U.S. Stocking Up On Avian Vaccine

WASHINGTON, August 8, 2005

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Vietnamese scientist tests bird flu infected chicken samples at a
respiratory virus laboratory, Hanoi, Vietnam (file). (AP)
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An influenza pandemic similar to the one in 1918 that killed 50
million people would require hundreds of millions of doses of the
vaccine ...
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(AP) The U.S. government is optimistic about a new vaccine to protect
against an outbreak of potentially deadly avian flu, and distribution
could start as soon as mid-September, a senior federal health official
says.

The government is ready to move ahead with ordering significantly more
than the 2 million doses it acquired from French vaccine maker
Sanofi-Pasteur before testing began earlier this year to jump-start
the U.S. vaccine stockpile in case the tests were successful, Dr.
Anthony S. Fauci said Sunday.

Additional tests of the vaccine are being conducted on the elderly and
children, said Fauci, director of the National Institute of Allergy
and Infectious Diseases.

Preliminary data from the first 115 of the initial tests on 450
healthy adults showed an immune response that scientists believe is
strong enough to protect against the avian influenza that's spreading
among birds in Asia and Russia. Fauci said he expects analysis of data
from the other 300 tests will show similar results.

"We're now, given these results, going to move ahead with ordering
from the company additional doses," he told The Associated Press in a
telephone interview.

"I can't tell you exactly how many; that's going to depend on the
production capability, but certainly it will be significantly more
than the 2 million doses."

For the past year, government health officials have been hurrying to
develop the vaccine because of fears that the avian influenza strain
could change into one that could spread rapidly among humans
throughout the world.

While the strain has killed millions of birds, only about 50 humans
have died from it and so far there has been no widespread transmission
of the virus from one human to another.

Fauci said he thought the Food and Drug Administration could approve
the new vaccine fairly quickly because it is similar to other seasonal
flu vaccines the agency approves each year. The bigger problem is the
lack of manufacturing capacity to produce the number of doses that may
be needed.

An influenza pandemic similar to the one in 1918 that killed 50
million people would require hundreds of millions of doses of the
vaccine, Fauci said, and the handful of companies that now make
influenza vaccines cannot produce the new bird flu vaccine and the
regular seasonal flu vaccine at the same time.

Production of next winter's seasonal flu vaccine will end later this
month, meaning it will be mid-September at the earliest before mass
production of the bird flu vaccine can get under way, he said.

"It's less a regulatory issue than a production capacity issue," Fauci
said.

The next step in the testing process is to try out the vaccine on a
group of volunteers over age 65, followed by tests on children. Fauci
said trials on the over-65 volunteers will begin within a month, and
will take four to six months to complete. Tests on children will
follow immediately.

In each case, Fauci said, scientists will determine if there are
safety issues associated with giving the vaccine to those more
vulnerable groups and what the appropriate dosage level should be for
each group. 
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http://www.cbsnews.com/stories/2005/08/08/health/main764952.shtml




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