The movie depicting bird
flu in America aired by the ABC on May 9th 2006
raised many questions from the general public about potential bird flu
On this page
you'll find frequently asked questions and answers to
many of those questions from the USA department of health and human
services and from Australian health writer and bird flu expert Andrew
Many people in the
bird flu movie are seen wearing surgical masks. Will masks protect me
against a bird flu virus in America?
For health care workers exposed to infected patients, N95 respirators
are recommended. Surgical masks are recommended for patients who are
infected to help reduce the potential for spread of virus when these
people cough or sneeze.
The Department of Health and Human Services
(HHS) and the Department of Labor (DOL) will continue to review and
update as needed its public health guidance on the use of masks and
respirators by the general public and at-risk workers.
Flu Movie FREE Audio
(Click Twice On The Play Button To Listen In)
The bird flu movie shows the bird flu
virus spreading in America in many ways besides coughing or
sneezing, such as handshakes, kissing, sharing drinks, etc. Is that
Influenza virus is
primarily spread by airborne droplets that reach
the eyes, nose or mouth but can also spread by touching contaminated
surfaces and then touching one's face.
This highlights the importance
of learning and practicing good personal hygiene, including:
frequently with soap and water.
mouth and nose with a tissue when you cough or sneeze.
tissues in a waste basket.
Cough or sneeze
into your upper sleeve if you don't have a tissue.
hands after coughing or sneezing. Use soap and water or an
alcohol-based hand cleaner.
Stay at home if
you are sick.
The bird flu film
indicates that there will be a shortage of Tamiflu® (or
other antivirals) in a pandemic in America. Will there be? And if so,
what is the
government doing to prevent that?
The Department of Health
and Human Services is stockpiling enough antivirals to treat 25% of the
population should a pandemic occur in the U.S.
This figure is based on
historical data from past pandemics indicating that roughly 25% of the
population would get sick in a pandemic and would benefit from
antiviral treatment if started early in the course of illness.
the U.S. government has purchased 26 million antiviral treatment
courses and expects to have on hand a total of 81 million treatment
courses by the end of 2008.
In the movie officials quickly find out
that there is no bird flu vaccine
available when the pandemic occurs in America nor will any be available
months. Will we have vaccine available if a pandemic occurs?
There likely will be no vaccine initially available that precisely
matches the pandemic strain when a pandemic begins. Because influenza
viruses continually evolve and mutate, it is not possible to develop a
vaccine until after the pandemic strain actually comes into existence.
Only after the strain emerges, is isolated and characterized can a
vaccine be developed and manufactured. Based upon current vaccine
production processes and capacities, it will take at least 6 months to
begin producing pandemic vaccine once a pandemic strain occurs.
has been developing and stockpiling an experimental "pre-pandemic" H5N1
vaccine that may offer some level of immune protection should the H5N1
virus mutate into a pandemic strain.
Having a stockpile of this vaccine
for up to 20 million people, may help delay or lessen the initial
impact of a pandemic while vaccine against the actual pandemic strain
is developed and produced.
However, HHS is
making significant financial investments to improve the technology for
vaccine development and to build up our domestic vaccine production
capacity, to ensure more rapid availability of vaccine for the
population in a pandemic.
were quarantined in the bird flu movie. Even the Governor
of Virginia quarantined himself, his staff and his family from the rest
of the world. Will the American or state governments quarantine people
in a pandemic?
The purpose of quarantine is to separate people who have been
potentially exposed to a contagious disease and may be infected but are
not yet ill to stop the spread of that disease.
The last large-scale
quarantine measures that were imposed in this country were used in the
early 20th century to contain outbreaks of plague, yellow fever, and
to confining potentially infected persons to their homes or
community-based facilities, usually on a voluntary basis.
can be used for a defined group of people who may have been exposed at
a public gathering, or who may have been exposed while traveling,
particularly overseas. In extreme cases, quarantine could apply to an
entire geographic area, in which case a community may be closed off by
sealing its borders or by a barricade, known as a "cordon sanitaire".
the case of pandemic influenza, quarantine may be one of the public
health tools employed in the early days of an emerging pandemic if
efforts are undertaken to contain the outbreak before it spreads too
Once a pandemic has begun to spread, quarantine is not likely
to be effective in controlling the spread, and instead efforts may turn
to "social distancing."
Social distancing includes measures to increase
distance between individuals, such as staying home when ill unless
seeking medical care, avoiding large gatherings, telecommuting, and
In the bird flu
movie, we learn that the virus in America is beginning to develop
resistance to Tamiflu®, rendering the drug useless. Could that
If so, why are we buying so much Tamiflu® for the stockpile?
Tamiflu®, and another antiviral, Relenza®, have shown
in treating influenza. Early evidence suggests that Tamiflu®
effective in treating those patients who have been infected with the
H5N1 avian flu virus.
While there have been a few reports of Tamiflu®
resistance developing on therapy, there has been no transmission of a
resistant virus. The resistance developing on therapy has been
associated with starting the drug late or using low doses of this drug.
Tamiflu®, when used at proper doses and started within a few
the appearance of symptoms should be effective treatment of this
has not been used in
treating human H5N1 cases to date, as it has been unavailable in many
countries that have had people infected with H5N1.
But experts expect
it would be an effective treatment also.
stockpiling enough antivirals to treat 25% of the U.S. population
should a pandemic occur in the U.S. This figure is based on historical
data from past pandemics indicating that roughly 25% of the population
would get sick in a pandemic.
To date, the U.S. government has
purchased 26 million antiviral treatment courses and expects to have on
hand a total of 81 million treatment courses by the end of 2008.
antiviral purchases, the U.S. is buying approximately 80% of its supply
as Tamiflu® and about 20% of its supply as Relenza®.
This is due in
part to product availability but also to the need to diversify the
supply so as to not rely solely on one medication.
(Editor's note - there are still some doubts about the effectiveness of
Tamiflu in treating the bird flu virus. In a full blown bird
flu pandemic tamiflu may not be as effective as authorities
services in America (e.g., electricity, food, water, etc.) become
scarce in the bird flu movie's scenario. Could that happen?
An especially severe influenza pandemic could lead to high levels of
illness, death, social disruption, and economic loss.
would be disrupted because so many people in so many places become
seriously ill at the same time. Impacts can range from school and
business closings to the interruption of basic services such as public
transportation and food delivery.
a substantial percentage of the world's population will require some
form of medical care.
Health care facilities can be overwhelmed,
creating a shortage of hospital staff, beds, ventilators and other
Non-traditional sites such as schools may need to be used for
patient care to cope with demand.
The bird flu movie
depicted many people in America who simply walked off their jobs. Would
that really occur?
In a severe
pandemic, it is very possible that up to 40% of a
business' or organization's workforce will be out sick or at home
taking care of sick family members.
It is also possible that a small
percentage of this amount will be people who are healthy but who may be
too frightened to venture out into public.
numbers of health-care workers and first responders available to work
can be expected to be reduced as they will be at high risk of illness
through exposure in the community and in health care settings, and some
may have to miss work to care for ill family members.
What will be done
with the overwhelming number of deceased bodies if
in America we have a severe, 1918 Spanish Flu like pandemic as
was depicted in the bird flu movie?
possibility of a large number of deceased individuals
in a pandemic is one of our top pandemic planning priorities.
Currently, we are working on modeling studies to try to determine as
clearly as we can what we could possibly expect in terms of numbers of
deaths over the course of several pandemic waves.
Until these studies
are done, we won't be able to speculate on details of what we might or
might not expect. We expect this work to be done in the next few months.
of whatever estimates are developed, it is highly unlikely that in the
21st Century in the U.S. that we would ever resort to mass graves.
are working with many government agencies (e.g., VA) as well as the
private sector (e.g., the funeral industry, the cemetery industry) to
develop guidance for states, local communities and others that
maintains the dignity of the deceased, honors family wishes, and
respects religious and social customs.
Deciding who gets vaccine was a major
question in the bird flu movie. In a real bird flu pandemic in America,
how will you decide who gets vaccine first?
The greatest risk
of hospitalization and death-as seen during the
last two pandemics in 1957 and 1968 and during annual influenza-will be
in infants, the elderly, and those with underlying health conditions.
These individuals, along with health care providers, who are critical
to maintaining a health care system in a pandemic, would likely be the
first individuals to receive the first supplies of vaccine.
the 1918 pandemic, most deaths occurred in young adults, highlighting
the need to remain flexible on determining priorities for vaccination
groups based on the epidemiology of an emerging pandemic.
part of planning efforts, two Federal advisory committees-the Advisory
Committee on Immunization Practices and the National Vaccine Advisory
Committee-have made recommendations for prioritizing critical
populations that might receive the first supplies of vaccine.
recommendations can be found in the HHS Pandemic Plan.
bird flu movie, the Virginia governor's son dies because he cannot get
diabetes medicine; other drugs are not available in pharmacies in
supplies, including medicine, may become unavailable during a
pandemic. As part of effective planning, individuals and families
should talk to their doctor about how to maintain adequate access to
What is the most practical means of
protection from the bird flu?
What can we do every day to lower our chance of catching the bird flu
and other respiratory viruses like SARS the common cold and influenza?
Enter your name and email address to receive more free reports,articles
and updates on the simple steps you can take to protect yourself and
your family from the bird flu virus...
a World Health Organization news conference WHO Global Influenza
Program leader Klaus Stohr said frequent hand washing was the best way
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bird flu, SARS, influenza and the common cold.
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Antibacterial soaps are NOT recommended for regular hand washing even
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Learning how to prevent bird flu by
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(Click Twice On The Play Button To Listen In)
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