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HEALTH NEWS

Bird Flu Pandemic Fears Spur UK to Stockpile Drugs

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Contributed by Carla Sharetto|  02 March, 2005  15:25 GMT


The UK is preparing for the onslaught of a possible bird flu pandemic by purchasing 14.6 million courses of an antiviral drug -- enough to treat one quarter of the population -- Health Secretary John Reid announced Tuesday. The Department of Health estimates that without medical countermeasures, the number of deaths could be 50,000 or higher if the feared pandemic should strike.

The government is obtaining 14.6 million courses of oseltamivir (Tamiflu) over the next two financial years, with 7.3 million courses available by the end of 2005-06 and the rest as soon as possible during the next financial year, from Roche.

Sir Liam Donaldson, the Chief Medical Officer, has published the Government's Pandemic Influenza Contingency Plan, setting out the steps being taken to prepare for a flu pandemic.

Multinational Cooperation

"We are working closely with other governments and the World Health Organization to ensure the international community is as well prepared as it can be to spot and address the early signs of a pandemic as quickly as possible," John Reid said.

"However, it makes sense to ensure we in the UK are as prepared as we can be and have drugs for use against an influenza pandemic here. That is why I have ordered 14.6 million courses of oseltamivir for delivery over the next two financial years. This will enable us to treat one in four of the UK population -- the proportion which the WHO recommends we plan for," he added.

Not Like 'Seasonal' Flu

Pandemic flu is not like the "seasonal" flu that occurs every winter in the UK, notes the Health Department. It would be expected to cause more serious illness and affect far more people. Experts believe a new pandemic strain of flu is likely to spread rapidly across the globe.

Around one in four of the UK population could be affected by the disease, authorities estimate. "Seasonal" flu results in around 12,000 deaths a year, but a bird flu pandemic could kill 50,000 or more if preventive countermeasures are not taken.

Influenza pandemics are caused when a new flu virus emerges that is markedly different from recently circulating strains. As it is new, ordinary flu vaccines will not be effective, and a new vaccine will need to be made. This will take time. Therefore, a vaccine will not be available at the beginning of a pandemic. Tamiflu is expected to reduce the impact of the disease.

Epicentre in Asia

"Wherever in the world a flu pandemic starts, perhaps with its epicentre in the Far East, we must assume we will be unable to prevent it reaching the UK," Sir Liam Donaldson said.

"When it does, its impact will be severe in the number of illnesses and the disruption to everyday life. The steps we are setting out today will help us to reduce the disease's impact on our population. "We have already started work which should help speed up the production of a vaccine once a pandemic strain of flu has emerged," he added.

"From an initial review of the document, I note that this is a high quality plan, which shows that the UK continues to be at the forefront of preparations internationally for pandemic influenza. We hope that every country will develop their preparations to the same high degree," Dr. Anarfi Asamoa-Baah, Assistant Director General for Communicable Diseases at the World Health Organisation said.

Government Preparations

Measures set out in the plan include the following:

- Improving surveillance of avian or 'bird' flu in South East Asia -- seen by experts as the most likely source of a pandemic strain of flu transmitted by people. The UK Government recently gave the World Health Organization

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