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Topic: Why the shortage of H1N1 vaccine?


Topic Posted by: Tosca
Date Posted: Tue Nov 3 9:47:12 2009
Additional Comments:

I just don't understand why there is such a shortage of H1N1 vaccine when there was a year's notice to start producing it.  No matter where I search online, I can't find the actual REASON the companies (and government) didn't have a supply ready to go by the end of the summer.  It makes me nervous to think that the gov'mt can't get even get the vaccines out and they want to run my health care?

 

I understand it takes time to grow the virus to make the vaccine. But has anyone found a site that explains why we don't have enough now?





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Posted by: dandyfop
Date posted: Tue Nov 3 17:15:01 2009
Message:

This is an opinion piece written by a physician, but it seems concise and to the point.

http://online.wsj.com/article/SB20001424052748704335904574497324151841690.html

This is a pandemic and there are worldwide shortages. However, our government was overly cautious, whether or not it was rightly so can be argued- our practices are becoming outdated and we live in a highly litigious society.  The government have always and will always be making the decisions that decide situations like these, not the famed free market, so I don't understand why you think having access to a government option for my healthcare would make a bit of difference here. 

 

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  • Thanks. This seems to be the most straightforward explanation I've seen. Seems to me there should have been a czar for this - to make sure things moved along as planned. I realize the best laid plans don't always come to fruition, but this was a huge ''test'' for the administration that they have failed in the eyes of many.
  • True. But I do believe that most of those who view this as a failure of the president in particular would be the same people eager to find fault with him for any reason. I would be interested in knowing how the number of deaths from seasonal influenza so far this season compare to the deaths from H1N1.. if it is killing a similar number of people and only those most at risk differ. /dandyfop
  • I'm an equal opportunity blamer. I'm sorry, but no matter who was President, I'd feel annoyed that this country was not adequately supplied with vaccine when the flu came in full force. I have a daughter who is 4 months into a very at risk pregnancy and she can't get the shot (not allowed to get the nasal spray) She also is unable to stand in a line for 5 hours to get the shot. So something went wrong if even the at risk people can't get their shot and we're into November now.
  • Tosca, you would think that OB Dr's would be given the vaccine to give their patients. I get the seasonal flu shots from our school nurse. I don't know if schools will get the H1N1 or not, but if they do, surely Doctor's offices should get them. / Sammie
  • That's what I thought, sammie! I asked my daughter why her doctor didn't have the shot to give his patients, and she said she didn't know why but sure was frustrated that he didn't have it!
  • Google 'Swine flu vacine 1976' and you will find sites documenting the relatively high occurences of Guillain-Barre in people who got the 1976 flu vacine. I don't blame the federal government for proceeding cautiously with the current swine flu vacine. As for the superiority of European vacine methods, think Thalidomide, a drug not a vacine, but instructive just the same. I think the US is justifiably cautious with production of the swine flu vacine, and I understand from several recent news stories that reports of Guillain-Barre are being closely monitored for any connection to the current swine flu vacine. eom/silver
  • Unless people are falling dead in the streets, I think caution is warranted when it comes to mass vaccination. /dandyfop
  • *Unless people are falling dead in the streets* Well, Dandy, my English teacher just hit the pavement when she saw that I repeatedly misspelled *vacine.* eom/silver
  • For shame! LOL I suffer from fat finger syndrome myself and there is no curre./dandyfop

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    Posted by: dolphina
    Date posted: Tue Nov 3 16:18:11 2009
    Message:
    There was an interesting segment on Sunday's 60 Minutes that might answer some of your questions. You can watch it online here - http://www.cbsnews.com/video/watch/?id=5486397n&tag=related;photovideo

    The government doesn't want to "run your healthcare." They just want to run one alternative for your healthcare INSURANCE.

    Replies: (list all replies)

  • P.S. Has any other insurance provider - Blue Cross, Aetna, anyone - brought a supply of vaccine to market any faster? Not that I know about. eom/D
  • I don't know the answer to that question, nor do I know the answer to this....were private insurers even ALLOWED to find their own source of the vaccine, or was it only the government who was allowed to get it?
  • (cont'd) because Private insurers aren't in the business of procuring medicines, they are in the business of paying for their cost after their policy holders get the meds. At least, that's how I understand it to work. The day my private insurer starts buying up supplies of chicken pox vaccine will be the day I start questioning whether it's an insurance company,
  • The point is that the government is proposing to fulfill two completely separate functions - providing vaccine in emergency situations, and offering an insurance alternative. There's no reason to think that a perceived failure at one will impact the other. Not any more than there is a reason to expect private insurers to provide vaccines. Or to claim that because this vaccine is late in arriving that the government shouldn't be trusted to build roads. It's apples and oranges. eom/D

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    Posted by: Katnim
    Date posted: Tue Nov 3 15:15:06 2009
    Message:

    It's not just in the U.S. that the vaccine supply is shorter than expected. One of the reason they give here is that there is a special additive they have had to add to the vaccine for pregnant women and that isn't available yet.

    Here in Canada they are limiting who gets the vaccine at present. First pregnant women who wish to take the vaccine without the additive, people with immune diseases and people under the age of 65 with chronic illnesses. This week babies 5 months to 12 years of age and health care workers are now eligible. The lines a long and of course some people are trying to jump the queue but most are being turned away.

    I am just going to get the regular flu shot when it is available from my doctor because I think for most of us that flu is far more serious than this one which seems to attack healthy young people.      


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    Posted by: Sammie
    Date posted: Tue Nov 3 11:28:32 2009
    Message:

    I found this on Google.   I cannot see how our government can be blamed for not getting enough vaccine when it is not entirely produced in the U.S.

    By MICHAEL RUBINKAM, Associated Press Writer Michael Rubinkam, Associated Press WriterThu Oct 22, 2009 9:26 am ET

    At its two plants in the Pocono Mountains town of Swiftwater, Sanofi Pasteur, the top U.S. supplier of seasonal vaccine, is churning out more than 75 million doses of swine flu vaccine and 50 million doses of the winter flu variety.

    Sanofi spokeswoman Donna Cary said egg-based production of flu vaccine is “tried and true” and will probably remain the dominant method for years to come.

    “If it weren’t for the egg-based process, we wouldn’t be able to respond to this pandemic,” she said.

    More than 30 farms in the eastern United States are under long-term contract to provide eggs for vaccines, tending 9 million to 12 million chickens.

    Once the fertilized eggs arrive at the vaccine plant, the flu virus is injected into them and allowed to multiply for several days. Then the eggshells are cracked; the virus-laden fluid is extracted, the flu virus is killed and the substance is purified. The inactivated strain is tested to determine purity, potency and yield.

    From start to finish, the process takes about six months. In normal years, that is usually enough time to get the vaccine to anyone who wants it. But in an all-out epidemic, egg-based production is incapable of producing huge batches quickly.

    The government has awarded a $487 million contract to Novartis for a plant in North Carolina that will make flu vaccine by growing the virus inside animal cells, preferably from mammals. The plant is expected to be up and running by 2011 or 2012.

    Also, Protein Sciences Corp. of Meriden, Conn., landed a five-year, $147 million contract to develop a vaccine using its recombinant technology — flu proteins grown in insect cells. The hope is that the first doses would be available within 12 weeks of the beginning of a pandemic. That is about twice as fast as flu vaccine produced from eggs.

    “I think you’re going to see these new technologies come on board rapidly, especially given what’s happened this year,” said Paul Radspinner, president and chief executive of FluGen Inc., a Madison, Wis., company working on several new vaccine technologies of its own.

     


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