How to be on guard in case of a flu disaster in Oklahoma

 
BY SUSAN SIMPSON | Published: December 16, 2008    Comment on this article Leave a comment
photo - Norma Brown receives her flu shot from Jerry Acox during the Oklahoma City-County Health Department free flu shot clinic at Bethany First Baptist Church on Monday, Nov. 3, 2008, in Bethany. By Chris Landsberger
Norma Brown receives her flu shot from Jerry Acox during the Oklahoma City-County Health Department free flu shot clinic at Bethany First Baptist Church on Monday, Nov. 3, 2008, in Bethany. By Chris Landsberger

Just in case the need should arise, Oklahomans should prepare for a flu pandemic much as they would for any major emergency, federal and state officials are advising.

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QUESTIONS AND ANSWERS
The influenza virus
Q: Is flu here yet?

A: No cases of the flu have been confirmed in Oklahoma this season. In recent years, the flu season in Oklahoma has peaked in February or March.

Q: What causes the flu?

A: Influenza is caused by a virus that primarily affects the nose, throat, bronchial airways and lungs. Influenza viruses are divided into two types, influenza type A and B. Both influenza types typically circulate in the United States during late fall and winter. Each type of influenza virus has different strains, which tend to change from one year to the next.

Q: What’s a pandemic?

A: Pandemic influenza is a widespread outbreak of disease that would affect a large number of people worldwide caused by a new subtype of an influenza A strain. Every year, influenza A viruses undergo small seasonal changes called genetic drifts. Whenever an influenza A virus undergoes a major change called genetic shift, a new influenza A virus subtype is created. This major change may cause a pandemic of influenza.

Q: Why is a pandemic a problem?

A: A new influenza A virus subtype may cause more severe illness than the influenza A viruses that normally circulate on a seasonal basis. Most people will have little or no natural resistance to the new influenza A virus. No one knows exactly when or if a pandemic of influenza will occur.

Q: What are potential complications?

A: In addition to getting a flu vaccination, those 65 and older and those with chronic health conditions should ask their doctor if they should be vaccinated against pneumococcal pneumonia, which is a common and potentially serious complication of the flu. Unlike the influenza vaccine, the pneumococcal vaccine does not need to be given every year. This vaccine is available at physicians’ offices and county health departments.

Source: State Health Department

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The world hasn’t seen an influenza pandemic for decades. But because pandemics are unpredictable, an outbreak could be sudden and devastating to world health and economy, said Scott Sproat, chief of emergency preparedness for the state Health Department.

"There is really no viable timeline that allows us to predict when the next pandemic might occur,” Sproat said. "Ongoing surveillance, monitoring, and tracking of outbreaks are used primarily to predict the potential.”

Pandemic influenza is a widespread outbreak of disease that would affect a large number of people worldwide caused by a new subtype of flu strain. A federal plan issued by the White House in 2006 requires state and local governments to develop strategies to respond to and contain a flu pandemic.

Three flu pandemics hit in the 20th century: the 1918 Spanish flu, 1957 Asian flu and 1968 Hong Kong flu.

The first was the worst, killing 20 million people worldwide and half a million in the United States.

"It was so virulent that "people would wake up and feel fine, go to work and be dead by afternoon,” Sproat said recently at a meeting of community health care officials.

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