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The Philadelphia Department of Health says a possible fourth swine flu death is being investigated. This comes as cases of swine flu, the H1N1 virus, have started to decline in the city and all over the state of Pennsylvania. 216 people have been hospitalized in Philadelphia with the H1N1 flu, according to a new update from the Philadelphia Health Department. Nine percent have required treatment in intensive care. School age children have been the largest group affected. Health officials say the cases have started to decline in the city and state, but they're still recommending that people take precautions, like regularly washing their hands.
The Health Ministry says it is a woman of 28 years of age who lived in the south of Bogota and had no official coverage of the health system.
According to authorities the woman arrived last Thursday with respiratory symptoms to a health center in the southwest of the capital, which created suspicion in the medical staff of a possible case of the virus, was sent to a tertiary hospital.
The woman, in the following 24 hours, progressively worse until a severe breathing difficulty that ended last Friday with his life.
Following specific protocols, an autopsy was performed with the suspected presence of the virus and the results confirmed that the patient had the virus.
In Bogota the first victim was 24 years and died on June 4, the second was a man of 28 years, who died on June 19.
Manuel Villamizar, secretary for health, confirmed that contacts of the deceased and those who were close to their environment, have been the subject of an exhaustive and there are no risks for them.
118 numbers are affected by the new influenza in Colombia and three people dead
Health authorities in Costa Rica today, the third reported death due to infection with influenza A (H1N1) in the country.
The deceased was a man of 55 years who was hospitalized for three days in a hospital in San Jose on Monday and died as a result of complications caused by the flu to pneumonia presented box.
The Ministry of Health explained that this person was a chronic smoker from 13 years, it suffered from a lung disease that made him vulnerable to influenza A (H1N1).
The first death was reported on May 9 while the second victim was a woman of 36 years suffering from obesity who died on June 23 but was reported days later.
The Minister of Health of Costa Rica, Maria Luisa Avila, told Xinhua that are under routine analysis of pneumonia in seriously ill patients, even after his death, to determine whether they were infected with pandemic influenza.
So far a total of 229 reported cases of influenza A (H1N1) confirmed, while 77 other people remain cases "likely."
Avila explained that the figure so high is probably due to exhaustion of reagents needed to perform confirmations, but said that in coming days will resume testing. Fin End
Flutrackers Confirmed U.S. Fatalities 7/6/09 .....
Arizona - 10
California - 24
Connecticut - 6
Florida - 5
Hawaii - 1
Illinois - 13
Maryland - 1
Massachusetts - 4
Michigan - 7
Minnesota - 1
Missouri - 1
Nevada - 2
New Jersey - 9
New York - 52
North Carolina - 2
Ohio - 1
Oklahoma - 1
Oregon - 4
Pennsylvania - 5
Rhode Island - 1
Texas - 18
Utah - 10
Virginia - 2
Washington - 4
Wisconsin - 4
TOTAL - 188*
*This number represents deaths as described and reported in the media. The known CFR of H1N1 is 0.4%
#188 New York - Suffolk County, Babylon woman 55-65 years old died 7/4/09 reported 7/6/09 *multiple underlying medical problems, hospitalized 6/6, H1N1 confirmed 6/23
BANGKOK (AP) -- Thailand has reported the deaths of two more people afflicted with swine flu, bringing the country's total to nine.
Deputy Public Health Minister Manit Nop-amornbodi said Tuesday the latest victims were a 58-year-old man at a Bangkok hospital and an 8-year-old girl in the southwestern province of Phetchaburi. Both died on Monday.
He said that the man had kidney infection prior to contracting the virus that further weakened his immune system.
The ministry also reported 156 new cases, bringing the country's total to 2,428. Manit said 40 remained hospitalized, two in critical condition.
The NA sequence from the Hong Kong teenager with oseltamivir Tamiflu resistance, A/Hong Kong/2369/2009, has been released. The sequence is clearly that of pandemic H1N1 and exactly matches (other than H274Y) the sequence of an earlier isolate A/New Jersey/1/2009. Similarly, the HA sequence is also swine and has two recently acquired polymorphisms, one of which is also in New Jersey/1/2009. Thus this sequence is in circulation and as was seen in the isolates in Denmark and Japan, the H274Y is appended onto a swine H1N1 background.
These results mimic that seen in seasonal flu, where H274Y was appended onto multiple seasonal flu background. The polymorphisms jumped from one background to the next, via genetic hitchhiking and recombination. Thus like seasonal flu, the pandemic H1N1 has no evidence of reassortment. The H274Y is on an evolutionarily fit H1N1 that will allow the H274Y to move about through the pandemic H1N1 gene pool. This movement will be facilitated by widespread Tamiflu usage, which will select minor populations as happened in Denmark and Japan, where H274Y was identified in patients receiving a maintenance dose of Tamiflu.
However, in Hong Kong, like the many examples of H274Y in H1N1 seasonal flu, the resistance is in patients not receiving Tamiflu. However, the lessons of H274Y in seasonal flu were not learned. Recent comments have described H274Y acquisitions through random mutation and reassortment. However, there has been no examples of recent seasonal H1N1 flu genes in the pandemic H1N1 sequences, and the H274Y in patients receiving Tamiflu likely represent selection of a minor population with H274Y that is silently spread. The release of the sequences from Denmark and Japan would be useful.
Swine Flu Returns With a
HOUSTON - Even though the panic seems to have faded, the number of swine flu cases has just jumped dramatically.
The Centers for Disease Control and Prevention says the most significant increase in reported U.S. activity came at the end of June, months after the initial scare. U.S. deaths jumped 34 percent to 170 in just the past week.
"We don't have any evidence that it's mutated yet, but I'm concerned the mutation may be taking place. The children seem to me to be getting much more sicker than they used to be one or two months ago," said Dr. Norris Payne, a Houston pediatrician.
He's seeing three or four new cases of swine flu each day.
Dr. Payne is the pediatrician for FOX 26 anchor Melissa Wilson's two year old son. Melissa's son has been diagnosed with swine flu.
Over the weekend, she says, "He was belligerent. He would not stop crying." His fever had soared to 105 degrees.
"Flu season is over, but this is the first time in 30 years I've seen flu in the summer," said Dr. Payne.
For now, the antiviral tamiflu still seems to be working.
Melissa says, "If you have a child with a fever in the middle of summer, that's odd. I would get help immediately."
Dr. Payne believes the cases he's seeing could be just the tip of the iceberg. The CDC estimates more than a million Americans have been infected with the virus, though many probably had a mild illness.
A vaccine is still being developed but could become available sometime in the fall.
The Rhode Island Department of Health (HEALTH) today announces the second death in Rhode Island that is linked to infection of H1N1 virus. The person, an adult woman from Providence County, had underlying medical conditions that increased her risk for serious illness from influenza.
“Sadly, we have confirmed the second death of a Rhode Island resident from illness associated with H1N1,” said Director of Health David R. Gifford, MD, MPH. “We express our sympathies to her family and friends. This is a reminder that H1N1 is in Rhode Island and continues to spread. Most cases we are seeing in Rhode Island are mild illness; however, anyone with underlying medical conditions such as heart or lung disease, diabetes, immunosuppression or pregnancy can have more severe symptoms or can die.”
We have seen 58 hospitalizations and two deaths so far in Rhode Island.
SAN DIEGO -- A 50-year-old woman has become the fourth person in the San Diego area whose death is associated with the H1N1 virus, commonly known as swine flu, the county Health and Human Services Agency reported Tuesday.
The victim's identity and details of her illness were not immediately available.
"This is an unfortunate incident," county Public Health Officer Wilma Wooten said in a statement. "Our thoughts are with the friends and family of this individual."
Wooten said it was "particularly important" for people with "underlying medical conditions" to promptly seek treatment from a physician if they experience flu symptoms.
A seven-year-old boy who caught the type-A (H1N1) influenza virus has become the country's first flu patient with potentially life-threatening meningitis.
"The virus has destroyed many areas in his brain," Dr Tawee Chotepitayasunon, head of the Public Health Ministry's influenza academic team, said yesterday.
The boy appeared convulsive on the day he was admitted to Children's Hospital last week and was given the antiviral drug oseltamivir, Tawee said.
The boy is now free of the viral infection, but the membranes enveloping his brain remain inflamed.
The condition can rapidly progress to permanent brain damage, neurological problems or even death.
The boy now is in a critical condition and being kept in a disinfected unit but can breath without the help of a respirator.
Inflammation of brain membranes in patients with the new flu virus can also occur in patients with seasonal flu, but this is rare.
Medical Service Department director-general Dr Rewat Wisarutwej said the type-A (H1N1) virus generally spread to the lungs and caused pneumonia but that there was a possibility it could infect the brain.
Tawee cited US records that only four type-A (H1N1) patients had been reported there as also suffering from meningitis.
He urged doctors to watch patients closely, especially children with convulsive conditions, as they might be infected with the new flu virus.
"Doctors should consider providing influenza diagnostic tests for patients with convulsive conditions and high fever, because they could also be have flulike symptoms from the outbreak of the new (H1N1) strain," he said.
People experiencing high fever for two or three days should seek medical treatment at a hospital immediately, he said.
A 20-year old woman was under close observation yesterday in a Bangkok hospital with two risk factors. She is now 12 weeks pregnant and suffering from pre-existing medical conditions, including thalassemia. She was pale and fatigued but had a lower fever.
"We believe if her medical condition is sustained, her baby will be safe," Rewat said.
The ministry is now reporting 10 fatalities and 156 new cases, of which 82 per cent are students. Of the total of 2,428 victims, 2,381 have recovered, and only 38 remain hospitalised.