H1N1
The reason there wasn't a post yesterday is simple. The night before, I was feeling a bit under the weather. As a result, I went to bed early, neglecting my blogly responsibilities. As I result, I missed the release of a whopper of a study that normally would have been all over like...well...choose your metaphor. On the other hand, the one day delay isn't necessarily all bad because it lets me see the reaction of cranks to this study, the better to apply some not-so-Respectful Insolence to it. The crankiest of these cranks, of course, is Mike Adams, a grifter deep in the thrall of any form of…
Does anyone remember the H1N1 influenza pandemic? As hard as it is to believe, that was five years ago. One thing I remember about the whole thing is just how crazy both the antivaccine movement and conspiracy theorists (but I repeat myself) went over the public health campaigns to vaccinate people against H1N1. It was truly an eye-opener, surpassing even what I expected based on my then five year experience dealing with such cranks. Besides the usual antivaccine paranoia that demonized the vaccine as, alternately, ineffective, full of “toxins,” a mass depopulation plot, and many other…
Within 15 minutes of my 6:00 am flight from Austin to Baltimore, I knew it was going to be a long, COLD, 3-hour trip. I'd already turned off the overhhad vents to stop the frigid air from blowing on me, and contorted myself into a ball on my seat trying to stay warm. As I visualized myself lounging in the hot sun, my light slumber was interrupted by a "DING!" coming from some seat ahead of me. Two rows up, a passenger had depressed the flight attendant call button to summon the Southwest Airlines crew member.
"May I get a blanket?" the woman passenger asked.
Like me, she must have felt the…
Mark Pendergrast writes: To kick off this book club discussion of Inside the Outbreaks, I thought I would explain briefly how I came to write the book and then suggest some possible topics for discussion.
The origin of the book goes back to an email I got in 2004 from my old high school and college friend, Andy Vernon, who wrote that I should consider writing the history of the EIS. I emailed back to say that I was honored, but what was the EIS? I had never heard of it. I knew Andy worked on tuberculosis at the CDC, but I didn't know that he had been a state-based EIS officer from 1978…
This, our first week of classes of the Spring semester, also marked the return of regular publication of the daily student newspaper. Since I'm not behind on grading yet (huzzah for the first week of classes!), I picked up yesterday's copy and read one of the front-page articles on my way to my office.
And dagnabbit if that article didn't angry up my blood.
The trouble is, I'm having a hard time figuring out where properly to direct that anger.
The article, which appeared below the fold, was titled "U.S. Health Secretary urges vaccinations". It drew from a January 26, 2010 conference call…
If you think that the H1N1 pandemic is slowing down and have grown complacent with vaccination now that vaccines are more widely available, please learn something from last night's tragic loss of local college student from Rhode Island, Lillian Chason:
A University of North Carolina at Chapel Hill student, who friends said was battling complications from the H1N1 virus, died Wednesday evening, according to UNC Hospitals and a Facebook post made by her father.
Freshman Lillian Chason had been in critical condition at UNC Hospitals for weeks. Friends told WRAL News on Tuesday that she started…
We brought Huxley in for his first doctor visit yesterday. Everything was fine. But since we were going to a clinic with an urgent care unit, I expected to see a lot of people with the flu in the waiting room. There is always a lot of messing around in the waiting room, with a two stage sign in process, a need to show ID, sign stuff, etc. etc. and then there would be a wait in the waiting room breathing in H1N1 kooties. My plan was to keep Huxley, who was in the nifty car seat-stroller thingie and well bundled against the elements, in the entrance way of the building or even in the…
We have an interesting conundrum. Our offspring (______) is due on November 20th. This places the likely date of birth just prior to Thanksgiving. This causes many people to get very excited because they get to see and play with the new baby. I wonder how mad at me all those people are going to get when they find out I might not let that happen?
I'm not entirely sure what we are going to do postpartum. I'm quite interested in advice, so please do make your suggestions below. I'd especially like the advice of the MD's and Public Health Scientists in the vicinity. Or anyone with relevant…
I spent about 45 minutes yesterday in the local HMO clinic. They had turned the main waiting room into a Pandemic Novel A/H1N1 Swine (nee Mexican) Influenza quarantine area, and I could feel the flu viruses poking at my skin looking for a way in the whole time I was there.
Amanda, who is 8.3 months pregnant, started getting symptoms of the flu two days ago. As a high school teacher in a school being affected in a state being affected (as most are) she is at high risk for this. She was one of the first people around here to get the vaccine, just a couple of days ago, but it takes about 10…
In a disturbing post at ScienceInsider, Jon Cohen and Martin Enserink explain why the swine flu vaccine is running so late. Or at least they try to explain why it's so late. For while all the suppliers are running into problems, we're not allowed to know what they are.
The delays are substantial and critical. They leave us naked as the flu spreads through the country. The flu has now killed 1000 people, over 100 of them children. Even as this happens, the delivery dates keep moving back and the delivery amounts keep shrinking. As recently as a month ago, the CDC was telling us that we'd…
I've written previously about "chicken pox parties". These types of events are coming back into vogue (they were common in the days before the vaccine, when the only way to provide immunity was to be infected), as parents mistakenly believe that "natural exposures" to these pathogens are somehow superior--and safer--than vaccinations. Though the latest rage are "H1N1 parties", chicken pox parties are still around, and potentially being held at your local McDonald's by families connecting on the internet:
I am trying to put together a chicken pox party and am looking for someone to donate…
I've wondered many times, including out loud in Slate, why it's not common in the U.S. to give flu vaccinations at schools, so they could efficiently be given to the population (children) whose inoculation most effectively prevents epidemics or pandemics, as well as to anyone else who wanted one. Same place, procedure, and personnel every year. It would simply and speed things immensely, and save scads of money?
This story in the Times has me asking the question anew. Instead of a single date (or a few dates) in which people can line up and get their shots in an orderly, efficient process,…
Never know what'll top the charts. Top post was a post I put up in January, "Pfizer takes $2.3 billion offl-label marketing fine." That post reported the news (via FiercePharma) that Pfizer had tucked away in its financial disclosure forms a $2.3 billion charge to end the federal investigation into allegations of off-label promotions of its Cox-2 painkillers, including Bextra. (Lot of money ... but it didn't quite wipe out the company's 2008 net income.) The company had set aside the money as part of a deal it was negotiating Justiice. Finalizing the deal, however, took until September. At…
Lots of flu news out there. Here's my short list for the day:
Helen Branswell reports that WHO is unpersuaded by the unpublished paper showing seasonal flu vaccine may raise chance of getting swine flu. (Anomalies are usually anomalies.) Canada has been thrown into quite a bit of confusion by this report, with some provinces holding off on seasonal flu vaccines.
Meanwhile, an OB notes an extraordinary death toll of H5N1 among pregnant women.
Greg Laden has an extremely short post suggesting how difficult these two bits of news are when you (or your wife) are actually pregnant. The gist: The…
You have to move fast these days to keep up with the flu. Or outrun it.
A quick roundup from the last 24:
From the invaluable H5N1:
Mexico: 4,000 H1N1 cases in 7 days
Spain: 31,322 cases and 6 deaths in one week
US: 15 states could run out of hospital beds
Scotland sees it Worst week yet for swine flu, with new cases running at 2,000 a day
Toronto catches the wave.
Meanwhile, Helen Branswell reports that Dutch researchers find mutation linked to greater virulence in swine flu virus -- but so far it doesn't appear to be the big upgrade in nasty we've been fearing. Effect Measure…
Prof Tara Smith thought it important enough to come back from her hiatus to explain why she's doing the same for her kids.
That's why.
Addendum (20 Sept 2009): In my rush to put up a very quick post on Friday, I just saw that Revere at Effect Measure put up a detailed post on why we should always get the regular seasonal flu vaccine regardless of the current H1N1 pandemic.
Taking a brief hiatus from my hiatus to discuss a question I've been asked a number of times in recent weeks by friends and family: what about flu shots? Are you getting one for yourself? Your kids? The answer is yes to both, with more explanation after the jump.
First, for readers unfamiliar with this blog, let me be frank regarding my opinion on vaccine "controversies," such as "vaccines cause autism." As I've discussed here several times already (and more can be found by searching my older posts), this assertion is completely unsupported by many scientific studies, so this is not a…
My latest piece for Slate examines the unsettling consequences of the United States' choice of swine flu vaccines.
The good news about these vaccines is that, to judge by the first vaccine trial results, published last week, they appear to work fast, safely â and at about a half to a quarter of the doses that the CDC expected. This means we effectively have about two to four times as many vaccines as we had figured we would. Since we ordered 195 million doses, we could vaccinate damn near the whole country.
If the fast-tracking efforts continue to work and the flu peaks closer to Christmas…
Even with the H1N1 pandemic flu going around you should still be vaccinated against the seasonal flu. revere has the details.
I guess that means Dr. Doug Bremner must think that revere is an idiot. After all, Bremner tells us that the flu vaccine is all a plot for big pharma to make money, don't you know? Subtlety and weighing of risk-benefit ratios in a manner that doesn't turn into an anti-big pharma rant is beyond him. Fortunately it is not beyond revere:
The truth is this. No one knows what's going to happen. We're all guessing. But in my estimation, the risk-benefit calculation for…
The damage done resembles that found in bird flu as well as 'acute respiratory distress symptom,' reports Branswell - the latter being a condition that can rise from a number of causes, and which kills 30% of those who get it. (That is, get ARDS, not swine flu.)
Yet more signs that this is a strange strain.