Posts Tagged ‘H1N1 (Swine) Flu’

London – New Infectious Disease Hot Spot?

Monday, December 20th, 2010 by

The esteemed British medical journal, the Lancet, reported this week that the incidence of tuberculosis in London had risen 50% in the last decade.  Unlike neighboring countries, and the rest of the Western world, where tuberculosis has been on the decline for dozens of years, London saw a jump from 2,309 cases in 1999 to 3,450 in 2009. Most tuberculosis cases in Great Britain appear in people born overseas, although not in recent arrivals. About 85 percent of people with tuberculosis have been in Britain for at least two years, meaning the disease is not being imported, but circulating locally.

In separate reports, the H1N1 virus, or the so called “swine flu” also saw a big jump in the number of London cases over the past month.  The Health Protection Agency released a report that London had experienced 10 deaths from the swine flu in the last six weeks. In addition, dozens of patients have been admitted to intensive care units in hospitals throughout London with severe respiratory problems related to infection with the H1N1 virus.  Professor John Watson, the HPA’s head of respiratory disease, said he was “surprised” at the rapid spread of the virus, adding “It is more than I would have expected.”

Britain is one of the world’s biggest foreign aid donors, with considerable investments in projects fighting tuberculosis and swine flu in poor countries.  “We need to clean up our own back garden first,” says Alimuddin Zumla of University College, calling for new strategies and more money to reverse the recent London jump. “Charity begins at home,” he added.

Should tourists avoid London?  Most public health officials would say “no”, citing the fact that the number of cases thus far is not impressive, despite their shock value. Nonetheless, travelers to developed countries should not abandon the universal precautions, such as frequent hand washing, avoiding large crowds and covering one’s mouth when coughing, that are observed with more vigilance in areas endemic for exotic infectious diseases.

Photo by emiana.

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India: H1N1 Endures

Tuesday, August 17th, 2010 by

The pronouncement last week by WHO Director General Margaret Chan that the H1N1 pandemic is officially over apparently ignores the latest reports from India.  Health officials in the world’s second most populous nation say that the number of new H1N1 cases for the week of August 2-8 reached a new peak for the current season with 942 cases resulting in 83 deaths.

One of India’s leading health officials stated “Many would say the virus has now settled down to replace the seasonal influenza strain. But there is no doubt that H1N1 continues to infect Indians in large numbers. A majority of those who died were pregnant women and the elderly — the vulnerable group.”  The state of Maharashtra saw the most victims, recording 400 confirmed cases and 51 deaths. Karnataka was second with 200 cases and 12 casualties, while Andhra Pradesh, with 105 cases and six deaths, was third. Overall, India has been one of the countries hit hardest by the H1N1 virus, with nearly 37,000 cases and 1,833 deaths since the outbreak began in May of last year. To put these numbers into perspective, seasonal flu historically has a death rate of 1 per 1,000. Worldwide the H1N1 virus has killed nearly 1 in 100. In India, H1N1 has killed about 1 in 50.

WHO’s Chan has responded to criticism that her announcement was premature, saying “Based on experience with past pandemics, we expect the H1N1 virus to take on the behavior of a seasonal influenza virus and continue to circulate for some years to come.” She added that isolated outbreaks are likely to occur, given the extreme virulence of the virus.  Others have pointed out that the H1N1 virus may not have finished mutating, and could become even more deadly over the next several years.

As HTB reported earlier, millions of H1N1 vaccine doses have expired and already been destroyed, with millions more set to expire over the next few months.  The reports from India should remind us that although the pandemic may have faded, the virus has not.  The Centers for Disease Control indicates that the 2010-2011 seasonal flu vaccine scheduled for shipment next month will include immunization to the 2009 strain of the H1N1 virus. Anyone travelling overseas not previously immunized against H1N1 should avail themselves of the seasonal flu vaccine.

Photo by ghinson.

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H1N1 (Swine) Flu: Should we still be concerned?

Thursday, July 8th, 2010 by

A recent article  in the Washington Post detailing criticism of the World Health Organization’s handling of the H1N1 (swine) flu pandemic, suggests that “much ado was made about nothing” and that the WHO was unduly influenced by drug manufacturers who stood to gain from widespread panic over the spread of the novel H1N1 virus.

Yet in a separate, sparsely circulated news article released last week, India reported that the number of swine flu cases jumped dramatically in June.  During the week of June 8-14, the country recorded 168 H1N1 cases with 14 deaths.  In comparison, from June 21-27, there were 345 new cases of H1N1 flu with 17 deaths. Somewhat alarmingly, the virus appeared in parts of India that were minimally affected last year. 

The news from India came at a time when over 25% of the H1N1 vaccine produced last year for the United States, a staggering 40 million doses worth over $250 million, was destroyed because it had expired.  An additional 30 million doses will likely also expire without being used.  If added to the 40 million doses slated for destruction this week, it means that almost half of the vaccine produced for the U.S. will have gone to waste. 

Despite unprecedented publicity by the World Health Organization, and an international campaign to encourage immunization against the novel H1N1 virus, a vast number of people remain unimmunized against H1N1.  Should we be concerned?  If the recent news out of India is any indication, H1N1 has not gone away and may become front page news once again in the coming flu season, typically late November thru March.

Scientists cognizant of the Spanish flu timeline from early 1918 until 1920, during which time three separate strains of the influenza virus emerged – with the second being the most deadly – are quick to point out that the novel H1N1 virus from last year could easily mutate and cause widespread devastation in an unimmunized population. Should this occur, the waste of millions of unused vaccine, and the consequential reluctance of manufacturers to mass produce any more doses, could have catastrophic consequences in the months ahead.

Travelers should keep in mind that it is flu season in many parts of the world, and that those travelling to the Southern hemisphere in particular should pay close attention to regions reporting increased H1N1 activity.  Ask your physician about obtaining the H1N1 vaccine, particularly if you are pregnant or have a chronic illness such as asthma or HIV/AIDs.  Criticism of the World Health Organization notwithstanding, it is still premature and historically unjustifiable to write off the novel H1N1 pandemic as a fabrication for the benefit of vaccine manufacturers.

Photo by Jeremy Brooks

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Swine Flu Assessment: First Wave Cut Many Lives Short

Friday, April 2nd, 2010 by

Prompted by allegations that the swine flu pandemic was oversold to promote vaccine sales, researchers at the National Institutes of Health in Bethesda MD have released their assessment of the mortality associated with the H1N1 virus in the U.S during the past flu season. In their own words:

“We conclude that the 2009 A/H1N1 pandemic virus had a substantial health burden in the U.S. over the first few months of circulation in terms of years of life lost, justifying the efforts to protect the population with vaccination programs. Analysis of historic records from three other pandemics over the last century suggests that the emerging pandemic virus will continue to circulate and cause excess mortality in unusually young populations for the next few years.”

Relying on the fact that the average age of an H1N1 victim (37) is far younger than the average of a typical seasonal flu victim (76), researchers calculated that in the U.S. H1N1 cost nearly 2,000,000 years of life versus 600,000 for the seasonal flu.

In an interview with New Scientist magazine, researcher Lone Simonsen warns that most people killed in the 1968 pandemic died in its second wave, and advises vaccination. It’s autumn now in the southern hemisphere, and H1N1 is returning. We will keep tracking its progress for our globally mobile readership.

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H1N1 Update: 2010 Baseline Data Are Encouraging

Friday, January 8th, 2010 by

The flu season in the northern hemisphere has reached its midpoint, and the latest news suggests that the H1N1 outbreak has peaked in most if not all countries. Among the 208 countries where H1N1 has appeared, peak intensity persists in Poland, Serbia, Georgia and Ukraine. H1N1 vaccine is now widely available in the U.S., and many countries in western Europe are cancelling orders for additional vaccine because a single dose has been found to be effective. It’s likely there are continuing vaccine shortages in many developing countries, so travelers to these destinations should not expect to have access to the vaccine while abroad. It’s no surprise that manufacturing and distributing vaccine on a global scale at “break-neck speed” has produced widespread delays and surpluses and shortages.

If you haven’t had a shot, it’s still worth considering (especially if you are under age 30) as world health authorities warn that another wave of H1N1 remains a possibility. Plus, immunizing today is likely to give you some level of protection against related strains in years to come. Of course, everyone always needs to weigh the risks of side effects. Our species may weather this season’s attack without enormous social disruption and loss of life, but we’ve certainly been reminded that luck often outweighs all our furious efforts to protect ourselves.

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Planes, Trains and H1N1

Wednesday, November 25th, 2009 by

healthy travel blogThe news from the Centers for Disease Control (CDC) this week is encouraging.  It appears that H1N1 activity has temporarily peaked, with 43 states reporting widespread activity (down from 46 last week).  However, the CDC also cautions that the numbers could pick back up after the holidays when the seasonal flu usually takes off.  In an effort to remind people to take steps to prevent their chances of catching anything,  the CDC has launched the Travel Health Campaign–posters,  e-cards and specific information for those studying abroad during flu season.  In addition, flu.gov offers several widgets that can be distributed to help spread the word.

In case you are traveling this week, here is the WHO’s worldwide situation update indicating disruption of healthcare services due to the flu.    

Hopefully anyone with flu-like symptoms will stay homes holiday, but in case they don’t, here are some tips to protect yourself.  Wash your hands frequently, keep your hands away from your eyes and face and avoid contact with anyone who appears to be sick.

Happy travels!

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This Week in H1N1

Friday, November 13th, 2009 by

basichtbimageIn H1N1 news this week:

Freakonomics charts how H1N1 has impacted this year’s flu season.

The Wall Street Journal blog offers perspective on the number of H1N1 cases reported so far this year. 

New Scientist offers a point to ponder in their article suggesting that the common cold has helped tame “the swine” in Europe.

If this news has you looking for the vaccine, Google is ready with a new tool in their flu trend arsenal:  the flu shot finder.

And if you are sick, but can’t decide if it’s a cold, the seasonal flu or H1N1, consult this chart and analyze your symptoms.

As always, for a global report on H1N1, visit with the WHO.

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Iraqis Lose Their Cool Over H1N1: Get the Facts Before You Do Too

Friday, October 23rd, 2009 by

When the news broke that 2,500 schools in Iraq have been closed in response to H1N1 outbreaks, we couldn’t help thinking how susceptible we all are to headlines, sound bites and video clips. As H1N1  washes over the northern hemisphere, we have some friendly advice: Instead of just tuning into the news, tune into the facts via the resources that the U.S. Department of Health and Human Services has compiled.  Flu.gov is a hype-free site full of valuable information and answers to your questions, such as “Can a cockroach carry the H1N1 virus?”

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H1N1: Do you have it?

Monday, October 19th, 2009 by

healthy travel blogMaybe your seasonal allergies are affecting you differently than they did last fall; maybe you’ve been sprayed with H1N1 via the coughs and sneezes of a germ-spreading co-worker; or maybe, you just don’t feel well.  In an effort to help those who are concerned that they may be infected with H1N1, the Department of Health and Human Services has added an online self-evaluation to Flu.gov.  This may be a better alternative than risking sitting next to someone who actually does have it (or some other contagious ailment) while sitting in your doctor’s waiting room. 

In just a few questions, this Severity Assessment will let you know if you probably do or probably don’t have the flu and will offer you advice on getting further treatment. 

Do you think this is an effective way of triaging flu victims?

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10/09/09 Update: Catching up on (not catching) H1N1

Friday, October 9th, 2009 by

healthy travel blogThe H1N1 news this week provided some tech news, entertainment, and reassurance:  Google is taking advantage of its view from the top of the world to map the global flu trends; the Dalai Lama has adopted the fist-bump; and according to recent reports, only a small number of people infected with H1N1 are getting really sick from it. 

Google explores flu trends around the world.  

Who’s on the “fist bump” bandwagon? 

Most people who get H1N1 don’t require serious medical treatment.

What was your favorite story this week?

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