In yesterday’s blog, I mentioned what I thought were the root causes of the H1N1v vaccine shortage/delay situation. 

So as I always try to do, I reached out to an expert to get his opinion and bounce theories off of him.  In this case, the expert is one of the top scientists in the field of vaccine research:  Dr. Greg Poland of the Mayo Clinic.

His introductory paragraph from the Mayo Clinic Website states:

Vaccine-preventable infectious diseases; vaccines against agents of bioterrorism; predictors of vaccine response; antigen processing and HLA presentation; vaccine immunogenetics; cancer vaccines.

I have been seeking Dr. Poland’s counsel for several years, and he has always proven himself to be receptive, affable, and eager to contribute.  He is, in short, a great guy, though I have never met him.  I feel as though I have, and one day I shall.

Anyway, Dr. Poland concurred with my belief that the two major factors that have contributed to the delays are a low-yield, difficult-to-grow virus; plus an “overly optimistic” Federal government spin on the vaccine situation.

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•  7 more deaths confirmed, plus 2 children …total now 96 (Link)
•  BC counted 3 more deaths in past week, 88 new ‘severe’ cases (Link)
•  Current H1N1 epidemic now 8X greater in BC than typical seasonal levels (Link)
•  H1N1 cases surging, and so are vaccinations (Link)

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•  China reports third H1N1 death (Link)

•  Serious cases during 19 to 25 october in France (translated) (Link)

•  H1N1 is mutating, turning deadlier (Link)
•  Mortality rate up even as H1N1 positive cases drop (Link)
•  Another pregnant woman, 23, died in Ahmedabad, total now 40 (Link)

•  22 deaths from H1N1 so far (Link)

South Korea
•  Hundreds of students sick and national exams coming up (Link)

•  Thailand warns of A/H1N1, H5N1 and normal human flu outbreak during winter (Link)

United Kingdom
•  GPs warn winter vomiting bug cases rising at same time as swine flu (Link)
•  Two more Scots swine flu deaths (Link)

United States
•  U.S. may end up discarding unused H1N1 vaccine (Link)
•  Fighting Flu and Falsehoods; The Government’s new PR Campaign (Link)
•  School closings on track to exceed spring levels (Link)
•  CDC: Estimates of the Prevalence of Pandemic (H1N1) 2009, United States, April-July 2009 (Link)
•  30,000 hospitalized, and 2800 deaths between Aug.30 and Oct.17 (Link)
•  As flu shots arrive, officials hope delay is fixed (Link)
•  Swine flu closes more than 600 schools in U.S. (Link)
•  Caution on Additive Slows Vaccine (Link)
•  US: Americans ‘first’ before US donates H1N1 vaxx abroad (Link)
•  AL: much loved school principal lost to H1N1 in Bay Minette, Alabama (Link)
•  CA: San Diego counts two more deaths, total in area now 27 (Link)
•  FL: 5th death confirmed H1N1 in Polk County, 141st in Florida (Link)
•  ID: Idaho confirms 3 more deaths due to H1N1  (Link)
•  IL: Third suburban victim succumbs to H1N1 complications (Link)
•  KS: Kansas teenages death from H1N1-related causes confirmed (Link)
•  MD: 2 more deaths in Maryland and 1 more in Virginia (Link)
•  MN: flu line helps offset doctor visits, 2 more deaths confirmed in Minnesota (Link)
•  NJ: young man’s death, 17 yrs old, confirmed as H1N1 (Link)
•  NV: Nevada confirms 6 more H1N1 deaths (Link)
•  OR: H1N1 Hospitalizes Pregnant Woman In Portland (Link)
•  OR: 135 more Oregon hospitalizations in two days (Link)
•  RI: Rhode Island 12 yr old girl, Victoria Sousa, DID die of H1N1 (Link)
•  TX: Prisoners may get swine flu vaccines  (Link)
•  TX: Dallas County offers swine flu shots to kids starting Friday; 14th death announced (Link)
•  UT: Utah says 4 more patients died from H1N1 in past week (Link)
•  Washington, DC: Pandemic preparation faulted (Link)
•  Washington, DC: Malia, Sasha Obama get their swine flu shots (Link)
•  WI: Swine flu death reported in Oconto County (Link)
•  WI: Health officials confirm first H1N1 related flu death in Eau Claire County (Link)
•  WI: State of Wisconsin – H1N1 Situation Report (Oct 28, 2009) (Link)
•  WI: 4 more dead in Wisconsin or nearly 25% of all H1N1 deaths recorded since May (Link)
•  WY: 2 more flu-related deaths confirmed in Wyoming (Link)

•  Crofsblogs: Canada: Schools scramble for teachers as H1N1 tightens its grip (Link)
•  Nightline Video: On the Front Lines of the H1N1 Pandemic (Link)

•  Guidance in testing patients for flu (Link)
•  American Society for Microbiology: Daily Key Points (Link)
•  ANA Urges Nurses to Get H1N1 Vaccines (Link)
•  Vaccine Experts Prepare Swine Flu Guidance for WHO (Link)