U.S. Bracing For Swine Flu Pandemic

Though Urging Calm, Obama Administration Responds Aggressively As If Outbreak Would Spread; WHO Raises Its Alert Level

(CBS/AP)  Confirming 42 cases of swine flu in the U.S., the Obama administration said Monday it was responding aggressively as if the outbreak would spread into a full pandemic. Officials urged Americans against most travel to Mexico as the virus that began there spread to the United States and beyond.

President Barack Obama urged calm, saying there was reason for concern but not yet "a cause for alarm."

Yet just in case, administration officials said that they were already waging a vigorous campaign of prevention, unsure of the outbreak's severity or where it would show up next.

U.S. customs officials began checking people entering U.S. territory. Millions of doses of flu-fighting medications from a federal stockpile were on their way to states, with priority given to the five already affected and to border states. Federal agencies were conferring with state and international governments.

"We want to make sure that we have equipment where it needs to be, people where they need to be and, most important, information shared at all levels," Janet Napolitano, head of the Homeland Security Department, told reporters.

Her briefing came shortly before the World Health Organization raised the severity of its pandemic alert level to four from three on a six-point scale. Level four means there is sustained human-to-human spread in at least one country. Level six is a full-fledged pandemic, an epidemic that has spread to a wide geographic area.

"We are proceeding as if we are preparatory to a full pandemic," Napolitano said.

She said travel warnings for trips to Mexico would remain in place as long as swine flu is detected.

Dr. Richard Besser, acting director of the Centers for Disease Control and Prevention, said that so far the disease in the United States seemed less severe than the outbreak in Mexico, where more than 1,600 cases had been reported and where the suspected death toll had climbed to 149. No deaths had been reported in the U.S, and only one hospitalization.

"I wouldn't be overly reassured by that," Besser told reporters at CDC's headquarters in Atlanta. He raised the possibility of more severe cases - and deaths - in the United States.

A European Union official warned against travel to parts of the U.S. as well as Mexico, but Besser said that seemed unwarranted.

State Department spokesman Robert A. Wood said the EU commissioner's remarks were his "personal opinion," not an official position, and thus the department had no comment. "We don't want people to panic at this point," Wood said.

Still Besser said of the situation, "We are taking it seriously and acting aggressively. ... Until the outbreak has progressed, you really don't know what it's going to do."

The U.S. stepped up checks of people entering the country by air, land and sea and issued a new U.S. travel advisory suggesting "nonessential travel to Mexico be avoided."

As the number of cases continues to climb, Mexican and American health officials are urgently trying to zero in on the origins of the outbreak. One potential lead, reports CBS News correspondent Hari Sreenivasan is the massive industrial hog farms that have sprung up in Mexico in recent years - some operated by U.S. companies such as Virginia-based Smithfield Foods.

They deny being the source and say they're cooperating with health officials. But Sreenivasan reports that just last year, a report by the nonprofit Pew Charitable Trusts warned that hog farms could become breeding grounds for new strains of the flu.

"The warm conditions and the close proximity of animals being able to pass viruses back and forth and to the human workers," said Bob Martin of the Pew Environmental Group. "It's a situation ripe for the development of a novel virus."

The confirmed cases announced on Monday were double the 20 earlier reported by the CDC. Besser said this was due to further testing - not further spreading of the virus - in New York at St. Francis Prep School in Queens, bringing the New York total to 28.

CBS News' Ryan Corsaro and Chris St. Peter have learned that employees at a top accounting firm in New York City, Ernst & Young, were notified Monday that a coworker was diagnosed with swine flu. An e-mail was sent notifying staff that the employee became ill after contact with a family member who was exposed to the virus, and is now doing well.

Monday evening, New Jersey health officials said they have identified five probable cases of swine flu in people who recently traveled to Mexico and California.

The New Jersey Department of Health and Senior Services said Monday that all have mild forms of the flu and none has been hospitalized. The department is arranging for confirmatory testing at the CDC.

Also, 14 schools in Texas, including a high school where two cases were confirmed, will be closed for at least the next week. Some schools in California and Ohio also were closing after students were found or suspected to have the flu.

The CDC is releasing 11 million doses of the stockpiled anti-viral drug Tamiflu to affected areas, reports CBS News correspondent Kelly Wallace. New York City pharmacists report a run on the drug, which requires a doctor's prescription. But the CDC fears that doctors giving it to patients who don't really need it may cause shortages for those who are sick.

Ariana Drauch, a swine flu victim from St. Francis Prep, told Wallace her family can't find it anywhere.

"We called every drug store in Queens, New York, everywhere," Drauch said. "And there is no Tamiflu available."

Besser said other cases have been reported in Ohio, Kansas, Texas and California. He said that, of the 40 cases, only one person has been hospitalized and all have recovered.

Countries across the globe increased their vigilance amid increasing worries about a worldwide pandemic. Obama told a gathering of scientists that his administration's Department of Health and Human Services had declared a public health emergency "as a precautionary tool to ensure that we have the resources we need at our disposal to respond quickly and effectively."

"This is obviously a cause for concern and requires a heightened state of alert, but it's not a cause for alarm," Obama said. He said he was getting regular updates.

The Senate has yet to confirm a secretary of human services, a surgeon general or a director of CDC. The absence of those officials left Besser and Napolitano to brief reporters on the swine flu outbreak.

The quickening pace of developments in the United States in response to the spreading new flu strain was accompanied by a host of varying responses around the world.

Mexico, at the center of the outbreak as the only country with confirmed deaths from the disease, suspended schools nationwide. China, Taiwan and Russia considered quarantines, and several Asian countries scrutinized visitors arriving at their airports.

U.S. customs officials began checking people entering U.S. territory. Officials say there is a program of passive surveillance for every one of the 600,000 people who enter the United States from Mexico every day, reports CBS News correspondent Dean Reynolds from the border at El Paso, Texas. Under the program visitors displaying symptoms would be questioned and isolated if need be.

"The traveling public probably won't notice much difference in our inspectional procedures but the officers have been briefed on the actions to take if they encounter someone who appears ill," said Roger Maier of the U.S. Customs and Border Protection.

If a traveler reports not feeling well, the person will be questioned about symptoms and, if necessary, referred to a CDC official for additional screening. The customs officials were wearing personal protective gear, such as gloves and masks.

The CDC can send someone to the hospital if they suspect a case, but no one is being refused entry. Also, the CDC is readying "yellow cards" with disease information for travelers, in case they later experience symptoms. The border monitoring resembles that done during the SARS epidemic earlier in the decade.

Multiple airlines, including American, United, Continental, US Airways, Mexicana and Air Canada, said they were waiving usual penalties for changing reservations for anyone traveling to, from, or through Mexico, but had not canceled flights.

Napolitano urged Americans to take "common sense" precautions.

"Common sense means washing hands, staying home from work or school if you feel sick, covering your mouth if you cough or sneeze. These are straightforward and simple measures, but they can materially improve our chances of avoiding a full-fledged pandemic," she said.

Administration officials said about 11 million doses of flu-fighting medications from a federal stockpile have been sent to states in case they are needed - roughly one quarter of the doses in the stockpile.

While there presently is no vaccine available to prevent the specific strain now being seen, there are antiflu drugs that do work once someone is sick. If a new vaccine eventually is ordered, the CDC already has taken a key preliminary step - creating what's called seed stock of the virus that manufacturers would use.

Stock markets fell overseas and in the United States out of concern that the outbreak could derail economic recovery. Airline and other travel-related stocks suffered the sharpest losses.

Swine Flu News Worldwide:

[thesorce]

vistavermin1 its obvious that you have no understanding of the last 60-years of American politics. How can you judge anyone in 100 days when it has taken 60-years of total mismanagement; lies, dyfunctional government officials to get us in this mess. Now, you want to wave a magic "stick" to correct all the problems that the Republicans have gotten us into...remember the original depression was under the Republican watch, also; 70's, 80's, 90's and 2000...all have been under the leadership of bogus politicians. Before, you make any judgements...study history. You will be well informed, before making such insane statements.

[incog-nito]

If you think the swine fl

[nofoolling]

No where in this article is there one bit of evidence that this latest round of the flu is any worse than the flu has ever been, yet lots of folks seem like they want to scare the hell out of us while acting like they are not trying to scare the hell out of us.

There is no reason to panic or even to be more concerned than you ever have been before about the flu.

Some folks like Obama would have us spend billions (suspiciously making some pharmacutical companies very rich) to fight this and some like SearingTruth would have us hide in caves and hunker down.

Thousands do die from the flu each year but don't let the fearmongerers scare you into foolish stuff. Take sensible precautions, using your common sense to guide you, not the con and scam artists who'd try to rob us blind by blowing this out of proportion, as I suspect is happening on a large scale for whatever profits can be generated.

[npkppprc]

I like what the politicians want us to believe that none of this is caused by unchecked illegal aliens entering the U.S. only a few visiting Mexico and returning with the virus.
B.S. as usual.

[hungry1968-15]

April 9th: "Gov. Rick Perry: Texas Could Secede, Leave Union"


April 27th: "Gov. Rick Perry: After Raising Secession, Calls For Fed Help With Swine Flu




Haaaa haaaa haaaaa haaaa haaaa!!!!!

The republicans KEEP shooting themselves in the feet!!!

Will they EVER learn?!?!?!

[mav547166]

There are an average of 30,000 flu deaths in the US alone each year. Its not Captain Trips.

[longtree-2009]

cbs please define how many people must be ill, or die, for it to be a pandemic? dictionary states "affecting an exceptionally high proportion of the population". the usa has a population of some 300+ million so some 50 people having the swine flu does not a pandemic make, or is there a disconnect here? world wide numbers of those having swine flu still do not a pandemic make, right? cbs, at what point in numbers would it be a true pandemic? 100 million in the usa? how many world wide since there are some 6 billion people on the planet? at what point is there true cause for alarm? to be sure, everyone should be taking precautions just like during regular flu season.

[jodyrae4]

wash your hands..cover your mouth..

[tbbaot]

Until we close the Mexican border, we aren't bracing for anything.

[joni36-2009]

we all got to die , right? im not afrad ether. afrad for my kids and wife , yes. for me i been through all kinds of things but this is not one of them

[jetranger7]

With Summer/Spring coming upon us - the Spread could get worse with the "MOSQUITOS" who'll be biting in the Summer and then transmitting it to others, be Advised - prolong any gardning activities and grass mowing , as long as possible, MOSQUITOS can transmit the disease too,, so be Warned !!!! Be Careful - Be Alert !!! Watch out for those MOSQUITOS !!!!!!!!

[joni36-2009]

i hope this is nothing like the 1918 flu. in the spring of that year there was some people sick and in the fall alot of people came down with it and died. this might be the big one but hope not

[pete_in_az]

I think if you ran an article about the number of people who die from your garden variety influenza in this country every year people would scream.

I for one ain't scared.

[merlgrey]

watchya gonna, watchya gonna, watchya gonna do?
when the swineflu come for you?

[WayAround]

"And can you hear the sound of hysteria?
Welcome to a new kind of tension.
All across the alien nation.
Don't want to be an [global] idiot.
One [world] controlled by the media.
Information age of hysteria."

Green Day

[erasmus111]

I hope your brother is ok now.

Posted by gravypants at 6:53 PM : Apr 27, 2009

Thank you, yes he's doing better now. Other people that had this flu, it lasted sometimes 2 weeks. It's actually only been a week since he had it. He is in Ontario and is in the process of moving back here (B.C.) He had to do all his packing while not feeling well. He leaves tomorrow and is driving. I don't think I could have done it. : )

[godswatchinu]

Maybe I should have posted this somewhere else. But, it's too interesting not to share with everyone since we are all effected by this outbreak in one form or another.

So far, the only deaths that have stemmed from this new virus have all occurred in Mexico. And because WE (Europeans, Africans and Asians) have been on this "American" continent for 500 years, we forget that we are all from the "old world" that made up these three continents.

When we arrived in the Americas, we brought diseases to the continent that many indigenous inhabitants could and would not survive.

While I don't believe that Europeans, Africans or Asians brought a new disease to Mexico in 2009, I have to wonder (SINCE I HAVE NOT FOUND ANY DEATHS RESULTING FROM THIS DISEASE OUTSIDE MEXICO) whether or not the 140 deaths in Mexico maybe those of indigenous people. It's strange to see a deadly disease cross the border into the United States and be fought off fairly effectively by what I will call "old world immune systems."

Drugs developed for Europeans work very effectively for Africans and Asians because these three groups always had a shared history (the Roman Empire went everywhere; Italy was invaded by North Africa, Ancient Greeks went to Egyptian and Ethiopian schools, China traded with East Africa as they both sent ships across the Indian Ocean, etc, etc).

But, indigenous Americans in Mexico, the United States and elsewhere lived in a completely different world apart from all of this for hundreds or even thousands of years. Thus, they did not have to encounter the diseases that plagued the rest of the world. Even medicines that may cure a Tiger Woods or Arnold Palmer may not be effective in Mexico as it has one of the largest indigenous populations on this continent.

Could we (old-worlders) be strong enough to fend of this flu?

I caught a terrible flu this past weekend. I'm part Cherokee. I thought of this theory because while I'm completely recovered now, I suffered a bit more than my German girlfriend.

Did I recover from Swine Flu this weekend (it was nightmarish, Swine or not)? Was it something else? I don't know.

Bu, while I'm not a doctor and DO NOT want to give folks a false sense of security AT ALL, I wonder if I would have recovered at all without my (predominantly) "old world" bloodline....one that stretches from Rome all the way to Cape Town.

[erasmus111]

I'm pretty sure when people are treated for flu symptoms they're tested at hospitals here in the States.

Posted by gravypants at 6:15 PM : Apr 27, 2009

A lot of people don't go to the doctor or hospital when they think they have the flu though. Although now that I think of it, my brother did. He was very dizzy and thought it was something serious. So his obviously wasn't because they did do tests.

[LAP11]

I found internet blogs regarding the swine flu and it mentioned a previous outbreak in 1976. The blog indicates that: " while the disease itself is usually harmless, it can lead to exposure of the lungs to viral or bacterial pneumonia, which can prove fatal, especially for the very young, elderly, or infirm cell."

I think the media coverage may be a bit too much as this type of exposure can lead our nation to a serious panic mode; yet considering the "swine flu" it is just that; the flu and is treatable.

Concern will rise on those who really need medical emergency care and because of the over exposure of the media, it may in fact flood our medical facilites, where those really in need may be overlooked.

Also, the deaths in Mexico that are assumed to be connected to the "swine flu" may have resulted in poor health care or medical issues that then developed to higher medical cases after having the swine flu. My question is, Is the swine flu really fatal once exposed to anyone or is it something that would lead to a bacterial infection in the respiratory system?

LAP11

[u-r-right]

NOW maybe can we perhaps think about closing the G-D border once and for all?