Pandemic Flu - Thread II - page 17

Frist calls for a Manhatten Project: We are so..., you know. He is telling it like it is. Does anyone really understand this? There is nothing that we can do but prepare, but no one is... Read More

  1. by   indigo girl
    I can not speak to the preparedness of institutions because I work for agencies in LTC. Mostly the LTC industry is unprepared for what they will be asked to do.

    I came across this on the Flutrackers site. Because I am computer stupid, I could not open the file. Still, this is so powerful, and so eloquent that I felt it belonged in this thread. I am posting it in this way with gratitude as always to Flutrackers (and Florida1):

    Now Is the Time to Be Remembered

    FluTrackers - View Single Post - Now is the Time to Be Remembered

    Please note what they are saying about vaccines. They may not prevent infection.
    It is hoped that they will prevent mortality.

    Quote from"[/URL]
    “The merit in vaccinating now with a current H5N1 virus isolate, despite the likelihood of its significant variation from a future pandemic strain, is under debate. The current vaccine strain may induce sufficient cross-reactive antibody to curtail, although not effectively prevent, infection by the pandemic strain.4

    Future vaccines may depend on strategies that also target the internal conserved proteins of the virus and elicit heterosubtypic immunity (ie, common to all influenza A viruses). Such broadly cross-reactive responses, not induced by current inactivated virus preparations, can be mediated by CD8+ cytotoxic T cells that kill virus-infected cells and secrete antiviral cytokines. These vaccines cannot prevent infection, but lessen the severity and duration of disease and reduce viral shedding.
    Last edit by indigo girl on Dec 6, '06
  2. by   indigo girl
    The link to the video of John M. Barry, author of "The Great Influenza", speaking at Vanderbilt University is now working at last!!
    (Thanks to Alaska Denise at Flutrackers)

    Vanderbilt News Service
    Last edit by indigo girl on Dec 7, '06
  3. by   indigo girl
    Canadian cities are setting up mutual aide systems (hat tip, Dutchy at Flutrackers). This article is saying some interesting things:
  4. by   indigo girl
    Think tank research looks at possible mode of entry for H5N1 into the US:

    New Research Predicts US Entry Of H5N1 Avian Influenza
    Quote from"
    Dr. Kilpatrick and colleagues predict that bird flu...likely be introduced... Western Hemisphere through infected poultry...The subsequent movement of infected migrating birds from countries south of the U.S. would be a likely pathway for H5N1 avian influenza to reach the USA.

    The findings showed that migratory bird movements were likely responsible for three introductions in Asia, 20 in Europe, and three in Africa.

    "In almost all cases in which we have detected H5N1 in wild birds, it has been found in dead birds. It's critical that dead bird surveillance mechanisms be developed for the early detection of not only H5N1, but also the next pathogenic avian disease to come along."
    Dr. Niman of Recombinomics does not agree with this study, and as he says, there is zero evidence of H5N1 in South America. But, the dead bird surveillance in the US is troubling because it is where the high path virus is likely to turn up, and surveillance of dead birds seems to be almost nonexistent.

    Worldwide Wild Bird Transport and Transmission of Qinghai H5N1
    Last edit by indigo girl on Dec 8, '06
  5. by   indigo girl
    A safe and effective herbal treatment for influenza is big news if it really works. This could be for real. Elderberry has a long history in traditional herbal medicine as a treatment for colds and flu. With no vaccine and not enough Tamiflu, our choices are limited to looking for alternative remedies. This is a new company in Singapore. (hat tip to Flutrackers/Alaska Denise)
    Really, you have to read this:

    HerbalScience Develops Safe and Effective Treatment for Influenza, Including Avian Flu Strain

    Quote from
    ... a recent study conducted by research teams at Johns Hopkins University and Ben-Gurion University stated that only an estimated 14 percent of the world's population could be vaccinated within a year of a pandemic's onset. Equally disturbing, the same study found that it could take a decade to produce enough of the antiviral drug oseltamivir (i.e., Tamiflu) to treat just 20 percent of the world's population(2).
    The folks at Flutrackers are requesting more information on the scientific research behind this product. As always, discuss with your health care provider, and this is not medical advice.

    I do use Sambucol, another elderberry product, during flu season, and my own MD provider is a naturopathic physician and is aware of this.
    Last edit by indigo girl on Dec 13, '06
  6. by   indigo girl
    Here is the Canadian Pandemic Influenza Plan for the Health Sector:

    The Canadian Pandemic Influenza Plan for the Health Sector - Public Health Agency of Canada
    Quote from"]
    Recruit professional staff for the pandemic response

    Within facilities, consideration should be given to reassigning medical and nursing personnel with administrative, research and educational assignments to clinical duties.

    Alternate sources of HCW would include, but are not limited to:

    retired physicians/nurses (need to be assurance that work during a pandemic would not affect their pension plans)
    physicians/nurses currently not working in clinical health care (i.e., working in education, administration, research, private industry)
    trainees (i.e., medical students and nursing students)
    registered nursing assistants
    patient care assistants
    emergency medical technicians
    therapists (respiratory/occupational/physio)
    technicians (laboratory, radiography)
    health care aides

    Compelling Workers

    Under Emergency Legislation provinces/territories may have the authority to designate “Essential Services” and workers and have the ability to compel people's time or property with due compensation as a last resort.

    This issue has been raised both because of the existing shortage of health care workers and concerns that health care workers and others may refuse to work during a pandemic due to changed job responsibilities, fear of infection, family responsibilities or other reasons. However, the Subgroup notes the extreme difficulty of enacting or enforcing such legislation and would strongly encourage the jurisdictions to review all other methods of obtaining health care workers, in advance of a pandemic.
    Last edit by indigo girl on Dec 10, '06
  7. by   indigo girl
    Commentary from Effect Measure

    The Bird Flu Investment:
  8. by   indigo girl
    More on Canada: Ottawa updates pandemic flu plan

    Quote from /"]

    ... pandemic planners estimate that should be enough for everyone... doing away with a need for the priority groups the earlier version of the plan included.

    Canada is still, however, looking at the issue of whether antiviral drugs should also be used for prophylaxis...would mean supplies could be stretched across fewer people.

    Some people argue that keeping health-care workers and some essential services personnel from becoming sick would reduce the crushing impact a pandemic could have on society.

    They say it would ensure hospitals can continue to look after the ill and utilities can continue to function.

    The Public Health Agency of Canada is holding focus group-like discussions across the country with representative groups of citizens to get a sense whether Canadians believe the country's antiviral stockpile should be used for both prophylaxis and treatment or for treatment only.
    Last edit by indigo girl on Dec 10, '06
  9. by   indigo girl
    Healthcare Worker Safety During a Pandemic from Fluwiki (thanks Dem from CT for sending me this). Fluwiki is a comprehensive site devoted to education and discussion about pandemic influenza. It is also read by CDC, and other influenza experts as are all the flublogs, no matter how humble. Surprised? This is one way that official information may be disseminated in time of need and experts can connect with public thought informally. Also, agencies such as the WHO and CDC may even follow up on rumors and speculation from these sites which include translators and local people covering the news in many countries.

    Flu Wiki - Consequences - Health Care Worker Safety During a Pandemic
    Last edit by indigo girl on Dec 13, '06
  10. by   indigo girl
    Quote from gr8greens
    Being a novice at following the course of pandemic and/or avian flu.....seems to me that the people who should be in the know.....haven't really got a clue. WHO doesn't communicate with the authorities in other countries don't communicate with WHO or CDC. How can any viable plan ever be implemented?
    You are right and if nursing is not included in those plans, our concerns will not be addressed. Should we be concerned?
  11. by   kath-rn
    Quote from indigo girl
    You are right and if nursing is not included in those plans, our concerns will not be addressed. Should we be concerned?


    We sure should be concerned as nurses. Nurses are on the front lines of health care---quite frankly, we (and other ancillary staff) will be in the "cross hairs" of a Pandemic when one happens.

    To Everyone,
    Does your hospital have a specific pandemic plan? Mine doesn't. Is your hospital pre-stocked with enough personal protective equipment (PPE) to attempt to protect you for 8-12 week multiple waves of infection? Probably not. Mine isn't. Has your hospital spoken to staff about any possible future pandemic? Mine hasn't. If your hospital loses power due to grid failure r/t power employee illness--how long can your emergency generators run without fuel re-supply? My hospital can run for about 3 days w/o fuel resupply--not long.

    I created a notebook with as much credible information on Avian Influenza as possible for my ED. Several of the staff nurses have read some of the info. and taken a minor interest----but very, very few are really informed. My notebook is up on a shelf now (I care not for my ego---just that people should be informed and prepared so that they can be part of a solution--not part of a problem).

    We don't know if Avian Influenza will go human 2 human. But it just might. Current WHO confirmed AI mortality is a staggering 60% (0.5968992). Sixty percent! Even though many of those deaths were in the "third world" arena--I take no comfort--since many of those deaths also occurred on ventilators with modern medical support.

    Yes, we nurses should be concerned. I hope this particular virus mutates the opposite way--to a weaker pathogen---but like it or not--eventually the world will see another Pandemic, someday--I hope we nurses as a professional group can get ready and make a difference for our families as well as our patients.
  12. by   indigo girl
    Great post Kath RN, I suspect that many if not most on this board will find that there is no plan for their facilities. I think that this will change in the not too distant future because this problem is not going away.

    Tonight, we have more news from South Korea that despite all the culling of poultry, dogs, cats, etc. there is another outbreak this time in farmed quail:

    Bird flu kills quails at farm in South Korea - Asia - Pacific - International Herald Tribune

    They will cull all these birds, of course, as what else can they do? Why is it still happening?

    This conference is happening in Singapore today. The list of attendees is awash with famous virologists and researchers. I bet they are watching South Korea with interest:
    Last edit by indigo girl on Dec 10, '06
  13. by   indigo girl
    Here is one reason to be concerned about what is happening in South Korea.
    Quails have both a2,3 and a2,6 receptors in the Receptor Binding Domain
    (RBD). (Thank you to Alaska Denise at Flutrackers for explaining this)
    There is more potential for this virus to adapt to mammals now.

    FluTrackers - View Single Post - South Korea Discovers Third Bird-Flu Outbreak in Three Weeks

    Quote from
    The receptors are a type of viral "docking mechanism" which varies with species. Most birds have only a2,3, while some species (e.g., quail) have both and can serve as an adaptation path between birds and mammals, which contain mostly a2,6.
    A virus can undergo many adaptations to make it more infectious to humans, but without being able to successfully "dock" it cannot infect.

    FluTrackers - View Single Post - South Korea Discovers Third Bird-Flu Outbreak in Three Weeks
    Last edit by indigo girl on Dec 11, '06