Everyone is on flu alert this season due to the H1N1 scare. Despite efforts in early vaccine deployment and increased production, public demand is still not being met, especially among patients who belong to small private clinics that have not been allocated shipments of the vaccine. As I found out this weekend, it is very difficult to find even one pharmacy or clinic that has the vaccine in stock. One tool I did find helpful is a Flu.gov widget that displays sites in your area which carry the vaccine and whether it is available. Although I found the information on availability to be very inaccurate, it does compile for you a comprehensive list of locations which should guide you in your search. Try it out here:
The Procter & Gamble Company announced a voluntary recall of 700,000 units of Vicks Dayquil cold medicine today due to the lack of child-proof packaging. The product (which is not recommended for children under 12 years of age) is advertised as being contained in child-resistant packaging, but no child-proof backing was applied to the blister packs. The recall affects all DayQuil Cold & Flu 24-Count LiquiCaps Bonus Packs containing the UPC code 3 23900 01087 1. These packages can be identified by the by the yellow flag located in the top right corner of the box that advertises a “Bonus of 20 Percent More”. No other DayQuil or Vicks products are affected. Those who purchased these items can contact Procter and Gamble Company for either a refund or replacement coupon by calling 1-800-251-3374. Information is also available at www.vicks.com. [via HealthNews]
Believe it or not, we’re still only in the middle of flu season. With the H1N1 flu hitting early, this may be a flu season that just seems to go on forever. Since arriving in the US in April the H1N1 flu has killed nearly 10,000 Americans, including 1,100 children and 7,500 younger adults, and infected one in six people (between April and November 14 there had been nearly 50 million cases). The good news is vaccine availability is on the rise. In fact, 12 million more doses will be available this week and a large part of that should be now available to the general public. Getting the H1N1 vaccine is the best way to protect oneself from H1N1 infection. Unlike the seasonal flu vaccine, which protects from what we think will be the most prevalent strains of the current season, we know exactly what we’re dealing with in regards to the H1N1 strain, so the vaccination is formulated to target it specifically. Getting the vaccination also protects those around you since it decreases the number of people who can catch H1N1 and go on to spread it, a concept called herd immunity. [via MedlinePlus]
University of Chicago researchers estimate that over the next 25 years the number of Americans with diagnosed and undiagnosed diabetes will soar from 23.7 million to 44.1 million. Not only that, medical spending related to diabetes care and management will climb from $113 billion to $336 billion annually. Diabetes is a chronic illness which often requires daily medication, insulin, glucose monitoring supplies, lab tests and frequent visits to the doctor. It is also a disease which could be potentially prevented, which is why primary preventative care is so important (and sorely lacking) in the U.S. As the researchers state, “Without significant changes in public or private strategies, this population and cost growth are expected to add a significant strain to an overburdened health care system.” With these new figures, the study will hopefully influence policymakers during this time of uncertainty in the future of U.S. healthcare. [via Medical News Today]
Here’s some good news for patients with chronic obstructive pulmonary disease (COPD) and other conditions with chronic mucus production. A new device called the Lung Flute, which has just been approved by the FDA, can vibrate away mucus by simply blowing into it. Blowing into the instrument sends a steady 16-hertz vibration into the user’s chest which breaks up mucus and allows the body to better expel the sticky substance. Although there are other devices that also use vibration to loosen mucus, the Lung Flute costs a great deal less at $40 a piece, making it much more accessible. See a video of the device in action here. [via PopSci.com]
According to the World Health Organization the number of reported cases of H1N1 influenza has increased by at least 24,000 in just the past two weeks. And with the new H1N1 vaccine just recently being distributed to the public the CDC is reaffirming the current vaccination guidelines. The groups most at risk, and therefore should be vaccinated are:
Pregnant women
People who live with or care for children younger than 6 months of age
Health care and emergency medical services personnel
Persons between the ages of 6 months through 24 years of age
People from ages 25 through 64 years who are at higher risk for novel H1N1 because of chronic health disorders or compromised immune systems.
Please note that the H1N1 vaccine is not intended to replace the seasonal flu vaccine. The seasonal flu and H1N1 vaccines may be administered on the same day. [via CDC]
The New York Times is reporting that the first injectable H1N1 vaccines have shipped from vaccine maker Sanofi-Aventis. Previously, the first H1N1 vaccinations were to be the live virus type, in the form of a nasal spray. However, live virus vaccines are not recommended for certain groups including pregnant women, people with health problems, and adults over the age of 50 – some of the groups most at risk should they contract H1N1 infection. Sanofi-Aventis has a contract with the US government to provide 75 million doses of the vaccine, which will be provided free to physicians and health care workers. Health officials say there will eventually be enough vaccine for anyone who wants one, but priority will be given to high-risk groups first. The seasonal flu vaccine is currently distributed in sufficient quantity to the general public. Stay tuned to for up-to-date recommendations for the H1N1 vaccine as it becomes more widely available. [via Kaiser Health News]
Historically, pregnant women have been one of the groups least likely to get the flu vaccine for a variety of reasons. Not surprisingly, their reluctance to take any medication during pregnancy is one of the reasons for the low vaccination rates. Additionally, the majority of obstetricians do not routinely vaccinate their patients due to costs involved and that it’s not part of routine obstetrician training. Therefore, the CDC and American College of Obstetrics and Gynecology are urging obstetricians to partner with hospitals or drugstores to guarantee their patients a place to get the flu shot. A vaccine is a two-for-one deal during pregnancy. It can protect both mom and baby because the flu-fighting antibodies made by mom will cross the placenta to the fetus and can help protect the baby during its first few months of life. This is why health officials are working on increasing the number of vaccinated pregnant women this year, especially since pregnant women make up 6% of H1N1-confirmed deaths even though they account for only 1% of the population. [via NBC News]
This is going to be a busy flu season, especially considering that there will be two different flu vaccines available – one for the seasonal flu and the other for H1N1 (swine) flu. There are different recommendations for both vaccines, but only the seasonal flu vaccine is currently available. The Centers for Disease Control and Prevention recommends any adult who wants to reduce their risk of becoming ill with influenza to get the vaccine. However, if you are on the fence about the decision here is an up-to-date list from the CDC of high risk groups that should not think twice about getting the vaccine:
persons aged 50 years and older;
women who will be pregnant during the influenza season;
persons who have chronic pulmonary (including asthma), cardiovascular (except hypertension), renal, hepatic, cognitive, neurologic/neuromuscular, hematological or metabolic disorders (including diabetes mellitus);
residents of nursing homes and other long-term care facilities;
health-care personnel;
household contacts and caregivers of children aged <5 years and adults aged 50 years and older, with particular emphasis on vaccinating contacts of children aged <6 months; and
household contacts and caregivers of persons with medical conditions that put them at higher risk for severe complications from influenza.
*If you have concerns about thimerosal or other vaccine preservatives, this year’s flu vaccine only comes in two flavors – latex-containing and latex-free. Neither contains thimerosal.
If you have doubts that lack of health insurance can have deadly consequences, consider these new findings from the American Journal of Public Health: Americans without health insurance are 40% more likely to die than those with private insurance. The Harvard study reiterates a 1993 Institute of Medicine study, which found a 25% higher death risk among those without insurance compared with privately insured adults. Why does the uninsured face this greater risk? The Institute of Medicine identifies three factors that influence health outcomes: not getting care when needed, not having a regular source of care, and not getting continuity of coverage – all of these are difficult goals to accomplish for the uninsured. Approximately 45,000 Americans of working age die each year because they lack health insurance. [via Yahoo! News]
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About Dr. Steven Chang
Dr. Steven Chang, the author of DailyDose, is a staff physician with Kosmix RightHealth. Dr. Chang practices Family Medicine at the University of California Davis Medical Center, where his medical interests include both pediatric and geriatric care, public health, gay and lesbian health, and sleep medicine. Dr. Chang trained at the Stanford University affiliated O'Connor Hospital, and was a research fellow at the National Institute of Health. He holds an M.D. from McGill University and a BA in Public Health from Johns Hopkins University.
The 
Dr. Steven Chang, the author of DailyDose, is a staff physician with Kosmix RightHealth. Dr. Chang practices Family Medicine at the University of California Davis Medical Center, where his medical interests include both pediatric and geriatric care, public health, gay and lesbian health, and sleep medicine. Dr. Chang trained at the Stanford University affiliated O'Connor Hospital, and was a research fellow at the National Institute of Health. He holds an M.D. from McGill University and a BA in Public Health from Johns Hopkins University.