Colds and flu

27 October 2009

Obama declares swine flu emergency

Barack Obama has declared swine flu a "national emergency," the White House said Saturday, as the US reels from millions of cases of infection and over 1,000 deaths.

President Barack Obama has declared swine flu a "national emergency," the White House said Saturday, as the United States reels from millions of cases of infection and over 1,000 deaths.

The emergency declaration enhances the ability of medical treatment facilities to handle a spike in influenza A(H1N1) patients by allowing medical officials to temporarily bypass certain federal requirements. "The 2009 H1N1 pandemic continues to evolve," Obama said in the declaration.

"The rates of illness continue to rise rapidly within many communities across the nation, and the potential exists for the pandemic to overburden health care resources in some localities."

Not enough vaccine
The declaration comes just days after Health Secretary Kathleen Sebelius warned that demand was outstripping supply of vaccine for the novel flu strain. As Americans waited for more shipments of vaccine, 46 of the 50 states now report widespread swine flu activity - an unusually early uptick that ordinarily takes place in January or February at the peak of a normal flu season.

"By rapidly identifying the virus, implementing public health measures, providing guidance for health professionals and the general public, and developing an effective vaccine, we have taken proactive steps to reduce the impact of the pandemic and protect the health of our citizens," Obama said.

In a note to Congress, Obama said the move was implemented "in order to be prepared in the event of a rapid increase in illness across the nation that may overburden health care resources."

Emergency operation plans
The declaration, he explained, will allow health officials "to temporarily waive certain standard federal requirements in order to enable US health care facilities to implement emergency operations plans to deal with the 2009 H1N1 influenza pandemic in the United States."

At least 4,999 people have died from swine flu infections worldwide since April, when an outbreak was first reported in Mexico before rapidly spreading to the United States, according to the World Health Organisation. In the United States, Sebelius first declared a public health emergency in response to the virus on April 26, and renewed that declaration on July 24 and October 1.

"We are nowhere near where we thought we'd be by now," Centres for Disease Control and Prevention (CDC) chief Thomas Frieden said Friday of the amount of vaccine available. Because of the vaccine shortage, the state of New York on Friday suspended a contentious requirement for health care workers to be innoculated against swine flu by the end of next month, or risk losing their jobs.

As of Friday, the CDC had 16.1 million doses of swine flu vaccine ready for shipping, and more than 11 million doses have been sent out to state health authorities. Around half of those were nasal mist, which can only be administered to healthy people between the ages of two and 49, and excludes those individuals particularly at risk of infection - pregnant women, people with chronic respiratory illness like asthma and very young children. - (Sapa-AFP/October 2009)

Read more:
Swine flu world map
Swine flu timeline


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Dr Heidi van Deventer completed her MBChB (Bachelor of Medicine and Bachelor of Surgery) degree in 2004 at the University of Stellenbosch.
She has additional training in ACLS (Advanced Cardiac Life Support) and PALS (Paediatric Advanced Life Support) as well as biostatistics and epidemiology.

Dr Van Deventer is currently working as a researcher at the Desmond Tutu Tuberculosis Centre at the University of Stellenbosch.

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