Pandemic Influenza and Hawaii Response
In March 2009, a novel influenza virus causing illness in people emerged. The strain is contagious and spread mainly from person to person through coughing or sneezing of infected persons. The virus spread rapidly throughout the world, and on June 11, 2009 the World Health Organization (WHO) declared that a global pandemic of H1N1 (Swine) influenza was underway.
The first wave of the 2009 H1N1 pandemic arrived in Hawaii at the end of April 2009 and continued through the summer. Vaccine supplies began arriving in October 2009, with early distribution to healthcare workers, emergency medical service personnel and first responders. In accordance with U.S. Centers for Disease Control and Prevention (CDC) guidance, high risk groups that may be more vulnerable to serious complications from the H1N1 flu were also given priority.
In January 2010, with supplies catching up to demand, vaccination eligibility was expanded to everyone. Any healthy, nonpregnant persons aged 2 through 49 years old can now receive the 2009 H1N1 nasal spray vaccine (LAIV -- live attenuated influenza vaccine). Those who are able to are encouraged to choose the nasal spray version of the vaccine, leaving more of the injectable version available for those who have conditions that prevent them from receiving the nasal spray. Vaccination is voluntary.
Like seasonal flu, illness in people with H1N1 can vary from mild to severe. The virus is unpredictable and it is unclear whether another wave is on the horizon. The Hawaii Department of Health (DOH) recommends that everyone get the H1N1 vaccine as the best protection against the flu.
