NationStates Jolt Archive


US Military has plan in place for avian flu prevention.

Eutrusca
03-11-2005, 14:46
COMMENTARY: Want to know where the US Military places their highest priorities? Take a look at the last paragraph. Very instructive.


Pentagon Has Plan of Attack for Avian Flu (http://www.military.com/NewsContent/0,13319,79774,00.html?ESRC=eb.nl)


Stars and Stripes | By Patrick Dickson | November 03, 2005
WASHINGTON — The Pentagon’s top health officials have devised a multilayered plan of attack for the avian flu which mirrors President Bush’s plan for the nation announced Tuesday.

Dr. William Winkenwerder, assistant secretary of defense for health affairs, and Dr. John Grabenstein, director of the Military Vaccine Agency, spoke at length with Stars and Stripes recently to clear up misconceptions about the plan.

On Oct. 13, Stripes published a story that said the Department of Defense was experimenting with a vaccine and that the Pentagon did not need Food and Drug Administration approval to go ahead with inoculations, and wrongly attributed the information to Marianne Coates, Winkenwerder’s director of communications.

A vaccine to combat the H5N1 bird flu virus is in fact being developed at the National Institutes of Health, not the DOD, and the Pentagon has ordered 2.7 million doses, which it expects to get first shipments of in February.

That vaccine will not be licensed by the FDA at that time, and the DOD will not use it without what is called an Emergency Use Authorization, Grabenstein said. That must come from the Department of Health and Human Services, which is spearheading the national plan outlined by President Bush.

In addition, the DOD is buying 2.5 million treatment courses — two pills a day for five days — of the anti-viral medication called Tamiflu. These medications are not a preventative — they are given with the onset of symptoms, “almost like an antibiotic,” Winkenwerder said.

“We’re exploring the acquisition of other anti-viral medications, specifically Relenza … an inhaled product,” he said.

The Pentagon also is pushing for its personnel to get their seasonal flu shot, purchasing 3.5 million doses of Fluzone and the inhalable FluMist.

But stockpiling vaccines and medications is just one aspect of the DOD plan.

The Pentagon also is educating leaders and the population about what avian flu is and what it isn’t, and thus what people should and shouldn’t do in the event of an outbreak, and monitoring potential outbreaks worldwide.

“We have been … working on our preparedness and ability to respond for about 18 months,” Winkenwerder said. “Our first priority is to protect the health and safety of our troops, anywhere, anytime around the world.”

Winkenwerder said the DOD is updating policies for both preparedness and action in the event of an outbreak.

Defense Department-run laboratories around the world have been testing samples of the H5N1 virus, deadly in bird-to-bird transmissions, and thought to be equally deadly if it mutates into a human-to-human transmittable form.

“The most recent outbreak … reported two or three weeks ago, involving a child and a parent, was picked up through [a DOD laboratory] in Jakarta,” Indonesia, Winkenwerder said.

In the event of an outbreak, the DOD would pursue a “ring containment” policy, Winkenwerder said.

That effort “involves getting an accurate report of individuals that might have been affected, identifying people that have come into contact with those individuals, tracing their contacts and so forth,” he said.

Personnel nearby would be vaccinated, as would others in “priority groups.”

“And among those priority groups would surely be our troops who are deployed, because they’re performing mission-critical functions, health-care workers, because they’d be in a position to care for people,” Winkenwerder said.

Since 2003, at least 62 people in Southeast Asia have died from H5N1; most regularly handled poultry. Strains of the virus have been seen in foul in several European countries, and a strain was found in migratory birds in Canada, it was reported Monday.

Officials stress importance of getting flu shot

DOD health officials are stressing that despite the focus on avian flu this year, servicemembers, families, and especially retirees need to get their seasonal flu shot.

Each year in the United States, 36,000 people die from seasonal flu.

There is no shortage of seasonal flu vaccine.

“All the doses aren’t everywhere yet, said Dr. (Col.) John Grabenstein, director of the Military Vaccine Agency. “It’s still coming off the assembly line. But, within about two or three weeks, all of our doses should be everywhere, and then it’s just a matter of having them come into the clinic. But every clinic has a starter supply to begin their local process.”

That includes troops downrange, who were sent the first batches of FluMist, an inhalable vaccine, and the injectable shot, Fluzone.

Those in Iraq and Afghanistan were “first on the list, Korea was second, and then we refocused back on the States — the elderly, retirees — because they’re the ones at risk of dying, and now we’re filling in the gaps everywhere else,” he said.
Teh_pantless_hero
03-11-2005, 15:00
I would feel 3000% safer if the CDC formulated a plan.

The elderly and retirees are priorities? Some one needs to inform the Pentagon of the survival rate of the bird flu and rethink its priorities. This is why the CDC would make me feel safer.
Eutrusca
03-11-2005, 15:04
I would feel 3000% safer if the CDC formulated a plan.

The elderly and retirees are priorities? Some one needs to inform the Pentagon of the survival rate of the bird flu and rethink its priorities. This is why the CDC would make me feel safer.
I suspect the CDC will have a plan for civilians. I think the military was speaking about DOD employees, not the general populace.
Teh_pantless_hero
03-11-2005, 15:09
I suspect the CDC will have a plan for civilians. I think the military was speaking about DOD employees, not the general populace.
Then they are still morons, but not on where the vaccine should go first. Those in Korea, Afghanistan, and Iraq are more likely to run into it than those in the US.
Eutrusca
03-11-2005, 15:25
Then they are still morons, but not on where the vaccine should go first. Those in Korea, Afghanistan, and Iraq are more likely to run into it than those in the US.
Um ... so why are they "still morons?" [ counfused look ] :confused:
Hinterlutschistan
03-11-2005, 15:32
Why the panic?

Please realize two things:

First, there has been NO documented spreading from human to human. So unless you're cuddling to your pet hen at night, you should be pretty safe.

Second, your chance to survive it is very close to 100%. Unless of course "drinking water" is something you have after cooking the murky stuff you pull outta your pool and "health care" means something other than a guy dancing around you and some wishful prayers from your peers.
Teh_pantless_hero
03-11-2005, 15:33
Um ... so why are they "still morons?" [ counfused look ] :confused:
"then we refocused back on the States — the elderly, retirees"

Avian flu is not your average gee-it's-cold-outside,-better-go-get-some-flu-shots flu. It is the evil nasty flu of doom.
Dishonorable Scum
03-11-2005, 15:39
Why the panic?

Please realize two things:

First, there has been NO documented spreading from human to human. So unless you're cuddling to your pet hen at night, you should be pretty safe.

Second, your chance to survive it is very close to 100%. Unless of course "drinking water" is something you have after cooking the murky stuff you pull outta your pool and "health care" means something other than a guy dancing around you and some wishful prayers from your peers.

Your first point is accurate enough for now. But influenza viruses mutate very easily, and two different flu viruses can actually "swap" genes if they infect a person (or bird) at the same time. So if someone with an ordinary flu gets avian flu at the same time, the avian flu could easily pick up the genes it needs for human-to-human transmission. Unless this thing dies out quickly, it's only a matter of time before a human-to-human version emerges.

Your second point is dead wrong, emphasis on dead. This flu has a high mortality rate even for people with good health care.
Sierra BTHP
03-11-2005, 15:42
In the absence of a current stockpile of an accurate vaccine for the H5N1 virus - a stockpile great enough to vaccinate the majority of the US population, and in the absence of an effective antiviral drug that works against the H5N1 virus (tamiflu is NOT effective in current experience), there is not much we can do except monitor the outbreak - that is, not much to stop the spread of the disease compared to 1918.

While we can reduce the mortality rate compared to 1918, we probably could not do much to stop the spread - other than massive, disruptive quarrantines - which is an ancient technique.

It wouldn't matter who was in office now, or what plans were written. If you don't have 100 million doses of an accurate vaccine sitting on shelves right now, then if the avian flu comes in January, you're not going to stop it at all.