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Flu Fight

Welcome to Modern Healthcare's informational site on the H1N1 "swine flu" pandemic and other flu-related issues. The site will be updated regularly with news stories, studies and features on flu threats. Primary sources will be Modern Healthcare staff reporting as well as stories from other news organizations and reports from government sites and public health agencies.

Modern Healthcare's Coverage

H1N1 can be dangerous for patients of all ages, study warns

By Jessica Zigmond
November 03, 2009
Severe illness from the H1N1 virus can occur at all ages, with about 30% of hospitalized cases requiring treatment in an intensive-care unit, says a new study in the Nov. 4 issue of the Journal of the American Medical Association.
... FULL STORY

Union sues HCA over flu-shot push

By Joe Carlson
November 03, 2009
In a legal battle pitting the nation’s largest healthcare union against the nation’s largest hospital owner, bargaining units of the Service Employees International Union are suing Nashville-based HCA over the system’s goal of having all of its direct-care workers receive flu shots.
... FULL STORY

ACEP, HHS office offer guidance on flu symptoms

By Jessica Zigmond
November 03, 2009
The American College of Emergency Physicians—together with HHS' Office of the Assistant Secretary for Preparedness and Response and its Emergency Care Coordination Center—have developed a set of guidelines to help the public determine if their flu-like symptoms merit an emergency-department visit.
... FULL STORY

CDC reports rise in H1N1 vaccine availability

By Jessica Zigmond
October 29, 2009
As state health departments and healthcare providers wait for more shipments of the H1N1 flu vaccine to arrive, the Centers for Disease Control and Prevention reports there are 24.8 million doses available as of Thursday, an increase of 1.6 million doses since Wednesday.
... FULL STORY

A shot in the arm

By Jessica Zigmond
October 26, 2009
The federal government last week drew praise for its efforts so far to combat the H1N1 flu outbreak even as officials worried about the nation’s ability to cope with the disease.
... FULL STORY

Obama declares H1N1 outbreak a national emergency

By Associated Press
October 24, 2009
President Barack Obama has declared the H1N1 “swine flu” outbreak a national emergency. Officials said the proclamation would allow medical officials to bypass certain federal requirements, describing the move as similar to a declaration ahead of a hurricane making landfall.
... FULL STORY

N.Y. drops mandatory flu shots for health workers

By Jessica Zigmond
October 23, 2009
The state of New York has reversed course on an earlier decision mandating that healthcare workers receive flu shots, as State Health Commissioner Richard Daines has suspended the requirement.
... FULL STORY

H1N1 flu deaths top 1,000, CDC chief says

By Jessica Zigmond
October 23, 2009
With 46 states reporting widespread flu activity, the leader for the Centers for Disease Control and Prevention said that the H1N1 virus has now caused more than 1,000 deaths and more than 20,000 hospitalizations in the U.S.
... FULL STORY

AMA launches flu symptom Web site for patients

By Jessica Zigmond
October 22, 2009
The American Medical Association has launched a new Web site intended to help patients determine the severity of their flu symptoms and share information with their physician.
... FULL STORY

Lieberman questions Cabinet officers on H1N1 outbreak

By Jessica Zigmond
October 21, 2009
Sen. Joseph Lieberman (I-Conn.) lauded the efforts of three Cabinet departments in managing the spread of the 2009 H1N1 flu outbreak, but also expressed concerns about a delay in vaccine production, the capacity of hospitals and health departments to handle a surge in hospital visits, and the availability of intravenous anti-viral medications for those patients who need it.
... FULL STORY

Symptoms of distress

By Jessica Zigmond
October 19, 2009
When the deadly H1N1 influenza virus emerged last spring, federal health officials reported a fact that surprised many Americans: About 36,000 people in the U.S. die from the seasonal flu each year.
... FULL STORY

N.Y. nurses to fight flu-shot mandate

By Jean DerGurahian
October 13, 2009
Some nurses in New York state are preparing to fight a state mandate that requires healthcare workers to receive the flu vaccine this year.
... FULL STORY

Late News: H1N1 activity spikes: CDC

By Jessica Zigmond
October 12, 2009
As 37 states reported widespread flu activity for the week of Oct. 5—up from 27 the week before—an official at the Centers for Disease Control and Prevention said nearly all of those cases have been identified as the 2009 H1N1 influenza A virus, and a vaccine is still the best protection against the deadly disease.
... FULL STORY

Most states reporting widespread flu activity

By Jessica Zigmond
October 09, 2009
Thirty-seven states are reporting widespread flu activity—up from 27 last week—and nearly all of the cases have been identified as the 2009 H1N1 influenza A virus, according to the Centers for Disease Control and Prevention.
... FULL STORY

H1N1 vaccine delivery could be bumpy: CDC chief

By Jessica Zigmond
October 06, 2009
The head of the Centers for Disease Control and Prevention said he expects the distribution of the vaccine for the deadly H1N1 virus—which began this week—to be a bumpy process, but that the vaccine will soon be widely available.
... FULL STORY

IOM urges creation of state, local crisis protocols

By Vince Galloro
September 24, 2009
State and local health agencies must develop protocols that guide providers on how to allocate scarce resources during public health crises, such as terrorist attacks or pandemics, the Institute of Medicine said in a new report to HHS, which commissioned the study.
... FULL STORY

States lack e-systems for handling pandemic: report

By Jessica Zigmond
September 21, 2009
Before the World Health Organization declared a global flu pandemic in June, a sampling of states and localities showed they had not implemented an electronic medical system for managing medical volunteers in a surge, says a new report from the HHS inspector general's office.
... FULL STORY

Pandemic flu vaccine production to fall short

By Associated Press
September 19, 2009
Global production of swine flu vaccines will be "substantially less" than the previous maximum forecast of 94 million doses a week, the World Health Organization said Friday.
... FULL STORY

Vaccination of health workers is key, official says

By Jessica Zigmond
September 18, 2009
Vaccination of healthcare workers against the deadly H1N1 flu virus plays an important role in quality of care, said an epidemiologist who leads the H1N1 vaccine task force at the Centers for Disease Control and Prevention in Atlanta.
... FULL STORY

Four H1N1 vaccines are approved by FDA

By Jessica Zigmond
September 16, 2009
The Food and Drug Administration said it has approved four vaccines against the 2009 H1N1 influenza virus, popularly known as swine flu, which caused the World Health Organization to declare a global flu pandemic this summer.
... FULL STORY

IOM offers recommendations regarding swine flu

By Jessica Zigmond
September 03, 2009
To reduce the risk of infection, healthcare workers who are in close contact with individuals who have the influenza H1N1, or swine flu, virus should use fit-tested N95 respirators or other respirators that are shown to be more effective, according to a new report from the Institute of Medicine.
... FULL STORY

Obama designates $2.7 billion more for flu efforts

By Jessica Zigmond
September 03, 2009
In a letter to House Speaker Nancy Pelosi, President Barack Obama designated $2.7 billion to help various federal agencies respond to the potential spread of the deadly 2009 H1N1 virus. The funding will help HHS and the State, Agriculture, Defense and Veterans Affairs departments procure vaccine product and supplies, antiviral medications, preparations for a vaccine campaign and other related activities.
... FULL STORY

First line of defense

By Jessica Zigmond
August 31, 2009
After a presidential advisory committee report last week said a resurgence of the 2009 H1N1 virus could cause 30,000 to 90,000 U.S. deaths later this year, healthcare providers expressed concern about protecting their employees against the deadly flu strain.
... FULL STORY

H1N1 a ‘serious threat,' presidential panel warns

By Jessica Zigmond
August 24, 2009
As the fall flu season approaches, the 2009 H1N1 virus is unlikely to mirror the deadly pandemic of 1918-19, but still “poses a serious threat” to the country, according to a new report from a presidential advisory committee of scientists from industry and academia.
... FULL STORY

Beefing up swine flu info

By Andis Robeznieks
August 24, 2009
This past spring, many flu patients avoided hospital emergency departments and visited clinics instead. For the upcoming flu season, the focus will be on treating people with the HIN1 virus in their homes and avoiding hospitalizations, according to Thomas Michaels, an infection-control specialist with Minnesota's HealthPartners system.
... FULL STORY

Officials urge providers to brace for swine flu

By Andis Robeznieks
August 20, 2009
Healthcare providers should be prepared for more patients infected with the H1N1 virus, or swine flu, in the upcoming flu season than they saw last spring, but how severe any outbreak will be remains unclear, according to speakers participating in a CMS-sponsored conference call called the Hospitals Open Door Forum.
... FULL STORY

N.Y. health facilities required to provide flu shots

By Jessica Zigmond
August 19, 2009
New York's State Hospital Review and Planning Council has approved an emergency regulation requiring each healthcare facility to provide or arrange for influenza vaccinations for personnel, at no cost to its workers, either at the facility or elsewhere.
... FULL STORY

Nurses urge H1N1 protections; survey finds laxity

By Jessica Zigmond
August 06, 2009
About 100 nurses rallied on the main campus of the University of California at San Francisco Medical Center to demand better safeguards against the H1N1, or “swine flu,” virus on the same day a preliminary survey showed weaknesses in protecting healthcare workers against the deadly disease.
... FULL STORY

CDC panel sets H1N1 priorities

By Jessica Zigmond
August 03, 2009
As a federal advisory panel last week recommended that pregnant women and healthcare workers be among the first to receive a vaccine against the H1N1 virus, experts said both providers and patients need to do a better job of taking precautions against it.
... FULL STORY

Pregnant women, care workers lead vaccination list

By Jessica Zigmond
July 30, 2009
Pregnant women, caregivers of young children, and healthcare workers should be among the first to receive a vaccine against the H1N1 virus when one becomes available, recommends a Centers for Disease Control and Prevention committee.
... FULL STORY

H1N1 poses greater risk for pregnant women: study

By Jessica Zigmond
July 29, 2009
Pregnant women infected with the 2009 H1N1 virus, commonly referred to as swine flu, had a higher rate of hospitalization and greater risk of death than the general population, according to new data collected by the Centers for Disease Control and Prevention.
... FULL STORY

40% in U.S. could get swine flu without successful interventions: CDC

By Associated Press
July 25, 2009
Health officials are projecting that up to 40% of Americans could get the so-called swine flu this year and next and several hundred thousand could die without a successful vaccine campaign and other measures.
... FULL STORY

Getting ready

By Jessica Zigmond
July 20, 2009
Anticipating a potential resurgence of the H1N1 influenza virus this fall, HHS in the past few weeks has invested more federal dollars to try to ensure the nation is well-prepared to manage the disease.
... FULL STORY

Study assesses swine flu communication efforts

By Jessica Zigmond
July 07, 2009
State health departments did a better job of communicating information quickly to the public than local health departments at the start of the H1N1 outbreak this spring, according to a new report.
... FULL STORY

ACEP outlines plan for managing emergency departments during swine flu outbreak

By Jessica Zigmond
July 06, 2009
The American College of Emergency Physicians has released a national strategic plan on how to manage emergency departments during outbreaks of the H1N1 influenza virus, or swine flu.
... FULL STORY

Health workers need to take swine flu precautions: CDC

By Jessica Zigmond
June 19, 2009
Half of healthcare workers infected with H1N1 influenza A, commonly known as swine flu, acquired the virus in a healthcare setting and did not use all recommended forms of personal protective equipment on a consistent basis, the Centers for Disease Control and Prevention said in its weekly report.
... FULL STORY

Swine flu reaches pandemic level, WHO says

By Jessica Zigmond
June 11, 2009
The World Health Organization on Thursday declared a global flu pandemic in response to this year’s outbreak of the HIN1 influenza A virus, commonly referred to as swine flu. It is the first pandemic in 41 years.
... FULL STORY

Healthcare groups praise Frieden's CDC appointment

By Jennifer Lubell
May 15, 2009
Healthcare groups applauded the appointment of New York City Health Commissioner Thomas Frieden as the new director of the Centers for Disease Control and Prevention, saying he has the experience and toughness necessary to fight infectious disease.
... FULL STORY

Still monitoring swine flu situation

By Melanie Evans
May 11, 2009
The Centers for Disease Control and Prevention acting director continued to call for vigilance last week as health officials closely monitored the global flu outbreak.
... FULL STORY

Besser worries about complacency on swine flu

By Gregg Blesch
May 08, 2009
Richard Besser, M.D., acting administrator of the Centers for Disease Control and Prevention, said he is concerned that people are beginning to think the world has “dodged a bullet” because the 2009 H1N1 influenza A virus, or swine flu, has yet to deliver the scope of death and disease they feared.
... FULL STORY

Swine flu in ‘upswing’ of epidemic curve, Besser says

By Melanie Evans
May 07, 2009
The acting director of the Centers for Disease Control and Prevention stressed community awareness and said the outbreak of 2009 H1N1 influenza A virus, or swine flu, is “still in the upswing of what we call the epidemic curve” in a daily briefing.
... FULL STORY

FDA approves flu vaccine manufacturing site

By Shawn Rhea
May 07, 2009
A new manufacturing facility for flu virus vaccines has received Food and Drug Administration approval, according to a news release.
... FULL STORY

Besser stresses need for vigilance on swine flu

May 06, 2009
The Centers for Disease Control and Prevention remains “concerned” as the agency continues to learn more about the transmission of the 2009 H1N1 influenza virus, or swine flu, acting CDC Director Richard Besser told reporters in a briefing on the outbreak that has now claimed two lives in the U.S., including a Texas woman who had recently given birth.
... FULL STORY

CDC alters recommendations on school closures

By Jessica Zigmond
May 05, 2009
The Centers for Disease Control and Prevention said it no longer recommends that communities with a laboratory-confirmed case of H1N1 influenza A, or swine flu, consider adopting school dismissal or childcare closure measures.
... FULL STORY

Besser notes ‘encouraging signs’ on swine flu

By Melanie Evans
May 04, 2009
Richard Besser, acting director of the Centers for Disease Control and Prevention, said in a teleconference that initial laboratory tests of the 2009 H1N1 influenza A virus, widely known as swine flu, offer "encouraging signs" as health officials continue to closely track its spread.
... FULL STORY

Preparation will pay off

By Elisabeth Belmont, Peter Leibold and Michael Osterholm
May 04, 2009
According to the Centers for Disease Control and Prevention, the U.S. had 109 laboratory confirmed cases of H1N1 flu in 11 states with one fatality as of the morning of April 30. The World Health Organization has raised its global pandemic alert level to Phase 5, which indicates human-to-human spread of the virus into at least two countries in one region, one step short of a full pandemic.
... FULL STORY

You’re not in Kansas anymore

By Matthew DoBias
May 04, 2009
Former Kansas Gov. Kathleen Sebelius took over as HHS secretary last week amid the country’s biggest test of its pandemic-fighting capabilities since at least 2005, and as Congress takes the first steps to try to drastically change the way healthcare is provided and paid for in this country.
... FULL STORY

Were we truly prepared?

By David May
May 04, 2009
When public health alarms started ringing over an influenza outbreak, the scenario was supposed to involve the avian flu, not the swine variety. Regardless, as the confirmed flu cases started mounting quickly last week—along with the death toll—the world’s public health guardians seemed on top of their game. Credit that in large part to a level of readiness resulting from intense work—and spending—these past several years, trying to stay ahead of the pandemic threat from bird flu.
... FULL STORY

Mexico says no new H1N1 deaths

By Associated Press
May 02, 2009
Mexico reported no new deaths from swine flu overnight — more reason to be optimistic that the worst is over at the epicenter of the outbreak. But the virus keeps spreading around the world, with new cases confirmed in Europe and Asia.
... FULL STORY

Besser hails WHO move to raise pandemic alert level

By Jessica Zigmond
April 30, 2009
A day after the World Health Organization raised its pandemic alert level to Phase 5, the Centers of Disease Control and Prevention announced that South Carolina has become the latest state to have a confirmed case of the 2009 H1N1 virus, commonly known as swine flu.
... FULL STORY
 
Other Coverage

Sebelius: H1N1 flu vaccine production lags demand

By the Associated Press
October 26, 2009
HHS Secretary Kathleen Sebelius said the H1N1 flu vaccine "is coming out the door as fast as it comes off the production line."
... FULL STORY

Swine flu scams lurk on the Internet, FDA warns

October 23, 2009
Associated Press via Yahoo
... FULL STORY

CDC reports delays in H1N1 vaccine production

By Jessica Zigmond
October 16, 2009
A top official at the Centers for Disease Control and Prevention said there will likely be 10 million to 12 million fewer doses of the H1N1 flu vaccine available than the Atlanta-based agency had expected by the end of October.
... FULL STORY

Where to get a flu shot is big worry of season

October 12, 2009
New York Times
... FULL STORY

Swine flu meant hospitalization for many patients, study finds

By the Associated Press
October 08, 2009
One quarter of Americans sick enough to be hospitalized with swine flu last spring wound up needing intensive care and 7% of them died, the first such study of the early months of the global epidemic suggests.
... FULL STORY

Areas hit hard by swine flu in spring see little now

October 08, 2009
New York Times
... FULL STORY

Swine flu vaccinations begin this week

By the Associated Press
October 05, 2009
Swine flu vaccinations begin this week, after months of preparations and promises. But don't start bugging your doctor about an appointment just yet.
... FULL STORY

Swine flu spread prompts move on vaccine

By New York Times
October 02, 2009
Swine flu is now widespread across the entire country, the Centers for Disease Control and Prevention announced Thursday as federal health officials released Tamiflu for children from the national stockpile and began taking orders from the states for the new swine flu vaccine.
... FULL STORY

Swine flu surge closes schools, tests hospitals

September 28, 2009
Washington Post
... FULL STORY

Minn. clinics tell flu patients to call before coming in

September 24, 2009
(Minneapolis-St. Paul, Minn.) Star Tribune
... FULL STORY

Pandemic flu vaccine production to fall short

By Associated Press
September 19, 2009
Global production of swine flu vaccines will be "substantially less" than the previous maximum forecast of 94 million doses a week, the World Health Organization said Friday.
... FULL STORY

WHO: Pandemic flu vaccine production to fall short

September 18, 2009
Associated Press via Yahoo
... FULL STORY

Studies: Swine flu spreads long after fever stops

September 15, 2009
Associated Press via Yahoo
... FULL STORY

Epidemic exposes hospital flaws in Argentina

September 14, 2009
The children's hospital in San Miguel de Tucumán, Argentina, handled lots of tough cases during a recent swine-flu outbreak, but none more wrenching than the sudden deaths of two of its own nurses in July.
... FULL STORY

Napolitano: 'Big Influx' of new infections likely

September 02, 2009
Homeland Security Secretary Janet Napolitano said that people should expect "a big influx" of swine flu cases this fall and prepare as best they can.
... FULL STORY

CDC leery of estimates about swine flu’s toll

August 27, 2009
Associated Press via Yahoo
... FULL STORY

WHO predicts ‘explosion' of swine flu cases

August 21, 2009
Associated Press via Yahoo
... FULL STORY

Don't rush to close schools for swine flu, CDC says

By the Associated Press
August 08, 2009
The government is urging school officials to stay calm when swine flu strikes this fall, closing buildings only in drastic cases and allowing sick students to return as soon as 24 hours after their fever is gone.
... FULL STORY

Ouch! Early flu shot season comes with three jabs

By the Associated Press
August 07, 2009
Get ready to roll up your sleeve three times for flu shots this fall. That's right, three times. This year's flu season is shaping up to be a very different one. Most people will need one shot for the regular seasonal flu and probably two others to protect against the new swine flu.
... FULL STORY

U.N. chief says $1 billion needed against swine flu

July 06, 2009
Associated Press
... FULL STORY

U.S. swine flu cases may have hit 1 million

June 26, 2009
Associated Press via Yahoo
... FULL STORY

Camps seeing outbreaks of swine flu, agency says

June 19, 2009
New York Times
... FULL STORY

FDA warns of phony swine flu cure claims

June 16, 2009
UPI
... FULL STORY

WHO chief: Flu pandemic appears to be occurring

June 09, 2009
Associated Press via Yahoo
... FULL STORY

Avian flu fears said to help U.S. prepare for swine flu

June 05, 2009
New York Times
... FULL STORY

U.S. eyes emergency use of booster in H1N1 vaccine

May 29, 2009
Reuters
... FULL STORY

British scientists make H1N1 flu strain for vaccine

May 28, 2009
Reuters
... FULL STORY

Flu shots on tap for healthcare workers

By Crain's New York Business
May 26, 2009
The New York state health department is proposing mandatory flu vaccines for all healthcare workers in the state. The new rule would apply not just to staff, but to anyone who potentially comes into direct contact with patients. That includes contract workers, students and volunteers.
... FULL STORY

Companies sock away swine flu meds

By Crain's Chicago Business
May 26, 2009
Fearing a flu pandemic, some Chicago companies are stockpiling influenza-fighting drugs. Exelon Corp. has stashed thousands of doses of anti-viral medications such as Tamiflu for employees and their dependents in case a pandemic hits, sources said. And Chicago-based Options Clearing Corp. said that by next month it will have multiple doses stocked for each of its 350 employees and their family members.
... FULL STORY

Canada, Mexico, U.S. announce swine flu deaths

By the Associated Press
May 26, 2009
Authorities in Mexico announced three more swine flu deaths and the U.S. and Canada one more death each as the world's largest vaccine maker signed a deal with the U.S. to produce a swine flu vaccine.
... FULL STORY

WHO chief says world should prepare for severe flu

May 22, 2009
Reuters via Yahoo
... FULL STORY

Older people appear safer from new flu strain

May 21, 2009
New York Times
... FULL STORY

Deadly pneumonia caused by superbugs on rise

May 20, 2009
Reuters via Yahoo
... FULL STORY

WHO: No swine flu vaccine available for months

May 19, 2009
Associated Press via Yahoo
... FULL STORY

New York reports its first swine flu death

May 18, 2009
New York Times
... FULL STORY

GlaxoSmithKline taking pandemic vaccine orders

May 15, 2009
Associated Press via Yahoo
... FULL STORY

WHO meets on production of swine flu vaccine

May 14, 2009
Associated Press via Yahoo
... FULL STORY

Swine flu fears evident as world's cases top 6,000

May 13, 2009
Associated Press via Yahoo
... FULL STORY

Top flu expert warns of a swine flu-bird flu mix

May 08, 2009
Associated Press via Yahoo
... FULL STORY

Up to 2 billion people might get swine flu: WHO

May 07, 2009
Associated Press via Yahoo
... FULL STORY
 
Other Resources

IOM report: Respiratory Protection for Healthcare Workers in the Workplace Against Novel H1N1 Influenza A

September 04, 2009

Lessons From Outbreaks of H1N1 Influenza: An editorial from the Annals of Internal Medicine

May 29, 2009

CDC information site for swine flu

April 27, 2009

HHS guidance on use of antiviral drugs during a pandemic

December 24, 2008

View CDC pandemic flu/avian flu site

October 15, 2008

View WHO's avian flu site

October 15, 2008

View federal guidance to assist state-level planning

October 15, 2008

View 2007 GAO report (PDF)

October 15, 2008

View HHS' plan in event of an influenza pandemic (PDF)

October 15, 2008

View HHS' pandemics and diseases site

October 15, 2008

View AHRQ home-health primer on flu preparedness

October 15, 2008
 
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