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So, yesterday World Health Organisation raised their level of alertness from 3 (Phase indicating local spread) to Phase 4 (infected cases in few countries) and once we see the newly infected spreading in those other countries like it did in Mexico we will go to phase 5. And if the Trend holds on and spread to more countries with the same capacity of transmission we will be move to phase 6 which means a full blown pandemic.

These Phase are Responses to the evolution of a virus.  National or National Bloc can use responses as they please and there are many measures that implies all citizens and institutions.

All School closed and no mass gathering in Mexico for at least until next Monday, or like in Raleigh, N.C. where the state's health director said Monday afternoon that there are suspected cases of swine flu in North Carolina, but declined to say how many cases or where they were located.

Dr. Jeffrey Engel said Monday evening that officials are involuntarily isolating patients who may have the virus. He declined to specifically say how many suspected cases were in the state, noting that the number is always changing, and he declined to say where they were located.

SO, after a wrap-up of new I will try to focus on all what this means for individuals.

Swine Flu News Recap: April 27, 2009
by: AlohaOR
Mon Apr 27, 2009 at 22:28:44 PM EDT

WHO raises pandemic alert level to Phase 4

New confirmed human cases in Mexico, Spain, Scotland and United States (CA, NY, TX)

Reach this diary to read the full summary at
http://newfluwiki2.com/...

From AlohaOR :: Swine Flu News Recap: April 27, 2009

World Health Organization
In a meeting that was originally scheduled for tomorrow, the WHO raised the pandemic alert phase from 3 to 4 (WHO website).

Mexico
All schools in the country were ordered closed until May 6 (AP).   The Chihuahua state government canceled all public gatherings, including fairs, parades and sporting events, and ordered night clubs closed (diario.com).

Latest reports of case numbers from Mexico include:
Suspected cases: 1384 (Apr. 26)
Confirmed deaths: 20 (AP)
Suspected deaths: 129 (AP)

Cases have been reported in the following states of Mexico on (Apr. 27):

Aguascalientes,
Baja California,
Chihuahua,
Edomex (Mexico state),
Federal District (Mexico City),
Guanajuato,
Hidalgo,
Jalisco,
Morelos,
Nuevo León,
Oaxaca,
Querétaro,
San Luis Potosi,
Sonora,
Tamaulipas,
Tlaxcala,
Veracruz,
Zacatecas (Apr. 27).

New Zealand

Swine Flu symptoms are now being reported throughout New Zealand from Auckland to Otago, including a number of Air New Zealand crew members (3news.co).
Three people from Northcote College who recently returned from Mexico tested negative for swine flu (3news.co).

Norway

Two tourists back from Mexico with some flu-like symptoms tested negative for swine flu (aftenposten.no).

Spain

A 23M from the southeastern province of Albacete has tested positive for the virus and 17 people are under investigation, the Spanish health ministry has said (BBC).

England

A Canadian woman visiting friends in Sale (south of Manchester) is being treated as a suspected swine flu case (eadt.co).
Eight people with flu-like symptoms tested negative; three patients are undergoing specialist testing and another 14 are being monitored at home (telegraph.co).

Scotland

A couple believed to be from Falkirk in Central Scotland have been confirmed positive for swine flu; 22 people who had come into contact with the pair since their return from Mexico last week have also been tested, with seven of them showing flu-like symptoms (dailymail.co).

United States

California

A 20M was confirmed positive for swine flu, becoming the fifth confirmed case in San Diego County (sdcountry.ca.gov).  Christ the Cornerstone Academy in Mira Mesa, where a previously-confirmed swine flu patient was a student, was closed after  six teachers became ill (kpbs.org).

Massachusetts

Two young siblings in Lowell are being tested for swine flu after they got sick during a vacation to Mexico (Boston Herald).

Michigan

34F from Livingston County is a "probable" swine flu case (wwlp.com).

New Jersey

New Jersey health officials say they've identified five probable cases of swine flu; four recently traveled to Mexico and one recently traveled to California (ktla.com).

New York

Twenty-eight students from St. Francis Preparatory School in Fresh Meadows (Queens) have been confirmed positive for swine flu (AP).

North Carolina

Dr. Jeffrey Engel, the state health director, said that officials are involuntarily isolating patients who may have the swine flu virus, but declined to identify the number or location of the suspected cases (hamptonroads.com).

South Carolina

Newberry Academy, a private school in Newberry, has closed after some students returned from Mexico with flu-like symptoms (wrdw.com).

Texas

Richardson Independent School District officials closed Canyon Creek Elementary School for the rest of the week after one student tested positive for the swine flu virus; two other students at the school are being tested, with one listed as a probable case and the other as a suspected case; the Graham Cracker Express in Richardson also canceled classes (wfaa.com).    
Two more cases were confirmed in Dallas County, including a 24yo and a  3-month old infant (wfaa.com). Tarrant County also has one confirmed case (wfaa.com).

Virginia

State Health Commissioner Dr. Karen Remley has declared a public health emergency to respond to the swine flu; no cases have been confirmed in the state (wrva.com).

Wisconsin

Three suspected cases of swine flu were reported in SE Wisconsin: one in Franklin and two in Elmbrook (todaystmjf.com).

Originally posted to Snowy Owl on Tue Apr 28, 2009 at 03:23 AM PDT.

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Comment Preferences

  •  Tip Jar to give a boost on follow ups (31+ / 0-)

    We sincerely are grateful to all News Sources for their humanitarian contributions to reduce morbidity and mortality in this crisis.

    by Snowy Owl on Tue Apr 28, 2009 at 03:24:19 AM PDT

    •  Wisconsin ? SHET ! (1+ / 0-)
      Recommended by:
      irate

      "There are many who won't agree with every decision or policy I make as President."~ President Obama (Grant Park, Illinois November 4, 2008) -ahem-

      by WeBetterWinThisTime on Tue Apr 28, 2009 at 03:30:46 AM PDT

      [ Parent ]

      •  I live in Southern Wiconsin and I have been (2+ / 0-)
        Recommended by:
        Fabian, WeBetterWinThisTime

        fighting a cold for the pass three days..
        Strange because I usually only get a cold once a year. This one is producing lots of phlegm and I did have a fever the first day. No nausea or vomiting like the flu, makes me wonder if this is the flu???

      •  Why the surprise? (4+ / 0-)
        Recommended by:
        Catte Nappe, OHdog, JG in MD, Snowy Owl

        There's always lag in data collection.

        First you need to find out exactly what you are looking for.

        Then you need to test for it.

        Odds are good that quick tests are available for Influenza A, but testing for subtypes would probably be via PCRwhich is a fast test, but not instant, and not going to be available everywhere.  That means if a patient tests positive for Influenza A, another set of samples will be sent on to a regional testing center and to the CDC as well where further testing will be done to determine if the virus the one they are looking for.  That's probably 24-48 hours later.

        This isn't Medieval Europe.  Cars, trucks, trains, buses and planes zip between cities, countries and continents daily.  A truck driver, a pilot, a bus of retirees - there's many possibilities for disease vectors that log hundreds or thousands of miles per day.

        It would be easier if people who were infected tended to become critically ill quickly.  Then we could just check the hospitals.  People who are not too sick to work - or think they aren't - can spread the disease for days before becoming ill enough to seek help.

        We are probably a week or so behind the outbreaks (in the United States) and playing catch up as best we can.

        Proud member of the Cult of Issues and Substance!

        by Fabian on Tue Apr 28, 2009 at 04:01:48 AM PDT

        [ Parent ]

    •  title change? (0+ / 0-)

      Today is Tuesday April 28th!

      Sorry for the nitpicking...just too much cognitive dissonance before my coffee!

  •  This could be easily eradicated... (2+ / 0-)
    Recommended by:
    MinervainNH, JG in MD

    IF people followed the basic steps of...

    1.) Not touching face, ears, eyes, nose.

    2.) Washing hands, carrying Putrell

    3.) If sick stay home. If kids sick, keep them home.

    4.) Cough into your elbow not the face right next to you.

    Former Republican, voted for Obama, tri-national (British, Irish, EU Citizen also US) card carrying member of New Labour, that works in The City.

    by Libertarian Friend on Tue Apr 28, 2009 at 03:31:01 AM PDT

    •  Libertarian friend with your important (1+ / 0-)
      Recommended by:
      Fabian

      Hygiene measures this virus could less easily be tranmitted thus reducing infectious but not eradicating the virus.

      We sincerely are grateful to all News Sources for their humanitarian contributions to reduce morbidity and mortality in this crisis.

      by Snowy Owl on Tue Apr 28, 2009 at 03:36:18 AM PDT

      [ Parent ]

      •  But... (0+ / 0-)

        If everyone worldwide followed those measures 100% for two weeks, there should be no transmission.

        If no one coughs on you, you can not get the virus.

        If you never touch your face and wash hands often, you can not get the virus even if you did touch a sneezed on surface.

        No transmission and then it dies out. The virus stays alive by being passed host to host, if no passing the last person that gets it kills it off.

        Former Republican, voted for Obama, tri-national (British, Irish, EU Citizen also US) card carrying member of New Labour, that works in The City.

        by Libertarian Friend on Tue Apr 28, 2009 at 03:56:33 AM PDT

        [ Parent ]

        •  Such a mesure cannot be universally apply (1+ / 0-)
          Recommended by:
          sydneyluv

          Another NPI (Non Pharmaceutical Intervention) contemplate to reach the same objectice is called SIP (Sit in Place)

          We sincerely are grateful to all News Sources for their humanitarian contributions to reduce morbidity and mortality in this crisis.

          by Snowy Owl on Tue Apr 28, 2009 at 04:00:30 AM PDT

          [ Parent ]

        •  Animal hosts.... (1+ / 0-)
          Recommended by:
          webranding

          We don't call them "swine flu" and "bird flu" for nothing.  Between humans, pigs and birds there is a global virus reservoir.

          Proud member of the Cult of Issues and Substance!

          by Fabian on Tue Apr 28, 2009 at 04:03:57 AM PDT

          [ Parent ]

  •  Quarantine the US until you get National Health C (4+ / 0-)

    I am thankfully back home in the UK, with our socialist European health care!!

    Here, when someone gets sick there is going to be a very high compliance figure in seeking appropriate care which will help to contain the spread.

    However in the US where there are 50 million uninsured or high deductible insured, those individuals are not going to get care.

    The US is going to turn into the flu factory.

    Seriously, I think most of the civilized world needs to have a dual travel warning/ban to the US because there are so many that will not seek care in the US because of the barriers to care. That is a recipe for a pandemic.

    Former Republican, voted for Obama, tri-national (British, Irish, EU Citizen also US) card carrying member of New Labour, that works in The City.

    by Libertarian Friend on Tue Apr 28, 2009 at 03:33:20 AM PDT

    •  What an awful way to learn a political lesson! (0+ / 0-)

      Joe Biden: Get up! Al Gore: Pray, and use your feet! Harriet Tubman: Keep going!

      by JG in MD on Tue Apr 28, 2009 at 05:50:19 AM PDT

      [ Parent ]

    •  interesting idea (1+ / 0-)
      Recommended by:
      Snowy Owl

      I am afraid too many people here are too boneheaded about "socialized medicine" to see the sense in such a measure.  But I think you are right, that the US is a country with "less access" to health care because of how our system is structured, just as other countries have "less access" to health care because the systems are just not there, and it could function in the same way as a more 'third-world' country in pandemic conditions.

      •  One advantage US has (1+ / 0-)
        Recommended by:
        fotyc

        Are uptodate stockpiles and those are parked for dispatch accordingly to the priorities consensually agreed upon.

        But US citizens MUST WAKW UP. and its happenning, inform yourself and act accordingly.

        As for the Medias, )I am not talking about Reporters that knows what they are talking about) I am talking of the others, that is the vast majority who are a poor source of relevant information for the citizens.

        And since most must generates profit they get into the Trail called; "If it bleeds, it leads".

        I am happy to see that despite MSM problems their Boat is slowly turning.

        Inform do not inflame.

        We sincerely are grateful to all News Sources for their humanitarian contributions to reduce morbidity and mortality in this crisis.

        by Snowy Owl on Tue Apr 28, 2009 at 06:33:06 AM PDT

        [ Parent ]

    •  Maybe not - high unemployment levels may keep a (0+ / 0-)

      lot of people sitting at home and not out mixing and spreading flu virus. This is a smartassed remark.

  •  Swine flu: what do CFR, virulence and mortality r (3+ / 0-)
    Recommended by:
    Annalize5, sydneyluv, JG in MD

    From Revere at http://scienceblogs.com/...

    Swine flu: what do CFR, virulence and mortality rate mean?

    Posted on: April 27, 2009 8:59 PM, by revere

    One of the things we'd like to know about the swine flu virus is its Case Fatality Ratio (CFR, commonly called a case fatality rate, although it isn't technically a rate but a proportion). But what is a CFR? And how is it different from a mortality rate?

    The CFR is an estimate of the probability that someone with the swine flu will die of it (technically, before dying from something else or recovering).

    The higher the CFR, the more virulent the virus.

    So what's virulence?
    Virulence refers to the severity of the disease the virus produces. Rabies is a virulent virus. Everybody dies from it once they start getting symptoms. Rhinovirus infection (common cold) isn't very virulent. We use CFR here to describe how virulent this virus is.

    That's a little too simple, though, because disease, whether virulent or not, isn't just about the virus but it's about the virus and the host relationship.

    The virus uses the host to make copies of itself by hijacking the host's cellular protein making machinery for its own purposes.

    If it can do this without much cost to the host, that's fine. That's why the some viruses are able to co-exist happily with their hosts.

    Many birds are infected by influenza viruses without any apparent ill effect. The very same virus, however, might kill us. That's a different kind of host parasite relationship.

    Virulence isn't something inherent in the virus but a function of a host - virus combination.

    That's one reason why we can't tell how virulent a virus is by just looking at the virus. We need to know its biology in the environment of our bodies.

    One observable measure of virulence, then, is the CFR, which brings us back to the question: what is CFR?

    Again, in simplest terms we can estimate it by using as the numerator the number of swine flu deaths in Mexico (or the US) and divide it by the total number of cases.

    That proportion is an estimate of dying of swine flu. Simple. Unfortunately a little too simple, because we have great difficult ascertaining both the numerator and the denominator.

    The numerator, ideally, would be everyone who died of swine flu. To do that we'd have to have a strict definition of a swine flu death, for example, someone who died of respiratory failure and had laboratory confirmed infection with the swine flu virus (don't give me grief about the definition; it's just for illustration).

    Does that cover everyone who died of swine flu? What about people who didn't die exactly that way? What about the accuracy of the test for swine flu infection? Do we even have a tally of all the deaths? Have they all been tested, or were some buried or cremated before testing?

    In a sense the numerator is the easier part. The denominator is meant to tally all the swine flu infections.

    Not just the hospitalized cases, not just the symptomatic cases. If you really want to know the risk once infected, you have to have them all.

    That could be a lot of people, too many to get specimens from and send them to Atlanta.

    Many people probably never see a doctor and ones that do don't get a specimen, and of the specimens some get lost or misplaced or degrade, and the lab may make mistakes. So you are likely to miss many cases.

    But without laboratory confirmation you are also likely to count many people who are sick with other viruses, which are prevalent at any time of year.

    Think about your city during flu season. How would you go about figuring out the total number of people who had flu? Once you start thinking about it you begin to see the difficulties.

    If you undercount the denominator you falsely inflate the CFR.

    That's almost certainly the case when you try to estimate CFR in Mexico by dividing number of deaths, 140 (only 20 of which have been laboratory confirmed), by the number of suspect cases (1640 or whatever the number will be when you read this). But you might overcount the denominator, too. There are a lot of viruses that produce "flu-like" symptoms. That would underestimate the CFR.

    So what's a mortality rate? A swine flu mortality rate is the number of deaths divided by the population at risk of dying.

    The numerator is the same (number of deaths from swine flu; a time period should be specified) but the denominator is now all the people in Mexico City.

    CFR is a proportion, a number between zero and one.

    The mortality rate is a number of deaths in some convenient unit of population, say number of swine flu deaths per 100,000 people. It is a whole number between zero and 100,0000 (hopefully not, because that would mean it wiped out the whole city).

    These two numbers are telling us different things about the virus. A mortality rate is easier to calculate because the denominator is easier to estimate, using census information, but doesn't reveal virulence, so CFR is what is interested in this case.

    We'll discuss other basic measures and principles as this wears on. After all, there is only so much you can say when there isn't much new to report beyond new cases. It's something to do until we get more scientific data. And when we get it, we'll all be on the same page.

    We sincerely are grateful to all News Sources for their humanitarian contributions to reduce morbidity and mortality in this crisis.

    by Snowy Owl on Tue Apr 28, 2009 at 03:33:46 AM PDT

  •  Flu Wiki Update (0+ / 0-)

    News Reports for April 28, 2009
    by: NewsDiary

    Mexico
    •  Mexico City Swine Flu Photographs
    •  Hospitals swamped as Mexicans panic
    •  Juarez, Mexico Has 4 Suspect Cases

    New Zealand
    •  Flu threat spreads to Marlborough, New Zealand  

    United States
    •  Important change to FDA rules re anti flu medication use
    •  NY: Confirmed Case From Ernst & Young Became Ill After Contact With Family Member
    •  US count, 50 cases

    General
    •  Swine flu: Latest updates (worldwide)
    •  1918's Killer Pandemic Provides Cautionary Tale, Global Plans

    You can access to links for above story at
    http://scienceblogs.com/...

    We sincerely are grateful to all News Sources for their humanitarian contributions to reduce morbidity and mortality in this crisis.

    by Snowy Owl on Tue Apr 28, 2009 at 03:39:43 AM PDT

  •  I just posted a bulletin at work with the article (3+ / 0-)
    Recommended by:
    Fabian, cerulean, Snowy Owl
    1. Wash your hands (20 sec) and do not put your fingers in your mouth!
    1. If you are sick, STAY HOME!
    1. If you suspect you or family members have/has the flu, GO TO THE DOCTOR!
    1. Stay away from people who are sick.
    1. When you cough or sneeze, COVER YOUR MOUTH!

    "There are many who won't agree with every decision or policy I make as President."~ President Obama (Grant Park, Illinois November 4, 2008) -ahem-

    by WeBetterWinThisTime on Tue Apr 28, 2009 at 03:45:40 AM PDT

    •  Cough into the elbow not hand (1+ / 0-)
      Recommended by:
      WeBetterWinThisTime

      When you cough in your hand, you touch things and shake hands.

      So unless you have Purell and wash up after the cough, do it in the elbow.

      Also for Church goers, shaking hands should be out and Holy Communion should not be in a common chalice.

      Former Republican, voted for Obama, tri-national (British, Irish, EU Citizen also US) card carrying member of New Labour, that works in The City.

      by Libertarian Friend on Tue Apr 28, 2009 at 04:00:52 AM PDT

      [ Parent ]

  •  I Have A Question If You Don't Mind (4+ / 0-)

    Yesterday when you posted an update on this I mentioned that I think a lot of it is the 24/7 media looking for a story to run with and an attempt to make as "fearful" of something, anything.

    I stand by that (and it wasn't a slam at all against you BTW). You mentioned you are a public health professional, so maybe you can help me out here.

    It is my understanding from doing some brief research yesterday that in the United States around 35,000 people die from the flu (or complications) each year.

    That is a number that blew me away. Stunned actually! I mean that is a LOT of people, yet I've never heard that number and I watch and read more than most people.

    Keeping that number in mind, what is so much more dangerous about the Swine flu, other than the media had picked up on it and is running with it 24/7?

    "We are what we repeatedly do. Excellence then, is not an act, but a habit." - Aristotle

    by webranding on Tue Apr 28, 2009 at 03:45:57 AM PDT

    •  This is a new strain of virus (3+ / 0-)
      Recommended by:
      Catte Nappe, cerulean, webranding

      And it comes after the sad and lethal regular flu season.

      On this very day we do not have enough datas and not enough unfolding virus spread time to make accurate forecast.

      We are preparing institutions and people and this is the responsable thing to do my friend once we obser what we are now.

      Snowy

      We sincerely are grateful to all News Sources for their humanitarian contributions to reduce morbidity and mortality in this crisis.

      by Snowy Owl on Tue Apr 28, 2009 at 03:54:56 AM PDT

      [ Parent ]

      •  OK, I Got All Of That (8+ / 0-)

        and I agree 110% we should prepare. I am a firm believer, regardless of your professional, but especially with health care issues, you always plan for the worse and hope for the best.

        BTW: I do agree with all the tips I see here, online, and on TV about basic things you can do to protect yourself. But if I hear one more time about using  antibacterial gel I am going to scream.

        My local PBS station and Washington University in St. Louis did a test with several of these gels and just hot water and soap, and to say the "old school" water and soap was far superior in killing germs would be an understatement :)!

        "We are what we repeatedly do. Excellence then, is not an act, but a habit." - Aristotle

        by webranding on Tue Apr 28, 2009 at 04:01:24 AM PDT

        [ Parent ]

        •  just saw on morning joe (2+ / 0-)
          Recommended by:
          webranding, Rampaging hypogriff

          there was a swine flu outbreak in the seventies as well.  I with you webbranding. I also feel this is a media driven story.  I thought this story was way overblown for the very reason you cited, thousands of people die from the flu every year and there is no 24hr media coverage.  

          Our media is desperate, and the way they cover stories reflect it.

          "The United States does not torture" - President Barack Obama

          by the Pollitikat on Tue Apr 28, 2009 at 04:12:53 AM PDT

          [ Parent ]

          •  I Mean That Number Of 35,000 Just Blew Me Away (3+ / 0-)

            how many diaries have we seen here about car deaths and more recently gun deaths (oh the outrage), and all three number are pretty similar.

            I mean where is the outrage that 35,000 people die a year from the flu? I mean the coverage on this should be:

            1. Tens of thousands of people die each year from the flu, explain who they are any why. Don't panic, deaths in the US cause of flu is nothing new or recent.
            1. This new flu virus is something health care professional are worried about cause it is a different strain and seems to be taking the lives of health adults, where other strains cause deaths among elderly or those with weaker immune systems. However this has not been the case in the United States!
            1. Here is what else we know about it and what the government is doing.
            1. Here is how you can protect yourself, tips and tricks.
            1. Here are they symptoms and what you should do if you start to see them.

            I mean that is pretty straightforward and basic. Not rocket science .....

            "We are what we repeatedly do. Excellence then, is not an act, but a habit." - Aristotle

            by webranding on Tue Apr 28, 2009 at 04:21:38 AM PDT

            [ Parent ]

            •  It is true that many people die from the flu (0+ / 0-)

              However this may be different, when you look at the typical age range it is children and the elderly. I havent seen specific stats, but the news is reporting that the people that have died from this strain are between 20-45.

              The issue with avian/swine flu is that we arent as likely to have natural immunity so it is possible to be much more virulent. But it also isnt necessarily so.

              The people that get sick and recover no longer have to worry.

              •  The V and W shapes (0+ / 0-)

                In the diagram of deaths per age in 1018-1920 we had a W shape sketch in the graph, On the left Vertical you have the levels of deaths and the bottom line from left to right you have the ages from 0 to ...

                In 1018, we remember that mostly healthy youngs where particularly assault.

                That insert the new spike in the middle ages deaths in the graph W

                Usually it is a V, that is higher death rates for very young and very old.

                We sincerely are grateful to all News Sources for their humanitarian contributions to reduce morbidity and mortality in this crisis.

                by Snowy Owl on Tue Apr 28, 2009 at 06:23:33 AM PDT

                [ Parent ]

          •  One difference tough with the swine flu scare of (1+ / 0-)
            Recommended by:
            webranding

            The 70's, it has spread fast and wild in Mexico and is now present in many countries of different political allegeances.

            We sincerely are grateful to all News Sources for their humanitarian contributions to reduce morbidity and mortality in this crisis.

            by Snowy Owl on Tue Apr 28, 2009 at 04:41:32 AM PDT

            [ Parent ]

        •  Look further down (1+ / 0-)
          Recommended by:
          webranding

          In the Post Preventing Human Infection & Personal Hygiene and you will see that many are on the same page.

          We sincerely are grateful to all News Sources for their humanitarian contributions to reduce morbidity and mortality in this crisis.

          by Snowy Owl on Tue Apr 28, 2009 at 04:39:47 AM PDT

          [ Parent ]

    •  not a health professional (6+ / 0-)

      but from what I've seen, a few things.

      1.  Flu is a dangerous virus all the time, and kills tens of thousands in the US each year--they're usually elderly, and more susceptible.  People probably don't pay enough attention to it because elderly people are expected to be more prone to illnesses anyway--kind of falls into the "died of old age" category.  
      1. This flu is a new strain--not one of the known seasonal flus.  So they have no idea what it's capable of.
      1. Deaths in Mexico have typically been healthy adults, not the very young or very old.  That's more worrying, and from what I've read seems to be an over-response by a healthy immune system.

      So it's a big deal because there is a new illness with confirmed fatalities among healthy adults.  Maybe not an emergency, but bears watching since NO ONE KNOWS what it's going to do.

      •  cytokine storm (2+ / 0-)
        Recommended by:
        Fabian, Snowy Owl

        a strange sounding term, but very important in this case. When the elderly, the chronically ill, or the very young die of flu and its complications, it is normal and most of what make up the 30-40,000 flu related deaths a year.

        But when most fatalities are healthy 20-50 year olds as in the case of this flu; its caused by a overactive immune reaction to a (usually new) virus.

        A cytokine storm is a potentially fatal immune reaction consisting of a positive feedback loop between cytokines and immune cells, with highly elevated levels of various cytokines.http://en.wikipedia.org/wiki/Cytokine_storm

        fact does not require fiction for balance

        by mollyd on Tue Apr 28, 2009 at 04:50:00 AM PDT

        [ Parent ]

        •  Once infected intake of vitamin D3 (0+ / 0-)

          Has been proven to modulate the first immune responses giving time to generate a more adapted second immune response.  MUST NOT be taken prior of being infected.

          We sincerely are grateful to all News Sources for their humanitarian contributions to reduce morbidity and mortality in this crisis.

          by Snowy Owl on Tue Apr 28, 2009 at 05:00:40 AM PDT

          [ Parent ]

          •  Healthy Immune System (1+ / 0-)
            Recommended by:
            Snowy Owl

            I have a killer immune system, so to speak, and this is the first time it may be a detriment rather than a comfort. I'm not worried, but this factor will spread the scare beyond the usual worriers, methinks.

            Joe Biden: Get up! Al Gore: Pray, and use your feet! Harriet Tubman: Keep going!

            by JG in MD on Tue Apr 28, 2009 at 05:57:29 AM PDT

            [ Parent ]

    •  that said... (2+ / 0-)
      Recommended by:
      webranding, the Pollitikat

      the media is completely over-the-top and out of control.

      Not just ours..the international media.

      But look--panic = ratings = advertising = revenue

      •  our media is totally irresponsible!! (1+ / 0-)
        Recommended by:
        Rampaging hypogriff

        All I am hearing is swine flu when turn on the television.  they claim there is around 1400 people infected with flu in a city of over 20million, 1400 is not a lot.

        "The United States does not torture" - President Barack Obama

        by the Pollitikat on Tue Apr 28, 2009 at 04:16:01 AM PDT

        [ Parent ]

        •  Infected people Families certainly do not agree (1+ / 0-)
          Recommended by:
          maxxdogg

          We sincerely are grateful to all News Sources for their humanitarian contributions to reduce morbidity and mortality in this crisis.

          by Snowy Owl on Tue Apr 28, 2009 at 04:46:55 AM PDT

          [ Parent ]

        •  It's the mortality rate (0+ / 0-)

          You apparently don't understand the math. Infection rates are logarythmic. Right now we are really really hoping that the casuality rates in Mexico are inflated - cause if they are not, this is 1918 again.

          •  Except that in 2009 (0+ / 0-)

            We understand better preventive measures.
            More people can read reliable helFull informations
            We have Anti-Virals
            We have specifically efficient antibiotics.

            We have Vitamin D3

            and more...
            Snowy

            We sincerely are grateful to all News Sources for their humanitarian contributions to reduce morbidity and mortality in this crisis.

            by Snowy Owl on Tue Apr 28, 2009 at 08:11:53 AM PDT

            [ Parent ]

            •  Keep telling yourself that (0+ / 0-)

              We don't have enough medicine of any kind to make a dent, and 6 times as many people as in 1918.

              •  antibiotics for opportunistic infections (1+ / 0-)
                Recommended by:
                Snowy Owl

                In 1918, the primary cause of death appeared to be opportunistic bacterial infections that took over once the flu had overloaded the immune system and caused hemorrhaging of the mucus membranes.  In 2009, we have many antibiotics that will be able to fight that.  We also have lots of tamiflu and should be able to slow down the spread of the virus until a vaccine is developed.  The epidemic won't be too bad for us here in the USA.  The third world and less affluent countries will be much harder hit.

      •  The media is always that way. (1+ / 0-)
        Recommended by:
        webranding

        Why are people only noticing now?

        Proud member of the Cult of Issues and Substance!

        by Fabian on Tue Apr 28, 2009 at 04:17:19 AM PDT

        [ Parent ]

        •  Oh I Have Noticed It Before And Written (1+ / 0-)
          Recommended by:
          Fabian

          about it a lot. This is just one of many "perfect" examples where the coverage is so out-of-control and over-the-top it is beyond words I can find to explain it.

          "We are what we repeatedly do. Excellence then, is not an act, but a habit." - Aristotle

          by webranding on Tue Apr 28, 2009 at 04:23:43 AM PDT

          [ Parent ]

          •  News p0rn! (1+ / 0-)
            Recommended by:
            webranding

            I catch cable news when I eat at McD's with the kidlets.  One afternoon, they did a bit on gruesome workplace deaths - three of them, two with video.  I muted the TV.  Was it really news?  No.  Was it part of a workplace safety piece?  No.

            It was a "Golly gee, wouldja look at this!" - in front of the kids.  I'd rather they showed nude dancers of any gender than airing footage of people being crushed to death.

            Proud member of the Cult of Issues and Substance!

            by Fabian on Tue Apr 28, 2009 at 04:28:50 AM PDT

            [ Parent ]

          •  There a saying in mainstream media (0+ / 0-)

            If it bleeds, it leads

            We sincerely are grateful to all News Sources for their humanitarian contributions to reduce morbidity and mortality in this crisis.

            by Snowy Owl on Tue Apr 28, 2009 at 04:48:05 AM PDT

            [ Parent ]

      •  Sadly many did not hear the credo.. (0+ / 0-)

        To inform not to inflame.

        However, having been with journalists for years they need reliable datas, comments and explications.

        That is why concentrating reliable corroborated datas in a single site is usefull to make coherent reports.

        We sincerely are grateful to all News Sources for their humanitarian contributions to reduce morbidity and mortality in this crisis.

        by Snowy Owl on Tue Apr 28, 2009 at 04:44:57 AM PDT

        [ Parent ]

    •  Putting things in perspective (1+ / 0-)
      Recommended by:
      Snowy Owl

      Normal flu has .1% mortality. This one is 40 to 50 times as deadly. That's why.

      This may very well be media hype and over-reaction. But let's make one thing very clear: the last time we saw a flu with these characteristics (4-5% mortality, kills 20-40 year old adults, incubation in 2-4 days), it killed 100 million people. Putting that in perspective: if you took the tsunami, Darfor, Gaza, Iraq, 9/11, Somalia, Vietnam, Korea, WWII, and WWI and added all of that death together, you would still not have a body count like you did in 1918. 1 in 20 people who get sick with this thing die. Full stop.

      This is not bird flu (which never went human to human transmissable). This has the potential to be apocolyptic. So, call it manufactured if you like - I still went out and bought a month's worth of dried food yesterday.

      •  What motivate one's preparedness mode (0+ / 0-)

        Is the fact that pandemic is fast, swift and bold.  That means very tough time for at least weeks.

        We sincerely are grateful to all News Sources for their humanitarian contributions to reduce morbidity and mortality in this crisis.

        by Snowy Owl on Tue Apr 28, 2009 at 06:47:13 AM PDT

        [ Parent ]

  •  The good news is: the virus can be quickly (1+ / 0-)
    Recommended by:
    JG in MD

    identified and ruled in or out as Swine Flu, and according to a young girl on CNN this a.m., she was sick as a dog last Saturday, was hospitalized, and said after receiving two Tamofil (sp?) immediately felt better.

  •  The Zen of Being Sick with Flu (8+ / 0-)

    The Zen of Being Sick with Flu

    The Zen of Being Sick with Flu What do you do if you get it  

    You will be sick; that’s what you do and not much else. If this happens to you, and there is a 2 in 5 chance that it will, here is what I suggest.

    If you have prepared well, then you are not alone and those with you are committed to helping you make it through the illness.

    I hope you have an adequate supply of medications and materials to assist you and your caregivers during your illness.

    In any case, it is too late to worry about any of that now. If you don’t have everything you would like to have had, no big deal.

    Remember the most important thing is to drink as much fluid as you can and REST.

    You are probably tired anyway, getting everything ready and watching the world go crazy all around you. There is nothing more that you can do, so let it go.

    Lay down your burden and rest.

    In a way, being sick will be a vacation from all the worry, fuss, responsibility, impossible problems, and lack of sleep.

    There will be pain, nausea maybe, and other discomforts, but have confidence, you will probably make it. Most people will. If you don’t, well then it was your time, that’s all. Just relax. Rest. Let it go. This is the Zen of Being sick.

    When you become ill like this it is best to withdraw your energies into the quietest place in your being and rest there as the Observer.

    Your retreat is into a selfless being that is at the heart of each and every one of us. A place of refuge we can access if needed but one most of us seldom visit. Remain there observing.

    Within this special realm, sometimes you are asleep and sometimes awake. Your eyes can be open or closed, no matter. In this place, time passes in a funny way because it is a timeless sort of dimension.

    When you can get your head into that space, pain and nausea are less and you are not afraid. It is the place where you mind is free and can take you on fantastic voyages through your inner space.

    The body needs rest to heal itself.

    Your body is a self-correcting organism and is prepared to experience and survive health conditions like this and even worse. Your body is able to rest quite well when your mind visits this vast inner space.

    We all come into contact with this space from time to time and when you arrive there you will recognize it like meeting up with an old friend.

    Abiding within inner space creates the conditions for healing to occur most directly. Rest, relax, even groove in this place. This is the Zen of Being.

    Within this space, you can practice focusing your healing energies on overcoming the virus making you sick. No scientific skill required!

    This type of focused healing is what physicians like [Andrew Weil, MD] and [Deepak Chopra, MD] refer to in their [books on self-healing]. Each of us is capable of using this energy and has in fact done so many times.

    It is just that in our normal state of mind (ego consciousness), we cannot recall doing so or how we do it. This is not really necessary.

    What is needed is having faith in yourself and confidence in the healing gift God has given you. Let go of your small ego’s grasp on "the world" so you can come into contact with this State of Grace.

    Our body’s reaction to severe illness or trauma will naturally direct us to this place as long as we don’t struggle against it. We have nothing to fear from this old friend.

    Some of the drugs given for treatment of flu produce mild mental changes that make it easier to let go of the habitual tight ego grasp with which we hold on to the world. Loosen this grasp a little and allow things to slip a bit akimbo. This can make it easier to move deeper into inner space; an excellent place to ride out the storm.

    You are not out of touch or anything, just "not in charge" for the moment.

    You are "along for the ride" and frankly if you keep your eyes open, you might learn something new in this state of mind. This is a comfortable space where you are not alone and unafraid. When you become ill, recall these thoughts and let them guide you.

    The key is to rest, sleep, drink, and pee. Let the world go by on its own merry way without you for once.

    Its OK, there will be more tomorrow after today.

    The focus is on just making it through the moment.

    You do this by being in the NOW as defined by [Ekert Tolle] in his books like the [Power of Now].

    When things get tough, retire into your inner retreat and ride it out there. These feelings and pains will soon pass.

    Take it one moment at a time. Go to sleep. Rest. Soon you will be better. Be patient. Things will begin to get better soon. Groove in the Zen of Being sick.

    The above is an excerpt from the Bird Flu Manual. BTW, I am a Buddhist and also a survivor of the 1957 pandemic so the views above have been shaped by my experiences and beliefs.

    Best regards,
    Grattan Woodson, MD
    ______________
    The Doctor
    Coutesy of Flu Trackers at
    http://www.flutrackers.com/...
    _____________

    Informing not inflaming

    We sincerely are grateful to all News Sources for their humanitarian contributions to reduce morbidity and mortality in this crisis.

    by Snowy Owl on Tue Apr 28, 2009 at 03:50:18 AM PDT

    •  Good advice. (3+ / 0-)
      Recommended by:
      Fabian, webranding, Snowy Owl

      One thing that concerns me:

      the employment market is so bad right now that many people are afraid to miss work.  I hope they have the sense to put first things first and stay home if they're feeling ill.

      Are you the change or not?

      by goinsouth on Tue Apr 28, 2009 at 04:23:18 AM PDT

      [ Parent ]

      •  And Boy Do I Feel For Those Folks (4+ / 0-)
        Recommended by:
        Catte Nappe, Fabian, JG in MD, Snowy Owl

        I have always worked in small (under 100 people) and pretty liberal/progressive places. In those places if you had the flu, you were sick and coughing, your boss (sometimes that was me) would actually send you home.

        That is what sick days are for we'd tell you, cause we don't want you making the rest of the office sick.

        Sure we'd rather that person be at work, but that is short sighted thinking, cause if they make half the office sick, well them there are much more serious problems related to getting work out the door.

        "We are what we repeatedly do. Excellence then, is not an act, but a habit." - Aristotle

        by webranding on Tue Apr 28, 2009 at 04:26:56 AM PDT

        [ Parent ]

      •  They have to stock some pasta too (0+ / 0-)

        We sincerely are grateful to all News Sources for their humanitarian contributions to reduce morbidity and mortality in this crisis.

        by Snowy Owl on Tue Apr 28, 2009 at 04:49:05 AM PDT

        [ Parent ]

    •  This is a wonderful comment. (0+ / 0-)

      In 1957 IIRC we did not know there was such a thing as an immune system. Thinking back on it, I wonder what the medical model for the body's battle against illness was back then.

      [insert scientific cartoon showing
      ... and then a miracle happens ...]

      Joe Biden: Get up! Al Gore: Pray, and use your feet! Harriet Tubman: Keep going!

      by JG in MD on Tue Apr 28, 2009 at 06:02:56 AM PDT

      [ Parent ]

  •  Preventing Human Infection & Personal Hygiene (1+ / 0-)
    Recommended by:
    KimD

    Preventing Human Infection & Personal Hygiene
    http://www.flutrackers.com/...

    How to Cough and Sneeze Without Infecting Other People
    http://www.flutrackers.com/...

    How to Wash Your Hands
    http://www.flutrackers.com/...

    Hygiene - Waste
    http://www.flutrackers.com/...

    Hygiene in the Home
    http://www.flutrackers.com/...

    How to Protect Yourself, FAO
    http://www.flutrackers.com/...

    Wipe out the 10 worst germ hot spots
    http://www.flutrackers.com/...

    The dangers lurking in the kitchen
    http://www.flutrackers.com/...

    How bleach kills germs
    http://www.flutrackers.com/...

    THINGS TO DO AND CONSIDER PREPARING FOR FLU PANDEMIC WITH SELF-QUARANTINE IN MIND
    http://www.flutrackers.com/...

    Reducing risk of flue and other illness in the workplace
    http://www.flutrackers.com/...

    BMJ -Physical interventions to interrupt or reduce the spread of respiratory viruses
    http://www.flutrackers.com/...

    Antibacterials are popular, but plain old soap and water will do
    http://www.flutrackers.com/...

    Non-Pharmaceutical Interventions for Use During a Human Influenza Pandemic
    http://www.flutrackers.com/...

    Hand Hygiene Slipping in Public Washrooms
    http://www.flutrackers.com/...

    Children: The bioterrorists we love
    http://www.flutrackers.com/...

    How much would closing schools reduce transmission during an influenza pandemic?
    http://www.flutrackers.com/...

    Fear more the phone, not the doorknob, germ expert says
    http://www.flutrackers.com/...

    All thanks to the Flu Trackers Team hard work
    Snowy

    All thanks to the Flu Trackers Team hard work
    Snowy

    We sincerely are grateful to all News Sources for their humanitarian contributions to reduce morbidity and mortality in this crisis.

    by Snowy Owl on Tue Apr 28, 2009 at 04:33:37 AM PDT

  •  For Medical Professional (0+ / 0-)

    From Canadian Program of Research on Ethics in a pandemic.

    At http://canprep.ca/...

    Severe Respiratory Illness (SRI) Advisory

    Interim Guidance on Antiviral Recommendations for Patients with Confirmed or Suspected Swine Influenza A (H1N1) Virus Infection and Close Contacts

    Influenza Self-Care

    Information for Health Professionals

    Helping people to help themselves and others during influenza season and pandemic

    Managing the illness: Adults
    Managing the illness: Children

    Caring for children

    When to seek medical care

    http://canprep.ca/...

    We sincerely are grateful to all News Sources for their humanitarian contributions to reduce morbidity and mortality in this crisis.

    by Snowy Owl on Tue Apr 28, 2009 at 04:58:15 AM PDT

  •  Obama's Plane in N.Y & Swine Flu! (0+ / 0-)

    April 28, 2009

    Obama’s Air Force One In Shootdown Scare Over New York City

    By: Sorcha Faal, and as reported to her Western Subscribers (

    Miilitary Officers are reporting to Prime Minister Putin this morning that President Obama [pictured top left with UN Secretary General Ban] was stopped by US Air Force fighter jets while Air Force One was attempting to land in New York City where Obama was scheduled to meet UN, Russian and Chinese diplomats for what the White House had communicated was ‘critical and vital’ information relating the influenza pandemic currently overrunning the World.

    Though the US propaganda media is portraying this shocking incident involving the most secure aircraft in the World as a ‘photo op’ staged by the Pentagon, statements from some the thousands of New Yorkers made to flee for their lives as this aerial battle unfolded portray a quite different story, and as we can read:

    David Frank

    http://www.whatdoesitmean.com/...

    •  Sorcha Faal does indeed has a bias for conspiracy (0+ / 0-)

      And as I said in My Owl Train of yesterday

      Phase 4 means you must consolidate Humanitarian Governance, inform people, implement ‘Welcome Structures’ for possible incoming patients, and stay Cool.

      In the last few years I became Aware of slaughtering of Millions of Avians sometimes for no reason but fear.

      As Keijii says with his wonderful smile, stay Cool, not enough data, one day at the time.

      Keep the focus on daily datas, forget speculations and fuck the conspiracies.

      Snowy Owl

      We sincerely are grateful to all News Sources for their humanitarian contributions to reduce morbidity and mortality in this crisis.

      by Snowy Owl on Tue Apr 28, 2009 at 05:21:01 AM PDT

      [ Parent ]

    •  THAT is quite a plot line (0+ / 0-)

      When will his novel be published?

      "People who have what they want are fond of telling people who haven't what they want that they really don't want it." Ogden Nash (on universal health care?)

      by Catte Nappe on Tue Apr 28, 2009 at 08:03:19 AM PDT

      [ Parent ]

  •  Update from Guatemala (1+ / 0-)
    Recommended by:
    Catte Nappe

    Here along Mexico's southern border, we have three suspected cases. The Prensa Libre confirmed this morning that the Ministry of Health only has Tamiflu for 3,000 people - 1,500 adults and 1,500 children.

    The Ministry has 3,000 treatments of the oseltamivir antibiotic [sic] available, to treat 1,500 adults and the same number of children, in case the epidemic reaches Guatemala.

    Meanwhile, our heroic Congress dedicated itself to trying to find a vaccine for its members, until someone finally informed the congressional deputies that no such vaccine is available.

    Dr. Eduardo Arathoon, Guatemala's leading infectious disease specialist, said the country urgently needs medicine and a response plan.

    As I mentioned yesterday, the movement of the virus into developing countries like Guatemala will be presenting a new set of challenges.

    "I had seen the universe as it begins for all things. It was, in reality, a child's universe, a tiny and laughing universe." Loren Eiseley

    by cadejo4 on Tue Apr 28, 2009 at 05:39:52 AM PDT

  •  Up-Date from Crofsblogs (0+ / 0-)

    John M. Barry on swine flu
    (John Barry wrote the instructive best seller The Great Influenza, Snowy)

    Via the New York Times, an op-ed by John M. Barry, author of the definitive history of the Spanish flu in the US: Where Will the Swine Flu Go Next?

    Excerpt:

    As the swine flu threatens to become the next pandemic, the biggest questions are whether its transmission from human to human will be sustained and, if so, how virulent it might become.

    But even if this virus were to peter out soon, there is a strong possibility it would only go underground, quietly continuing to infect some people while becoming better adapted to humans, and then explode around the world.  

    What happens next is chiefly up to the virus. But it is up to us to create a vaccine as quickly as possible.

    http://crofsblogs.typepad.com/...

    A little more bad news from Mexico

    I've been impressed with the decisiveness of Mexico's closing of the schools and similar measures. But according to this AP story in the Globe and Mail, Mexico faces criticism over swine flu response.

    Excerpt:

    Two weeks after the first known swine flu death, Mexico still hasn't given medicine to the families of the dead. It hasn't determined where the outbreak began or how it spread. And while the government urges anyone who feels sick to go to hospitals, feverish people complain ambulance workers are scared to pick them up.  

    A portrait is emerging of a slow and confused response by Mexico to the gathering swine flu epidemic. And that could mean the world is flying blind into a global health storm.  

    Despite an annual budget of more than $5 billion, Mexico's health secretary said Monday that his agency hasn't had the resources to visit the families of the dead. That means doctors haven't begun treatment for the population most exposed to swine flu, and most apt to spread it.  

    It also means medical sleuths don't know how the victims were infected — key to understanding how the epidemic began and how it can be contained.  

    Foreign health officials were hesitant Monday to speak critically about Mexico's response, saying they want to wait until more details emerge before passing judgment. But already, Mexicans were questioning the government's image of a country that has the crisis under control.  

    "Nobody believes the government any more," said Edgar Rocha, a 28-year-old office messenger. He said the lack of information is sowing distrust: "You haven't seen a single interview with the sick!"  

    The political consequences could be serious. China was heavily criticized during the outbreak of SARS for failing to release details about the disease, feeding rumours and fear. And Mexico's failed response to a catastrophic 1985 earthquake is largely credited with the demise of the party that had ruled the country since the 1920s.

    http://crofsblogs.typepad.com/...

    US: Obama acts to ease flu fears

    Via the New York Times: Obama Acts to Ease Flu Fears; U.S. Says It Is Prepared.

    Excerpt:

    The Obama administration dispatched high-level officials from several agencies Monday to allay concerns about swine flu and to demonstrate that it was fully prepared to confront the outbreak even as the president said there was "not a cause for alarm."  

    Janet Napolitano, the secretary of homeland security, and Dr. Richard E. Besser, the acting director of the Centers for Disease Control and Prevention, said the administration was prepared to respond to any further spread of the swine flu virus.  

    Homeland security officials said they expected the outbreak to spread.

    "We are proceeding as if we are preparatory to a full pandemic level," Ms. Napolitano said.  

    As the administration responds to its first domestic emergency, it is building on concrete preparations made during the tenure of President George W. Bush that have won praise from public health experts.

    But its actions are also informed by what Mr. Bush learned in his response to Hurricane Katrina: that political management of a crisis, and of public expectations, can be as important as the immediate response.  

    In a speech at the National Academy of Sciences on Monday, Mr. Obama said only a few words about swine flu. "This is, obviously, a cause for concern and requires a heightened state of alert," he said. "But it’s not a cause for alarm."  

    But behind the scenes at the White House, aides said the president was directing his administration to be ready in case an alarm needed to be sounded. A full report on the swine flu was added to Mr. Obama’s daily intelligence briefing, with updates given to him throughout the day.

    The report isn't coming as a total shock to Obama. As I noted in a post on January 4, 2008, he was calling in the summer of 2005 for a drug stockpile against an avian flu pandemic, when he was a very junior Senator.

    http://crofsblogs.typepad.com/...

    Surfing the H1N1 news tsunami

    The Tyee has published my article Surfing a Swine Flu News Tsunami. It describes how Flublogia got sucker-punched last week by a virus we never expected, and how too much information can be as bad as too little.

    http://crofsblogs.typepad.com/...

    Deep thanks to Crawford for his tenacity and discerment.

    We sincerely are grateful to all News Sources for their humanitarian contributions to reduce morbidity and mortality in this crisis.

    by Snowy Owl on Tue Apr 28, 2009 at 05:42:20 AM PDT

  •  have any of the families of the NYC kids gotten (0+ / 0-)

    the FLU too?   I havent heard that they did but I also am not hearing alot of updates about these kids who got the flu on their mexico trip.  I am going to start seriously worrying IF these kids passed the germ onto their families.  

    becoming educated is now a Patriotic Act, our President said so!

    by KnotIookin on Tue Apr 28, 2009 at 05:44:53 AM PDT

  •  CDC Chief Expects More U.S. Swine Flu Cases, Deat (0+ / 0-)

    CDC Chief Expects More U.S. Swine Flu Cases, Deaths (Update1)
    By Alex Nussbaum and Peter Cook

    April 28 (Bloomberg)

    The U.S. will see more swine flu cases, hospitalizations and deaths, and businesses and schools should plan for the possibility, the acting head of the Centers for Disease Control and Prevention said.

    It’s too soon to say whether the outbreak will spark a pandemic, a global outbreak that spreads easily and causes serious illness, said Richard Besser, the Atlanta-based agency’s acting head, in an interview today. Still, businesses need to review plans and be ready to put them into effect, he said.

     

    "We’re in a pre-pandemic phase and it’s going to be hard to know until we’re much further along what this is going to progress to," Besser said.

     

    http://www.bloomberg.com/...

    We sincerely are grateful to all News Sources for their humanitarian contributions to reduce morbidity and mortality in this crisis.

    by Snowy Owl on Tue Apr 28, 2009 at 06:43:36 AM PDT

  •  I understand that this is a warriors disease (1+ / 0-)
    Recommended by:
    Snowy Owl

    I mean by this that , like the influenza of 1918 and the hunta virus, it is more likely to hit a young healthy adult.  Is this correct?

    That passed by; this can, too. - Deor

    by stevie avebury on Tue Apr 28, 2009 at 07:04:55 AM PDT

  •  Swine flu: flu pandemics - if you've seen one... (0+ / 0-)

    Swine flu: flu pandemics -- if you've seen one, you . . .

    Posted on: April 28, 2009 11:07 AM, by Revere

    It would be nice to think that the 28 cases at the NY Prep School are it for the city and that the virus has been contained there.

    But that was always more a wish than a plausible reality:

    CBS 2 HD has learned of a confirmed case of swine flu at the Ernst & Young headquarters in Times Square.

    One of the staffers became ill over the weekend after coming into contact with a family member who had been exposed to the virus.

    The staffer is said to be resting at home and the company believes, due to the virus' 24-hour incubation period, that no one else at Ernst & Young was exposed.

    As we keep looking, we will find cases, so the total will rise, probably on a daily basis. Like poll numbers, it is probably wise not to pay attention to daily fluctuations but look at the big picture.

    Right now the big picture isn't visible, but with the passage of days or a week, it should become clearer.

    If it evolves the same way. Influenza is a virus full of mystery and surprises. The more we study it the more complicated it becomes.

    Remember the adage: "If you've seen one flu pandemic, you've seen one flu pandemic.

    Full text at
    http://scienceblogs.com/...

    We sincerely are grateful to all News Sources for their humanitarian contributions to reduce morbidity and mortality in this crisis.

    by Snowy Owl on Tue Apr 28, 2009 at 08:43:05 AM PDT

  •  Flu Trackers Updates (0+ / 0-)

    We sincerely are grateful to all News Sources for their humanitarian contributions to reduce morbidity and mortality in this crisis.

    by Snowy Owl on Tue Apr 28, 2009 at 08:59:10 AM PDT

  •  As US swine flu cases double, some travel to Mexi (0+ / 0-)

    As US swine flu cases double, some travel to Mexico discouraged

    Lisa Schnirring  Staff Writer

    Apr 27, 2009 (CIDRAP News) – The US Centers for Disease Control and Prevention (CDC) today confirmed 20 more swine influenza cases, all connected to previous cases at a New York City high school, and said federal officials will issue new travel advice urging against nonessential travel to Mexico.

    The additions raise the number of US cases to 40, said Richard Besser, MD, the CDC's acting director, at a press conference today. Besser added that the CDC is focusing less on the case numbers and more on what the case patterns reveals about transmission.

    He said the new case total represents additional testing in people linked to Saint Francis Preparatory School in Queens, but not a pattern that suggests widespread transmission. "This virus is acting like a flu virus, spreading person to person," he said.

    Only one of the 40 US case-patients, who range in age from 7 to 54, has been hospitalized, he said, adding that the CDC expects to see a broader range of illness severity as the swine flu outbreak progresses.

    The New York City Department of Health and Mental Hygiene said in a statement today that it has identified 17 more probable cases linked to the Saint Francis school cluster and that confirmation tests are under way at the CDC. The department said the city's syndromic surveillance system noted a moderate increase in flulike illness indicators over the weekend, but it's not clear how significant the rise was.

    President Barack Obama, during a speech on new federal research investments before the National Academy of Sciences (NAS) in Washington, D.C., today, said the swine flu outbreaks are concerning, but are not a cause for alarm.

    "Our capacity to deal with a public health challenge of this sort rests heavily on the work of our scientific and medical community. This is one more example why we can't allow our nation to fall behind," he said.

    Travel advisory
    Besser said the new travel advisory urging people to avoid nonessential trips to Mexico will be issued out of an abundance of caution, and that the federal government will also pair that message with safety steps they can take if they need to travel to the area.

    The new travel advice came on the same day European Union (EU) health commissioner Androulla Vassiliou issued a statement warning Europeans to avoid nonessential travel to areas where swine flu clusters have been detected. The World Health Organization (WHO) said in a statement today that it advises no restrictions on travel or border closures.

    Besser said that the EU commissioner's travel advice is premature, based on the current evidence.

    Call for preparations, vaccine development
    Eleven million antiviral courses, 25% of the nation's Strategic National Stockpile, have been sent to affected states and other states around the country, he said. However, Besser emphasized the importance of the roles of each individual in limiting the spread of the disease and the disruptions a large swine flu epidemic could cause.

    He advised parents to think now about what they'd do if their children's schools were closed to limit the spread of the disease. "This is a time for businesses to review their plans, such as 'What would I do if my workers couldn't come to work?,'" Besser said.

    Federal officials are still in discussions on what approach to take with a potential vaccine against the novel influenza virus, though production of a seed strain is already progressing. He said it's difficult to balance the February recommendation for next year's northern hemisphere's seasonal flu vaccine with the possibility of adding another strain to the mix.

    Tim Uyeki, MD, a medical epidemiologist in CDC's Influenza Division, said during a conference call for clinicians today that efforts are under way to make candidate vaccines through different production techniques, including classic reassortment, reverse genetics, and live attenuated.

    Further cases
    Late this afternoon, more states announced additional swine flu cases. The California Department of Public Health (CDPH) said a patient from Sacramento County has been diagnosed as having a swine flu infection, raising the state's total to eight cases.

    Texas officials also announced an additional case-patient from Guadalupe County, a student who attended the same school as the state's two previously announced cases. In addition, Dallas County Health and Human Services announced three new cases in that county.

    Once the CDC adds the new cases to its total, the number of US cases will rise to 45.

    New CDC guidance
    In other developments, the CDC today released interim guidance for facemask and respirator use in communities in which the swine flu virus has been detected. Emphasizing that the evidence on the effectiveness of facemasks and respirators for controlling influenza in communities is extremely limited, the CDC urges local officials to reduce the risk of transmission through a combination of actions—such as limiting contact and time spent with ill people—and not to rely just on facemasks or respirators.

    The CDC also released two other sets of recommendations for clinicians and public health officials managing swine flu outbreaks, one on antiviral medications and the other on community mitigation.

    See also:

    Apr 27 New York City health department press release

    Apr 27 EU press release

    Apr 27 NAS news release

    Apr 27 WHO statement

    CDC swine flu page

    CDPH news page

    Texas Department of State Health Services news update page

    CDC interim recommendations for facemask and respirator use in swine flu areas

    CDC antiviral recommendations for swine flu

    CDC community mitigation recommendations for swine flu

    http://www.cidrap.umn.edu/...

    We sincerely are grateful to all News Sources for their humanitarian contributions to reduce morbidity and mortality in this crisis.

    by Snowy Owl on Tue Apr 28, 2009 at 09:33:08 AM PDT

  •  Swine Flu Likely Infected `Hundreds' in New York, (0+ / 0-)

    Swine Flu Likely Infected `Hundreds' in New York, Mayor Say

    http://www.bloomberg.com/...

    We sincerely are grateful to all News Sources for their humanitarian contributions to reduce morbidity and mortality in this crisis.

    by Snowy Owl on Tue Apr 28, 2009 at 01:11:32 PM PDT

  •  Determination that a Public Health Emergency Exis (0+ / 0-)

    Determination that a Public Health Emergency Exists

    As a consequence of confirmed cases of Swine Influenza A (swH1N1) in California, Texas, Kansas, and New York, on this date and after consultation with public health officials as necessary, I, Charles E. Johnson, Acting Secretary of the U.S. Department of Health and Human Services, pursuant to the authority vested in me under section 319 of the Public Health Service Act, 42 U.S.C. § 247d, do hereby determine that a public health emergency exists nationwide involving Swine Influenza A that affects or has significant potential to affect national security.

    April 26,2009

    s

    Acting HHS Secretary Charles E. Johnson

    http://www.hhs.gov/...

    We sincerely are grateful to all News Sources for their humanitarian contributions to reduce morbidity and mortality in this crisis.

    by Snowy Owl on Tue Apr 28, 2009 at 04:21:08 PM PDT

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