
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://www.abcnews.go.com/Health/
http://www.hstoday.us/
https://cr4.globalspec.com/blogentry/5042/Thomas-Francis-and-the-Influenza-Virus-Part-1
https://cr4.globalspec.com/blogentry/5055/Thomas-Francis-and-the-Influenza-Virus-Part-2
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