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H1N1 Flu: A Worst-Case Scenario

Chuck

Moderator
http://www.cbsnews.com/stories/2009/07/21/earlyshow/health/main5177452.shtml

NEW YORK, July 21, 2009
H1N1 Flu: A Worst-Case Scenario
Dr. Jennifer Ashton Discusses U.S. Estimates of Infection, Hospitalization and Death if All Went Wrong


(CBS) While we're nowhere close to what government planners say would be a worst-case scenario, health leaders at all levels have spent years planning for one. What they found was a grim picture of what could happen if a virus like H1N1 gets severely out of control.

The worst-case scenario report, CBS News medical correspondent Dr. Jennifer Ashton said on "The Early Show" Tuesday, predicts that about 30 percent of the U.S. population -- 90 million Americans -- could be infected.

The worst-case scenario plan also estimates 9.9 million hospitalizations, 1,485,000 intensive-care-unit admissions and 1,903,000 deaths.

The statistics, Ashton said, are based on a computer program that tracks and forecasts a path like a hurricane's. Part of the estimates, Ashton added, are based on infection patterns in the 1958 and 1968 influenza pandemics.

But with the World Health Organization estimating in May that 2 billion people could be infected next flu season, how likely it is this scenario?

Ashton said, "Hopefully not likely at all, but again, we want to prepare for a worst-case scenario, because they have social, medical and economic impacts."

Talking about worst-case scenarios is not meant to scare people, but rather to make them prepare. So how can you prepare?

Ashton said planning means talking to your employer to find out if you can work at home when you're sick or finding out what plans are in place at your children's schools. People should plan to check on homebound, elderly, impaired or sick neighbors in case the person who delivers care to them becomes sick himself.

"All of this is planning and it is critical," Ashton said.

The government is also preparing."It's a huge economic issue that the government is looking at," Ashton said.

Ashton said the regular flu season is also a concern because it takes a "huge medical and financial toll."

"We're going to hear more and more about vaccines and general influenza awareness," Ashton said.

As for vaccines, Ashton said swine flu is still evolving, but there's likely going to be two vaccines.

She said, "People should really talk to their doctors about getting both of them."

? MMIX, CBS Interactive Inc. All Rights Reserved.
 
Re: H1N1 Flu: A Worst-Case Scenario

Isn't this "worst case scenario" a bit optimistic?

If the flu this fall is no more deadly than the 1918 pandemic, which had a 2.5% CFR, that would be 7.5 million fatalities in the US.
 
Re: H1N1 Flu: A Worst-Case Scenario

Isn't this "worst case scenario" a bit optimistic?

If the flu this fall is no more deadly than the 1918 pandemic, which had a 2.5% CFR, that would be 7.5 million fatalities in the US.

Very optimistic. A worst case scenario would be a CFR that we have seen with H5N1 infections which is documented to be about 50+%. A horrific CFR would be a 2.5% CFR seen in the 1918 pandemic.

The "worst case scenario" that is predicted by Ashton is based on a CFR of about .02%. We don't have accurate data right now but there is no reason to believe the CFR of this novel strain will be substantially less than .02% when it returns to the northern hemisphere in a few months.
 
Re: H1N1 Flu: A Worst-Case Scenario

Very optimistic. A worst case scenario would be a CFR that we have seen with H5N1 infections which is documented to be about 50+%. A horrific CFR would be a 2.5% CFR seen in the 1918 pandemic.

The "worst case scenario" that is predicted by Ashton is based on a CFR of about .02%. We don't have accurate data right now but there is no reason to believe the CFR of this novel strain will be substantially less than .02% when it returns to the northern hemisphere in a few months.

We would spot the technical issues but I think this press was a trial balloon of sorts - it gets the conversation going without utterly freaking the vanillas.

The model they propose is not legally binding and most uninformed types wont remember the details..

I can see TPTB types trying to get some of the message out but without the political backwash of telling more "realistic" numbers..

Taking the red pill is something some of us can do.. all of a gulp.. but most people out there in consensus reality land simply can not swallow it. They need to be spoonfed.

Not that such spoonfeeding does anyone any good nor does it get people honestly up to date with the coming storm.

I am guessing that the sociologists who inform the TPTB re: how to get a message out advise them of such.
 
Re: H1N1 Flu: A Worst-Case Scenario

.......... Ashton said swine flu is still evolving, but there's likely going to be two vaccines.

She said, "People should really talk to their doctors about getting both of them."
.........

That sounds like she thinks there will be two novel H1N1 vaccines, due to its evolution. Considering a second strain hasn't been identified, let alone acquired a seed virus for vaccines, ......what is she talking about?

The two vaccine story may be for seasonal and novel, but they need to clarify those details.

.
 
Re: H1N1 Flu: A Worst-Case Scenario

The "worst case scenario" that is predicted by Ashton is based on a CFR of about .02%. We don't have accurate data right now but there is no reason to believe the CFR of this novel strain will be substantially less than .02% when it returns to the northern hemisphere in a few months.

Eh? - I think there's a typo there. 90 million infections and approx 2 million deaths in the USA. That would be a CFR of about 2% surely.
 
Re: H1N1 Flu: A Worst-Case Scenario

Perhaps she's talking about one seasonal flu shot and one H1N1 A shot...whatever she means, she needs to clarify her statement.

It's not perfect, but at least she's talking about preparing for the upcoming flu season. At least it's not "don't panic, it's just like seasonal flu, wash your hands, smile, be happy."
 
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