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  • H1N1 vaccine distributed in fish boxes!

    First swine flu vaccine on way to Alaska health centers
    4,200 DOSES: They are repackaged and sent to cities, villages.

    By DAN JOLING
    The Associated Press

    (10/05/09 14:15:37)
    Insulated cardboard boxes designed for shipping fish are carrying Alaska's first doses of swine flu vaccine to cities and villages.

    State health officials Monday received 4,200 doses of H1N1 nasal flu vaccine in refrigerated boxes. They immediately began repackaging them into smaller seafood boxes marked "Perishable. Keep refrigerated," covered by stickers that said "vaccine."

    The boxes are destined for state health centers.

    "This is the first salvo," said Greg Wilkinson, spokesman for the Alaska Department of Health and Social Services.

    The nasal spray is made from weakened viruses that do not cause the severe symptoms associated with the flu. It must stay refrigerated between 35 and 46 degrees.

    Workers on Monday maneuvered in and out of a walk-in refrigerator to remove cartons of vaccine, insert them into the fish boxes, add a cold pack and a destination label, and then tape them up again.

    Cartons carried 10 vials of vaccine. Workers added both warm and cold markers, said Della Fisher, a state health program associate.

    "We can tell if they get too warm or too cold on their journey," Fisher said as she packed vaccine destined for Cordova.

    It was a scene expected to be repeated frequently in the next weeks. Behind the health department workers, hundreds of larger boxes and plastic foam containers stood ready for additional batches of vaccine to arrive.

    "We're set and ready," Fisher said.

    Wilkinson said Alaska will order more vaccine from the federal Centers for Disease Control as it becomes available.

    "The CDC will tell us daily whether there's any vaccine allotted for us that day," he said. "As soon as we have something, we'll order it."

    Anchorage municipal officials were expected to take delivery of vaccine Monday. Vaccine for the Matanuska-Susitna Borough was to be trucked. Vaccine for most other communities was to be delivered by airplane, possibly by late today.

    "We're getting it back on the planes as fast as possible," Wilkinson said.

    It will be up to each community to decide how to use the nasal spray vaccine, which is licensed for healthy people age 2 to 49, but state health officials were recommending it be administered to children age 2-4.

    Children in that age range are at increased risk for hospitalization compared to older children and the state epidemiologist said it would be the best investment, Wilkinson said.

    "You got a nickel's worth," he said. "What are you doing to do with it?"

    He could not say who would be in line for the next batch.

    "It depends on what kind is available," Wilkinson said.

    The nasal spray cannot be used on pregnant women or people with pre-existing health conditions.

    The state eventually will receive enough H1N1 vaccine for all Alaskans who want it. For later shipments that include an injectable form, priority groups include pregnant women, people in contact with children younger than 6 months old, health care and emergency medical workers, people from 6 months to 24 years old, and people from 25 to 64 with medical conditions that put them at risk of complications from the flu.

    "The next major advancement in the health of American people will be determined by what the individual is willing to do for himself"-- John Knowles, Former President of the Rockefeller Foundation

  • #2
    Re: H1N1 vaccine distributed in fish boxes!

    One of the comments:

    I welcome the shots as a health care provider so I can stay healthy and take care of others, and decrease my risk of passing any flu onto my patients.
    .
    "The next major advancement in the health of American people will be determined by what the individual is willing to do for himself"-- John Knowles, Former President of the Rockefeller Foundation

    Comment


    • #3
      Re: H1N1 vaccine distributed in fish boxes!

      Alaska demand for flu vaccine exceeds supply

      HIGH RISK: Toddlers, pregnant women, health workers get first doses.

      By LISA DEMER
      Published: October 12th, 2009 10:27 PM
      Last Modified: October 13th, 2009 07:34 AM

      Five months after the first Alaskans were sickened by the swine flu virus, state health officials say thousands of people here likely have become ill and they expect to see many more cases.

      Meanwhile, all the attention on flu this year is increasing the demand for seasonal flu vaccines and temporary shortages are showing up around the country, including in Alaska, said Laurel Wood, immunization program manager for the state Public Health Division. Some parents are having trouble finding shots for children.

      People are also clamoring for vaccinations to protect against the 2009 strain of H1N1, or swine flu. While the first 4,200 doses arrived in Alaska last week, they were earmarked for a group at high risk of being hospitalized, children ages 2 to 4.

      More doses of vaccine for both types of flu are on the way, Wood said. More H1N1 vaccine should arrive this week, and the state will continue to get additional shipments to fill the need, she said.

      Whether there will be enough seasonal flu vaccine remains to be seen; even in a routine year, it's hard to predict how much will be needed, she said.

      "We're not in a crisis situation," Wood said. "It's just that demand is outstripping available supply at the moment, but there's more on the way."

      Since May 1, 103 Alaskans have been hospitalized with influenza and five have died -- four from Fairbanks and one from Seward, according to an Oct. 9 situation report from the state Department of Health and Social Services.

      The number of people hospitalized spiked the week ending Oct. 3, with 24. So far, almost all of the influenza cases are H1N1, state epidemiologist Joe McLaughlin said.

      "It will definitely keep going up. We know that our peak incidence for influenza infection occurs in the winter months," McLaughlin said. For Alaska, the seasonal flu peaks in February; H1N1 might peak earlier, he said.

      Many more people have fallen ill but didn't need hospital care.

      "The CDC is estimating there have been already millions of cases of H1N1 in the United States," McLaughlin said. "We very likely have seen thousands of cases here in Alaska."

      Doctors only have to report cases with positive test results, and many patients don't go to the doctor or are diagnosed without a test, he said.

      As long as swine flu vaccine supplies remain tight, the state will continue to target its allocation to priority groups.

      The doses of nasal spray and shots expected this week are earmarked for pregnant women; anyone caring for or living with babies under 6 months, who are too young to be immunized; people age 6 months to 24 years; health care workers; and adults age 25 to 64 with chronic health problems. While the elderly usually are at greatest risk from the flu, many people age 65-plus were exposed to a similar virus years ago and likely have some residual immunity.

      As to the seasonal flu vaccine, some pediatricians in Anchorage have run out of the shots for children. The municipal health department has doses of nasal mist as well as preservative-free shots for young children, but the mist -- a weakened form of live virus -- isn't right for everyone. For instance, people at high risk of complications from the flu are told not to take the mist. Various pharmacies offer the shots, but often only to people age 12 and up.


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