Skip to content
My WebMD Sign In, Sign Up

Cold, Flu, & Cough Health Center

Font Size

WHO Rethinks Swine Flu Pandemic Criteria

WHO Says It Will Consider Signals of Virus Threat to People, Not Just Spread of Virus
By
WebMD Health News
Reviewed by Louise Chang, MD

May 22, 2009 -- The World Health Organization today said it will reconsider its standards for deciding when to declare the H1N1 swine flu a pandemic.

That decision comes at the urging of the world's health officials, who have been meeting in Geneva, Switzerland, at the headquarters of the World Health Organization (WHO).

Swine Flu Outbreak: Get the Facts

Swine Flu Slideshow

Learn more about the H1N1 swine flu and see what you can do to stay healthy.

View the slideshow.

The WHO has pandemic alert phases that range from 1 (little risk of a pandemic) to 6 (a pandemic is under way). Those phases are all about how the virus is spreading, not about the severity of the illness that the virus is causing.

The WHO has set the pandemic alert level at phase 5 for swine flu. That's one step shy of a pandemic.

This week in Geneva, health officials asked the WHO to think about more than the spread of the H1N1 swine flu virus in deciding whether to declare a swine flu pandemic.

Today, WHO officials say they would do just that.

"We have taken this under advisement," Keiji Fukuda, MD, assistant director-general for health security and environment at the WHO, said today at a news conference. "We will think this through."

Walking a 'Fine Line'

Fukuda stressed the importance of flexibility in deciding whether to move from the current pandemic alert level of phase 5 to phase 6.

On the one hand, the H1N1 swine flu virus continues to spread. But on the other hand, most cases haven't been severe, and Fukuda says that health officials told the WHO this week that when the WHO raises its pandemic alert levels, people become alarmed.

The WHO is "trying to walk a very fine line between not raising panic not becoming complacent," Fukuda says.

The point of the pandemic alert phase system is to help countries prepare, and many countries have done that for swine flu, Fukuda notes.

But "there is nothing like reality to tell you if something is working or not," Fukuda says. "Rigidly adhering to something which is not proving to be useful would not be helpful to anybody."

The WHO hasn't settled on its new criteria for moving from phase 5 to phase 6.

Fukuda said the basic idea will be to look for "signals" that the virus is becoming more dangerous to people. Those cues might include greater severity of illness or changes in how the virus is behaving.

Latest Swine Flu Numbers

The WHO today reported that it has received reports of 11,168 people in 42 countries with lab-confirmed H1N1 swine flu infection, including 86 people who have died. 

The CDC today said that it has received reports of 6,552 people in 48 U.S. states with confirmed or probable swine flu, including nine people who have died.

The CDC estimates that as many as 100,000 people in the U.S. have the swine flu virus. The number of lab-confirmed cases "may represent about one in 20 [cases] of actual illness," Anne Schuchat, MD, interim deputy director for the CDC's science and health program, said in a press conference today.

Today on WebMD

hot toddy
15 tips to help you feel better.
man sneezing into elbow
Do echinacea and vitamin C really help a cold?
 
teen girl coughing
Get a good night’s rest with these remedies.
elder berry
Eat these to fight colds, flu, and more.
 
Natural Cold Flu Remedies Slideshow
Slideshow
blowing nose
VIDEO
 
Allergy And Sinus Symptom Evaluator
Health Check
Boy holding ear
Article
 
woman receiving vaccine shot
Article
Bacterial or Viral Infection
Video
 
How To Calm Your Cough
Quiz
Sore Throat
Slideshow
 

WebMD Special Sections