Priority setting for pandemic influenza: An analysis of national preparedness plans
2006

Analyzing National Preparedness Plans for Pandemic Influenza

Sample size: 45 publication Evidence: moderate

Author Information

Author(s): Lori Uscher-Pines, Saad B. Omer, Daniel J. Barnett, Thomas A. Burke, Ran D. Balicer

Primary Institution: Johns Hopkins Bloomberg School of Public Health

Hypothesis

How do national pandemic influenza plans prioritize vaccines and antiviral medications across different countries?

Conclusion

The study reveals significant variation in how countries prioritize vaccines and antiviral medications in their pandemic preparedness plans.

Supporting Evidence

  • 40% of nations had identified cases of H5N1 in bird populations.
  • 62% of plans were dated after June 2005.
  • Only 40% of nations documented probable cases and/or deaths in their plans.

Takeaway

Countries have different plans for how to distribute vaccines and medicines during a pandemic, and some don't have clear strategies at all.

Methodology

The study reviewed 45 national pandemic influenza plans, analyzing their prioritization of vaccines and antiviral medications.

Potential Biases

Variation in plan formats and subjective categorization may limit the representation of planners' intents.

Limitations

The study relied on nonprobability sampling and may not fully capture the plans of developing nations.

Participant Demographics

The plans represented about 3.8 billion individuals, or roughly two-thirds of the world population.

Statistical Information

P-Value

p = 0.18 for vaccine prioritization, p = 0.10 for antiviral prioritization

Digital Object Identifier (DOI)

10.1371/journal.pmed.0030436

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