Will come back later to the vaccine issue.
UPDATE
Get powers ready for bird flu, U.S. governors told
Governors should make sure they have the legal powers they need to impose quarantines, close schools and keep utilities and transport running in case of a bird flu pandemic, according to new primer from the National Governor's Association published on Tuesday.
..."The effects of pandemic flu will be broad, deep and simultaneous," Minnesota Gov. Tim Pawlenty told reporters by telephone from a National Governor's Association meeting in Charleston, South Carolina.
"Medical response will be limited, restrained and potentially depleted during a pandemic," said Pawlenty, a Republican. Outbreaks in people or birds may have to be met with "a pretty aggressive form of containment" and public gatherings eliminated.
...public facilities -- schools, government offices, transportation hubs, museums, libraries, and convention centers -- would be the first considered for closing," the primer advises. ..."Private facilities -- shopping malls, concert halls, skating rinks, gyms, restaurants, bars, theaters, and grocery stores -- may be closed under general emergency powers or special powers granted during times of public health emergencies."
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Tamiflu-Type Drugs Do Not Prevent Spread of Seasonal Flu
A class of drugs commonly used to treat typical influenza symptoms such as fever, headache and cough do not prevent people from becoming infected with the flu virus, a new review shows, although the use of these neuraminidase inhibitors (NIs) to check the spread of flu has been of interest to researchers.
Whether these antiviral drugs — including oseltamivir (or Tamiflu) and zanamivir (or Relenza) — would be effective in preventing spread in a pandemic or avian (bird) flu scenario is not clear, the authors stress.
“Because of their low effectiveness, NIs should not be used in routine seasonal influenza control,” the authors write. “This review found that Nls are effective in preventing and treating the symptoms and complications of influenza but do not prevent infection or interrupt voidance of viruses from the nose.”
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States hesitant to buy bird flu drugs
At least six states plan to buy smaller quantities of antiviral drugs than the federal government has offered them, a setback for part of the government's bird flu pandemic plan. ..."It would be irresponsible to put all our eggs into one basket, for a drug that we don't know will work, against a pandemic that we don't know we'll have," said Arizona state epidemiologist David Engelthaler, in an e-mail. ...Less than two weeks before a federal deadline for states to announce their plans, at least 16 say they're undecided how much Tamiflu and Relenza they'll buy. Thirteen others - including California, the biggest state - say they plan to buy their full allotments.
The federal government plans to buy 44 million antiviral treatment courses for the states this fiscal year and next, enough to cover 17% of their populations. It wants states to buy 31 million more courses, to reach 25%. A course is the amount needed to treat one person.
Even at a discount — about $15 for Tamiflu, about a fifth of the Internet retail rate — cost is a concern.



