Pandemic Influenza Planning in the United States from a Health Disparities Perspective
2008

Pandemic Influenza Planning and Health Disparities

publication Evidence: high

Author Information

Author(s): Philip Blumenshine, Arthur Reingold, Susan Egerter, Robin Mockenhaupt, Paula Braveman, James Marks

Primary Institution: University of California, San Francisco

Hypothesis

How might different socioeconomic and racial/ethnic groups in the United States fare in an influenza pandemic based on social factors?

Conclusion

Pandemic preparedness plans must explicitly address socioeconomic and racial/ethnic disparities to minimize avoidable suffering and death during an influenza pandemic.

Supporting Evidence

  • Historical evidence shows that low-income persons fared worse during the 1918 pandemic.
  • Disparities in healthcare access are well-documented and likely to worsen during a pandemic.
  • Community-based interventions may help reduce influenza attack rates.

Takeaway

Some groups of people might get sick more than others during a flu pandemic because of their jobs, where they live, or how much money they have. We need to make sure everyone gets the help they need.

Methodology

The article discusses social factors affecting exposure, vulnerability, and treatment access during an influenza pandemic, using a conceptual framework to analyze disparities.

Potential Biases

Potential biases in pandemic planning may exacerbate existing health disparities if not addressed.

Limitations

The discussion is not exhaustive and does not provide specific solutions for all identified disparities.

Participant Demographics

The article focuses on socioeconomic and racial/ethnic groups in the United States.

Digital Object Identifier (DOI)

10.3201/eid1405.071301

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