Margaret Chan | |
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陳馮富珍 | |
7th Director-General of the World Health Organization | |
In office 9 November 2006 –1 July 2017 | |
Preceded by | Anders Nordström (acting) |
Succeeded by | Tedros Adhanom |
4th Director of Health,Hong Kong | |
In office 6 June 1994 –20 August 2003 | |
Preceded by | Lee Shu-Hung |
Succeeded by | Lam Ping-Yan |
Personal details | |
Born | Margaret Fung Fu-chun 21 August 1947 Hong Kong |
Nationality | Chinese Canadian [1] |
Spouse | David Chan [2] |
Alma mater | Northecote College of Education (Cert) University of Western Ontario (BA,MD) National University of Singapore (MS) |
Margaret Chan | |||||||||||
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Traditional Chinese | 陳馮富珍 | ||||||||||
Simplified Chinese | 陈冯富珍 | ||||||||||
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Margaret Chan Fung Fu-chun, OBE , JP , FRCP [3] (born 21 August 1947) is a Chinese-Canadian [1] physician,who served as the Director-General of the World Health Organization (WHO) delegating the People's Republic of China [4] from 2006 to 2017. Chan previously served as Director of Health in the Hong Kong Government (1994–2003) and representative of the WHO Director-General for Pandemic Influenza and WHO Assistant Director-General for Communicable Diseases (2003–2006). In 2014,Forbes ranked her as the 30th most powerful woman in the world. [5] In early 2018 she joined the Chinese People's Political Consultative Conference (CPPCC). [2]
She was widely criticized for her handling of the 1997 H5N1 avian influenza outbreak and the 2003 SARS outbreak in Hong Kong,and for her frequent travels while serving as Director-General of the WHO. [6]
Chan was born and raised in British Hong Kong,now the Hong Kong Special Administrative Region of the People's Republic of China. Her ancestors came from Shunde,Guangdong.
Chan received a professional degree for teaching home economics at the Northecote College of Education in Hong Kong. She received a bachelor of arts with a major in home economics in 1973 and a doctor of medicine in 1977 from the University of Western Ontario in Canada. She received a master of science (public health) from the National University of Singapore in 1985. [7] [8] [9]
Chan completed the Program for Management Development (PMD 61) at Harvard Business School in 1991.[ citation needed ]
Chan joined the Government of British Hong Kong in December 1978 as a medical officer. In November 1989,she was promoted to assistant director of the Department of Health. In April 1992,she was promoted to deputy director and,in June 1994,was named the first woman in Hong Kong to head the Department of Health.
Chan survived the transition from British to PRC-HKSAR rule in June 1997. Her profile was raised by her handling,in those positions,of the 1997 H5N1 avian influenza outbreak and the 2003 SARS outbreak in Hong Kong. After the first cases of the H5N1 died,Chan first tried to reassure Hong Kong residents with statements such as "I ate chicken last night" [10] or "I eat chicken every day,don't panic,everyone". [11] [12] [13] When many more H5N1 cases appeared,she was criticized for misleading the public. [14] She became "a symbol of ignorance and arrogance epitomizing the mentality of 'business as usual' embedded in the ideological and institutional practices within the bureaucracy,especially after the hand-over." [15] In the end,she was credited for helping bring the epidemic under control by the slaughter of 1.5 million chickens in the region in the face of stiff political opposition. [16]
Her performance during the SARS outbreak,which ultimately led to 299 deaths,attracted harsh criticism from the Legislative Council of Hong Kong and many people with SARS and their relatives. [13] She was criticised by the Legislative Council for her passiveness, [17] for believing in misleading information shared by the mainland authority,and for not acting swiftly. [18] She was also criticised for a lack of political wisdom was evident in her indifference to media reports and widespread public fear at that time. [19] On the other hand,the SARS expert committee established by the HKSAR government to assess its handling of the crisis,opined that the failure was not Chan's fault,but due to the structure of Hong Kong's health care system,in which the separation of the hospital authority from the public health authority resulted in problems with data sharing. [20]
Chan left the Hong Kong Government in August 2003 after 25 years of service to join the World Health Organization. She could initially not take up a post of Assistent Director-General because the Chinese Government did not give its clearance. She was given the post of Director,Sustainable Development and Healthy Environment Department,until she could move on,in 2005,to the position of ADG. From 2003 until 2005,Chan served as the Representative of the World Health Organization Director-General for Pandemic Influenza and as Assistant Director-General for Communicable Diseases.
Chan served two terms of five years apiece as Director-General of the WHO. Appointed to the post in November 2006,Chan's first term ran through to June 2012. [21] In her appointment speech,Chan considered the "improvements in the health of the people of Africa and the health of women" to be the key performance indicator of WHO and she wants to focus WHO's attention on "the people in greatest need." [22] On 18 January 2012,Chan was nominated by the WHO's executive board for a second term [23] and was confirmed by the World Health Assembly on 23 May 2012. [24] In her acceptance speech,Chan indicated that universal coverage is a "powerful equaliser" and the most powerful concept of public health. [24] Chan's new term began on 1 July 2012 and continued until 30 June 2017. [24]
In February 2007,Chan provoked the anger of humanitarian and civil society groups including Doctors Without Borders by questioning the quality of generic medicines while on a visit to Thailand. [25]
In 2010 Chan was criticised for "crying wolf" about the 2009 flu pandemic,which turned out to be much milder than expected. [26]
After a visit to North Korea in April 2010,Chan said malnutrition was a problem in the country but that North Korea's health system would be the envy of many developing countries because of the abundance of medical staff. [27] She also noted there were no signs of obesity in the country,which is a newly emerging problem in other parts of Asia. Chan's comments marked a significant departure from that of her predecessor,Gro Harlem Brundtland,who said in 2001 that North Korea's health system was near collapse. [28] The director-general's assessment was criticised,including in a Wall Street Journal editorial which called her statements "surreal." The editorial further stated,"Ms. Chan is either winking at the reality to maintain contact with the North or she allowed herself to be fooled." [29]
In 2011,because of financial constraints in donor countries the WHO slashed its budget by nearly $1 billion and cut 300 jobs at its headquarters under Chan's leadership. [30]
The WHO was accused [ who? ] of deferring to the Syrian government of President Bashar al-Assad when polio made a comeback in that country in late 2013. [31]
In 2014 and 2015,Chan was again heavily criticised because of the slow response of the WHO to the Ebola virus epidemic in West Africa. [32] [33]
In 2016 at the request of the WHA,Chan launched the Health Emergencies Programme.
In 2018,Chan joined the Task Force on Fiscal Policy for Health,a group convened by Michael R. Bloomberg and Lawrence H. Summers to address preventable leading causes of death and noncommunicable diseases through fiscal policy. [34] The same year,she was appointed to the Council of Advisors of the Boao Forum for Asia. [35]
In December 2021,during the 2021 Hong Kong legislative election,Chan said,of the election where only "patriots" could serve in the government,"The new election system is going to be very good for Hong Kong,for Hong Kong's long-term development,and for Hong Kong's democracy to take a step by step approach." [36]
In August 2022,after Nancy Pelosi visited Taiwan,Chan said "As the No 3 figure in the US government,Pelosi visiting Taiwan on a US military plane is a gross interference in China's internal affairs,seriously undermining China's sovereignty and territorial integrity,wantonly trampling on the one-China principle,seriously threatening the peace and stability of the Taiwan Strait,and seriously damaging Sino-US relations." [37]
In 1997,Chan was given the distinction for the Fellowship of the Faculty of Public Health Medicine of the Royal College of Physicians of the United Kingdom and was also appointed as an Officer of the Order of the British Empire by Queen Elizabeth II. [39]
In 2014,Chan was ranked as the 30th most powerful woman in the world,based on her position as Director-General,by Forbes. Her ranking increased from 33rd in 2013. [40]
Margaret Chan is married to David Chan, [2] who is an ophthalmologist. [41]
Avian influenza,also known as avian flu,is a bird flu caused by the influenza A virus,which can infect people. It is similar to other types of animal flu in that it is caused by a virus strain that has adapted to a specific host. The type with the greatest risk is highly pathogenic avian influenza (HPAI).
Influenza A virus subtype H5N1 (A/H5N1) is a subtype of the influenza A virus which can cause illness in humans and many other species. A bird-adapted strain of H5N1,called HPAI A(H5N1) for highly pathogenic avian influenza virus of type A of subtype H5N1,is the highly pathogenic causative agent of H5N1 flu,commonly known as avian influenza. It is enzootic in many bird populations,especially in Southeast Asia. One strain of HPAI A(H5N1) is spreading globally after first appearing in Asia. It is epizootic and panzootic,killing tens of millions of birds and spurring the culling of hundreds of millions of others to stem its spread. Many references to "bird flu" and H5N1 in the popular media refer to this strain.
The 2000s in Hong Kong began a new millennium under the People's Republic of China (PRC).
An influenza pandemic is an epidemic of an influenza virus that spreads across a large region and infects a large proportion of the population. There have been six major influenza epidemics in the last 140 years,with the 1918 flu pandemic being the most severe;this is estimated to have been responsible for the deaths of 50–100 million people. The 2009 swine flu pandemic resulted in under 300,000 deaths and is considered relatively mild. These pandemics occur irregularly.
Influenza A virus subtype H3N2 (A/H3N2) is a subtype of viruses that causes influenza (flu). H3N2 viruses can infect birds and mammals. In birds,humans,and pigs,the virus has mutated into many strains. In years in which H3N2 is the predominant strain,there are more hospitalizations.
The global spread of H5N1 influenza in birds is considered a significant pandemic threat. While other H5N1 influenza strains are known,they are significantly different on a genetic level from a recent,highly pathogenic,emergent strain of H5N1,which was able to achieve hitherto unprecedented global spread in 2008. The H5N1 strain is a fast-mutating,highly pathogenic avian influenza virus (HPAI) found in multiple bird species. It is both epizootic and panzootic. Unless otherwise indicated,"H5N1" in this timeline refers to the recent highly pathogenic strain of H5N1.
Transmission and infection of H5N1 from infected avian sources to humans has been a concern since the first documented case of human infection in 1997,due to the global spread of H5N1 that constitutes a pandemic threat.
H5 N2 is a subtype of the species Influenzavirus A. The subtype infects a wide variety of birds,including chickens,ducks,turkeys,falcons,and ostriches. Affected birds usually do not appear ill,and the disease is often mild as avian influenza viral subtypes go. Some variants of the subtype are much more pathogenic than others,and outbreaks of "high-path" H5N2 result in the culling of thousands of birds in poultry farms from time to time. It appears that people who work with birds can be infected by the virus,but suffer hardly any noticeable health effects. Even people exposed to the highly pathogenic H5N2 variety that killed ostrich chicks in South Africa only seem to have developed conjunctivitis,or a perhaps a mild respiratory illness. There is no evidence of human-to-human spread of H5N2. On November 12,2005 it was reported that a falcon was found to have H5N2.
H7N4 is a subtype of the species Influenza A virus.
The social impact of H5N1 is the effect or influence of H5N1 in human society,especially the financial,political,social,and personal responses to both actual and predicted deaths in birds,humans,and other animals. Billions of dollars are raised and spent to research H5N1 and prepare for a potential avian influenza pandemic. Over ten billion dollars were lost,and over two hundred million birds were killed to contain H5N1. People reacted by buying less chicken causing poultry sales and prices to fall. Many individuals stockpiled supplies for a possible flu pandemic.
Disease surveillance is an epidemiological practice by which the spread of disease is monitored in order to establish patterns of progression. The main role of disease surveillance is to predict,observe,and minimize the harm caused by outbreak,epidemic,and pandemic situations,as well as increase knowledge about which factors contribute to such circumstances. A key part of modern disease surveillance is the practice of disease case reporting.
The global spread of H5N1 in birds is considered a significant pandemic threat.
The global spread of H5N1 in birds is considered a significant pandemic threat.
The global spread of H5N1 in birds is considered a significant pandemic threat.
Fujian flu refers to flu caused by either a Fujian human flu strain of the H3N2 subtype of the Influenza A virus or a Fujian bird flu strain of the H5N1 subtype of the Influenza A virus. These strains are named after Fujian,a coastal province in Southeast China.
Human mortality from H5N1 or the human fatality ratio from H5N1 or the case-fatality rate of H5N1 is the ratio of the number of confirmed human deaths resulting from confirmed cases of transmission and infection of H5N1 to the number of those confirmed cases. For example,if there are 100 confirmed cases of humans infected with H5N1 and 10 die,then there is a 10% human fatality ratio. H5N1 flu is a concern due to the global spread of H5N1 that constitutes a pandemic threat. The majority of H5N1 flu cases have been reported in southeast and east Asia. The case-fatality rate is central to pandemic planning. Estimates of case-fatality (CF) rates for past influenza pandemics have ranged from to 2-3% for the 1918 pandemic to about 0.6% for the 1957 pandemic to 0.2% for the 1968 pandemic. As of 2008,the official World Health Organization estimate for the case-fatality rate for the outbreak of H5N1 avian influenza was approximately 60%. Public health officials in Ontario,Canada argue that the true case-fatality rate could be lower,pointing to studies suggesting it could be 14-33%,and warned that it was unlikely to be as low as the 0.1–0.4% rate that was built into many pandemic plans.
The global spread of H5N1 in birds is considered a significant pandemic threat.
The 2009 flu pandemic in Hong Kong was part of the worldwide pandemic that started with the city's first reported case of influenza A virus subtype H1N1 infection,commonly called swine flu,on 1 May 2009,in a Mexican national who had travelled to Hong Kong via Shanghai. It was also the first reported case of in Asia. As of 25 November 2009,there have been 32,301 confirmed cases of swine flu in the city.
The 2009 flu pandemic in Asia,part of an epidemic in 2009 of a new strain of influenza A virus subtype H1N1 causing what has been commonly called swine flu,afflicted at least 394,133 people in Asia with 2,137 confirmed deaths:there were 1,035 deaths confirmed in India,737 deaths in China,415 deaths in Turkey,192 deaths in Thailand,and 170 deaths in South Korea. Among the Asian countries,South Korea had the most confirmed cases,followed by China,Hong Kong,and Thailand.
Guan Yi is a Chinese virologist. In 2014,he was ranked as 11th in the world by Thomson Reuters among global researchers in the field of microbiology. He obtained his PhD in microbiology at the University of Hong Kong and is now a professor of microbiology at his alma mater. His research on the viral respiratory disease SARS helped the Chinese government avert the 2004 outbreak of this disease. He is the current director of the State Key Laboratory for Emerging Infectious Diseases University of Hong Kong. In early 2017,Guan warned that the H7N9 influenza virus "poses the greatest threat to humanity than any other in the past 100 years".