Flu vaccine (H1N1) represents a challenge to the public health sector in the U.S.

Experts predict that he may be the U.S. government program of vaccination against influenza A (H-1 to 1) - also known as swine flu, which cost $ 6.4 billion - unprecedented pressure on the public health sector in the United States reveals serious shortcomings.

With preparations for the first program of mass vaccination in the United States twenty years ago to hand over tens of millions of doses per week is different from public health experts on the evaluation of the performance of the local health departments and state level.

Many say that the sector has never received the funds necessary to vaccinate a large-scale, despite years of planning for a pandemic re-emerged after the bird flu in Hong Kong and South Korea in 2003.

Said Leonard Marcus of the School of Public Health at Harvard University, "The worst scenario is that the vaccine in the state or region, but this state or the region did not plan adequately for distribution."

He said Marcus, who studied Hurricane Katrina in 2005, said the vaccination program against influenza A (H-1 to 1) may be facing setbacks on the level of leadership and coordination in any place suffers when public health systems of poor management or lack of funding.

He said, "official bureaucratic say that he has no power or require a signature and it will stop the system from the movement. Perhaps there is also a state of panic."

The experts commended the administration of President Barack Obama to the elaboration of programs able to buy 250 million doses and distribution of over 90 thousand sites across the country in order to provide vaccine for every American, he wants.

The Government has requested the vaccine from five companies Sanofi-Aventis is Lucy. S. And the Novartis and GlaxoSmithKline and Mdameon unit AstraZeneca.

It is expected Bob Hochwz expert distribution of vaccines from the consulting firm Booz & Co successful years.

He added: "There will be some long queues and some may have to wait for late hours and may not be able to get people out of the vaccine on the day they want, but if we deal with it rationally expect to be okay."

With the United States has struggled to recover from the economic recession may be a labor problem.

The National Union of Health officials at the provincial level cities and local health departments have dispensed with the 8000 jobs in the first half of the year after 7000 and cut jobs in 2008. Also imposed on the 12 thousand workers last cut their hours or compulsory licenses granted this year.

The people who need them against layoffs program (H-1 that 1) they are nurses, nurses aides and staff receive and staff phone.

Michael Osterholm, and warned against a potential public fears quickly if the number of infected bird (H-1 that 1) they are receiving hospitals and intensive care units.

A survey by the American College of Obstetricians emergency rooms that about ninety percent of these doctors are afraid to face the hospitals struggle to deal with the numbers of people infected with bird (H-1 to 1).

He said Osterholm, "public health, such as a rescue boat but is large enough to accommodate everyone and how sailing amidst the waves?"

Experts and keen not to detract from the status of public health workers who enjoy great respect thanks to their dynamism and dedication in work.

But they suggested that the lack of resources as well as the size and speed of the vaccination program will impose unprecedented pressures.

Obama and the administration has sought to ease the burden to grant health departments and hospitals $ 1.4 billion to assist in the planning and implementation of vaccination efforts, including the hiring of additional employment.

And may bear such bad news for about 46 million Americans are not subject to health insurance coming to the public health offices where vaccination is free.

The Hochwz "may place a burden on some systems in terms of number of employees and inflamed nerves."