H1N1 flu hospitalization rates for African-Americans, Hispanics, and American Indian/Alaska Natives were nearly two to one higher than rates for Whites during the 2009-2010 flu season, according to a new report, Fighting Flu Fatigue, from the Trust for America's Health (TFAH). At the same time, both H1N1 and seasonal flu vaccination rates were lower for African Americans and Hispanics than for Whites.
During the 2009-2010 flu season:
The flu is preventable with a vaccine - yet, each year, between 3,000 and 49,000 Americans die from flu-related illnesses (based on a review of deaths from 1976 to 2007) and the flu contributes to more than $10 billion in lost productivity and direct medical expenses and $16 billion in lost potential earnings each year in the United States. Fighting Flu Fatigue examines lessons from the H1N1 pandemic to inform future flu policies and prevention in the United States.
"Following the H1N1 pandemic, we could take two different paths," said Jeffrey Levi, PhD, Executive Director of TFAH. "We could go back to a national complacency around the flu or we could build on the momentum of the pandemic response efforts to help spare millions of Americans from suffering yearly from the flu. Building on the work we've done would also better prepare the country for future disease outbreaks we may face."
Last flu season, during the pandemic, flu vaccination rates reached historical highs. Around 44 percent of children ages six months to 17 years received the seasonal flu vaccination and around 40 percent of children received the H1N1 vaccine in 2009-2010. In prior years, childhood flu vaccination rates had been around 24 percent. In 2009-2010, approximately 40 percent of adults were vaccinated against the seasonal flu, compared to past years where vaccination rates had been around 30 percent. The adult H1N1 vaccination rates were approximately 27 percent, but these rates were deflated because of the limited availability of vaccine in the beginning of the outbreak.
This year, for the first time, the U.S. Centers for Disease Control and Prevention (CDC) has recommended that all Americans older than six months should get vaccinated against the flu.
To further combat the flu, increase vaccination rates and build on the momentum from the H1N1 response, the report recommends creating a major campaign that provides:
Recommendations for Preparing for a Possible Future Pandemic and Other Health Emergencies
While the H1N1 pandemic was considered to be moderate, it had a serious impact on the country - infecting around 20 percent of Americans (approximately 60 million individuals) and resulting in approximately 274,000 hospitalizations and 12,000 deaths. In addition, the H1N1 pandemic required a rapid and unprecedented large-scale nationwide public health response, including surveillance, laboratory testing, public and practitioner education, medical countermeasure management, and distribution and launch of a national vaccination campaign.
The Fighting Flu Fatigue report examined a range of after-action assessments and found that the response to the H1N1 outbreak showed that investments made to support emergency health preparedness meant the country was much better prepared to respond to a pandemic than it would have been just a few years ago. However, the outbreak also revealed ongoing issues for public health preparedness - including some real-world lessons and long-standing infrastructure gaps.
One key factor that hampered the H1N1 response was that, even in the middle of the outbreak, budget cuts resulted in the loss of more than 23,000 jobs in local health departments, mandatory furloughs, and shortened work weeks for 13,000 local health departments.
The report also highlighted several lessons learned from the H1N1 outbreak, most notably that:
In addition, the report found key areas that must be at-the-ready for potential emergencies and to respond to the seasonal flu, but are often deficient due to lack of resources, including:
The report was supported by a grant from the Robert Wood Johnson Foundation and is available on TFAH's website at www.healthyamericans.org
Trust for America's Health is a non-profit, non-partisan organization dedicated to saving lives by protecting the health of every community and working to make disease prevention a national priority - www.healthyamericans.org