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Originally posted by Mayet
Ok well maybe I am so used to you jumping on me everytime I post something like this. Sorry
and it is likely to be H5N1 because H5N1 has been reported in poultry in the area. The WHO says solati died of Bird Flu which I presume they mean H5N1 and as Shots said she got it from her poultry by looks like. But her nurse and her daughter and her two nephews all hospitalized from it are not so sure.
It is not the first time a nurse in Vietnam has contracted H5N1 from a patient they are treating. Two nurses I know of caught the disease from their patient around six months ago
But heres where I worry, if Vietnam knew of nurses contracting the disease before (six months ago), they should have made sure that isolation facilities for patients with the disease were of the strictest standard. I can't understand why it was allowed to happen again.
Originally posted by marg6043
Can somebody explain the time line between getting the virus and the first symptoms?
It seems that the people that die is because they may wait to long to seek medical help. I am right?
I mean, if you are working with poultry and you don't feel good, are you going to wait until you are to sick to do anything before seeking help?
The people are inform about the flu right? they know they are high risk, right?
Originally posted by 27jd
They say it starts out like a regular flu, with coughing and fever, but within a couple hours it feels like your chest is on fire and things go downhill very quickly from there.
Originally posted by soficrow
Hmmm. There are references showing that sometimes H5N1 flu presents only with gastro symptoms (stomache). I'm pretty sure I've posted the links here before. Will try to find them.
The clinical signs and symptoms of avian influenza H5N1 may be more protean than originally described. During the 1997 epidemic in Hong Kong, patients exhibited fever, headache, malaise, myalgia, sore throat, cough, and rhinitis (5,8). Although uncommon, conjunctivitis and gastrointestinal symptoms were also reported (5,8). In the 2004 epidemic in Vietnam, prominent clinical signs and symptoms of avian influenza H5N1 were those of a severe influenza syndrome with fever, cough, diarrhea, and shortness of breath. Of note, diarrhea was present in 7 (70%) of 10 patients along with lower respiratory symptoms (9). The preliminary clinical features of avian influenza H5N1 in the 2004 epidemic in Thailand included fever, cough, sore throat, rhinorrhea, myalgia, and shortness of breath (10). Laboratory findings of patients with severe avian influenza H5N1 are undistinguishable from those of patients with prevailing human influenza; findings include leukopenia, lymphopenia, impaired liver function, prolonged clotting times, and renal impairment (5,8–10). To our knowledge, this patient has the first reported case of H5N1 with fever and gastrointestinal symptoms but no respiratory symptoms.
Originally posted by soficrow
Hey 27jd - Thanks for finding that link.
I'm thinking the symptoms reflect point of entry. So if the transmission vector was infected meat, then symptoms are primarily or initially gastro; if transmission is from airborne virus, then the first symptoms are respiratory. Makes sense to me but do you have any documentation on this?
Originally posted by Benton
This is terrible, I keep getting the feeling that this is going to take a lot of developed nations terribly offguard. It's also an opportunity for terrorists, if they were to "assist" its spreading.