A draft of the US preparedness report was leaked to The New York Times last week. One of its major shortcomings is that it does not say who is in charge of coordinating a response to an avian influenza pandemic.

The Lancet comments: "The pandemic of 191819 affected 20% of the world's population and killed 2050 million worldwide Last month, the UN appointed David Nabarro, a senior public-health expert at WHO, to lead the coordination of the UN response to avian influenza. What is also urgently needed is strong national and regional leadership; unrestricted transparency in surveillance and preparedness plans from all countries, including China; and renewed research efforts to find the best methods of prevention and treatment. Without these measures, what is already looking like an inevitable influenza pandemic may be as deadly as that which struck in 1918."

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Contact: Joe Santangelo
j.santangelo@elsevier.com
1-212-633-3810
Lancet
13-Oct-2005