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Held by her mother Ashly Hutcheon, Ava Hutcheon,2, breathes in an H1N1 flu vaccination at the South Main Public Health Center on Wednesday.

The H1N1 swine flu strain appears to have slowed its spread in Utah last week.

The percentage of patients showing up at clinics with flulike symptoms dropped by half. Hospitalizations fell sharply, too, according to the weekly report on the flu's circulation and severity by the Utah Department of Health.

But the flu is still considered to be widespread in Utah, along with 47 other states. And health officials continue to stress the need to get vaccinated and take preventive steps, like hand washing.

"Certainly we don't want people to read into this that they should let their guard down in any way whatsoever," said health department spokesman Tom Hudachko, adding that flu seasons commonly have peaks and valleys.

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H1N1 flu vaccine pharmacy list (pdf)

Wednesday's report shows that the percentage of patients visiting clinics with flu symptoms dropped to 4.5 percent for the week ending Oct. 31. That's down from 9.4 percent, but it's still higher than what is typically seen during a normal flu season.

Two more women died, both between the ages of 50 and 64. One lived in Salt Lake County. The other was from the Weber-Morgan Health District. A total of 14 Utahns have died from the flu strain this season, which began Sept. 1.

Fifty-nine Utahns were hospitalized last week, compared to 98 the week before. Half of the season's 520 flu-related hospitalizations have occurred among those ages 0 to 24.

Utah will receive another 78,600 doses of vaccine within a week.


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The state's 12 local health department determine how those doses are distributed at public health clinics, hospitals, private doctors' offices and pharmacies. All providers can only vaccinate priority groups: pregnant women, children ages 6 months to 24 years, adults caring for infants, health care workers and adults up to age 64 with certain chronic conditions.

Salt Lake County switched up its distribution of the vaccine this week, setting appointments for its vaccination clinics and allowing three pharmacy chains to administer doses.

"To do it this way is so much better than standing out in the cold for hours," said Mandy Freek, waiting to get a shot at the health department's downtown clinic. She said she wanted to protect herself because she has Crohn's disease. She considered not getting vaccinated, after hearing about a relative's experience standing in line for five hours, but decided to try making an appointment after she saw an ill woman grocery shopping.

Freek's granddaughter also got an appointment. The 8-month-old has spina bifida, said her mother, Sena Grossnickle. "I was going to be so angry if I couldn't get an appointment," she said. "She needs to have it."

Smith's Food & Drug pharmacies started setting vaccine appointments Tuesday, while Harmons Grocery and Walgreens will start work on their allotments Thursday. By Wednesday afternoon, at least half of the doses at Smiths were already spoken for, with some stores completely booked.

Employees at two Salt Lake City Smith's locations said they were inundated with calls Wednesday.

Pharmacist Nancy Newsome said it was "almost impossible to get your regular work done" in between answering phones. Nearly all of the doses allotted to her store were spoken for in less than two hours. "And there goes another one," she said as a co-worker took another phone call.

By law, pharmacies cannot vaccinate children under age 13. That's a source of frustration to parents with small children who cannot get the vaccine at their doctor's office or health department.

"I have 4 children under the age of 6, my youngest being only 3 months old and was born premature," one mother wrote on the county health department's Facebook page. "I cannot afford to get her sick. Where can I go?"

With supplies low, there is no good answer. Some doctors' offices didn't request vaccines from the health department. Some are still waiting. Others have already run out.

"We know we're sending doses to [doctors], " said Audrey Stevenson director of family health services for the county health department. "We're frustrated [with the limited supply]. We're trying to distribute it as far as we possibly can."

hmay@sltrib.com

Second dose advised for children under 9

» Federal health officials recommend children age 9 and younger get a second 15-microgram dose of the H1N1 flu vaccine. But local health departments are not setting aside second doses; parents will need to seek it at their doctors' offices or public health clinics like everyone else.

» The ideal waiting period between doses is 28 days. But with demand for the vaccine fierce, some children won't get a second dose in that time frame. That's OK, according to the National Institute of Allergy and Infectious Diseases, which has been studying children's immune response to the vaccine. Even if children get the booster two or three months later, they will have a robust immune response after the second shot, said Anthony Fauci, the institute's director.

» In other words, the first vaccine won't be wasted; parents won't need to start over.

» However, if children are exposed to the virus in the time between the two shots, "they will get some protection but not optimal protection," he said.

- Heather May

Pharmacies and the flu

» Harmons Grocery locations in Salt Lake County will start scheduling appointments Thursday for their allotment of the H1N1 vaccine. Walgreens will dole out its share on a first-come, first-serve basis today from 10 a.m. to 4 p.m. while supplies last.

» Harmons, Walgreens and Smiths Food & Drug will receive another 10,000 doses from the Salt Lake Valley Health Department next week. Two other drug store chains will also distribute vaccines next week, though they have not yet been named.

» Those being vaccinated in pharmacies must be age 13 or older and in one of the county's priority groups.

» On Tuesday, the county health department will schedule appointments for 2,400 doses that it will distribute at its clinics next week.

Seasonal vaccine offered

Four branches of Deseret First Credit Union are offering seasonal flu vaccine clinics on Friday, Nov. 13.

From noon to 2 p.m.:

» Bountiful, 390 S. Main St.

» South Jordan, 10588 S. Redwood Rd.

» Orem, 337 N. State St.

From 3 p.m. to 5 p.m.:

» Salt Lake City, 147 N. 200 West

Community Nursing Services will give the vaccinations on a first-come, first-served basis. Cost is $25 for shots and $30 for nasal mist. For more information, visit www.dfcu.com.