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Pandemics: who should get the shot

 
 
Tico
 
Reply Fri 12 May, 2006 06:54 pm
Pandemic: Epidemic over a wide geographic area and affecting a large proportion of the population.

Tonight on our local news, they briefly discussed the lack of political preparedness for a possible pandemic, such as avian flu. The lack of preparedness is no surprise, but it was mentioned in passing that our politicians are working on priority list of who should get a shot, if avian flu or similar hits home, if an effective vaccine can be found, and assuming that there would not be sufficient quantity of the vaccine for everyone.

Two possibilities were aired: One is that those most at risk (the very young and the elderly) should receive the shot, along with all health care workers and the politicians. The second one is that everyone between 13 and 40 should receive it, along with all health care workers. The reasoning for this is that the 13-40 year old group is most capable of keeping our society working during and after a devastating pandemic.

(Here in Toronto, with the 2003 SARS epidemic, we had a little taste of the fear and panic that can easily unravel our society.)

So who do you think should be first in line for vaccination in the face of a pandemic? And why?

Off the top of my head, here's some possibilities:

Doctors (all, or limited to frontline general practitioners and immunologists?)
Nurses
EMTs
Police
Fire & rescue workers
Military (either/or police & military, to control panic -- but both?)
Radio & television technicians (to disseminate information)
Psychiatric and prison personnel (those who are incarcerated need services)
Farmers and food distributers
Water -- essential services
Power -- essential services
Waste management -- essential services

Who else? Why? In what priority?
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ossobuco
 
  1  
Reply Fri 12 May, 2006 09:53 pm
Interesting question.

Oh... the odd philosopher or two. The carriers of knowledge.

But then, that's an elistist concept.

I am not particularly worried about an avian flu pandemic, but I'm not too sanguine about wars of retribution.
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rosborne979
 
  1  
Reply Wed 24 May, 2006 08:40 pm
Re: Pandemics: who should get the shot
Tico wrote:
So who do you think should be first in line for vaccination in the face of a pandemic?

Health care workers, because they deserve something for all the crap they've been putting up with for years, and because we need them to hand out more shots (same reason airline passengers are told to put on their own masks before their kids masks).

Politicians and rich people will go around the rules just like always, so making rules won't change anything for them.

After that, it's first come first served.
Tico wrote:
And why?

Pure efficiency.

The pandemic of 1918 took people in their 30's and 40's. The sad fact is that by the time the pandemic starts this time, it'll probably run its course before they can get much vaccine out to anyone, so the whole question of who gets it will probably only affect a small fraction of the population.

If governments could put a public health policy in place ahead of time, there wouldn't need to be a question of who gets it first. But let's face it, the government is not going to be ready in time. They had more warning with Katrina to repair infrastructure, and it was a more solvable problem, and multiple levels of government still screwed it up.

But it's not all the government that needs to prepare for the flu. People need to do it as well, and they should start today... stop smoking, stop drinking, lose weight, exercise every day, quit drinking sugar water and quite eating McFat Burgers and Fries. But nobody's going to do that either, so who's less prepared, our government who are a reflection of us, or us.
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kuvasz
 
  1  
Reply Thu 25 May, 2006 02:18 pm
just three types of people.

1, the rich (naturally)
2. the powerful (of course)
3. me (hopefully)
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