Showing posts with label epidemic. Show all posts
Showing posts with label epidemic. Show all posts

PostHeaderIcon In Serbia, garlic is a defense against swine flu


Against the advice of their doctors, Serbians have turned to garlic as defense against the swine flu infection. Ever since the H1N! flu reached this country, the city of Belgrade has seen a rise in the market price of garlic. Many people are using garlic to fortify bodily resistance against the disease.

Aside from being widely used for cooking, garlic is regarded as an old remedy and a good luck charm. People munch on the white pungent cloves for its medicinal and nutritional properties--- hoping to protect themselves from the spread of the swine flu virus.

According to the Serbian health authorities, there are 270 documented cases and 8 deaths of the H1N1 pandemic so far. To counter viral infection, the government embarks on information campaign and has ordered the company Norvartis in Swtizerland for a supply of 3 million vaccines. The claims that garlic is an effective folk remedy against swine flu has no solid medical basis. (Photo Credit: Svadilfari) =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 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 Politics of Health: Give the flu vaccines to those who need them most



The number of H1N1 flu infection ominously jumped from 111 to 147 cases and health authorities reported brisk community transmission in Nueva Ecija----suggesting that more cases are cropping up and the flu is getting harder to control.

As a response, the government said 8,000 Makati City employees will be given free flu shots on Monday to prevent the seasonal flu, not the H1N1 viral infection. The government thinks mass vaccination against the common flu at a cost of P2.8 million will help track down by “elimination” those with swine flu. But health authorities know that giving the vaccine doesn't completely assure seasonal flu will be avoided.

“We have prioritized the immunization against seasonal or common flu of our city workers, especially our frontline and field workers, not only to strengthen their defenses against respiratory diseases, but also to help us in promptly identifying possible cases of A(H1N1),” Makati Mayor Jejomar Binay said.---Philippine Daily Inquirer (06/14/09, Lopez, A.)

Really?

The seasonal flu vaccine is not expected to be effective in preventing the H1N1 flu. At best, the justification that swine flu can be detected by “elimination” is faulty because there are many illnesses which present with flu-like symptoms. If one means to control the viral disease, it’s not by “elimination.” Doctors need the right diagnosis, even if influenzas in general have essentially the same treatment.

To identify H1N1 flu or seasonal flu, a lab test like the one done at the Research Institute of Tropical Medicine (RITM) must be done. This makes one to consider if Mayor Binay’s decision to administer the vaccine is in line with good medical judgment. Why don't politicians like Binay leave the medical decisions to Dr. Francisco Duque III and the Department of Health (DOH?)

Government employees, unless they are in the high risk group, hardly qualify as the priority group to get the vaccines. Though workers may receive them, the government in triaging patients, must give the vaccines to those who need them most as shown below. On the process of production, it will take sometime before the new H1N1 vaccine will be readily available in the market:

2008-09 INFLUENZA PREVENTION & CONTROL RECOMMENDATIONS
Center for Disease Control

Vaccination of all children aged 6 months–18 years should begin before or during the 2008–09 influenza season if feasible, but no later than during the 2009–10 influenza season. Vaccination of all children aged 5–18 years is a new ACIP recommendation.

Children and adolescents at high risk for influenza complications should continue to be a focus of vaccination efforts as providers and programs transition to routinely vaccinating all children and adolescents. Recommendations for these children have not changed. Children and adolescents at higher risk for influenza complication are those:

•aged 6 months–4 years;
•who have chronic pulmonary (including asthma), cardiovascular (except hypertension), renal, hepatic, hematological or metabolic disorders (including diabetes mellitus);
•who are immunosuppressed (including immunosuppression caused by medications or by human immunodeficiency virus);
•who have any condition (e.g., cognitive dysfunction, spinal cord injuries, seizure disorders, or other neuromuscular disorders) that can compromise respiratory function or the handling of respiratory secretions or that can increase the risk for aspiration;
•who are receiving long-term aspirin therapy who therefore might be at risk for experiencing Reye syndrome after influenza virus infection;
•who are residents of chronic-care facilities; and,
•who will be pregnant during the influenza season.


Note: Children aged <6 months should not receive influenza vaccination. Household and other close contacts (e.g., daycare providers) of children aged <6 months, including older children and adolescents, should be vaccinated.

Annual recommendations for adults have not changed. Annual vaccination against influenza is recommended for any adult who wants to reduce the risk for becoming ill with influenza or of transmitting it to others. Vaccination also is recommended for all adults in the following groups, because these persons are either at high risk for influenza complications, or are close contacts of persons at higher risk:

•persons aged >50 years;
•women who will be pregnant during the influenza season;
•persons who have chronic pulmonary (including asthma), cardiovascular (except hypertension), renal, hepatic, hematological or metabolic disorders (including diabetes mellitus);
•persons who have immunosuppression (including immunosuppression caused by medications or by human immunodeficiency virus);
•persons who have any condition (e.g., cognitive dysfunction, spinal cord injuries, seizure disorders, or other neuromuscular disorders) that can compromise respiratory function or the handling of respiratory secretions or that can increase the risk for aspiration;
•residents of nursing homes and other chronic-care facilities;
•health-care personnel;
•household contacts and caregivers of children aged <5 years and adults aged >50 years, with particular emphasis on vaccinating contacts of children aged <6 months; and,
•household contacts and caregivers of persons with medical conditions that put them at high risk for severe complications from influenza.

Source: Center for Disease Control (Photo Credit: Healthcarewithoutharm/ Southeastasia) =0=

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PostHeaderIcon WHO declares H1N1 flu a pandemic; RP’s cases rise to 92



After weeks of weighing in the right time to declare a pandemic, the World Health Organization (WHO) finally ruled on Thursday, June 11, 2009 that the swine flu which caused illness and death to 27,737 and 141 people respectively, had reached pandemic level. It’s the first pandemic to be categorized in more than 40 years.

The new viral infection which has spread to 74 countries usually manifests as a mild illness and uncommonly cause death. Health authorities however emphasize the need for prevention and more caution. The virus is highly transmissible and quite unpredictable. It has a potential to transform and grow in virulence as it affects different populations of the world.

The decision to raise the disease to level 6 underscores the need for vigilance, prevention and control by various governments. The pandemic will spur the production of vaccines and drugs to fight the disease. It will require more money to keep the illness under control.

The raising the alert to the highest level coincides with the increase of cases in the Philippines to about 100, the highest number of those sickened so far by the swine infection in Southeast Asia. With the unpredictability the infection, one can just hope that the effort by the health authorities will lessen the incidence, mortality and morbidity of the pandemic in the country.

What is a pandemic?

A pandemic is a new infectious disease that spreads around the world.

The best recent example of a pandemic is AIDS, caused by a virus new to humans: HIV.

Seasonal flu viruses spread around the globe and cause 250,000 to 500,000 deaths each year -- including some 36,000 annual deaths in the U.S. But seasonal flu isn't considered a pandemic, even though the viruses that cause them change a little from season to season.

One of the seasonal flu viruses is a type A H1N1 virus. But the type H1N1 swine flu virus that appeared in 2009 is an entirely different virus. It carries genes from swine flu viruses from North America and Eurasia as well as genes from human and bird flu viruses.

Humans have never before been infected with this virus. That means that nobody is immune, although some people born before 1957 may have been exposed to an ancestor virus that could possibly give them a small degree of protection.

Because the vast majority of people are vulnerable to the 2009 H1N1 swine flu virus, because it spreads easily from person to person, and because the virus is spreading in communities in different parts of the world, the current swine flu has reached pandemic proportions.

Flu pandemics occur regularly. That's because there are many kinds of flu viruses in animals (mostly birds), but so far only a few have evolved the ability to infect humans. There were three flu pandemics in the 20th century: in 1918, in 1957, and in 1968. Source: WebMD (06/11/09, Daniel J. DeNoon; Louise Chang, MD)

What is WHO doing to respond?

"WHO continues to help all countries respond to the situation. The world cannot let down its guard and WHO must help the world remain and become better prepared.
WHO's support to countries takes three main forms: technical guidance, materials support, and training of health care system personnel.

WHO's primary concern is to strengthen and support health systems in countries with less resources. Health systems need to be able to prevent, detect, treat and mitigate cases of illness associated with this virus.

WHO is also working to make stocks of medicines (such as antivirals and antibiotics) and an eventual pandemic vaccine more accessible and affordable to developing countries.

Both antivirals and vaccines have important roles in treatment and prevention respectively. However, existing stocks of antivirals are unlikely to meet the demand. And vaccines may be developed, but it will some months.

Therefore, rational use of the limited resources will be essential. And medicines are only part of the response. WHO is also deploying diagnostic kits, medicines and masks and gloves for health care settings, teams of scientific experts, and medical technicians so countries in need can respond to local epidemics.

A pandemic sets national authorities in motion to implement preparedness plans, identify cases as efficiently as possible, and minimize serious illness and deaths with proper treatment.

The goal is to reduce the impact of the pandemic on society
."---Source: www.who.int (Photo Credit: Amanda Ruth) =0=

RELATED BLOG: "Mitigation versus containment in the fight against the H1N1 flu" Posted by mesiamd at 6/09/2009

UDATE: June 14, 2009. Surveillance of H1n1 cases in the Philippines added more cases to the previous count---now totalling to 111 cases after a few grade school students in Nueva Ecija tested positive to the swine flu infection. =0=

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PostHeaderIcon Mitigation versus containment in the fight against the H1N1 flu



The sudden rise of H1N1 flu cases in the Philippines to 46 had Dr. Francisco Duque III of the Department of Health (DOH) and his team to shift gear in the battle against the viral infection. Early on, containment was the goal to stop the spread of the swine flu at the bud, but the sharp increase of those stricken with the disease, made them to resort to “mitigation”----a lesser goal to reduce the outbreak’s spread and severity.

“As more and more cases were confirmed daily, Duque said health authorities were no longer doing contact tracing since the virus was being transmitted much faster than they could trace and quarantine all contacts of those infected with the virus.

"It offers little benefit to do extensive tracing of this virus when it is clear that the disease can be passed on to others at a rate faster than it will ever be humanly possible to find the contacts,” he said.

“This means that we only do early detection and aggressive treatment of cases as they come, especially for those with high-risk preexisting conditions. Those manifesting mild symptoms can be managed and monitored at home so that only patients at risk of developing complications ‘----PDI (06/08/09, Pazzibugan, D.)

What Dr. Duque says is that the illness is out of the genie box and absolute control is unrealistic. Minimization of the disease’ potential impact is the "better" course of action. Reducing the severity of exposure is now the strategy knowing that the exposed have become more difficult to track.

This comes at a time of the opening of classes. And rainy season is at hand. Dengue, another health hazard carried by mosquitoes is brewing in the air. In greater numbers, more people have become possible swine flu and dengue hemorrhagic fever carriers thus making more infections in the community possible.

To date, the World Health Organization (WHO) identified the Philippines to have the highest number of swine flu cases in Southeast Asia. As of its latest tally on June 8, 2009, WHO listed 73 countries affected by the swine flu with a total of 25,288 confirmed cases and 139 recorded deaths. (Photo Credit: CDC) =0=

UPDATE: June 9, 2009: Follow up update revealed 57 cases of swine flu in the Philippines. Many of the recently infected had been students in Manila and those with history of travel outside the country. Vigilance, personal responsibility, and self-help to prevent the disease are in order to limit the spread of the infection.

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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 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 2nd H1N1 flu case reported in the Philippines

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Because of the time lag between the exposure to influenza and the moment manifestations of the infection arise, it’s only now that the 50-year old Filipina who arrived as a balikbayan from USA is confirmed as the second case of swine flu infection in the country. The first case is a 10 year-old child who also came home from a trip abroad. She is reported to have fully recovered from the illness.

The Research Institute for Tropical Medicine (RITM) announces the woman tested positive for the H1N1 virus though it appears that she has been recovering since she experienced having cough and fever, one day after her arrival from USA.

“Since monitoring started on May 1, the DOH has placed 105 individuals under observation, with 88 already being found negative and 15 have pending laboratory test results.”---Malaya (05/23/09, Naval, G)

Though there is no reason to panic, the viral infection that has affected close to 12,000 individuals in 43 countries is a source of concern. The new strain of viral infection has the capacity to kill and is still under study. Nobody knows how the virus with a propensity to mutate and assume more virulence will behave when it spreads in different countries as the seasons change.

Preventive measures such as frequent handwashing, covering one’s nose and mouth when sneezing and coughing, avoiding hand contact with people as advised by the Department of Health are in place.

The World Health Organization urges nations to push for pandemic preparedness and advices pro-active fight against the disease while only a few individuals have been stricken ill of the disease.(Photo Credit: CDC)=0=

RELATED BLOG: "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 May 8, 2009: H1N1 flu update

As of May 8, 2009, Guatemala is the latest country to report having to deal with H1N1 flu. The country which shares the southern border with Mexico is added among 25 countries which according to the World Health Organization (WHO) have laboratory confirmed the swine flu infection. The Center for Disease Control (CDC,) disclosed that the United States has the H1N1 influenza in 43 states.

The countries with the number of confirmed swine flu cases are: Austria (1), Brazil (4), Canada (214), China, Hong Kong Special Administrative Region (1), Colombia (1), Costa Rica (1), Denmark (1), El Salvador (2), France (12), Germany (11), Guatemala (1), Ireland (1), Israel (7), Italy (6), Mexico (1,204), Netherlands (3), New Zealand (5), Poland (1), Portugal (1), Republic of Korea (3), Spain (88), Sweden (1), Switzerland (1) and the United Kingdom (34). United States of America (1,639).

In the Philippines, the Department of Health (DOH) and the government caved in to boxer Manny (Pacman) Pacquiao's decision to go home ignoring the quarantine recommendation of WHO. This is also true with the 50 congressmen who came to the United States to watch the Pacquiao-Hatton match.

The early return of the Pacman and the 50 congressmen plus their respective entourages makes it hard for DOH to abide with its quarantine program, risking the health of Filipinos. There are at least 13 people in the Philippines who have been cleared after undergoing proper observation by DOH for possible swine flu infection. =0= (Photo Credit: CDC)

More Swine Flu Cases

Additional confirmed H1N1 flu cases have recently been disclosed in Japan (3), Australia (1), and Panama (1)

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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 Quarantine of 3 possible Swine flu sufferers in Cebu



It’s a waiting game for three individuals who were quarantined in Cebu on suspicion that they harbor the H1N1 flu virus. A Filipino who was detected to be running fever by thermal scan at Cebu Airpot was isolated together with his wife after they arrived from their trip which brought them to Ireland, Hongkong then to Cebu via Cathay Pacific Fight.

They were sequestered in quarantine rooms at the Vicente Sotto Memorial Medical Center pending the results of their laboratory tests crucial in determining if they have the pig flu. With them was an Englishwoman who voluntarily came to the hospital on May 4, 2009 to complain of cough and colds after visiting Mexico and Hongkong, places where the swine virus had been reported.

Renan Cimafranca, the head of the Regional Epidemiology Surveillance Unit said that the public will be notified of the laboratory tests sent to the DOH’s Research Institute of Tropical Medicine (RITM )in Alabang on the three individuals as soon as they are available. Although the swine influenza seems to behave like the seasonal flu, caution and vigilance are advised because the behavior of the new flu strain isn’t completely known.

Since no swine flu has so far been detected in the Philippines, the Department of Education (DePEd) has no plan to interrupt the schedule of opening of classes in June. Health authorities in Cebu are confident of their readiness to tackle the H1N1 virus infection after learning from their experience in controlling Severe Acure Repiratory Syndrome (SARS) in 2002-2003. (Photo Credit: AP/ Gregory Bull) =0=

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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