Disturbing Statistic.. - page 2

by DeepFriedRN 737 Views | 12 Comments

You know, I'd feel a lot better about hearing this if I saw ANYTHING in the way of guidance/planning locally and in my hospital. I have a feeling we (and a lot of other communities) are just gonna be winging it to a degree.... Read More


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    Quote from RuRnurse?
    Something that bothers me about the vaccination thing is this...In cases where such is limited for some reason, the focus is on getting it to the elderly, the ill, etc. But this flu strain seems to be more of a problem for the younger, the healthier. (Just like the 1918 strain)
    Will vaccination efforts waste precious time if this proves to be true? Will we expend our efforts on the wrong groups while the virus spreads among the ones who aren't being given priority?
    The CDC is recommending that pregnant women have the 2 vaccinations first, due to the tragic circumstances resulting when they become ill with H1N1, and then those with preexisting conditions, and after them, the HCWs and those between 6 and 64 years of age........ Clinics in supermarkets, "big box" stores, and pharmacies make vaccinations widely available. Since this vaccine isn't made in eggs, production is much faster, and those allergic to eggs can have it.

    H1N1 is far from the one in the circumstances found with the 1918 epidemic, as there weren't antibiotics or antivirals, such as Tamiflu back then! The vaccine, and the above meds make this round entirely different, as there will still be some who don't want it, for various unlikely reasons, or just because they hate getting "shots". Using EMLA patches (by prescription) an hour before the injection, on the site most likely to be used (upper, distal arm) will help, with those people and children. It won't be entirely without mortality, as there will still be those in denial about their or their children's s/s.

    There was no vaccine production in 1918 against their bug, and it remains to be seen, if mutations occur, how fast a vaccine can be prepared against it. That's what good reporting due to good documentation of the rate of illness is for........

    So those of you nurses here (RNs and LPNs can give the shots in locations without pharmacists giving them, others can assist with crowd control, registration, etc.), if you want work, call some of the HH agencies involved. Maxim was doing it for years.......
    Last edit by lamazeteacher on Jul 30, '09 : Reason: clarity, addition
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    I wonder, if the virus blows up big in the fall (it might not), if this could turn into the next public outrage like we saw after Hurricane Katrina.

    Here's what I'm getting at: In a severe pandemic, we wouldn't have enough ventilators for the patients who need to be on vents. People would die. The public would be outraged that we knew a pandemic flu was coming, and there was little public health preparation for having enough ventilators and that the US government relied upon private hospitals to have enough ventilators on hand in the event of a pandemic flu. I know I'm lining up quite a few "ifs" here, but I could certainly see public outrage that would go on for years related to not having enough ventilators and relying on private hospitals to manage public health crises.
    dcampbell and indigo girl like this.
  3. 1
    Quote from multicollinearity
    I wonder, if the virus blows up big in the fall (it might not), if this could turn into the next public outrage like we saw after Hurricane Katrina.

    Here's what I'm getting at: In a severe pandemic, we wouldn't have enough ventilators for the patients who need to be on vents. People would die. The public would be outraged that we knew a pandemic flu was coming, and there was little public health preparation for having enough ventilators and that the US government relied upon private hospitals to have enough ventilators on hand in the event of a pandemic flu. I know I'm lining up quite a few "ifs" here, but I could certainly see public outrage that would go on for years related to not having enough ventilators and relying on private hospitals to manage public health crises.
    You are reading my mind. No matter how mild the virus is the sheer number of cases will test the medical system. We have no NH like the UK to make centralized decisions. We are relying on a very decentralized system to do the right things. Some of them are so focused on their falling revenues that they have done nothing to get ready, they are laying off staff not hiring, they certainly are not buying equipment. Others have done a better job of preparing and are taking steps. It is very hit and miss. I think there could be a post Katrina like public back lash, very high probability of a lot of anger. In a normal flu season you would divert vents to the young from the old. It won't be that way. You will be asking, should the 6 year old get the vent, should the 10 year old or should the 12 year old. Which child will live, which child will die? What about these pregnant women, which one should get the vent? I am glad I am not the one to be making those decisions. People are going to be mad as hell and looking for someone to blame. After raking the bedside HCW over the coals their next target will be politicians and CEOs. The melt down is so close, possibly weeks, 2 months at most.
    indigo girl likes this.


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