摘要：During the early stages of an influenza pandemic, a pandemic vaccine likely will not be available. Therefore, interventions to mitigate pandemic influenza transmission in communities will be an important component of the response to a pandemic. Public-housing residents, single-parent families, and low-income populations may have difficulty complying with community-wide interventions. To enable compliance with community interventions, stakeholders recommended the following: (1) community mobilization and partnerships, (2) culturally specific emergency communications planning, (3) culturally specific education and training programs, (4) evidence-based measurement and evaluation efforts, (5) strategic planning policies, (6) inclusion of community members as partners, and (7) policy and program changes to minimize morbidity and mortality. LARGE CONCENTRATIONS OF public-housing residents, single-parent families, and poor families living in economically depressed neighborhoods continue to experience poor health status in the United States. 1 Pre-existing social and health conditions will present major obstacles for stakeholders to effectively prepare for and respond to pandemic influenza in such communities. 2 Few pandemic influenza plans, recommendations, and guidelines for preparedness and response have focused on the needs, barriers, concerns, and assets of public-housing residents, single-parent families, and poor populations. 3 – 20 Data suggest that poverty, in addition to exposing individuals to more acute and chronic stressors, weakens an individual's ability to cope with new problems and difficulties. 21 In this article we (1) highlight public health challenges that might differentially affect public-housing residents, single-parent families, and low-income populations; (2) provide specific recommendations for protecting these population groups; and (3) determine measures that public health communities should take to support these populations for the cascading second- and third-order consequences of recommended interventions, such as isolation and treatment, voluntary home quarantine, social distancing, and antiviral medications and vaccines.
