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Feds concerned about Florida's ability to buy flu antivirals

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  • Feds concerned about Florida's ability to buy flu antivirals



    from the Gainesville Sun

    Article published Mar 16, 2007
    Mar 16, 2007

    Feds concerned about Florida's ability to buy flu antivirals

    By DAVID ROYSE
    Associated Press Writer
    Florida fully intends to participate in a federal program that allows states to buy antivirals at a subsidized price, but is waiting on lawmakers to approve the money, state health officials said Friday.

    The remarks were in response to concerns from federal officials that Florida's budget problems may cause the state to miss out on a chance to buy flu medicine at a subsidized price. The lower rate is an effort to create a stockpile to stave off a possible pandemic.

    In a letter sent Thursday to state health officials, Dr. Robin Robinson of the Public Health Emergency Preparedness Office at the U.S. Department of Health and Human Services, said the agency was disappointed to hear that Florida may not be able to participate in the program.

    The initiative allows states to get antivirals at a lower price negotiated by the federal government to boost their stockpile.

    State lawmakers have warned that this year's budget is tight and that new spending items will be hard to pay for. It wasn't clear from Robinson's letter why HHS believed Florida wouldn't be able to participate in the program and agency officials couldn't be reached after hours Friday for comment.

    Dr. Bill Tynan, the medical director of Florida's Office of Public Health Preparedness, responded on Friday, telling HHS that Florida doesn't intend to forfeit its anitviral purchases under the federal subsidy program.

    "The Florida purchase is contingent on approval and appropriation of funds by the Florida Legislature," Tynan wrote. "The Florida Legislature is currently in session through early May, 2007. Florida is not requesting a forfeit of our allocation at this time."

    Robinson warned Florida that if it doesn't come up with money to buy antivirals at the reduced price through the federal government's deal with drug makers, Florida would be the only state not participating, and might have to pay full price for the medicine.

    Sen. Durell Peaden, chairman of the Senate committee that writes the health care budget, said he didn't know why the federal government was concerned now when a vote by state lawmakers on the budget is weeks away.

    "Is somebody trying to threaten us?" Peaden asked when informed of the HHS letter, which he said he hadn't heard about. Peaden said some lawmakers were concerned about the cost of the antivirals, even at the subsidized price, because there's no guarantee about how effective the medicine will be if a flu pandemic doesn't happen for years.
    He also noted that he can only write into the health care budget the money that's available, and state economists have said that incoming tax dollars aren't growing.

    "We'd like to participate, but the appropriations committee is waiting on the money," said Peaden, R-Crestview.

    Rep. Aaron Bean, R-Fernandina Beach was Peaden's counterpart on the committee that writes the health care budget in the House. Bean said the antivirals only have a shelf life of five years, and with all the other needs in health care spending, "it just doesn't rank as one of my priorities."

    While noting that balancing a budget can be difficult, Robinson reminded Florida officials that "HHS considers pandemic preparedness as one of the top health priorities for the country at federal, state, local and individual levels."
    State Health Department spokeswoman Wendy Riemann noted that Gov. Charlie Crist has requested lawmakers spend more than $34 million for the antiviral stockpile.

    "We hope the Legislature will pass it," Riemann said.
    Thought has a dual purpose in ethics: to affirm life, and to lead from ethical impulses to a rational course of action - Teaching Reverence for Life -Albert Schweitzer. JT

  • #2
    Re: Feds concerned about Florida's ability to buy flu antivirals

    This is what I am hearing from all over the country. Why should scarce health care dollars be spent on a pandemic where the timing, strain, and CFR is unknown? The current demands for these dollars far exceeds supply.

    Comment


    • #3
      Re: Feds concerned about Florida's ability to buy flu antivirals

      Perhaps the US should follow WHO's model of a central stockpile to be replenished prior to expiration dates and held for use as needed - whether current flu or initial pandemic flu outbreaks.

      .
      "The next major advancement in the health of American people will be determined by what the individual is willing to do for himself"-- John Knowles, Former President of the Rockefeller Foundation

      Comment


      • #4
        Re: Feds concerned about Florida's ability to buy flu antivirals

        There is also a federal stockpile - a tami plane - that is doing just what you suggest AD. But each state will be responsible separately for managing the pandemic. The tami plane is not meant for a long term solution. It is set up as an emergency supply for hot spots.

        Great idea AD.

        Comment


        • #5
          Re: Feds concerned about Florida's ability to buy flu antivirals

          The "tami plane" idea is great - hopefully it will help buy a little time to better manage the situation.

          .
          "The next major advancement in the health of American people will be determined by what the individual is willing to do for himself"-- John Knowles, Former President of the Rockefeller Foundation

          Comment

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