WHO | World now at the start of 2009 influenza = pandemic

From: Subject: WHO | World now at the start of 2009 influenza pandemic Date: Thu, 11 Jun 2009 12:03:54 -0500 MIME-Version: 1.0 Content-Type: multipart/related; type="text/html"; boundary="----=_NextPart_000_0000_01C9EA8C.B0DBDDD0" X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2900.3350 This is a multi-part message in MIME format. ------=_NextPart_000_0000_01C9EA8C.B0DBDDD0 Content-Type: text/html; charset="utf-8" Content-Transfer-Encoding: quoted-printable Content-Location: http://www.who.int/mediacentre/news/statements/2009/h1n1_pandemic_phase6_20090611/en/print.html =EF=BB=BF WHO | World now at the start of 2009 influenza = pandemic

=20

Statement to the press by WHO Director-General Dr = Margaret=20 Chan
11 June 2009

World now at the start of 2009 influenza = pandemic

Dr Margaret Chan
Director-General of the World = Health=20 Organization

Ladies and gentlemen,

In late April, WHO announced the emergence of a novel influenza A = virus.

This particular H1N1 strain has not circulated previously in humans. = The=20 virus is entirely new.

The virus is contagious, spreading easily from one person to another, = and=20 from one country to another. As of today, nearly 30,000 confirmed cases = have=20 been reported in 74 countries.

This is only part of the picture. With few exceptions, countries with = large=20 numbers of cases are those with good surveillance and testing procedures = in=20 place.

Spread in several countries can no longer be traced to = clearly-defined chains=20 of human-to-human transmission. Further spread is considered = inevitable.

I have conferred with leading influenza experts, virologists, and = public=20 health officials. In line with procedures set out in the International = Health=20 Regulations, I have sought guidance and advice from an Emergency = Committee=20 established for this purpose.

On the basis of available evidence, and these expert assessments of = the=20 evidence, the scientific criteria for an influenza pandemic have been = met.

I have therefore decided to raise the level of influenza pandemic = alert from=20 phase 5 to phase 6.

The world is now at the start of the 2009 influenza pandemic.

We are in the earliest days of the pandemic. The virus is spreading = under a=20 close and careful watch.

No previous pandemic has been detected so early or watched so = closely, in=20 real-time, right at the very beginning. The world can now reap the = benefits of=20 investments, over the last five years, in pandemic preparedness.

We have a head start. This places us in a strong position. But it = also=20 creates a demand for advice and reassurance in the midst of limited data = and=20 considerable scientific uncertainty.

Thanks to close monitoring, thorough investigations, and frank = reporting from=20 countries, we have some early snapshots depicting spread of the virus = and the=20 range of illness it can cause.

We know, too, that this early, patchy picture can change very = quickly. The=20 virus writes the rules and this one, like all influenza viruses, can = change the=20 rules, without rhyme or reason, at any time.

Globally, we have good reason to believe that this pandemic, at least = in its=20 early days, will be of moderate severity. As we know from experience, = severity=20 can vary, depending on many factors, from one country to another.

On present evidence, the overwhelming majority of patients experience = mild=20 symptoms and make a rapid and full recovery, often in the absence of any = form of=20 medical treatment.

Worldwide, the number of deaths is small. Each and every one of these = deaths=20 is tragic, and we have to brace ourselves to see more. However, we do = not expect=20 to see a sudden and dramatic jump in the number of severe or fatal=20 infections.

We know that the novel H1N1 virus preferentially infects younger = people. In=20 nearly all areas with large and sustained outbreaks, the majority of = cases have=20 occurred in people under the age of 25 years.

In some of these countries, around 2% of cases have developed severe = illness,=20 often with very rapid progression to life-threatening pneumonia.

Most cases of severe and fatal infections have been in adults between = the=20 ages of 30 and 50 years.

This pattern is significantly different from that seen during = epidemics of=20 seasonal influenza, when most deaths occur in frail elderly people.

Many, though not all, severe cases have occurred in people with = underlying=20 chronic conditions. Based on limited, preliminary data, conditions most=20 frequently seen include respiratory diseases, notably asthma, = cardiovascular=20 disease, diabetes, autoimmune disorders, and obesity.

At the same time, it is important to note that around one third to = half of=20 the severe and fatal infections are occurring in previously healthy = young and=20 middle-aged people.

Without question, pregnant women are at increased risk of = complications. This=20 heightened risk takes on added importance for a virus, like this one, = that=20 preferentially infects younger age groups.

Finally, and perhaps of greatest concern, we do not know how this = virus will=20 behave under conditions typically found in the developing world. To = date, the=20 vast majority of cases have been detected and investigated in = comparatively=20 well-off countries.

Let me underscore two of many reasons for this concern. First, more = than 99%=20 of maternal deaths, which are a marker of poor quality care during = pregnancy and=20 childbirth, occurs in the developing world.

Second, around 85% of the burden of chronic diseases is concentrated = in low-=20 and middle-income countries.

Although the pandemic appears to have moderate severity in = comparatively=20 well-off countries, it is prudent to anticipate a bleaker picture as the = virus=20 spreads to areas with limited resources, poor health care, and a high = prevalence=20 of underlying medical problems.

Ladies and gentlemen,

A characteristic feature of pandemics is their rapid spread to all = parts of=20 the world. In the previous century, this spread has typically taken = around 6 to=20 9 months, even during times when most international travel was by ship = or=20 rail.

Countries should prepare to see cases, or the further spread of = cases, in the=20 near future. Countries where outbreaks appear to have peaked should = prepare for=20 a second wave of infection.

Guidance on specific protective and precautionary measures has been = sent to=20 ministries of health in all countries. Countries with no or only a few = cases=20 should remain vigilant.

Countries with widespread transmission should focus on the = appropriate=20 management of patients. The testing and investigation of patients should = be=20 limited, as such measures are resource intensive and can very quickly = strain=20 capacities.

WHO has been in close dialogue with influenza vaccine manufacturers. = I=20 understand that production of vaccines for seasonal influenza will be = completed=20 soon, and that full capacity will be available to ensure the largest = possible=20 supply of pandemic vaccine in the months to come.

Pending the availability of vaccines, several non-pharmaceutical=20 interventions can confer some protection.

WHO continues to recommend no restrictions on travel and no border=20 closures.

Influenza pandemics, whether moderate or severe, are remarkable = events=20 because of the almost universal susceptibility of the world=E2=80=99s = population to=20 infection.

We are all in this together, and we will all get through this, = together.

Thank you.

Corporate links

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COLOR: #666666 } .brknews { FONT-WEIGHT: bold; COLOR: #ff6600 } .see { PADDING-LEFT: 20px } .pbutton { PADDING-RIGHT: 3px; FLOAT: left; PADDING-BOTTOM: 14px; WIDTH: 11px; = PADDING-TOP: 2px } .ptxt { PADDING-BOTTOM: 14px; WIDTH: 150px } .shd1 { TEXT-TRANSFORM: uppercase; COLOR: #cc6600 } .shd2 { FONT-WEIGHT: bold; COLOR: #cc6600 } .shd3 { FONT-WEIGHT: bold } .bx1 { BORDER-RIGHT: #dde8ee 1px solid; PADDING-RIGHT: 5px; BORDER-TOP: = #dde8ee 1px solid; PADDING-LEFT: 5px; PADDING-BOTTOM: 5px; BORDER-LEFT: = #dde8ee 1px solid; WIDTH: 423px; PADDING-TOP: 5px; BORDER-BOTTOM: = #dde8ee 1px solid } .bxhd1 { PADDING-RIGHT: 5px; PADDING-LEFT: 5px; FONT-WEIGHT: bold; = PADDING-BOTTOM: 5px; COLOR: #666666; PADDING-TOP: 5px; BACKGROUND-COLOR: = #dde9ee } .bx2 { BORDER-RIGHT: #4f8cc1 1px solid; PADDING-RIGHT: 5px; BORDER-TOP: = #4f8cc1 1px solid; PADDING-LEFT: 5px; PADDING-BOTTOM: 5px; BORDER-LEFT: = #4f8cc1 1px solid; WIDTH: 423px; PADDING-TOP: 5px; BORDER-BOTTOM: = #4f8cc1 1px solid } .bxhd2 { PADDING-RIGHT: 5px; PADDING-LEFT: 5px; FONT-WEIGHT: bold; = PADDING-BOTTOM: 5px; COLOR: #ffffff; PADDING-TOP: 5px; BACKGROUND-COLOR: = #4f8cc1 } .bx3 { BORDER-RIGHT: #666666 1px solid; PADDING-RIGHT: 5px; BORDER-TOP: = #666666 1px solid; PADDING-LEFT: 5px; PADDING-BOTTOM: 5px; BORDER-LEFT: = #666666 1px solid; WIDTH: 423px; PADDING-TOP: 5px; BORDER-BOTTOM: = #666666 1px solid } .bxhd3 { PADDING-RIGHT: 5px; PADDING-LEFT: 5px; FONT-WEIGHT: bold; = PADDING-BOTTOM: 5px; COLOR: #ffffff; PADDING-TOP: 5px; BACKGROUND-COLOR: = #dde9ee } .bx4 { WIDTH: 422px } .bxhd4 { PADDING-LEFT: 4px; FONT-WEIGHT: bold; PADDING-BOTTOM: 2px; COLOR: = #ffffff; PADDING-TOP: 2px; BACKGROUND-COLOR: #999999 } .bx4a { BORDER-RIGHT: #cccccc 1px solid; PADDING-RIGHT: 5px; PADDING-LEFT: 5px; = PADDING-BOTTOM: 5px; VERTICAL-ALIGN: top; WIDTH: 130px; PADDING-TOP: = 5px; BACKGROUND-COLOR: #eeeeee } .bx4b { PADDING-RIGHT: 5px; PADDING-LEFT: 5px; PADDING-BOTTOM: 5px; = VERTICAL-ALIGN: top; WIDTH: 130px; PADDING-TOP: 5px; BACKGROUND-COLOR: = #eeeeee } .bx5 { BORDER-RIGHT: #cccccc 1px solid; PADDING-RIGHT: 5px; BORDER-TOP: = #cccccc 1px solid; PADDING-LEFT: 5px; BORDER-LEFT: #cccccc 1px solid; = WIDTH: 140px; BORDER-BOTTOM: #cccccc 1px solid } .bxhd5 { FONT-WEIGHT: bold; PADDING-BOTTOM: 5px; COLOR: #eebb11 } .bxtxt5 { PADDING-BOTTOM: 14px; VERTICAL-ALIGN: top } .dots { FONT-WEIGHT: bold; COLOR: #ff6600 } UL.lroman { LIST-STYLE-TYPE: lower-roman } UL.uroman { LIST-STYLE-TYPE: upper-roman } UL.lalpha { LIST-STYLE-TYPE: lower-alpha } UL.ualpha { LIST-STYLE-TYPE: upper-alpha } UL.decimal { LIST-STYLE-TYPE: decimal } UL.disc { LIST-STYLE-TYPE: disc } .bg { BACKGROUND-COLOR: #ffffff } .mastbg { BACKGROUND-COLOR: #6ba2cc } .mastbg2 { BACKGROUND-COLOR: #bbd6ef } .line { WIDTH: 1px; BACKGROUND-COLOR: #cccccc } .zeropad { MARGIN: 0px } TABLE.smllbx { MARGIN: 0px 20px; WIDTH: 197px } TABLE.smllbx2 { MARGIN: 0px 20px; WIDTH: 145px } TABLE.bgbx { MARGIN-BOTTOM: 2px; WIDTH: 97% } .bx7 { BORDER-RIGHT: #cccccc 1px solid; PADDING-RIGHT: 4px; BORDER-TOP: = #cccccc 1px solid; PADDING-LEFT: 8px; PADDING-BOTTOM: 4px; BORDER-LEFT: = #cccccc 1px solid; PADDING-TOP: 4px; BORDER-BOTTOM: #cccccc 1px solid } .bxhd7 { TEXT-TRANSFORM: uppercase; COLOR: #000000 } .bx7b { BORDER-RIGHT: #cccccc 1px solid; PADDING-RIGHT: 4px; BORDER-TOP: = #cccccc 1px solid; PADDING-LEFT: 8px; PADDING-BOTTOM: 4px; BORDER-LEFT: = #cccccc 1px solid; PADDING-TOP: 4px; BORDER-BOTTOM: #cccccc 1px solid } .bx7 IMG { DISPLAY: none } .bxhd7 IMG { DISPLAY: none } .bx7b IMG { DISPLAY: none } .tchd3 { FONT-WEIGHT: bold } .copyblue { COLOR: #6699cc } .copybrown { COLOR: #cc6600 } .copydarkgrey { COLOR: #666666 } .copygrey { COLOR: #999999 } .copyorange { COLOR: #ff6600 } .smallcopy { FONT-SIZE: 14px; COLOR: #000000 } .headlineblue { FONT-WEIGHT: bold; COLOR: #4f8cc1 } .headlinegrey { FONT-WEIGHT: bold; COLOR: #999999 } .blurbheadline { FONT-WEIGHT: bold; FONT-SIZE: 14px; COLOR: #4f8cc1 } .smallcopygrey { FONT-SIZE: 14px; COLOR: #999999 } .bg8b { BORDER-RIGHT: #cccccc 1px solid; PADDING-LEFT: 5px; BACKGROUND-COLOR: = #999999 } .bg2b { BORDER-RIGHT: #cccccc 1px solid; PADDING-RIGHT: 5px; PADDING-LEFT: 5px; = PADDING-BOTTOM: 5px; PADDING-TOP: 5px; BACKGROUND-COLOR: #eeeeee } .bg2c { PADDING-RIGHT: 5px; PADDING-LEFT: 5px; PADDING-BOTTOM: 5px; = PADDING-TOP: 5px; BACKGROUND-COLOR: #eeeeee } .copygrey { COLOR: #999999 } .headlineorange { FONT-WEIGHT: bold; COLOR: #ff6600 } .headlinewhite { FONT-WEIGHT: bold; COLOR: #ffffff } .smalltxt1a { FONT-WEIGHT: bold; FONT-SIZE: 14px } ------=_NextPart_000_0000_01C9EA8C.B0DBDDD0 Content-Type: application/octet-stream Content-Transfer-Encoding: quoted-printable Content-Location: http://www.who.int/__utm.js //-- Urchin Tracking Module II (UTM II),$Revision: 1.6 $,=0A= //-- Copyright 2003 Urchin Software Corporation, All Rights Reserved.=0A= =0A= /*--------------------------------------------------=0A= UTM II User Settings=0A= --------------------------------------------------*/=0A= var __utmfsc=3D1; /*-- set client info flag = (1=3Don|0=3Doff) --*/=0A= var __utmdn=3D"auto"; /*-- (auto|none|domain) set the domain = name for cookies --*/=0A= var __utmhash=3D"on"; /*-- (on|off) unique domain hash for = cookies --*/=0A= var __utmgifpath=3D"/__utm.gif"; /*-- set the web path to the __utm.gif = file --*/=0A= var __utmtimeout=3D"1800"; /*-- set the inactive session timeout = in seconds --*/=0A= =0A= /*--------------------------------------------------=0A= UTM II Campaign Tracking Settings=0A= --------------------------------------------------*/=0A= var __utmctm=3D1; /*-- set campaign tracking module = (1=3Don|0=3Doff) --*/=0A= var __utmcto=3D"15768000"; /*-- set the campaign timeout in = seconds (6 month default) --*/=0A= =0A= var __utmccn=3D"utm_campaign"; /*-- campaign name --*/=0A= var __utmcpr=3D"utm_program"; /*-- campaign program --*/=0A= var __utmcrs=3D"utm_refsite"; /*-- campaign referral site --*/=0A= var __utmcrl=3D"utm_refloc"; /*-- campaign referral location 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__utmGetCookie(__utms,"__utmb=3D","&");=0A= __utmc =3D __utmGetCookie(__utms,"__utmc=3D","&");=0A= if (__utma !=3D "-" && __utmb !=3D "-" && __utmc !=3D "-") __utmlf = =3D 1;=0A= else if (__utma !=3D "-") __utmlf =3D = 2;=0A= }=0A= =0A= /*--------------------------------------------------=0A= based on the logic set cookies=0A= --------------------------------------------------*/=0A= if (__utmlf =3D=3D 1) { =0A= document.cookie=3D"__utma=3D"+__utma+"; path=3D/; expires=3DSun, = 18 Jan 2038 00:00:00 GMT;";=0A= document.cookie=3D"__utmb=3D"+__utmb+"; path=3D/;"+__utmexp;=0A= document.cookie=3D"__utmc=3D"+__utmc+"; path=3D/;";=0A= __utmfns=3D1;=0A= } else if (__utmlf =3D=3D 2) { =0A= __utma =3D __utmFixA(__utms,"&",__utmst); =0A= document.cookie=3D"__utma=3D"+__utma+"; path=3D/; expires=3DSun, = 18 Jan 2038 00:00:00 GMT;";=0A= document.cookie=3D"__utmb=3D"+__utmdh+"; path=3D/;"+__utmexp;=0A= document.cookie=3D"__utmc=3D"+__utmdh+"; path=3D/;"=0A= __utmfns=3D1;=0A= } else if (__utma >=3D 0 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__utmGetClientInfo(); }=0A= if (__utmctm) {__utmsrc +=3D __utmSetCampaignInfo(); }=0A= __utmsrc +=3D "&utmr=3D"+__utmr+"&utmp=3D"+loc.pathname+loc.search;=0A= __utmi.src =3D __utmsrc;=0A= return 0;=0A= }=0A= =0A= function __utmSetCampaignInfo() {=0A= var __utmcc =3D "";=0A= var __utmtmp =3D "-";=0A= var __utmcnew =3D "&utmcn=3D1";=0A= var __utmx =3D document.location.search;=0A= var __utmz =3D document.cookie.indexOf("__utmz=3D"+__utmdh);=0A= if (__utmz > -1) {=0A= __utmz =3D __utmGetCookie(document.cookie,"__utmz=3D",";");=0A= } else { __utmz =3D "-"; }=0A= =0A= /*--- check for campaign info ---*/=0A= __utmtmp =3D __utmGetCookie(__utmx,__utmccn+"=3D","&");=0A= if (__utmtmp =3D=3D "-" || __utmtmp =3D=3D "") { return ""; }=0A= __utmcc +=3D "utmccn=3D"+__utmtmp;=0A= __utmtmp =3D __utmGetCookie(__utmx,__utmcpr+"=3D","&"); if (__utmtmp = !=3D "-" && __utmtmp !=3D "") __utmcc +=3D "|utmcpr=3D"+__utmtmp;=0A= __utmtmp =3D __utmGetCookie(__utmx,__utmcrs+"=3D","&"); if (__utmtmp = !=3D "-" && __utmtmp !=3D "") __utmcc +=3D "|utmcrs=3D"+__utmtmp;=0A= __utmtmp =3D __utmGetCookie(__utmx,__utmcrl+"=3D","&"); if (__utmtmp = !=3D "-" && __utmtmp !=3D "") __utmcc +=3D "|utmcrl=3D"+__utmtmp;=0A= __utmtmp =3D __utmGetCookie(__utmx,__utmctr+"=3D","&"); if (__utmtmp = !=3D "-" && __utmtmp !=3D "") __utmcc +=3D "|utmctr=3D"+__utmtmp;=0A= __utmtmp =3D __utmGetCookie(__utmx,__utmcct+"=3D","&"); if (__utmtmp = !=3D "-" && __utmtmp !=3D "") __utmcc +=3D "|utmcct=3D"+__utmtmp;=0A= =0A= /*--- check if campaign is already set ---*/=0A= if (!__utmfns && __utmz.indexOf(__utmcc) !=3D -1) __utmcnew =3D "";=0A= =0A= =0A= /*--- check for userid in cookie ---*/=0A= __utmtmp =3D __utmGetCookie(__utmx,__utmcui+"=3D","&"); =0A= if (__utmtmp !=3D "-" && __utmtmp !=3D "") { =0A= __utmcc +=3D "|utmcui=3D"+__utmtmp;=0A= } else {=0A= __utmtmp =3D __utmGetCookie(__utmz,"utmcui=3D","|"); =0A= if (__utmtmp !=3D "-" && __utmtmp !=3D "") { __utmcc +=3D = "|utmcui=3D"+__utmtmp; } =0A= }=0A= =0A= /*--- check for email in cookie ---*/=0A= __utmtmp =3D __utmGetCookie(__utmx,__utmccu+"=3D","&"); =0A= if (__utmtmp !=3D "-" && __utmtmp !=3D "") { =0A= __utmcc +=3D "|utmccu=3D"+__utmtmp;=0A= } else {=0A= __utmtmp =3D __utmGetCookie(__utmz,"utmccu=3D","|"); =0A= if (__utmtmp !=3D "-" && __utmtmp !=3D "") { __utmcc +=3D = "|utmccu=3D"+__utmtmp; } =0A= }=0A= =0A= /*--- set the cookie ---*/=0A= if (!__utmcto || __utmcto =3D=3D "") { __utmcto =3D "15768000"; }=0A= var __utmcx =3D new Date(__utmd.getTime()+(__utmcto*1000));=0A= __utmcx =3D " expires=3D"+__utmcx.toGMTString()+";";=0A= document.cookie=3D"__utmz=3D"+__utmdh+"."+__utmst+"."+__utmcc+"; = path=3D/; "+__utmcx+__utmdom;=0A= =0A= /*--- set the new campaign flag ---*/=0A= return __utmcnew;=0A= }=0A= =0A= function __utmGetClientInfo() {=0A= var = __utmtmp=3D"-",__utmsr=3D"-",__utmsa=3D"-",__utmsc=3D"-",__utmbs=3D"-",__= utmul=3D"-";=0A= var __utmje=3D1,__utmce=3D1,__utmtz=3D0;=0A= if (self.screen) { =0A= __utmsr =3D screen.width+"x"+screen.height;=0A= __utmsa =3D screen.availWidth+"x"+screen.availHeight;=0A= __utmsc =3D screen.colorDepth+"-bit";=0A= } else if (self.java) {=0A= var __utmjk =3D java.awt.Toolkit.getDefaultToolkit();=0A= var __utmjksize =3D __utmjk.getScreenSize(); =0A= __utmsr =3D __utmjksize.width+"x"+__utmjksize.height;=0A= } =0A= if( typeof( window.innerWidth ) =3D=3D 'number' ) {=0A= __utmbs =3D window.innerWidth+"x"+window.innerHeight;=0A= } else { =0A= if (document.documentElement && =0A= (document.documentElement.offsetHeight || = document.documentElement.offsetWidth ) ) {=0A= __utmbs =3D = document.documentElement.offsetWidth+"x"+document.documentElement.offsetH= eight;=0A= } else if (document.body && (document.body.offsetWidth || = document.body.offsetHeight) ) {=0A= __utmbs =3D = document.body.offsetWidth+"x"+document.body.offsetHeight;=0A= } =0A= }=0A= for (var i=3D5;i>=3D0;i--) {=0A= var __utmtmp =3D ""; =0A= document.write(__utmtmp);=0A= if (__utmjv !=3D "-") break;=0A= }=0A= if (navigator.language) { __utmul =3D = navigator.language.toLowerCase(); }=0A= else if (navigator.browserLanguage) { __utmul =3D = navigator.browserLanguage.toLowerCase(); }=0A= __utmje =3D navigator.javaEnabled()?1:0;=0A= if (document.cookie.indexOf("__utmb=3D") < 0) { __utmce =3D "0"; }=0A= if (document.cookie.indexOf("__utmc=3D") < 0) { __utmce =3D "0"; }=0A= __utmtz =3D __utmd.getTimezoneOffset();=0A= __utmtz =3D __utmTZConvert(__utmtz);=0A= __utmtmp =3D"";=0A= __utmtmp +=3D = "&utmsr=3D"+__utmsr+"&utmsa=3D"+__utmsa+"&utmsc=3D"+__utmsc+"&utmbs=3D"+_= _utmbs;=0A= __utmtmp +=3D = "&utmul=3D"+__utmul+"&utmje=3D"+__utmje+"&utmce=3D"+__utmce+"&utmtz=3D"+_= _utmtz+"&utmjv=3D"+__utmjv;=0A= return __utmtmp;=0A= }=0A= function __utmLinker(__utmlink) {=0A= var = __utmlp,__utmi,__utmi2,__utmta=3D"-",__utmtb=3D"-",__utmtc=3D"-",__utmtz=3D= "-";=0A= =0A= if (__utmlink && __utmlink !=3D "") { =0A= if (document.cookie) {=0A= __utmta =3D = __utmGetCookie(document.cookie,"__utma=3D"+__utmdh,";");=0A= __utmtb =3D = __utmGetCookie(document.cookie,"__utmb=3D"+__utmdh,";");=0A= __utmtc =3D = __utmGetCookie(document.cookie,"__utmc=3D"+__utmdh,";");=0A= __utmtz =3D = __utmGetCookie(document.cookie,"__utmz=3D"+__utmdh,";");=0A= __utmlp =3D = "__utma=3D"+__utmta+"&__utmb=3D"+__utmtb+"&__utmc=3D"+__utmtc+"&__utmz=3D= "+__utmtz;=0A= }=0A= if (__utmlp) {=0A= if (__utmlink.indexOf("?") <=3D -1) { document.location =3D = __utmlink+"?"+__utmlp; }=0A= else { document.location =3D __utmlink+"&"+__utmlp; }=0A= } else { document.location =3D __utmlink; }=0A= }=0A= }=0A= function __utmGetCookie(__utmclist,__utmcname,__utmcsep) {=0A= if (!__utmclist || __utmclist =3D=3D "") return "-";=0A= if (!__utmcname || __utmcname =3D=3D "") return "-";=0A= if (!__utmcsep || __utmcsep =3D=3D "") return "-";=0A= var __utmi, __utmi2, __utmi3, __utmtc=3D"-";=0A= =0A= __utmi =3D __utmclist.indexOf(__utmcname);=0A= __utmi3 =3D __utmcname.indexOf("=3D")+1;=0A= if (__utmi > -1) { =0A= __utmi2 =3D __utmclist.indexOf(__utmcsep,__utmi); if (__utmi2 < 0) = { __utmi2 =3D __utmclist.length; }=0A= __utmtc =3D __utmclist.substring((__utmi+__utmi3),__utmi2); =0A= }=0A= return __utmtc;=0A= }=0A= function __utmSetDomain() {=0A= if (!__utmdn || __utmdn =3D=3D "" || __utmdn =3D=3D "none") { __utmdn = =3D ""; return 1; }=0A= if (__utmdn =3D=3D "auto") {=0A= var __utmdomain =3D document.domain;=0A= if (__utmdomain.substring(0,4) =3D=3D "www.") {=0A= __utmdomain =3D __utmdomain.substring(4,__utmdomain.length);=0A= }=0A= __utmdn =3D __utmdomain;=0A= }=0A= if (__utmhash =3D=3D "off") return 1;=0A= return __utmHash(__utmdn);=0A= }=0A= function __utmHash(__utmd) {=0A= if (!__utmd || __utmd =3D=3D "") return 1;=0A= var __utmhash=3D0, __utmg=3D0;=0A= for (var i=3D__utmd.length-1;i>=3D0;i--) {=0A= var __utmc =3D parseInt(__utmd.charCodeAt(i)); =0A= __utmhash =3D ((__utmhash << 6) & 0xfffffff) + __utmc + (__utmc << = 14);=0A= if ((__utmg =3D __utmhash & 0xfe00000) !=3D 0) __utmhash =3D = (__utmhash ^ (__utmg >> 21));=0A= }=0A= return __utmhash;=0A= }=0A= function __utmFixA(__utmcs,__utmsp, __utmst) {=0A= if (!__utmcs || __utmcs =3D=3D "") return "-";=0A= if (!__utmsp || __utmsp =3D=3D "") return "-";=0A= if (!__utmst || __utmst =3D=3D "") return "-";=0A= var __utmt =3D __utmGetCookie(__utmcs,"__utma=3D",__utmsp);=0A= var __utmlt=3D0;=0A= var __utmns=3D0;=0A= var __utmi=3D0;=0A= =0A= if ((__utmi=3D__utmt.lastIndexOf(".")) > 9) {=0A= __utmns =3D __utmt.substring(__utmi+1,__utmt.length);=0A= __utmns =3D (__utmns*1)+1;=0A= __utmt =3D __utmt.substring(0,(__utmi));=0A= =0A= if ((__utmi =3D __utmt.lastIndexOf(".")) > 7) {=0A= __utmlt =3D __utmt.substring(__utmi+1,__utmt.length);=0A= __utmt =3D __utmt.substring(0,(__utmi));=0A= }=0A= =0A= if ((__utmi =3D __utmt.lastIndexOf(".")) > 5) {=0A= __utmt =3D __utmt.substring(0,(__utmi));=0A= }=0A= __utmt +=3D "."+__utmlt+"."+__utmst+"."+__utmns;=0A= }=0A= return __utmt;=0A= }=0A= =0A= function __utmCheckUTMI(__utmd) {=0A= var __utm1A =3D new Array();=0A= var = __utmlst=3D0,__utmpst=3D0,__utmlvt=3D0,__utmlu=3D0,__utmi=3D0,__utmpi=3D0= ;=0A= var __utmap =3D "-";=0A= var __utmld =3D "";=0A= var __utmt2;=0A= var __utmt =3D document.cookie;=0A= =0A= while((__utmi =3D __utmt.indexOf("__utm1=3D")) >=3D 0) {=0A= __utm1A[__utm1A.length] =3D __utmGetCookie(__utmt,"__utm1=3D",";");=0A= __utmt =3D __utmt.substring(__utmi+7,__utmt.length);=0A= }=0A= if (__utm1A.length) {=0A= var __utmcts =3D Math.round(__utmd.getTime()/1000);=0A= var __utmlex =3D " expires=3D"+__utmd.toGMTString()+";";=0A= __utmt =3D document.cookie; =0A= if ((__utmi =3D __utmt.lastIndexOf("__utm3=3D")) >=3D 0) {=0A= __utmlst =3D __utmt.substring(__utmi,__utmt.length);=0A= __utmlst =3D __utmGetCookie(__utmlst,"__utm3=3D",";");=0A= }=0A= if ((__utmi =3D __utmt.lastIndexOf("__utm2=3D")) >=3D 0) {=0A= __utmpst =3D __utmt.substring(__utmi,__utmt.length);=0A= __utmpst =3D __utmGetCookie(__utmpst,"__utm2=3D",";");=0A= }=0A= for (var i=3D0;i<__utm1A.length;i++) {=0A= __utmt =3D __utm1A[i];=0A= if ((__utmi =3D __utmt.lastIndexOf(".")) >=3D 0) {=0A= __utmt2 =3D (__utmt.substring(0,__utmi))*1;=0A= __utmt =3D (__utmt.substring(__utmi+1,__utmt.length))*1;=0A= if (__utmlvt =3D=3D 0 || __utmt < __utmlvt) { =0A= __utmlvt =3D __utmt;=0A= __utmlu =3D __utmt2;=0A= }=0A= }=0A= }=0A= if (__utmlvt && __utmlst) { =0A= if (!__utmpst || __utmpst > __utmlst) __utmpst =3D __utmlst;=0A= __utmap =3D = __utmlu+"."+__utmlvt+"."+__utmpst+"."+__utmlst+".2"; =0A= } else if (__utmlvt) { =0A= if (!__utmpst || __utmpst > __utmcts) __utmpst =3D __utmcts;=0A= __utmap =3D __utmlu+"."+__utmlvt+"."+__utmpst+"."+__utmcts+".2";=0A= }=0A= __utmld =3D __utmt =3D document.domain;=0A= __utmi=3D__utmpi=3D0;=0A= while((__utmi =3D __utmt.indexOf(".",__utmpi+1)) >=3D 0) {=0A= if (__utmpi>0) __utmld =3D = __utmt.substring(__utmpi+1,__utmt.length);=0A= __utmld =3D " domain=3D"+__utmld+";"; =0A= document.cookie=3D"__utm1=3D1; path=3D/;"+__utmlex+__utmld;=0A= document.cookie=3D"__utm2=3D1; path=3D/;"+__utmlex+__utmld;=0A= document.cookie=3D"__utm3=3D1; path=3D/;"+__utmlex+__utmld;=0A= __utmpi=3D__utmi;=0A= }=0A= document.cookie=3D"__utm1=3D1; path=3D/;"+__utmlex;=0A= document.cookie=3D"__utm2=3D1; path=3D/;"+__utmlex;=0A= document.cookie=3D"__utm3=3D1; path=3D/;"+__utmlex;=0A= }=0A= return __utmap;=0A= }=0A= =0A= function __utmTZConvert(__utmmz) {=0A= var __utmhr=3D0,__utmmn=3D0,__utmsg=3D'+';=0A= if (__utmmz && __utmmz !=3D "") {=0A= if (__utmmz <=3D 0) {__utmsg=3D'+'; __utmmz*=3D-1; }=0A= else {__utmsg=3D'-'; __utmmz*=3D1; }=0A= __utmhr =3D Math.floor((__utmmz/60)); =0A= __utmmn =3D Math.floor((__utmmz%60)); =0A= }=0A= if (__utmhr < 10) __utmhr =3D "0"+__utmhr;=0A= if (__utmmn < 10) __utmmn =3D "0"+__utmmn;=0A= return __utmsg+__utmhr+__utmmn;=0A= }=0A= ------=_NextPart_000_0000_01C9EA8C.B0DBDDD0 Content-Type: application/octet-stream Content-Transfer-Encoding: quoted-printable Content-Location: http://www.who.int/sysmedia/language_images.js // defining arrays for languages and images langIndexes =3D new Array('ar','zh','en','fr','ru','es'); langImagesOver =3D new Array(); langImagesOut =3D new Array(); // language buttons are preloaded into the browser cache for instant = display even on low bandwidth client for( i =3D 0; i < langIndexes.length; i++ ){ langImagesOver[langIndexes[i]] =3D new Image(); langImagesOver[langIndexes[i]].src =3D '/sysmedia/images/' + = langIndexes[i] + '_over.gif'; langImagesOut[langIndexes[i]] =3D new Image(); langImagesOut[langIndexes[i]].src =3D '/sysmedia/images/' + = langIndexes[i] + '_off.gif'; } // spanish button for arabic pages if( document.location.href.indexOf("/ar/") > -1 ){ langImagesOver['es'].src =3D '/sysmedia/images/es2_over.gif'; langImagesOut['es'].src =3D '/sysmedia/images/es2_off.gif'; } // language button swap function function swap(langCode,langStatus){ if( langStatus ){ document.images[langCode].src =3D langImagesOver[langCode].src; }else{ document.images[langCode].src =3D langImagesOut[langCode].src; } } ------=_NextPart_000_0000_01C9EA8C.B0DBDDD0--