Swine Flu Outbreak Triggers Public Health EmergencyBy Peggy Peck, Executive Editor, MedPage Today
Published: April 26, 2009
WASHINGTON, April 26 -- The Obama administration today declared a public health emergency as a "precautionary move" to combat the swine flu outbreak, which has grown from two U.S. cases to 20 in less than a week.
At a White House press briefing Homeland Security Secretary Janet Napolitano said the federal government would release 25% of the 50 million treatment courses of oseltamivir (Tamiflu) and zanamivir (Relenza) in the national stockpile.
The antivirals will be released to the states, "concentrating first on those states that have confirmed cases."
Napolitano said the Department of Defense had another 9 million courses of antivirals in its stockpile, but said those would be reserved for DoD use.
The CDC confirmed eight cases in New York City, seven in California, two in Texas, two in Kansas, and one in Ohio.
Richard Besser, M.D., Acting Director of the CDC, said that the U.S. cases have all been mild, but he cautioned that he expected to see "more serious illness" in the coming days.
In a conference call with reporters, Anne Schuchat, M.D., interim deputy director of the CDC's science and health programs, also braced the American public for more severe disease.
"I do fear that we will have deaths here," she said.
She said it was too early to definitively say that the virus was causing more severe disease in Mexico because the CDC was still gathering information on the cases in that country.
The agency continues to explore why the virus appears to be affecting mostly younger adults, she said.
One hypothesis is that older individuals are being spared because of previous exposure to H1N1 viruses over the course of a lifetime, she said.
According to Dr. Besser the CDC has compiled "seed stock" from this new virus so that "we will be able to develop a vaccine, if that is necessary." He said the CDC has already contacted vaccine manufacturers to discuss that possibility.
He noted what might be a fortunate aspect to the outbreak. "We are at the end of the seasonal flu season, so we expect to see a decrease in the number of cases," Dr. Besser said. He said this seasonal flux might be a limiting factor for swine flu as well.
Additional reporting by Todd Neale.
http://www.medpagetoday.com/InfectiousDisease/URItheFlu/13903