NH Outlook Talk Show , Friday, 11/6/2009
script iconHello/Intro H1N1 script iconWeb Promo
script iconSet up pkg Lab script iconKey: Health / Healthcare
script iconConversation H1N1 script iconKey: Science / Technology
script iconThanks/Goodbye  


script iconHello/Intro H1N1
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Hello. I'm Richard Ager. Welcome to NH Outlook. H1N1 flu virus. It's been the subject of much debate, research, and a presidential emergency delcaration. But many people are unclear on just how big a problem this could be in the coming months. We'll ask some of those questions in just a few moments but first, a visit to the state lab where the much anticipated vaccines arrive for distribution.
script iconSet up pkg Lab
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Track: In its fight against the flu, the state Public Health lab in Concord begins by identifying what virus has already arrived.
Bite: We can differentiate the seasonal influenza from what is now known as the H1N1.
Track: To do that, the lab breaks down each flu strain into subtypes.
Bite: When testing for H1N1 we usually get them on a nasal swab and we do an extraction so we extract the DNA from the swabs and we do molecular testing to subtype exactly what kind of influenza strain we have. The important part of differentiating influenza is the seasonal strains from H1N1 would be for what we call disease surveillance, Some sub sample of what we are testing is sent to CDC for antiviral surveillance. So that way we are able to take a look at what do we have here. What viruses are circulating and we are able to see if they are becoming more resistant to antiviral agents.
Track: The H1N1 vaccine comes in two forms.
Bite: Citizens are making decisions on what vaccine type to get. Based on their health status and their age and other decisions. There's options that they can get a flu mist or a traditional shot in the arm for the vaccine. So it depends on the patients health status and what they typically chosen to do in getting a vaccine.
Track: The nasal spray is intended more for children, and because it has an active strain of the virus, is not available for pregnant women.
Health and Human Services gets shipments in weekly. On this day, about 40,000 vials of the H1N1 vaccines arrived for distribution to physician's offices and pharmacies.
script iconConversation H1N1
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We are in the Political Library in the State Library with our guests DR. OGLESBY YOUNG, PRACTICING OB/GYN AND PAST PRESIDENT OF THE NH MEDICAL SOCIETY
Jose Montero, Chief Medical Officer and Kathleen Murphy, NH Deparment of Education.
WELCOME ALL. FIRST - SOME BASICS.
1: H1N1 VS. SEASONAL FLU. WHAT'S THE DIFFERENCE? HOW IS IT TRANSMITTED? HOW DOES IT PROGRESS?
2: HOW DANGEROUS IS THIS VIRUS? WHO IS MOST VULNERABLE?
A RESEARCHER - DR MARC LIPSITCH OF HARVARD UNIVERSITY - REPORTED IN SEPTEMBER THAT THE SWINE FLU IS NO MORE DEADLY THAT SEASONAL FLU. IN THE PANDEMIC SEVERITY INDEX, IT IS A CATEGORY 1 WITH A DEATH RATE COMPARABLE TO SEASONAL FLU - LESS THAN 0.1 PERCENT. GREAT NEWS?
BY COMPARISON, THE 1918 FLU PANDEMIC - DEATH RATE OF 2 PERCENT OR MORE - KILLED TENS OF MILLIONS.
HE SAID "IT'S MILDEST IN KIDS" -
3: HOW EASY TO CATCH? CAN IT BE AVOIDED?
HOW DO YOU CONVINCE PEOPLE TO DO THE HAND WASHING, SNEEZE INTO THE SLEEVE, ETC?
AS FOR KEEPING A HOME SAFE - HOW LONG CAN THE VIRUS LIVE ON SURFACES? CAN CARRYING AROUND DISINFECTANT SPRAYS HELP?
4: COMMISSIONER BARRY - WHAT ARE SCHOOLS DOING NOW? WHAT WOULD IT TAKE TO SHUT A SCHOOL - OR SCHOOL DISTRICT?
5: ANY PRECEDENT FOR THIS? HERE OR ELSEWHERE? DR. YOUNG? DR. DIONNE-ODOM?
6: WHAT ABOUT THE VACCINES? WHY IN SHORT SUPPLY? WHEN DO WE GET ENOUGH?
THERE HAS ALSO BEEN A LOT OF TALK - ESPECIALLY ON THE INTERNET - ABOUT VACCINE SAFETY. CAN YOU ADDRESS THIS?
7: THERE IS A PSYCHOLOGICAL DIMENSION TO THIS. IS THERE POTENTIAL FOR PANIC. HOW DO YOU PREVENT THAT?
7: IN TERMS OF PUBLIC HEALTH - WE ALL KNOW THE BEST ADVICE IS NOT ALWAYS TAKEN. ALL TOO OFTEN, SICK WORKERS FEEL THEY CAN'T AFFORD TO STAY HOME.
WHAT DO YOU DO? CAN YOU QUARANTINE THEM - OR IS THIS JUST TOO WIDE SPREAD FOR THAT TO BE PRACTICAL?
ACCORDING TO THE BUREAU OF LABOR STATISTICS, 39 PERCENT OF PRIVATE-SECTOR WORKERS DO NOT RECEIVE PAID SICK LEAVE. SO THOSE ARE THE WAITERS, THE CASHIERS WHO CAN'T AFFORD TO STAY HOME.
THE NY TIMES REPORTED THAT EVEN EMPLOYERS LIKE WAL-MART THAT DO PROVIDE SICK DAYS - ALSO PENALIZE WORKERS WITH DEMERIT POINTS IF THEY USE THEM.
8: DR. YOUNG - DO YOU EVEN WANT TO SEE PATIENTS - IN YOUR WAITING ROOM AND THEN EXAM ROOMS? HOUSE CALLS ANYONE?
WHAT HAPPENS IF EMERGENCY ROOMS ARE FLOODED WITH FLU PATIENTS?
9: IN LATE OCTOBER, PRESIDENT OBAMA SIGNED A NATIONAL EMERGENCY DECLARATION TO ALLOW FASTER IMPLEMENTATION OF DISASTER PLANS.
DR. DIONNE-ODOM - WHAT CAN YOU DO NOW THAT YOU COULDN'T DO BEFORE THAT DECLARATION?
COULD USE THE SECTION 1135 WAIVER TO, FOR EXAMPLE, TEMPORARILY INCREASE THE NUMBER OF BEDS IN A CRITICAL CARE HOSPITAL.
10: ALSO USED IN HURRICANE KATRINA. WHEN PUBLIC RESPONSE SYSTEMS WERE OVERWHELMED. WE SAW THE DEVASTATION THERE - BUT THE REST OF THE COUNTRY WASN'T HIT BY THAT HURRICANE - AND STILL THE RESPONSE WAS INSUFFICIENT. WHAT DOES THAT SAY ABOUT AN EMERGENCY IN WHICH KATRINA HITS THE WHOLE COUNTRY?
11: SO FAR THERE IS ONE FATALITY IN NH - A 22 YEAR OLD WOMAN WHO DIED IN AUGUST. GIVEN THE SIMILARITY BETWEEN THE STRENGTH OF H1N1 AND SEASONAL FLU - WHAT IS YOUR EXPECTATION FOR THIS WINTER FLU SEASON.
12: WANT TO LET OUR VIEWERS KNOW THAT IN STATE, YOU CAN CALL 2-1-1 FOR ANSWERS TO YOUR H1N1 QUESTIONS.
script iconThanks/Goodbye
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That is the last word for now. Our thanks to DR. OGLESBY YOUNG, Chief Medical Officer Jose Montero, and Kathleen Murphy. I'm Richard Ager. Please join us on the next NH Outlook.
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script iconKey: Health / Healthcare
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NEW HAMPSHIRE OUTLOOK Air Date/Time: 11/6/2009
HOST: Richard Ager Length: 25:19
Hello. I'm Richard Ager. Welcome to NH Outlook. H1N1 flu virus. It's been the subject of much debate, research, and a presidential emergency delcaration. But many people are unclear on just how big a problem this could be in the coming months. We'll ask some of those questions in just a few moments but first, a visit to the state lab where the much anticipated vaccines arrive for distribution.
PRODUCER/REPORTER: Richard Ager NAME OF PARTICIPANTS: Christine Bean Ph.D.\Lab Director, Oglesby Young M.D.\Practicing OB/GYN, Past President, NH Medical Society,José Montero M.D.\Chief Medical Officer, State Epidemiologist, Kathleen Murphy\NH Deparment of Education.
script iconKey: Science / Technology
Return to index of stories...
NEW HAMPSHIRE OUTLOOK Air Date/Time: 11/6/2009
HOST: Richard Ager Length: 25:19
Hello. I'm Richard Ager. Welcome to NH Outlook. H1N1 flu virus. It's been the subject of much debate, research, and a presidential emergency delcaration. But many people are unclear on just how big a problem this could be in the coming months. We'll ask some of those questions in just a few moments but first, a visit to the state lab where the much anticipated vaccines arrive for distribution.
PRODUCER/REPORTER: Richard Ager NAME OF PARTICIPANTS: Christine Bean Ph.D.\Lab Director, Oglesby Young M.D.\Practicing OB/GYN, Past President, NH Medical Society,José Montero M.D.\Chief Medical Officer, State Epidemiologist, Kathleen Murphy\NH Deparment of Education.
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