The possibility of a flu pandemic has been a topic of
conversation for quite some time now. Whispered speculations said that an
influenza pandemic is inevitable. Today, those same speculations are no longer whispered.
Rather, health officials are taking steps to prepare for a pandemic. This
planning involves deciding who gets medical treatment - and who doesn't.
"One day we will face a pandemic but we don't know when" says
Keji Fukuda, coordinator of the World Health Organization's (WHO) Global
Influenza Program. Now, a task force of influential has been set up to
recommend who should receive medical treatment in the face of a flu pandemic or
other mass medical disaster. Members of this task force are from prestigious
universities, medical groups, and military and government agencies – including
the U.S Department of Homeland Security, Centers for Disease Control, and the
U.S. Department of Health and Human Services.
The task force has compiled a list for hospitals to use in
case of a disaster. This list details which types of illnesses and situations
should be treated. The recommendations were published in the May edition of the
Medical Journal
from the American
College of Chest
Physicians. Older patients (over 85), and others in critical conditions are some
of the people on the list of those who would no longer receive care. Other
recommendations include (but are not limited to):
- Individuals
with severe trauma – including victims of car accidents, shootings, etc.
- People
with severe mental impairment.
- People
with chronic diseases – including heart failure, lung disease, and "poorly
controlled diabetes".
- Burn
patients over the age of 60.
While the list is only about recommendations, it is said that this information will provide
guidelines for hospitals to make life-and-death decisions if and when a
pandemic occurs. If the groups' recommendations are strictly followed, some disadvantaged
citizens would be left without medical care.
Lawrence Gostin, a public health law expert from Georgetown University, refers to the report as "a
political minefield and a legal minefield". Gostin believes that the
recommendations would probably violate U.S. federal laws against age and
disability discrimination.
Who is ready?
This is not the only preparedness plan in the world, of
course. According to the WHO, more than 150 countries have some sort of
national preparedness plan – whether as detailed as the United States, or merely an
acknowledged threat. The WHO believes that all levels of society should be
involved with preparing for a pandemic or disaster, so that they will know where
to go for information and treatment.
The WHO continues to update its 2005 preparedness plan to
include progress on the flu viruses and experiences with bird flu. This progress
includes about 5 million antiviral treatments, which are on standby in case a
pandemic breaks out. Over the past few years, enough research has been compiled
to lead the WHO to believe that it's possible to stop a pandemic at the
beginning of an outbreak – although it would be quite difficult.
Is A Vaccine Enough?
One of the reasons this year's influenza outbreak was so widespread
was because the flu vaccine
didn't work well against some strains of the virus. This year was reportedly the worst flu season since 1997-1998, when the vaccine
wasn't especially effective. Since there is no way of knowing the exact strands of the flu virus that will
circulate each year, health officials must make an educated guess as to which
strands they may be. Sometimes, like this year, their guesses are off – this
year's vaccine was estimated to be only 44% effective.
So, if the World Health Organization has 5 million
vaccinations ready, will this be enough to save people from a global pandemic?
- Do you
think the preparation plans are justified? Or are they going too far?
- Do you
believe that we will see a global pandemic? Or are officials just trying
to scare us?
- Are
there any other measures that should be considered?
Editor's Note: I'd like to thank Slowpoke for bringing this very important issue to my attention!
Resources:
http://news.yahoo.com/s/ap/20080505/ap_on_he_me/pandemic_rationing_care
http://www.abcnews.go.com/Health/ColdFlu/wireStory?id=4673825
http://hstoday.us/index.php?option=com_content&task=view&id=3235&Itemid=149
http://ap.google.com/article/ALeqM5gsUwI119BFyoWS4Lb0LazXaA00VQD90G7KE0 http://www.kmph.com/Global/story.asp?S=82878800
http://cr4.globalspec.com/blogentry/5042/Thomas-Francis-and-the-Influenza-Virus-Part-1
http://cr4.globalspec.com/blogentry/5055/Thomas-Francis-and-the-Influenza-Virus-Part-2
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