Mr. President, in 1918, the Spanish flu pandemic swept the world for a number of reasons--not the least of which we had soldiers coming from all over the world going places and coming home. As a result, this pandemic that swept our world…
Mr. President, in 1918, the Spanish flu pandemic swept the world for a number of reasons--not the least of which we had soldiers coming from all over the world going places and coming home. As a result, this pandemic that swept our world claimed the lives of about 50 million people, and 500,000 people in the United States alone before it completed its deadly run.
Today, many public health experts are warning us that another flu pandemic is not a matter of if, but when. They tell us that this next pandemic has the potential to be every bit as devastating as what the world witnessed nearly 100 years ago.
A flu pandemic occurs when a new strain of flu emerges in the human population and causes serious illness and death and can easily spread between humans.
The avian flu, referred to as H5-N1 flu strain by scientists, already meets the first step: Roughly half of the 115 people who have been diagnosed with this virus to date have died. At present, all that stands between avian flu and pandemic status is the fact that scientists do not believe the avian flu can easily be transmitted between humans.
Scientists fear it is only a matter of time before the avian flu virus mutates into a form that can spread easily from human to human.
According to the Centers for Disease Control Director Julie Gerberding:
. . . many influenza experts, including those at CDC,
consider the threat of a serious influenza epidemic to the
United States to be high. Although the timing and impact of
an influenza pandemic is unpredictable, the occurrence is
inevitable and potentially devastating.
That was her word, ``inevitable.''
You do not have to be an expert to understand the dramatic toll a flu pandemic could have on our Nation and on
the world. Given our capacity for rapid travel around the globe compared to 1918 and the interdependence of our economic markets compared to 1918, both of which have increased dramatically since the last flu pandemic, the potential human and economic costs of the next pandemic are unimaginable.
A respected U.S. health expert has concluded that almost 2 million Americans would die in the first year alone of an outbreak. Pandemic flu outbreak in the United States could cost our economy hundreds of billions of dollars due to death, lost productivity and disruption in commerce, and to our society generally.
Maybe the only thing more troubling than contemplating the possible consequences of the avian flu pandemic is recognizing that neither this Nation nor the world are prepared to deal with it. Administration documents say it will take months to develop an effective vaccine against the avian flu--some say as much as 9 months--once we have been able to identify the particular flu strain in circulation. Administration officials say one of the best opportunities to limit the scope and consequence of any outbreak is to rapidly detect the emergence of a new strain that is capable of sustained human-to-human contact. Yet we are not devoting enough resources to effective surveillance abroad.
The administration has acknowledged we need a detailed pandemic plan outlining our national strategy to address this pandemic. Among other matters, such a plan needs to address those who will spearhead our response to pandemic.
How will our response be coordinated across all levels of Government? And how will we rapidly distribute limited medical resources? Yet our national preparedness plan is still in draft form.
We all know State and local health departments will be on the front lines of a pandemic. They will need to conduct surveillance, coordinate local responses, and help distribute the vaccines and antivirals. Yet we are posed to approve a $130 million cut for State and local preparedness funding at the Centers for Disease Control. At this time, that is unconscionable.
We also know that once a flu strain has been identified, we will need to develop an effective vaccine, as I have talked about, and produce enough to eventually inoculate the entire 300 million people in America. Yet our existing stockpile of vaccines, assuming they are effective against the yet unidentified strain, may protect less than 1 percent of all Americans, and we have only one domestic flu vaccine manufacturer located in the United States. It is estimated if our capacity to produce vaccines is not improved, it could take 15 months to vaccinate first responders, medical personnel, and other high-risk groups.
Given it will take months to develop, produce, and distribute a vaccine once we have one that is effective, we know that antiviral medication will be a crucial stopgap defense against a pandemic. The World Health Organization recommended that countries stockpile enough antiviral medication to cover 25 percent of their populations. Other nations, including Great Britain, France, Norway, Portugal, Switzerland, Finland, and New Zealand, have ordered enough Tamiflu, an antiviral pill to cover between 20 and 40 percent of their populations.
We should have learned. It was only last year that we did not have enough vaccine to take care of the people in America. We did not have enough vaccine to take care of the flu strain last time, and everyone knew what that was.
As important as this Tamiflu is, we now have only 2.3 million courses of this pill. Given country, national, and international production capacity, even if we were to increase our order of Tamiflu today, we have been told the United States would have to wait until the end of 2007 before we could secure enough Tamiflu to cover 25 percent of our population. The consequences of pandemic could be far reaching, impacting virtually every sector of our society and our economy.
We also know our medical community needs to be trained to distinguish between the annual flu and avian flu so that an outbreak could be recorded immediately. Doctors, hospitals, and other medical providers must develop surge capacity plans so they can respond to a pandemic. Businesses, also, need to be prepared. They should be encouraged to develop their own plans, establish or expand telecommunicating and network access plans, update medical needs policies, and provide suggestions on how to promote employee health to lessen the likelihood of exposure. The American public also needs to be educated about the importance of annual flu vaccines and steps they can take to prepare for and respond to an avian flu outbreak.
Yet this administration has failed to take appropriate action to prepare the medical community, business community, and the American public. We can do better. We need to do better. Most importantly, we cannot afford to wait to do better. America can do better.
The Federal Government's poor response to Katrina has only served to exacerbate concerns about the toll such an outbreak would have on our Nation and the world. Given the very real possibility of an outbreak, its potentially severe consequences, and our relative lack of preparedness, we need to take action on several fronts to prepare our Nation and the American people for a potential outbreak and reduce its impact, should it occur.
What are some of the steps necessary? We need to improve surveillance and international partnerships so we may detect new flu strains and do it early. We need to prepare for a pandemic by finalizing, implementing, and funding pandemic preparedness response plans. Remember, the director of the Centers for Disease Control has told us this is going to happen. It is inevitable. We need to protect Americans with the development, production, and distribution of an effective vaccine. We need to plan ahead for pandemic by stockpiling antiviral medications, medical, and other supplies. We need to strengthen our public health infrastructure. We need to educate Americans by increasing awareness of and education about this flu. Finally, we need to commit to protecting Americans by devoting adequate resources to pandemic preparedness.
Experts have warned that an avian flu pandemic is inevitable. But the devastating consequences that can ensue from an outbreak are not-- provided this Nation and the world heed the science community warnings and take action immediately.
I propose to start by committing the resources necessary to protect Americans. We need to start today. We know today that funding certain programs can make dramatic reductions for the consequences of a future avian flu outbreak. We also know many of these programs are either unfunded or massively underfunded.
Tomorrow, when we take up the Defense appropriations bill after we finish the Roberts vote, Senators Harkin, Kennedy, Obama, and many others, including myself and Senator Durbin, the two Democrat leaders here who have been elected by our colleagues, will join in this.
This is important. We are going to offer an amendment that will ensure that we begin making the investments necessary to make sure this Nation and the world do everything possible to ensure that history does not repeat itself and we do not have to relive the terror of 1918.
I ask unanimous consent that the Senator from Illinois have an opportunity to speak. I am happy to relieve the Chair if that is necessary. We have two Senators on the floor to finish their statements. I ask consent that the two Senators from Illinois be recognized to speak.
How long does the senior Senator from Illinois wish to speak?
The junior Senator from Illinois?
The Senator should know I did use your name.
You have the only comprehensive bill filed regarding the avian flu and I commend you in that regard.
I appreciate that. I know I have presided over a few of the late nights.