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The U.S., for now, has moved on from the so-called “swine” flu, but much of the rest of the world continues to apply measures to stem the spread of the H1N1 virus and drug companies rush to bring a vaccine to the market.
The mainstream media in the U.S. has turned its attention away from the swine flu and redirected its focus to the economy, crime and American Idol.
This despite the fact that confirmed cases continue to rise on the east and west coasts and reports that a H1N1 vaccine isn’t due for several more weeks.
Fresh outbreaks of the virus are being reported in the northeast region of the United States, centered around the greater New York City area...
Sanchez tested positive for the new flu but an autopsy is being performed to pinpoint his cause of death, since he suffered from "several" underlying health conditions, according to public health officials
She said her son had sleep apnea, but she wasn't aware he had other illnesses, as hospital and public health officials have stated
The main presentation on pneumonia caused by CA-MRSA was by Jeffrey Hageman from the CDC.[2] The report included 17 cases of community-acquired pneumonia reported from 9 states in the 2003-2004 influenza season
The median age was 21 years (range, 8 months to 62 years). Twelve were previously healthy; 16 required hospitalization, including 13 hospitalized in the intensive care unit; 8 required intubation; and 6 required chest tubes for drainage of pleural collections. There were 5 deaths (29%).
The study authors conclude that pneumonia in previously healthy persons due to CA-MRSA usually occurs in association with influenza and is emerging as a potentially important disease that may require modification of the current guidelines of empirical antibiotic treatment.
TORONTO, May 20 -- Pneumonia associated with community-acquired methicillin-resistant staphylococcus aureus (MRSA) often appears after a bout of influenza-like illness , Atlanta researchers said
Based on two case studies and a literature review, the researchers concluded that the standard treatment for community-acquired pneumonia will probably be "inappropriate
In addition, clinicians may find -- as the researchers did in the two reported cases -- that patients fail to improve until the addition of a drug geared to toxin suppression, such as clindamycin (Cleocin).
In both cases that Dr. Hidron and colleagues described, the patients presented with shortness of breath, fever, chills, and cough. Both had suffered an influenza-like illness a week before the onset of symptoms.
The patient began to improve clinically within 48 hours after the addition of clindamycin and was extubated on hospital day 11.
The second patient, a 36-year-old man, was the partner of the first case and was admitted five days later.
The fever persisted and on hospital day seven, clindamycin was added and piperacillin-tazobactam was stopped.
The fever and other symptoms improved within 48 hours of starting clindamycin and the man was discharged after 14 days. He remains in good health.
from: [email protected]
subject: Cases of H1N1 Flu Virus in Canada - Updates?
Dear xxxxxx,
You recently wrote to us asking about the updating of the Surveillance page
for H1N1 on the Web site of the Public Health Agency of Canada. Up until
the end of last week the page was updated daily. However, it is now updated
just three times a week - Monday, Wednesday, and Friday at 4 p.m. EDT.
Thank you for your interest in our Web site.
Sincerely,
Anne Rutherford
Communications Officer
Public Health Agency of Canada
613-954-6958
[email protected]
www.phac-aspc.gc.ca...
Influenza A(H1N1) - update 36
www.who.int...
22 May 2009 -- As of 06:00 GMT, 22 May 2009, 42 countries have officially reported 11 168 cases of influenza A(H1N1) infection, including 86 deaths.
The breakdown of the number of laboratory-confirmed cases by country is given in the following table and map.
2009 swine flu outbreak
From Wikipedia, the free encyclopedia
en.wikipedia.org...
~
Number of countries with confirmed cases: 46.
Number of countries with confirmed or suspected cases: 53.
# Some authorities have stopped testing all but seriously ill patients,[58] so many cases will not be confirmed.
On May 15, 2009, the CDC's Jan Jernigan estimated that there were "probably upwards of maybe 100,000" cases in the United States.[59]
§ The governments of Mexico[60] and Canada[61] have stopped reporting suspected cases.
‡ Suspected and probable cases have not been confirmed as being due to this strain of influenza by laboratory tests, although some other strains may have been ruled out.
¤ The "confirmed cases" figure for the United States includes probable cases.
(y) The virus is known to have been transmitted in-country, but no specific numbers are available.
WHO chief says world should prepare for severe flu
www.reuters.com...
GENEVA (Reuters) - Countries should be ready for more serious H1N1 infections, and more deaths from the newly-discovered virus, World Health Organization chief Dr. Margaret Chan said on Friday.
"In cases where the H1N1 virus is widespread and circulating within the general community, countries must expect to see more cases of severe and fatal infections," she said. "We do not at present expect this to be a sudden and dramatic jump in severe illness and deaths."
She stressed in closing remarks to the WHO's annual assembly that there was little real difference between the current pandemic alert level of 5 and the highest of 6, and said she would consult experts before deciding to raise it again. "I will be advised by the emergency committee," she said.
More at Links...
USA ill-equipped for a swine flu pandemic, experts fear
Updated 5/13/2009 7:59 PM
www.usatoday.com...
~
Even hospital equipment could be in short supply. In a pandemic, hospitals might not have enough mechanical ventilators — used when patients have severe trouble breathing, Heilpern says.
Up to 80,000 of the nation's 105,000 ventilators are being used for everyday medical care, and nearly all of them are used during a normal flu season, according to a 2007 editorial in The New England Journal of Medicine.
Even if hospitals were able to order more machines, many hospitals don't have enough critical care nurses, respiratory therapists or intensive care doctors to open up more beds in their intensive care units, Heilpern says.
In a pandemic, doctors could be forced to ration ventilators, using them on patients who have the most to gain, such as those who — though severely ill in the short term — are otherwise healthy enough to recover, she says.
Flu victim in critical condition
May 20, 2009 5:07 a.m.
www.metronews.ca...
A 60-year-old man with influenza A (H1N1), also known as swine flu, and other health problems is on life support at Toronto Western Hospital.
Sources say the man was admitted to hospital more than a week ago and was immediately put on a ventilator.
The man is in critical condition in the intensive care unit at the hospital. It is not known how he contracted the virus.
While the province won’t provide many details, the health minister’s press secretary said the individual’s case of the H1N1 flu virus is “mild” and it is the individual’s underlying health problems that have made him so sick.
“So far, all the cases in Ontario have been mild,” Steve Erwin, spokesperson for David Caplan, said yesterday. “We can’t disclose what the condition of this patient is, but I can tell you ... the underlying condition of the case itself is very serious,” he explained, adding that patient confidentiality prohibits him from elaborating.
Originally posted by Cameoii
reply to post by sonjah1
Respectfully snipped....
ETA: One more case of manipulation: I have searched this thread and others and cannot find the link I was looking for, but didn't someone post that all cases that did not require a ventilator were being called mild?
[edit on 22-5-2009 by Cameoii]
Leach said the case was characterized as "mild" because the patient did not require ventilation to assist with breathing.
Gale, however, said from his perspective the illness he endured was anything but mild.
"That's crazy,'' he said of the hospital's characterization.