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Pandemic influenza and health system resource gaps in Bali: an analysis through a resource transmission dynamics model
journal contribution
posted on 2023-06-09, 18:59 authored by Wiku Adisasmito, Benjamin Hunter, Ralf Krumkamp, Kamal Latief, James Rudge, Piya Hanvoravongchai, Richard CokerThe failure to contain pandemic influenza A(H1N1) 2009 in Mexico has shifted global attention from containment to mitigation. Limited surveillance and reporting have, however, prevented detailed assessment of mitigation during the pandemic, particularly in low- and middle-income countries. To assess pandemic influenza case management capabilities in a resource-limited setting, the authors used a health system questionnaire and density-dependent, deterministic transmission model for Bali, Indonesia, determining resource gaps. The majority of health resources were focused in and around the provincial capital, Denpasar; however, gaps are found in every district for nursing staff, surgical masks, and N95 masks. A relatively low pathogenicity pandemic influenza virus would see an overall surplus for physicians, antivirals, and antimicrobials; however, a more pathogenic virus would lead to gaps in every resource except antimicrobials. Resources could be allocated more evenly across Bali. These, however, are in short supply universally and therefore redistribution would not fill resource gaps.
History
Publication status
- Published
Journal
Asia-Pacific Journal of Public HealthISSN
1010-5395Publisher
SAGE PublicationsExternal DOI
Issue
2Volume
27Page range
NP713-NP733Department affiliated with
- International Development Publications
Full text available
- No
Peer reviewed?
- Yes
Legacy Posted Date
2019-09-24Usage metrics
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