CDC predicts record flu-shot supply, decries low coverage

first_imgSep 19, 2007 (CIDRAP News) – Predicting that this year’s supply of influenza vaccine will be the largest ever, national health officials today called on healthcare professionals and the public to improve the “alarmingly low” vaccination rates of recent years.The Centers for Disease Control and Prevention (CDC) said up to 132 million doses of flu vaccine are expected to be available this year. Last year about 121 million doses were produced, of which 102.5 million were distributed, leaving at least 18 million unused, CDC officials said.”We expect to have the largest supply we’ve ever seen,” CDC Director Dr. Julie Gerberding said at a news conference today from the National Press Club in Washington. She said the production and distribution delays that hurt vaccination coverage last year are not expected this year.CDC officials complained of persistently low vaccination coverage rates in many groups who should be immunized. In 2005-06, for example, only 18% of children aged 6 to 23 months received shots, and the immunization rate for healthcare workers has been stuck at about 40% for the last 10 years.FluMist approved for small childrenThe call for broader flu immunization came as the Food and Drug Administration (FDA) approved the nasal-spray flu vaccine FluMist for children aged 2 to 5 years, except those who have asthma or wheezing. Until now, FluMist has been licensed only for healthy people between the ages of 5 and 49.Three clinical trials involving a total of 6,400 children showed the effectiveness of FluMist, made by MedImmune, the FDA said. But the vaccine was not approved for children younger than 2 years, because the trials indicated an increased risk of hospitalization and wheezing for that age-group, the agency said.At today’s news conference, Gerberding said, “Year after year we come together knowing that we have not achieved the vaccination coverage rates that we need. . . . We’re still failing to protect a large proportion of people, not just our seniors, who are at highest risk, but people of every age” who have a high risk of serious flu complications.The CDC specifically recommends flu immunization for children from 6 months to 5 years of age; people with chronic medical conditions such as asthma, diabetes, heart disease, and HIV; pregnant women; people age 50 and older; healthcare professionals; and anyone who has close contact with high-risk groups.Surveys show low coverageJeanne Santoli, MD, MPH, of the CDC reported some flu immunization survey data for the 2005-06 flu season. She said only about a third of children aged 6 to 23 months received at least one dose, and only about two thirds of those were fully immunized (two doses). “So only about a fifth of them were protected fully against flu,” she said.Santoli, deputy director of the CDC’s Immunization Services Division, said 69% of people over 65 reported getting a shot, adding, “That’s a high level, but it’s far below our national goal, which is 90%.”She said 37% of 50- to 64-year-olds and 31% of high-risk people between ages 18 and 49 received shots. And the coverage among healthcare workers has remained at about 40% for the last 10 years, she added.”It’s unconscionable that a healthcare worker would not receive this vaccine,” commented Gerberding.During the question-and-answer part of the conference, a man who identified himself as a Service Employees International Union member said more education is needed to promote flu immunizations among healthcare workers.”The biggest issue for our members is the education piece, and we don’t really see it happening in a lot of places,” he said. “There’s a lot of fear about this among our members.”He added that many healthcare workers were fearful of the hepatitis B vaccine, but education efforts helped to boost the vaccination rate above 70%.Helathcare workers have influenceArdis Hoven, MD, a Kentucky infectious-disease specialist and board member of the American Medical Association (AMA), said healthcare workers should use their influence to persuade patients to get flu shots.”Studies show that a healthcare worker’s recommendation is one of the strongest factors influencing a person to get vaccinated,” she said. The AMA and other medical societies “urge healthcare personnel to use every interaction to talk to people about flu vaccine,” she added.As in past years, officials spoke of the goal of stretching the flu vaccination season well beyond its traditional end at Thanksgiving in order to get the vaccine into more people. On average, US flu activity peaks in February.Santoli said the CDC is designating the week after Thanksgiving—Nov 26 to Dec 2—as “National Vaccination Week.” “We must use opportunities in December, January, and beyond in order to protect more Americans against flu,” she said.”The message to providers is, don’t go cold turkey and stop vaccinating” after Thanksgiving, said William Schaffner, MD, of Vanderbilt University, vice president of the National Foundation for Infectious Diseases. “The message to patients is, give thanks that you can still get the vaccine in December and January.”Staying home isn’t enoughSchaffner said some people think staying home from work when sick with the flu is sufficient for protecting others from the virus. He warned against that assumption: “The day before you become sick, when you’re still feeling robust, you’re already excreting the virus. So you’re inoculating your family and your colleagues at work.”Gerberding noted that the flu vaccine works better some years than others, depending on how well the strains used in the vaccine match circulating strains. “But even when it’s not a perfect match, we still see protection.”One strain that is now circulating in the southern hemisphere but is not in the northern hemisphere vaccines is an H3N2 strain called the Brisbane-like lineage, she said.”It’s very unpredictable as to whether that’s important or not important,” Gerberding said. “Picking the future strains is an art, not a science. The one thing we don’t have in our Strategic National Stockpile is a crystal ball.” But in 15 of the last 18 years, all three strains in the vaccine have been excellent matches with circulating strains, she added.Shots free for Medicare patientsAlso at the press conference, Kerry Weems, acting administrator of the US Center for Medicare and Medicaid Services, stressed that both flu and pneumococcal pneumonia shots are free for Medicare recipients.”In this case, free should be cheap enough,” Weems said. Yet, “In any given state, at least 20% of people with Medicare aren’t getting the flu shot.”Pneumococcal pneumonia is the most common bacterial pneumonia, Weems noted. People over age 65 need to get the pneumococcal shot only once, and they can do it when they get their flu shot, he added.Those who have flu have a much higher risk of contracting pneumococcal pneumonia, said Dr. Robert Hopkins Jr, MD, of the University of Arkansas for Medical Sciences. “When deaths due to flu and pneumonia are combined, it’s the eighth leading cause of death in this country,” he said.Antiviral drugs continue to play an important role in treating and preventing flu, the CDC said. For this season, the agency recommends use of oseltamivir (Tamiflu) and zanamivir (Relenza), the newest of four available flu antivirals. The two older flu drugs, amantadine and rimantadine, are not recommended because of high levels of resistance. The CDC first made this recommendation in January 2006, after finding that more than 90% of H3N2 isolates were resistant to the two older drugs.See also: CDC recommendations on flu prevention and control for 2007-08http://www.cdc.gov/flu/professionals/acip/index.htmSep 19 FDA news release about FluMist for small childrenhttp://www.fda.gov/bbs/topics/NEWS/2007/NEW01705.htmllast_img read more

READ MORE

Indonesia rules out H5N1 case cluster in Sumatra

first_imgAug 13, 2008 (CIDRAP News) – In an online statement posted yesterday, the Indonesian government said 12 villagers from North Sumatra who were hospitalized for suspected avian influenza symptoms had tested negative for the disease, dampening speculation about a possible case cluster.The statement from the health ministry’s avian flu committee, known as KOMNAS FBPI, was dated Aug 9, but appeared on the group’s Web site yesterday. It said 12 villagers from Air Batu village tested negative for the H5N1 virus. All were being treated at Kisaran Hospital, except for a 7-year-old girl and an 8-year-old boy who were at Adam Malik Hospital in Medan, the provincial capital, where they were reported to be in stable condition.The ministry’s statement did not mention three deaths from suspicious symptoms that have been mentioned along with accounts of up to 13 sick patients in recent media reports. Yesterday, however, Chandra Syafei, an official from North Sumatra’s health office, acknowledged that three people had died and said his office was on “extraordinary occurrence” alert status, according to a Jakarta Post report.”The three people died following the discovery of dead poultry, but we don’t know whether or not it [avian influenza] was the cause,” Chandra told the Post. He said his office had not received autopsy reports from the health ministry.The suspected cases were identified by provincial and local health officials between Aug 5 and 7, and the patients were given oseltamivir when they were hospitalized, the health ministry’s statement said. Also, it said the ministry was conducting surveillance in the area for more patients with suspicious symptoms.The ministry’s message, its first since Jun 19, said the tests were conducted by its Health Research and Development Center. Official news out of Indonesia about H5N1 developments has been scarce since early June, when Health Minister Siti Fadilah Supari said the country would stop reporting human cases as they occur and instead announce them at longer intervals, perhaps as long as 6 months.Syafei said several health workers, including a team from the World Health Organization (WHO), were in Asahan to investigate the illnesses and monitor developments, according to the Post report.He said animal health officials had destroyed 276 infected birds, and an official from nearby Labuhan Ratu regency said local veterinary workers culled 1,126 birds after hundreds of recent poultry deaths, the Post reported.The health ministry statement said tests conducted by North Sumatra’s livestock office on 15 poultry that died suddenly on Jul 28 were positive for avian influenza. (The statement did not specify the subtype.)Meanwhile, flu blogs and message boards have been following developments in what some fear could represent an H5N1 case cluster, an event that suggests the possibility of human-to-human transmission and an increased risk of a pandemic. For example, members of Flu Trackers and Flu Wiki have been translating foreign-language media reports for clues and developments, though the translations are often difficult to interpret and can be unreliable.ProMED-mail, the Internet based reporting system of the International Society for Infectious Diseases, has also been posting media reports on the suspected case cluster and has appealed for more information on the cases and deaths. On Aug 10, after noting conflicting reports about the cases, ProMED said it would no longer report suspected avian flu cases in Indonesia until they have been confirmed by the nation’s health ministry. But a protest from a reader prompted the service to say yesterday it would reconsider the decision.See also:ProMed-mail report (Aug 10)ProMed-mail report (Aug 12)last_img read more

READ MORE

NEWS SCAN: H5N1 cases confirmed, low-path avian flu in US

first_img WHO confirms two H5N1 cases, one fatal The World Health Organization (WHO) today confirmed two H5N1 avian influenza cases, one of them fatal, that were apparently reported in the media on Apr 24. The first case involved a 23-year-old Vietnamese woman from Tranh Hoa province who got sick on Apr 16, was hospitalized Apr 21, and died the next day. An investigation revealed poultry deaths from the H5N1 virus around her home. Her illness is now listed as Vietnam’s 111th case and its 56th fatality. The second case is in a 34-year-old Egyptian woman from Gharbia governorate who became ill on Apr 21 and was hospitalized and treated with oseltamivir (Tamiflu) the same day. She is in stable condition. An investigation found that she had close contact with sick and dead poultry before she became ill. Her case pushes Egypt’s H5N1 count to 68 cases, 23 of them fatal. The two latest cases raise the global H5N1 case count to 423, of which 258 were fatal.[May 6 WHO statement on Vietnamese case][May 6 WHO statement on Egyptian case] Signs of low-path avian flu outbreak detected in TennesseeTyson Foods said yesterday that tests on breeder hens at one of its contract farms in Lincoln County, Tennessee, revealed the chickens had antibodies to a low-pathogenicity H7N9 avian influenza virus, Reuters reported. The birds showed no signs of illness. Authorities culled 15,000 birds to prevent spread of the virus. In late March the same strain was detected in birds at a commercial farm in Kentucky, which led to the culling of 20,000 chickens, but officials haven’t said if the two outbreaks were related. [May 5 Reuters story] May 6, 2009last_img read more

READ MORE

Biograd Boat Show and 1st HGK Nautical Days

first_imgThis year, the Croatian Chamber of Commerce (Tourism Sector, ŽK Zadar, ŽK Šibenik and ŽK Split) is organizing Nautical Days for the first time, a rich congress program intended for businessmen from the nautical tourism sector, which will be held on October 19 and 20 in Biograd na Moru. as part of the 19th Biograd Boat Show. It is the largest sea fair in Central Europe, with 15 visitors each year, more than 300 exhibitors, 300 vessels and 45 prime ministers, as well as more than 1500 charter vessels, about 100 used vessels and a wide range of marine equipment, engines, electronics and electricity. for ships.The goal of the 1st HGK Nautical Days is to take advantage of the large representation of the nautical sector in one place before the end of the nautical season and to educate, communicate and collect information on key topics affecting maritime and nautical tourism. The concept of the Croatian Chamber of Commerce Nautical Days includes, in addition to sessions of professional nautical associations and communities at the Croatian Chamber of Commerce, numerous expert presentations and panels on nautical tourism development strategy 2009-2019, nautical tourism sustainability, results of the nautical tourism season 2017, market and trends and legal regulations. The preliminary program is among the accompanying documents, and changes in the program can be followed at the link: http://biogradb2b.com/hr/congress-program/.As part of the fair, the Biograd B2B-nautical business event will be held, the purpose of which is to connect experts in shipbuilding and nautical tourism, ie to strengthen the interaction between exhibitors and registered business visitors. HGK as a partner of Biograd B2B co-finances 50 percent of the registration fee for participation in B2B calls to all domestic companies members of HGK, and registration can be done on the page: http://biogradb2b.com/hr/register-to-b2b/.See the full program of events hereRelated news:ADRIATIC BECAME FIVE TIMES MORE EXPENSIVE FOR BOATERSNEW THOMAS RESEARCH IS STARTING: THOMAS SUMMER AND NAUTICSMARINA PUNAT ON THE ISLAND OF KRK NAMED THE BEST CROATIAN MARINAACADEMY FOR TRAINING OF crews of ships, MEGA YACHT-I and CHARTER VESSELS IS STARTED, IN ORDER TO STRENGTHEN THE QUALITY OF NAUTICAL TOURISMlast_img read more

READ MORE

Caterers are seeking an extension of CES support for job preservation

first_imgThe data of the Croatian Chamber of Commerce show that caterers recorded a turnover at the level of 10 to 30 percent of what was realized in the same period last year. Due to the difficult situation of the Association of Hospitality Services, the Croatian Chamber of Commerce sent a letter to the Ministry of Tourism of the Republic of Croatia to extend assistance measures for accommodation and food preparation and serving for July for those with a drop in turnover of more than 50 percent. Boban added that the quick reaction of the Government of the Republic of Croatia should be commended, which very effectively implemented a number of health measures aimed at preventing the spread of the infection and adopted a number of economic measures to preserve jobs and liquidity of companies engaged in hospitality, but the current situation measure necessary. “As Croatia is being promoted as a tourist country, and caterers in this period generate most of their income from tourists, which according to eVisitor data in the first five months of 2020 decreased by 80 percent compared to the first five months of last year, it is clear why such dataand “, said the president of the Association of Caterers of the Croatian Chamber of Commerce Dražen Boban. Since the beginning of March 2020, the catering sector has recorded an extremely large decline in turnover, and the continuation of operations did not bring even an approximate level of turnover in May and June 2019. Photo: Pixabay.comlast_img read more

READ MORE

The Netherlands put Croatia on the ‘orange list’ of countries

first_imgThe warning applies not only to Croatia, but also to Sweden, Bulgaria and Romania. Although self-isolation is not mandatory, 14-day self-isolation upon return to the country is strongly recommended for Dutch citizens. According to certain landlords and agencies, cancellations of guest reservations from the Netherlands were recorded last night. Croatia has been on the Dutch orange list of countries since Tuesday night due to an increase in coronavirus cases, according to the page of the Dutch government.last_img

READ MORE

Jet2 cancels all lines to Croatia

first_imgThis week, the company will operate the last flights to and from Croatia and stop operating on as many as 12 scheduled flights to Dubrovnik, Split and Pula. The British airline, Jet2, is suspending traffic on all routes from Great Britain to Croatia. The last flight from Croatia will be on Sunday, September 06 Jet2 plans to return to Croatia in the spring of 2021, but this will certainly depend on the pandemic and restrictive measures. “Due to the global pandemic and reduced demand, as well as due to the measures introduced for travelers coming to the UK from Croatia, we have decided to cancel all flights and travel arrangements for the rest of this summer season. Our last flight from Croatia this year will be on Sunday, September 06th.”Point out from Jet2. Source: Croatian Aviation This is the result of the introduced restrictive measures for travelers coming to the UK from Croatia, which has resulted in a significant drop in demand. Especially when a new hotbed of covids appeared in Dubrovnik. last_img read more

READ MORE

A week of rest worthwhile: 340 offers have been submitted to the project so far. Get involved, but not just with a discount, but primarily with a story

first_imgToday, the project was presented at the Ministry of Tourism and Sports “A week of rest worthwhile”  within which, in the period from 16 to 25 October, domestic and foreign guests are offered various tourist services and experiences by 50 percent better prices. Apply for sure, no matter what, this is a great project for our tourism. Take the opportunity and be a part of the “Vacation Week Worthy” project. Ultimately, it is up to you whether the project comes to life. You are also the narrators of the story, because the more we all push it, the more effective the communication and promotion will be. Again, synergy as well as the responsibility of everyone in this chain is key and the first prerequisite for the project to come to life. Tango always takes two. Also, as I mentioned, you do not have to give a 50% discount on accommodation, but on some other service, from wellness, massage, agency program, sports activities, etc.… it is important to put together a rounded story. But again, the destination is important, and accommodation is the basic supporting infrastructure. She also commented on the project Minister of Tourism and Sports Nikolina Brnjac who ordered: “I am pleased with the large number of tourist entities and service providers who have joined the “Vacation Week Worthy” campaign. We are launching this action because we want to offer the domestic tourist the adventure of discovering the riches of autumn in Lijepa naša, and at half the price. Meet, explore and enjoy Croatia in the off-season and at the same time create a story of year-round tourism development with us ”.  What is the reason for that, it is difficult to say, but it certainly lacks quality communication, project promotion, trust of the profession, and ultimately the realization, ie implementation of the project. Among the registered entities whose offers are on the portal are, for example national parks and nature parks such as Plitvice Lakes, Krka, Paklenica, Risnjak, Kopački rit, Papuk, Lastovo archipelago, Žumberak-Samoborsko gorje and Vrana lake, Hotel such as Valamar Riviera dd, Arena Hospitality Group dd, Marina Punat hotel & resort doo, Hilton hotels Zagreb, Coronaro hotel, Hotel Petrčane, Importanne resort Dubrovnik, Thalassotherapy Crikvenica, Grand Hotel Lav Split, etc. They also offered their package deals Travel agencies such as Adriagate, VAL, Terra Travel, Horizon travel, etc. All lovers of culture, art, but also tourist attractions at significantly reduced prices will be able to enjoy museums such as the Natural History Museum of Rijeka, the Croatian Maritime Museum in Split, the Museum of Betina Wooden Shipbuilding, the Museum of the Trilj Region, the Archaeological Museum of Narona, but also other content  such as Aquatika – Freshwater Aquarium Karlovac, Glavani Park, Solana Nin, Segway city tour Zagreb, Quad Gorski kotar, etc. I recently wrote and gave an example of how to take advantage of the action, and that it has an effect for everyone, and stressed for the millionth time that the synergy of everyone in the destination is crucial and how it is necessary to make a complete tourist product. On the project portal “A week of rest worthwhile” there is an eye 340 valid bids (of which 159 accommodation offers,) and services at 50 percent better prices from different parts of Croatia, from the coast to the mainland, and an additional 70 applications are being processed. “It is a long-term project that will be organized twice a year, during the Easter holidays and in October. We are glad that the project has aroused great interest of tourism service providers who are our main partners and without whose cooperation this action would not be possible. Through the project, we want to positively influence the increase of tourist traffic in the periods before and after the season, but also the further development of domestic tourism. Through this action, tourists will have the opportunity to visit different parts of Croatia with 50 percent better prices for many tourist products and services, from accommodation, transportation, cultural, historical, natural sights and attractions to catering services and various experiences”, he said director Staničić, inviting all travel lovers to take advantage of the week of favorable prices, but also all tourist entities to get involved in the offer with their offers.  All interested business entities can register and submit their offers until October 15, 2020. // BRAVO LIKA. GREAT EXAMPLE OF HOW TO TELL THE STORY FOR THE “HOLIDAY WEEK WORTH A” ACTION Although the project was announced at the beginning of the year, various meetings were held on the topic of this project, but unfortunately it did not arouse great interest in the profession. Because only 340 applications is certainly a small number, especially when we know that of the total number of applications are accommodation facilities (apartments, hotels, hostels, holiday homes (). I would personally expect a minimum of 1.000 applications, that would be my first minimum project goal. / / / HOW TO USE THE “HOLIDAY WEEK WORTH” ACTION, AND IT HAS AN EFFECT FOR EVERYONE. THE KEY WORD IS SYNERGY It was on this trail that only Lika (at least as far as I know) did something similar. But, again, the project was made by the synergy of the Tourist Board of the Municipality of Plitvice Lakes and the Tourist Board of the town of Gospić, and not the whole of Lika. Well done to Gospić and Plitvice Lakes, but it is a pity that others do not follow them. Also, in addition to the tourist package, crucial is that the local joined the campaign receptive agency for the area of ​​Gospić, Plitvice Lakes, Lika and surroundings, Laudon Travel. It is the receptive agency that is in charge of the ready-made programs it offers on the market, which is the main role of the travel agency. Again, in this example we see how tourist boards are crucial and how we need them. Not in its current form, we certainly need a real reform of the system, but in my opinion, it is the tourist boards that are key to the strategic development of the destination. As you know, my position is that we need to brand the regions. We need to strengthen and encourage receptive agencies and arrange the system according to the DMK / DMO concept across regions. Imagine that now for this action one destination has made a thematic week and a story, and as a whole destination it has appeared on the market. Again, the main focus is on the story, the motive for coming – and the discounts are just the icing on the cake and an additional motive. For example, the recently completed phenomenal HeadOnEast project in Osijek. Here the destination and the story play a key role. It is great that the action will be organized twice a year, during the Easter holidays and in October, as well as what it is about long-term project. Also, we must be aware, regardless of constructive criticism, that the project has yet to come to life in the market, and that it certainly takes 2-3 years to show itself in full swing. As well as the Cro card project. It takes a lot of time, money and communication to create a new habit, it is a process, but we have to actively deal with it. Submitted to the project so far samo 340 offers. A lot or a little? This means that along the way you should monitor how the project, partners and market breathe and accordingly correct some possible mistakes in the steps (which always are and always will be, as in every project) but you should be aware of them, detect and correct, upgrade and supplement, change the direction of communication, etc.… the project as well as the market is a living “organism”, it is not static and predictable, and the evaluation should always be followed and influenced how to get it back on track. Photo: HTZ Promotional video project Holiday week worth These are important things that someone needs to communicate, define, push and ultimately implement. That is why leadership (leadership) as well as quality communication is key, and later project evaluation – key. And that is exactly what the CNTB is missing. Things are much more complex with a lot of challenges and obstacles, but that’s exactly why we have to deal with challenges and push forward. I sincerely hope that the CNTB will evaluate the project, and ask yourself key questions, in order to find answers as well as solutions on how to better prepare the entire project in the second wave. All of this is normal in any project, nor can it come to life right away. Ultimately as we know it the motive for coming is not accommodation, just listing the offers on the website is not enough nor does it have any effect. The motive for arrival is the destination and content, not accommodation or a 50% discount. All owners of accommodation facilities complained about the big discount, because that is where the biggest profit is. So the whole story needed to be arranged completely differently, as did the web platform. The focus must be on destinations and content. Also, the current crisis in tourism, as well as the bad season (no matter which is better than we expected) should be an additional motivation for entrepreneurs to join this project, precisely because they are trying to earn something more this season. You can sign up HERE. Get involved, but not just with a discount, but primarily with a story. Ideally, the destination (tourist boards), in agreement with all partners in the field, compose and lead the story and push the narrative of the destination. So it should be logical and natural. As we know, the project will also be implemented during the Easter holidays, so we have time to make progress and correct perhaps some omissions this year. Action. Ultimately, the goal of the project is to extend the tourist season and activate domestic consumption more strongly, which is in everyone’s interest. Also, this is certainly an opportunity to position continental and rural destinations.last_img read more

READ MORE