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Experts Keep Wary Eye on Tamiflu-Resistant Swine Flu


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"It's my observation that Tamiflu is being overused, particularly in mild cases that don't have an indication for using Tamiflu," he said. "I'm also observing that, particularly among pediatricians and maybe doctors not reading CDC recommendations, that they are prophylaxing household contacts very often unnecessarily. Because this is a mild flu, most of these cases don't need to be treated with Tamiflu unless there's a concern about complications. Otherwise, for a mild case, where there is no underlying illness or chronic illness, you don't treat the index case and you certainly don't prophylax people around the index case."

On June 11, the World Health Organization declared the first flu pandemic since 1968, triggered by the rapid spread of the H1N1 swine flu virus across North America, Australia, South America, Europe and regions beyond. Two weeks ago, U.S. health officials said they were considering a swine flu immunization campaign that could involve an unprecedented 600 million doses of vaccine. But a vaccine does not yet exist.

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Find out the latest on the swine flu outbreak at the CDC.

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Last updated 7/8/2009

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SOURCES: John J. Treanor, M.D., professor, medicine and of microbiology and immunology, University of Rochester Medical Center, Rochester, N.Y.; Manjusha Gaglani, M.D., associate professor, pediatrics, Texas A&M Health Science Center College of Medicine, and pediatrician, Scott & White Hospital, Temple, Texas; Len Horovitz, M.D., pulmonary specialist, Lenox Hill Hospital, New York City; Associated Press


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