With summer coming to a close, the United States is preparing for autumn's flu season. The Department of Health and Human Services said only 45 million doses of the vaccine against H1N1 (or "swine flu") will be ready in October, rather than the 120 million doses they had expected. While pregnant women and health care workers will be the first to get the two-dose vaccine, school-age children and teens are next in line. So who better to deliver those H1N1 vaccines than the schools themselves? In what could be the largest campaign since the polio vaccine in the 1950’s, schools across the country are preparing to inoculate their students. Joining us for a look at the supply of and demands for the H1N1 vaccine – and how it will be administered – is Dr. Maria Simbra. She’s the medical reporter for KDKA TV in Pittsburgh.
As the federal government prepares to release its recommendations for schools during flu season, The Takeaway talks to two workers on the front lines of the war on the flu. Ryan Kelley is the emergency medical services manager for the Imperial County Public Health Department in El Centro, California. He closed four schools last April because of confirmed swine flu cases, but is expecting a different approach during the upcoming school year. Kathleen Murphy is the health services coordinator for the Milwaukee Public Schools in Wisconsin. In addition to being in charge of Milwaukee's public school health services, Kathleen is also a nurse. Wisconsin was hit particularly hard with the H1N1 flu and the problem hasn't ebbed with the summer.
Parents are worried about the spread of H1N1 (or swine flu) when school starts up in September. In advance of potential outbreaks, the Obama administration is finalizing guidelines that could scale back government-recommended school closings in response to outbreaks of H1N1. The goal is to keep schools open as much as possible. This fall, federal authorities will recommend closures only under "extenuating circumstances," such as if a school has many children with underlying medical conditions or if many students or staff members are already sick. For more we turn to Spencer S. Hsu, a staff writer for the Washington Post.
A Centers for Disease Control advisory panel has recommended that pregnant women get top priority for an H1N1 vaccine when it is expected to become available this fall. How is this recommendation reverberating on the frontlines? The Takeaway turns to Dr. Richard Wenzel, an epidemiologist and Chairman of the Department of Internal Medicine at Virginia Commonwealth University, who has just returned from studying the spread of the flu in South America. Also joining the conversation are Leila Laniado, an Atlanta resident who is 5 months pregnant and weighing her options, and Dr. Laura Riley, an OB/GYN at Massachusetts General Hospital in Boston explains what she is telling her patients about the vaccine.
"It's clear that the CDC suggests that pregnant women be at the top of the list. I think what pregnant women need to do is go into their obstetricians or primary care physicians and say, 'I'm pregnant, I want the vaccine, I understand that there are some safety issues potentially, but I also understand that getting the flu in this situation could be far worse.'"
—Dr. Laura Riley on flu treatment for pregnant women