Showing posts with label influenza virus. Show all posts
Showing posts with label influenza virus. Show all posts

PostHeaderIcon Death toll of H1N1 reaches 4,000 in the US



In a recent estimate by the Center of Disease Control, H1N1 flu claimed the lives of 4,000 people since the disease spread to the United States in April. The number was more than the 1,000 that was previously reported. The rise in mortality was explained by adding the deaths caused by flu complications such as pneumonia and other infections.

So far about 40,000 people stricken with the H1N1 virus have been treated in hospitals. Authorities believe that the swine flu will not cause deaths more than the ordinary seasonal flu which kills about 36,000 people in the US yearly. The World Health Organization has placed the death toll of H1N1 pandemic to 6,000 across the continents.

The vaccine for H1N1 is now available and being administered to vulnerable individuals including those with pre-existing medical condition such as asthma, end stage renal disease, diabetes, those undergoing chemotherapy and immunosuppression. (Photo Credit: Amadaruth) =0=

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PostHeaderIcon In spite of emergency declaration, USA suffers from H1N1 flu vaccine shortage



Of the 250 million doses of H1N1 flu vaccine purchased by the US government, only 40 million was expected by Center of Disease Control (CDC) to be available by mid-October. CDC director Dr. Thomas Friedman however said, in reality, only 22.1 million were shipped.

Despite the emergency declaration of Pres. Barack Obama on the flu pandemic, the delay in vaccine availability has led to scrambling for the few medicines available as swine influenza surges in 46 states as of mid October.

“The CDC identified at-risk groups, including pregnant women, children and young adults, and recommended they be vaccinated first. But in many cases, even physicians who have vaccine don't have enough to inoculate all their high-risk patients.”----amednews (11/02/09, Moyer, C. S.)

People waiting in community clinics are afraid of catching disease as they learn the vaccine is in short supply. Since the outbreak of the flu in April, there have been 1,000 deaths and about 2,000 hospitalizations.

The CDC suggests that patients with flu-like manifestations and showing severe symptoms should be given antiviral treatment. Since it takes time to make a lab diiagnosis of the flu and the maximum benefit of the antiviral is within the first 48 hours after the onset of symptoms, health authorities recommend that doctors start the medication even without the laboratory confirmation.

Vaccine production is accelerating to meet the demand. In response to CDC request, the Food and Drug Administration (FDA,) has approved the use of emergency intravenous antiviral peramivir for hospitalized patients with worse symptoms and do not respond to oral and inhalational anti-flu medications.

The public is encouraged to watch for advisories regarding the flu including particular attention to precautionary measures, prevention, and treatment regimens. In spite of the health preparations and citizen alerts conducted by health authorities, the vaccine delay is causing fear in the community.

Obviously the expectation on drug availability doesn’t match what has happened in the field. Doctors advise those with flu-like symptoms to stay away from people, wear masks, and bypass staying in patient’s waiting rooms---all to avoid spread of the disease. More cases of the virus infection are expected as the flu season goes in high gear. (Photo Credit: Ben Chau) =0=

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PostHeaderIcon Obama calls swine flu a national emergency




As predicted early in spring that the H1N1 flu pandemic will escalate to cause illness in fall and winter. Early this month, about 20% of school children in US have complained of flu-like symptoms, most of them are thought to be caused by the H1N1 virus. In addition, 7% of 10,000 adults surveyed reported manifestations of flu which had claimed the lives of 1,000 people in USA.

The spread of the swine flu has the potential to overtax the healthcare system as 46 out 50 states have reported rising influenza infections. Wordwide, it was reported 5,000 people have so far died of the disease since the first cases were identified in April. This prompted Pres. Barack Obama to declare a national flu emergency.

“The emergency declaration, which Obama signed late Friday, lets doctors and nurses temporarily bypass certain federal requirements so they can better handle a spike in influenza A(H1N1) patients. The declaration comes just days after Health Secretary Kathleen Sebelius warned that demand was outstripping supply of vaccine for the novel flu strain.”----AFP (10/24/09)

More than 1 million Americans have been downed by the H1N1 flu. Facing a vaccine shortage, the state of New York on Friday suspended the controversial ruling that health care personnel be vaccinated against the H1N1 flu by the end of November or face the possibility of job termination.

According to the Center for Disease Control (CDC) about 16.1 million doses of the H1N1 vaccine was ready for distribution and 11 million doses have already been passed on to state health authorities for use. In spite of this, it is believed that the distribution is already late to be able to cover individuals who truly need the vaccine. (Photo Credit: Fassbender, I./ Reuters/ Getty images) =0=

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PostHeaderIcon H1N1 flu vaccination in US starts in October



With the onset of school, health experts fear that the spread of the swine flu will intensify. That’s why they plan to start the vaccination in about three weeks to protect as much individuals as possible to the pandemic virus.

Earlier, it was thought that the new H1N1 flu virus would need a two step dosing to achieve a level of immunity during the vaccination, but recent studies on patients with ages 18 to 64 years showed that a single dose containing 15 micrograms of the viral antigen was enough to stimulate protective levels of antibodies. From the initial results, the vaccine which didn’t contain adjuvant to boost its efficacy, showed no serious side-effects.

“The results of the vaccine studies suggest one dose of the formula used by drugmakers should offer H1N1 protection similar to the seasonal flu shot. Paris-based Sanofi Aventis SA, London- based GlaxoSmithKline Plc, and Basel, Switzerland-based Novartis AG are among the other companies making the vaccine. “---- Bloomberg.com (09/13/09, Randall, T; Gale, J.)

The single dose regimen will simplify the vaccination process and appreciably increase the production and stockpile of Paris-based Sanofi Aventis SA, London- based GlaxoSmithKline Plc, and Basel, Switzerland-based Novartis AG which are making the vaccines. There are plans in the US to donate prepared vaccines to poor countries. Since the experience their use is limited, more studies are needed to validate the initial findings to ascertain the efficacy and safety of the drug. (Photo Credit: CDC) =0=

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PostHeaderIcon H1N1 influenza death toll doubles in RP



After the Department of Health (DOH) halted its daily update of the H1N1 pandemic in the country, the government agency reported that the August death toll doubled to 28 from July’s mortality of 13. Those who died were part of the 4,548 reported cases of swine flu documented in the country of which 4,369 fully recovered.

Morbidity & Mortality of H1N1, European Center for Disease Control Data

Worldwide, infected, 254,206 as 08/30/09
Worldwide, deaths 3,315 (ECDC)
Southeast Asia, 262
Thailand, 130
Malaysia, 73
the Philippines, 28
Singapore, 17
Indonesia, 10
Vietnam, two
Brunei, 1
Laos, 1

As the pandemic spreads and persists worldwide, the focus is to rush the flu vaccine which is expected to be ready by October. Health authorities predict a surge of the swine influenza during fall and winter seasons needing preventive measures to control its spread. The easily transmissibe virus has the potential of infecting 2 billon people worldwide.

The vaccination makes the public leery over the potential side effects of the vaccination such as Guillain Barre Syndrome which is more fatal than the H1N1 or the usual flu infection. It is unclear if this vaccination being readied will offer enugh efficacy and protection as desired.

Many health workers believe vaccination is important in preventing morbidity and mortality among vulnerable population groups, particularly the young, the elderly. the immunosuppressed, diabetes and dialysis patients, and those suffering from chronic diseases. (Photo Credit: Benedicti Desrus) =0=

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PostHeaderIcon Philippines reports first death of swine flu



At a time when the country registered 445 cases of H1N1 flu, the first mortality to the viral infection came to a 49 year old woman who suffered from complications of congestive heart failure following a heart attack.

According to Dr. Yolanda Oliveros, director for the National Center for Disease Prevention and Control, the victim who had pre-existing heart disease developed signs of flu on June 17, 2009. This underscores the higher risk of mortality among those with medical conditions which lower the resistance against flu----those who are immunocompromised or suffer from chronic illnesses like diabetes, heart disease, HIV/AIDS, asthma, cancer and the likes.

Related to the flu pandemic, 8 more schools temporarily closed after some of their students contracted the swine flu. At the rate the infection spreads, Dr. Lyndon Lee Suy testified to the house hearing that it’s possible 25% (about 22 million) of the population can be stricken by the illness. The virus has the potential to transform through genetic changes into a strain of greater virulence and lethality. (Photo Credit: Benedicte Desrus) =0=

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PostHeaderIcon Linkage between poverty and the influenza epidemic



The startling rise of H1N1 flu cases to more than 300 in a matter of days in the Philippines makes Filipinos to look into why this happens. The rapid spread of the illness is easy to understand considering how poor the country is, says the Health Action Information Network (HAIN,) non-government organization (NGO.)

Dr. Delen de la Paz, executive director of HAIN believes the poor Filipinos die early because of lack of nutrition which leave them susceptible to the complications of disease. According to the 2006 Family Income and Expenditure Survey, the poorest 1.7 million families in the Philippines try to make both ends meet with an average budget of P18 per day (less than 50 cents/day.)

A case of point is the worsening flu problem together with other diseases endemic in the country. Dr. de la Paz has this to say:

“Bakit ba nagiging pneumonia ang influenza? It starts with viral infection that is supposed to be self-limiting in seven days. Pero dahil walang pambili ng gamot, nagkakaroon ng secondary bacterial infection. Lumalala na ang sakit pero nagtatrabaho pa rin. Ang sweldo kulang pang pambili ng pagkain, so paano na ang gamot?"----GMA News TV (06/06/09, Sabangan, A R.)

Dr. de la Paz criticizes the government for its superficial handling of the swine flu epidemic. According to her, the Department of Health (DOH) has advised Filipinos to raise body resistance against infection by having at enough sleep and rest, adequate exercise, control stress, have good hydration and eat nutritious foods. But Dr. de la Paz says, this simply can’t be done if one is poor, underpaid, overworked, hungry and malnourished.

In response to the criticism, Yolanda Oliveros, director of the National Center for Disease Prevention and Control says the DOH tries to address the problem by campaigning for an increase of the agency’s budget from only P11 billion three years ago to today’s P20 billion---funds most needed to expand medical coverage, purchase more medicines and hospital equipment, and improve the delivery of health services in the country.(Photo Credit: Claude Barutel) =0=

RELATED BLOG: "Politics of Health: Give the flu vaccines to those who need them most" Posted by mesiamd at 6/15/2009

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PostHeaderIcon Communion by hand makes sense against the spread of H1N1 virus



The advice of Manila Archibishop Gaudencio Cardinal Santos to temporarily stop the custom of hand-to-mouth contact at the time of communion during mass will certainly help avoid the easy transmission of the flu virus in the community. Coupled with avoidance of hand contact during a religious service, this is certainly helpful as swine virus infection in the country jumped to 33 on Saturday, June 6, 2009.

Obviously, as more people get infected, the chance of a widespread influenza is greater. The public must appreciate the effort taken by health and religious authorities to contain the disease, hence the recommendation of frequent hand-washing, avoidance of crowds, the postponement of school opening from June 8 to June 15, the quarantine of those stricken with the disease, and the active educational campaign on prevention. It’s the civic duty of every Filipino to help stop the transmission of the illness. (Photo Credit: gems) =0=

SWINE FLU UPDATE:

June 8, 2009. The Department of Health headed by Dr. Francisco Duque III reported additional cases of H1N1 flu which totalled to 46 during the weekend.

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PostHeaderIcon WHO about to declare H1N1 flu as a worldwide pandemic



In spite of close monitoring and containment, the H1N1 virus has spread to sicken render about 20,000 individuals in 66 countries. The World Health Organization (WHO) is weighing in if it’s the right time that the viral infection be called a pandemic, the highest level of threat for a highly transmissible disease.

At present, the spread of the disease is mostly among travelers, in schools, and close contacts, but not much within the community. However, with the start of winter in the Southern Hemisphere, health authorities worry if the swine flu will infect more people than last year’s similar strain (H1N1 flu) which is resistant to the anti-viral medication Tamiflu.

The WHO is now "getting closer" to declaring the outbreak had reached phase six, the highest level on their alert scale.---said WHO’s flu chief Keiji Fukuda. Guardian.co.uk (06/03/09 Carrell, S.)

The same consideration has been reported in New York Times (06/03/09, A9, McNeil)

To declare the flu as a pandemic requires many considerations. People who don’t fully understand the disease may panic so the logistics to inform and prepare them must be put in place. In a pandemic, there may be trade and travel restrictions that my impact the economy of a country. A bigger budget and personnel to fight the illness must be readied.

The WHO is preparing an additional $500 million to aid poor countries. Pres. Barack Obama has asked the US legislature for $2 billion in anticipation of a full blown pandemic.

The virus which behaves like a mild seasonal flu at this time may mutate, grow in virulence and cause more deaths than generally expected as it moves along. With all these considerations, WHO calls on its experts---public health officials and academics to think what is best in the fight against the infection. They’re trying to figure if raising the level of disease threat to 6 is warranted and will be for the benefit of the people. (Photo Credit: Healthcare without Harm) =0=

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PostHeaderIcon June 3, 2009: Philippine Swine Flu Update



The 22nd case of H1N1 flu in the Philippines was confirmed in a 21 year old foreign student prompting the De La Salle University in Manila to close temporarily on June 4 to 14 as a measure to contain the disease.

As of June 3, 2009, the WHO tally puts the number of swine flu infections to 19, 273 and 117 deaths in 66 countries. About half of the number of cases have been confirmed in the United States. (Photo Credit: Bendicte Desrus)

UPDATE: On June 4, 2009, 6 more positive H1N1 flu sufferers were reported by Dr. Francisco Duque III of DOH, bringing a total of 28 people having contracted the disease. =0=

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PostHeaderIcon H1N1 flu watch: 16 cases reported in RP



As of Saturday, May 30, 2009, the number of new cases of H1N1 flu in the Philippines rose to 16. According to the Department of Health (DOH) Sec. Francisco Duque III, aside from these cases, there are still 29 individuals under observation.

The increase in number of the swine flu infection in the country stresses the need for vigilance and preventive measures to stop the spread of the disease. Although there are suggestions to indefinitely close schools because of the flu, health authorities in Manila believe that the situation doesn’t merit the postponement of the opening of classes.

The World Health Organization (WHO) revealed that so far, there had been 15,510 documented cases of the disease reported in 53 countries. Of those who got sick, at least 99 people died. (Photo Credit: Benedicte Desrus) =0=

UPDATE: June 2, 2009. The number of H1N1 cases in the Philippihes rose from 16 to 21 over the weekend. Filipinos who are preparing for the opening of classes nationwide are advised to take preventive measures to help stop the disease. =0=

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PostHeaderIcon H1N1 flu cases in RP jump to a total of 6



The Department of Health (DOH) announced 4 more Filipinos testing positive for the H1N1 flu bringing the number of cases to a total to 6 of May 27, 2009. Two of the four got their illnesses after attending a wedding in Zambales where the infected Taiwanese woman and her child were present.

A one-year old girl from USA also exhibited signs and symptoms of flu 5 days after her arrival on May 19, 2009. Another is a 13 year old boy who became ill after a trip from Hongkong.

The increase in swine flu cases is a cause of concern knowing that the virus is highly transmissible. With the anticipated opening of classes in the Philippines, the public is advised to take the needed precaution to avoid the disease.

In a tally of the World Health Organization (WHO) as of 06:00 GMT, 27 May 2009, the number of those who contracted the disease has reached 13,398 in 48 countries. It has caused death to 95 people.(Photo Credit: Benedicte Desrus) =0=

RELATED BLOGS: "2nd H1N1 flu case reported in the Philippines" Posted by mesiamd at 5/25/2009; "RP reports its first H1N1 virus infection" Posted by mesiamd at 5/22/2009

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PostHeaderIcon RP reports its first H1N1 virus infection



Based on the tally of the World Health Organization (WHO,) the swine flu spreading throughout the world has reached 11,168 and 86 deaths as of May 22, 2009. This coincides with the first case confirmed in the Philippines which joins at least 38 countries having the disease.

The Department of Health (DOH,) reported that the swine flu-positive 11 year-old girl identified by the laboratory of the Research Institute for Tropical Medicine(RITM) arrived on May 18, 2009 from USA and Canada where many swine infections have been reported. She is presently quarantined in an effort to contain the virus from infecting the general population.

“The government will conduct contact tracing to identify and diagnose individuals who might have come into contact with the infected girl. Health authorities will also check the plane boarded by the girl for traces of the disease.”--- GMA TV News.com (05/21/09 Balagtas-See, A)

Advising the public to be calm and be mindful of the preventive measures advised by health authorities, the DOH reminds the public of the need for vigilance. Filipinos must not be complacent as the virus easily mutates; it has the potential to cause significant morbidity and mortality which can affect the nation's economy. Pharmaceuticals are still on the process of making a the H1N1 flu vaccine, but it will take a few months before it will be available. =0=

World Health Organization (WHO) Tally of H1N1 Flu Infection

As of 06:00 GMT, 22 May 2009

Laboratory-confirmed cases of new influenza A(H1N1) as officially reported to WHO by States Parties to the International Health Regulations (2005)

Country----Cumulative total-----Newly confirmed since the last reporting period-
--------------Cases---Deaths----Cases-----Deaths
Argentina------1------0-----------0---------0
Australia-------7------0-----------4---------0
Austria---------1------0-----------0---------0
Belgium--------5------0-----------0---------0
Brazil-----------8------0-----------0---------0
Canada--------719----1-----------0---------0
Chile-----------24-----0-----------19--------0
China-----------11-----0-----------3---------0
Colombia-------12-----0-----------0---------0
Costa Rica-----20-----0-----------0---------0
Cuba-------------4------0-----------0---------0
Denmark---------1------0-----------0---------0
Ecuador---------8------0-----------7---------0
El Salvador-----6------0-----------0---------0
Finland----------2------0-----------0---------0
France----------16-----0-----------0---------0
Germany--------14-----0-----------0---------0
Greece----------1------0-----------0---------0
Guatemala------4------0-----------0---------0
India-------------1------0-----------0---------0
Ireland----------1------0-----------0---------0
Israel------------7------0-----------0---------0
Italy-------------10-----0-----------0---------0
Japan-----------294---0-----------35--------0
Korea-----------3------0-----------0---------0
Malaysia--------2------0-----------0---------0
Mexico----------3892---75---------0---------0
Netherlands-----3------0-----------0---------0
New Zealand-----9------0-----------0---------0
Norway-----------3------0-----------0---------0
Panama----------73-----0-----------4---------0
Peru--------------5------0-----------2---------0
Philippines------1------0-----------1---------0
Poland-----------2------0-----------0---------0
Portugal---------1------0-----------0---------0
Spain------------113----0-----------2---------0
Sweden----------3------0-----------0---------0
Switzerland------1------0-----------0---------0
Thailand---------2------0-----------0---------0
Turkey-----------2------0-----------0---------0
United Kingdom--112----0---------3---------0
USA--------------5764---9-----------54--------1
Grand Total----11168---86--------134-------1

Cumulative and new figures are subject to revision

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PostHeaderIcon Manny Pacquiao: a disappointing role model?

The praises Manny Pacquiao got in beating Ricky Hatton during a boxing match in Las Vegas, Nevada had been extraordinary. He was truly deserving of such admiration from his adoring fans. Yet, in a rare read, I came across the editorial of Malaya----which was bold in criticizing the sports hero for not heeding the advice of health authorities in Manila and the World Health Organization (WHO.)

The humble entertaining boxer from General Santos City was stubborn. He couldn't be dissuaded from postponing his return so that the health protocol to keep the disease out of the country could be enforced. Billions of dollars had been spent the world over in order to prevent the disease from spreading any further.

“Manny Pacquiao was a disappointment as a role model when he turned a deaf ear to the appeal of health officials to undergo self-quarantine for at least five days before returning to Manila. There were two options presented to him. First, to postpone his return home for at least five days. Second, to closet himself for the same length of time if it was impossible for him to postpone his homecoming.”---- Malaya (05/10/09)

Manny’s slobbering VIP treatment is common in the Philippines. Almost no one in the country can speak against the boxing legend “who can’t go wrong”--- not even Pres. Gloria M. Arroyo and the politicians. The way some people trivialize health risks and disregard medical advice is rather worrisome. I hope nothing horrible comes along because Manny prevailed over the wisdom of Department of Health (DOH). (Photo Credit: Newkleus00)=0=

RELATED BLOGS: "May 8, 2009: H1N1 flu update" Posted by mesiamd at 5/09/2009; " Filipinos take risk in allowing Pacquiao to go home early" Posted by mesiamd at 5/08/2009

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PostHeaderIcon Filipinos take risk in allowing Pacquiao to go home early



"Better safe than sorry."

"A pound of prevention is greater than an ounce of cure."

This is in essence what the Department and Health (DOH) and World Health Organization (WHO) are telling the country when they advice Manny Pacquiao to postpone his triumphal return to Manila after his boxing victory in Las Vegas, Nevada.

But it appears, some people can’t be dissuaded until something horrible happens. If the Philippines need the proactive control against the H1N1 virus, it must be at this stage when no confirmed case has reached the country. But there are government leaders who don't believe so. The logistics of tackling a potential epidemic is hard and as a nation, Filipinos must cooperate.

I believe the risk of Pacquiao and the 50 congressmen who watched the boxing match in United States is small, but it’s there. There are more than 30 states affected by the swine flu. No one can quantify the exact chance that those who traveled in these places will bring the virus into the country. And no one is sure how the country will cope if the disease takes root among the people

Viruses are very tricky and we must respect them as they are. Health authorities are still on the process of learning about H1N1 flu which has the potential to cause widespread illness, overtax the ability of the health care workers to respond, dampen business, and cause economic hardship.

It’s the duty of the Department of Health (DOH) and the World Health Organization (WHO) to inform Filipinos of the dangers of the swine infection. But it is the Filipino citizens' responsibility to take the needed precautions. This is not the time to joke around. The threat of the swine infection must be treated as a health issue and not as a political matter.

Being a pathologist, I believe keeping Pacquiao, his entourage, and the 50 congressmen out of the country for just a few more days and allow the viral incubation period to elapse is the best. Health and government authorities must not compromise. They have the power to impose mandatory isolation on these possible carriers to safeguard the health the population. So far, DOH looks after at least 3 people in the country who may harbor the disease.

In the excitement of having Manny come home, Filipinos must understand. Erring on the side of caution has strong merits. Diseases don’t discriminate whether someone is a hot-shot victorious boxer or an influential rich congressman who can afford a ringside ticket in Las Vegas. Contagion is something that everyone must take seriously. (Photo Credit: Lalechededios) =0=

RELATED BLOGS: "Wasteful RP Congress holiday after 50 representatives watched the Pacquiao-Hatton boxing match" Posted by mesiamd at 5/06/2009; "Quarantine of 3 possible Swine flu sufferers in Cebu" Posted by mesiamd at 5/06/2009; "May 2, 2009: Update of swine influenza; Hongkong reports its first case" Posted by mesiamd at 5/02/2009; “The march of the pig virus “ Posted by mesiamd at 4/28/2009; “Mexico’s new swine-avian-human flu worries health experts of global pandemic “ Posted by mesiamd at 4/25/2009

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PostHeaderIcon Egypt’s slaughter of pigs to prevent swine flu criticized



Because there’s no evidence that pigs harbor the H1N1 virus that cause the swine flu, the killing of pigs isn’t necessary. That’s according to Barbara Straw, a professor of large animal clinical science at Michigan State University's College of Veterinary Medicine. Her reaction comes on the wake of Egypt’s move to kill an estimated 300,000 swines which many consider as a knee-jerk reaction to the threat of influenza. Eating bacon, pork chops, or other pig products are not likely to cause swine flu. So far health authorities believe nothing like this is happening at this time.

"Killing (pigs) is not a solution, otherwise, we should kill the people, because the virus spreads through them," wrote Abdullah Kamal of the daily Rose El-Youssef.---- http://www.ynetnews.com

“Egypt, which has no swine flu cases, is the only country in the world to order a mass pig slaughter in response to the disease. The move mirrored Egypt's battle with bird flu, in which the government killed 25 million birds within weeks in 2006.”----AP (05/03/05, El-Tablawy, T)

A country of 80 million, Egypt doesn’t have a large hog industry and its predominant Muslim religion forbids the consumption of pig’s meat. Swine is the source of food of non-muslims, mostly Coptic Christians who comprise only a 10th of the population.

Egyptians are enraged over the Health department’s pig slaughter order which the public considers a reflection of the government ineptness in handling health emergencies. The World Health Organization (WHO) thinks the pig slaughter wasteful and unnecessary.

Though the swine flu appears to have slackened in its spread, more countries in Europe, Asia, and Latin America have reported cases of the influenza. The reference of the disease as H1N1 viral flu is preferable than "swine flu" which is misleading and dampens the business of hog raisers. It is unclear if the infection will extend into the months of fall when the seasonal flu comes along. (Photo Credit: AP/ Nouri, N) =0=

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PostHeaderIcon Pig flu spreads to Italy



While the temptation to be complacent is there to stifle the fight against the swine influenza, the first case of infection is reported in Italy.

The Italian who traveled from Mexico was hospitalized in Massa near Florence after coming down with flu on April 23, 2009. With treatment, he apparently recovered. Anti-viral medications were given to his relatives as disease prevention.

Raising the alert level to 5 which indicates that a pandemic is likely, the viral illness cause fear in all corners of the globe. The World Health Organization (WHO) has closely monitored the spread of the disease which is present in at least 15 countries. In USA, 143 cases are confirmed in 20 states. In Mexico, the total number of persons infected has jumped to 443, including several deaths. (Photo Credit: shhexycorin) =0=

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PostHeaderIcon May 2, 2009: Update of swine influenza; Hongkong reports its first case



The World Health Organization (WHO) has raised its vigilance to level 5---an indication that the swine influenza infection has actively propagated through an efficient human-to-human infection causing more people to fall ill. Still expected to rise, the number of confirmed H1N1 pig influenza infection has reached 331 as of May 1, 2009. If uncontrolled, the disease is on its way to be a pandemic.

In a matter of days, what was originally confined to Mexico and United States has spread to 10 countries with confirmed infection: Austria (1), Canada (34), Germany (3), Israel (2), Netherlands (1), New Zealand (3), Spain (13), Switzerland (1) United States (109), Hongkong (1) and Great Britain (8). Closures of schools and cancellation of public gatherings, surveillance of travelers for febrile illness, educational campaign to prevent infection, and the use of anti-flu drugs are among the measures being done to stop the contagion's spread.

Hongkong recently confirmed it's first case of swine influenza diagnosed from a Mexican tourist. Quarantine procedures were quickly set in place for about 300 individuals who were in close contact with the ill person. (Photo Credit: Reuters/ Lee, Jin-man)=0=

RELATED BLOGS: “The march of the pig virus “ Posted by mesiamd at 4/28/2009; “Mexico’s new swine-avian-human flu worries health experts of global pandemic “ Posted by mesiamd at 4/25/2009

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PostHeaderIcon 50 Congressmen and the harm they do for watching Pacquiao in Nevada when the swine epidemic rages



It’s as if House Speaker Prospero C. Nograles and the 50 representatives of the Philippine Congress are kids. As excited as immature people, they couldn’t be dissuaded from missing the Pacquaio-Hatton fight in Las Vegas, Nevada in spite of the seriousness of the swine flu epidemic.

Perhaps they want to show they have “personal money” to spend abroad unlike the cash-strapped regular Filipinos. The congressmen are determined to risk their health and that of the nation just to satisfy a fancy to be where the action is. Surprisingly, only few Filipinos air their disappointment versus the wasteful travel to Las Vegas.

Manila Archbishop Gaudencio Cardinal Rosales was right in expressing his frustration of having leaders in congress spend big money to travel with no apparent benefit to the Filipinos. As the cardinal said, the presence of congressmen close to the boxing ring will not change the outcome of the match.

The Department of Health (DOH) is trying to safeguard the country of the deadly influenza infection and the congressmen are uncooperative. They show again the lack of responsibility that many people associate with politicians. Seeing the congressmen huddled in the sports crowd that potentially harbors the pig virus is despicable. The P90 miliion the DOH has prepared to spend in case influenza reaches the Philippines is hardly enough for the country’s preparedness.

“Rosales believes that during this time of global economic crisis, it was a “waste of money” to spend on a boxing match, even if it is one of the most anticipated sport events of the year.”----Philstar (05//02/09, Edheminada, P)

Little can be said about these short-sighted congressmen who are insensitive to the needs of their constituents. At the very least, they don’t even know how to set a good example. For insisting on their travel, they need to be quarantined for at least 10 days ----to watch for signs of the H1N1 flu infection---an unnecessary move if they heed to forgo with non-essential trips abroad. (Photo Credit: Sheltercrow)=0=

RELATED BLOG: "Philippine Congress attendance drops to 100 out of 263 as Pacquiao-Hatton match draws near" Posted by mesiamd at 5/01/2009

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PostHeaderIcon Mexico’s new swine-avian-human flu worries health experts of global pandemic



Mexico closed down schools, museums and movie houses on Friday, April 24, 2009 as nearly a thousand suspected cases of influenza were reported to sicken people and at least 61 died. The disease which may be transmitted from animals (zoonotic infection) has worried Mexican authorities for its killing power and its adverse effects on tourism, a major source of revenue for the country struck by economic downturn, drug wars, and narcotics trade.

“Mexico's Health Secretary, Jose Cordova, said only 16 of the deaths have been confirmed to have been caused by the new strain, through testing at government laboratories. Samples from 44 other people who died were still being tested. The health department put the total number of people sickened by the virus at around 943 nationwide.” ----AP/ Philstar (04/24/09)

To contain the spread of the disease, the Mexican government urged the public to shun large crowds and avoid close contacts with people. Those with fever, cough, a sore throat, muscle and joint pains are advised to see a doctor and stay at home. The people responded with certain fear and confusion.

“Most of Mexico’s dead were young, healthy adults, and none were over 60 or under 3 years old, the World Health Organization said. That alarms health officials because seasonal flus cause most of their deaths among infants and bedridden elderly people, but pandemic flus — like the 1918 Spanish flu, and the 1957 and 1968 pandemics — often strike young, healthy people the hardest.”--- New York Times (04/24/09, Lacey, M.; McNeil, D. Jr.)

Eight (8) non-fatal flu similar to those caused by this new Mexican strain were diagnosed in the southwest United States prompting health authorities to sound an alarm. It is unknown how many more will go down with the disease.

According to Center for Disease Control (CDC,) which monitors the disease, the new strain of flu contains a combination of gene sequences of pig, bird, and human influenza.

“Given how quickly flu can spread around the globe, if these are the first signs of a pandemic, then there are probably cases incubating around the world already, said Dr. Michael Osterholm at the University of Minnesota.”
----Newsnet5.com / AP (04/42/09, Stevenson, M)

It is said the flu seems responsive to the two drugs available: Tamiflu and Relenza. The medicines need to be taken early during the illness to get the best benefit.

Health authorities scramble to control the disease which has the potential to spread as a pandemic. It isn't known if the vaccination given last fall and winter confers protection from this new viral strain which is transmissible from person to person. Neither is it understood how the genetic mixture of the virus came to be. Frequent hand washing and covering one’s mouth during a sneeze or cough are among the common precautions to prevent the spread of the disease. (Photo Credit: Opiado)

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