Tag Archives: swine-flu

Expert warns of complacency after swine flu fizzle (AP)

HONG KONG – A leading virus expert urged health authorities around the world Sunday to stay vigilant even though the recent swine flu pandemic was less deadly than expected, warning that bird flu could spark the next global outbreak. A World Health Organization official also defended the U.N.'s health body against accusations that it wasted governments' money and enriched pharmaceutical companies with its strong warnings during the swine flu outbreak's early days last year. WHO declared the swine flu pandemic over last month. The latest death toll is just over 18,600 — far below the millions that were once predicted. The head of the global health body has credited good preparation and luck, since the H1N1 swine flu virus didn't mutate as some had feared. But speaking to reporters on the sidelines of an influenza conference in Hong Kong, researcher Robert Webster warned against complacency. "We may think we can relax and influenza is no longer a problem. I want to assure you that that is not the case," said Webster, chairman of the virology and molecular biology department at St. Jude Children's Research Hospital in Memphis, Tennessee. Webster predicted that the next pandemic could be sparked by a virus that spreads from water fowl to pigs and then onto humans — such as the H5N1 strain of bird flu, which has killed 300 people over the past seven years. He noted that after several years of decline, the number of bird flu cases in humans increased in 2009, lifted by an uptick of cases in Egypt. "H5N1 can kill 61 percent of humans infected, but it doesn't know how to spread from human to human. But don't trust it because it could acquire that capacity. So we must stay vigilant," he said. Sylvie Briand, head of WHO's global influenza program, said its surveillance has shown that the bird flu strain isn't capable now of jumping between humans except in rare cases of close personal contact, but echoing Webster, warned: "These are viruses that are evolving. They are changing all the time." Both experts said it was difficult to predict when — or if — bird flu might set off a new pandemic. "We don't understand enough about the virus to make predictions," Webster said. University of Hong Kong microbiologist Malik Peiris said scientists are closely monitoring mutations by influenza viruses — including bird flu viruses — but it's hard to determine which mutations are most likely to spread among humans. Briand also defended WHO against accusations that it hyped the swine flu pandemic, saying it was acting with limited information when the virus first surfaced and adjusted its response when it became clear the outbreak wasn't as serious as expected. WHO received at least $170 million from member states to deal with the outbreak, some of which was invested in immunization programs long after the virus strain was known to provoke only mild illness in most of those infected. Governments spent many times that amount buying vaccines and antiviral medicines that are now being junked. European legislators have repeatedly accused WHO of overstating the danger of swine flu and playing into the hands of the pharmaceutical industry, which has earned millions from the outbreak since it began in April 2009. "We prepared for the worst and hoped for the best. And as the information became available, there was adaptation of the plan and adaptation of the recommendations in order to really tailor the response to the reality," Briand said. "But it took some time." Follow Yahoo! News on Twitter , become a fan on Facebook

AP IMPACT: Millions of vaccine doses to be burned (AP)

ATLANTA – About a quarter of the swine flu vaccine produced for the U.S. public has expired — meaning that a whopping 40 million doses worth about $260 million is being written off as trash. "It's a lot, by historical standards," said Jerry Weir, who oversees vaccine research and review for the U.S. Food and Drug Administration . The outdated vaccine , some of which expired Wednesday, will be incinerated. The amount, more than twice the usual leftovers, likely sets a record. And that's not even all of it. About 30 million more doses will expire later and may go unused, according to one government estimate. If all that vaccine expires, more than 43 percent of the supply for the U.S. public will have gone to waste. Federal officials defended the huge purchase as a necessary risk in the face of a never-before-seen virus. Many health experts had feared the new flu could be the deadly global epidemic they had long warned about, but it ended up killing fewer people than seasonal flu. "Although there were many doses of vaccine that went unused, it was much more appropriate to have been prepared for the worst case scenario than to have had too few doses," said Bill Hall, spokesman for U.S. Department of Health and Human Services. Most leading health experts generally agree with that. Millions of doses of flu vaccine generally go unused every year and are marked for burning, but in recent years the leftovers amounted to closer to 10 percent of the supply, rather than the 25 percent expiring now. Government flu experts couldn't recall throwing away anything close to 40 million doses before. The new H1N1 swine flu emerged in April last year, hitting children and young adults particularly hard. It was difficult to predict how deadly it might be or how easily it might spread. Federal health officials pushed five vaccine manufacturers to produce a vaccine as quickly as possible. What's more, they wanted a lot of it — many experts thought most people would need two doses for it to work. The government placed three orders last year for a combined total of nearly 200 million doses — an unprecedented amount and almost double the amount of vaccine produced in recent years for seasonal flu. About 162 million doses were meant for the general public. Another 36 million included doses for the military and other countries. But demand never took off, for several reasons: _Tests of the vaccine soon showed only one dose was enough to protect most people. _Much of the vaccine was not ready until late 2009, after the largest wave of swine flu illnesses passed. _Swine flu turned out not to be as deadly as was first feared. About 12,000 deaths have been attributed to it — or roughly a third of the estimated annual deaths from seasonal flu. So while people were waiting hours for swine flu vaccinations in some cities in October and November, by January local health departments were trying gimmicks to get anyone at all to come in for a shot. Government officials have known for months that they were looking at a huge surplus. According to an Associated Press calculation based on federal purchasing information, the dollar value of the 40 million expired doses is about $261 million. The government didn't release an official figure, but Hall said the AP estimate was approximately correct. In Europe, where nations also found themselves with millions of unused doses, some commentators have attacked the World Health Organization , which declared swine flu a global epidemic, or pandemic . The critics have questioned the motivation of some WHO advisers who had links to the pharmaceutical industry . Some critics have simply lamented that a lot of anxiety was raised and money wasted, not just during the swine flu scare but also in government responses to bird flu and SARS , a respiratory virus that swept parts of Asia in 2003. "Each time the so-called experts told us that millions of people would be killed worldwide by the respective viruses. We have learned that the experts were utterly wrong," said Dr. Ulrich Keil, a professor at Germany's prestigious University of Muenster and a WHO adviser. "This behavior is irresponsible because the angst campaigns ... confuse the priority setting in public health," he said. The death toll from influenza epidemics is much smaller than the number killed annually by chronic illnesses like heart disease, cancer, stroke and diabetes, he added, in an e-mail. Unused flu vaccine is a common problem. The June 30 expiration date is set by the FDA and has less to do with the vaccine's shelf life than the desire to tweak the recipe each year to protect against the three flu strains expected to cause the most illness. "It's not necessarily because it's degraded or not potent," said Dr. Mark Mulligan, an Emory University vaccine researcher. In the past year, about 114 million doses of seasonal flu vaccine were distributed. The government thinks most of that was used — demand was unusually high because of fears about swine flu. In the flu vaccination campaign for this coming fall, swine flu vaccine is being combined with two seasonal strains in single doses. Manufacturers have told the government they expect to make about 170 million doses. An influential government advisory panel this year recommended that virtually all Americans get flu shots each year. Still, that doesn't mean it will all get used. "No doubt there will be unused doses. This happens every time," said Dr. John Treanor, an immunology specialist at the University of Rochester Medical Center. Follow Yahoo! News on Twitter , become a fan on Facebook