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Dodging disasters

Thursday, October 29th, 2009

I often remind people that my first day working at the White House was Monday, August 29, 2005 – the day Hurricane Katrina made landfall in Louisiana. I vividly remember the initial relief that night that the storm apparently was not as bad as initially feared: The eye missed New Orleans, and initial reports made it sound like a disaster had been averted. Politicians were quick to congratulate themselves, and the sense of urgency dissipated.

Of course, in the following days, the levies broke in New Orleans, the government’s response failed on multiple levels, and Hurricane Katrina proved to be the costliest natural disaster in American history.

I recall all this because I wonder if it’s similar to how people will recall this Administration’s handling of the H1N1 flu. Now like then, after the initial panic over the flu’s outbreak this spring, it quickly appeared to not be as a bad as it could have been: It was not as deadly as originally reported and sufficient vaccines would quickly be available before a potentially more lethal second-wave this winter.

But like Hurricane Katrina, the initial relief and self-congratulation is now being replaced by fears and finger-pointing. Reports the Washington Post:

… [T]he administration came under criticism for the slow pace of the vaccine’s availability. Sens. Joseph I. Lieberman (I-Conn.) and Susan Collins (R-Maine) sent a scathing letter to Sebelius demanding details about the lag in production.

Officials had projected that as many as 120 million doses of vaccine would be available by now, but later downgraded that projection to 40 million and then 28 million. So far, 23.3 million doses have become available.

As I wrote over the weekend, the Administration’s early handling of the flu was uncertain and unproductive. If they are at all responsible (or blamed) for the vaccine shortage, that will further compound the early mistakes. So while the situation appeared better than feared over the summer, that optimism could turn out to be deceiving, and the H1N1 flu could still become this Administration’s Katrina.

Week in review: Obama & the flu

Friday, May 1st, 2009

On Thursday, I noted President Obama had yet to hold single message event dedicated solely to discussing the H1N1 flu. This morning, that changed, when he hosted a cabinet meeting to discuss the government’s flu response and address the media. As I’ve written throughout this week, Obama’s statements on the flu so far have been sloppy, with inaccuracies that the government has later had to fix.

So considering the previous missteps, I thought today’s statement was a marked improvement. Not only did he offer specific and actionable information, he also offered an overdue explanation for why H1N1 is different than other flu viruses. And if you read between the lines, he acknowledged that the government is now in a situation of trying to minimize economic disruptions and fatalities by slowing the flu’s spread, and that stopping it outright now is impossible. (It will be interesting to see if future studies of the diseases’ spread will determine that the US Government could ever have “stopped” it. If so, that failure should be a huge blemish on Obama’s record.)

Another important point that the President made today – and something the media and public would do well to remember – is that flu viruses tend to hit in waves, with the mortality rate in the second and third waves often much higher than the first wave. With that in mind, it’s far too premature to be writing recap stories (like this one), since as the President said, H1N1 “could come back in a more virulent form during the actual flu season.”

Gov’t clarifies Obama’s flu language — again

Thursday, April 30th, 2009

Homeland Secretary Jane Napolitano began her briefing this afternoon noting there has been “some confusion” about the difference between antivirals and vaccines. As she clarified, the nation has a stockpile of antivirals (which can be used to treat symptoms) that are now being dispatched to impacted states, while scientists are working to develop a vaccine (which could make people immune to the disease) that could potentially be used many months from now.

Why the confusion? Consider President Obama’s statement Tuesday morning:

“Yesterday, I also requested from Congress an immediate 1.5 billion (dollars) in emergency funding. This funding will ensure that we have adequate supplies of vaccines and the equipment to handle a potential outbreak. It will ensure that these vaccines and equipment get to where they need to go around the country, and it will provide for sufficient planning and preparation at the state and local levels.”

Not to parse the President’s language too closely, but he is clearly blurring the distinction between a vaccine and an antiviral – something that the DHS Secretary is now having to clean up. As Reuters reported, the “additional $1.5 billion would give the government ‘maximum flexibility’ as it fights the disease, supplementing antiviral stockpiles, adding medical equipment and starting preparations for a vaccine.” The $1.5 billion will not be used to distribute vaccines, despite the President’s statement.

To be clear: There is no current vaccine for the H1N1 virus. The government does have a healthy stockpile of antivirals (thanks to the Bush Administration’s pandemic planning), which this Administration is now positioning in impacted areas.

As I’ve written before, clear communications is vital in preventing pandemics. But the Administration has now had to correct language used by the President twice: First when he called the bug “swine flu”, and now when he’s confused vaccines with antivirals.

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