1. Response to Influenza (H1N1) 2009 in Thailand Dr. Unchalee Siripitayakunkit NVCO, DDC, MoPH 3 rd NIC meeting Yuyang Hotel, Beijing August 19, 2009

2. Number of confirmed influenza A (H1N1) in Thailand, 12 May – 15 August 2009 Source: Bureau of Epidemiology, MOPH, Thailand N=11,398 Imported cases School outbreak Death = 97

3. National pandemic preparedness plan National Strategic plan on Avian Influenza and Pandemic Influenza Preparedness The plan highlights - community participation - multi-sector/ international cooperation - national capacity building for disease surveillance, outbreak containment and impact mitigation coordinated and monitored by a National Committee The plan is coordinated and monitored by a National Committee

4. Important response Application national strategies of pandemic preparedness to H1N1 2009Application national strategies of pandemic preparedness to H1N1 2009 Comprehensive surveillance (virus, human) and emergency responseComprehensive surveillance (virus, human) and emergency response Communication to public :- current situation, self prevention from H1N1 (hand washing, mask use, social distancing)Communication to public :- current situation, self prevention from H1N1 (hand washing, mask use, social distancing) Medical treatment, antiviral use prescribed by physiciansMedical treatment, antiviral use prescribed by physicians Influenza vaccine production in countryInfluenza vaccine production in country

5. Comprehensive surveillance Monitoring – pattern of influenza characteristics (place-time-person, attack rate, death and risk factors)Monitoring – pattern of influenza characteristics (place-time-person, attack rate, death and risk factors) Outbreak InvestigationOutbreak Investigation Sentinel surveillance of ILI (12 regional centers + BKK)Sentinel surveillance of ILI (12 regional centers + BKK) Laboratory monitoring, virology parameterLaboratory monitoring, virology parameter Model and Simulation/ Projection studyModel and Simulation/ Projection study to better understand and response

6. Vaccine Preparation Pandemic flu vaccine a most important tool for health protection Access to pandemic vaccine is optionally secured by the capacity for local production of flu vaccine (LAIV) Increased use of flu vaccine to provide market for locally produced seasonal flu vaccine in inter-pandemic period

7. Increased use of influenza vaccine in Thailand, 2000–2015 : projected scenario Seasonal influenza vaccination in high-risk population 2008: 120,000 persons > 65 with health conditions 2009: 1.8 mill. People, all ages with health conditions Seasonal influenza vaccination in health care personnel Started 2003 Target 400,000 / year COPD, asthma, heart disease, cerebro-vascular dis., renal failure, chemotherapy, DM