Is there a problem regarding global
distribution of the H1N1 vaccines?
Can you imagine the complexity
of trying to give everyone in the world, anything? Trying to do this, would be
comparable to the kinds of problems faced by those who are attempting to
distribute new H1N1 vaccines to aid in global infection control. This is not just a matter of
handing someone something, like a piece of paper or a penny.
Medical
professionals have to administer these H1N1 vaccines to individuals. It is only
possible, one injection at a time. This is a time consuming process involving
many dedicated people, on a number of different levels.
Several major problems those
who are distributing the new H1N1 vaccines have faced and will encounter
further, have to do with the shortage of health care professionals all around
the world, at the same time, as a global economic decline.
In other words, there may not
be enough professionally trained people to administer the vaccines, even where
the governments of various countries of the world are able to assist with the
cost of the distribution and administration of the H1N1 vaccines. Medical
professionals may have to come from other regions, so coordination of
professional health care efforts will be important.
Remote areas of the globe may
prove to be hard to reach or inaccessible, at certain times of the year and
thus, ensuring these areas receive the H1N1 vaccines immediately, may prove
difficult. This is not something new or different for health care
professionals. At the same time, there may be a high incidence of the H1N1 flu
in some of these areas, particularly during certain times of the year.
Remoteness and inaccessibility
of certain areas are only two serious concerns that medical professionals deal
with all of the time.
Hygiene may be another issue
that anyone who enters an area to administer H1N1 vaccines may have to contend
with, if or when they are able to get them there. In other words, they may put
their own lives at risk by entering into these areas. They may also have to
contend with other disease entities like HIV, tuberculosis or malaria. Health
care professionals have dealt with these kinds of issues again and again, over
the years.
Culture and language barriers
could be two huge problems. These will not be unique to the H1N1 vaccine
distribution program either.
Will the government of every
country comprehend the importance of H1N1 vaccine distribution and
administration? There may be resistance encountered. There will be war, famine and poverty
to contend with, as well as serious weather concerns like monsoons, typhoons
and inclement winter weather. Certain communities may have travel restrictions
due to road conditions, flash floods, earthquakes or tsunamis.
While immediate vaccine
availability may be an issue of concern to health care administrators, the
countries that are the most receptive to receiving and administering the H1N1
vaccines, will probably find that the vaccines they need will be attainable
within a reasonable length of time. Others may have to wait until more H1N1
vaccines are ready for distribution.
There may be parts of the world
where people will not be able to pay for their H1N1 vaccines. Making certain
that the poor and disadvantaged are able to receive the vaccines, regardless of
their ability to pay is important.
Governments should deal rightly with their own people and
others who enter the country, but at the same time, that does not necessarily
always happen either. Each government is accountable to its own people, as well
as to other countries and their governments, with regard to the health concerns
related to a pandemic.
Understanding and addressing the complexity of global immunization for H1N1, is in the hand of medical professionals and educators everywhere. It is also a coordinated effort through the WHO.
Those who have questions regarding the H1N1 vaccines should seek answers through their own physicians, community health organizations and local governments. It is possible to overcome most problems, although it is not always easy. Current information is available on the Internet daily.
If people work together, on a global level, for the distribution and administration of the new H1N1 vaccines, most problems will be resolvable. Everyone can receive a message of hope in this respect.
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