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Under the key principle of protecting the whole population, several

plans should be put into action:

• Use epidemiologically based measures

• Use antivirals for prevention

• Prepare an immunization programme for the whole population.

Realizing these plans also demands a budget. However, it is not easy

to get money for only theoretical threats, where nobody knows the

start time. In order to address this, we calculated the economic

damage if the population was unprotected, comparing this with the

expense of preventative measures.

We found a quotient of 1:10 in the comparison of expenses with

damage, in addition to the enormous pain caused in society if it is

unprotected. The ongoing discussion and political decision then

went according to expectations. All Austrian ministries, and all

regional governments had been involved, and a clear message

emerged: it is not enough to show up your medical preparedness;

cross-sectoral preparedness on health issues must be demonstrated

in all policies.

We are now we are in the second phase of our preparedness plan,

focusing on private industry, where we are trying to raise awareness

and understanding that pandemic protection helps to guarantee

economic survival.

On the regional level, there exists a lot of important planning.

Never before have we tried to vaccinate our population in the short-

est time as possible. But with more than 30,000 physicians preparing

for prevention, this is now realistic.

A special need is medical education and training. Our first pandemic

exercise, named ‘Van Swieten’, tested communication as a command

post exercise, and also the quality of our preparedness

plan. The next will be a bilateral exercise with one of our

neighbouring countries.

Because we are now accustomed to the reporting of

new HP-Influenza cases, it is necessary to maintain

readiness, not only in the health field, but also on the

political field.

One evaluation, done by the European Centre for

Disease Prevention and Control, was very successful

but also instructive in generating new ideas and

perspectives.

Conclusion

With regard to the existing possibilities of prevention,

diagnosis and treatment, it is an ethical and moral duty

for each country to prepare for a pandemic. All fields of

federal and regional responsibility should be involved

from the very start, and each nation should have an

epidemic law, and recognize the necessity of using antivi-

rals and a pandemic vaccine. Creating a plan and

investing money in pandemic preparation helps to guar-

antee the prosperity of a nation, ensuring that vital

services and industry can continue in the event of a

pandemic.

It is crucial to understand that success can only be

achieved by involving all three levels of society in

pandemic preparedness: the public, private industry and

the family.

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It is the ethical and moral duty of every country to prepare for potential pandemic

Image: Min. Health Austria