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<title>Health facilities in Ukraine well prepared for pandemic (H1N1) 2009
influenza</title>
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<body lang=3DEN-US link=3D"#34617E" vlink=3Dpurple style=3D'tab-interval:.5=
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<div class=3DSection1>

<p class=3DMsoNormal><span style=3D'font-size:9.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial;mso-bidi-font-family:"Times New Roman"'>16 November 2009 =
<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:9.0pt;mso-bidi-font-size:12.0=
pt;
font-family:Arial;mso-bidi-font-family:"Times New Roman"'><o:p>&nbsp;</o:p>=
</span></p>

<p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><span
style=3D'mso-bidi-font-size:14.0pt;font-family:Arial;mso-bidi-font-family:"=
Times New Roman"'>WHO
Update on <st1:country-region w:st=3D"on"><st1:place w:st=3D"on">Ukraine</s=
t1:place></st1:country-region>
Pandemic Influenza A H1N1 Virus: <span style=3D'mso-spacerun:yes'>&nbsp;</s=
pan>No
Evidence <span class=3DGramE>of<span style=3D'mso-spacerun:yes'>&nbsp;
</span>Increased</span> Severity<o:p></o:p></span></b></p>

<p class=3DMsoNormal><span style=3D'font-size:9.0pt;mso-bidi-font-size:14.0=
pt;
font-family:Arial;mso-bidi-font-family:"Times New Roman"'><o:p>&nbsp;</o:p>=
</span></p>

<p class=3DMsoNormal><span style=3D'font-size:9.0pt;mso-bidi-font-size:14.0=
pt;
font-family:Arial;mso-bidi-font-family:"Times New Roman"'>During the most
recent<span style=3D'mso-spacerun:yes'>&nbsp; </span>(Nov 12) weekly World =
Health
Organization (WHO) &#8220;virtual press conference&#8221;<span
style=3D'mso-spacerun:yes'>&nbsp; </span>held every Thursday (at <st1:time
Minute=3D"0" Hour=3D"13" w:st=3D"on">1pm</st1:time> Geneva time)<span
style=3D'mso-spacerun:yes'>&nbsp; </span>a question was asked regarding the
pandemic influenza A (H1N1) situation in the Ukraine. A question was posed =
to
the WHO&#8217;s Dr. Nikki <span class=3DSpellE>Shindo</span>, by David Brow=
n of
the Washington Post, to talk about countries that the Dr. <span class=3DSpe=
llE>Shindo</span>
had said were &#8220;being overwhelmed&#8221; by the virus. <o:p></o:p></sp=
an></p>

<p class=3DMsoNormal><span style=3D'font-size:9.0pt;mso-bidi-font-size:14.0=
pt;
font-family:Arial;mso-bidi-font-family:"Times New Roman"'><o:p>&nbsp;</o:p>=
</span></p>

<p class=3DMsoNormal><span style=3D'font-size:9.0pt;mso-bidi-font-size:14.0=
pt;
font-family:Arial;mso-bidi-font-family:"Times New Roman"'>According to the
transcript posted at: <a
href=3D"http://www.who.int/mediacentre/vpc_transcript_12_november_2009_nikk=
i_shindo.pdf"><span
style=3D'mso-ansi-font-size:9.0pt;mso-bidi-font-size:14.0pt;mso-ascii-font-=
family:
Arial;mso-hansi-font-family:Arial'>www.who.int/mediacentre/vpc_transcript_1=
2_november_2009_nikki_shindo.pdf</span></a>
Dr. <span class=3DSpellE>Shindo</span> replied: &#8220;I can answer based o=
n the
information we received from the <st1:country-region w:st=3D"on"><st1:place
 w:st=3D"on">Ukraine</st1:place></st1:country-region>. The relatively severe
cases proportion wise is less than what we had heard from the southern
hemisphere. It seems like a load of patients being admitted with rather mild
symptoms than people requiring ICU care. And mostly admitted people (are) y=
oung
adults and middle age adults and we have not seen so much of pediatric pati=
ents
overwhelming pediatric wards.&#8221;<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:9.0pt;mso-bidi-font-size:14.0=
pt;
font-family:Arial;mso-bidi-font-family:"Times New Roman"'><o:p>&nbsp;</o:p>=
</span></p>

<p style=3D'background:white'><span style=3D'font-size:9.0pt;mso-bidi-font-=
size:
14.0pt;font-family:Arial'>Another relevant document was also posted (see be=
low)
November 12 on the WHO European Region website</span><span style=3D'font-si=
ze:
9.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;mso-bidi-font-family:"Tim=
es New Roman"'>:
</span><span lang=3DEN style=3D'font-size:9.0pt;mso-bidi-font-size:12.0pt;
font-family:Arial;mso-bidi-font-family:"Times New Roman";color:black;
mso-ansi-language:EN'><a
href=3D"http://www.euro.who.int/influenza/AH1N1/20091112_1"><span
style=3D'mso-ansi-font-size:9.0pt;mso-bidi-font-size:14.0pt;mso-ascii-font-=
family:
Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial'>www.euro.who.=
int/influenza/AH1N1/20091112_1</span></a><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'background:white'><span lang=3DEN style=3D'fo=
nt-size:
9.0pt;mso-bidi-font-size:14.0pt;font-family:Arial;color:#B16B27;mso-ansi-la=
nguage:
EN;mso-bidi-font-weight:bold'>&#8220;Health facilities in <st1:country-regi=
on
w:st=3D"on"><st1:place w:st=3D"on">Ukraine</st1:place></st1:country-region>=
 well
prepared for pandemic (H1N1) 2009 influenza<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'background:white'><span lang=3DEN style=3D'fo=
nt-size:
9.0pt;mso-bidi-font-size:14.0pt;font-family:Arial;color:#B16B27;mso-ansi-la=
nguage:
EN;mso-bidi-font-weight:bold'><o:p>&nbsp;</o:p></span></p>

<p style=3D'background:white'><span lang=3DEN style=3D'font-size:9.0pt;mso-=
bidi-font-size:
14.0pt;font-family:Arial;mso-ansi-language:EN'>On Wednesday, 11 November, t=
he
last WHO regional investigation team returned to Kyiv. While the teams have=
 yet
to finish drawing conclusions, they found health facilities in <st1:country=
-region
w:st=3D"on"><st1:place w:st=3D"on">Ukraine</st1:place></st1:country-region>=
 well
prepared and highly motivated to deal with the influx of cases. <br>
<br>
In separate meetings with the Prime Minister and the President of Ukraine on
Monday, 9 November (also attended by the ministers of Foreign Affairs and
Health), the WHO mission thanked the Government for its openness and provid=
ing
unrestricted access to facilities and data. The discussion focused on furth=
er
action needed to combat the disease, particularly vaccinating the main risk
groups in the population. WHO once more offered its full support in all
necessary <span class=3DGramE>activities.</span> <br>
<br>
On 11 November, the Ministry of Health arranged and led a teleconference in
Kyiv, connecting 486 hospitals and nearly 10 000 doctors in all 27 regions =
of <st1:country-region
w:st=3D"on"><st1:place w:st=3D"on">Ukraine</st1:place></st1:country-region>=
 to
facilitate sharing of clinical experience and lessons learned in fighting t=
he
pandemic (H1N1) 2009 virus. Clinicians in the worst affected areas had deta=
iled
discussions on what therapies they had used and how these could be adapted =
for
the future. The participants discussed a wide range of issues and developme=
nts,
including primary, obstetrical and intensive care and the essential supplies
and equipment that were currently available and being mobilized.&#8221;<o:p=
></o:p></span></p>

<p style=3D'background:white'><span lang=3DEN style=3D'font-size:9.0pt;mso-=
bidi-font-size:
14.0pt;font-family:Arial;mso-ansi-language:EN'>Further updates from the <st=
1:country-region
w:st=3D"on"><st1:place w:st=3D"on">Ukraine</st1:place></st1:country-region>=
 are
anticipated.<o:p></o:p></span></p>

<p style=3D'background:white'><span lang=3DEN style=3D'font-size:9.0pt;mso-=
bidi-font-size:
14.0pt;font-family:Arial;mso-ansi-language:EN'><o:p>&nbsp;</o:p></span></p>

<p style=3D'background:white'><span lang=3DEN style=3D'font-size:9.0pt;mso-=
bidi-font-size:
14.0pt;font-family:Arial;mso-ansi-language:EN'>Daniel R. Lucey, MD, <st1:st=
ockticker
w:st=3D"on">MPH</st1:stockticker><o:p></o:p></span></p>

<p style=3D'background:white'><span lang=3DEN style=3D'font-size:9.0pt;mso-=
bidi-font-size:
14.0pt;font-family:Arial;mso-ansi-language:EN'>Washington Hospital Center E=
ROne
Institute<o:p></o:p></span></p>

<p style=3D'background:white'><st1:place w:st=3D"on"><st1:PlaceName w:st=3D=
"on"><span
  lang=3DEN style=3D'font-size:9.0pt;mso-bidi-font-size:14.0pt;font-family:=
Arial;
  mso-ansi-language:EN'>Georgetown</span></st1:PlaceName><span lang=3DEN
 style=3D'font-size:9.0pt;mso-bidi-font-size:14.0pt;font-family:Arial;mso-a=
nsi-language:
 EN'> <st1:PlaceType w:st=3D"on">University</st1:PlaceType> <st1:PlaceName =
w:st=3D"on">Medical</st1:PlaceName>
 <st1:PlaceType w:st=3D"on">Center</st1:PlaceType></span></st1:place><span
lang=3DEN style=3D'font-size:9.0pt;mso-bidi-font-size:14.0pt;font-family:Ar=
ial;
mso-ansi-language:EN'><o:p></o:p></span></p>

<p style=3D'background:white'><span lang=3DEN style=3D'font-size:9.0pt;mso-=
bidi-font-size:
14.0pt;font-family:Arial;mso-ansi-language:EN'>Adjunct Professor Microbiolo=
gy
and Immunmology<o:p></o:p></span></p>

<p style=3D'background:white'><st1:place w:st=3D"on"><st1:City w:st=3D"on">=
<span
  lang=3DEN style=3D'font-size:9.0pt;mso-bidi-font-size:14.0pt;font-family:=
Arial;
  mso-ansi-language:EN'>Washington</span></st1:City><span lang=3DEN
 style=3D'font-size:9.0pt;mso-bidi-font-size:14.0pt;font-family:Arial;mso-a=
nsi-language:
 EN'>, <st1:State w:st=3D"on">DC</st1:State></span></st1:place><span lang=
=3DEN
style=3D'font-size:9.0pt;mso-bidi-font-size:14.0pt;font-family:Arial;mso-an=
si-language:
EN'><o:p></o:p></span></p>

<p style=3D'background:white'><span lang=3DEN style=3D'font-size:9.0pt;mso-=
bidi-font-size:
14.0pt;font-family:Arial;mso-ansi-language:EN'>Website: www.BePast.org<span
style=3D'color:black'><o:p></o:p></span></span></p>

<p class=3DMsoNormal><span lang=3DEN style=3D'font-size:9.0pt;mso-bidi-font=
-size:
14.0pt;font-family:Arial;mso-ansi-language:EN'><o:p>&nbsp;</o:p></span></p>

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