Sunday, November 1, 2009

H1N1 vaccine shortage leaves doctors managing crowds, anxieties

Many physicians are struggling, often in vain, to find H1N1 vaccine or locate alternative sources for patients.
By Christine S. Moyer, amednews staff. Posted Nov. 2, 2009.


The unexpected delays in producing influenza (A)H1N1 vaccine, coupled with the virus' rapid spread, have left doctors nationwide scrambling to determine how to allocate meager vaccine supplies, and manage offices full of sick and worried patients and their families.
"People are scared. People are frightened. And they're feeling like, 'Oh my God, I need the vaccine and it's not available,' " said John Sage, MD, a family physician and medical staff president at Lutheran General Hospital in Park Ridge, Ill.The CDC anticipated 40 million doses of H1N1 vaccine shipped by mid-October 2009; only 22.4 million doses were shipped. 46 states reported widespread flu activity by Oct. 17, 2009.

Source:American Medical Newshttp://www.ama-assn.org/amednews/2009/11/02/prl11102.htm
Pediatric morbidity and mortality from flu
The Centers for Disease Control and Prevention is reporting widespread flu activity in 46 states.
Since Aug. 30, the CDC has received 53 reports of pediatric flu-related deaths this season, with 47 of those attributed to the H1N1 virus.
As of Oct. 17, Dept. of Health and Human Services surveillance regions were reporting:
Region 1: (Conn., Maine, Mass., N.H., R.I., Vt.) 268 pediatric H1N1 cases; no pediatric flu deaths
Region 2: (N.J., N.Y., Puerto Rico, U.S. Virgin Islands) 91 cases; no deaths
Region 3: (Del., D.C., Md., Pa., Va., W.Va.) 2,694 cases; 4 deaths
Region 4: (Ala., Fla., Ga. Ky., Miss., N.C., S.C., Tenn.) 2,537 cases; 16 deaths
Region 5: (Ill., Ind., Mich., Minn., Ohio, Wis.) 2,618 cases; 3 deaths
Region 6: (Ark., La., N.M., Okla., Texas) 1,495 cases; 19 deaths
Region 7: (Iowa, Kan., Mo., Neb.) 1,641 cases; 1 death
Region 8: (Colo., Mont., N.D., S.D., Utah, Wyo.) 2,547 cases; 5 deaths
Region 9: (Ariz., Calif., Guam, Hawaii, Nev.) 2,163 cases; 2 deaths
Region 10: (Alaska, Idaho, Ore., Wash.) 1,054 cases; 3 deaths.
Source: Centers for Disease Control and Prevention

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