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South-East Asia Regional Conference on Epidemiology

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C<strong>on</strong>clusi<strong>on</strong>s<br />

Fig.: Weekly Pandemic (H1N1) 2009 Cases and Deaths<br />

Ind<strong>on</strong>esia<br />

<str<strong>on</strong>g>South</str<strong>on</strong>g>-<str<strong>on</strong>g>East</str<strong>on</strong>g> <str<strong>on</strong>g>Asia</str<strong>on</strong>g> <str<strong>on</strong>g>Regi<strong>on</strong>al</str<strong>on</strong>g> <str<strong>on</strong>g>C<strong>on</strong>ference</str<strong>on</strong>g> <strong>on</strong> <strong>Epidemiology</strong> | 275<br />

Ind<strong>on</strong>esia currently allocates limited resources to the general surveillance and resp<strong>on</strong>se to influenza<br />

work due to other public health priorities. The disease burden is known through small surveys and<br />

limited surveillance that suggests circulati<strong>on</strong> of the virus throughout the year. Due to the global<br />

emergency associated with AI H5N1 and the need for pandemic influenza preparedness, additi<strong>on</strong>al<br />

resources enabled the development of pandemic preparedness plans, enhanced capacity in diagnostics,<br />

case management and outbreak resp<strong>on</strong>se. These activities aided in the resp<strong>on</strong>se to H1N1.<br />

Based <strong>on</strong> past experiences and the indicati<strong>on</strong> that all the ingredients for the creati<strong>on</strong> of new influenza<br />

viruses with pandemic potential are present, there is no doubt that there will be an influenza pandemic<br />

in the near future; it is just a matter of time when and where the pandemic will occur. The <strong>on</strong>ly answer<br />

is to remain prepared.<br />

Future activities for influenza need to emphasize better characterizati<strong>on</strong> of the disease epidemiology<br />

and vaccine strategy, and to m<strong>on</strong>itor the AI H5N1 situati<strong>on</strong> that may still trigger a new influenza<br />

pandemic.<br />

References<br />

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Dilantika C, Sedyaningsih ER, Kasper MR, Agtini M, Listiyaningsih E, Uyeki TM et al. Influenza<br />

virus infecti<strong>on</strong> am<strong>on</strong>g paediatric patients reporting diarrhoea and influenza-like illness. BMC Infect Dis<br />

2010,10:3.<br />

Beckett CG, Kosasih H, Ma’roef C, Listiyaningsih E, Elyazar IR, Wuryadi S et al. Influenza surveillance<br />

in Ind<strong>on</strong>esia: 1999-2003. Clin Infect Dis. 2004, 15; 39(4):443-9.<br />

Simmerman JM, Chittaganpitch M, Levy J, Chantra S, Mal<strong>on</strong>ey S, Uyeki T et al. Incidence, seas<strong>on</strong>ality and<br />

mortality associated with influenza pneum<strong>on</strong>ia in Thailand: 2005-2008. PLoS One. 2009, 4(11):e7776.<br />

Qureshi H, Gessner BD, Leboulleux D, Hasan H, Alam SE, Moult<strong>on</strong> LH. The incidence of vaccinepreventable<br />

influenza-like illness and medicati<strong>on</strong> use am<strong>on</strong>g Pakistani pilgrims to the Haj in Saudi Arabia.<br />

Vaccine, 2000,18(26):2956-62.<br />

El-Sheikh SM, El-Assouli SM, Mohammed KA, Albar M. Bacteria and viruses that cause respiratory<br />

tract infecti<strong>on</strong>s during the pilgrimage (Haj) seas<strong>on</strong> in Makkah, Saudi Arabia. Trop Med Int Health, 1998,<br />

3(3):205-9.

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