AJIC: American Journal of Infection Control
Volume 38, Issue 4 , Pages 251-258, May 2010

Research findings from nonpharmaceutical intervention studies for pandemic influenza and current gaps in the research

  • Allison E. Aiello, PhD, MS

      Affiliations

    • Center for Social Epidemiology and Population Health, Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI
    • Corresponding Author InformationAddress correspondence to Allison E. Aiello, PhD, MS, Center for Social Epidemiology and Population Health, 1415 Washington Heights, Ann Arbor, MI 48109.
  • ,
  • Rebecca M. Coulborn, MPH

      Affiliations

    • Center for Social Epidemiology and Population Health, Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI
  • ,
  • Tomas J. Aragon, DrPH

      Affiliations

    • Center for Infectious Diseases & Emergency Readiness, Division of Epidemiology, School of Public Health, University of California, Berkeley, CA
  • ,
  • Michael G. Baker, MBChB, DPH, FAFPHM

      Affiliations

    • Pandemic Influenza Research Group, University of Otago, New Zealand
  • ,
  • Barri B. Burrus, PhD

      Affiliations

    • Public Health and Social Policy Division, RTI International, Research Triangle Park, NC
  • ,
  • Benjamin J. Cowling, PhD

      Affiliations

    • Department of Community Medicine and School of Public Health, University of Hong Kong, Hong Kong, People's Republic of China
  • ,
  • Alasdair Duncan, MPH

      Affiliations

    • Pandemic Influenza Research Group, University of Otago, New Zealand
  • ,
  • Wayne Enanoria, PhD, MPH

      Affiliations

    • Center for Infectious Diseases & Emergency Readiness, Division of Epidemiology, School of Public Health, University of California, Berkeley, CA
  • ,
  • M. Patricia Fabian, ScD, MS

      Affiliations

    • Work Environment Department, School of Health & Environment, University of Massachusetts, Lowell, MA
    • Department of Environmental Health, School of Public Health, Harvard University, Boston, MA
  • ,
  • Yu-hui Ferng, MPA

      Affiliations

    • School of Nursing, Mailman School of Public Health, Columbia University, New York, NY
  • ,
  • Elaine L. Larson, PhD, RN, FAAN, CIC

      Affiliations

    • School of Nursing, Mailman School of Public Health, Columbia University, New York, NY
    • Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY
  • ,
  • Gabriel M. Leung, MD, MPH, CCFP, FFPH, FHKCCM, FHKAM

      Affiliations

    • Department of Community Medicine and School of Public Health, University of Hong Kong, Hong Kong, People's Republic of China
  • ,
  • Howard Markel, MD, PhD

      Affiliations

    • Center for History of Medicine, University of Michigan Medical School, Ann Arbor, MI
  • ,
  • Donald K. Milton, MD, DrPH

      Affiliations

    • Maryland Institute for Applied Environmental Health, Department of Epidemiology and Biostatistics, School of Public Health, University of Maryland, College Park, MD
  • ,
  • Arnold S. Monto, MD

      Affiliations

    • Center for Social Epidemiology and Population Health, Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI
  • ,
  • Stephen S. Morse, PhD

      Affiliations

    • Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY
  • ,
  • J. Alexander Navarro, PhD

      Affiliations

    • Center for History of Medicine, University of Michigan Medical School, Ann Arbor, MI
  • ,
  • Sarah Y. Park, MD, FAAP

      Affiliations

    • Disease Outbreak Control Division, Hawaii Department of Health, Honolulu, HI
  • ,
  • Patricia Priest, DPhil, MBChB, MPH, FAFPHM

      Affiliations

    • Pandemic Influenza Research Group, University of Otago, New Zealand
  • ,
  • Samuel Stebbins, MD, MPH

      Affiliations

    • Center for Public Health Preparedness, Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA
  • ,
  • Alexandra M. Stern, PhD

      Affiliations

    • Center for History of Medicine, University of Michigan Medical School, Ann Arbor, MI
  • ,
  • Monica Uddin, PhD

      Affiliations

    • Center for Social Epidemiology and Population Health, Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI
  • ,
  • Scott F. Wetterhall, MD, MPH

      Affiliations

    • Public Health and Social Policy Division, RTI International, Research Triangle Park, NC
  • ,
  • Charles J. Vukotich Jr., MS

      Affiliations

    • Center for Public Health Preparedness, Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA
    • Corresponding Author InformationCharles J. Vukotich, Jr, MS, Center for Public Health Practice, Graduate School of Public Health, University of Pittsburgh, A711 Crabtree, 130 DeSoto St, Pittsburgh PA 15261.

published online 15 March 2010.

In June 2006, the Centers for Disease Control and Prevention released a request for applications to identify, improve, and evaluate the effectiveness of nonpharmaceutical interventions (NPIs)—strategies other than vaccines and antiviral medications—to mitigate the spread of pandemic influenza within communities and across international borders (RFA-CI06-010). These studies have provided major contributions to seasonal and pandemic influenza knowledge. Nonetheless, key concerns were identified related to the acceptability and protective efficacy of NPIs. Large-scale intervention studies conducted over multiple influenza epidemics, as well as smaller studies in controlled laboratory settings, are needed to address the gaps in the research on transmission and mitigation of influenza in the community setting. The current novel influenza A (H1N1) pandemic underscores the importance of influenza research.

Key Words: Hand hygiene, masks, transmission, infection control

 

 Conflicts of interest: None to report.

PII: S0196-6553(10)00039-8

doi:10.1016/j.ajic.2009.12.007

AJIC: American Journal of Infection Control
Volume 38, Issue 4 , Pages 251-258, May 2010