[Early phase medical system review in Kobe 2009 XXXX A (H1N1) pandemic].

@entity683 @entity221
We discuss the efficacy 3 pandemic @entity683 , measures planned against an anticipated outbreak. First was an exclusive @entity683 outpatient clinic. Second was a medical call center for @entity221 subjects needing with @entity221 clinic recommendation. The last was isolation. Before the outbreak, we had thought that all confirmed or suspected new @entity683 case should be quarantined. May 2009 brought the first A1/H1 pandemic @entity683 outbreak to Kobe, Japan. After the first infection announcement, call center and @entity221 clinic consultations skyrocketed, filling all 55 designated Kobe hospital bed within 48 hours. Inquiries at call centers increased more rapidly than numbers of subjects @entity221 . Just after designated hospital beds were filled, medical service restrictions were rapidly relaxed. Our experiences suggest that compulsory hospitalization broke down quickest in the @entity221 case overflow, so medical call centers may be crucial in preventing @entity221 clinic overflows by subjects with @entity221 of unknown origin not recommended to consult @entity221 clinics. Those with severe @entity683 symptoms should be given priority in hospitalization and flexible policies are recommended.
