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States line up to stockpile anti-flu drugs

Mellie

Well-known member
http://nsnlb.us.publicus.com/apps/pbcs.dll/article?AID=/20060708/NEWS02/107080097

States line up to stockpile anti-flu drugs
By KEVIN FREKING, The Associated Press
Published: Saturday, Jul. 8, 2006

WASHINGTON ? South Carolina is in. Utah and Alabama, too.

Some states aren?t waiting for an Aug. 1 deadline to seek help from the federal government in buying anti-flu medicine for a possible pandemic.

?We figure it is certainly better to do it and move forward with the purchase and hope we never have to use it than not and wish that we had,? said Jim Beasley, spokesman for South Carolina?s Department of Health and Environmental Control.

As part of its pandemic preparations, the federal government is stockpiling Tamiflu and other anti-flu medications, which can reduce the symptoms ment is negotiating a price with Roche Laboratories, Inc., which makes Tamiflu, and will pay a quarter of the costs, up to a prescribed amount for each state. In all, states could use the subsidy to buy anti-flu medications for an additional 31 million people.

The Department of Health and Human Services had set a July 1 deadline for states to indicate whether they would move forward with the purchase, but some states wanted more time, said spokesman Bill Hall. The deadline was moved to Aug. 1.

Hall stressed that the deadline does not obligate states to a specific course of action. Rather, it serves as guidance to HHS for its planning.

Montana and Arizona want only a little extra help. Meanwhile, states such as Washington say they plan to take full advantage of the next few weeks to determine the right amount of drugs to purchase.

?There?s a lot to sort out with antivirals,? said Tim Church, spokesman for the Washington state Department of Health. ?It?s not a black-and-white decision.?

Oklahoma lawmakers this spring allocated $500,000 to buy anti-flu medications. That?s enough to pay for enough medicine to treat about 35,000 of the state?s 3.5 million people. But that?s about 7 percent of the amount HHS estimates the state could purchase through the federal subsidy.

?We?re struggling with how much do we need,? said the state?s epidemiologist, Dr. Brett Cauthen. ?How much insurance do you need? Nobody knows what the best number is.?

Other states also indicated they probably won?t use their full allotment. Montana, population 918,000, plans to buy enough anti-flu medication to treat 8,100 people. It could have bought enough to treat about 96,000.

David Engelthaler, epidemiologist for the Arizona Department of Health Services, said the state had plans to spend $1 million on 70,000 courses of the 585,780 available to Arizona, population 5.6 million, but would talk to local health officials to see if more should be purchased.

Engelthaler said it wasn?t prudent to use public money to stockpile Tamiflu for every man, woman and child. ?It?s not likely to be a good drug for general prevention like a vaccine would,? he said.

Meanwhile, New Hampshire said it intends to purchase all the drugs that the federal government is making available to the state, as well as enough to treat nearly a quarter-million health care workers, first responders and nursing home residents. [Mellie: yes!]

?The department feels that, at this time, the prudent act would be to place the order, as a placeholder,? state Health Commissioner John Stephen wrote in a letter to the governor and legislative officials.

Earlier, Dr. Jose Montero, state epidemiologist, said New Hampshire would not buy additional anti-flu medication unless the Legislature appropriated funds.

Other states also are taking advantage of the federal government?s offer.

?We are authorized to buy as much as we can get by the governor,? said Dr. Fred Jacobs, New Jersey?s health commissioner.

New Jersey has told HHS it wants enough to treat about 900,000 people.

Dr. William Schaffner, an infectious disease specialist at Vanderbilt University?s medical school, recommends that states have some anti-flu medication stockpiled in case of a pandemic. However, he said there?s no right answer when it comes to just how much the states should have on hand.

?These are all insurance policies we?re buying,? Schaffner said.

How much insurance a state wants has to be weighed against other pressing matters, such as funding better education or roads, he said.

Schaffner said he does sense, however, than many states still rely too much on the premise that the federal government should fund pandemic preparedness.

?When it comes down to funding, that?s when a lot of states are saying, gee, maybe it should all come from Uncle Sam,? said Schaffner. ?I think that?s not a reasonable idea, and that?s why we at Vanderbilt have made an investment in our own stockpile, and have invested substantially in drills and planning.?

The federal government has made clear that it won?t be able to protect everyone in a pandemic.

?Any community that fails to prepare with the expectation that the federal government will at the last moment be able to come to the rescue will be tragically wrong,? said Health and Human Services Secretary Michael Leavitt.

There have been three influenza pandemics in the United States during the past century. Officials fear that a virus in birds, the H5N1 virus, could mutate and spread from human to human. The World Health Organization reports that at least 229 people are known to have contracted bird flu since 2003, of which, 131 died.
 
Some states not planning for flu season

Some states not planning for flu season

Some states not planning for flu season

<!-- END HEADLINE --> <!-- BEGIN STORY BODY --> By KEVIN FREKING, Associated Press Writer1 hour, 12 minutes ago


Seven states have yet to participate in a federal program to buy antivirals for a potential influenza pandemic. Thirteen states do not have adequate plans to distribute vaccines and medical supplies from the Strategic National Stockpile.

Those findings and others are part of a new report on how well states have prepared for public health emergencies. The report concluded that states have made significant progress since the terrorist and anthrax attacks in 2001. However, critical gaps remain.

Seven states performed adequately in each of the 10 categories that were measured, which earned them a score of 10 from the Trust for America's Health, a research group. The top scores went to Illinois, Kentucky, Nebraska, New Jersey, Pennsylvania, Tennessee and Virginia.

The states that got the lowest score were Arkansas, Iowa, Mississippi, Nevada, Wisconsin and Wyoming.

The federal government has had a difficult time measuring progress when it comes to the billions of dollars it has sent states over the past six years to improve preparedness. The money went to upgrade laboratories, buy medical supplies and conduct training exercises.

The Bush administration has encouraged states to stock up on antivirals in the event of an influenza pandemic. Under one program, the federal government will pay for a quarter of the cost of buying Tamiflu or Relenza, and states pay the remainder for a combined investment of about $680 million. Antivirals reduce the severity of influenza.

Seven states have so far declined to purchase any antivirals, according to the report: Colorado, Connecticut, Florida, Massachusetts, Mississippi, North Dakota and Rhode Island. Several more have bought only a fraction of what they're entitled to under the federal program.

"If a significant number of states don't pick up their share of responsibility, then the country as a whole is less protected," said Jeffrey Levi, executive director of Trust for America's Health.

A spokesman for the Department of Health and Human Services said that states have until June 2008 to get their orders in. All states, have told the federal government they plan on participating, he said. However, many have only ordered part of the medicine that's available to them.

"States that are not buying the full amount of antivirals we have allocated under this program are putting their own citizen at risk," said HHS Spokesman Bill Hall.

The report also highlighted the need for nearly half the states to update their "Good Samaritan" laws. Such laws create liability shields for those who come to the aid of another at the scene of an emergency. The trust said states need shield laws that can cover days or even weeks of voluntary work, such as a shield law tied to a declared emergency by a governor.

The report also warned that a decrease in federal funding could offset many of the improvements that states have made since 2001.

Among the other categories measured, the report said
? Flu vaccination rates for the elderly dropped in 11 states.
? Six states cut their public health department budgets last year.
? All 50 states and the District of Columbia held emergency drills with their health department and state National Guard.
? Twenty-one states do not have key liability protections for health care volunteers who respond to emergencies.

http://news.yahoo.com/s/ap/20071218/ap_on_he_me/emergency_preparedness
 
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