April 27, 2009 3:37 PM

Flu Pandemic Could Curtail Travel

Sustained person-to-person spread of the bird flu or any other super-influenza strain anywhere in the world could prompt the United States to implement travel restrictions or other steps to block a brewing pandemic, say federal plans released Wednesday.

If a super-flu begins spreading here, states and cities will have to ration scarce medications and triage panicked patients to prevent them from overwhelming hospitals and spreading infection inside emergency rooms, the plan says.

It provides long-awaited guidance to the front-line local officials urging them to figure out now how they would take steps to prevent such a crisis scenario, and exhorts officials to practice their own plans to make sure they'll work.

Pandemics, or worldwide outbreaks, strike when the easy-to-mutate influenza virus shifts to a strain that people have never experienced before, something that happened three times in the last century.

It's impossible to predict the toll of the next pandemic, but a bad one could infect up to a third of the population and, depending on its virulence, kill anywhere from 209,000 to 1.9 million Americans, the Bush administration's new Pandemic Influenza Plan says.

The illness would spread fastest among school-aged children, infecting about 40 percent of them, and decline with age, the plan estimates. It puts the health costs alone, not counting disruption to the economy, at $181 billion for even a moderately bad pandemic.

It's also impossible to predict when the next pandemic will strike. But concern is rising that the Asian bird flu, called the H5N1 strain, might trigger the next one if it eventually becomes easily spread from person-to-person.

With a public increasingly jittery about the H5N1 spread among birds and a drumbeat of criticism that the nation is woefully unprepared, President Bush on Tuesday outlined a $7.1 billion strategy to get ready for the next pandemic. The administration strategy includes:
  • $1.2 billion for the government to buy enough doses of the vaccine against the current strain of bird flu to protect 20 million Americans;

  • $1 billion to stockpile more anti-viral drugs that lessen the severity of the flu symptoms;

  • $2.8 billion to speed the development of vaccines as new strains emerge, a process that now takes months;

  • $583 million for states and local governments to prepare emergency plans to respond to an outbreak.
"The president has made it clear that he believes we need the capacity in the future, no matter what the strain, to have a vaccine for every arm in America," said Health and Human Services Secretary Michael O. Leavitt Tuesday told .

© 2009 CBS Interactive Inc. All Rights Reserved. This material may not be published, broadcast, rewritten, or redistributed. The Associated Press contributed to this report.
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