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Author Topic: H1N1 - Swine Flu - Novel Flu - Information  (Read 151900 times)
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« Reply #260 on: August 19, 2009, 12:55:22 PM »

Guidance for Businesses and Employers to Plan and Respond to the 2009 – 2010 Influenza Season

AUGUST 19, 2009

CDC is releasing new guidance that recommends actions that non-healthcare employers should take now to decrease the spread of seasonal flu and 2009 H1N1 flu in the workplace and to help maintain business continuity during the 2009–2010 flu season.1  The guidance includes additional strategies to use if flu conditions become more severe and some new recommendations regarding when a worker who is ill with influenza may return to work. The guidance in this document may change as additional information about the severity of the 2009-2010 influenza season and the impact of 2009 H1N1 influenza become known. Please check www.flu.gov periodically for updated guidance

For more information on H1N1 situation, please visit www.Flu.gov

http://www.flu.gov/plan/workplaceplanning/guidance.html ~ click link for entire article


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« Reply #261 on: August 19, 2009, 12:57:10 PM »

NIAID to Begin Trials of Candidate H1N1 Vaccines in Children

The National Institute of Allergy and Infectious Diseases (NIAID), part of the National Institutes of Health, announced today that an independent safety monitoring committee has recommended that trials of a candidate 2009 H1N1 vaccine begin in children. NIAID concurred with this recommendation. Vaccinations will begin shortly in two trials being conducted through NIAID’s nationwide network of Vaccine and Treatment Evaluation Units (VTEU).   

For more information on H1N1 situation, please visit www.Flu.gov

http://www3.niaid.nih.gov/news/newsreleases/2009/H1N1pedvax.htm ~ click link for entire article
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« Reply #262 on: August 19, 2009, 05:09:20 PM »

Federal Guidelines Encourage Employers to Plan Now for Upcoming Influenza Season

Recommendations Range from Encouraging Hand Washing to Allowing Some Employees to Stay Home


Department of Commerce (DOC) Secretary Gary Locke, Department of Health and Human Services (HHS) Secretary Kathleen Sebelius, and Homeland Security (DHS) Secretary Janet Napolitano today announced new guidance for businesses to plan for and respond to the upcoming flu season.

The guidance, released by the Centers for Disease Control and Prevention (CDC), is designed to help employers prepare now for the impact that seasonal and 2009 H1N1 influenza could have this fall and winter on their employee and operations.

For more information on H1N1 situation, please visit www.Flu.gov

http://www.hhs.gov/news/press/2009pres/08/20090819a.html ~ click on link for entire article
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« Reply #263 on: August 19, 2009, 05:30:35 PM »

http://www.cnn.com/2009/HEALTH/08/19/employers.h1n1/index.html?iref=werecommend

Obama administration urges employer flexibility in H1N1 fight
updated 2 hours, 20 minutes ago

Story Highlights

New guidelines to employers: Adopt "flexible and non-punitive" sick-leave policies

Guidelines unveiled Wednesday in a joint announcement by three Cabinet members

Commerce secretary: In a fragile economy, "flu outbreak is a very scary prospect"

HHS secretary urges vaccinations for businesses' most vulnerable workers
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« Reply #264 on: August 21, 2009, 03:02:34 AM »

Half of swine flu deaths in high-risk people -study
Thu Aug 20, 2009 7:04pm EDT

 
* Pregnancy, obesity big risk factors for flu death

* Elderly patients also more likely to die

By Maggie Fox, Health and Science Editor

WASHINGTON, Aug 20 (Reuters) - About half of people who have died from swine flu have been pregnant or had other health conditions, especially diabetes and conditions linked with obesity, French researchers reported on Thursday.

And although older people seem to be less likely than others to get infected, if they do get the new H1N1 flu, they are more likely to die, the team at the French Institute for Public Health Surveillance in St. Maurice, France, reported.

"Most deaths (51 percent) occurred in the age group of 20-49 year-olds, but there was considerable variation depending on country or continent," the researchers wrote in Eurosurveillance.

"There was documented underlying disease in at least 49 percent of documented fatal cases worldwide to date," they added. "Two risk factors are noticeable: pregnancy and obesity."

Several governments have said pregnant women should be first to be immunized when vaccines become available.

The study also suggested children are not as hard-hit as feared. "Although previous reports suggested that cases of pandemic H1N1 influenza 2009 occurred mainly in children, the mean and median age of the 343 fatal cases in our analysis were 37 years," they wrote.

Twelve percent of people who died were 60 or older. In contrast, more than 90 percent of deaths from seasonal influenza are in people over the age of 65.

HEALTHY VICTIMS

"A high proportion of young children (27 percent of the 0-9 year-olds) and young adults (22 percent of the 20-29 year-olds) had no documented underlying disease, while 60 percent of people over the age of 60 years had heart or respiratory disease," the French team added.

"Diabetes and obesity were the most frequently identified underlying conditions and were found in fatal cases over the age of 20 years."

Several reports have suggested a link with obesity but researchers are not clear whether obesity itself raises the risk of severe complications from H1N1 swine flu, or whether obese people have other conditions that have not been diagnosed.

The case fatality rate for H1N1 swine flu is less than 1 percent -- about 0.4 percent, the researchers said. This is a little higher than for seasonal influenza but lower than the 2 percent to 3 percent fatality rate estimated for the 1918 Spanish influenza pandemic.

They also noted that it is difficult and dangerous to try to estimate fatality rates while an epidemic is ongoing, in part because serious cases and deaths get reported first.

First reports in New York, for instance, suggested a case fatality rate of 0.2 percent, they wrote. But later reports took into account mild cases.

"A telephone survey estimated that in fact 250,000 cases had occurred in that city of 8.3 million inhabitants, resulting in an estimated case fatality rate of 0.0008 percent," they added.

"The pandemic, however, is far from over, and deaths will unfortunately continue to occur."

Companies making vaccines include AstraZeneca's (AZN.L) MedImmune unit, CSL (CSL.AX), GlaxoSmithKline Plc (GSK.L), Novartis AG (NOVN.VX) and Sanofi-Aventis SA (SASY.PA).

Roche AG and Gilead Sciences Inc's (ROG.VX) Tamiflu and Glaxo's Relenza can treat influenza, and are currently recommended for people who have a high risk of complications or death.

The study was published online here (Editing by Cynthia Osterman)

http://www.reuters.com/article/newsOne/idUSN20537892?sp=true
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« Reply #265 on: August 21, 2009, 03:10:20 AM »

Chile finds H1N1 swine flu in turkeys
Fri Aug 21, 2009 12:52am EDT


 SANTIAGO (Reuters) - Chile detected the H1N1 swine flu virus in turkeys, authorities said, the first time the virus has been found outside humans and pigs, but said there was no indication the disease had spread to other parts of Chile.

The country's farming and livestock agency SAG said on Thursday the flu outbreak had been controlled at the two farms 75 miles west of the capital Santiago and notified the World Organization for Animal Health.

"We call on the public to consume turkey products with confidence," a SAG statement said. It added that laboratory results ruled out the presence of H5N1 or bird flu virus.

The Geneva-based World Health Organization declared H1N1 a full pandemic in June and the virus has now spread to some 180 countries, causing at least 1,462 laboratory-confirmed deaths. The WHO says the pandemic is unstoppable.

The H1N1 swine flu virus was first seen in March in Mexico and California. Experts say at least 1 million people have been infected in the United States alone.

Genetic tests show the virus appears to have originated in pigs but it is now spreading from human to human.

In Chile, the H1N1 flu virus has killed 128 people and infected 12,175 during the Southern Hemisphere's winter.

Chilean authorities said the farms near the port city of Valparaiso were placed under quarantine on August 13 as a precaution after turkey producers reported anomalies in the output of eggs. Later laboratory results confirmed the H1N1 virus infections.

Authorities did not say how many animals were infected but claimed there was no evidence the virus had spread to other parts of the country.

The head of the WHO, Margaret Chan, said this week that the world must remain on guard against the H1N1 flu, which has been mild so far but could become more serious as the northern hemisphere heads into winter.

Early reports of the "swine flu" prompted many countries to ban pork meat and products imports from North America. Most countries later lifted the bans after world animal health authorities said there was no evidence that animals played a role in the spread of the virus.

(Reporting by Antonio de la Jara; writing by Alonso Soto; editing by Bill Trott)

http://www.reuters.com/article/GCA-SwineFlu/idUSTRE57K0E820090821


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« Reply #266 on: August 21, 2009, 03:15:10 AM »

Australia orders 21 million doses of H1N1 vaccine
Wed Aug 19, 2009 9:15pm EDT

 
CANBERRA (Reuters) - Australia has ordered 21 million doses of swine flu vaccine, one for each person, with mass vaccinations to start nationally within weeks, the government said on Thursday.

Two million doses of the vaccine being developed by pharmaceutical company CSL Ltd would be distributed to doctors from next week, with pregnant women, the chronically ill and health workers getting treatment first.

"I think it's anticipated by the middle or end of September we will be starting to vaccinate the priority groups that, of course, are the most vulnerable," Health Minister Nicola Roxon told reporters.

Australia has 32,224 confirmed cases of H1N1, with 121 deaths associated with the pandemic.

Most cases have been in the most populous states of New South Wales and Victoria in the country's south east, which are in the middle of the southern hemisphere winter and flu season.

Leading flu vaccine makers include Roche, Sanofi-Aventis, GlaxoSmithKline, Novartis, Baxter, CSL and Solvay.

(Reporting by Rob Taylor; Editing by Michael Perry)

http://www.reuters.com/article/GCA-SwineFlu/idUSTRE57J05Z20090820?sp=true
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« Reply #267 on: August 21, 2009, 11:26:42 AM »


    http://www.flu.gov/plan/school/higheredguidance.html ~ click link for entire article

CDC Guidance for Responses to Influenza for Institutions of Higher Education during the 2009-2010 Academic Year
Thu, 20 Aug 2009 13:30:00 -0500


This document provides guidance to help decrease the spread of flu among students, faculty, and staff of institutions of higher education (IHE) and post-secondary educational institutions during the 2009-2010 academic year. The guidance expands upon earlier guidance for these settings by providing a menu of tools that IHE and health officials can choose from based on conditions in their area.

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« Reply #268 on: August 21, 2009, 11:42:23 AM »


http://www.who.int/csr/don/2009_08_19/en/index.html ~ click on link - large article from WHO

WHO Updates International H1N1 Situation
Wed, 19 Aug 2009 13:30:00 -0500


Laboratory-confirmed cases of pandemic (H1N1) 2009 as officially reported to WHO by States Parties to the IHR (2005) as of 13 August 2009


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« Reply #269 on: August 21, 2009, 11:53:11 AM »

New H1N1 Guidance and Information for Colleges and Universities 

 http://www.flu.gov/plan/school/higheredguidance.html

CDC is releasing new guidance to help decrease the spread of flu among students, faculty, and staff of institutions of higher education (IHE) and post-secondary educational institutions during the 2009-2010 academic year.

http://www.flu.gov/plan/school/higheredtoolkit.html

The purpose of "Preparing for the Flu: A Communication Toolkit for Institutions of Higher Education" is to provide information and communication resources to help students, faculty, and staff implement recommendations from CDC's Guidance for Responses to Influenza for Institutions of Higher Education during the 2009-2010 Academic Year.

http://www.flu.gov/plan/school/higheredtechreport.html

This Technical Report includes detailed explanations of the strategies presented in the CDC Guidance for Responses to Influenza for Institutions of Higher Education during the 2009-2010 Academic Year and suggestions on how to use them. The guidance is designed to decrease exposure to regular seasonal flu and 2009 H1N1 flu while limiting the disruption of day-to-day activities and the vital academic activities that go on in Institutions of Higher Education (IHE). CDC will continue to monitor the situation and update the current guidance as more information is obtained on 2009 H1N1.

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« Reply #270 on: August 24, 2009, 08:29:15 PM »

H1N1 Could Kill Up to 90,000 in U.S., Report Says
Monday, August 24, 2009 


The H1N1 flu virus could kill between 30,000 and 90,000 deaths in the United States and "poses a serious health threat" the Obama administration's advisory group on Science and Technology said in a report released Monday.

Deaths would be concentrated among children and young adults, according to the report. In contrast, the typical seasonal flu kills between 30,000 and 40,000 annually — mainly among people over 65.

The report predicts 1.8 million will be hospitalized during the epidemic, with up to 300,000 patients requiring intensive care units.

These patients could occupy 50-100 percent of all ICU beds in affected regions at the peak of the epidemic and would place "enormous stress" on ICU units.

More needs to be done to speed up the "preparation of flu vaccine for distribution to high-risk individuals," otherwise the vaccine campaign – currently scheduled to begin in mid October — will have potentially missed the peak of the epidemic, according to the report.

Monday’s report from the President’s Council of Advisors on Science and Technology, PCAST, shows a sober assessment of the dangers of a pandemic, but also serves as a pat on the back for a White House preparing for its first public health crisis.

"Based on the history of influenza pandemics over the past hundred years, PCAST places the current outbreak somewhere between the two extremes that have informed public opinion about influenza," states the report. "On the one hand, the 2009-H1N1 virus does not thus far seem to show the virulence associated with the devastating pandemic of 1918-19. On the other hand, the 2009-H1N1 virus is a serious threat to our nation and the world."

This is due to the likelihood that more people will be infected because so few people have immunity to the strain.

As a result, PCAST recommends that the Food and Drug Administration "accelerate a decision about the availability of antiviral drugs for intravenous use." The current expectation is that the vaccine will be available in mid-October.

PCAST says under its model scenario, "the resurgence of the epidemic would start in September and peak in mid-October. If this model is approximately correct with respect to timing, a vaccination campaign would not begin to protect vaccines until well after the epidemic had peaked."

Other recommendations include:

—- designating an individual, preferably the Homeland Security Advisor, to be responsible for coordinating all policy development for the 2009-H1N1 response;

—- identifying and protecting high risk groups;

—- that the Centers for Disease Control (CDC) clarify and strengthen its guidelines for use of antiviral drugs, including for treatment, pre-exposure, and post-exposure prophylaxis etc;

— that the CDC launch a "robust communications plan" prior to September 1 for public messages regarding medical and non-medical interventions.

Despite the long ‘to-do’ list, the Obama administration has thus far done a good job of preparing for a national outbreak, according to Harold Varmus, PCAST co-chair and President of Memorial Sloan-Kettering Cancer Center.

"The Federal Government’s response has been truly impressive and we’ve all been pleased to see the high level of cooperation among the many departments and agencies that are gearing up for the expected fall resurgence of H1N1 flu," he said.

PCAST is an advisory group made up of scientists and engineers that advise the President. Earlier this summer, President Obama asked PCAST to evaluate the 2009 H1N1 epidemic and the federal government’s response.

Reuters contributed to this report.

http://www.foxnews.com/story/0,2933,542083,00.html
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« Reply #271 on: August 29, 2009, 03:36:51 AM »

http://www.foxnews.com/story/0,2933,544262,00.html


WHO Warns of Severe Form of H1N1 Virus
Saturday, August 29, 2009 


Doctors are reporting a severe form of H1N1 that goes straight to the lungs, causing severe illness in otherwise healthy young people and requiring expensive hospital treatment, the World Health Organization said Friday.
Continue article at this link:  http://www.foxnews.com/story/0,2933,544262,00.html
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« Reply #272 on: August 29, 2009, 02:57:48 PM »

Please Watch and Listen

SAY NO To the SWINE FLU VACCINE !!!


<a href="http://www.youtube.com/v/An9lJH6zr08&amp;hl=en&amp;fs=1&amp;rel=0&amp;border=1" target="_blank">http://www.youtube.com/v/An9lJH6zr08&amp;hl=en&amp;fs=1&amp;rel=0&amp;border=1</a>


A Woman who is fighting for US - (( who has received death threats for her Stand))

<a href="http://www.youtube.com/v/GZ2w_GyoQIk&amp;hl=en&amp;fs=1&amp;rel=0&amp;border=1" target="_blank">http://www.youtube.com/v/GZ2w_GyoQIk&amp;hl=en&amp;fs=1&amp;rel=0&amp;border=1</a>
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« Reply #273 on: August 30, 2009, 02:59:48 PM »

Please Watch and Listen

SAY NO To the SWINE FLU VACCINE !!!


<a href="http://www.youtube.com/v/An9lJH6zr08&amp;hl=en&amp;fs=1&amp;rel=0&amp;border=1" target="_blank">http://www.youtube.com/v/An9lJH6zr08&amp;hl=en&amp;fs=1&amp;rel=0&amp;border=1</a>


A Woman who is fighting for US - (( who has received death threats for her Stand))

<a href="http://www.youtube.com/v/GZ2w_GyoQIk&amp;hl=en&amp;fs=1&amp;rel=0&amp;border=1" target="_blank">http://www.youtube.com/v/GZ2w_GyoQIk&amp;hl=en&amp;fs=1&amp;rel=0&amp;border=1</a>


Deenie, I'm with you. I never have taken any kind of flu vaccine.  But I'm in what they say is the risk zone.  I'm *considered, don't feel* elderly & have Type 2 diabetes.  I really get pressured to take it.  I still resist.   Had flu one time as a child, back when your mom sweated the gunk out of you by piling quilts on you and made you drink lots of homemade lemonade .... & one time really bad as adult about 17 yrs ago, took about a month to recover & was before diabetes.  But I still resist the shots, will put my faith in God to cover me & protect me and my family from it.

Could you give tell me the man's name in the video - or give a link to it pls.  I think he has more than one maybe?

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« Reply #274 on: August 30, 2009, 06:20:38 PM »

http://www.cdc.gov/h1n1flu/update.htm

U.S. Situation Update
Weekly Flu Activity Estimates



U.S. Patient Visits Reported for Influenza-like Illness (ILI)


U.S. Influenza-like Illness (ILI) Reported by Regions


Total U.S. 2009 H1N1 Flu Hospitalizations and Deaths
(As of August 27, 2009, 4:00 PM ET)  Reporting States and Territories* Hospitalized Cases Deaths
52 8,843 556
*Includes the District of Columbia, American Samoa, Guam, Puerto Rico and the U.S. Virgin
Islands.


International
Situation Update
Map of International Activity Estimates
(Including 2009 H1N1 Flu)


Key Flu Indicators

Each week CDC analyzes information about influenza disease activity in the United States and publishes findings of key flu indicators in a report called FluView. During the week of August 16-22, 2009, a review of these key indictors found that influenza activity is either stable, or is increasing in some areas.

Activity appears to be increasing in the Southeast based on influenza-like illness data reported by health care providers. Below is a summary of the most recent key indicators:

Visits to doctors for influenza-like illness (ILI) were highest in February during the 2008-09 flu season, but rose again in April 2009 after the new H1N1 virus emerged. Current visits to doctors for influenza-like illness are down from April, but are higher than what is expected in the summer and has increased over the last two weeks.

Total influenza hospitalization rates for adults and children are similar to or lower than seasonal influenza hospitalization rates depending on age group.

The proportion of deaths attributed to pneumonia and influenza (P&I) was low and within the bounds of what is expected in the summer.

Most state health officials are reporting regional or sporadic influenza activity. Two states (Alaska and Georgia) and Puerto Rico are reporting widespread influenza activity at this time. Any reports of widespread influenza activity in August are very unusual.

Almost all of the influenza viruses identified were the new 2009 H1N1 influenza A viruses. These 2009 H1N1 viruses remain similar to the viruses chosen for the 2009 H1N1 vaccine and remain susceptible to antiviral drugs (oseltamivir and zanamivir) with rare exception.

 
Continue to read article at this link:   http://www.cdc.gov/h1n1flu/update.htm

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« Reply #275 on: August 30, 2009, 06:25:09 PM »

http://www.cdc.gov/h1n1flu/updates/international/

2009 H1N1 Flu: International Situation Update
August 28, 2009, 11:00 AM ET


Map of International Activity Estimates
(Including 2009 H1N1 Flu)


This situation report provides an update to the international situation as of August 28, 2009. As of August 23, the World Health Organization (WHO) regions have reported over 209,438 laboratory-confirmed cases of 2009 H1N1 influenza virus (2009 H1N1) with at least 2,185 deaths. The laboratory-confirmed cases represent an underestimation of total cases in the world as many countries now focus surveillance and laboratory testing only in persons with severe illness. The 2009 H1N1 influenza virus continues to be the dominant influenza virus in circulation in the world. Decreases in disease due to 2009 H1N1 continue to be reported from South America and parts of Australia. The United Kingdom is also reporting national decreases in disease due to 2009 H1N1. In contrast, disease associated with 2009 H1N1 influenza is continuing to increase in southern Africa and more Africa countries have reported their first cases. In addition, 2009 H1N1 continues to circulate in tropical countries.

Selected Highlights
The 2009 H1N1 influenza virus is the predominant influenza virus in circulation worldwide.
The epidemiology of the disease caused by the 2009 H1N1 influenza virus in the Southern Hemisphere is very similar to that described in the United States this past spring.
There have been no significant changes detected in the 2009 H1N1 influenza virus isolated from persons in the Southern Hemisphere as compared to viruses isolated from persons in the Northern Hemisphere.
International Resources for 2009 H1N1 Information
Health Organizations
World Health Organization (WHO)
ECDC (European Centre for Disease Prevention and Control)
H2P (Humanitarian Pandemic Preparedness)
Public Health Agency of Canada
World Health Organization (WHO) Regional Offices
AFRO (WHO Regional Office for Africa)
AMRO (WHO Regional Office for the Americas) / PAHO (Pan American Health Organization)
EMRO (WHO Regional Office for the Eastern Mediterranean)
EURO (WHO Regional Office for Europe)
SEARO (WHO Regional Office for South-East Asia)
WPRO (WHO Regional Office for the Western Pacific)
Travel and 2009 H1N1 Flu
Human cases of 2009 H1N1 flu virus infection have been identified in the United States and several countries around the world. For information on 2009 H1N1 flu and travel, see the CDC H1N1 Flu and Travel website.

Reports and Publications
ECDC Interim Risk Assessment Influenza A (H1N1) 2009 Pandemic
Issued July 30, 2009 - This document provides an interim risk assessment of novel H1N1 flu in Europe prepared by ECDC.
World Health Organization Weekly Epidemiological record – Issued July 24, 2009
This document by WHO provides updates on the international novel H1N1 flu situation.
MMWR – Update: Novel Influenza A (H1N1) Virus Infection – Mexico, March-May, 2009 – Issued June 5, 2009 / Vol. 58 / No. 21.
This Morbidity and Mortality Weekly Report describes the novel influenza A (H1N1) outbreak in Mexico from March-May, 2009.
MMWR – Update: Novel Influenza A (H1N1) Virus Infections – Worldwide, May 6, 2009 – Issued May 8, 2009 / Vol. 58 / No. 17.
This Morbidity and Mortality Weekly Report describes worldwide novel influenza A (H1N1) infections as of May 6, 2009.

Please use link to access all material available in this article:  http://www.cdc.gov/h1n1flu/updates/international/
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« Reply #276 on: September 01, 2009, 06:02:27 PM »

http://www.who.int/csr/disease/swineflu/notes/h1n1_second_wave_20090828/en/index.html

WHO: Preparing for the Second Wave: Lessons from Current Outbreaks
Fri, 28 Aug 2009 12:30:00 -0500


Monitoring of outbreaks from different parts of the world provides sufficient information to make some tentative conclusions about how the influenza pandemic might evolve in the coming months.


Click on link to read entire article:
http://www.who.int/csr/disease/swineflu/notes/h1n1_second_wave_20090828/en/index.html
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« Reply #277 on: September 01, 2009, 06:05:54 PM »

CDC Updates International H1N1 Situation
Fri, 28 Aug 2009 12:30:00 -0500


As of August 23, the World Health Organization (WHO) regions have reported over 209,438 laboratory-confirmed cases of 2009 H1N1 influenza virus (2009 H1N1) with at least 2,185 deaths.

Click on link to read entire article:

http://www.cdc.gov/h1n1flu/updates/international/
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« Reply #278 on: September 01, 2009, 06:13:37 PM »

Vaccine Distribution Q&A
August 31, 2009, 10:15 AM ET

Introduction
The purpose of this document is to provide information on plans for distribution of 2009 H1N1 vaccine.


Background
2009 H1N1 vaccine will be distributed by CDC’s contractor for centralized distribution, McKesson Specialty.  2009 H1N1 vaccine distribution will be a health department managed process similar to the process for the Vaccines for Children (VFC) Program.  The distribution process for 2009 H1N1 vaccine builds on the existing mechanism for shipping vaccine to VFC providers. Vaccine orders will be submitted by Project Area health departments on behalf of vaccine providers. These orders will be transmitted to CDC and will be processed and forwarded to McKesson.  McKesson, in turn will ship vaccine directly to the end user. The centralized distribution contract for the VFC program has been supplemented to provide for 2009 H1N1 vaccine distribution and distribution of ancillary supply kits.

Questions and Answers
1. How will vaccine be allocated among project areas (the CDC Public Health Emergency Preparedness grantees)?
It is anticipated that vaccine will be allocated to each project area in proportion to its population (pro rata).

2. How will vaccine be shipped to project areas?
Vaccine will be shipped by CDC’s contractor for centralized distribution, McKesson Specialty, to hospitals, clinics, doctor’s offices, health departments, and other providers of vaccines that have been designated as vaccine-receiving sites by the Project Area (the project areas include all 50 states, the District of Columbia, 8 US Territories and freely associated states, and 3 large metropolitan health departments).

3. What kind of providers can be designated as vaccine recipients?
Providers that have the capability to receive, store and administer vaccine, including but not limited to provider offices, occupational health clinics, hospitals, local health departments, community vaccinators and pharmacies.

4. How many sites can a jurisdiction designate to receive vaccine?
There will be a maximum of approximately 90,000 sites to which vaccine can be shipped via centralized distribution. CDC is developing a formula to determine the maximum number of sites within each project area and it will be shared as soon as possible.

5. How will information about vaccine-receiving sites be transmitted to McKesson?
Programs will transmit orders to CDC as they do with VACMAN currently and these orders will be sent to McKesson the morning after they arrive at CDC.  CDC is working with McKesson to determine how the vaccine and ancillary supply components of the orders will be handled and the shipment timeline, relative to vaccine orders.

6.  Will VACMAN be able to handle the increased volume required for 2009 H1N1 vaccine distribution? 
CDC is working to ensure that the anticipated large volume of 2009 H1N1 vaccine orders flowing through CDC systems (VACMAN, NIPVAC, EDI, SDN, etc.) are ready to support your 2009 H1N1 vaccine order volumes.

7.  How will the transition to Vaccine Tracking System (VTrckS) impact the 2009 H1N1influenza program? 
CDC is assessing the impact of the 2009 H1N1 response on Vaccine Management Business Improvement Project (VMBIP) activities including the VTrckS deployment dates based on recent survey results and feedback from grantees. Upon completion of the assessment (by 9/8/09), CDC will make adjustments and contingency plans related to VTrckS deployment dates as necessary and will keep you informed of these changes. However, the top priority during the 2009 H1N1 influenza pandemic will be to maintain the flow of data and vaccines.

8. How long will it take for vaccine to arrive once I place my order?
The shipping timelines for 2009 H1N1 vaccine are currently being established between CDC and McKesson.  Information will be provided to state planners as soon as it is available.

9. What should project areas expect with respect to frequency of vaccine shipments?
Vaccine will be shipped as it becomes available, taking into account state allocations and orders. The process will be modeled after that utilized by immunization programs to order seasonal influenza vaccine off the federal contract, except for the shipment timeline, which is not yet finalized.  Details about CDC's ordering/allocation process for seasonal influenza are described in the all-grantee message sent to immunization program grantees on 8/11/2009 (Grantee message for allocation).

10. What ancillary supplies will be provided by the federal government?
Syringes and needles, alcohol swabs and sharps containers.

11. How will orders of ancillary supplies be transmitted?
Ancillary supply kits and sharps containers will be included in VACMAN as products, similar to individual vaccines.  States will place orders for these products and will transmit these orders just as vaccine orders are transmitted.   

12. Can vaccine be sent to one address and ancillary supply kits to another address?
Because of logistical considerations, vaccine and ancillary supply kit orders cannot be shipped to different addresses.

13. What is the minimum dose order for shipments of 2009 H1N1 vaccine?
For each vaccine formulation (identified by its National Drug Code) the minimum dose order is 100 doses and all orders must be placed in increments of 100 doses. Each ancillary supply kit will contain supplies to support 100 doses of vaccine, with different kits available for prefilled syringe products and for multi-dose vial products. 

14. What is the size of storage volume for each product type?
CDC will communicate the corresponding storage volume of 100 dose increments of each product type as soon as that information becomes available. 

15. Will Project Areas be able to determine where specific presentations of vaccine (multi-dose vials, single dose syringes, and nasal sprayers) are directed?
Project Areas will select the specific presentation of vaccine when ordering for providers in the VACMAN system. 

16. Can Project Areas request less than their full allocation?
Yes, Project Areas will not be required to accept vaccine they cannot store or administer.

17. If a Project Area requests less than their full allocation, will they have given up rights to the balance of their allocation?
Project Areas will not forfeit the remainder of their allotment if not all is ordered at one time. 

18. Can Project Areas share or exchange allocations of specific products with other Project Areas?
As with seasonal influenza vaccine, CDC will facilitate such exchanges.


http://www.cdc.gov/H1N1flu/vaccination/statelocal/centralized_distribution_qa.htm
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« Reply #279 on: September 01, 2009, 06:24:48 PM »

http://www.cdc.gov/H1N1flu/vaccination/pregnant_qa.htm

2009 H1N1 Influenza Vaccine and Pregnant Women: Questions and Answers
Tue, 01 Sep 2009 16:00:00 -0500



Why does CDC recommend that pregnant women receive the 2009 H1N1 influenza vaccine? Is there a particular kind of flu vaccine that pregnant women should get? Are there flu vaccines that pregnant women should not get? Will the seasonal flu vaccine also protect against the 2009 H1N1 flu? And more.

Click on link to read entire article:
http://www.cdc.gov/H1N1flu/vaccination/pregnant_qa.htm
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