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Posts Tagged ‘pandemic’

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.

What emergency?!

Sunday, October 25th, 2009

After spending much of the day on the campaign trail, President Obama declared the H1N1 flu pandemic a Federal emergency late Friday night, the White House announced Saturday morning. As though the timing of the declaration wasn’t enough to minimize coverage (signed on a Friday night; announced on a Saturday morning), the White House sought to further downplay its significance. Reports the New York Times:

“Government officials emphasized that Mr. Obama’s declaration was largely a administrative move that did not signify any unanticipated worsening of the outbreak of the H1N1 flu nationwide.”

As if to drive home the point, some naïve White House official drew a false comparison that could nonetheless prove frighteningly accurate. Reported the Associated Press:

“Officials described the move as similar to a declaration ahead of a hurricane making landfall.”

If the White House wants to minimize the urgency of the situation, that’s a bad analogy. As the White House’s “lessons-learned” study post-Katrina reported, President Bush’s declaration of a Federal emergency prior to the storm’s landfall was unique:

“The issuance of a Presidential emergency declaration before landfall is extremely rare, and indicative of the recognition that Katrina had the potential to be particularly devastating. Since 1990, only one such incident, Hurricane Floyd in 1999, resulted in declarations before landfall.”

If the White House did not want to minimize the urgency of the H1N1 pandemic, then why did they announce it in the manner they did? The signing of a Federal emergency is a good opportunity for the President to address the nation — or at least the media — and provide further guidance on how citizens can protect themselves. (To the contrary, as of Saturday night, the declaration was still not mentioned on the front page of WhiteHouse.gov.)

Bottom-line, there are only two ways to fight pandemics: Vaccines and public information. The nation has failed on the former: Not nearly enough vaccines are available from Federal contractors as the Obama Administration had projected. And, even if there were, the infrastructure does not exist to effectively distribute them, according to Reuters.

That leaves public information and education the last best defense against the pandemic. That requires Presidential leadership, yet he has not publicly addressed the flu’s spread and severity for weeks. Why not???

The Obama Administration’s handling of the H1N1 flu at the outset was a disaster: The White House contributed to misbranding it as “swine flu”; the President distractingly injected politics into the outbreak; and both the President and Vice President delivered incorrect information and advice in the early days.

As the pandemic now takes hold and we’re seeing the terrifying beginnings of what could be a very deadly and disruptive flu season, the President should put public health first (or at least before Friday’s politicking) and use his microphone to do everything possible to raise awareness of the virus and how to avoid it.

Otherwise, his pre-emptive emergency-declaration could be as forgotten as President Bush’s declaration prior to Katrina … and their legacies in dealing with a natural disaster could be the same.

Obama should get an H1N1 flu shot

Monday, October 19th, 2009

“60 Minutes” aired a piece last night on the dangers posed by the H1N1 flu that’s worth watching if only for its sober assessment of where the pandemic is headed. (Video at end of this post.)

When the flu first emerged early this spring, I was very critical of the Administration’s initial handling of the new threat. In those important first few days, the President and his aides misbranded the bug as “swine flu” (a mischaracterization that is still causing problems, as 60 Minutes noted yesterday), injected politics into pandemic preparedness, and delivered misinformation on the availability of vaccines and prevention. His Vice President even cautioned Americans to avoid confined spaces.

As the flu season begins and H1N1 deaths surge, the Administration appears to be doing a better job managing the pandemic. But there is so much more that they could – and should – do. For starters, the President, his family and other Administration officials should immediately and publicly get vaccinated for H1N1. This would send an important signal about the safety of the vaccines. (Similar to when the Obamas got AIDS tests in Africa.) The President told CNN last month that he would “stand in line like everybody else” before getting a shot. With all due respect, the nation would be much better served if the President was the leader of the line, rather than just joining it.

Secondly, the President should begin commenting on H1N1 regularly, especially when he talks about health care. Diseases like influenza spread in part when people are lazy or uninformed – they forget to wash their hands, or sneeze without covering their mouths. Regular reminders from the President – echoed by his aides – would serve as an important public safety announcement. As it stands, it’s been several weeks since the President mentioned the pandemic.

It seems worth noting that H1N1 pandemic and the health care reforms being debated in Congress are on a collision course. If the H1N1 flu and Congress both act as expected, by the time lawmakers are considering the final legislation this winter, we’ll be in the middle of a public health emergency unprecedented in modern times. How the Federal government handles this disease is worth considering before we give federal bureaucrats even more responsibility over Americans’ health care. So far, the Administration gets less-than-stellar grades.


Watch CBS News Videos Online

UPDATE: The graphics highlighted in the CBS report are available online here from the CDC. Note that the percentage of visits to emergency rooms related to the flu are already at levels we should expect at the height of flu season (still 12-16 weeks away). What that means for when we’re actually in the heart of flu season (and Congressional debate over health care reform, also scheduled for this winter) is anybody’s guess.

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