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March 20, 2013

Education and Technology at Public Health Preparedness Summit 2013

Education and Technology at Public Health Preparedness Summit 2013
with Jamie Davis of the MedicCast

Technology needs proper education and training to make it work and attendees got both at Public Health Preparedness Summit 2013.

A special thank-you to Jamie Davis of The MedicCast for his efforts in the production of these video segment.

March 17, 2013

International Attendees and High-Tech at Summit at Public Health Preparedness Summit 2013

International Attendees and High-Tech at Summit at Public Health Preparedness Summit 2013
with Jamie Davis of the MedicCast

The Public Health Preparedness Summit 2013 was host to an large domestic and international audience along with a wide variety of high-tech products and services geared to enhance public health efforts during a crisis.

Summit 2013 in Atlanta, Georgia, gathered over 1600 dedicated public health experts under one roof for education and sharing of information. Every state in the United States was represented this year. We were also joined by public health colleagues from Canada, China, Cuba, Guam, Kenya, the American Samoa, the US Virgin Islands, and Vietnam.



March 16, 2013

Opening the Doors at Public Health Preparedness Summit 2013

Opening comments on Public Health Preparedness Summit 2013
with Jamie Davis of the MedicCast

After getting  the podcast studio set up we were able to recon the exhibit hall floor and take note of the  offerings at the Public Health Preparedness Summit. Many of the governmental services including several branches of the Centers for Disease Control and Prevention.

In addition to highlights from the Summit, Mitigation Journal along with The MedicCast, conducted a variety of interviews with Summit presenters on a variety of topics. Those interviews will be posted in the near future.



March 15, 2013

JAMA Busts Flu Vaccine Myths

Worthy of Myth Busters, JAMA debunks common influenza vaccine myths

The 2012/2013 influenza season may be winding down, but the excuses for not being vaccinated against seasonal flu continue. Vaccination rates seem to be low despite an early and ferocious flu season and healthcare workers seem to be on the lower end of the vaccine numbers. In response to the reluctance of many to get the flu shot, JAMA recently published a paper outlining (and debunking) common arguments against flu vaccination.




MYTH: The Vaccine does not work.
JAMA Response: Busted! Notes the flue vaccine is not as effective as common vaccines, but "not as effective" does not mean "not effective". They go on to state that this years influenza vaccine was estimated at 62% effective by mid-season. According to the article:
"A prevention measure that reduced the risk of a serious outcome by 60% in most in- stances would be a noted achievement; yet for influenza vaccine, it is seen as a “failure.” JAMA.
Myth: The vaccine causes the flu.
JAMA Response: Busted!
"...people may develop an influenza-like illness or even laboratory-confirmed influenza after vaccination. This does not mean the illness was vaccine induced but rather was likely due to a noninfluenza viral infection" and "exposure to influenza before immunity from the vaccine had time to develop, or the fact that the vaccine is not 100% effective."
Myth: I have an allergy to eggs.
JAMA Response: Busted! The article states that those with severe allergic reactions or anyphylaxis after exposure to eggs should avoid flu vaccine. Those with such a reaction should consult an allergist for detailed assessment. They further state:
"...recent evidence-based guidance advises that all other egg-allergic patients should receive influenza vaccination based on the rationale that the risks of not vaccinating outweigh the risks of vaccinating these individuals as long as basic precautions are followed."
Myth: I cannot get the vaccine because I am pregnant or have an underlying medical condition or because I live with an immunocompromised person.
JAMA Response: Busted! This may be the most important flu vaccine myth to bust as it directly impacts those who need the vaccine (or protection from flu) the most. Those with comorbid conditions or underlying medical problems are at most risk of complications from seasonal influenza. According to JAMA -
"...these groups have been specifically recommended for influenza vaccination because the vaccine is safe in these persons and can prevent serious morbidity and mortality." and "it is important for clinicians to recognize the individual’s desire to prevent harm in close contacts but to redirect this good intention by emphasizing the morbidity due to transmitted influenza."
Myth: I never get the flu/I am healthy.
JAMA Response: Busted! This excuse sounds a lot like Optimism Bias from the It Wont Happen to Me crowd. According to the JAMA article:
"Refusing vaccination because of a perceived low risk ignores the potential risk to close contacts, especially those who cannot get vaccinated or who will not mount a strong immune response to the vaccine and rely on herd immunity for protection."

References:
Influenza Prevention Update, JAMA. 2013;309(9):881-882. doi:10.1001/jama.2013.453. Examining Common Arguments Against Influenza Vaccination

Related:
NYS Nurses Association Opposes Mandates for Vaccine 
No Vaccine? No Mask? No Job. 
Influenza Vaccine Overrated? 
Best Disease Prevention is Action

March 12, 2013

MJ#246 Live from the Public Health Preparedness Summit


Welcome to Mitigation Journal / We're podcasting live from the Public Health Preparedness Summit 2013 in Atlanta GA. / / Please visit www.mitgationjournal.org and follow me on Twitter @rickrussotti for the latest / / Today Mitigation Journal joined over 1600 summit attendees as we set up the Promed podcast studio and made final preparation for live social media coverage of the event.
Check out this episode!

March 11, 2013

MJ# 245: BioTerror Lessons for Today, CDC Defines Bio Agents, DAWN Report on Synthetic Drugs


Please visit www.mitigationjournal.org for compete show notes and features

Edition 245 Recorded on March 5, 2013

This week on Mitigation Journal:

Bio Terror: How do we measure up?

CDC Defines Bio Threats

DAWN Report on Synthetic Drugs

Mitigation Journal is:

Hosted by Rick Russotti, RN, Paramedic

Co Host Matt Comer, Paramedic

Please visit Mitigation Journal at www.mitigationjournal.org


Check out this episode!

March 7, 2013

MJ#244: Are we prepared for Flu?, Act to prevent disease, and Great Flu Apps


Please visit www.mitigationjournal.org for compete show notes and features

Edition 244 Recorded on February 25, 2013

This week on Mitigation Journal:

Flu Emergency. How prepared are we?

Personal Action for Disease Prevention

Flu Informed with 3 Great Apps

Mitigation Journal is:

Hosted by Rick Russotti, RN, Paramedic

Co Host Matt Comer, Paramedic

Please visit Mitigation Journal at www.mitigationjournal.org


Check out this episode!

March 6, 2013

FDA: 2013-2014 Influenza Vaccine Composition

Quadrivalent Vaccines for Add Influenza B Protection Recommended

The strains of influenza virus to be included in next years seasonal flu vaccine have been determined. the 2013-2014 vaccine will provide options for both trivalent and quadrivalent  vaccines and include flu strains from the 2012-2013 vaccine plus addition strains. The typical flu vaccine contains three flu strains (trivalent) two Influenza A and one Influenza B. For the first time, a vaccine containing protection against four strains of influenza, a quadrivalent vaccine, will be an option.

The World Health Organization (WHO) has recommended vaccine viruses for the 2013-2014 Northern Hemisphere vaccines, and the Food and Drug Administration’s Vaccines and Related Biological Products Advisory Committee (VRBPAC) has made recommendations for the composition of the 2013-2014 influenza vaccines to be used in the United States. Both agencies recommend that trivalent vaccines contain an A/California/7/2009-like (2009 H1N1) virus, an A(H3N2) virus antigenically like the cell-propagated, or cell-grown, virus A/Victoria/361/2011 (A/Texas/50/2012), and a B/Massachusetts/2/2012-like (B/Yamagata lineage) virus. It is recommended that quadrivalent vaccines containing an additional influenza B virus contain a B/Brisbane/60/2008-like (B/Victoria lineage) virus in addition to the viruses recommended for the trivalent vaccines. These recommendations were based on global influenza virus surveillance data related to epidemiology and antigenic characteristics, serological responses to 2012-2013 seasonal vaccines, and the availability of candidate strains and reagents.
Additional Commons Sense Influenza

 The inclusion of an additional influenza B virus ("It is recommended that quadrivalent vaccines containing an additional influenza B virus...in addition to the viruses recommended for the trivalent vaccines") appears to be a result of the 2012-2013 flu season. As the CDC notes they have characterized 1,340  influenza viruses since October, 2012. Of those influenza viruses, 105 have been H1N1 2009, 827 N3N2 influenza A and 408 influenza B. Also, according to the CDC:
"Since the start of the season, influenza A (H3N2) viruses have predominated nationally, however in recent weeks, the proportion of influenza B viruses has been increasing. During week 8, 53% of all influenza positive specimens reported were influenza B viruses."
made the final recomendation at their meeting in February, 2013. According to the FDA website, the Vaccicnes and Related Biological Products Advisory Committee "reviews and evaluates data concerning the safety, effectiveness, and appropriate use of vaccines and related biological products..."


The FDA committee recommended next years influenza vaccine should retain the current influenza A H1N1 strain and replace the influenza A H3N2 component with an A H3N2 virus. They also recommend replacement of the current influenza B strain, the B/Victoria lineage strain. 

March 5, 2013

MJ Podcast #243: Active shooters, PODs and Jobs


Please visit www.mitigationjournal.org for compete show notes and features
Edition 243 Recorded on February 4, 2013
This week on Mitigation Journal:
DHS Active Shooter Page
Will your POD work when you need it?
No Mask? No Vaccine? No Job!
Mitigation Journal is:
Hosted by Rick Russotti, RN, Paramedic
Co Host Matt Comer, Paramedic
Please visit Mitigation Journal at www.mitigationjournal.org

Check out this episode!