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Avian flu is a real threat that is being taking seriously by
the state
By Senator Roy Dyson
Attending Senate Committee meetings can be real “eye openers” some times.
One of the most frightening incidences of this occurred during a hearing that
was held last week on the Avian Influenza and Pandemic in the Senate Education
Health and Environmental Affairs Committee on which I sit.
Avian flu occurs mostly in birds, not normally in people and when we use the
word pandemic, we refer to a world-wide outbreak that affects thousands if not
millions of people. Pandemic flu occurs very rarely. There were only three
outbreaks in the 20th Century. However, that doesn’t mean we don’t need to be
taking this very seriously.
Pandemic flu is quite different from seasonal flu which occurs every year and is
the type of flu which people are accustomed to so we have some immunity built
up. Healthy adults usually are not at risk for serious complications of seasonal
flu.
You are going to see a lot of this: H5N1 which is the identification symbols for
this strain of avian influenza and was first recognized in December of 2003.
Since that time, there have been more than 148 human cases of H5N1 with a 50
percent death rate.
How worried should we
be about avian flu?
Most of the exposure came from sick or dead poultry and some limited
person-to-person spread. The spread has been unprecedented and rapid in Europe,
Russia and East Asia with more than 160 million birds dying.
Pandemic flu is a worldwide outbreak of a new human flu virus so people have
little or no immunity and healthy people may be at increased risk for serious
complications.
The Avian Flu has been covered extensively on NPR, in Time, National Geographic,
Nature and Business Week magazines and there is generally a news story about it
just about every day.
How worried should we be about avian flu? Dr. Julie Gerberding, Director of the
Center for Disease Control in Atlanta, GA says “This [avian influenza] is a very
ominous situation for the globe. It is the mot important threat we
are facing right now.”
There is no evidence the H5N1 virus can easily spread from
person-to-person. However, the bad news is that H5N1 viruses are circulating
widely among poultry in Asia which is not nearly as regulated as it is in the
United State and it cannot be eradicated in the near future and it does have the
possibility to evolve and have the potential to result in a pandemic.
Dr. Michael T. Osterholm, infectious disease expert, says, “Pandemic planning
must be on the agenda of every school board, manufacturing plant, investment
firm, mortuary, state legislature and food distributor in the United States.”
This is all sobering stuff, but there is good news. There is no evidence the
H5N1 virus can easily spread from person-to-person. However, the bad news is
that H5N1 viruses are circulating widely among poultry in Asia which is not
nearly as regulated as it is in the United State and it cannot be eradicated in
the near future and it does have the possibility to evolve and have the
potential to result in a pandemic.
The U.S. Department of Health and Human Services has recognized the importance
of the possible pandemic and has planned by allocating $100 million for state
and local preparedness. Maryland is to receive $1.8 million towards this effort.
Maryland has planned for a possible pandemic since 1999 with a Pandemic
Influenza Plan. This includes several steps. The state has provided in-service
training for various public school systems; collaborated with LHDs, agriculture
and poultry companies to produce a poultry worker protection plan and has worked
with the attorney general’s office to ensure existing statues and regulations
sufficient for pandemic response.
Additionally, the state is involved in ongoing hospital surge capacity planning,
has launched a new Maryland specific website for influenza at flu.maryland.gov
and is currently planning a statewide summit on February 24, 2006 among other
important steps.
You can be assured that as Dr. Osterholm warned earlier, our committee is taking
this threat very seriously and will do everything in our power to make sure it
does not reap havoc in our great State with appropriate legislation.
Maryland government is already looking into how it will maintain essential
functions in the case of widespread absenteeism if indeed they catch this virus,
how the state will cope with disruptions to the supply chain of critical
products and services, how will existing public-private disaster response
systems provide basic needs such as food, medicine and utilities to person who
are ill, homebound or cannot care for themselves during a pandemic and who will
assist businesses in Maryland to develop a continuity of operations plan.