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One shot enough against swine flu, US studies confirm

Swine flu death toll reach 3,205: WHO
The World Health Organisation said Friday that at least 3,205 people have died from swine flu since the new A(H1N1) virus was uncovered in April. Most of the deaths occured in the Americas region, where 2,467 fatalities have been reported to the UN health agency. The Asia-Pacific region recorded 527 deaths, followed by Europe where at least 125 people have succumbed to the infection. The death toll in the Middle East reached 51 while the number of deaths in Africa climbed to 35, said the WHO in an update posted on its website. The figure represents a jump of more than a 1,000 on a fortnight ago when the WHO said the overall toll stood at 2,185.

The WHO reiterated that the new flu virus is now the most prevalent form of influenza, having swiftly overtaken other flu viruses. According to the WHO's flu database, 76 percent of flu detections reported during August 23 to 29 have been found to be of the pandemic strain. The UN health agency also noted that flu activity appeared to be increasing in some parts of the northern hemisphere, which is about to enter the flu-prone winter season. Parts of eastern Europe and south-east United States are reporting increases in infections. In tropical South America and Asia, the caseload is also increasing. Countries such as Bolivia, Ecuador, Venezuela, India, Bangladesh and Cambodia are all reporting more flu cases, said the WHO. Meanwhile, in Central America, the Caribbeans and the temperate regions of the southern hemisphere, the number of flu infections appear to be declining, it added.

School closure most effective at start of swine flu outbreak: WHO
The World Health Organisation said Friday that school closures appear to be the most effective way of preventing the spread of the swine flu virus when implemented early in the outbreak. While the UN health agency would not issue a definitive guidance on whether or not school closures should be implemented, it said the measure could cut health care demand by up to 50 percent at the peak of the pandemic. "The timing of school closure is critically important," said the WHO in a note detailing measures that can be taken in schools to reduce the impact of the A(H1N1) pandemic. "Modelling studies suggest that school closure has its greatest benefits when schools are closed very early in an outbreak, ideally before one percent of the population falls ill," it added. Its main benefit lies in slowing the spread of the virus. This is most important when the number of people requiring medical care "threatens to saturate or overwhelm health care capacity," said the WHO.

The measure can also buy some time for countries to secure provisions of vaccines and drugs to fight the A(H1N1) virus, from which at least 3,205 people have died since it was uncovered in April. The figure represents a rise of more than a 1,000 on the toll of a fortnight ago. However, if schools are closed too late into the outbreak, there would be little effect in limiting the spread of the flu, added the WHO. As schools and health ministries weigh up the benefits of school closure in case of an outbreak, the UN health agency also pointed out that potentially high economic and social costs are tied to such a measure. Studies show that school closures can lead to the absence of 16 percent of the workforce as parents stay home to take care of their children, it said. These parents could include doctors and nurses, and this measure could therefore inadvertently bring about a disruption in health care provision at a time when such care is most needed, said the WHO.
by Staff Writers
Washington (AFP) Sept 11, 2009
A single dose of vaccine could be enough to immunize adults against swine flu, a top US health official said Friday, allaying fears of a scramble for a tight supply of shots when flu season returns.

"Preliminary data from our trials indicate that a single 15-microgram dose of ... vaccine is well tolerated and induces an immune response in most healthy adults," said Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases at the National Institutes of Health (NIH).

Results of NIH-sponsored clinical trials which began last month showed that a swine flu vaccine produced by French pharmaceutical giant Sanofi Pasteur produced "a robust immune response" in 96 percent of adults aged 18 to 64 after "the rather short time point of eight to 10 days after vaccination," Fauci said.

In the same trials, 80 percent of adults in the 18-64 age group who received a single dose of Australian company CSL Biotherapies' 15-microgram swine flu vaccine rapidly developed antibodies to the A(H1N1) virus, said Fauci.

Among people over 65, a smaller percentage of trial volunteers showed a robust immune response, but Fauci said that was "expected as it is also the case with seasonal flu vaccine."

The rapid immune response found in the NIH-backed trials was "very good news for the vaccination program, both with regard to the supply of vaccine as well as its potential efficacy," said Fauci.

Scientists had assumed that two doses would be required to immunize people against swine flu and were scrambling to develop enough vaccines to inoculate at least the most at-risk populations before the northern hemisphere flu season begins with the return of cooler weather.

US Health Secretary Kathleen Sebelius was encouraged by the findings.

"Based on the previous assumption that everyone would need two doses, we thought that even those people who were getting the H1N1 vaccine wouldn't be fully immunized until Thanksgiving," the US holiday that falls on the fourth Thursday in November, said Sebelius.

The new finding "shortens the window of worry and more people can be protected much earlier," she said.

Swine flu has claimed more than 3,000 lives around the world since it was first reported in Mexico in April. Unlike the seasonal flu, the virus has hit younger people and people with an underlying health condition harder than the elderly.

The US Centers for Disease Control and Prevention (CDC) has recommended that pregnant women, people in contact with infants, medical personnel, people between the ages of six months and 24 years old, and adults under the age of 65 with underlying medical conditions should be the first to get the shots.

That is about 160 million people in the United States -- but no more than 52 million doses of the vaccine are expected to be available, and only after mid-October, officials have said.

The NIH is currently conducting swine flu vaccine trials on children and pregnant women, but preliminary tests results are still unavailable, Fauci said.

The NIH-sponsored trials on healthy adults confirm the results of swine flu vaccine tests carried out by pharmaceutical companies, said Fauci.

He cited a report published Thursday in the New England Journal of Medicine which said that trials on CSL Biotherapies' swine flu vaccine indicated that a single, 15-microgram dose was sufficient to inoculate most adults against the A(H1N1) virus.

Nearly all of the 120 people given a 15-microgram dose of the CSL H1N1 vaccine showed a "robust immune response", the report said.

Swine flu has claimed more than 2,100 lives worldwide since an outbreak was first reported by the World Healthy Organization in Mexico in April.

earlier related report
Parade participants lead vaccination drive
Around 100,000 students in the Oct. 1 National Day Parade are among the first to be vaccinated by law against swine flu, China Daily reports.

The move makes China the first country to make it legally binding for its citizens to be vaccinated against the A/H1N1 flu strain, Health Minister Chen Zhu said.

China has nearly 6,000 confirmed cases of swine flu and no deaths have been reported. But the fear is that a major outbreak could affect hundreds of thousands if not millions resulting in many deaths.

This week's announcement is part of a greater nationwide vaccination program to vaccinate 65 million people, or 5 percent of the 1.3 billion population before year's end. It is being kicked off now because the National Day Parade presents a particular opportunity for the flu to spread.

Oct. 1 marks the beginning of a weeklong nationwide holiday in China, when an estimated 200 million people will travel to visit loved ones and friends.

The plan for a legally binding vaccination was issued by the State Food and Drug Administration after consultations with the World Health Organization. It was set up after the safety and effectiveness of the domestically produced vaccine had been proved in clinical tests, China Daily noted.

Chen said protection would also be given to vulnerable groups, such as carriers of chronic disease, school students and medical staff.

"We will also consider the differences between regions and start the vaccinations in areas where there are serious flu situations," said Zhu.

The National Day Parade, which is put on every 10 years, is a particularly prestigious international showcase event for the government this year. It marks the 60th anniversary of the founding of communist-led China after Mao Zedong's forces routed the Western-backed Kuomintang armies of Generalissimo Chiang Kai-shek to the island of Formosa, now called Taiwan.

The parade is traditionally a military drive past Tiananmen Square, scene of tragic pro-democracy confrontations in June 1989, and is accompanied by mass pageantry including floats and marching bands.

Security measures have also been increased for the parade starting now, according to the national news agency Xinhua.

All holiday leave up until Oct. 1 has been cancelled for firefighters in Beijing, Deputy Fire Chief Luo Yuan said.

"Nearly 6,000 police officers and 460 fire engines have been put on guard against fire hazards from Tuesday up to National Day on Oct. 1."

The Beijing municipal government ordered all rooftops and balconies of buildings in the vicinity of Tiananmen Square and other nearby areas should be cleared of flammable materials.

The announcement also stipulated outer structures decorated with flammable, heat retentive and waterproof materials, as well as all visible holes and cracks should be covered up by non-flammable materials, Xinhua reported.

Post offices are to set up special parcel inspection processes to look for suspicious mail.

Beijing's neighboring province of Hebei has also taken measures to allay transportation safety concerns. Residents of Hebei are required to register their real names when travelling to Beijing, and every bus bound for Beijing should also be registered and include safety supervisors.

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China facing massive flu epidemic as Australia sees first drug-resistance
Sydney (AFP) Sept 11, 2009
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