H1N1 Update: Nurses Protest Unsafe Handling of Swine Flu Patients; Tamiflu’s Risk for Children May Outweigh Its Benefits

More than 100 nurses gathered on the steps of the University of California at San Francisco Medical Center today to protest what they say are unsafe practices in the handling of swine flu patients. (Read more.)

The protesting nurses pointed to understaffing as a potential contributor to the unsafe practices.

And Nursing Times has this, regarding new research on the use of Tamiflu (oseltamivir) in children:  “Risk from Swine Flu Drugs Outweighs Benefits in Children”

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Covering the Context: Health Care Doesn’t Occur in a Vacuum

As suggested by a post here last week, AJN has carried editorials, opinion pieces, and news reports about the Gulf War, Desert Storm, and the Iraq War, and about nurses and torture. We’ve also documented issues around women’s rights, AIDS in Africa, hunger, and poverty. (In November 2007, as part of a group of 200 journals organized by the Council of Science Editors, we focused an entire issue on poverty.) But we get pushback, in the form of letters—some readers feel that we should focus on nursing in the United States only.

CDC Advisors Make Recommendations for Use of Vaccine Against Novel H1N1

AJN received this advisory earlier this week from the CDC:

swineflu2In July 2009, CDC’s Advisory Committee on Immunization Practices (ACIP) made recommendations on who should receive vaccine against novel influenza A (H1N1) when it becomes available, and which priority groups should be vaccinated first if the vaccine is initially available in extremely limited quantities. Five key populations were focused on by the committee to help reduce the impact and spread of novel H1N1. The key populations include those who are at higher risk of disease or complications, those who are likely to come in contact with novel H1N1, and those who could infect young infants. The committee recommends that when the vaccine becomes available, the following groups, accounting for approximately 159 million people in the United States, should receive the vaccine first:

• pregnant women,
• people who live with or care for children younger than 6 months of age,
• health care and emergency services personnel,
• persons between the ages of 6 months through 24 years of age, and
• people from ages 25 through 64 years who are at higher risk for novel H1N1 because of chronic health disorders or compromised immune systems.

The committee does not expect that there will be a shortage of novel H1N1 vaccine, but availability and demand can be unpredictable. There is some possibility that initially the vaccine will be available in limited quantities. In this setting, the committee recommended that the following groups receive the vaccine before […]

Rating AJN’s Coverage of Nazi Atrocities: Is Silence Ever an Option for Nurses?

One of the feature articles in the August issue takes an unflinching look at a shameful yet little-known episode of nursing history: “The Third Reich, Nursing, and AJN” by Mary Deane Lagerwey, PhD, RN, examines AJN’s coverage of events in Germany during the Nazi era—before and during WWII—and in the postwar years, and compares the reporting in this journal with that of other professional and popular journals of the day, such as Life and JAMA.

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