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Bird Flu

What might happen in a pandemic?

Experts agree that in a pandemic the flu virus will spread rapidly, leaving little or no time to prepare. A particularly severe pandemic could lead to widespread illness, a large number of deaths, and damage the economy. Everyday life would be disrupted because many people in many different places would become seriously ill at the same time.

Health services overload

During a worldwide flu pandemic, a substantial proportion of the world’s population will require some form of medical care. The WHO predicts that healthcare systems will become overwhelmed, creating a strain on hospital staff, and a shortage of beds, ventilators, and other supplies.
A relatively conservative estimate has predicted that within a very short time-frame there would be up to:

  • 233 million outpatient visits
  • 5.2 million hospital admissions
  • 7.4 million deaths. [1]

Large number of deaths

The likely number of deaths in a future pandemic depends on:

  • number of people infected
  • how easily humans are infected
  • age of populations, their living environment and conditions, and vulnerability of affected populations
  • availability and effectiveness of preventative measures.

Even in the best-case scenario, experts predict that 2–7 million people could die in the next flu pandemic. However, if the pandemic flu virus infects humans particularly easily, this number could be dramatically higher. [2]

Schools and businesses would suffer

In the event of a flu pandemic, it seems likely that many schools would close. However, even if they did remain open, attendance would likely be dramatically reduced as parents would keep their children at home in the hope of avoiding infection. Either scenario would lead to considerable workplace absenteeism because parents would stay home to care for their children, even if they were not sick. The resulting impact on businesses of all kinds would be dramatic.

Decline in travel and leisure activities

As a pandemic spreads, international travel would decline as people try to avoid flu ‘hotspots’ and governments place restrictions on travel. It is very likely that people would quarantine themselves and their family by staying home more often and avoiding places where social contact is likely (e.g. public transport, places of worship, libraries etc.). As people avoid shopping centres, restaurants, sporting events, and cinemas etc., there would be a considerable drop in demand for products and services, creating a huge impact on businesses. 

Damage to the economy

Flu infections during a pandemic will lead to widespread absenteeism among the workforce. This lack of manpower will have a substantial impact on society, with potential breakdowns in essential community services, such as healthcare, public transport and policing.
Vaccines matching the new virus strain will take many months to prepare and distribute. Antiviral drugs will therefore play a key role in the treatment and prevention of flu in a pandemic situation.

  1. World Health Organization. WHO checklist for influenza preparedness planning. Available here.
  2. World Health Organization. Estimating the impact of the next influenza pandemic: enhancing preparedness. Available here.
  • "I would describe flu as something that makes you feel very, very ill. You get a headache, aching bones, and are generally fed up"
  • "When I get flu symptoms I feel like a train has run over me"
  • "I felt very sick and, during the first week, I had high temperature. Flu was very different to a cold. I went back to work after two and a half weeks. Then I suffered a setback for another week"
  • "I run a guesthouse; flu would be a real pest for me. I couldn’t cook, I shouldn’t cook, and I wouldn’t cook, so I would need to get a lot of extra help in. It would cost me a lot more money. So flu’s a real problem, a right downturn"
  • "I work on my own and when I can’t work, I have to try not to infect my little children, so they avoid getting the flu as well"
  • "I feel a little numb, like I’m in another dimension. Because in general I have sore throat, headache, I feel all clogged-up. Usually a sensation like I’m floating in the air"
  • "Shivers, sweats, makes you ache. Last time I had flu I was off for two weeks"
  • "I think that I would probably be concerned that I would pass flu onto my children, who might not be able to deal with it as well as I would"
  • "Flu makes you feel like you’ve been hit over the head with a baseball bat. You don’t feel like you can get yourself out of bed as all your energy is drawn from you"
  • "I was incapable of working. It just wasn’t possible at all… and my flu dragged on for more than a week"
  • "I have no strength. It annoys me because I can do nothing, it seems like I’m wasting my time"
  • "Flu’s like being hit by a truck because you feel completely gone. There is no energy left in your body. You are suffering from high temperature. You’re sweating a lot and you feel really unwell"
  • "First of all infinite tiredness, then I feel like sleeping and don’t want to eat"
  • "I felt really miserable because my muscles and my bones were aching. Well, I can hardly describe it, I just felt really awful, absolutely miserable"
  • "It’s like there’s something huge treading on your head, like a deafening noise that destroys the eardrums"
  • "The fever was constantly rising – I immediately measured my temperature as soon as I got home. It was 41°C and it kept rising and I was wondering what’s going on. I was really scared! Everything was hurting and it all happened so fast. Flu came out of the blue"
  • "I always feel like my limbs have iron weights tied to them and I’m going to fall over any minute, a really stuffy runny nose and feel antisocial"
  • "I was totally dependent on others! I was incapable of doing anything at all"
  • "The real flu knocks you for six – you just don’t want to move or do anything. It’s not very nice"
  • "Not being able to go to work. Not being able to do the things I have to do at home and the commitments that I have day by day"