RESUMO
Is the antivaccination movement causing a worldwide pandemic?
Assuntos
Saúde Global/estatística & dados numéricos , Política de Saúde , Promoção da Saúde/organização & administração , Programas de Imunização/organização & administração , Sarampo/epidemiologia , Sarampo/prevenção & controle , Humanos , Estados Unidos/epidemiologiaRESUMO
In its Vision 2012: A Strategic Plan, the Association for Professionals in Infection Control and Epidemiology, Inc. (APIC) states that APIC will be recognized as the leader in infection prevention and control. However, if the APIC Strategic Plan is to be advanced by its members, infection control professionals must choose a leadership role by becoming certified, validating their competency and setting a standard of excellence. Certification by the Certification Board of Infection Control and Epidemiology, Inc. (CBIC) validates an infection control professional's competence to the public, the profession, employers, and regulators. The White Paper presented here by the CBIC provides a rationale for certification and recertification in infection prevention and control practice.
Assuntos
Certificação , Profissionais Controladores de Infecções/normas , Competência Profissional/normas , Sociedades/normas , Certificação/organização & administração , Certificação/normas , Epidemiologia/normas , Humanos , Controle de Infecções/normas , Profissionais Controladores de Infecções/organização & administração , Sociedades/organização & administraçãoRESUMO
Three influenza pandemics emerged in the 20th century, and scientists are concerned that the currently circulating, highly pathogenic A (H5N1) avian influenza virus could lead to the next pandemic, one as deadly as the 1918 influenza pandemic. Not since the identification of HIV and AIDS will the duty to care among health care providers be tested as during such an event. Nonetheless, the expertise of health care providers is an integral part of the response to a pandemic. In the fight against flu, forewarned is forearmed. This report provides an overview of avian influenza (a.k.a. bird flu) and phases of pandemic influenza, with an emphasis on what health care providers should know to be prepared for a human avian influenza outbreak and the next pandemic.
Assuntos
Surtos de Doenças/prevenção & controle , Virus da Influenza A Subtipo H5N1/patogenicidade , Influenza Aviária/transmissão , Influenza Humana/epidemiologia , Animais , Antígenos Virais/imunologia , Planejamento em Desastres , Surtos de Doenças/história , Saúde Global , História do Século XX , Humanos , Virus da Influenza A Subtipo H5N1/imunologia , Aves Domésticas , Estados Unidos/epidemiologiaRESUMO
During the last century, 3 influenza A pandemics have occurred, and pandemic influenza will inevitably occur in the future. Although the timing and severity of the next pandemic cannot be predicted, the probability that a pandemic will occur has increased based on the current outbreaks of A(H5N1) in Asia, Europe, and Africa. Because of these widespread outbreaks, the World Health Organization declared a phase 3 pandemic alert in the fall of 2005. Early detection is essential to prevent the spread of avian influenza. Planning now can be achieved by integrating interventions to ensure a prompt and effective response to a pandemic. This article provides an overview of the current status of A(H5N1) influenza worldwide and recommendations for the prevention and control of avian influenza should it emerge in humans in the United States.
Assuntos
Surtos de Doenças/prevenção & controle , Controle de Infecções/métodos , Virus da Influenza A Subtipo H5N1/patogenicidade , Influenza Aviária/prevenção & controle , Influenza Humana/prevenção & controle , Vigilância de Evento Sentinela/veterinária , Animais , Humanos , Influenza Aviária/epidemiologia , Influenza Humana/epidemiologia , Aves Domésticas/virologia , Estados Unidos/epidemiologia , Precauções UniversaisAssuntos
Controle de Infecções/métodos , Influenza Humana/epidemiologia , Influenza Humana/prevenção & controle , Estações do Ano , Antivirais/uso terapêutico , Surtos de Doenças/prevenção & controle , Surtos de Doenças/estatística & dados numéricos , Humanos , Virus da Influenza A Subtipo H5N1 , Vacinas contra Influenza , Influenza Humana/transmissão , Influenza Humana/virologia , Educação de Pacientes como Assunto , Vigilância da População , Prevenção Primária/métodos , Fatores de Risco , VacinaçãoRESUMO
The United States health care system and patient populations have changed substantially over the past several decades. The practice of infection control also has evolved since the landmark Study on the Efficacy of Nosocomial Infection Control project, and infection control professionals (ICPs) must continue to develop the knowledge and skills necessary to practice infection prevention and control. Practice analyses of infection control conducted between 1982 and 2001 were analyzed to determine changes in practice. These data reflect a 145% increase in infection control activities over a 20-year period. However, resources for infection control and prevention have not kept pace with this increased activity. In addition, the current trend toward mandatory reporting of health care-associated infections (HAIs) among several states will add more tasks for ICPs with limited resources, at the risk of spending less time on prevention and control activities. In keeping with its philosophy of quality health care and responsible public reporting, the Association of Professionals in Infection Control and Epidemiology, Inc, continues to explore the issue of mandatory reporting of HAIs.