05/03 | Daily BF: 'Worst case' bird flu pandemic underestimated: RMS

PCViking

Lutefisk Survivor
Link to yesterday's thread: http://www.timebomb2000.com/vb/showthread.php?t=195814

Human Cases

Since January, 2004 WHO has reported human cases of avian influenza A (H5N1) in the following countries:

* East Asia and the Pacific:
o Cambodia
o China
o Indonesia
o Thailand
o Vietnam

* Europe & Eurasia:
o Azerbaijan
(see update)
o Turkey

* Near East:
o Egypt
o Iraq

For additional information about these reports, visit the
World Health Organization Web Site.

Updated April 3, 2006

Animal Cases

Since December 2003, avian influenza A (H5N1) infections in poultry or wild birds have been reported in the following countries:

* Africa:
o Burkina Faso
o Cameroon
o Niger
o Nigeria
o Sudan

* East Asia & the Pacific:
o Cambodia
o China
o Hong Kong (SARPRC)
o Indonesia
o Japan
o Laos
o Malaysia
o Mongolia
o Myanmar (Burma)
o Thailand
o Vietnam

* South Asia:
o Afghanistan
o India
o Kazakhstan
o Pakistan

* Near East:
o Egypt
o Iraq (H5)
o Iran
o Israel
o Jordan

* Europe & Eurasia:
o Albania
o Austria
o Azerbaijan
o Bosnia & Herzegovina
o Bulgaria
o Croatia
o Czech Republic (H5)
o Denmark
o France
o Georgia
o Germany
o Greece
o Hungary
o Italy
o Poland
o Romania
o Russia
o Serbia & Montenegro
o Slovak Republic
o Slovenia
o Sweden
o Switzerland
o Turkey
o Ukraine
o United Kingdom


For additional information about these reports, visit the
World Organization for Animal Health Web Site.

Updated April 24, 2006

http://www.cdc.gov/flu/avian/outbreaks/current.htm

WHO, Avian Flu Timeline in .pdf: http://www.who.int/csr/disease/avian_influenza/timeline.pdf

:vik:
 

PCViking

Lutefisk Survivor
'Worst case' bird flu pandemic underestimated: RMS
Tue May 2, 2006 1:30 PM ET

NEW YORK (Reuters) - Many companies are underestimating just how bad a bird flu epidemic could be, said Risk Management Solutions, which provides catastrophe risk management services.

The Newark, California risk modeler said many studies were using the 1918 influenza epidemic as their worst case scenario. That had a mortality of 0.67 percent in the United States-- or about 700,000 of the 105 million people who lived then. A similar epidemic now would kill just under two million.

An analysis of virology shows that more severe pandemics are possible and there is a one-in-five chance of a pandemic more severe than 1918,
RMS said.

A new RMS study quantifies not only the severity of a pandemic, but also the likelihood of it occurring, and such factors as infectiousness and lethality of the pandemic, demographic impact, country of outbreak, vaccine production and countermeasures.

"Pandemic influenza could potentially deal insurers a triple whammy, causing unprecedented life and health claims losses, investment portfolio downturns and reduced staff through the spreading of sickness among company personnel,"
said Dr. Andrew Coburn, RMS project lead on influenza pandemic risk modeling.

He said such a pandemic could last two to three years, making it essential for insurers to put in place a multi-year risk management strategy that considers the possibility that reinsurance would not be able to cover all the losses.

RMS will present its new model at a seminar on June 1 in New York City.

To date, there have not been any cases of transmission of the virus from person to person. Human cases have been contracted through contact with birds.

http://today.reuters.com/news/artic...33_RTRUKOC_0_US-FINANCIAL-BIRDFLUPANDEMIC.xml

:vik:
 

Fleataxi

Inactive
PC Viking:If RMS is quoting 2 Million dead in the US, THEY'RE badly underestimating the trickle-down effects of a pandemic. As caregivers, utility workers, etc either die or refuse to report to work, the cascade effect will cause the initial death toll to increase geometrically.

Some estimates that take into account the cascade effects are calling for anywhere from 30-100 million deaths in the US.

Food and other supplies are "just in time" inventory with maybe a 3-day supply of food at the grocers, and 1-2 weeks at major distributors.

The entire infrastructure is predicated on electricity, and if the maintenance workers called in sick, it wouldn't take long for the system to break down.

If Police/Fire/EMS were equally effected, combined with the lack of food/medical/electricity, the cities would soon erupt with rioting.

The National Guard would be hard pressed to stop dozens or hundreds of urban riots/looting at once, and the system would finish collapsing.

Fleataxi
 

New Freedom

Veteran Member
http://www.cnn.com/2006/HEALTH/conditions/05/02/us.birdflu.ap/index.html


Report: U.S. bracing for massive flu disruptions

Tuesday, May 2, 2006; Posted: 9:24 a.m. EDT (13:24 GMT)


WASHINGTON (AP) -- Employers should have plans to keep workers at least 3 feet (1 meter) apart, colleges should consider which dormitories could be used to quarantine the sick, and flight crews should have surgical masks to put on coughing travelers under a draft of the government's pandemic flu plan obtained by The Associated Press.

The Bush administration forecasts massive disruptions if bird flu or some other super-strain of influenza arises in the United States. A response plan scheduled to be released at the White House on Wednesday warns employers that as much as 40 percent of the work force could be off the job and says every segment of society must prepare.


"The collective response of 300 million Americans will significantly influence the shape of the pandemic and its medical, social and economic outcomes," says an undated 228-page draft version of the report that had not been finalized. "Institutions in danger of becoming overwhelmed will rely on the voluntarism and sense of civic and humanitarian duty of ordinary Americans."

An outbreak could lead to a variety of restrictions on movement in and around the country, including limiting the number of international flights and quarantining exposed travelers. But the government does not foresee closing U.S. borders to fight the spread of flu, in part because it would only slow the pandemic's spread by a few weeks and because it would have such significant consequences for the economy and foreign affairs.

It is impossible to predict when the next pandemic will strike, or how great its toll might be. But concern is rising that the Asian bird flu, called the H5N1 strain, might lead to one if it eventually starts spreading easily from person to person.

So far, H5N1 has struck more than 200 people since 2003, killing about half of them. Virtually all the victims caught it from close contact with infected poultry or droppings.

With no border restrictions, pandemic influenza would arrive in the United States within two months of an outbreak abroad, the document estimates. But models of influenza's spread suggest that sealing the U.S. border would not only be impractical -- 1.1 million people cross the nation's 317 official ports of entry daily -- but it would only delay the inevitable by a few weeks, it says.

The report aims to energize the private sector, noting that 85 percent of the systems that are vital to society, such as food production, medicine and financial services, are privately run.

Not only would sick workers stay home, but so would anyone who was caring for ill family members, under quarantine because of possible exposure to the flu or taking care of children when schools shut down. The same could go for anyone who simply feels safer at home.

Last fall, President George W. Bush announced a $7.1 billion strategy to fight the next flu pandemic, focusing largely on public health preparations, including plans to stockpile enough bird flu vaccine for 20 million people and anti-flu drugs for 81 million. So far, the stockpile contains enough vaccine for 4 million people and medication for 5 million.

This new report is Step 2, outlining how every branch of government would have to work with federal health officials to try to contain a pandemic and minimize its damage to the economy and society.
 

New Freedom

Veteran Member
http://www.usatoday.com/money/companies/management/2006-04-30-avian-flu-usat_x.htm


Few U.S. companies are prepared for bird flu outbreak

By Del Jones, USA TODAY

In Asia, where the bird flu threat is real and people have more to fear than in the USA, companies have taken to putting out bowls of bleach, ammonia or chlorine to make the office smell clean and put employees at ease.

Such measures seem borderline comical to U.S. companies where high-level teams have started to brainstorm about what they would do if bird flu mutates into a global nightmare and begins to spread from person to person. The problem is, if a pandemic breaks out, the majority of solutions U.S. companies have come up with will seem almost as cosmetic as the aromatherapy in Bangkok.

Just 15% of large U.S. companies have any bird-flu plan, according to a survey in March by human resources consultant Watson Wyatt Worldwide. That's starting to change:

• Corning started its corporate pandemic preparedness team in mid-2005.

• Best Buy has a bird flu team under orders to report to company leadership by October.

• Mutual of Omaha's plan includes flexible hours to reduce building population. It just launched Germ Buster, CEO Dan Neary says, an employee education campaign focused on hygiene.


One of the more extreme examples is biotechnology company Biogen Idec, which says it formed a bird-flu team in September that meets every two weeks. Recommendations include a "3-foot rule" that prohibits handshaking, head-count restrictions on elevators, stations with alcohol-based hand-cleaning gel, and more frequent cleaning of bathrooms.

"Obviously, we view this as a work in progress," says Jose Juves, one of 11 on the Biogen avian-flu steering committee.

The real issue is absenteeism, which the World Health Organization (WHO) predicts could climb above 40% and last for weeks. Boeing is trying to determine if it can operate with 30% of its 160,000 employees out.

"We usually don't share specifics, because it's a security issue," says Boeing spokeswoman Kelly Donaghy. "Can you plan for everything? Absolutely not. We're going to be prepared the best we can. Shame on us if we don't at least think about it ahead of time."

Emcor Group, a commercial-building management company, feels secure in that only 100 of its 27,000 employees work at corporate headquarters in Norwalk, Conn. Likewise, Xerox has only 350 of its 30,000 U.S. employees working at Stamford, Conn., headquarters, and even the 8,000 employees concentrated in Rochester, N.Y., are scattered among several buildings. Telecommuting is an option, says Patricia Calkins, Xerox vice president of environment, health and safety. But she did not readily know what percentage of employees have company-issued laptops with secure IDs that would let them remotely access the Xerox system.

More than 200 companies paid $1,800 each in registration fees to send a representative to a two-day conference on business planning for bird flu in December sponsored by the University of Minnesota Center for Infectious Disease Research and Policy and the Minnesota Chamber of Commerce.

Those representatives come back reciting the wonders of sterilized doorknobs, brown-bag lunches, windows open to the fresh air, larger meeting rooms and an employee population educated enough to refuse to shake hands or crowd onto elevators. They also speak of telecommuting, videoconferencing, flexible hours and relying on e-mail and BlackBerrys for conversations across the room, all examples of what is known as "social distancing" among the growing ranks versed in flu-speak.

Few absolute solutions

But when pressed, companies say there is little they will be able to do if H5N1 avian flu morphs into a highly contagious and deadly virus like the Spanish flu pandemic of 1918-19. It killed about 50 million people, more than 500,000 in the USA. But this time, the flu would leap across oceans in hours to be transmitted by people who won't feel symptoms for up to four days.

The WHO calls this worst-case scenario Phase 6. Consumers and employees alike would hunker down at home, costing the global economy $1 trillion, the World Bank estimates. Health and Human Services Secretary Michael Leavitt says 92 million Americans could get sick.

The good news is that Phase 6 is far from certain. So far, there have been 205 confirmed cases of bird flu in humans who contracted the flu because they lived among and came in contact with diseased birds, mostly in Asia. The latest came Thursday when it spread to an 8-year-old girl in China. But if the virus one day begins to spread from human to human and the mortality rate is anywhere near 50%, it's easy to imagine unprecedented consumer fear and employees who value their lives more than their jobs. That could cripple the global economy and make corporate doorknob cleaning and catchphrases such as social distancing seem absurdly shallow.

Bird flu might never morph into human-to-human transmission, or if it does, it could be a less deadly strain that can be controlled like the 2003 outbreak of Severe Acute Respiratory Syndrome (SARS). In that case, articles such as this one were destined to be thrown onto the bonfire of whipped-up scares. Remember Y2K hysteria? Trade association websites are rife with warnings about how the media can be expected to overreact if there is a pandemic, which could lead to irrational behavior.

"Most clients we're working with are still relatively confident that life will go on," says Bob Wesselkamper, practice director of international consulting for Watson Wyatt.

Planning for the worst

But disaster planning by definition requires planning for the worst. Consultants that are positioning themselves for bird flu mania, including Deloitte & Touche and Mercer Human Resource, advise companies to use their imaginations. It's easy to imagine corporate buildings as ghost towns; it's just not easy to imagine how to avoid it. Would a pool of retirees be of any help when older people would be the most vulnerable to fatalities? There isn't much a company can do to prepare, says Fred Crosetto, CEO of Ammex, maker of the N95 face masks that protect people from the spread of the virus.

Popeyes Chicken & Biscuits CEO Ken Keymer says a 1918-like pandemic is highly unlikely, and his company is focused more on its contingency plans for Phases 1 to 5. But what if the worst becomes reality? Keymer pauses on the phone. "I'm not even sure. That scenario would shut down all commerce," he says. He starts to envision a business opportunity for home food delivery as people cocoon. But he all but dismisses it as too labor-intensive and impossible if Popeyes employees are home sick, home because they are afraid to get sick or home with their children because schools are shut down. Some employees would die. Others would be devastated with grief.

Sales of the N95 mask made by Ammex are up 500% in a year to 5 million a month, and the company will soon double its capacity. Ammex employees are among the best-informed about bird flu. Even so, Crosetto says, his company could suffer 40% absenteeism. It would be the same for most companies and would cripple just-in-time supply chains, causing shortages, and could lead to Hurricane Katrina-like panic and looting.

Some companies can likely operate with nearly half their employees gone. Most could operate for a short time by doing the 20% most-critical activities, says Robert Dyson, a business continuity specialist at management consulting firm Accenture. But it can't be pulled off without planning, he says.

Even those that plan must worry about their suppliers. "Our business is not an isolated entity," says Biogen's Juves. "Involving people from outside the company will be essential if avian flu risk escalates."

Emcor manages 1 billion square feet of office and industrial space for clients including British Airways, JPMorgan Chase and the U.S. State Department. Most companies are thinking about how to alleviate fears enough to get employees to come to work. But Emcor CEO Frank MacInnis says that in a worst-case scenario, companies will be trying to keep non-critical employees out of buildings so that essential workers can work safely and spread out one or two to a floor. Even then, ventilation systems will need to be adjusted to bring in outside air through ultraviolet filtration, MacInnis says.

Long absences would hurt

Most companies could survive absenteeism if it doesn't last long. But it could drag on. Xerox says it has been advised by government officials to plan for 30% to 50% absenteeism for up to six weeks. "If governments tell us to shut down, we'll do that," Calkins says.

The pandemic could even last in waves up to 18 months as it comes to a city, leaves for a while, then returns. Hit first and hard would be airlines, despite assurances by the Air Transport Association that fliers could be safer on a plane than in an enclosed room because of better air circulation and filtration. The Centers for Disease Control and Prevention will soon have quarantine rooms set up at 25 airports staffed by 100 employees.

Next will be shopping malls, movie theaters, sports arenas, casinos, restaurants and labor-intensive industries, which might explain why AMC and Regal theaters, shopping mall operator Macerich, turkey processor Hormel Foods and Air Japan were among the companies that declined comment.

"At this time, we won't be sharing any details of our plans," says Wal-Mart's Sharon Weber. "Needless to say, whatever happens, the safety and well-being of our customers and associates will be at the top of our priority list."

Popeyes has more reason than most to stay silent, which is why CEO Keymer says it's better to talk. Chicken sales have plummeted in Asia and dropped off in Europe even though the flu can't be spread through cooked poultry. The lesson learned is to aggressively educate consumers and employees to ease fears, Keymer says.

Another lesson is to sell something other than chicken. Popeyes won't be introducing hamburgers or lasagna, Keymer says, but it will promote the seafood it already has on the menu if the public avoids anything with feathers.

MacInnis, 58, says he's old enough to remember when swimming pools were closed down during the polio scare. Few companies have come to grips with the possibilities of avian flu, he says.

The starting gun will be with the first person-to-person fatality followed by wall-to-wall news reports and Google map mash-ups tracking the flu's spread from ZIP code to ZIP code. Or sooner.

"Just imagine the situation that is going to break loose when the first duck, swan or fowl is found floating in some Midwest lake," Crosetto says. "If it makes the jump to human-to-human, then it is going to get crazy."
Posted 4/30/2006 11:15 PM ET
 

New Freedom

Veteran Member
http://www.usatoday.com/news/health/2006-04-24-flu-quarantine_x.htm


Plan to detain sick fliers opposed
Posted 4/24/2006 11:13 PM ET

CDC PLAN

What would happen in a passenger quarantine, under CDC's proposal:

• Government could detain people for up to three days without proof they were sick.

• Airlines would store passengers' personal information, including names of travel companions, in databases.

• Flight and ship crews with no medical training would be in charge of identifying potentially sick people.

• Other passengers would be notified that they may have been exposed.


By Mimi Hall, USA TODAY

Health experts, airlines and civil libertarians are demanding that the government reconsider proposed quarantine rules that would battle an avian flu pandemic by detaining sick airline and ship passengers.

The rules would require airlines and cruise ship operators to collect personal information from all passengers and report sick ones to the government. Critics say the plan is difficult, costly and in violation of passengers' rights.


"What they're proposing is nonsensical," says Tara O'Toole, director of the Center for Biosecurity at the University of Pittsburgh Medical Center. "The notion of trying to screen airline passengers is wrong. ... People are going to be contagious without being symptomatic."

A key — and controversial — provision would require that airlines ask passengers to give detailed contact information, the names of traveling companions and information about their travel plans. Airlines would have to store the information for at least 60 days and provide it to the federal Centers for Disease Control and Prevention (CDC) within 12 hours if the government asked for it.

The CDC plan was prompted by concerns about the possibility of a flu pandemic that could sicken and kill millions of people. The government's goal would be to identify sick passengers so they don't further spread the disease.

"The federal government feels it has a responsibility to notify people who have been exposed to a communicable disease while traveling," says Ram Koppaka, chief of the Quarantine and Border Health Services branch of the CDC.

The job of identifying which passengers are sick and should be held would fall to flight attendants, pilots and cruise ship crews, who would be told to watch for signs of fever, coughing and other symptoms. Passengers identified as sick could be held at the terminal for three days while their condition was evaluated.

Barry Steinhardt of the American Civil Liberties Union says the CDC should drop the proposal. He says it would give the government a "free pass" to detain people. "We couldn't do this to a criminal," he says.

The airline industry also opposes the proposal, which by CDC estimates could cost the industry more than $100 million to create and maintain a huge database of passenger information.

Georgina Graham, the head of global security at the International Air Transport Association, said airlines can't afford to set up the massive databases needed to store so much data.

Graham also said it would be difficult to keep the information secure, and that the job of identifying sick people shouldn't be left up to flight crews who have no medical training. She said it's likely that foreigner passengers would balk at providing personal information to be held by the U.S. government.

"It's not in our interests to have an outbreak," she said. "But the burden shouldn't be solely on the industry."

Koppaka said the CDC is reviewing the comments filed in response to its proposed new requirements. "We take the input very seriously," he said. He did not provide a timetable for when revised requirements would be made public.

Symptoms of avian influenza in humans can be mild, such as fever, cough, sore throat, and muscle aches. More severe reactions include eye infections, pneumonia and potentially life-threatening respiratory diseases, according to the CDC.
 

New Freedom

Veteran Member
http://news.yahoo.com/s/nm/20060503...wlZ.3QA;_ylu=X3oDMTA5aHJvMDdwBHNlYwN5bmNhdA--


US bird flu plan stresses school closures

By Maggie Fox, Health and Science Correspondent

WASHINGTON (Reuters) - A White House bird flu "implementation plan" sets out detailed plans for closing schools in case of a pandemic, and asks businesses to let employees stay home without sanction, an official familiar with the plan said on Wednesday.

It is also blunt about how little the country can do to defend itself from a pandemic of influenza, giving details of how quarantines and border closures are likely to be futile.

The plan lays out 300 "very specific" tasks for each U.S. federal government agency, said the official, who spoke only on the condition that he not be identified.

The plan assumes the worst -- that if an influenza pandemic begins it will be months, if not years, before the best defense, a vaccine, can be formulated and manufactured.

Meanwhile, society will have to hunker down and let the disease run its course. The plan aims to minimize the damage.

The government is assuming that 40 percent of the work force will be absent at the peak of a pandemic, and it is based on a worst-case scenario in which 1.9 million Americans die from the virus and as many as 30 percent become infected.

President George W. Bush announced the initial plan in November, and asked Congress for $7.1 billion to fund it. Congress has approved half that amount, but the Health and Human Services Department has expressed confidence that the rest will come when details about how it will be spent are available.

There is wide disagreement on how best to react to a pandemic. The U.S. Centers for Disease Control and Prevention and the Department of
Homeland Security have a written agreement on how to isolate people at borders or on airplanes who appear to be carrying bird flu.


HARD TO CONTROL VIRUS

But the CDC has said it is unlikely to use forced quarantine except in unusual circumstances.

"The reality is because of the way flu acts, quarantine is hard to make work," the official said. People can transmit flu before they look or feel sick so instead, the plan relies on voluntary quarantine -- asking people to stay home if they are ill, for instance.

Similarly, closing borders would likely only delay the arrival of the virus by a week or so, the official said. "We are pretty blunt about what we think that will and will not do," he said.

For instance, even if it were possible to keep out 90 percent of people trying to enter the country, it would "buy you maybe a week or two," he said. "If you bring that up to 99 percent, it might buy you another week or two."

So it is better to concentrate on reducing transmission as much as possible, and that means going to the ground zero of any epidemic -- the schools.

"Certainly school closure is something communities need to look at," the official said.

And the seven experts who have written the plan have considered what that would mean for working parents who may have no way to care for their children.

"We think it would be irresponsible for us to say we need to shut down schools without saying what that means for families, and for business," the official said, adding that employers would be encouraged to provide "liberal leave" policies for employees who may need to care for ill relatives, for children out of school, or for those simply afraid to come to work.

Businesses will be encouraged to let employees telecommute wherever possible, the official said. The plan gives no details on ensuring the Internet and telecommunications can withstand the strain, however, he said.

The H5N1 avian flu virus does not easily infect people, but has sickened 205 people and killed 113 of them in nine countries, according to the
World Health Organization.

With a few mutations it could become easily transmitted from person to person and spark a pandemic. And experts say H5N1 looks closer to doing this than any other new flu virus seen in the past 30 years.
 

PCViking

Lutefisk Survivor
Posted on Wed, May. 03, 2006

Report: Federal bird blu aid may be tough

LAURAN NEERGAARD
Associated Press

WASHINGTON - States, cities and businesses should not expect to be rescued by the federal government if a flu pandemic strikes, warns a draft of the latest national response plan, one already under fire from critics who say federal preparations are moving too slowly.

On Wednesday, the Bush administration will update the $7.1 billion pandemic preparations it proposed last fall, an incremental step that basically outlines exactly which government agency is responsible for some 300 tasks.

"This would really be a road map," White House spokesman Scott McClellan said Tuesday. "It will cover both the government and nongovernment actions that are being taken to plan and prepare for any potential pandemic."

A draft of the document, obtained Monday by The Associated Press, provides little new information on government preparations - but instead offers an acknowledgment that even the most draconian steps would almost certainly fail to keep a flu pandemic from penetrating U.S. borders.

The messy medical reality is that people can spread flu a full day before they show symptoms, meaning even shutting U.S. borders against outbreaks abroad offers no reassurance that a super-strain isn't already incubating here.

The government is preparing for a worst-case scenario of up to 2 million deaths in the United States.

Once a pandemic begins, expect massive disruptions with as much as 40 percent of the work force off the job for a few weeks at a time, even if the government slowed the spread by limiting international flights, quarantining exposed travelers and otherwise restricting movement around the country, the document says.

"Local communities will have to address the medical and nonmedical impacts of the pandemic with available resources," the draft warns, because federal officials won't be able to offer the kind of aid expected after hurricanes or other one-time, one-location natural disasters.

A flu pandemic instead would roll through the country, causing six to eight weeks of active infection per community.

The report aims to energize the private sector, noting that 85 percent of the systems that are vital to society, such as food production, medicine and financial services, are privately run. Those businesses must ensure that power stays on and food is shipped even if 40 percent of their workers are absent because they're ill, caring for sick relatives or other pandemic upheaval.

But the report doesn't actually put anyone in charge of checking whether vital businesses are heeding these warnings.

Few are, suggests a survey that found 66 percent of mid- to large-sized companies have made no preparations, said former Health and Human Services Secretary Tommy Thompson, whose new Deloitte Center for Health Solutions conducted the survey.

Businesses and local governments need specific instructions, he said.

"Everybody is asking, 'Well, we want to do something. How do we do it?'" said Thompson, who heard those questions Tuesday while addressing pandemic preparations at a Michigan law-enforcement conference. "We've got to be much more specific."

The incremental plan was drawing complaints Tuesday that despite months of dire talk about the threat of a pandemic, the Bush administration hasn't accomplished enough.

"Other nations have been implementing their plans for years, but we're reading ours for the first time now. These needless delays have put Americans at risk," complained Sen. Edward Kennedy, D-Mass.

Influenza pandemics strike every few decades when a never-before-seen strain arises. It's impossible to predict when the next will occur, although concern is rising that the Asian bird flu, called the H5N1 strain, might lead to one if it starts spreading easily from person to person.

ON THE NET

Heath and Human Services Department site on pandemic flu: http://www.pandemicflu.gov

http://www.aberdeennews.com/mld/aberdeennews/news/14484812.htm

:vik:
 

okie medicvet

Inactive
I have a morbid curiousity about something since I just finished reading Barry's book about the spanish flu. Isolated and indigenous peoples were far more severely affected by the flu and greater numbers died than among other populations. If that were to occur today, what 'isolated' populations are left that it would affect. And this flu began in a smaller vein and not as serious in the spring, but the following fall was when the more virulent strain struck...and while there were a few smaller successive waves, it lasted about a year and a half. So why, when we have airplane travel and people do not travel by ship, would it take so much longer for this strain of flu to work it's course around the world?
 

JPD

Inactive
WHO concerned over consumption of bird flu-infected poultry

http://www.tmcnet.com/usubmit/2006/05/03/1636044.htm

(Japan Economic Newswire Via Thomson Dialog NewsEdge)HONG KONG, May 3_(Kyodo) _ The World Health Organization is concerned about poverty-stricken people in Southeast Asian countries who chose to consume bird flu-infected poultry rather than to write off their losses, a WHO scientist said Wednesday.


Tee Ah Sian, director for communicable diseases in the Western Pacific region, touched on the problem while addressing a bird flu pandemic preparedness planning conference in Hong Kong.

"In many poor countries, they do (eat infected chickens). The moment they see a poultry falling ill, they quickly cut it and eat it," she said.

Although scientific studies suggest humans need not fear getting the deadly H5N1 strain of bird flu virus from consuming infected chickens if they are well-cooked, Tee warned that environmental factors could play a role in transmitting the disease.

"The chicken is safe to eat if it is well-cooked, provided that the people preparing the chicken have not contaminated themselves from somewhere. It's not only direct contact with the chicken, sometimes the virus is in the environment. If you infect yourself from the environment, you can also get (the virus) onto the chicken's body," she said.

Li Shichuo, a Chinese Health Ministry official, told the conference that Beijing has set up a cross-bureau emergency response network to bring a bird flu epidemic under control and offered extensive education programs and compensation funds for farmers.

"I cannot be sure that no one (would eat infected chickens), but mostly they should know to avoid eating infected poultry," he said, adding, "It is one of government's concerns. The education program is going well."

Hong Kong Health Secretary York Chow said he is worried about human cases of bird flu infection reported in recent months where the victims had no contact with poultry.

"The death rate is high in cases reported recently," Chow said. "It could be late diagnosis, or lack of inspections. Also, analyses found that some cases suffered from not only respiratory infection, other organs of the victims were damaged as well."

He suggested stockpiling different medications in case the virus does not only attack the lungs of patients.

Hong Kong will also discuss with Chinese authorities to hold a joint exercise later this year on contingency plans in case an epidemic occurs across the border.

Since 2003, 205 human bird flu cases have been reported in nine countries: Vietnam, Indonesia, Thailand, China, Cambodia, Azerbaijan, Egypt, Turkey and Iraq -- among them 113 fatalities, according to WHO figures. China has reported 18 cases of infection, of whom 12 have died.
 

JPD

Inactive
Expert: World should mount 'pre-emptive' strike against bird flu, prepare for pandemic

http://news.moneycentral.msn.com/provider/providerarticle.asp?feed=AP&Date=20060503&ID=5685076

SINGAPORE (AP) - A leading bird flu scientist says that while the 1918 flu pandemic that killed 40 (m) million people caught the world by surprise, experts are informed enough today to mount a pre-emptive strike.

The H-Five-N-One virus has emerged as a possible candidate to become the next pandemic flu strain. Experts fear the virus will mutate into a form that easily spreads from person to person.

But John Oxford, a professor of virology at Queen Mary's University of London, says the world has more knowledge and resources than in 1918 or even the smaller pandemics of 1957 and 1968.

He points to new antiviral drugs, new vaccines and at least some understanding of how the virus is transmitted. Oxford spoke at the opening of a major bird-flu conference in Singapore. But he notes that pre-emptive action will require greater resources.
 

Brooks

Membership Revoked
PCViking said:
The Newark, California risk modeler said many studies were using the 1918 influenza epidemic as their worst case scenario. That had a mortality of 0.67 percent in the United States-- or about 700,000 of the 105 million people who lived then. A similar epidemic now would kill just under two million.
I thought the generally accepted mortality rate from 1918 was in the range of 2.5 to 5%. At any rate, h5n1 is currently killing more than 50%, and that assumes a degree of medical care that would not be available during a pandemic. It's obscene they would use 2 million as the worst case. If h5n1 becomes very infectious (which is part of the worst case analysis), the mortality rate would be vastly higher than 2 million even if it mutates to become much milder than at present.
 
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<b><center>Report:
<font size=+1 color=brown>Federal Bird Flu Aid May Be Tough</font>

By LAURAN NEERGAARD
AP Medical Writer
Posted May 3 2006, 8:58 AM EDT
<A href="http://www.sun-sentinel.com/features/health/sns-ap-bird-flu-plan,0,4385546.story?coll=sfla-news-science">www.sun-sentinel.com</a></center>
WASHINGTON -- States, cities and businesses should not expect to be rescued by the federal government if a flu pandemic strikes, warns a draft of the latest national response plan, one already under fire from critics who say federal preparations are moving too slowly.

On Wednesday, the Bush administration will update the $7.1 billion pandemic preparations it proposed last fall, an incremental step that basically outlines exactly which government agency is responsible for some 300 tasks.</b>

"This would really be a road map," White House spokesman Scott McClellan said Tuesday. "It will cover both the government and nongovernment actions that are being taken to plan and prepare for any potential pandemic."

A draft of the document, obtained Monday by The Associated Press, provides little new information on government preparations -- but instead offers an acknowledgment that even the most draconian steps would almost certainly fail to keep a flu pandemic from penetrating U.S. borders.

The messy medical reality is that people can spread flu a full day before they show symptoms, meaning even shutting U.S. borders against outbreaks abroad offers no reassurance that a super-strain isn't already incubating here.

The government is preparing for a worst-case scenario of up to 2 million deaths in the United States.

Once a pandemic begins, expect massive disruptions with as much as 40 percent of the work force off the job for a few weeks at a time, even if the government slowed the spread by limiting international flights, quarantining exposed travelers and otherwise restricting movement around the country, the document says.

"Local communities will have to address the medical and nonmedical impacts of the pandemic with available resources," the draft warns, because federal officials won't be able to offer the kind of aid expected after hurricanes or other one-time, one-location natural disasters.

A flu pandemic instead would roll through the country, causing six to eight weeks of active infection per community.

The report aims to energize the private sector, noting that 85 percent of the systems that are vital to society, such as food production, medicine and financial services, are privately run. Those businesses must ensure that power stays on and food is shipped even if 40 percent of their workers are absent because they're ill, caring for sick relatives or other pandemic upheaval.

But the report doesn't actually put anyone in charge of checking whether vital businesses are heeding these warnings.

Few are, suggests a survey that found 66 percent of mid- to large-sized companies have made no preparations, said former Health and Human Services Secretary Tommy Thompson, whose new Deloitte Center for Health Solutions conducted the survey.

Businesses and local governments need specific instructions, he said.

"Everybody is asking, 'Well, we want to do something. How do we do it?'" said Thompson, who heard those questions Tuesday while addressing pandemic preparations at a Michigan law-enforcement conference. "We've got to be much more specific."

The incremental plan was drawing complaints Tuesday that despite months of dire talk about the threat of a pandemic, the Bush administration hasn't accomplished enough.

"Other nations have been implementing their plans for years, but we're reading ours for the first time now. These needless delays have put Americans at risk," complained Sen. Edward Kennedy, D-Mass.

Influenza pandemics strike every few decades when a never-before-seen strain arises. It's impossible to predict when the next will occur, although concern is rising that the Asian bird flu, called the H5N1 strain, might lead to one if it starts spreading easily from person to person.
 
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<B><center>Bird flu report:
<font size=+1 color=green>States, cities shouldn't count on federal rescue </font>

By Lauran Neergaard
ASSOCIATED PRESS
12:06 a.m. May 3, 2006
<A href="http://www.signonsandiego.com/news/nation/20060503-0006-birdfluplan.html">www.signonsandiego.com</a></center>
WASHINGTON – States, cities and businesses should not expect to be rescued by the federal government if a flu pandemic strikes, warns a draft of the latest national response plan, one already under fire from critics who say federal preparations are moving too slowly.

On Wednesday, the Bush administration will update the $7.1 billion pandemic preparations it proposed last fall, an incremental step that basically outlines exactly which government agency is responsible for some 300 tasks. </b>

“This would really be a road map,” White House spokesman Scott McClellan said Tuesday. “It will cover both the government and nongovernment actions that are being taken to plan and prepare for any potential pandemic.”
A draft of the document, obtained Monday by The Associated Press, provides little new information on government preparations – but instead offers an acknowledgment that even the most draconian steps would almost certainly fail to keep a flu pandemic from penetrating U.S. borders.

The messy medical reality is that people can spread flu a full day before they show symptoms, meaning even shutting U.S. borders against outbreaks abroad offers no reassurance that a super-strain isn't already incubating here.

The government is preparing for a worst-case scenario of up to 2 million deaths in the United States.

Once a pandemic begins, expect massive disruptions with as much as 40 percent of the work force off the job for a few weeks at a time, even if the government slowed the spread by limiting international flights, quarantining exposed travelers and otherwise restricting movement around the country, the document says.

“Local communities will have to address the medical and nonmedical impacts of the pandemic with available resources,” the draft warns, because federal officials won't be able to offer the kind of aid expected after hurricanes or other one-time, one-location natural disasters.

A flu pandemic instead would roll through the country, causing six to eight weeks of active infection per community.

The report aims to energize the private sector, noting that 85 percent of the systems that are vital to society, such as food production, medicine and financial services, are privately run. Those businesses must ensure that power stays on and food is shipped even if 40 percent of their workers are absent because they're ill, caring for sick relatives or other pandemic upheaval.

But the report doesn't actually put anyone in charge of checking whether vital businesses are heeding these warnings.

Few are, suggests a survey that found 66 percent of mid- to large-sized companies have made no preparations, said former Health and Human Services Secretary Tommy Thompson, whose new Deloitte Center for Health Solutions conducted the survey.

Businesses and local governments need specific instructions, he said.

“Everybody is asking, 'Well, we want to do something. How do we do it?'” said Thompson, who heard those questions Tuesday while addressing pandemic preparations at a Michigan law-enforcement conference. “We've got to be much more specific.”

The incremental plan was drawing complaints Tuesday that despite months of dire talk about the threat of a pandemic, the Bush administration hasn't accomplished enough.

“Other nations have been implementing their plans for years, but we're reading ours for the first time now. These needless delays have put Americans at risk,” complained Sen. Edward Kennedy, D-Mass.

Influenza pandemics strike every few decades when a never-before-seen strain arises. It's impossible to predict when the next will occur, although concern is rising that the Asian bird flu, called the H5N1 strain, might lead to one if it starts spreading easily from person to person.
 
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<B><font size=+1 color=blue><center>Bird flu plan stresses school closures</font>

Maggie Fox, Health and Science Correspondent
Wed May 3, 4:59 AM ET
<A href="http://news.yahoo.com/s/nm/20060503/ts_nm/birdflu_usa_dc">news.yahoo.com</a></center>
WASHINGTON (Reuters) - A White House bird flu "implementation plan" sets out detailed plans for closing schools in case of a pandemic, and asks businesses to let employees stay home without sanction, an official familiar with the plan said on Wednesday. </b>

It is also blunt about how little the country can do to defend itself from a pandemic of influenza, giving details of how quarantines and border closures are likely to be futile.

The plan lays out 300 "very specific" tasks for each U.S. federal government agency, said the official, who spoke only on the condition that he not be identified.

The plan assumes the worst -- that if an influenza pandemic begins it will be months, if not years, before the best defense, a vaccine, can be formulated and manufactured.

Meanwhile, society will have to hunker down and let the disease run its course. The plan aims to minimize the damage.

The government is assuming that 40 percent of the work force will be absent at the peak of a pandemic, and it is based on a worst-case scenario in which 1.9 million Americans die from the virus and as many as 30 percent become infected.

President George W. Bush announced the initial plan in November, and asked Congress for $7.1 billion to fund it. Congress has approved half that amount, but the Health and Human Services Department has expressed confidence that the rest will come when details about how it will be spent are available.

There is wide disagreement on how best to react to a pandemic. The U.S. Centers for Disease Control and Prevention and the Department of Homeland Security have a written agreement on how to isolate people at borders or on airplanes who appear to be carrying bird flu.

HARD TO CONTROL VIRUS

But the CDC has said it is unlikely to use forced quarantine except in unusual circumstances.

"The reality is because of the way flu acts, quarantine is hard to make work," the official said. People can transmit flu before they look or feel sick so instead, the plan relies on voluntary quarantine -- asking people to stay home if they are ill, for instance.

Similarly, closing borders would likely only delay the arrival of the virus by a week or so, the official said. "We are pretty blunt about what we think that will and will not do," he said.

For instance, even if it were possible to keep out 90 percent of people trying to enter the country, it would "buy you maybe a week or two," he said. "If you bring that up to 99 percent, it might buy you another week or two."

So it is better to concentrate on reducing transmission as much as possible, and that means going to the ground zero of any epidemic -- the schools.

"Certainly school closure is something communities need to look at," the official said.

And the seven experts who have written the plan have considered what that would mean for working parents who may have no way to care for their children.

"We think it would be irresponsible for us to say we need to shut down schools without saying what that means for families, and for business," the official said, adding that employers would be encouraged to provide "liberal leave" policies for employees who may need to care for ill relatives, for children out of school, or for those simply afraid to come to work.

Businesses will be encouraged to let employees telecommute wherever possible, the official said. The plan gives no details on ensuring the Internet and telecommunications can withstand the strain, however, he said.

The H5N1 avian flu virus does not easily infect people, but has sickened 205 people and killed 113 of them in nine countries, according to the World Health Organization.

With a few mutations it could become easily transmitted from person to person and spark a pandemic. And experts say H5N1 looks closer to doing this than any other new flu virus seen in the past 30 years.
 
=




<B><center>Most Companies Fail To Plan For Supply-Chain Disruption: Study

<font size=+0 color=purple>If the global flu epidemic hits, only 33 percent of the companies surveyed acknowledge they are prepared to keep supply chains moving, says the study.</font>

By Laurie Sullivan
TechWeb.com
May 2, 2006 05:09 PM
<A href="http://www.informationweek.com/news/showArticle.jhtml;jsessionid=WRUROA4MPXVQYQSNDBOCKHSCJUMEKJVN?articleID=187002975&subSection=">www.informationweek.com</a></center>
Pandemic influenza could shut down the flow of goods and services from U.S. businesses to customers. Yet, few companies are prepared for such a major supply chain disruption, according to a study released Tuesday. </b>

If the global flu epidemic hits, only 33 percent of the companies surveyed acknowledge they are prepared to keep supply chains moving, says the AMR Research Inc. study. The responses are from about 200 companies that generate more than $1 billion in annual revenues.

Forty three percent of the companies surveyed say they have a risk-management plan, which requires companies to identify alternate sources of supply. "Let's say China seals off its ports for two weeks because of a huge outbreak," said Mark Hillman, senior analyst at AMR Research. "These companies need to have alternate sources of supply, or build some form of redundancy into inventory levels they can rely on in case supplies dry up for two weeks."

Before hurricane Katrina hit the gulf coast, Dell Inc. identified New Orleans as a high-risk port and began to move some in-bound shipments to other local ports. When Delphi declared bankruptcy last year, the 80 percent of smaller companies that relied on the automotive parts company for components "freaked out" because they didn't have a contingency plan, Hillman said.

Hillman pointed out that a supply chain disruption has occurred every year for the past five: severe acute respiratory syndrome (SARS), Sept. 11 terrorist attacks, hurricane Katrina, Asian tsunami, and Long Beach and Los Angeles longshoreman strike.

SARS fell on China in November 2002. People arriving in the country through international flights were checked by governmental officials wearing masks as they arrived at the airport. But by the July SARs had spread into 28 countries, infected 8,437 people and killed 813, including 350 in China and 300 in Hong Kong.

Avian flu hasn’t reached pandemic levels for humans because it's difficult to transmit from human to human, but researchers fear it could become a contagious illness by mutating or combining with another strand. The Bush administration is said to be close to presenting its response plan to a possible flu pandemic.

Hillman said executives need to understand the company's operational structure and relationships between supply for materials and demand required to keep businesses operational will prove critical. Companies should expect up to 40 percent of their employees will need to work at home.

In the event of a pandemic, customers and employees won’t commute into offices. They’ll work and buy from home. As more people remain home, phones and the Internet will become critical business tools. It will require increased capacity to handle complaints, help desks and product information, and dispatch service personnel.

Retail stores have not done the cross-training or preparations required to move the majority of their business from a physical store to online, Hillman said. Only 29 percent of the companies surveyed said they're prepared to support customers and suppliers with self-service functions if foot traffic into brick-and-mortar stores declines and sales volume shifts to the Web.

"I've had manufacturers tell me they don't have a plan because there's a lot of other bad stuff that could happen before the avian flu gets to my Michigan factory," Hillman said. "Retail and transport companies that rely heavily on the physical movement of goods are on the first line of fire."

Companies must cross train in-store personnel to handle online functions, Hillman said. "Most companies can handle a spike in demand," he said. "But do they understand the impact on logistics and cross training of staff?"

Once companies map out business processes and understand the supply network they can purchase decision support software to helps simulate events, such as where to send supplies if a distribution center in Los Angeles must shut down, Hillman said. helping to plan better are either network design and planning or inventory optimization software tools from i2, Jonova, Llamasoft, LogicSoft, Optiant, Oracle, SmartOps and ToolsGroup. Helpful, too, are supply chain visibility tools from companies, such as Teradata, a division of NCR Corp.
 
=




<B><font size=+1 color=red><center>U.S. flu report predicts chaos </font>

Updated 5/2/2006 11:48 PM ET
By Anita Manning and David Jackson, USA TODAY
May 2 2006
<A href="http://www.usatoday.com/news/washington/2006-05-02-bird-flu_x.htm">www.usatoday.com</a></center>
WASHINGTON — A White House report on pandemic flu paints a grim picture of the social and economic chaos that could overtake the country in a serious outbreak, including widespread illness and 40% absenteeism, potential school closures and travel restrictions.</b>

Experts contacted by USA TODAY praise parts of the 227-page plan, which is expected to be released today. But they say it places too great a burden on states and includes recommendations, such as quarantine of potentially exposed air travelers, that are not feasible.

USA TODAY obtained a copy from a source who had direct knowledge of the plan's preparation.

The report says the government is committed to expanding a stockpile of anti-virals and developing a vaccine, but it reiterates the message that disasters are local events and require local responses. "The center of gravity of the pandemic response will be in communities," it says, and federal support will be limited.

The approach that "communities will be on their own" is a concern, says Jeffrey Levi, director of Trust for America's Health, a public health advocacy group.

"Where you live shouldn't determine whether and how you are protected," he says. "It should be the same policy across the country — who will be prioritized for vaccines or anti-virals, whether schools will be shut down."

Rajeev Venkayya, special assistant to the president and senior director for biodefense, would not comment on details of the plan but says, "Our responsibility is to lay everything on the table so we can have a candid conversation."

The plan is a follow-up to a strategy President Bush outlined in November.

No one knows when a pandemic will occur, but experts fear that a bird-flu virus that is now spreading across the globe could spark one should it mutate and develop the ability to spread easily among people. The plan provides some idea of what could happen if a pandemic does occur:

• At work, employees would be advised to avoid hand-shaking and maintain a 3-foot distance from co-workers. Flexible work hours and telecommuting would be recommended.

• Schools and public transit facilities may close.

• Closing the border would be difficult, but airline travel may be restricted. Ill passengers could be isolated and fellow travelers quarantined.

That part of the plan may not be feasible or effective, says infectious-disease specialist William Schaffner of Vanderbilt University in Nashville. "There will be many people who have a bit of cough, and will we be able to isolate people with symptoms and quarantine the others? I don't know if we have facilities for it."

But, he says, the plan realistically makes it clear that once a pandemic strain of flu begins to spread from person to person anywhere in the world, it might be impossible to contain. "They've told everyone ... they cannot keep the hurricane offshore," Schaffner says. "The hurricane will make landfall."
 

PCViking

Lutefisk Survivor
Poultry shipments also likely spread bird flu: expert
By Tan Ee Lyn
25 minutes ago

A leading flu expert warned the scientific community on Wednesday against blaming the spread of the H5N1 virus on migratory birds, saying the movement of poultry around the world could play a major role.

"We forget that there is an enormous commercial industry with the movement of animals all the time. That, to me, is the most obvious thing to look for,"
said Kennedy Shortridge, who spent three decades studying influenza viruses.

"Don't rush to blame migratory birds straightaway," he said in Singapore at a bird flu conference organized by the Lancet medical journal.

Shortridge's assertions would probably not sit well with many experts in this field, who have credited the spread of the H5N1 virus in parts of Europe, Africa and the Middle East in the past few months to wild migratory birds from China's Qinghai Lake.

An outbreak of virus in Qinghai Lake last May killed thousands of birds and that particular strain of the virus has since been found in affected places in Europe, Africa and the Middle East.

That gave rise to the popular theory the virus was probably brought to these places by surviving wild birds from Qinghai, in remote western China.

But Shortridge questioned this, saying: "Birds go north-south, they don't usually go east-west."

RAILWAY LINES OR MIGRATORY ROUTES?

"There's a railway line that runs from there to one side of Qinghai Lake and there's a road that goes to the other side. If you look at the movements with H5N1, they don't seem to tie in with migratory bird routes for the simple reason they seem to follow the Trans-Siberian railway," he added.

"Lots of people don't realize that there's movement of poultry from one country to another, even to Nigeria, where we've got bird flu. People are transporting all sorts of poultry meat."

Several nations are already clamping down on poultry smuggling. Vietnam is redoubling efforts to limit smuggling from China after uncovering bird flu cases in poultry in northern border areas. Bangladesh, too, is stepping up surveillance to prevent illegal shipments from bird flu-hit India.

Hong Kong is also beefing up border patrols to stop live chickens and poultry meat being carried into the territory illegally from mainland China.

Since re-emerging in Asia in late 2003, the H5N1 virus has killed 113 people out of 205 reported infections, most notably from Asia, Turkey and Egypt.

Although it is predominantly a bird disease and most of the victims contracted the virus directly from birds, experts fear it can mutate into a form that will transmit easily among people and trigger a pandemic of catastrophic proportions.

However, not everyone was quick to debunk the migratory bird demon.

Hiroshi Kida of the department of diseases control at Japan's Hokkaido University said migratory birds and water as agents of viral transmission cannot be underestimated. H5N1 can be preserved in frozen lakes and ponds, and be carried from place to place by wild birds -- not necessarily in one, spectacular sojourn, but many short-haul flights.

"Not one bird can do this, but many, many birds are involved in many, many short flights, helped by water," Kida, who gave a lecture at the conference, told Reuters later.

"Through water-borne transmission, the virus is carried to Europe, Africa."

http://news.yahoo.com/s/nm/20060503...hwhANEA;_ylu=X3oDMTA5aHJvMDdwBHNlYwN5bmNhdA--

:vik:
 

tsk

Membership Revoked
I heard on the radio today that the US has a vaccine for the bird flu...made in California somewhere.

tsk, tsk...:wvflg:
 

PCViking

Lutefisk Survivor
tsk said:
I heard on the radio today that the US has a vaccine for the bird flu...made in California somewhere.

tsk, tsk...:wvflg:

There's been news of that buzzing around...

the problem is to make an vaccine, you need the virus...

...and the virus hasn't evolved yet.

:vik:
 

PCViking

Lutefisk Survivor
Pandemic flu plan: Don't count on federal rescue

Updated 5/3/2006 1:11 PM ET

WASHINGTON (AP) A flu pandemic would cause massive disruptions lasting for months, and cities, states and businesses must make plans now to keep functioning — and not count on a federal rescue, the Bush administration said Wednesday.

"Our nation will face this global threat united in purpose and united in action in order to best protect our families, our communities, our nation and our world from the threat of pandemic influenza," President Bush said in a letter to Americans noting the release of an updated national pandemic response strategy.

THE PLAN: Read the 227-page report (Caution: Large PDF file: http://www.usatoday.com/news/washington/2006-05-03-flu-report.pdf)

Bush last fall proposed a $7.1 billion plan to prepare for the next worldwide outbreak of a super-strain of influenza. Wednesday's report updates that plan, an incremental step that basically outlines exactly which government agency is responsible for some 300 tasks, many already underway.

Even the most draconian steps, such as shutting down U.S. borders against outbreaks abroad, would almost certainly fail to keep a flu pandemic from spreading here, the report acknowledges — and thus it outlines more limited travel restrictions that would be used instead.

The goal is to slow the virus' spread, giving time for the nation to brew protective vaccine, dispense stockpiles of critical medical supplies — and limit the almost inevitable economic and social chaos.

In a severe pandemic, up to 40% of the workforce could be off the job for two weeks, the report estimates. Because 85% of the systems that are vital to society — food production, medicine and financial services — are privately run, the administration aimed to use the new report to energize businesses in particular to start planning how they will keep running under those conditions.

"No less important will be the actions of individual citizens, whose participation is necessary to the success of these efforts," Bush added.

Of the $7.1 billion pandemic preparation plan, White House spokesman Scott McClellan said earlier, "This would really be a road map. It will cover both the government and non-government actions that are being taken to plan and prepare for any potential pandemic."

A draft of the document, obtained Monday by The Associated Press, provides little new information on government preparations.

The messy medical reality is that people can spread flu a full day before they show symptoms, meaning even shutting U.S. borders against outbreaks abroad offers no reassurance that a super-strain isn't already incubating here.

The government is preparing for a worst-case scenario of up to 2 million deaths in the United States.

Once a pandemic begins, expect massive disruptions with as much as 40% of the workforce off the job for a few weeks at a time, even if the government slowed the spread by limiting international flights, quarantining exposed travelers and otherwise restricting movement around the country, the document says.

"Local communities will have to address the medical and non-medical impacts of the pandemic with available resources," the report warned, because federal officials won't be able to offer the kind of aid expected after hurricanes or other one-time, one-location natural disasters.

A flu pandemic instead would roll through the country, causing six to eight weeks of active infection per community. And the report doesn't actually put anyone in charge of checking whether vital businesses are heeding various warnings.

Few are, suggests a survey that found 66% of mid- to large-sized companies have made no preparations, said former Health and Human Services Secretary Tommy Thompson, whose new Deloitte Center for Health Solutions conducted the survey.

Businesses and local governments need specific instructions, he said.

"Everybody is asking, 'Well, we want to do something. How do we do it?'" said Thompson, who heard those questions Tuesday while addressing pandemic preparations at a Michigan law-enforcement conference. "We've got to be much more specific."

The incremental plan was drawing complaints Tuesday that despite months of dire talk about the threat of a pandemic, the Bush administration hasn't accomplished enough.

"Other nations have been implementing their plans for years, but we're reading ours for the first time now. These needless delays have put Americans at risk," complained Sen. Edward Kennedy, D-Mass.

Influenza pandemics strike every few decades when a never-before-seen strain arises. It's impossible to predict when the next will occur, although concern is rising that the Asian bird flu, called the H5N1 strain, might lead to one if it starts spreading easily from person to person.


Find this article at:
http://www.usatoday.com/news/health/2006-05-03-us-flu-plan_x.htm

:vik:
 

Brooks

Membership Revoked
tsk said:
I heard on the radio today that the US has a vaccine for the bird flu.
Here is the official government word, from the national pandemic plan released today:

Influenza vaccines are designed to protect against specific influenza viruses. While there is currently no pandemic influenza in the world, the Federal Government is making vaccines for several existing bird influenza viruses that may provide SOME protection should one of these viruses change and cause an influenza pandemic. A specific pandemic influenza vaccine cannot be produced until a pandemic influenza virus strain emerges and is identified. Once a pandemic influenza virus has been identified, it will likely take 4-6 MONTHS to develop, test, and BEGIN producing a vaccine. (emphasis added)
 

JPD

Inactive
White House Unveils Bird Flu Plan

http://www.foxnews.com/story/0,2933,194142,00.html

Wednesday, May 03, 2006

WASHINGTON — A flu pandemic would cause massive disruptions lasting for months, and cities, states and businesses must make plans now to keep functioning — and not count on a federal rescue, the Bush administration said Wednesday.

"Our nation will face this global threat united in purpose and united in action in order to best protect our families, our communities, our nation and our world from the threat of pandemic influenza," President Bush said in a letter to Americans noting the release of an updated national pandemic response strategy.

Bush last fall proposed a $7.1 billion plan to prepare for the next worldwide outbreak of a super-strain of influenza. Wednesday's report updates that plan, an incremental step that basically outlines exactly which government agency is responsible for some 300 tasks, many already under way.

Click here to read the White House National Strategy for Pandemic Influenza - PDF File.

Even the most draconian steps, such as shutting down U.S. borders against outbreaks abroad, would almost certainly fail to keep a flu pandemic from spreading here, the report acknowledges — and thus it outlines more limited travel restrictions that would be used instead.
 

Ray

Inactive
Just listening to ABC news radio (only station I can get). They said that the new White House bird flu plan would be "implemented" when the first human case is found in North America. This kind of blew me away. They did not mention H2H, just the first human case............Ray
 

Ray

Inactive
Fuzzychick said:
It says alot eh Ray?:crtmn:

Yes it does fuzzychick! This was the ABC national radio news. Still thinking about the ramifications of this................Ray :shkr:
 

Fuzzychick

Membership Revoked
The first case reported, I'm pretty sure that when that happens there is going to be more than just one that has occurred, remember the keyword is reported. I'm sure it'll set them all into a tizzy on the federal level, but as they have already told us, we're on our own here.
 

JPD

Inactive
Ban on Chinese Chicken Advances

http://news.yahoo.com/s/ap/20060503...VuTvyIi;_ylu=X3oDMTBiMW04NW9mBHNlYwMlJVRPUCUl



By LIBBY QUAID, AP Food and Farm Writer Wed May 3, 2:17 PM ET

WASHINGTON - Spurred by concerns about bird flu, lawmakers voted Wednesday to block chicken processed in China from entering the United States.
ADVERTISEMENT

The prohibition is part of a $94 billion spending bill for food and agriculture programs that cleared a House subcommittee and now goes to the full Appropriations Committee.

The Bush administration had said last month that it would allow poultry processed in China, so long as it comes from birds raised and slaughtered in the United States. Agriculture Department officials said the meat would be fully cooked and perfectly safe.

But Rep. Rosa DeLauro (news, bio, voting record) of Connecticut said there's no way to guarantee the safety of chicken cooked and packaged in China, where thousands of birds and several people have died from bird flu.

DeLauro, the agriculture spending subcommittee's senior Democrat, mentioned a recent recall in Tennesee of chicken breast fillets, sold as fully cooked, that may have been undercooked.

"If undercooking can occur at a U.S. plant, where there are daily inspections, think of how easy it will be for undercooking or other problems to occur in a Chinese plant, which is inspected by U.S. inspectors only once per year," DeLauro said.

"The public health risk increases exponentially when a product from China is undercooked, because the threat of avian flu is so high in that country," she said.

The panel approved DeLauro's amendment blocking processed chicken from China on a voice vote.

The spending bill would provide $80 million to protect against bird flu, about $33 million less than what
President Bush requested.
 

JPD

Inactive
Military would be called on to help in event of U.S. flu pandemic

http://www.estripes.com/article.asp?section=104&article=36928

Stripes and wire reports
Mideast edition, Thursday, May 4, 2006

Ron Edmonds / AP
The Bush administration released the bird-flu response plan Wednesday in Washington. The plan catalogs steps that the government, businesses and citizens should take if a deadly strain reaches U.S. shores.

WASHINGTON — A flu pandemic would cause massive disruptions lasting for months, and U.S. cities, states and businesses must make plans now to keep functioning — and not count on a federal rescue, the U.S. government said Wednesday.

President Bush last fall proposed a $7.1 billion plan to prepare for the next worldwide outbreak of a super-strain of influenza. Wednesday’s report updates that plan, an incremental step that basically outlines exactly which government agency is responsible for some 300 tasks, many already under way.

Even the most draconian steps, such as shutting down U.S. borders against outbreaks abroad, would almost certainly fail to keep a flu pandemic from spreading here, the report acknowledges — and thus it outlines more limited travel restrictions that would be used instead.

The U.S. military would have a role in the federal government’s response to a bird flu pandemic, according to Pentagon spokesman Bryan Whitman.

Ways in which the military could help in a pandemic include transporting necessary resources using military aircraft; use of medical surveillance and laboratory testing abroad; distribution of pharmaceuticals; providing surge medical capabilities; communications to support civil agencies, and “if necessary, even mortuary affairs assistance,” Whitman told Pentagon reporters Wednesday.

U.S. troops might even be used “to provide quarantine assistance to civil authorities,” Whitman said. “Obviously, the Commander in Chief can use the military forces in any way that is appropriate.”

The plans will take into account not only U.S.-based forces, but also troops overseas, Whitman said, and will detail how commanders intend to “prepare, protect, respond, and recover” from the pandemic event, Whitman said.

The goal is to slow the virus’ spread, giving time for the nation to brew protective vaccine, dispense stockpiles of critical medical supplies — and limit the almost inevitable economic and social chaos.

The messy medical reality is that people can spread flu a full day before they show symptoms, meaning even shutting U.S. borders against outbreaks abroad offers no reassurance that a super-strain isn’t already incubating here.

The government is preparing for a worst-case scenario of up to 2 million deaths in the United States.
 

Fuzzychick

Membership Revoked
Satanta said:
Here-let me help. Everybody dies. Last one out turn off the lights.


Close but no cigar Sat, but alot of people will succumb to it, luck of the draw and predisposing factors in the individual, including age, immune status, degree of viral load and general health state.
 

Bird Guano

Membership Revoked
Brooks said:
Here is the official government word, from the national pandemic plan released today:

Influenza vaccines are designed to protect against specific influenza viruses. While there is currently no pandemic influenza in the world, the Federal Government is making vaccines for several existing bird influenza viruses that may provide SOME protection should one of these viruses change and cause an influenza pandemic. A specific pandemic influenza vaccine cannot be produced until a pandemic influenza virus strain emerges and is identified. Once a pandemic influenza virus has been identified, it will likely take 4-6 MONTHS to develop, test, and BEGIN producing a vaccine. (emphasis added)

They also forgot to add the little part about the military getting it first, the lack of vaccine production facilities, the fact that in tests it's taking 3X the normal dose to get an immune response, and the estimated 2 YEAR wait to get a viable vaccine down to the level of the unwashed masses.
 
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