Bird Flu

Some of you may have watched the "Bird Flu" movie on TV, Tuesday night. It was in my opion well done and overall factual. Some may come away from the movie wondering just what the National andemic Response is for the United States.

President Bush is expected to approve a national influenza pandemic response plan that identifies more than 300 specific tasks for federal agencies.

The Treasury Department is poised to sign agreements with other nations to produce currency if its facilities cannot operate. The Pentagon, anticipating difficulties acquiring supplies from the Far East, is considering stockpiling millions of latex gloves. And the Department of Veterans Affairs has developed a drive-through medical exam to quickly assess patients who suspect they have been infected.

The document is the first attempt to spell out in some detail how the government would detect and respond to an outbreak and continue functioning through what could be an 18-month crisis, which in a worst-case scenario could kill 1.9 million Americans. Bush was briefed on a draft of the implementation plan on March 17, and he is expected to approve it within the week, but it continues to evolve, said several administration officials who have been working on it.

"Most of the federal government right now is as ill-prepared as any part of society," said Michael Osterholm, director of the Center for Infectious Disease Research and Policy at the University of Minnesota. Osterholm said the administration has made progress but is nowhere near prepared for what he compared to a worldwide "12- to 18-month blizzard."

Blumenthal, the former assistant surgeon general, questioned why two years after Congress approved a $5.6 billion BioShield program to develop new drugs and vaccines, so little progress has been made.

Homeland Security's Runge has a different concern: "One of the scariest thoughts is, if this country has successfully developed a vaccine within six months of an outbreak or our supply of antivirals is greater, there may be a rush into the United States for those things."

Even if those fears do not materialize, officials have warned the federal preparations only go so far. Much is left to states, localities and even individuals.

"Any community that fails to prepare -- with the expectation that the federal government can come to the rescue -- will be tragically wrong," HHS Secretary Mike Leavitt said in a speech last Monday.

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