I feel sorry for the Md's if someone does get a severe or fatal reaction. The government won't cover it. So I can see some their point.
If I had an MD who was afraid to administer a requested FDA approved drug, I would quickly change MD's. These guys are morons.
I do not think they are morons. Md's are always getting sued, so I would be cautious too. My own MD who I think is wonderful and is great, will not give it out until she is absolutely 100 percent sure it is ok to give to her patients. She gives out the seasonal like crazy. She said she needs more proof first. She is a very bright MD and actually has people come from all over the state to see her. So that is your opinion. I wonder what the other Md's that are having the same reservations would like to know you called them morons. i totally disagree with you. Sorry
Most MD's are going to be bright, because obtaining a degree is a long and difficult process that requires a high level of intellegence. However, that doesn't always translate into data analysis and the description above is an example. Prescribing seasonal flu, but withholding pandemic flu really doesn't make much sense because both vaccines are made using the same formula.
For flu shots, the carrier is a virus from 1934 that has its H and N genes replaced with the target. For seasonal flu, there are three different targets (H and N from H1N1, H3N2, and influenza B). For the pandemic vaccine there is only one (H and N from swine H1N1). The same is true for the nasal spray (except the carrier is a 1980 cold adapted virus).
Moreover, each time the seasonal flu target is changed (and for 2008/2009 all three tragets were changed), a new virus is created, just as the pandemic target was created, and in fact the seasonal flu targets for 2010 actually includes the pandemic target, which will replace seasonal H1N1. Thus, it will still be a trivalent vaccine, but will have H and N from swine H1N1, human H3N2, and influenza B.
The current pandemic vaccine was made over the same time frame as seasonal flu. For seasonal flu, targets are selected in February, and the vaccine ships in September. For the pandemic target the virus was first isolated in March, selected in April, and much will ship in October (most will be in mid to late October or later - the spray is ready earlier becasue that virus grew quicker in the lab).
Moreover, the pandemic vaccine only has one target instead of 3, so the shot just has 15 mcg of virus, instead of 45 mcg, which might be why some have had less localized reactions (swelling or pain at the site of infection).
The pandemic strain did go though additional clinical trials, in case the virus H and N sequences created a unique problem, and none have been found. However, problems caused by the virus sequence would likely be MUCH greater in a live swine flu infection, than in a killed or atenuated injection or spray.
This is why I would not use a physician who thought seasonal flu shots were fine, but pandemic flu shots were a problem for the general population. I really don't see the logic and would assume the physician is either uniformed or has a serious data analysis limitation (inability to make accurate risk/reward calculations) .