Seasonal vaccine is depleted; H1N1 shots are coming

President Barack Obama signed a declaration on Oct. 23 that classifies the H1N1 (swine) flu outbreak as a national emergency. But according to the Centers for Disease Control (CDC), Connecticut is one of five states that has not yet seen “widespread†cases.

H1N1 is a different virus than the seasonal flu, so a unique vaccine had to be created. At this point, doses of the seasonal flu vaccine have been pretty much exhausted and doses of H1N1 vaccine are just beginning to be distributed.

In the Northwest Corner, the Torrington Area Health District (TAHD) has been keeping an eye on supply levels. Many flu clinics offering the seasonal flu vaccine have been canceled due to shortages. At the moment, TAHD is making the H1N1 vaccine available to a very select population (see sidebar, Page A16).

“There are shortages,†said Jim Rokos, director of health at TAHD. “Every week we put an order in and the Connecticut Department of Public Health fills the order to the best of their ability with the vaccine they have in hand. But they’re shipping to hundreds of health-care providers in Connecticut. They have to decide based on all of the requests they get every week who gets the vaccine.

“The seasonal vaccine is all spoken for,†he continued. “To the best of our knowledge, the seasonal vaccine is not available in Connecticut right now. Everyone has used all of the seasonal flu vaccine they have. There may be more vaccine in other parts of the country that may be redistributed, but we don’t know about that yet.â€

Seasonal flu, which typically hits hardest in January, has not made much of an appearance in Connecticut at this point. H1N1 flu, however, has been seen here. Anecdotally, it might feel as if H1N1 is “widespread,†but the CDC has classified the outbreak in Connecticut as “regional.†The federal government gets its information about the disease from the state Department of Public Health, which reports incidents recorded in hospitals across the state. For a map of cases reported across the country, go to cdc.gov.

The shortages of the H1N1 vaccine are due to a longer than expected manufacturing time. The vaccine is grown in eggs and is not growing as quickly as the pharmaceutical companies had hoped or expected.

Beware of scams

This week, state Attorney General Richard Blumenthal’s office issued a warning against sham flu products offered online, including antibiotics and antiviral drugs.

The press release said the Food and Drug Administration tested a number of these products, including pills purporting to be Tamiflu, and found them to be full of powdered talc and generic Tylenol. For more information about the scams, go to ct.gov/ag/cwp/view.asp?a=3673&Q=449514.

Rokos reiterated that the H1N1 vaccine is on its way.

“According to everything we’re told, the amount is going to increase significantly over the next few weeks,†Rokos said. “Everyone has to be patient. This is not under anyone’s control. The drug makers are making this stuff as fast as they can.â€

TWO FORMS of H1N1 flu vaccine are available: the injectible and the nasal spray. The nasal spray vaccine uses live viruses and is not recommended for certain groups, such as pregnant women.

The Torrington Area Health District is holding flu shot clinics for high-risk populations. Those who fall into one of those populations may call the TAHD at 860-489-0436 for information on obtaining the vaccine.

Nasal spray vaccine

• Healthy, non-asthmatic children ages 2 to 6

•  Healthy health-care workers and EMS personnel

• Healthy, non-asthmatic, non-pregnant household contacts and caregivers of infants less than 6 months old who are between the ages of 2 and 49

Pregnant women cannot get the nasal spray vaccine; women who are breastfeeding can.

Injectible vaccine

• Pregnant women

• Household contacts and caregivers of infants less than 6 months old

• Children ages 5 to 16 who have high-risk medical conditions

• Health-care workers and EMS personnel

High-risk medical conditions include the following: pregnancy; asthma and other chronic lung disease; heart disease; kidney or liver disease; cancer; blood disorders; diabetes; neurological disorders (i.e., epilepsy, cerebral palsy, brain or spinal chord injuries, moderate to profound intellectual disability or developmental delay); neuromuscular disorders (i.e., muscular distrophy, multiple sclerosis); weakened immune system due to illness or medications.

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