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H1N1 vaccines get U.S. approval

Last Updated: Tuesday, September 15, 2009 | 4:47 PM ET

Gordon Potter receives a shot from nurse Wendy Nesheim during the first of several clinical trials of a new H1N1 flu vaccine conducted by Emory University, in Atlanta.  Gordon Potter receives a shot from nurse Wendy Nesheim during the first of several clinical trials of a new H1N1 flu vaccine conducted by Emory University, in Atlanta. (John Amis/AP Photo)

The U.S. Food and Drug Administration has approved new swine flu vaccines, which clears the way for Americans to start getting the shots as early as the beginning of October.

Pregnant women and children will be among those at the front of the line when the first rationed supplies of the pandemic vaccine are distributed early next month, U.S. Health and Human Services Secretary Kathleen Sebelius told Congress on Tuesday.

Vaccines made by Sanofi-Aventis SA, CSL Ltd, Medimmune and Novartis AG were approved, she added. The bulk of the vaccines will be available in the U.S. by mid-October.

Health Canada said it's balancing the need for speed with its duty to make sure a vaccine is safe and effective. It's waiting for the results of Canadian trials which have just started recruiting volunteer test subjects.

Canadian vaccine trial recruits volunteers

The first test vaccines will be given in the next week or two, and the results will be available to Health Canada and the Public Health Agency of Canada, said Dr. Joanne Langley, a pediatric infectious disease specialist and the principal investigator with the pandemic vaccine clinical trial in Halifax.

It generally takes two to four weeks after the first dose to get results on the antibody levels produced by the vaccine, Langley said. The antibody levels are a sign of the vaccine's effectiveness.

The Canadian trials will test two vaccine formulations: one with an adjuvant, a substance added to boost effectiveness, and one without an adjuvant like the vaccines that will be distributed in the U.S.

"The purpose of the study is to determine whether we need adjuvant or not and what dose of antigen we need," Langley said.

Possible oversupply in Canada

On Monday, Canada's vaccine maker, GlaxoSmithKline, said its first trial results from Germany showed the form of the vaccine containing its AS03 adjuvant is effective after a single dose in adults.

If those findings are confirmed, it could mean Canada will have an oversupply of H1N1 vaccine when it does arrive.

As well, Health Canada has promised 1.2 million doses of adjuvant-free vaccine will be available for pregnant women.

Last week, Dr. David Butler-Jones, Canada's chief public health officer, said Canada plans to roll out the first doses of H1N1 vaccine by mid-November, but could move that date up if a second wave of H1N1 starts sooner.

With files from The Associated Press
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Swine flu

Ready or not
Swine flu: FAQs
A by-the-numbers look at the swine flu
Hygiene lessons to prevent school spread
The vaccine: the road to rollout
How it's unfolding: a timeline
Timeline: key dates in the development of H1N1 vaccine
Isolating the ill: when to quarantine
MAP: Tracking H1N1 across Canada
Investigating swine flu: WHO's pandemic alert levels
Did pandemic-watchers miss the signs online?
Swine flu roots traced to Spanish flu
Will face masks protect you from the flu?
Inside CBC News: We are not renaming swine flu

In Depth

7 things you should know about swine flu
How swine flu is changing some behaviours
Pandemic preparation: dealing with infectious disease outbreaks
What is a virus?
How viruses mutate
Misconceptions about the flu
Tips for building your immune system
Fighting the flu
The 1918 flu epidemic
CBC Archives: Influenza - Battling the last great virus
CBC Archives: The swine flu fiasco

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Seasonal flu shot may increase H1N1 risk
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Swine flu protocol signed for First Nations
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H1N1 vaccine in babies worries expert
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Swine flu outbreak hits Vancouver Island First Nations
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H1N1 vaccine priority groups released
Sept. 16, 2009
H1N1 vaccines get U.S. approval
Sept. 15, 2009
1 dose of Canada's H1N1 shot protects adults: company
Sept. 14, 2009
Address swine flu vaccine fears, doctor urges
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Vaccinate kids early to fight swine flu
Sept. 10, 2009
H1N1 infects cells deep in lungs
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Canada's swine flu vaccine coming in October
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Flu vaccine plan will be too slow: CMAJ
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Feds, First Nations leaders at odds on swine flu preparations
August 29, 2009
Swine flu vaccine funding boosted
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Swine flu 'czar' needed: CMA Journal
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Canada to order 50.4 million H1N1 vaccine doses
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Alcohol-based sanitizers for flu-hit First Nations delayed over substance abuse fears
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WHO declares swine flu pandemic, no change in Canada's approach
June 11, 2009
Swine flu epidemic in decline: Mexico
May 3, 2009
No sustained spread of swine flu virus outside North America: WHO
May 2, 2009
Canada doing all that's needed to respond to swine flu: PM
April 30, 2009
WHO boosts pandemic alert level to 5
April 29, 2009

Video

Former patients tell their stories
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Swine flu reality check with Dr. Michael Gardam with the Ontario Agency for Health Protection (4:25)
May 1, 2009

External Links

H1N1 Flu Virus surveillance from the Public Health Agency of Canada
FluWatch animated maps of flu activity, Public Health Agency of Canada
Influenza A/H1N1 situation updates from the WHO
H1N1 Flu situation update from Centres for Disease Control

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