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Mary008 View Drop Down
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.
 
 
So... which one of these scenarios is playing out?
.........................................................................
 
 
 
All scenarios were evaluated under the assumption that
 
vaccination takes place early enough
 
so that the vaccinated persons have developed immunity
 
before the introduction
 
of pandemic influenza A(H1N1) in the community.
.............................................................................................................................
 
(That right there seems to eliminate ...  everything ...    Let's get a Coke)
 

... starts early so that the first vaccinated persons develop an immune response

when the cumulative AR is 1%        ( laughed, Coke fizz went up my nose)
 
 
In all scenarios, 80% vaccination coverage was assumed (total coverage).
 
(80% of designated people vaccinated seems an unrealistic Goal)
 

Prioritisation scenarios as per CDC
...............................................................
........................................................................
...................................................................................
 
 
 
A)  If No Vaccine For Population
.......................................................

34.5%  of the population is expected to become ill.  
 
 
 
 
B)  Priority Groups
...................................
6 mo. to age 4 and high risk 5 to 18 yrs... Preg. women and caring for
children under 6 mo. ... Health Care/Emerg. personnel
 
Vaccination before epidemic would have negligible impact on  AR  (% of illness)
 
 

 
C)  Recommended Groups
...............................................

All of the people in B above plus,  6 months to age 24 and high-risk

individuals 25- to 64 years.

Vaccinating them before the epidemic   over all    and age specific

AR (Illness Attack Rate)  in the range of Seasonal Flu...   5% to 15% illness.
 
 
 
D)  Vaccinating early       DURING     the >>>> epidemic
 
when illness is at or under 1%  ...a predicted result in Illness 15.2% -19.9%.
 
 
 
 
E)   If vaccination is initiated at a >>>   Later Stage ...

80% of the whole population vaccinated >>  at intensive daily vaccination rates,

would reduce illness to 15%
 
...........................................
 
source-
 
Eurosurveillance, Volume 14, Issue 41, 15 October 2009
A MODELLING STUDY TO ASSESS THE IMPACT
OF VACCINATION TIMING AND
PRIORITISATION STRATEGIES
 
 
 
......................
 
 
Mary008
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Fight erupts in line at Nevada swine flu clinic
...............................................................................
 
(AP) - 2 hours ago
 
 
RENO, Nev. - A fight broke out Thursday at a Reno, Nev., clinic giving shots for swine flu
 
when someone reportedly tried to cut in line.
 
 
D9BL2C
G00
 
 
 
Mary008
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Up to 5.7 mln US swine flu cases in four months: study
..................................................................................
 
 

(AFP)- 3 hours ago

 
 
WASHINGTON - Up to 5.7 million people in the United States may have been infected with
 
swine flu in the first four months of the outbreak, or more than 100 times the number of
 
laboratory-confirmed cases that were reported, a study said Thursday.
 

Article here-

 
 
 
..................
 
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File:Makkahi%20mukarramah.jpg
 
 
 
Saudis Try to Head Off Swine Flu Fears Before Hajj
............................................................................................
 
 
 
By DONALD G. McNEIL Jr.
Published: October 29, 2009
 
Every year, the single largest gathering on the planet is the annual pilgrimage to

Mecca: 2.5 million people from 160 countries packed into a small city in Saudi Arabia

for five days.
 
 
 
 
 
 
Mary008
 
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http://en.wikipedia.org/wiki/File:Portland_panorama3.jpg
Portland Oregon from the east. By en:User:Fcb981/Eric Baetscher
File:Portland%20panorama3.jpg
Portland Oregon by Eric Baetscher
 
 

 

 

More swine flu vaccine due next week; but shortage persists

 

By Don Colburn, The Oregonian

October 29, 2009, 3:30PM
 
 
As of Monday, Oregon had received only enough vaccine to inoculate about 6 percent of the nearly 2 million Oregonians in those high-priority groups.

About 90 percent of next week's shipment will be in the form of injectable vaccine rather than FluMist nasal spray, officials say.
 
 
Article here-
tml
 
 
 
 
Mary008
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Originally posted by Mary008 Mary008 wrote:


File:Makkahi%20mukarramah.jpg



Mary, Remind me to never wear a Flowered Hawaiian shirt in Saudi Arabia. I wouldn't blend in when on vacation.   
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perhaps something more subdued...   from the 60's?
 
File:Vintage%20aloha%20shirt.JPG
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.
 
 
You Can Get A Flu Test Kit
............................................
 
 
Go In With Friends/family?
 
 
(I have no connection)
 
 
 
From Amazon.com
 

QuickVue Influenza A+B test, 25 tests per Box

Other products by QUIDEL
No customer reviews yet. Be the first.
Price: $499.99
o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o
In Stock.
Ships from and sold by MedexSupply
 
 
 
 
 
 
Product Description
Quidel's CLIA-waived QuickVue® Influenza A+B test provides you with differential A or B test results allowing you to test and treat in just one visit. Prompt type-specific diagnosis enables a choice of antiviral therapy, helps avoid the overuse of antibiotics, and prevents healthcare costs related to unnecessary testing and treatment. The QuickVue Influenza A+B test has also been shown to detect cultured avian influenza viruses, including avian Influenza A subtype H5N1 virus; however, as with other rapid tests for influenza, the ability of the QuickVue Influenza A+B test to detect influenza Type A in patients infected with H5N1 has not been established. The QuickVue Influenza A+B test is CLIA waived, sensitive and specific, giving you the results you need. Right. Now. Rapid Diagnosis and Treatment Identifies influenza Type A or B in positive samples,
 
 
in about 10 minutes, for better patient management decisions. Most patients tested can be diagnosed and treated in just one visit. Accurate Detection QuickVue® Influenza A+B test detects both types A and B viral antigens. Accurate detection with nasal swab samples: 94% sensitivity and 90% specificity for type A 70% sensitivity and 97% specificity for type BEasy to Use 3 steps 1 reagent, 90 seconds hands-on time. 1 test procedure provides results for both A and B.
 
 
 
Convenient Packaging Each kit contains everything needed to perform the test, including foam-tipped nasal swabs and Positive and Negative Controls. Available in 25-test kit. Room temperature storage with 24-month shelf life from date of manufacture. Transport swab set also available separately. Features and Benefits:Feature: Provides A or B results from one test procedure.Benefit: No redundant procedure required for differentiated results The product referenced on this detail page is sold be 25/bx.
 
 
 
 
 
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Vaccine Availability Plummets in Canada...
 
check the comment section
 
VIDEO
...........
 
 
 
 
...................
 
 
 
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In Misstep, Schools Vaccinate 2 Without Parental Consent
..........................................................................................................
 
 
By ANAHAD O’CONNOR
Published: October 29, 2009

In a minor setback for New York City's effort to vaccinate schoolchildren against swine
flu, two students were inadvertently vaccinated without the consent of their parents,
city health officials said Thursday.
 
 
 
 
.......................................................................................
 
 
 
 
Students were given parental consent forms and, if signed, were able to get the H1N1
 
vaccine from the school nurse.
 
At this point, less than half of the parents have signed the form.
 
 
Governor Paterson denies declaring New York Swine Flu emergency
October 30, 4:20 PMNY Page One Examiner
Molly Zelvonberg
 
 
 
 
 
 
 
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.
 
 
 
 
 
 
 
Flu Shot Locator
............................
........................................
......................................................
..................................................................
 
 
 
 
 
...................
 
 
 
 
 
Mary008
 
 
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http://en.wikipedia.org/wiki/File:Verkhovna_Rada_Ukrainy.jpg

File:Verkhovna%20Rada%20Ukrainy.jpg
 
Parlament of Ukraine     photo by  Jurij Skoblenko aka Olduser
 
 
 
 
 

www.ukranews.com
.....................................
 
 
 
Ukraine
.............
......................
..................................
 
 
 
(14:22, Friday, October 30, 2009)

 
 
Ukraine Cabinet of Ministers has prohibited mass gathering of
 
people and introduced a three week holiday for educational institutions.
 
 
 
 ..................................
 
 
 
 
 
 
Mary008
 
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Ukraine sounds swine flu alarm
Published 30 October, 2009, 15:35
Edited 30 October, 2009, 18:53
 
 
VIDEO
 
http://www.russiatoday.ru/Top_News/2009-10-30/ukraine-sounds-swine-flu.html
 
 
 
 
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114 pediatric deaths... 2/3 had underlying conditions.   out of a population of 300 Million
.....................................................................................................................................
 
 
There could be more.... but this is low for our population.... 36,000 deaths for normal flu season.
 
 
Enough Vaccine for Young Kids and High risk groups.... more coming
.............................................................................................................
 
not seeing a spread of seasonal influenza yet....       (coming Nov- Dec.)
H1N1 Flu (Swine Flu) Press Updates
..............................................................
 
 

October 30, 2009

.
............
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.
 
Posted: Yesterday at 4:20pm
.
 
 
Do you want Your Pharmacist to Vaccinate?
 
 
 
Governor Paterson denies declaring New York Swine Flu emergency
.....................................................................................................................
 
 
October 30, 4:20 PMNY Page One Examiner
Molly Zelvonberg
 
 
.................
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Not a lot of new news here...  but another source to read if you like.
 
 
 
 
ProMed Mail on the UKRAINE
.................................................
 
 

< id=Back ="doSubmit'Back';" = value=Back>
Archive Number 20091031.3764
Published Date 31-OCT-2009
Subject PRO/AH/EDR> Influenza pandemic (H1N1) 2009 (80): Ukraine susp. RFI
INFLUENZA PANDEMIC (H1N1) 2009 (80): UKRAINE, SUSPECTED, REQUEST FOR  
INFORMATION
*******************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Fri 30 Oct 2009
Source: Digital Journal [edited]
40http://www.promedmail.org/pls/otn/f?p=2400:1001:57555::NO::F2400_P1001_BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,79885
 
40 000 contract serious virus in Ukraine, 30 dead
9885
 
 
 
 
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Notice Information: - Warning - 14/10/2009

Title:
Important Safety Warning: Relenza inhalation powder must not be nebulised or administered by mechanical ventilation.

Product:
Relenza

Issue:
Relenza 5mg/dose, inhalation powder is not intended to be reconstituted in any liquid formulation and is not recommended for use in any nebulizer or
mechanical ventilator. This applies to all presentations of lactose-containing zanamivir inhalation powder (Relenza Diskhaler or Rotacaps).

Background Information / Related Documents:
 GlaxoSmithKline (GSK) has received a report of the death of a patient with influenza who received Relenza 5mg/dose, inhalation powder, pre-dispensed which was solublized and administered by mechanical ventilation. GSK is aware that Relenza 5mg/dose, inhalation powder, is being removed from its approved packaging and dissolved in various solutions for the purpose of nebulizing zanamivir for inhalation by patients with influenza who are unable to take oral medications or unable to inhale Relenza 5mg/dose, inhalation powder using the Diskhaler or Rotacaps.

 
Relenza 5mg/dose, inhalation powder is not intended to be reconstituted in any liquid formulation and is not recommended for use in any nebulizer or mechanical ventilator.


 This applies to all presentations of lactose-containing zanamivir inhalation powder (Relenza Diskhaler or Rotacaps).

 

Relenza or zanamivir for nebulization has not been approved by any regulatory authority and the safety, effectiveness and stability of zanamivir use by nebulization have not been established.


Relenza 5mg/dose, inhalation powder should only be used as directed in the prescribing information by using the Diskhaler or Rotacaps devices provided with the drug product.


Relenza 5mg/dose, inhalation powder is a mixture of zanamivir active drug substance (5 mg) and lactose drug carrier (20 mg).


This formulation is not designed or intended to be administered by nebulization. There is a risk that the lactose sugar in this formulation can obstruct proper functioning of mechanical ventilator equipment.

Further Information:
Relenza DHCP Warning

 
 
 
 
 
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Complete Info Here-
 
 
 
EU Population
.........................
 

(most likely Scenario C.)

Scenario C
Hong Kong flu-like
number of cases 175 million (35%)                       Deaths 175 000 (0.1%)
 

Scenario C. Hong Kong flu-like experience
 
 
(high attack rate; moderate case-fatality rate)
 
A further scenario of what could happen in the EU can be described as that similar to the Hong Kong flu in 1968
when the disease showed high attack rates in all age groups (as most of the population had not previously been
exposed to the virus) but moderate case-fatality rate (comparable to that of seasonal flu) [38].
 

Scenario D. Spanish flu-like experience
 
(high attack rate; high case-fatality rate)
As the worst case scenario, the Spanish flu in 1918 provides a good model. Attack rates were high (about 35% on
average, comparable to those observed in the following pandemics) but the case-fatality rate was extremely high
(3% in young adults and up to 6% in more vulnerable people) [39].
 

ii It should be recalled that even seasonal influenza accounts for a variable amount of mortality each year. For example, the last
season seems to have seen higher mortality than usual with the circulation of A(H3N2) viruses. See Nogueira PJ, Nunes A,
Machado E, Rodrigues E, Gómez V, Sousa L, Falcão JM. Early estimates of the excess mortality associated with the 2008-9
influenza season in Portugal http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=19194.
 
 
 
The majority of influenza A(H1N1)v cases reported
are children and young adults.
 
In Europe 77% of
cases are <30 years old [43].
 
 
In the US 60% of
cases are <18 years [44].

From seasonal influenza
it is known that the rate of severe complications is
highest among children less than 2 years old and
those who have high-risk medical conditions.
 
 
 
..................
 
 
 
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clinics have been closed so that health-care workers can concentrate on immunizing Albertans in high-risk groups

...................................................

 

 


I'm wondering if there is a concern about giving FluMist... I think it is crazy to

give this ... Pandemic virus ....  that goes right to the lungs, the way this does

In any vaccine form other than  >>>  dead  >>>> killed.


I think that is a good reason to stop Flumist vaccine in the schools.

It is too easy for little ones to give it to pregnant women and other vulnerable groups

before those groups are vaccinated.


What were they thinking?
..........................................


      

 Influeza   plus    MRSA     ='s    hemorrhagic pneumonia

 


........................................

 

 Posted: 10 July 2009 at 1:25am
 
 
H1N1 is showing signs that it can move outside the respiratory tract to other parts of

the body, something regular flu viruses normally do not do.
...................................................................................................
 

May cause systemic infection?    (we don't like to see the virus outside the lungs...)


They want to give this to children?
...........................................................

 

Please Read  and   r e m e m b e r   this     >>>>>
...............................................................................................

 

...It definitely causes local infection and may cause systemic infection. ...


From-

 
   Pulmonary Physicians of Tidewater, P.C.


Influenza
 

excerpt-

 

How about this nasal vaccine -Flumist - I've seen advertised on TV?

 

It costs more than twice as much as the injection, and insurance may not cover it for

adults. Medicare definitely will not cover it for those over 65.  This IS a live-virus

vaccine.  It can be spread to others, especially by health-care workers in contact with

the sick.  It definitely causes local infection and may cause systemic infection.  There is

frequent irritation and sniffles. 


We are not stocking it at our office.

 
Source-
http://lungdocs.com/id18.html

.. 

 


 
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.
 
 

FDA NEWS RELEASE

For Immediate Release: Nov. 2, 2009

Media Inquiries: Peper Long, 301-796-4671; mary.long@fda.hhs.gov
Consumer Inquiries: 888-INFO-FDA

FDA Publishes Guidance on Diagnostic Tests for 2009 H1N1 Influenza Virus

The U.S. Food and Drug Administration today published a guidance document that should help manufacturers develop diagnostic tests for the 2009 H1N1 influenza virus. Although there are not any FDA-approved or cleared tests that diagnose this specific infection, during this pandemic, manufacturers can submit a request to the FDA for an Emergency Use Authorization (EUA). If granted, the EUA will allow the test to be used during the national public health emergency declared by Department of Health and Human Services Secretary Kathleen Sebelius in April. This guidance document outlines what information the FDA recommends that manufacturers include in these EUA requests.

The EUA authority allows the FDA to authorize use of unapproved or uncleared medical products or unapproved or uncleared uses of approved or cleared medical products following a declaration of emergency, when certain criteria are met. The authorization ends when the declaration of emergency is terminated or the authorization is revoked by the FDA.

The EUA authority is part of Project BioShield, which became law in July 2004.

While the FDA encourages manufacturers to submit appropriate premarket applications for these tests, the agency also recognizes that it may not be possible to generate complete clinical validation data that would normally be included in an application. However, this guidance outlines information the FDA recommends be included, and the FDA gives these requests thorough and careful review to protect the public health.

During this declared public health emergency, manufacturers of 2009 H1N1 influenza virus tests that are unable to submit a complete premarket notification may use the guidance to submit a request for an EUA.

The guidance document is part of the FDA’s ongoing efforts to provide public health authorities managing the pandemic with reliable and accessible diagnostic tests. The guidance is available online at http://www.fda.gov/downloads/MedicalDevices/DeviceRegulationandGuidance/GuidanceDocuments/UCM188679.pdf, and will remain in effect throughout the public health emergency.

For more information:

The FDA’s Guidance Document on 2009 H1N1 Influenza Virus Diagnostics
http://www.fda.gov/downloads/MedicalDevices/DeviceRegulationandGuidance/GuidanceDocuments/UCM188679.pdf 
The FDA’ Emergency Use Authorization of Medical Products
http://www.fda.gov/RegulatoryInformation/Guidances/ucm125127.htm
The FDA’s Emergency Use Authorization Questions and Answers
http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm153297.htm

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