However, he told the group that the current level of antiviral resistance won’t necessarily persist, as sensitive flu strains might replace resistant ones. Osterholm also pointed out that antiviral resistance hasn’t been detected in influenza A/H3N2, a previous pandemic strain that is now a common seasonal strain. “It’s critical for businesses to understand how your states will use and distribute the antivirals,” he said. Osterholm warned viewers against releasing soon-to-expire antivirals for use in treating seasonal flu, because doing so might contribute to antiviral resistance. “The honest truth is no one knows,” said Osterholm, director of CIDRAP. During a question-and-answer session, some of the viewers said they struggled with shelf-life issues related to stockpiling, particularly during difficult economic conditions. Osterholm acknowledged that businesses and states are hamstrung by strict shelf-life rules, but he said stockpiling is still worth considering. Other companies offer turnkey solutions, which are online systems that register and educate employees and connect them with physicians who can write antiviral prescriptions, Quarry said. Turnkey systems offer the option of immediate distribution of the antivirals through mail order or pharmacies or traditional stockpiling. He said the limitations include paying for the drugs up front, renewing prescriptions each year, and keeping the stockpile current. Osterholm said according to the most recent information, there are 81 million antiviral treatment doses are in the Strategic National Stockpile (SNS) and state stockpiles. About 80% of the supply is oseltamivir (Tamiflu), and 20% is zanamivir (Relenza). Six million courses are to be used to help contain the pandemic outbreak, wherever it occurs in the world. Of the remaining courses, 50 million are in federal reserves and 25 million reside with states. Quarry advised businesses to optimize the potency of their stockpiles by regularly reviewing the storage conditions. “If you were heading down the antiviral path, who are the most important people in your plan?” he asked. “How you work that out might not necessarily be based on seniority.” He described a range of stockpiling options, which include antiviral reservation programs offered by Roche, the maker of Tamiflu, and GlaxoSmithKline, the producer of Relenza. The programs are typically less expensive than buying, rotating, and storing the drugs outright, he said. However, in the chaos of a pandemic, he said the two companies might still have problems distributing the antivirals to their corporate customers. Antiviral medications will still have a vital role to play, given that pandemic vaccine capacity will fall far short of the amount needed for the world population and that little is known about the efficacy of nonpharmaceutical interventions such as social distancing, he said. The drugs will allow employers to provide early treatment for employees who become ill or prophylaxis for workers who are critical to essential business operations. Jun 26, 2008, CIDRAP News story “Roche unveils plan to boost employer antiviral stockpiling” Doug Quarry, MBBS, MSc, medical director of International SOS Online, an international provider of medical assistance for travelers and corporate clients, told the group that once businesses factor antivirals into their pandemic plan, a key step is defining a stockpiling goal, which could range from a portion of employees to all employees and their dependents. “There is truly a real benefit for a company to control its own destiny,” he said, adding that businesses should be reluctant to dispose of expired antivirals, because shelf-life rules might change in a future emergency. At a webinar today sponsored by the Center for Infectious Disease Research and Policy (CIDRAP) Business Source, an online infectious-disease preparedness resource for businesses, Michael T. Osterholm, PhD, MPH, said experts can’t predict if high levels of antiviral resistance recently seen in seasonal influenza A/H1N1 viruses will have any bearing on treatment for a future pandemic strain. Mar 31, 2009 (CIDRAP News) Antiviral resistance and the global economic downturn might present new obstacles for corporate antiviral stockpiling, but two medical experts today said the medications are still quick, reliable tools that can help preserve business continuity in an influenza pandemic. See also: Sep 3, 2008, CIDRAP News story “Glaxo offers program to boost employer antiviral stockpiling” Quarry recommended that companies that have global offices assess the strengths of country pandemic and stockpiling plans, which vary widely. For example, stockpiling is difficult in China because prescriptions are valid for only 2 weeks. However, he added that locations such as Hong Kong and Germany have policies that make it easier for companies to stockpile antivirals.
Tipp FM’s live coverage of this Saturday s Allianz Hurling League 3rd round, Tipperary versus Wexford comes in association with Sullivan Family Butchers Brooklands, Nenagh. Tipp face into this weekend’s game against Wexford in third place on the table – following a win and a loss in the early stages of this years’ campaign.They face table-toppers Wexford on Saturday, again under lights, in Semple Stadium.More than 7,000 fans braved the cold for Tipp’s win over Waterford and Brendan Maher is hoping supporters will come out in force again on Saturday… read more
DES MOINES — Osage finished third in the Class 2A state dual wrestling tournament on Wednesday in Des Moines, while Lake Mills finished fifth in Class 1A. Osage won their state quarterfinal match to PCM 47-21 but fell to Solon in the semifinals 48-22. Osage then beat Crestwood 37-33 in the third place match. For Lake Mills, they fell in the opening match to West Sioux 42-30, but came back to win their two consolation matches, 44-25 over Missouri Valley and 42-25 in the fifth place match over Emmetsburg. Don Bosco won the 1A championship 48-18 over Denver. West Delaware beat Solon 45-12 for the 2A title. Southeast Polk won the 3A title with a 37-27 win over Waverly-Shell Rock. DES MOINES — The traditional state wrestling tournament begins today at Wells Fargo Arena with first round and first round consolation matches in each class. Mason City has four wrestlers in the 3A tournament, with Cullan Schriever trying to win a third state title. In Class 1A, Lake Mills and Central Springs each have four wrestlers while Newman and West Hancock each have three. In Class 2A, Osage leads the way from the area with five qualifiers while Clear Lake has four. The 3A session starts at 9:00 AM, the 1A session starts at 1:30, while the 2A session starts at 6:00. You can hear coverage of area wrestlers when they are on the mats on AM-1490 & 96.7-FM KRIB and kribam.com == 2A District 2 Thursday at Forest City6:30 — Forest City vs. Estherville Lincoln Central8:00 — Lake Mills vs. Pocahontas == 3A girls Region 2at Humboldt — Clear Lake 72, Kuemper of Carrol 42Roland-Story 50, Carroll 44Regional final Saturday in Clarion== 3A girls Region 3Osage 55, Forest City 40Crestwood 28, New Hampton 20Regional final Saturday in Charles City== 1A girls Region 2 quarterfinalsGarrigan 58, Newman 35North Butler 44, Tripoli 36Clarksville 69, Rockford 33Kee 31, Turkey Valley 30== 1A girls Region 1 quarterfinalsWest Hancock 70, West Bend-Mallard 17== 2A girls Region 3 quarterfinalsGrundy Center 70, Lake Mills 15West Fork 56, St. Ansgar 49== 1A boys District 3First Round Wednesday —- North Union 64, Northwood-Kensett 39Quarterfinals Thursday at Garrigan6:30 — St. Edmond vs. North Iowa8:00 — North Union vs. GarriganQuarterfinals Thursday at Newman (KGLO)6:30 — Central Springs vs. West Hancock8:00 — Newman vs. Belmond-Klemme== 1A boys District 4First round at Clarksville WednesdayRiceville 49, North Butler 38Clarksville 45, West Central of Maynard 39Quarterfinals Thursday at Rockford6:30 — Janesville vs. Clarksville8:00 — Riceville vs. Rockford TODAY:AM-1490/96.7-FM KRIB, kribam. com, KRIB mobile app — State Wrestling Tournament= 9:00 AM — 3A 1st round/1st round consolation= 1:30 PM — 1A first round/1st round consolation= 6:00 PM — 2A first round/1st round consolation — Junior college basketball last nightNIACC women 101, Little Priest Tribal College 66 (NIACC – 20-5 overall, 11-1 in ICCAC) NIACC men 121, Little Priest Tribal College 101 (NIACC – 20-3 overall, 10-1 in ICCAC) AM-1300 KGLO, kgloam.com, KGLO mobile app — 1A boys district quarterfinal doubleheader at Newman= 6:30 — Central Springs vs. West Hancock= 8:00 — Belmond-Klemme vs. Newman == 2A District 3 Thursday at Jewell6:30 — Garner-Hayfield-Ventura vs. South Hardin8:00 — Clarion-Goldfield-Dows vs. South Hamilton == 2A District 4 Thursday at Cresco6:30 — Aplington-Parkersburg vs. New Hampton8:00 — Osage vs. Crestwood Quarterfinals Thursday at St. Ansgar6:30 — Nashua-Plainfield vs. Turkey Valley8:00 — Tripoli vs. St. Ansgar read more