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Welcome to the conversation Forum of Flu Wiki

This is an international website intended to remain accessible to as many people as possible. The opinions expressed here are those of the individual posters who remain solely responsible for the content of their messages.
The use of good judgement during the discussion of controversial issues would be greatly appreciated.

Should Healthcare Workers Be Required to Be Vaccinated?

by: Public_Health_Networker

Wed Oct 07, 2009 at 22:19:31 PM EDT

Dr. Ronald Bayer, a professor at Columbia University  provides the following quote from John Stuart Mills
The only purpose for which power can be rightfully exercised over any member of the civilized
community, against his will, is to prevent harm to others.
.  The National Foundation for Infectious Diseases provides this information http://www.nfid.org/influenza/...
Health care workers are frequently implicated as the source of influenza in health care settings. [Horcajada, Salgado, Harrison] This is particularly troubling for the high-risk patients in their care, who may be at increased risk of severe complications, including influenza-related mortality. Outbreaks have been documented in high-risk patient care areas, including organ transplant units [Malavaud], long-term care facilities [CDC 1992] and neonatal intensive care units. [Cunney]
There's More... :: (1 Comments, 289 words in story)

If Law Suits Are Alternatives To Violence: What Duty of Care Will Apply During a Pandemic

by: Into The Woods

Fri Aug 14, 2009 at 15:04:46 PM EDT

I know that's an inflamatory statement, but said another way, it is a commonly accepted foundation of our legal system:  "Civil tort law provides an alternative to violence and keeps the peace."

The other thing to remember is that when we talk of suing folks, that such suits are based on the allegation that whoever you are suing failed to live up to the implicit responsibilities held by individuals (or entities) towards others within society.

This diary was prompted by a comment by DennisC in the discussion on CDC's school closing guidance:

There's More... :: (12 Comments, 1276 words in story)

Health Care Debate and the Flu pandemic


Wed Aug 12, 2009 at 18:37:22 PM EDT

Over the last 10 days a cry has gone up in the United States, over Health Care Reform and Government intervention.

The debate will continue into at least mid October before a bill maybe passed in a form that most of congress will agree to.

What will happen to this debate if the Flu pandemic 2nd wave hits us very hard and the government starts to provide the flu treatment and vaccine according to their priorities?

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A Review of WHO Alert Levels


Thu May 07, 2009 at 08:45:18 AM EDT

I copied the following review from another Forum.
I thought that we need to review some of the basic information both for our selfs and for the new people who have come here.  This review is on the alter levels that Who uses for pandemics.

The CDC reorganized the pandemic phase levels about a year and a half ago.

By definition, as soon as you have a localized sustained human to human transmission you have a epidemic.. An pandemic is when it ceases to remain localized.

This pandemic alert level is being used as crowd control. I have listed the phases from the WHO web site and you'll notice that none of the phases indicate any degree of CFR (certified fatality rate) just the rate of which a virus has spread.  But the powers that be are saying that it's really not a pandemic because it's not any worse than the seasonal flu. That's not relevant to the pandemic alert levels.

I found it rather interesting how as of last Friday the whole momentum of the media changed even though the numbers continue to increase. Now they're admittedly only testing the "severe" cases, reopening schools and saying that Mexico is getting back to normal.  The WHO's pandemic alert really goes from phase 3 to  phase 6. It's like being "kinda" pregnant.

Historically speaking, pandemics have always come in waves. In 1918 for example, the first wave began in early march and faded out during the summer. The first wave was so mild that most doctors hardly recognized it as the flu. When it re-emerged as a recombinant virus in September, that's when things got bad.

In nature, influenza viruses circulate continuously among animals, especially birds. Even though such viruses might theoretically develop into pandemic viruses:

There's More... :: (7 Comments, 365 words in story)

Pandemic First aide - Fact or fiction?

by: Kobie

Fri Jan 09, 2009 at 12:59:49 PM EST

  During a pandemic would CPR or first aide be helpful or futile because EMT and hospitals will be overwhelemed or non exsistant.

 Wilderness first aide is reccomended for hikers, sailors and anoyone else who will be 30 min or more from medical help and support.  

There's More... :: (36 Comments, 157 words in story)

Science from BirdFlu2008 Oxford UK conference

by: UK - Bird

Mon Sep 15, 2008 at 03:56:16 AM EDT

This diary is for the science discussed at the BirdFlu2008 Conference held in Oxford between the 10th and 11th of September 2008.

I went to the conference and exhibition in Oxford with SusanC. She will have more coherent opinions of the conference than mine, but here's my beginners eye view. The notes I will relate are not a complete picture of the conference for three reasons 1) Some of it we already know well and/or have discussed it before or 2) Some of it was too far beyond my understanding to offer any sensible comment. 3) I can't guarantee that my grasp of what was reported is accurate for which I apologise to the fine scientists at the conference.

The conference was small (about 130) but attended by many of the stars of the flu world. It was a wonderful if challenging opportunity to be there. My thanks to Susan for giving me the opportunity :-)

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Not Bird Flu But Close 03-29-08 to 07-26-08

by: Oremus

Sat Mar 29, 2008 at 08:19:43 AM EDT

Post your news stories that don't seem to be H5N1 news, but might be notable or possibly related.
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If An Influenza Pandemic Where to Strike My Town

by: Katie Bird

Fri Feb 15, 2008 at 10:00:51 AM EST

I recently wrote this editorial "If An Influenza Pandemic Where to Strike My Town". I would like to thank everyone here who has statements mixed in to get the point across. I am sorry if I didn't credit anyone specifically, I am sure you will recognize your eloquent words in here. Thank you for that!
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Why Can't Walmart be Selling Preparedness?

by: SusanC

Sun Feb 10, 2008 at 00:23:04 AM EST

( - promoted by SusanC)

There are some questions that just BUG you so much, you just have to keep asking them!

This is one of them.

I tried to ask that several times.  Maybe I asked the wrong people, I don't know, but I haven't been able to get much traction anywhere.  So I thought I'll throw this question out and see if someone can help me find an answer, you know....

There's More... :: (90 Comments, 381 words in story)

Assessing the Risk of a Worldwide Avian Flu Pandemic

by: SusanC

Fri Feb 08, 2008 at 20:17:43 PM EST

from a recent presentation by David Nabarro,  UN System Senior Coordinator for Avian and Human Influenza, at the National Emergency Management Summit
There's More... :: (175 Comments, 1298 words in story)

Comments on ECDC Pandemic Public Health Measures

by: SusanC

Thu Jan 31, 2008 at 22:27:46 PM EST

( - promoted by SusanC)

Comments on the ECDC Interim Guide to Public Health Measures to Reduce the Impact of Influenza Pandemics during Phase 6
sent to ECDC today.  pdf full version
"Increasing interconnectedness has multiplied the points of potential failure and increased the significance of systemic linkages.  Behavioural dynamics are critical."

Global Risk 2008
World Economic Forum

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FBIIC-FSSCC Pandemic Exercise -- Fall 2007

by: Bronco Bill

Tue Jan 29, 2008 at 19:14:41 PM EST

( - promoted by Bronco Bill)

The US Department of the Treasury, the Financial Banking Information Infrastructure Committee (FBIIC) and the Financial Services Sector Coordinating Council (FSSCC) announced the release of the After Action Report on the exercise on January 24, 2008.

This is a 58-page .pdf document. Comments welcome.


Their PanFlu Exercise website is here

Thank you, Thom, for finding this.

There's More... :: (11 Comments, 162 words in story)

Not Bird Flu But Close Jan 10 - Mar 28, 2008

by: Bronco Bill

Thu Jan 10, 2008 at 16:14:18 PM EST

Post your news stories that don't seem to be H5N1 news, but might be notable or possibly related.

Old Diary here

Discuss :: (106 Comments)

Old Yeller will be closing

by: Bronco Bill

Sun Dec 16, 2007 at 02:00:00 AM EST

Attention all FluWikians---

Old Yeller, the original FluWiki Forum located at http://www.fluwikie2.com is scheduled to shut down on June 1, 2008. The information located there will no longer be available after that date.  

There's More... :: (18 Comments, 313 words in story)

the irrelevance of the Health Care system during a pandemic

by: LMWatBullRun

Fri Dec 07, 2007 at 18:13:45 PM EST

So I was going through "Old Yeller" this evening and I ran across a discussion that I participated in over a year ago.  I was looking for this thread because of the recent discussion about vaccine priority.  

Now, at present, I really consider debating vaccine priority as totally irrelevant, because 1) we won't have it until 4-6 months into a pandemic;  
2) we don't currently have enough capacity in the US to produce enough vaccine to treat more than 10% of the US population;
and 3) the underlying drivers for this situation are not going to change quickly, if at all.

So that is why I consider debating vaccine priority irrelevant.  But I did have a reason for participating in the discussion, which was to promote my concern about elevating the priority for preserving those who generate and distribute electrical power.

In the course of these dicussions, I was surprised by how many people thought that the United States health care system actually would be able to help mitigate the impact of a pandemic.  So, I thought I'd copy an old post over from "Old Yeller" on this subject.

There's More... :: (135 Comments, 952 words in story)

Help me respond to Scottish shadow health sec?

by: Mathematician

Thu Dec 06, 2007 at 16:07:54 PM EST

I sent a mail to this guy in response to a reported interview with him that was mentioned in the news thread (here's the interview) and got a prompt reply that invited further comments. Help me choose the most effective short reply?

Details below the cut. This may be a good opportunity because (a) this guy is an opposition politician, from the major opposition party, i.e. if he can say sensible things that make the govt look bad it's in his interests to do so (b) because Scottish politics rather prides itself on making a better fist of health than the English. So there's some chance of getting people to listen here, and then that would be a good thing to point other countries' politicians at... well, worth a try, anyway.

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The HHS/CDC Pandemic Flu Preparedness Toolkits

by: SusanC

Sat Dec 01, 2007 at 19:38:38 PM EST

This kit was developed by HHS and CDC along with input from community leaders. It is designed to provide you with key information and tools to help your organization or practice understand the threat of a pandemic and prepare for it now.

This toolkit provides the following:

   * Information for you about pandemic flu
   * Ready-to-use and ready-to-tailor resources prepared by HHS and CDC
   * Ideas and materials to encourage your organization to prepare and to encourage other leaders to get involved

There's More... :: (56 Comments, 447 words in story)

ASPR PAHPA Implementation Stakeholders Meeting, part 3 - At-risk Individuals

by: SusanC

Sun Nov 11, 2007 at 17:41:03 PM EST

This session bears direct relevance to the question that I raised before the meeting, on the issue of safety of children in a pandemic and the need to inform parents.   
There's More... :: (4 Comments, 1801 words in story)

ASPR PAHPA Implementation Stakeholders Meeting, part 2 - National Health Security Strategy

by: SusanC

Sat Nov 10, 2007 at 21:19:13 PM EST

First of the two breakout sessions I took part in.

Part 1 of this series, overview, is here.

Writing the National Health Security Strategy, as required by the PAHPA, is one of the most important functions of the ASPR office, which will have far-reaching implications for the future of development of the public health infrastructure, as well as health preparedness and response.   

There's More... :: (24 Comments, 2087 words in story)

ASPR Pandemic and All Hazards Act Implementation Stakeholders Meeting, part 1 - overview

by: SusanC

Fri Nov 09, 2007 at 21:19:29 PM EST

Go here for the full agenda.

And here for the PAHPA progress report


PAHPA - Pandemic and All Hazards Preparedness Act (2006) PL109-417

ASPR - HHS Assistant Secretary of Preparedness and Response, RADM Craig Vanderwagen

HSPD - Homeland Security Presidential Directive

KLL - Katrina Lessons Learned (HSC report Feb 2006, and ASPR meeting Sep 2007, reported in the follow-up comments of this diary)

Part 2, on National Health Security Strategy, is here.  

There's More... :: (20 Comments, 978 words in story)
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