State officials released a preliminary report on Friday regarding health care resource distribution if an influenza pandemic occurs.
The report, called "For the Good of Us All: Ethically Rationing Health Resources in Minnesota in a Severe Influenza Pandemic," states one in three Minnesotans might become sick if the pandemic does occur. 175,000 might be hospitalized and 32,000 might die. The pandemic could last up to two years, according to a panel of health officials and ethicists.
"Many people have a false sense of security because we haven't had a pandemic yet, after all the publicity about 'bird flu,' '' Minnesota Health Commissioner Sanne Magnan told the Star Tribune. "However, that same avian strain of influenza is still making people sick and causing deaths in Asia and Africa, and it could still cause a pandemic.''
The Star Tribune reports that Minnesota has enough medicine to treat 21 percent of the population in a first wave of the flu. The 2.4 million masks for public health workers will not last three weeks.
The Star Tribune also includes a list of possible priorities in the distribution of supplies, with those who are critical to preventing the flu and those who are at a high risk of contracting the flu at the top of the list and those who are moderately at risk at the bottom.
Officials will release the protocols for the rationing of what medical supplies Minnesota has collected later, but want to raise the ethical issues that surround the rationing.
The report brings up the issue of age discrimination. It notes that the antiviral medication will be less effective on the elderly and infants, and that providing these to their caretakers might better protect them from the flu. It also warns that steps should be taken so there is no discrimination based on economic status, illegal immigrants are not turned away, and the terminally ill are not treated unfairly.
The Pioneer Press reports around 12,900 people suffering from the flu could suffer from respiratory failure during the pandemic, but only 1,200 mechanical ventilators are available in the state. 85 percent of them are currently in use, some by terminally ill patients, and the pandemic might take these machines away from them.
The panel told the Star Tribune the top priorities of rationing should be, “Protect the population’s health, protect public safety and civil order, and treat people fairly.�