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Swine flu less deadly than seasonal flu, official says

Lawsuit seeks to halt US swine flu vaccination campaign
New York medical workers took legal action Thursday to halt a massive swine flu inoculation program being rolled out across the United States, claiming the vaccines have not been properly tested. Lawyers for the group filed a temporary restraining order in a Washington federal court against government medical regulators they claim rushed H1N1 vaccines to the public without adequately testing their safety and efficacy.

"None of the vaccines against H1N1 have been properly tested," attorney Jim Turner, one of half a dozen lawyers working on the case, told AFP. The complaint filed Thursday argued that far from preventing a massive outbreak of swine flu, the "live attenuated influenza virus nasal mist vaccine could trigger" an H1N1 pandemic. "I don't know of another live vaccine for flu. So you have immediately a new problem you don't have with a killed vaccine," Turner told AFP. Officials at the National Institutes of Health have said that trials of swine flu vaccine began in August and delivered results last month, showing that the vaccine was well tolerated and produced a robust immune response in older children and adults in good health with just a single dose. But Turner insisted that "the FDA did not do the proper testing to show safety and efficacy of this vaccine, which is under the law a new drug. "When I say test data, I don't mean some professor at some medical school somewhere infected some students and said 'I don't see any problems.'

"What I mean is carefully conducted double blind placebo controlled studies trials done in accordance with FDA regulations, and a whole series of them to look at dosing... which are then reviewed by FDA scientists. "None of that has been done on this vaccination and we're saying the law requires it to be done," Turner said. The suit was brought on behalf of a group of doctors, nurses and other medical personnel in New York, where health care professionals who see patients are required to be vaccinated against H1N1, Turner said. If the complaint is upheld, it would stop the roll-out of the H1N1 vaccine nationwide, said Turner, who accused public health officials of hyping the swine flu outbreak.

"Officials have said the virus is so much like the ordinary flu virus that they don't need to do special new drug testing on it because it's just the same old virus with a minor change to it," he said. "We're saying, if that's the case, then all the hype about this thing being a worldwide threat is misplaced and they've stampeded the state of New York into taking an action they never would have taken if it were just another flu." Last week, some 2.4 million doses of nasal spray vaccine made of greatly weakened, but live, H1N1 virus were delivered to state and local health authorities around the United States. Karen Lancaster, a spokeswoman for the MedImmune, which manufactures the nasal spray H1N1 vaccine, told AFP that the the company has had a seasonal flu vaccine made with weakened live virus on the market since 2003.

This week, millions of doses stocks of injectable vaccine were delivered and administered to people in groups deemed to be at particular risk from swine flu, including children and health care professionals. US public health officials want to vaccinate tens of millions of Americans by year's end against swine flu, which has claimed more than 4,500 lives worldwide since an outbreak of H1N1 was first reported in Mexico in April.

by Staff Writers
Stockholm (AFP) Oct 14, 2009
Swine flu is killing fewer people than seasonal flu but is causing greater alarm due to its impact on children and higher healthcare costs, according to a top disease surveillance expert.

Denis Coulombier, who heads the European Centre for Disease Prevention and Control's preparedness and response unit, warned that a second wave of swine flu infections could be expected within weeks.

In an interview with AFP, Coulombier said the response to the virus so far had been appropriate, and it was right to prepare for "the worst plausible scenario".

"We had a period of anxiety because the first phase developed very, very quickly and the situation was unclear in Mexico" where the A(H1N1) virus was first reported, he said at the ECDC's Stockholm headquarters.

"For several days, we were not very clear ourselves about the severity of the virus. But more facts emerged very quickly, and we realised the virus was circulating in the United States and therefore had been around for a while."

But he insisted: "We did well to prepare in the way we did. We must always prepare for the worst plausible scenario and the work that was done indicated the possibility of a very severe pandemic.

"So we did not make a mistake with our preparations, and the evolution (of the pandemic) is down to chance."

The ECDC, which monitors disease trends around the world, expects a second wave of A(H1N1) infection "in the coming weeks".

Coulombier said that A(H1N1) killed a very small proportion of those who caught it, at about 0.2-0.3 deaths per thousand -- a lower rate than seasonal flu, which kills around one patient per thousand.

The main difference between A(H1N1) and traditional flu is that the former has hit a part of the population -- children -- not normally affected by the seasonal version.

In contrast older people, who usually suffer from seasonal flu, have been relatively spared by swine flu.

This is possibly because A(H1N1) is an evolution of the H1N1 virus, which caused the deadly "Spanish flu" pandemic in 1918.

Coulombier said people who had come into contact with H1N1 had retained a certain immunity, although he stressed this was only a theory.

At least 4,525 people have died from swine flu since April and there have been more than 378,223 laboratory-confirmed cases globally, according to the World Health Organization, with most deaths occurring in the Americas.

"That's not nothing! Children of 12 dying is a major public health issue," said Coulombier, who intends to be vaccinated against the virus.

Treating people affected by A(H1N1) has also put great pressure on public finances.

Admitting someone with a severe case of swine flu requires space in intensive care and equipment, including respirators, as well as medical teams, he added, citing the case of a patient from Scotland who had to be treated in Sweden.

"The good news, ahead of the second wave, is that there is no explosion of infections, we will not be beaten for speed," Coulombier added.

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Canada releases swine flu preparedness guide
Ottawa (AFP) Oct 13, 2009
Canadian health authorities on Tuesday said they would begin distributing 1.2 million manuals offering pointers on combating swine flu, in anticipation of the upcoming flu season. The "comprehensive preparedness guide" aims to provide Canadians with general information about the swine flu virus, steps to protect themselves against it, and tips on what to do if they or their family members ... read more







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