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Half a million Americans could die and more than 2 million could end up in the hospital with serious complications if an even moderately severe strain of a pandemic flu hits, a report predicted on Friday.
But the United States only has 965,256 staffed hospital beds, said the report from the Trust for America's Health.
The non-profit group's state-by-state analysis adds to a growing clamor of voices contending that the United States is not prepared for a large outbreak of disease, whether natural or brought on by war or terrorism.
"This is not a drill. This is not a planning exercise. This is for real," said the Trust's executive director, Shelley Hearne, in a statement.
In an average year, influenza kills an estimated 36,000 Americans and puts 200,000 into the hospital.
A more serious strain strikes every few years and a so-called pandemic strain emerges once every 27 years, on average. The more virulent strains sweep around the world within months.
Pandemics hit in 1918 -- killing up to 40 million people globally -- 1957 and 1968. Health experts all say the world is overdue for another and fear the avian flu in Asia may be it.
The World Health Organization says an H5N1 avian flu pandemic could kill up to 7.4 million people globally, because people lack immunity to it.
Avian flu has not yet acquired the ability to pass easily from person to person, but would spread rapidly if it does, experts say...
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