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<< Previous   of   Next >>   ADVERTISEMENT   ADDITIONAL ITEMS • Centers for Disease Control swine flu information (External Link) • UW School of Public Health swine flu portal (External Link) • Washington State Department of Health swine flu page (External Link) • Snohomish Health District swine flu resources (External Link)   Related Stories • Swine flu claims 2nd victim in Snohomish County 7/2/09 • Bacterial disease linked to swine flu 11/26/09 • Swine flu variation resists Tamiflu 11/21/09 • Santa’s wish list: A swine flu shot 11/18/09 • Swine flu death toll nears 4,000 11/13/09 • Nation, World Briefs: 11 million new doses of swine flu vaccine 11/7/09 • Swine flu suspected in infant’s death 11/5/09 » More SWINE FLU stories >   CONTACT THE HERALD Robert Frank, City Editor frank@heraldnet.com   Published: Sunday, June 7, 2009 Snohomish County readies for fall swine flu By Sharon Salyer Herald Writer With the number of people in the U.S. sickened by swine flu now estimated at 200,000, plans are now under way in Snohomish County to respond to a potential "second wave" outbreak this fall. Step one of the plan doesn't involve swine flu, however, but the more typical seasonal flu, said Dr. Gary Goldbaum, health officer for the Snohomish Health District. The public health agency is talking with clinics, pharmacies, hospitals and other groups that provide annual flu shots, or could provide them, so that they're ready for the expected increase in public demand for that shot in the fall. "We want to make it really easy to do the right thing, which, to my mind, is to get the vaccine," Goldbaum said. By talking now, the groups may be able to come up with new and more convenient ways to provide the shot to children and adults, he said. These preparations also could be used if federal officials decide to go ahead with developing a swine flu vaccine, he said. Although swine flu is not getting the near-nonstop attention it received when the first handful of cases were discovered in the U.S. in April, it has spread widely across the U.S. More than 13,000 people have become ill and 770 people have been hospitalized, according to Dr. Anne Schuchat, interim deputy director at the Centers for Disease Control in Atlanta. Nationally, 28 people have died, including two people in Washington, a 39-year-old man from Snohomish and a woman in her 20s from Pierce County. Cases have now been reported in all 50 states, including 577 in Washington. Even though more than 13,000 people are known to have been infected nationally, that represents only a fraction of those who have become ill, Schuchat said. "Really, we think the disease is much more common than that." In fact, an estimated 200,000 people could have been sickened by swine flu nationally, said Joe Quimby, a spokesman for the federal health agency. So far, about 7.8 percent of patients with known cases of swine flu have been hospitalized, Schuchat said. In recent weeks, public health officials have abandoned trying to count every swine flu case. Now, they're focusing on testing those who were most at risk of having serious health complications from it, such as people 18 and younger. They're also tracking both the number and the ages of those who are hospitalized. One thing that distinguishes swine flu from its more common seasonal flu cousin is that it is hitting young people far harder than seniors. Sixty percent of all swine flu cases and 42 percent of people hospitalized due to the virus are between the ages of 5 and 24, Schuchat said. Dr. Anthony Marfin, a state Department of Health epidemiologist, said he doesn't think swine flu will be going away anytime soon. "From what we're seeing right now, we have no reason to believe it will disappear before fall," he said. Most of the current cases of influenza are swine flu, he said. And although swine flu seems to be declining in some areas of the country, federal health officials say it's still circulating widely in Alaska, Idaho, Oregon and Washington. "What is surprising is there is still as much of it around in the middle of the summer," said Dr. Yuan Po-Tu, who tracks influenza issues at The Everett Clinic. State, federal and international health officials are watching how the virus spreads in the Southern Hemisphere, which is now entering its influenza season. They want to see if the virus changes -- for example, if it makes people sicker or if spreads more readily. Meanwhile, health officials in Washington also will continue to closely monitor the virus, watching for signs of outbreaks at camps and other student summer gatherings, said James Apa, a spokesman for Public Health -- Seattle and King County. "We're not out of the woods by any means," he said. The federal government's decision on whether to approve production of a swine flu vaccine will be key in developing public health planning for swine flu response in the fall, Apa said. Even if a vaccine is produced, it may be in limited supply, and health officials would have to decide how to ration it. The priority list would likely include children, who have been shown to spread the virus to others at high rates. Unlike the seasonal flu vaccine, anyone who gets the swine flu shot will probably have to get it in two doses. "The first one is like a priming dose and then you follow up with the second dose," Marfin said. Tu, The Everett Clinic physician, said it's anybody's guess on how swine flu will act in the fall. "My educated guess is we'll see a large number of cases and it probably will come in waves," he said. Goldbaum said he is surprised to hear critics say that the medical community "got all worked up" with the first brush with swine flu and that "it was just Chicken Little." Since swine flu is a never-before-seen combination of influenza viruses, "we couldn't assume that anything new would be mild," he said. Public health agencies must begin preparing now in case swine flu erupts again this fall, he said. "It's like watching a car coming down the highway in your lane and assuming that it will return to the right lane," Goldbaum said. "I'm not confident I can predict that." Reporter Sharon Salyer: 425-339-3486, salyer@heraldnet.com. READER COMMENTS Be the first to comment. You must be a registered user and verify your e-mail address to post comments to blogs or articles on HeraldNet. To register, click here. To read other terms and conditions, click here. Log out

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