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Barely had the H1N1 vaccination been sent into production when the alarm bells began to sound.
The country's moving too fast! The vaccination isn't safe! (Ah, the poor public health folks never can win.)
But if there's one man who is convinced that the nation needs to proceed with production of the H1N1 vaccine with all due haste, it's Aaron Shah of Chapel Hill.
Shah's 4-year-old son Ahmad nearly died of the H1N1 virus.
It happened very quickly.
On a Saturday in August, Shah's rambunctious twin sons, Aaron and Ahmad, were playing as usual. "They love to jump off the couches," Shah said.
But by nightfall, Ahmad was feeling puny. His fever spiked to 105, and Shah, a 44-year-old single father, was on alert. The boys had been born two months premature and still suffered asthma and other breathing difficulties.
The next morning the boy's fever was gone, but he still wasn't quite right. By midafternoon, Shah listened to Ahmad's increasingly labored breathing and decided to take him to the emergency room at nearby UNC Hospitals.
"It was the best decision I've ever made in my life," Shah said.
Within an hour, doctors at UNC had moved Ahmad into the pediatric intensive care unit, inserted a breathing tube and given the boy drugs to simulate a coma.
That night, around midnight, Shah said, one of the doctors came in wearing a grim expression. "He said, 'Mr. Shah, you know your son might not make it.' Just thinking about it makes me shake."
Dr. Keith Kocis, a critical care pediatrician at UNC Hospitals, said the team had to employ extreme measures to keep Ahmad alive.
It was touch and go. Ahmad's condition would start to improve for a few days, then he'd take another turn for the worse, his father said.
In the end Ahmad spent three weeks in the hospital; two weeks in intensive care and one week trying to regain his strength.
Even when he got home, he was weak as dishwater, Shah said. And then, of course, Shah was keeping an eagle eye on Aaron, the second twin.
In the end, he dodged the bullet. Ahmad was one of two cases of H1N1 at the boys' day care, the renowned Frank Porter Graham Center.
Shah emerged from the crisis as a fierce defender of the public health officials who pushed for, and made possible, a vaccination so quickly. Testing, monitoring and tweaking are needed, Shah said.
"But H1N1 is not going to stop," he said. "It's moving through the community, and it's going to take people out."
Shah, who resigned his job as a computer analyst at UNC during his son's illness, also works as an assistant basketball coach at Chapel Hill High School. He recently asked to be considered for a vacated seat on Chapel Hill's Town Council.
"I've got a great story - because it has a happy ending," Shah said. "But I would much rather have had that vaccination and kept my son well."
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Health departments say vaccine supplies are limited and the shots go quickly. Priority is given to the highest-risk groups:
Pregnant women.
People between 6 months and 24 years old.
People who come in close contact to or are caregivers of children less than 6 months old.
People between 25 and 64 years old with conditions placing them at increased risk for complications from flu.
Health-care workers.
Here's how to reach your county health department:
Chatham County: tiny.cc/zrOJt or 919-542-8220.
Durham County: tiny.cc/68Z0M or 919-560-7600.
Johnston County: tiny.cc/eaGv5 or 919-989-5200.
Orange County: tiny.cc/ir1zS or 919-245-2479.
Wake County: tiny.cc/CyIN3 or 919-212-7000.
Compiled by news researcher Brooke Cain
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