The Food and Drug Administration has approved the new H1N1 vaccine.

Health and Human Services Secretary Kathleen Sebelius told Congress a limited number of doses may be distributed in early October, with a bulk shipment in the middle of that month.

This year’s response to H1N1 marks one of the fastest research and development phases of an influenza vaccine. In an interview earlier this month, Jay Butler, MD, director of the CDC’s H1N1 Vaccine Task Force told me:

I think the news is really good in terms of what we’ve been saying over the past several years — how we’ve planned, particularly at the state level, for the next pandemic. We’ve anticipated that a vaccine wouldn’t be available for about six to nine months after the first cases are identified. If, indeed, we can be getting vaccine out to the public by mid-October, we’re actually a little bit ahead of schedule.

Public health officials first discovered this H1N1 outbreak in April.

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America’s hospitals are preparing for a resurgence of H1N1 flu. But a limited number of beds will require some out of the box thinking.

“Hospitals have taken the same approach the airlines have. They’ve tried to fill every seat,” said Art Kellermann, MD, professor of emergency medicine at Emory University. “A full hospital is an economically efficient hospital. But a full hospital to start a flu season is a very, very tough place to manage.”

According to Kellermann, many hospitals already have contingency plans in place — opening separate waiting areas for people with flu symptoms and expanding patient treatment into areas normally used for administration.

Kellermann said the general public can also play an important role by getting vaccinated, covering coughs, washing hands and staying home when sick to slow the spread of H1N1. “If you can spread the epidemic season out, that means — on any given day or any given week — doctors like me have less severely ill patients to take care of,” he said.

According to public health experts, the vast majority of those infected with H1N1 will not require a visit to the emergency room. Convincing people with mild cases to recover at home will be key to freeing up America’s ERs for those who need them most, Kellermann said.

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Swimmers beware.

Residents and visitors along North Carolina’s Outer Banks appear to be taking Tropical Storm Danny in stride as it continues to churn out in the Atlantic.

Although the eye of the storm is expected to miss the Carolina coast, forecasters have warned of the potential for rip tides. Here at Nags Head, a lifeguard’s ATV carries a warning sign: “Strong Currents.”

Children play close to shore — while further out, surfers take advantage of the larger than usual waves. And, other than a ten minute rain shower that passed through here just minutes before writing this blog, beach-goers have been enjoying a sunny day with minimal winds.

On the drive to Nags Head, we saw no businesses or homes that had been boarded up — as you would expect during the approach of a more powerful storm.

On this Friday afternoon, most residents and visitors appear to be taking Danny in stride — watching, but not worrying.

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The idea of testing a vaccine on children makes many parents squeamish. But for Amanda Strudwick, it was a chance for the Atlanta mother and nurse to protect her children and the nation from H1N1.

“There are children in school getting sick already,” Strudwick said. “If my children are vaccinated,  it means hopefully that they won’t pass it along to somebody else who may have a lower immune system.”

Strudwick;s daughters Nina, 7, and Hannah, 9, are among 100 children participating in an H1N1 vaccine study being conducted at Emory University and Children’s Healthcare of Atlanta. For more details on that study, see my related blog or watch my video report.

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