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H1N1 with travelers as they head home for the holidays

Four steps effective for prevention of influenza and its complications.

The combination of an influenza pandemic and Thanksgiving has federal public health officials concerned that the number of cases of 2009 A/H1N1 influenza will climb along with the number of holiday travelers. In addition to target groups getting H1N1 vaccine, officials are encouraging use of pneumococcal vaccine to reduce concomitant bacterial infections and thereby cut deaths in the pediatric population.

According to Anne Schuchat, MD, Director of the National Center for Immunization and Respiratory Diseases at CDC, 21 pediatric deaths were reported in the past week (15 confirmed as H1N1; 6 confirmed as type A influenza and therefore most likely H1N1), bringing to 171 the number of children and adolescents killed by the virus.

Schuchat advised that people on the road for Thanksgiving should use four simple steps to prevent influenza transmission.

  1. Travel well—as in travel only when you are well.
  2. Wash your hands with soap or use hand sanitizer.
  3. Sneeze with tissue or into one’s sleeve.
  4. Get vaccinated.

A total of 54.1 million doses of H1N1 vaccine have now been made available to states, and all but 7% of those have been ordered. This is an 11 million dose increase in the past week. Four of the five licensed H1N1 vaccine manufacturers are supplying product; GlaxoSmithKline, the last manufacturer licensed by FDA, has not yet delivered products. About one-quarter of the available doses are MedImmune’s intranasal FluMist product, according to information released earlier in the week during a stakeholder’s conference call.

Children and adolescents who have died from H1N1 infections have often had concomitant bacterial infections, Schuchat said. More widespread use of pneumococcal vaccine could help prevent these superinfections, and she encouraged parents to seek immunizations for their children at physician offices and pharmacies.

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L. Michael Posey, BPharm (mposey@aphanet.org)
Posted November 20, 2009