In a flu pandemic, what can the government do to you?
| Atlanta
What might life be like during the kind of major swine flu pandemic predicted by the White House to hit the US this fall?
The worst-case scenarios percolate on the edges of thought: bans on public gatherings, restricting the movement of afflicted individuals, and compelled vaccinations. , suggesting that the World Health Organization is behind a secret plan to inoculate Americans at gunpoint with immune-system depleting vaccines to depopulate the globe.
The CDC鈥檚 report, released Monday, may well create some level of hysteria. It said 1.8 million Americans could become seriously ill this fall and as many as 90,000 could die.
In truth, America鈥檚 national pandemic response plan has been shaped by lessons from , which killed millions globally and did include gun-point quarantines. If the circumstances are deemed dire enough, the government鈥檚 鈥淧andemic Influenza Plan鈥� allows for strong measures, such as banning public gatherings and calling in the military to help with law enforcement.
Yet the far greater concern for public-health officials right now is more mundane: trying to make sure that there is enough vaccine to meet demand 鈥� and that there are enough healthcare professionals on hand to handle a potential influx of patients.
The Department of Health and Human Services has fast-tracked production of a vaccine, but ready by the expected peak of the season, as it had hoped. Forty-five million doses will be available in mid-October, with 20 million more available each week afterward.
Massachusetts public-health officials, for instance, are urging nearly 90 percent of residents to get vaccinated.
The government's powers
In the event of a health crisis, the federal government has broad powers. New rules enacted by the Bush administration include swine flu among quarantinable communicable diseases. For its part, the Obama administration is also reportedly reviewing proposals to strengthen three-decade-old federal quarantine policies, including, , presidential power to impose a six-day quarantine on those affected by swine flu. The Department of Health and Human Services has asked the Pentagon to assist local health officials in the event of a pandemic.
But these are clear attempts at preparing for the worst.
鈥淭here鈥檚 not going to be compulsory vaccination,鈥� says Jennifer Nuzzo, an analyst at the Center for Biosecurity at the University of Pittsburgh Medical Center. 鈥淏ut what you may be picking up on is that the military does have a lot of healthcare professionals, so [the government] may be enlisting some of the extra hands that are out there.鈥�
No kissing, please
Because the H1N1 flu has proven less deadly so far than initially feared, the Obama administration has actually ratcheted back immediate response plans.
For example: The administration is hinting that it will urge than took place during the spring outbreak. Colleges are being asked to formulate preparedness plans, but so far those include primarily voluntary dorm quarantines and suggestions for afflicted students to refrain from kissing 鈥� .
Compared with many other countries, 鈥渢his administration has been pretty measured about wanting to balance the need to control a health threat with not wanting to interrupt society ... [with] heavy-handed responses,鈥� says Ms. Nuzzo.
As to the fears about a WHO conspiracy, Nuzzo adds: 鈥淭he WHO staff is smaller than the New York City Health Department, so its ability to impose worldwide martial law would be a miracle.鈥�
Is Washington overreaching?
Yet some fears about the government potentially overstepping its bounds are justified, civil libertarians say.
Since 9/11, pandemic planning has taken a more authoritarian tone that harks back to the pre-vaccine days of forced quarantines during outbreaks, according to released in January 2008.
Pandemic flu plans adopted by the federal government and nearly every state and locality 鈥渞ely heavily on a punitive approach and emphasize extreme measures such as quarantine and forced treatment,鈥� the report says. 鈥淧eople, rather than the disease, become the enemy.鈥�
Yet some pandemic experts predict that the police and military will more likely be used to protect clinics and hospitals against angry mobs demanding vaccination than to force Americans into quarantine against their will.
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