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The U.S.

government is spending $250 million for about 8 million doses against the Vietnamese version of bird flu, but has plans for enough vaccine to protect 20 million Americans.

The second vaccine must be developed and tested, and HHS had no immediate estimate for the cost of that work.

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Deborah Blacker at Massachusetts General.

RELATED INFORMATION ON THE WEB•Alzheimer's Association•Mass.

General's "Memory and Aging Study"•National Institute on AgingNot so is easy is what to tell the patients.

Because there's no cure - not even treatments to slow the progression of the disease - there's a big debate about when to tell people they're in the early stages of Alzheimer's.

For now, the doctors decide on a case-by-case basis."I always work with the patient and family," says Dr.

Bradford Dickerson at Massachusetts General.

"It's very frustrating to work with families and patients and be able to tell them this information, but not be able to do anything about it," But the diagnosis has become so common that the Alzheimer's Association has set up a committee of advisers of people who actually have the disease."I was able to mask the fact that I had Alzheimer's for a couple of years," says...