moduleId=1366394&categoryId=119657&currentPage=2</a> <o:p></o:p></span></p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 36pt; line-height: normal;"><span style=""><o:p> </o:p></span></p> <p class="MsoListParagraphCxSpFirst" style="margin: 0cm 0cm 0.0001pt 54.2pt; line-height: normal;"><span style=""><span style=""> </span>Scott Mc Pherson <span style=""> </span>(Florida) <span style=""> </span>est <span style=""> </span>spécialiste de la préparation à la pandémie et spécialiste<span style=""> </span>de l’internet <span style=""> </span>aux USA. <o:p></o:p></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; line-height: normal;"><span style=""><span style=""> </span><o:p></o:p></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54.2pt; line-height: normal;"><span style="">Les réseaux seront saturés par les échanges de tout ordre, et malheureusement <span style=""> </span>une quelconque priorité <span style=""> </span>du flux des informations sur le net est inconcevable. <o:p></o:p></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; line-height: normal;"><span style=""><o:p> </o:p></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54.2pt; text-indent: -18.2pt; line-height: normal;"><span style=""><span style="color: rgb(51, 204, 0);">
<br /></span></span></p><p class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54.2pt; text-indent: -18.2pt; line-height: normal;"><span style=""><span style="color: rgb(51, 204, 0);">
<br /></span></span></p><p class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54.2pt; text-indent: -18.2pt; line-height: normal;"><span style=""><span style="color: rgb(51, 204, 0);">c) </span><b style="color: rgb(51, 204, 0);">Les téléphones mobiles et fixes</b><span style="color: rgb(51, 204, 0);"> </span>: présentent les même difficultés <span style=""> </span><span style=""> </span>au niveau de <span style=""> </span>l’énergie et au niveau des personnes. <o:p></o:p></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54.2pt; text-indent: -18.2pt; line-height: normal;"><span style=""><o:p> </o:p></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin: 0cm 0cm 0.0001pt 54.2pt; text-indent: -18.2pt; line-height: normal;"><span style=""><o:p> </o:p></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; line-height: normal;"><b style=""><u><span style=""><span style="color: rgb(255, 0, 0);">
<br /></span></span></u></b></p><p class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; line-height: normal;"><b style=""><u><span style=""><span style="color: rgb(255, 0, 0);">
<br /></span></span></u></b></p><p class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; line-height: normal;"><b style=""><u><span style=""><span style="color: rgb(255, 0, 0);">Conclusion :</span><o:p></o:p></span></u></b></p> <p class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0.0001pt; line-height: normal;"><b style=""><span style=""><o:p> </o:p></span></b></p> <p class="MsoListParagraphCxSpLast" style="margin-bottom: 0.0001pt; line-height: normal;"><span style=""><span style=""> </span>
<br /></span></p><p class="MsoListParagraphCxSpLast" style="margin-bottom: 0.0001pt; line-height: normal;"><span style="">Il serait impératif et urgent de définir une politique de télécommunication pour chaque pays, et entre les pays, afin d’assurer un service à la population, et une communication efficace des différentes personnes concernées par la pandémie.
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<br /></td> </tr> </tbody></table> <p class="MsoNormal"><o:p> </o:p></p> <p class="MsoNormal"><span style=""> </span></p> Dr Michel S. F. Vermeulenhttp://www.blogger.com/profile/04324998188525891029noreply@blogger.com2tag:blogger.com,1999:blog-7426553807936273213.post-78692601495487182252008-11-19T22:51:00.000+01:002008-11-19T22:53:56.359+01:00Réalités et principes à respecter pour un plan de santé publique.<div class="posttext"> <div class="posttext-decorator1"> <div class="posttext-decorator2"> <p> <b><span style="text-decoration: underline; background-color: rgb(204, 255, 255); color: rgb(255, 0, 0); font-weight: bold;">SOMMAIRE</span><br /> <br /> I<span style="font-weight: bold;">ntroduction</span><br /> <span style="font-weight: bold;">A) Les médecins généralistes</span><br /> <span style="font-weight: bold;">B) Les pharmacies</span><br /> <span style="font-weight: bold;">C) Les strutures hospitalières</span><br /> <span style="font-weight: bold;">D) La population</span><br /> <br /> <span style="font-weight: bold; text-decoration: underline; color: rgb(255, 0, 0);">INTRODUCTION</span><br /> <br /> <span style="color: rgb(255, 0, 0);">La rédaction de ce texte a pour but</span> de susciter la réflexion, de concrétiser les problêmes et d'amorcer peut être les solutions.<br /> <span style="color: rgb(255, 0, 0);">Le fil conducteur de ma pensée s'appuie</span> sur le travail que j'ai pu effectuer comme médecin généraliste, médecin hospitalier, et comme responsable en Afrique d'un hopital et d'une zône de santé . Ayant habité auparavant la campagne et actuellement la ville (Bruxelles -Schaerbeeck), je possède une certaine expérience de ces deux milieux de vie .<br /> <span style="color: rgb(255, 0, 0);">Si cet humble travail</span> concernant le problème d'une pandémie de grippe <span style="color: rgb(255, 0, 0);">suscite des réactions</span>, alors mon but sera atteind .<br /> <br /> <span style="font-weight: bold; text-decoration: underline; color: rgb(255, 0, 0);">A ) LES MÉDECINS GÉNÉRALISTES</span><br /> <br /> <span style="font-weight: bold; text-decoration: underline;">1) De l'impossibilité pour le médecin généraliste d'assurer conjointement la continuité des soins "courants" avec les soins des malades grippés</span><br /> <br /> <span style="font-weight: bold;">a) La surcharge de travail</span><br /> <span style="font-weight: bold;"> </span><br /> En temps normal, un généraliste à plein temps supporte une quantité moyenne de travail médical et administratif, se situant aux alentours de 60-70 heures de travail par semaine . Cela le situe bien audelà de la plupart des moyennes horaires des autres professions. Il en résulte qu'en période de pandémie, la surcharge de travail pour assurer à la fois la continuité des soins sera vite intolérable, et les médecins seront "overbookés" pour finir tristement épuisés, désorganisés, et parfois malades. Certains fermeront leurs cabinets pour fuir une situation ingérable.<br /> <br /> <span style="font-weight: bold;">b) La sécurité du médecin et de son entourage de travail ou familial </span><br /> <br />La sécurité du médecin et de sa famille pourrait être gravement perturbée par l'intrusion et l'agression à son domicile et/ou cabinet par des individus aux abois, en quète de médicaments antiviraux ou de toute autre solution miracle.<br /> <br /> <span style="font-weight: bold;">c) Consultation mixte (malades grippés et non grippés) impossible.</span><br /> <br />Pour des raisons évidentes d'hygiène et de contamination, il est évident qu'il est impossible de faire cohabiter dans une salle d'attente ces deux types de malades, ce qui augmenterait la diffusion de la maladie.<br /> <br /> <span style="font-weight: bold; text-decoration: underline;">2) Solution: équipe mobile spécialisée (EMS)</span><br /> <br /> <span style="font-weight: bold;">a) Composition:</span><br /> <br /> - Un <span style="color: rgb(255, 0, 0);">médecin</span> formé aux tris des malades et aux soins curatifs et préventifs .<br /> - Un <span style="color: rgb(255, 0, 0);">chauffeur-ambulancier</span><br /> - Un <span style="color: rgb(255, 0, 0);">2d ambulancier</span>.<br /> - <span style="color: rgb(255, 0, 0);">Matériel: <span style="color: rgb(0, 0, 0);">Ambulance de transport et ou réa, matériel </span></span> <span style="color: rgb(0, 0, 0);">de protection,</span> matériel de communication, et matériel de traitements antiviraux, antibiotiques, et symptomatiques. </b> </p> <p> <b> --------------> Soit calqué sur le modèle SAMU</b> </p> <p> <b><span style="font-weight: bold;">b) Rôle du médecin</span><br /> <br /> - <span style="color: rgb(255, 0, 0);">Soins: curatif</span> du grippé dans les 36 premières heures, et préventif pour son entourage, par les antiviraux + les médicaments syptômatiques .<br /> <br /> - <span style="color: rgb(255, 0, 0);">Tri des malades</span> : <br /> > Le grippé dans les 36 premières heures + son entourage . (Cfr supra)<br /> <br /> > Le grippé avec complications (envoi vers un Centre deTraitement Spécialisé) + son<br /> entourage ( traitement prophylactique).<br /> <br /> > Le grippé incurable ( envoi vers un CTS pour médecine palliative) + son entourage<br /> (Tt prophylactque).<br /> <br /> > Le malade décédé: service de pompe funèbre spècialisé + traitement prophylactique de<br /> l'entourage.<br /> <br /> - Une <span style="color: rgb(255, 0, 0);">seconde visite éventuelle</span> au domicile déjà visité, pour de nouveaux problèmes d'infections, et éventuellement pour redonner des consignes de soins au soignant désigné après visite du ou des malades .</b> </p> <p> <b><br /> <span style="font-weight: bold; text-decoration: underline;">3) Ébauche d'organigramme pour situer l'équipe mobile spécialisée</span><br /> <br /> Au sommet de l'organigramme se situera naturellement <span style="font-weight: bold;">le comissariat interministériel</span> chargé de piloté le plan de santé publique et de gérer les conséquences socio-économiques pendant les différentes phases de la pandémie.<br /> <br /> <span style="font-weight: bold;">Un call-center</span> au numéro de téléphonne unique et facile à retenir, composé de personnes habilitées à répondre aux questions concernant les besoins grandissants de la population en état de détresse ( conséquences socio-économiques) en la canalisant vers les services adéquat.<br /> L'autre rôle du call-center sera de communiquer à <span style="font-weight: bold;">un centre de pilotage</span> d'une entité territoriale (commune), les appels et les coordonnées des malades grippés, et ce centresera chargé de piloter <span style="font-weight: bold;">les équipes mobiles spécialisées,</span> dans un parcours optimisé.<br /> <br />Rem: Le corps des pompiers a une belle expérience pour la gestion des appels, du dispatching et de l'évacuation des malades (grippés avec complications ---> Cfr supra)<br /> <br /> <span style="font-weight: bold; text-decoration: underline;">4) Avantages de l'intervention de l'équipe mobile spécialisée: soins de santé de première ligne</span><br /> <br /> a) <span style="color: rgb(255, 0, 0);">La continuité des soins "courants"</span> sera assurée normalement par le corps actif des généralistes.<br /> <br /> b) <span style="color: rgb(255, 0, 0);">L'overbooking et le burn-out</span> conduisant au dysfonctionnement seront évités.<br /> <br />c) La distibution des antiviraux ne passera pas par le médecin généraliste, les centres de santé ou les pharmacies, et ainsi <span style="color: rgb(255, 0, 0);">la sécurité de ces intervenants de la santé</span> est préservée.<br /> <br /> d)La rapidité et l'efficacité des EMS (équipes mobiles spécialisées) permettra de <span style="color: rgb(255, 0, 0);">répondre efficacement et rapidement à la demande des malades grippés tout en assurant un tri</span> des malades éventuellement orientés vers d'autres structures adéquates , soit un centre de traitement spécialisé pour traiter les malades avec complications, soit pour traiter palliativement les malades agonisants (avec l'accord de leur famille).</b> </p> <p> <b>Egalement, il devra parfois se mettre en rapport avec un sevice de pompes funêbres, formé à la gestion de ce problème de la mise en bière des malades décédés, et de son ensevelissement en rapport avec les autorités dont dépendent les cimetierre. (Recyclage prépandémique des services de pompes funêbres à prévoir + gestion de l'ensevelissement, et des lieux disponibles )</b> </p> <p> <b><br /> e) La rapidité et l'efficacté des EMS (équipes mobiles spécialisées) permettra de <span style="color: rgb(255, 0, 0);">décharger les structures hospitalières</span> des malades se dirigeant spontanément vers les services d'urgence des hopitaux.<br /> <br /> d) <span style="color: rgb(255, 0, 0);">La population</span> perturbée par tous ces bouleversements mettant leur vie en danger, ne cèdera pas à <span style="color: rgb(255, 0, 0);">la panique</span><br /> <br /> <span style="text-decoration: underline; color: rgb(255, 0, 0); font-weight: bold;">B ) LES PHARMACIES </span><br /> <br /> <span style="font-weight: bold; text-decoration: underline;">1) Rôle des pharmacie</span><br /> <br /> Le rôle des pharmacies consistera à <span style="color: rgb(255, 0, 0);">délivrer les médicaments prescrit par le médecin comme en temps de non pandémie</span>, et ceci devra clairement être signifié par tous les canaux d'information à la population: soit que les médicaments ne pourront être délivré que par les EMS et les CTS. (Equipe Mobile Spécialisée et Centre de Traitement Spécialisé)</b> car recevant rapidement et efficacement une réponse aux problèmes médicaux rencontrés en phase de pandémie. </p> <p> <b><span style="color: rgb(255, 255, 0);">Donc</span>, il sera inutile de tenter d'aller se procurer des antiviraux dans les hopitaux et dans les pharmacies, ou chez un médecin traitant.</b> </p> <p> <b><br /> <span style="font-weight: bold; text-decoration: underline; color: rgb(0, 0, 0);">2) But de la démarche</span><br /> <br /> Permettre d'<span style="color: rgb(255, 0, 0);">assurer</span> à la pharmacie <span style="color: rgb(255, 0, 0);">la délivrance des médicaments prescrits</span> , pour permettre la continuité des soins, dans un climat de sérénité, ou est <span style="color: rgb(255, 0, 0);">exclu la menace et la violence.</span><br /> <span style="color: rgb(255, 0, 0);"> </span><br /> <span style="font-weight: bold; text-decoration: underline; color: rgb(255, 0, 0);">C ) LES STRUCTURES HOSPITALIÈRES </span><br /> <br /> <span style="text-decoration: underline; font-weight: bold;">1) De l'impossibilité pour les hopitaux d'assurer conjointement la continuité des soins "habituels" et les malades grippés.</span><br /> <br /> <span style="font-weight: bold;">a) Modélisation de calcul et quantification du problème.</span><br /> <br />"Les premiers résultats sortis du modèle de calcul (Programme informatique de calcul du Pr Van Ranst: cfr article dans le site influenza.be, rubrique article scientifique et intitulé "Modèle de calcul pour préparer une pandémie de grippe en la date du 28.04.06), et l'analyse des pandémies précédentes peuvent faire craidre que les équipements sanitaires existants soient insuffisants lors d'une pandémie. ( phrase extraite de l'article publié par le site officiel belge du comissariat interministériel belge(influenza.be) dans un article publié dans la rubrique articles scientifiques, en la date du 28/04/06 et intitulé " Seconde ligne en cas de pandémie de grippe".<br /> <br /> <span style="font-weight: bold;">b Grippe saisonnière</span><br /> <br />Tous médecins ayant un certains nombre d'année de pratique, a dans sa souvenance, que lors de certaines grippes saisonnières un peu plus importante dans le nombre de malades atteints, les hopitaux se sont vite vus saturés par le nombre de partients hospitalisés, en particulier par les personnes agées, et tout sujet grevé par une maladie chronique. Par un principe de précaution justifiable nous avons hospitalisé ces malades afin qu'ils puissent bénéficiés d'un suivi plus intensifs et de soins plus spécialisés et ainsi éviter un décès malheureux.</b> </p> <p> <b><span style="font-weight: bold;">c) Aspect pratique</span><br /> <br /> <span style="color: rgb(255, 0, 0);">Au niveau des urgences</span> : il seraient hautement prèjudiciable qu'une partie des malades grippés se mélangent aux autres malades pour des raisons évidentes de contamination.<br />Egalement, se présenterait un problème de sécurité au niveau de la garde. Pour rappel, une seule solution de départ: l'équipe mobile spécialisée seule même de décider de l'opportunité d'une hospitalisation en un "CTS"</b> </p> <p> <b><span style="color: rgb(255, 0, 0);">Au niveau de l'hopital proprement dit</span>, il est très difficile du point de vue contamination et hygiène, de séparer les grippés des autres malades, et les chambres à pression négatives sont fort couteuses et leurs nombres deviendraient rapidement insuffisant. Les respirateurs pour fonction repiratoire assistée devront garder leur destination première, c'est à dire pour les cas classiques de réanimation, pour lesquels leur nombre est satisfaisant.<br /> <br />La circulation dans les couloirs, de patients grippés seraient une catastrophe, et les entrées d'un hopital devront être réduites à leur plus simple expression, et contrôlées de manière rigoureuse par des personnes protégées contre la contamination et les agressions.<br /> <br /> <span style="font-weight: bold; text-decoration: underline;">2) Essai de solution: centres spécialisés pour malades grippés (CSMG)</span><br /> <br /> <span style="font-weight: bold;">a) Définition</span><br /> <br /> <span style="color: rgb(255, 0, 0);">Tout batiment adaptable techniquement</span> et répondant aux critères de faisabilité des soins donnés aux malades grippé avec complications, et aux malades incurables . Le batiment doit être nettement séparé dans l'espace,des structures hospitalières classiques afin de ne pas mélanger les grippés avec les malades non grippés.<br /> <br /> <span style="color: rgb(255, 0, 0);">Les malades grippés ne pourront se présenter spontanément au CSMG</span>, mais devront d'abord avoir été vus par le médecin de l'équipe mobile effectuant le tri des malades. Ainsi le centre spécialisé pour malades grippés n'aura pas pour mission de soigner des grippés dont le traitement pourra être effectué à domicile. Il en résulte que ces centres ne se verront pas saturés par un afflux de personnes non adéquates pour le type de soins qui y sont prodigués.<br /> <br /> <span style="font-weight: bold;">b) Rôle des centres</span><br /> <br /> 1° Appliquer <span style="color: rgb(255, 0, 0);">une médecine curative</span> aux <span style="color: rgb(0, 0, 255);">malades grippés avec complications .</span><br /> <br /> 2° Appliquer <span style="color: rgb(255, 0, 0);">une médecine palliative</span> aux <span style="color: rgb(0, 0, 255);">malades incurables.</span><br /> <br /> <span style="font-weight: bold;">c) Aménagement des batiments et choix du personnels qualifié.</span><br /> <br /> <span style="color: rgb(255, 0, 0);">L'aménagement des batiments en matériel et en personnels spécialisés</span>, pourrait se faire suivant l'expérience des cas compliqués déjà traités dans les différents pays du monde confrontés à ce problème de "grippe aviaire". </b> </p> <p> <b><span style="color: rgb(255, 0, 0);">La qualité du personnel soignant sera issue</span> de la <span style="color: rgb(0, 0, 255);">médecine interne</span> et de la <span style="color: rgb(0, 0, 255);">médecine palliative.</span><br /> <br /> <span style="color: rgb(255, 0, 0);">L'inventaire et le choix des batiments disponibles</span>, répondant à des critères de faisabilité devra se faire au plus tôt avec l'aide des autorités administratives tenant compte des entité territoriales (communes), pour permettre d'anticiper la transformation théorique de ceux-ci par des architectes compétents dans ce domaine.<br /> <br /> <span style="color: rgb(255, 0, 0);">Constituer une réserve de possibilité d'aménagement de batiments</span> ou constructions adéquates pour ne pas se voir dépasser par le problème, en cas de "worst case". (pandémie la plus grave).<br /> <br /> <span style="font-weight: bold; text-decoration: underline;">3) Avantages</span><br /> <br /> a) Permettre aux <span style="color: rgb(255, 0, 0);">hopitaux classiques de fonctionner normalement</span> pour assurer la continuité des soins , et éviter ainsi le dysfonctionnement qu'une saturation de malades entrainerait<br /> <br /> b) <span style="color: rgb(255, 0, 0);">Éviter les problèmes de mélange et de contaminations</span> conséquentes aux entrées des hopitaux, au service des urgences, et dans l'hopital proprement dit.<br /> <br /> c) Assurer la <span style="color: rgb(255, 0, 0);">sécurité des services de garde et d'urgence,</span> ainsi que l'hopital lui même.<br /> <br /> d) Pour rappel, <span style="color: rgb(255, 0, 0);">la séquence des différentes phases de l'action</span> serait équipe mobile spécialisée avec triage-traitement, et parfois ensuite, envoi éventuel vers un centre spécialisé de traitement pour malades grippés (CSMG).<br /> <br /> <span style="font-weight: bold; color: rgb(255, 0, 0); text-decoration: underline;">D) LA POPULATION</span><br /> <br /> <br /> <br /> <span style="font-weight: bold; text-decoration: underline;">1) Rôle de la population</span><br /> <br /> Certaines <span style="color: rgb(255, 0, 0);">communautés laiques ou religieuses multiculturelles</span> pourraient être amenées à jouer à jouer un rôle important, concernant la <span style="color: rgb(0, 0, 255);">survie</span> de certaines personnes plus fragilisées par leur âge et par leur isolement.<br /> <br /> Ces bénévoles pourraient être à la fois <span style="color: rgb(255, 0, 0);">source d'informations</span>, et <span style="color: rgb(255, 0, 0);">source de services</span> apportés au plus démunis.<br /> <br />Cette information auprès des responsables laiques et religieux, pourrait déjà débuté maintenant, afin de définir les contour du services apporté, après informations de leurs membres actifs.<br /> <br /> <span style="font-weight: bold; text-decoration: underline;">2) Avantages </span><br /> <br /> a) <span style="color: rgb(255, 0, 0);">La solidarité ne prend son plein essort du point de vue de l'efficacité</span>, qu'entre personnes se connaissant bien de par leur proximité de quartier, leur conviction, leurs liens d'amitié.<br /> La solidarité spontanée d'un peuple en souffrance n'a pas de barrières, et l'histoire du siècle passé nous relatant des temps de guerre révolus, regorge de témoigages d'entraide et générosité.<br /> <br /> b) <span style="color: rgb(255, 0, 0);">La participation, la responsabilisation, et l'organisation des membres d'une population</span> se soutenant dans l'adversité, diminuent l'angoisse, réduit la délinquance, et soulage la misère d'une période grave de maladies, pènible pour toute la communauté.<br /> <br /> <br /> <span style="text-decoration: underline; background-color: rgb(204, 255, 255); color: rgb(255, 0, 0); font-weight: bold;"><img src="http://idata.over-blog.com/0/22/56/66/lotus-2.jpg" classname="CtreTexte" style="width: 69px; height: 78px;" class="CtreTexte" alt="LA VIE EST ENTRE NOS MAINS, CAR LA SAGESSE EST DANS NOTRE COEUR, ET L'AVENIR RÊVÉ SE TROUVE DEJÁ DANS NOTRE REGARD. NE VOUS DÉCOURAGEZ PAS: SEULEMENT DE LA BONNE VOLONTÉ, DE LA PATIENCE, DE LA SAGESSE, DE LA COMPÉTENCE ET L'ESPRIT HUMANITAIRE, SUFFIRONT À VAINCRE LA DIFFICULTÉ. ET, AYONS CETTE PRISE DE CONSCIENCE UNIVERSELLE ET ENGAGÉE POUR APPRENDRE À VIVRE ENSEMBLE SUR UNE TERRE QUE NOUS NE VOULONS PAS VOIR MOURRIR D'INCONSCIENCE ET D'ÉGOÏSME." /></span></b> <b><br /> Fait à Bruxelles le 30 avril 2006 </b> Dr Michel S.F. Vermeulen </p> </div> </div> </div>Dr Michel S. F. Vermeulenhttp://www.blogger.com/profile/04324998188525891029noreply@blogger.com0tag:blogger.com,1999:blog-7426553807936273213.post-1889103404078843642008-06-02T21:52:00.000+02:002008-06-02T21:54:21.388+02:00COMMENT ÉDUQUER LA POPULATION À LA PANDÉMIE ? (PART I)INTRODUCTION <br /><br />Tout bateau de croisière, ou tout avion civil possède un plan de sauvetage des passagers en cas d'accident, de même que la plupart des pays possède un plan opérationnel de "sauvetage de la population" en cas de pandémie de grippe.<br /><br /> <br /><br />Ainsi tous les membres d'équipage d’un avion ou d’un bateau, connaissent le protocole des démarches à suivre pour évacuer en bon ordre les passagers. Les différents intervenants du sauvetage ont pu éventuellement s'entrainer par des scénarios de simulation en temps et en situation réels, afin que les questions : qui fait quoi ? avec quoi ?, comment ? pourquoi , ? ne se posent plus au moment agité de la catastrophe. <br /><br /> <br /><br />Si vous avez eu l'occasion de prendre l'avion ou d'effectuer une croisière, vous aurez certainement reçu après le décollage de l'appareil, ou durant la croisière les informations nécessaire au bon déroulement des opérations. <br /><br /> <br /><br />Pour l'avion, on se souviendra des démonstrations de l'utilisation du masque à oxygène, du port du gilet de sauvetage, des instructions pour les issues de secours, et des toboggans d'évacuation.<br /><br /> <br /><br />Dans le cas du bateau vous vous rappelez certainement avoir revêtu votre gilet de sauvetage et vous être rendre ensuite en bon ordre à un endroit précis pour ainsi vous retrouver finalement en face de la barque de sauvetage prévue à votre intention. <br /><br /> <br /><br />Dans cette évocation de conduite en cas d’accident, différents principes sont à remarquer :<br /><br /> <br /><br />1) La conception préliminaire d’un plan de sauvetage par des spécialistes en possession de toutes les données nécessaires pour que la faisabilité des gestes de sauvetages par les intervenants se fassent de façon coordonnée.<br /><br />2) La formation théoriques des intervenants du sauvetage, compléter par un exercice de simulation pour finaliser la formation, récapitulant et coordonnant les phases d’action du sauvetage .<br /><br />3) L’information et la formation des passagers ou des croisiéristes à une démarche à suivre si un accident survenait.<br /><br /> <br /><br />En cas de pandémie de grippe nous pouvons prendre en considération :<br /><br /> <br /><br />- Le Plan d’urgence pour une pandémie de grippe.<br /><br /> <br /><br />- La formation théorique et pratique des différents intervenants.<br /><br /> <br /><br />- L’information et la formation de la population quant à la démarche à suivre en temps de pandémie, afin de réduire au maximum la souffrance de celle-ci.<br /><br /> <br /><br />Le but de cet article n’est pas d’analyser ou de développer des considérations au sujet du plan d’urgence ou de la formation théorique et pratique des différents intervenants en temps de pandémie.<br /><br />En général ces deux points sont fort négligés dans certains pays. Les bons élèves de la préparation à une pandémie, ne se sentiront pas visés par cette remarque.<br /><br /> <br /><br />Le but de cet article est de développer le troisième point, soit l’information et la formation de la population en temps de pandémie, et d’une façon plus pointue : « comment informer la population sans créer la panique ? ».<br /><br /> <br /><br />Pourquoi informer et former une population ? <br /><br />En reprenant l’exemple de l’avion et du bateau il est certain qu’ inventer un plan de sauvetage avec des intervenants prêts à l’action , sans avoir informé les passagers, est absurde. Voyons pourquoi ?<br /><br /> <br /><br />Soit : plan d’intervention sur papier -----> ne conduit à rien.<br /><br />Soit : plan d’intervention + intervenants formés théoriquement ----> ne conduit à rien.<br /><br />Soit : plan d’intervention « opérationnel » car + intervenants formés théoriquement et pratiquement -----> ne conduit à rien.<br /><br />Soit : plan d’intervention opérationnel + intervenants formés théoriquement et pratiquement + population informée et formée à affronter un temps de pandémie --->Solution.<br /><br /> <br /><br />Conclusion : pour atteindre une certaine efficacité en temps de pandémie il faut prendre en considération les trois éléments indispensables pour la bonne gestion de la pandémie en Belgique, soit le plan, les intervenants, et la population. Ces trois éléments sont indispensablesDr Michel S. F. Vermeulenhttp://www.blogger.com/profile/04324998188525891029noreply@blogger.com0tag:blogger.com,1999:blog-7426553807936273213.post-69125216286054870942008-06-02T21:49:00.004+02:002008-07-25T17:22:15.376+02:00 COMMENT ÉDUQUER LA POPULATION À LA PANDÉMIE ? (PART II)<div class="contenuArticle"> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"> <b><span style="text-decoration: underline;"><span style="">EN BELGIQUE : </span></span></b> </p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"> <b><span style="text-decoration: underline;"><span style="">Un plan</span></span></b> <b><span style=""> (en voie de développement perpétuel) <span style="color:yellow;">de préparation à la pandémie </span> existe sur papier.</span></b> </p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"> <b><span style="">Celui-ci est plus un catalogue de bonnes intentions, qu'un manuel pratique à l'usage des intervenants de tout niveau . On nous énumère une série d'actions ou d'intentions d'actions sans nous expliquer où se situe l'action dans l'arbre de décision, et comment la réaliser. </span></b> </p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"> <b><span style="text-decoration: underline;"><span style="">Les intervenants</span></span></b> <b><span style="">ignorent leur rôle futur, et jusqu'à ce jour, n'ont reçu aucune formation de préparation à la pandémie. </span></b> </p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"> <b><span style="">La population</span></b> <b><span style="">n'a reçu jusqu'à ce jour aucunes informations concernant des directives à suivre en temps de pandémie.</span></b> </p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"> <span style=""> </span> </p> <p class="MsoNormal" style="line-height: normal;"> <b><span style="text-decoration: underline;"><span style="">Voir pour preuve : le site officiel belge de la grippe aviaire,</span></span></b> <b><span style="">soit cliquez sur :</span></b> <a title="www.influenza.be" href="http://www.influenza.be/"><b><span style="">www.</span></b><b><span style="">influenza</span></b><b><span style="">.be</span></b></a> </p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"> <a title="www.influenza.be" href="http://www.influenza.be/"><b><span style=""> </span></b></a> </p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"> <b><span style="text-decoration: underline;"><span style="">LES OBSTACLES À L'ÉDUCATION</span></span></b> </p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"> <span style=""> </span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 1cm; line-height: normal;"> <b><span style="color: rgb(0, 255, 0);"><span style="color: rgb(255, 204, 153);">1)</span><span style="color: rgb(255, 204, 153);"> </span> <span style="color: rgb(255, 204, 153);">Un plan incomplet sur papier, n’ayant pas subi l’épreuve du scénario pré-pandémique , et de ce fait, peu opérationnel, ne pousse naturellement pas les autorités responsables et scientifiques à informer et former la population puisque les solutions adéquates sont inexistantes.
<br /></span></span></b> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 1cm; line-height: normal;"> <b><span style="color: rgb(0, 255, 0);"><span style="color: rgb(255, 204, 153);"> Un mauvais élève a souvent tendance à cacher son bulletin d’examens à ses parents. </span></span></b> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 1cm; line-height: normal;"> <b><span style="color: rgb(0, 255, 0);"><span style="color: rgb(255, 204, 153);"> </span></span></b> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 1cm; line-height: normal;"> <b><span style="color: rgb(0, 255, 0);"><span style="color: rgb(255, 204, 153);">
<br /></span></span></b></p><p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 1cm; line-height: normal;"><b><span style="color: rgb(0, 255, 0);"><span style="color: rgb(255, 204, 153);">2)</span><span style="color: rgb(255, 204, 153);"> </span> <span style="color: rgb(255, 204, 153);">Informer la population fait craindre aux responsables de la santé publique d’engendrer une </span></span></b> <span style="color: rgb(0, 255, 0);"><b><span style="color: rgb(255, 204, 153);">épidémie de panique dans la population. Alors, ainsi l’information se résume à parler de tout et de rien, soit : de la température de cuisson des poulets, du problème des oiseaux migrateurs, du problème des éleveurs de volailles, des dates de confinement des volailles et de leur libération. (Réf : émission de TL, dans le genre débat en Belgique 2006 RTL et RTB).</span></b></span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 1cm; line-height: normal;"> <span style="color: rgb(0, 255, 0);"><b><span style="color: rgb(255, 204, 153);">La réponse que les téléspectateurs attendaient, concernait la question : « qu’a-t-on déjà fait pour nous concernant la pandémie ?». La réponse fut vague et non concrète </span></b></span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 36pt; line-height: normal;"> <span style="color: rgb(0, 255, 0);"><b><span style="color: rgb(255, 204, 153);"> </span></b></span> </p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"> <span style="color: rgb(0, 255, 0);"><b><span style="color: rgb(255, 204, 153);"> </span></b></span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; text-indent: -18pt; line-height: normal;"> <span style="color: rgb(0, 255, 0);"><b><span style="color: rgb(255, 204, 153);">3)</span></b><span style="color: rgb(255, 204, 153);"> </span> <b><span style="color: rgb(255, 204, 153);">L’éducation de l’adulte est difficile pour différentes raisons.</span></b></span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style="color: rgb(0, 255, 0);"><b><span style="color: rgb(255, 204, 153);"> </span></b></span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style="color: rgb(0, 255, 0);"><b><span style="color: rgb(255, 204, 153);">a) Le manque de disponibilité après une journée de travail souvent épuisante.</span></b></span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style="color: rgb(0, 255, 0);"><b><span style="color: rgb(255, 204, 153);">b) Le problème psychologique engendré par l’évocation d’un sujet anxiogène.</span></b></span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style="color: rgb(0, 255, 0);"><b><span style="color: rgb(255, 204, 153);">c) L’efficacité du moyen d’apprentissage : la durée d’une information donnée par un média classique ne dure pas plus de 36 h, par exemple la TV, les journaux, les conférences.</span></b></span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style="color: rgb(0, 255, 0);"><b><span style="color: rgb(255, 204, 153);"> Les feuilles d’informations sur la grippe aviaire subissent rapidement le même sort que les dépliants de publicité encombrant nos boîtes aux lettres. </span></b></span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style="color: rgb(0, 255, 0);"><b><span style="color: rgb(255, 204, 153);"> Il est aussi à prendre en considération que toute information reçue par un média quelconque est chassée par une autre plus récente et ainsi de suite.</span></b></span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style="color: rgb(0, 255, 0);"><b><span style="color: rgb(255, 204, 153);"> </span></b></span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style="color: rgb(0, 255, 0);"><span style=""> </span></span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <b><span style="text-decoration: underline;"><span style="">
<br /></span></span></b></p><p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"><b><span style="text-decoration: underline;"><span style="">Solution </span></span></b> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style=""> </span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <b><span style="text-decoration: underline;"><span style="">
<br /></span></span></b></p><p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"><b><span style="text-decoration: underline;"><span style="">Historique</span></span></b><span style=""> : L’idée de la solution m’est apparue en pensant à un mode d’apprentissage de mes deux enfants âgés respectivement de 13 et 15 ans.</span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style="">Il leur est demandé de temps en temps de faire un exposé devant la classe concernant un sujet donné, tel le réchauffement climatique, le problème de l’eau potable, ou tout autre sujet d’actualité. </span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style="">Souvent les jeunes sont divisés en groupes de travail pour effectuer leur recherche sur un thème donné. Le travail de collectes de données se fait de plus en plus facilement et rapidement par l’utilisation de l’internet, ce qui permet un accès plus large à toutes les données existantes, en français, en anglais, etc.</span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style="">Le fond et la forme sont pris en considération pour exposer au mieux leur thème.</span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style=""> </span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <b><span style="text-decoration: underline;"><span style="">
<br /></span></span></b></p><p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"><b><span style="text-decoration: underline;"><span style="">En pratique</span></span></b> <span style="">:</span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style=""> </span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style="">
<br /></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"><span style=""> Faire un <b>travail de groupe</b> développant le thème de la grippe aviaire (à H5N1).</span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style=""> </span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style="">Ce <b>travail</b> sera <b>guidé</b> et <b>supervisé</b> par un professeur désigné et formé préalablement à ce problème de grippe aviaire de préparation à la pandémie. .</span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style=""> </span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style="">
<br /></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"><span style="">Cet enseignant suivra un canevas <b>répondant aux questions suivantes</b> :</span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style=""> </span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; text-indent: -18pt; line-height: normal;"> <span style="">
<br /></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; text-indent: -18pt; line-height: normal;"><span style="">
<br /></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; text-indent: -18pt; line-height: normal;"><span style="">-</span><span style=""> </span> <span style="">1 - <span style="color:red;">Qu’est-ce que la grippe aviaire</span>? (définition)</span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; text-indent: -18pt; line-height: normal;"> <span style="">-</span><span style=""> </span> <span style="">2 - <span style="color:red;">Quelles sont les conséquences ?</span> <span style="color: rgb(0, 176, 240);">: au niveau des oiseaux</span> (élevages, oiseaux migrateurs, sources de nourriture déficitaire dans les pays pauvres, mode de cuisson de la volaille).</span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style=""> </span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style=""> <span style="color: rgb(0, 176, 240);">au niveau des humains</span> : morbidité, mortalité.</span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style=""> </span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style=""> <span style="color: rgb(0, 176, 240);">au niveau d’une pandémie</span> : conséquences médicales et </span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style=""> également conséquences socio-économiques résultant d’une diminution brutale du nombre de gens actifs participant au fonctionnement des différents secteurs d’une société techniquement développée.</span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 1cm; line-height: normal;"> <span style=""> </span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; text-indent: -18pt; line-height: normal;"> <span style="">-</span><span style=""> </span> <span style="">3 - <span style="color:red;">Quelles sont les solutions envisageables ?</span> (à rechercher en Belgique et dans d’autres pays)</span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style=""> </span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style=""> Du point de vue médical.</span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style=""> Du point de vue socio-économique. </span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style=""> </span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style=""> </span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style=""> </span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <b><span style="text-decoration: underline;"><span style="">
<br /></span></span></b></p><p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"><b><span style="text-decoration: underline;"><span style="">But de la démarche</span></span></b> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style=""> </span> </p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"> <span style=""> <b><span style="color:aqua;">Informer indirectement les parents ou l’entourage de l’enfant, participant parfois à la recherche <span> </span>des données du travail à effectuer.</span></b></span> </p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"> <b><span style=""> </span></b> </p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"> <b><span style=""> Le thème banalisé pourra devenir un sujet de conversation non anxiogène, puisqu’il inclut une <span> </span>recherche de solutions adaptées aux différents thèmes de la vie, mis en difficulté. </span></b> </p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"> <b><span style=""> </span></b> </p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"> <b><span style=""> Les adultes sollicités indirectement par les questions posées par le travail de leurs enfants verront, malgré certaines réticences, leur curiosité indirectement attisée.</span></b> </p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"> <b><span style=""> </span></b> </p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"> <span style=""> <b><span style="color:aqua;"> Ils se poseront des questions concernant les solutions ou conduites à adopter suivant leur <span> </span>contexte propre de vie. Ils découvriront les solutions en provenance de tous les pays responsables.</span></b></span> </p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"> <b><span style=""> </span></b> </p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"> <b><span style=""> Redynamiser la prise de conscience des responsables politiques et scientifiques dans leurs devoirs de responsabilité vis-à-vis de la population</span></b> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style=""> </span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style=""> </span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <b><span style="text-decoration: underline;"><span style="">
<br /></span></span></b></p><p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"><b><span style="text-decoration: underline;"><span style="">Limite de la démarche.</span></span></b><b><span style="text-decoration: underline;"><span style=""> </span></span></b> <span style=""><span> </span> <b>* Limité aux parents avec enfants scolarisés>14 ans</b></span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <b><span style=""> <span> </span></span></b> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <b><span style=""> <span> </span> <span> </span>* Pour les autres catégories de personnes, soit par</span></b> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <b><span style=""><span> </span> exemple : de trop jeunes enfants, des personnes âgées, ayant un niveau de scolarité primaire, les sans enfants (à l’école 2 aire) ,les <span> </span>personnes âgées, les parents ayant peu de contact avec leurs enfants,…d’autres méthodes d’information sont prévue.</span></b> </p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"> <span style=""> </span> </p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"> <span style=""> <b><span style="color:lime;">Il est certain que ce mode d’approche de l’éducation d’une population par le biais des exposés <span> </span>scolaires des enfants ne constitue pas l'unique façon de résoudre le problème d’information et de formation des adultes. Il en existe beaucoup d'autres. Néanmoins celle-ci est pratique et non anxiogène, et de plus elle laisse une trace, contrairement au dépliant d'informations sur la grippe <span> </span>aviaire distribué un peu partout en Belgique. Ces papiers ont suivi <span> </span>inévitablement après un certain temps la loi du <span> </span>recyclage.</span></b></span> </p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"> <span style=""> </span> </p> <p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"> <span style=""> </span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <b><span style="text-decoration: underline;"><span style="">ALORS :</span></span></b> <b><span style="text-decoration: underline;"><span style="">« Passons à l’action, car dire c’est bien, mais faire c’est mieux ».</span></span></b> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal;"> <span style=""> </span> </p> <p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal; color: rgb(204, 51, 204); font-weight: bold;"><span style="">Pour cela allons rencontrer les politiques, grands décideurs de nos vies, en espérant que ceux-ci ne soient pas trop aveuglés par le miroitement des élections de 2009……mais néanmoins, sachons que les responsables de santé publique travaillent beaucoup pour préparer au mieux possible ce temps de pandémie . Il faut savoir que ceux-ci se trouvent confronter à des difficultés d'ordre politique et administrative dont ils ne sont pas responsables, et cela retarde leur travail de mise en place de leurs réalisations.
<br /></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0.0001pt 46.35pt; line-height: normal; color: rgb(255, 255, 51); font-weight: bold;"><span style="">Soyons reconnaissants pour leur compétence, leur perspicacité ainsi que le travail déjà effectué en dépit des obstacles .
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<br /><span class="spanAddComment"></span><span style="display: none;" id="nbComm20088665"></span><span class="spanLinkComment" style="display: none;" id="spanLinkCommentSingulier20088665"><a href="http://drmsfvermeulen.over-blog.com/article-20088665-6.html#anchorComment" class="linkComment">entaire (0) </a> </span> <span style="display: none;" class="spanLinkComment" id="spanLinkCommentPluriel20088665"> <a href="http://drmsfvermeulen.over-blog.com/article-20088665-6.html#anchorComment" class="linkComment"> commentaires (0) </a> </span> <script type="text/javascript" charset="utf-8"> //<![CDATA[ var nbCom = parseInt( document.getElementById('nbComm20088665').innerHTML ); var spanCom = document.getElementById( 'spanLinkCommentSingulier20088665' ); var spanComs = document.getElementById( 'spanLinkCommentPluriel20088665' ); switch (nbCom) { case 0: // On masque les deux spans spanCom.style.display = 'none'; spanComs.style.display = 'none'; break; case 1: spanCom.style.display = 'inline'; spanComs.style.display = 'none'; break; default: spanCom.style.display = 'none'; spanComs.styl</script><span class="spanAddTrackback"></span><span class="spanRecommend"> </span> </div>Dr Michel S. F. Vermeulenhttp://www.blogger.com/profile/04324998188525891029noreply@blogger.com0tag:blogger.com,1999:blog-7426553807936273213.post-22955481082943902282008-04-05T16:57:00.003+02:002008-04-06T16:36:05.926+02:00Mise au point : risques de pandémie et risques économique ???<p> </p><p style="text-align: justify;"><span style="font-size:130%;"><span style="font-weight: bold; text-decoration: underline; color: rgb(255, 0, 0);">RISQUE ÉCONOMIQUE :</span><br /><br />La grippe aviaire en Europe, telle que l'on a pu l'apprendre il y a peu dans un élevage d'oies en Hongrie, et aujourd'hui dans un élevage en Angleterre, ne présente qu'un seul risque: soit un risque économique. </span>(3 février 2007)<br /><span style="font-size:130%;"><br />Un pays atteint, tel la Hongrie par exemple, se voit pénalisé par un embargo économique pas vraiment justifié. Il en va de même, lors de la découverte d'un ou plusieurs oiseaux sauvages atteints par le H5N1 dans un pays, le seul risque est économique, par contamination éventuelle d'élevage. (</span>3 février 2007)<br /><span style="font-size:130%;"><br />La crainte d'un embargo économique (ou "touristique" injustifié), peut conduire certains pays à cacher des foyers d'épizootie naissants.<br /><br />Cette pénalisation par embargo à l'encontre d'un pays, peut s'étendre à d'autres pays européens, car les populations mal informées, se gavent de nouvelles gonflées médiatiquement par les journaux parlés et télévisés, pour finalement s'abstenir (par manque de formation pour comprendre l'information), de consommer de la volaille.<br /><br /><span style="font-weight: bold; text-decoration: underline; color: rgb(255, 0, 0);">POUR RAPPEL : </span><br /><br />L'OMS recommande de ne consommer que de la viande de poulet bien cuite et rappelle que la volaille et les oeufs bien cuits ne présentent aucun risque de grippe aviaire pour le consommateur. « L'abattage à domicile et la manipulation d'oiseaux malades ou morts avant cuisson présentent le plus grand risque d'exposition au virus H5N1 de la grippe aviaire ».<br /><br /><span style="font-weight: bold; text-decoration: underline; color: rgb(255, 0, 0);">RISQUE DE CAS HUMAINS </span><br /><br />Risques de cas humains pouvant conduire éventuellement à une épidémie, et au pire à une pandémie ?<br /><br />Ce risque n'existe que dans les pays à faibles revenus, où les habitants privés de frigos ou de congélateurs, sont obligés d'entretenir un élevage domestique aux alentours de leur habitation.<br /><br />Si des volailles sont contaminées par le virus, leurs propriétaires risquent de contracter le virus au moment de l'abattage et de la plumaison de celle-ci.<br /><br />Également, un abattage des volailles contaminées,dans une région d'épizootie, et cela sans protection, (masques, combinaisons, lunettes gants), peut conduire à l'éclosion de cas humains. Cela s'est produit au début de l'année 2006 en Turquie, lorsque des enfants couraient derrière des volailles malades pour les attraper, et ainsi participer maladroitement et dangereusement à leur élimination.<br /><br /><span style="font-weight: bold; text-decoration: underline; color: rgb(255, 0, 0);">CONCLUSION :</span><br /><br />1) <span style="color: rgb(128, 128, 0);"><span style="color: rgb(255, 255, 0);">en Europe où il y a la possibilité de conservation des aliments par la chaine du froid</span>,</span><span style="color: rgb(0, 0, 255);"> le seul risque est économique. </span><br /><br />2) <span style="color: rgb(128, 128, 0);"><span style="color: rgb(255, 255, 0);">Dans les pays où la grippe aviaire est endémique (permanente), et où les habitants ne bénéficient <span style="text-decoration: underline;">pas</span></span> <span style="color: rgb(0, 255, 255);">de moyens de conservation des aliments</span>,</span> <span style="color: rgb(0, 0, 255);">le risque de cas humains est possible. </span><br /><br /><span style="font-weight: bold; text-decoration: underline; color: rgb(255, 0, 0);">QUOI FAIRE ALORS ? </span><br /><br />1) <span style="font-weight: bold; color: rgb(0, 0, 255);">Population :</span> Consommer normalement de la volaille bien cuite sans crainte, et ne pas s'exciter lorsque le bruit amplifié des sirènes médiatiques se fait entendre .<br /><br />2) <span style="font-weight: bold; color: rgb(0, 0, 255);">Responsables d'un pays :</span><br /><br />a)<span style="color: rgb(255, 0, 0);"> </span><span style="color: rgb(255, 255, 0);"><span style="color: rgb(128, 128, 0);"><span style="color: rgb(255, 0, 0);">Dans les pays à risques</span> </span></span>: déclarer au plus vite à l'OMS, les cas humains pour identifier et circonscrire une épidémie débutante.<br /><br />b)<span style="color: rgb(255, 0, 0);"> Et pour tous les pays <span style="color: rgb(128, 128, 0);"> </span></span>: continuer à se préparer au mieux de leurs moyens, à une éventuelle pandémie.</span></p><p style="text-align: justify;"> </p><p style="text-align: justify;"><span style="color: rgb(0, 255, 255);font-size:100%;" ><u><b><span style="font-size:130%;">Ce qui ne se fait plus ou peu dans certains pays, et ce qui devrait se faire.</span> </b></u></span> </p><p style="text-align: justify;"><span style="color: rgb(255, 255, 0);font-size:100%;" ><b>Soit identifier une menace oubliée, et pourtant inévitable, et rendre prioritaire les actions des politiques et des experts en la matière, sinon, au risque de voir un jour une population affolée et souffrante (jusqu'à la mort pour certains). </b></span></p><p style="text-align: justify;"><span style="color: rgb(255, 255, 0);font-size:100%;" ><b>Soit avoir le réalisme de regarder la souffrance occasionnée par cette maladie en face : souffrances physiques et sociales, et avoir la sagesse prévoyante de trouver à tout prix des solutions èprouvées,</b></span><span style="font-size:100%;"><br /><b><span style="color: rgb(255, 255, 0);">permettant de survivre durant le temps de la pandémie, et cela, par des scénarios de récapitulation réalistes,dans les différents stades de la pandémie. </span></b></span></p><p style="text-align: justify;"><span style="font-size:100%;"><b><span style="color: rgb(255, 255, 0);">On ne joue pas une pièce de théatre sans connaitre le scénario, ainsi que son rôle à remplir, et au minimum avoir réalisé les répétitions nécessaires pour le bon déroulement de la pièce. Certains accumulent les décors et les costumes, en croyant que cela est suffisant, mais ne savent pas les utiliser par manque de plannification et de logistique épprouvées par un scénario récapitulatif.<br /></span></b></span></p><p style="text-align: justify;"><span style="font-size:100%;"><b><span style="color: rgb(255, 255, 0);">Tout ceci est évident, malheureusement, les responsables politiques et de santé publique accaparés par leurs "problèmes du quotidien", n'en tiennent pas compte, et n'aident pas les populations à comprendre et à se comporter un jour serainement dans cette pièce qui ne sera pas une pièce de théatre, mais un véritable temps d'épreuve . </span></b></span></p><p style="text-align: justify;"><span style="color: rgb(255, 255, 0);font-size:100%;" ><b>Alors, parlez en autour de vous afin de mobiliser les responsables, et de passer au mieux cette épreuve. </b></span></p><p style="text-align: justify;"><span style="color: rgb(255, 255, 0);font-size:100%;" ><b>Cette remarque s'adresse aux pays ne préparant pas leurs populations à ce problème .... ???<br /></b></span></p><p style="text-align: justify;"> </p><p style="text-align: justify;"><span style="font-size:100%;"><u>Une dernière petite histoire ....</u></span></p><p style="text-align: justify;"><span style="font-size:100%;"> "Ah oui, je me souviens de l'histoire d'un brave homme sans histoire, à qui l'on avait plus que conseillé, comme à tout automobiliste, de porter la ceinture de sécurité, lors de l'utilisation de son véhicule. </span></p><p style="text-align: justify;"><span style="font-size:100%;">Un jour, il oublia de la mettre, et cela n'allait pas plus mal pour lui, que du contraire, car mettre sa ceinture c'était toujours penser à l'accident possible, et cela faisait peur, également, cela faisait perdre du temps que de chercher la boucle, et de la mettre correctement. </span></p><p style="text-align: justify;"><span style="font-size:100%;">Il est vrai qu'il conduisait depuis longtemps, et jamais il n'avait connu d'accident. Il se sentait à l'aise dans l'habitacle familier et personnalisé de sa voiture. Tout tournait rond : puissante, rapide, fiable, comfortable, plein de gadgets, .... dans celle-ci il se voyait conquérir positivement les étapes de la vie, bondissant dans l'action, par tous les temps, au travail comme en vacance. </span></p><p style="text-align: justify;"><span style="font-size:100%;">Un beau matin d'été, où il se sentait heureux de vivre, sur la route de toujours, notre brave homme n'eut que le temps de voir un obstacle imprévisible et puis ..... plus rien......... ! </span></p><p style="text-align: center;"> </p><div style="text-align: center;"> <img src="http://blogsimages.skynet.be/images_v2/000/057/386/20080403/dyn005_original_300_294_jpeg_57386_b12d66007479b5cdd1e4209065918108.jpg" alt="illustr" border="0" /><br /></div><p style="text-align: justify;"><br /><span style="font-size:100%;">Ne pas mettre sa ceinture de sécurité, tout en sachant qu'un jour l'accident surviendra (</span><u><a href="http://fr.rian.ru/analysis/20080401/102716974.html" id="u-AFrqEzcC6IahHy87RsL-8LXwE14WgSMB2Q:r-4_0"><b>Grippe aviaire</b>: le fléau du siècle?) </a></u><span style="font-size:100%;">inévitablement est inconcevable. Et pourtant c'est ce que nous faisons avec insouciance. </span></p><p style="text-align: justify;"><span style="font-size:100%;">Il est vrai que certains pays sont comparables au "3 petits cochons face au méchant loup". </span></p><p style="text-align: justify;"><span style="font-size:100%;">Certains pays étant paresseux et incrédules, n'ont construit que des maisons de paille, vite faites mal faites, pour se justifier à court terme, face à une population mal informée du problème. </span></p><p style="text-align: justify;"><span style="font-size:100%;">D'autres pays convaincus de la menace du méchant loup ont contruit leurs maisons en bois, mais ils ont sous-estimé les conséquences de l'agression, par manque de préparation réaliste.</span></p><p style="text-align: justify;"><span style="font-size:100%;">L'un ou l'autre très rare pays, ont récapitulé les scénarios possibles sans crainte de faire peur à la population. Ainsi ils ont vu les faiblesses de certains systêmes, et ont chercher des solutions aux problèmes identifiés. Ils ont construit en briques. Et ainsi, assurés par leur travail bien fait, les responsables désignés du problème de "grippe aviaire" ont pu mettre au courant leurs populations, et les préparer à se conduire correctement en montrant le chemin d'accès au barque de sauvetage. </span></p><p style="text-align: justify;"><span style="font-size:100%;">Et lorsque le jour J arriva tout s'est passé le mieux possible, sans trop de dégats, chacun était conscient de ce qu'il devait faire, aussi bien les intervenants que la population. Et le qui fait quoi, comment, pourquoi ne resta pas sans réponses.</span> </p><p style="text-align: justify;"><span style="font-size:100%;">Non mais, je rêve pour cette troisième catégorie...! </span></p><p style="text-align: justify;"><span style="font-size:100%;">Malgré tout, je dis aux responsables : "à bon entendeur salut". De toute façon je continuerai à lutter dans mon travail de conscientisation. </span></p><p style="text-align: justify;"><span style="font-size:100%;">Ma motivation unique, pour les pays riches comme pour les pays pauvres est, que la souffrance est intolérable quand on peut l'atténuer ou l'éviter.</span></p><p style="text-align: justify;"><span style="font-size:100%;">N'oublions pas que ce problème résolu en commun par les différentes nations (riches et pauvres), peut faire grandir l'humanité, et que la force de la conviction permet de transformer un rêve en réalité, tout appliquant le principe que "dire c'est bien, mais que faire c'est mieux". </span></p><p style="text-align: justify;"><span style="font-size:100%;">Alors continuons l'effort, avec une énergie renouvelée et un sentiment d'insatisfaction à l'égard de ce qui a déjà été fait, car le temps nous est compté, et demain est un autre jour où tout peut arriver.......<br /></span></p><p style="text-align: justify;">Dr Michel S.F. Vermeulen Auteur de <a href="http://drmsfvermeulen.skynetblogs.be/">LA GRIPPE AVIAIRE: urgence ! danger ! </a><br /></p><p style="text-align: justify;"> <br /></p><table style="text-align: left; margin-left: auto; margin-right: auto;" border="0" cellpadding="0" cellspacing="0" width="167"><tbody><tr align="center"><td class="freezone_content" colspan="3"><br /> </td> </tr> <tr align="center"> <td colspan="3" height="10"><img src="http://blogsimages.skynet.be/images_fixed/static_1/pixel.gif" height="10" width="1" /></td> </tr> </tbody></table><div style="text-align: center;"> <!-- <tr> <td width="40" align="left"><img src="http://blogsimages.skynet.be/images_fixed/static_6/fond_date1.jpg" /></td> <td class="top_freezone" align="left" height="40" width="99%"> </td> <td> </td> </tr> --> </div><table style="text-align: left; margin-left: auto; margin-right: auto;" border="0" cellpadding="0" cellspacing="0" width="167"><tbody><tr> <td colspan="3" height="2"><img src="http://blogsimages.skynet.be/images_fixed/static_1/pixel.gif" height="2" width="1" /></td> </tr> <tr align="center"> <td class="freezone_content" colspan="3"><div class="fzo_picture"><a href="http://drmsfvermeulen@yahoo.fr/" target="_blank"><img style="width: 150px; height: 193px;" src="http://blogsimages.skynet.be/images_v2/000/057/386/20060427/dyn006_small150_409_525_jpeg_57386_403e2f8a10d6eea3b0397558ceb4079a.jpg" border="0" /></a></div></td></tr></tbody></table><p style="text-align: center;"> </p><p style="text-align: center;"><br /></p>Dr Michel S. F. Vermeulenhttp://www.blogger.com/profile/04324998188525891029noreply@blogger.com0