Over 80% of human deaths from avian influenza (H5N1) recorded to date have occurred in South East Asia, 2 which suggests that countries in the region could be the epicentre of the next human influenza pandemic.
The report reveals two distinct groupings in Asia-Pacific. Hong Kong, Australia and New Zealand were found to have comprehensive operational guidance manuals that facilitate national responses to pandemic influenza. Plans prepared by China, Thailand and Vietnam were less operational but strategically plan for investment to develop future capacity. The regional as a whole drew from its previous experience of SARS. This report follows a previous analysis of European pandemic plans, 3 a summary of which was published in the Lancet.4
Dr Richard Coker, the report's lead author, said: 'The strategic approach towards pandemic preparedness taken by Australia, Hong Kong, and New Zealand is similar to the best of the European plans - the remaining Asia-Pacific countries surveyed are likely to be less prepared for an imminent pandemic and might consider developing operational plans that recognise current capacity limitations'.
The LSHTM researchers examined the preparedness plans of five countries in the Asia Pacific region China (and the Special Administrative Region of Hong Kong), Vietnam, Thailand, Australia and New Zealand. Pandemic plans for Cambodia, Laos and Indonesia were not available.
The WHO's Global Influenza Preparedness Plan5 provides guidelines for governments on preparing for and managing an influenza pandemic, and is the benchmark against which all national preparedness planning should be implemente
Contact: Lindsay Wright
London School of Hygiene & Tropical Medicine