Sunday, March 08, 2009

How The Next Pandemic Will Arrive

 

# 2876

 

There is a lot we don't currently know about the next pandemic.  We don't know when it will arrive.  We don't know what virus will cause it.  And we don't know how bad it will be.

 

But there is one thing almost certain.

 

It will arrive in most countries by airplane.

 

 

The video above, which as been making the rounds for several months, was made by ZHAW (Zürcher Hochschule für Angewandte Wissenschaften) or The Zurich University of Applied Sciences.

 

 

It is a simulation (using real data) showing 24 hours of air traffic around the world.  Notice how the level of activity follows the daylight.

 

Every year there are more than 17,000,000 commercial airline flights (data from year 2000 - it's probably higher now) that carry hundreds of millions of passengers each year. 

 

Here are the top 10 ten airports in the world listed by International Travelers.  London's Heathrow handles 60 million International passengers a year. 

 

That's about 165,000 International passengers a day.

 

image

From the Wikipedia - Click to Enlarge

 

 

During the last great pandemic, in 1918, the fastest mode of transcontinental travel was by steam ship, and relatively few made journeys of that sort back then.

 

The Spanish Flu still managed to spread around the globe in a matter of weeks.


Today, an airline passenger can make it to just about anywhere on the planet in less than 24 hours.  

 

Given the 3 to 4 day incubation period for most influenza's - a person could be infected in Hong Kong on Monday, fly to to San Francisco on Tuesday, and not begin to show symptoms until late on Wednesday.

 

Along the way, however, that person could unsuspectingly spreading the virus to other passengers, even before their symptoms appeared.

 

Which makes the next HHS PlanFirst broadcast an important one for everyone to watch.

 

 

On Wednesday, March 18th at 2 p.m. ET the HHS will present their next PlanFirst Webcast on air travel and border screening.

 

Speakers:

  • Marty Cetron, M.D., Director, Division of Global Migration and Quarantine, National Center for Preparedness, Detection, and Control of Infectious Diseases, CDC
  • Sarah Y. Park, MD, FAAP, State Epidemiologist, Chief, Disease Outbreak Control Division, Hawaii Department of Health
  • Francisco Averhoff, M.D., M,P.H., CAPT, US Public Health Service, Quarantine and Border Health Services Branch, Division of Global Migration and Quarantine, National Center for Preparedness, Detection, and Control of Infectious Diseases, CDC

Resources:

3 comments:

Kobie said...

Fla_Medic - great teaching vid on the blog

Story "Credit crisis brings old enemies together" Quote: to improve relations and slacken tension include re-opening air routes between Taipei and the Chinese mainland and thawing diplomatic relations following last year's election of Taiwan's new president Ma Ying-jeou.

Source: http://www.sundayherald.com/oped/opinion/display.var.2494055.0.credit_crisis_brings_old_enemies_together.php

Air travel on rise. Do not forget 2010 world expo on Shanghi.

Please keep posting.

Kobie

Kobie said...

OOOps forgot to mention the private, commercial cargo and military (MAC) flights that may not show up in the count.

I'm not sure they go through the same screening.

1918 was brought back by a soldier. Sadly it was called Spanish flu, not because it started in spain but Spain got all the press. France had it first I believe.

What is scary about H5N1: unlike SARS where infra red cameras can be used to check people for fever, people shed the virus before a fevor or pains set in. Some even show no breathing problems, just travel fatigue.

If someone is sick - can we return them to teh country of origin? Guess it depends on how many arrive sick and if the whole plane needs to be quarantiened (sp?)

Kobie
Gov loop site: http://www.govloop.com/group/pandemic

Anonymous said...

Mike,

Kobie alluded to WWI, but there was more than one soldier involved. I read somewhere that the infection (reassortment) might even have started at one of our military forts, stateside, I believe Kansas.

The point, though, is that although ships weren't as fast as today's airplanes, hundreds of thousands of troops in troop transport ships made up in quantity what was missing in speed. Plus the close quarters on the ships and in the trenches, along with exposure and other immune suppressing stresses, were surely the virus' "allies."

The War is cited as one of the majore factors, not only for pandemic spread, but also as a significant cause of death in the trenches.

Just a nit.

Your Faithfull Fan,
Paul