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CDC COCA-provider swine flu powerpoint 7/15/09

Re: CDC COCA-provider swine flu powerpoint 7/15/09

I think slide 20 says it all...see that lil "hearld wave"? That's what got everybody are stirred up this spring...see the BIG wave? That's the one no one believes is coming.

Except the CDC is very carefully...couched terms of science and public health...telling us "it's coming".

This is where we have to consider that not everyone CAN read the handwriting on the wall. And those of us who CAN read the handwriting...at some point have to reconcile themselves to the fact that we cannot protect/save everyone. Even those we love.

BST
 
Re: CDC COCA-provider swine flu powerpoint 7/15/09

I'm looking at slide #38. Does it mean that if you're younger than 65, unless you have underlying health problems you won't be able to get the vaccine? Or that you would need to wait for those in more need to receive it and if there's any left...
 
Re: CDC COCA-provider swine flu powerpoint 7/15/09

I'd add slide 37, where it states that 2 doses of vaccine are required. I would assume this to indicate that any number produced is actually halved. So 160 million initial doses that are supposedly available in October are actually only 80 million
 
Re: CDC COCA-provider swine flu powerpoint 7/15/09

:( This reminds me of the prior post (link first found by Possibilities I think) of the June 3 meeting of U.S. Senate Sub-Committee on Homeland Security re Pandemic Flu.
http://hsgac.senate.gov/public/index...f-893317c92c86
The witness Dr. Paul Jarris discussing the NEED for enough vaccines for the entire US population; go to 41:22-42:50 in the video. The cost per Jarris would have been $14-15B to provide vaccine to the entire population with 2 doses. Guess the price was too high?
 
Re: CDC COCA-provider swine flu powerpoint 7/15/09

I haven't encountered anything that suggests that costs are a hindrance, only the ability to scale production. My concern is that public opinion about H1N1 are essentially "oh..we'll have a vaccine, no need to worry". Yes, we will...eventually.
 
Re: CDC COCA-provider swine flu powerpoint 7/15/09

If our population is around 350M, and after initial 160M doses for 80M people, slide 37 shows subsequent vaccine production will be at the rate of 10-20-30M doses per week (to serve 5-10-15M additional people/week). 270M people would still need vaccine, and it does seem that it will be a long time for the vaccine to reach everyone.
 
Re: CDC COCA-provider swine flu powerpoint 7/15/09

I believe this whole conversation hinges on when the second wave starts to hit and then peak. If we follow a 1918 timeline, a vaccine ready to be deployed the middle of October, that would take at least 2 weeks to provide an immune response with of course getting a booster shot would be too late.

Note the date for the peak cases in New York...roughly October 24th
787px-Spanish_flu_death_chart.png
 
Re: CDC COCA-provider swine flu powerpoint 7/15/09

The cost per Jarris would have been $14-15B to provide vaccine to the entire population with 2 doses. Guess the price was too high?


No, because nobody want's to insert individual ticketing payments - ~50$ individualy (a peace of cake in developed nations), and this way covering all needs in advance.


P.S.
The #1 COCA pdf seems informative.
 
Re: CDC COCA-provider swine flu powerpoint 7/15/09

I listened to a 2-hour experts panel of the HHS National Biodefense Safety Board meeting July 17 and heard Dr. Neil Ferguson of the Imperial College (UK) estimate that in the first two waves (didn't indicate when the second wave would end exactly) 100 million Americans would be infected. He and other experts believed that the peak in the States would be mid Oct. It was a fascinating and candid discussion about the difficulties of the decisions these experts faced with regard to safety, having vaccines available at the peak and thereafter, and the priorities to various segments of the population.

Here is all that remains -- a summary of their 2-day confab which is very much worth reading, especially (at least from my perspective) pages 11-16.

P.S. I'm glad that I don't have to make the decisions that these folks must in the absence of the data to make good decisions.

http://www.hhs.gov/aspr/conferences/nbsb/nbsb-h1n1forum-sum-090617.pdf
 
Re: CDC COCA-provider swine flu powerpoint 7/15/09

Agreed. It seems as though we are down to the wire.

I believe this whole conversation hinges on when the second wave starts to hit and then peak. If we follow a 1918 timeline, a vaccine ready to be deployed the middle of October, that would take at least 2 weeks to provide an immune response with of course getting a booster shot would be too late.
 
Re: CDC COCA-provider swine flu powerpoint 7/15/09

CDC posted the conference call associated with this powerpoint:

http://emergency.cdc.gov/coca/callinfo.asp

The question and answer session is worth listening too. This conference call is targeted at health care providers so there is much more information than the media calls.
 
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Re: CDC COCA-provider swine flu powerpoint 7/15/09

Thank you Zac for posting the link to that conference.
 
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