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PANDEMIC ALERT LEVEL
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Tracking the next pandemic: Avian Flu Talk

Now At Level 6

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Guests Quote  Post ReplyReply Direct Link To This Post Posted: May 15 2009 at 8:54pm
 
new guidelines...(as in Guide) states/localities can self determine...unless state Govt./WHO
 
says otherwise.
 
 
Schools will now close for a total of 14 days for illness.
 
 
Hotline in New York State
.........................................
 
1-800-1987
 
NY City call....   311
 
 
...................................
cases remain mild to moderate in NY..... 7  cases on Long Island
 
 
Latest Briefing:

Statement from Governor Paterson regarding the closure of additional New York City schools. More >>


Past Briefings:


05.14.2009
- Governor Paterson, Mayor Bloomberg and New York City officials discuss school three school closing in Queens. video >>

.......................................
 
 looks like nearly 7000 kids  will be out of school in the city..(approx .4,500 and another 2500.)
 
Please correct this number if you have differing data.
 
 
......................
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Please print this or take notes...or the library will print it for you.
 
 
Taking care of a sick family member at home
............................................................................
 
 
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.
 
United Kingdom
...........................
 
 
 
As of 11 May 2009[update] UK epidemiologists at Imperial College London consider that
 
H1N1 swine flu is spreading fast enough to justify the preparations for a pandemic. It is
 
showing "sustained human-to-human transmission", thereby justifying the WHO's
 
pandemic phase 5 rating.
 
 
It is estimated that on average each person who contracts flu passes it on to between 1.4
 
and 1.6 other people, no worse than the three influenza pandemics of the twentieth
 
century. Early analysis suggests that the spread is likely to be similar to the earlier
 
pandemics. Up to the date of the study, clinical severity is similar to 1957 and less than
 
1918. But the clinical severity of the outbreak and how the virus will evolve cannot yet be
 
predicted. [66]
 
 
wikipedia
 
 
...........................................
 
 
 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Guests Quote  Post ReplyReply Direct Link To This Post Posted: May 16 2009 at 4:59pm
 
I'm trying to consider severity.  We now have several pandemics going on in the world...
 
I wonder if there were 5 Pandemics about the world during the 1918 Pandemic Flu? and what impact these 5 Pandemics will have on the fatality rate this next flu season in North America?
 
 
 
MALARIA Pandemic
 
HIV/Aids Pandemic
 
TB Pandemic
 
Hepatitis C Pandemic
 
 Dengue/dengue haemorrhagic fever Pandemic
 
 
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.

Countries so do not need this swine flu.... Countries in South America, Central America are currently suffering from,

Dengue/Dengue H. Fever.
 
In Bolivia
 
The fatality rate is 12.7 %
 
add the swine flu and it looks like the people are dying from?
 
co-infections.
 
 
 
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China is serious...
 
 
Suspected carriers are to be held under quarantine with one person in an isolation ward while groups of people with a confirmed infection will be treated in one ward at designated hospitals.
 
 
Confirmed carriers will be treated with oseltamivir, an inhibitor that proved effective in initial medical tests in containing the virus, it says.
 
 
 
 
.......................................
 
 
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Here is a look at the UK and Japan.
 
 
United Kingdom
............................
 
as of May 17th..... 101 confirmed cases.   155 cases suspected.
155 cases are currently under laboratory investigation in the UK.These cases change on a daily basis on account of some of those under assessment being discounted and new ones being introduced. This figure is correct at the time stated.

Japan
...............................
 
On May 17, a total of 96 people are confirmed in Japan[107].
over 100 suspected cases

wikipedia
 
.......................................................................................................................
If you want to compare the USA to the EU.... then each of our states should be doing as the UK below (and countries of the EU the same)
 
 
The Department of Health announced on 29 April 2009 that they intended to send an
 
information leaflet on swine flu to every household in the UK.[59] On 5 May they started to
 
deliver leaflets to all households in the UK.[60] On 29 April, Alan Johnson announced that
 
television and radio advice would also be broadcast starting on 30 April.[61] On 30 April
 
2009, a swine flu information line was launched with advice on setting up "flu friends" (this
 
is not the National Flu Line service mentioned below).[61]
 
............................
 
 
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.
 
 
 
....outbreaks in multiple locations overseas
 
Interior Emergency Coordination Council
......................................................................
National Principal Federal Official (PFO)
Primary Joint Field Office (JFO) staff.
 

The country is divided into five Regional Areas of Responsibility.
 
When Federal Govt. Response Stage 3 (FGRS 3)  widespread human outbreaks in
 
multiple locations overseas, the Regional PFOs and Regional JFOs are activated.
 
Within this scheme, there is a National Principal Federal Official (NPFO), along with five
 
Regional PFOs (one in each Regional Area of Responsibility), and ten Deputy Regional PFOs
 
(two per Regional Area).
.............................................
 
The FGRS provide a framework for Federal Government actions, and are follows:
 
 

Stage 3

Widespread Outbreaks Overseas

Goals

Delay emergence in North America
Ensure earliest warning of first case(s)
Prepare domestic containment and response mechanisms

Actions

Activate domestic emergency medical personnel plans
Maintain layered screening measures at borders
Deploy pre-pandemic vaccine and antiviral stockpiles; divert to monovalent vaccine production
Real-time modeling; heighten hospital-based surveillance
Prepare to implement surge plans at Federal medical facilities

Policy Decisions

Prioritize efforts for domestic preparedness and response

Stage 4

First Human Case in North America

Goals

Contain first cases in North America
Antiviral treatment and prophylaxis
Implement national response

Actions

Ensure pandemic plans activated across all levels
Limit non-essential domestic travel
Deploy diagnostic reagents for pandemic virus to all laboratories
Continue development of pandemic vaccine
Antiviral treatment and targeted antiviral prophylaxis

Policy Decisions

Revision of prioritization and allocation scheme for pandemic vaccine

Stage 5

Spread throughout United States

Goals

Support community response
Preserve critical infrastructure
Mitigate illness, suffering, and death
Mitigate impact to economy and society

Actions

Maintain overall situational awareness
Evaluate epidemiology; provide guidance on community measures
Deploy vaccine if available; prioritization guidance
Sustain critical infrastructure, support health and medical systems, maintain civil order
Provide guidance on use of key commodities

Policy Decisions

Federal support of critical infrastructure and availability of key goods and services
Lifting of travel restrictions

WHO Phase 6

Pandemic Period

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.
 
 

From- WHO chief Dr. Margaret Chan,
...no one can say how long this period will last.
...............................................................................................
 
The US has said it will be at WHO phase 5 until this occurs-
 
...widespread human outbreaks in multiple locations overseas,
the Regional PFOs and Regional JFOs are activated.
 

Activated at that point to Who phase 6 and Fed Govt. stage 3.
There are 3 Fed Govt. stages during WHO phase 6...
 
please see them in post above...  stage 3, stage 4, stage 5.
.............................................................................................................
 

...widespread human outbreaks in multiple locations overseas,
 
Would have to happen in North and South East Asia.... the area where our
fall flu comes from....(ie second wave)  then if it hits us hard...stage 4.

No real Govt. intervention until stage 5.
 
......................................................................
 
 
 
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.
 
 
Listen to CDC
.........................
CLICK ON PURPLE-AUDIO
 

May 18, 2009

...................................................................
 
 
 
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.
 
 
 
 
 

This  interviw section (given below) was left out of the audio tape of May 18, 2009....
 
 

Anne Schuchat: Sure. We are looking at shedding, and I'm not aware of results yet about
 
gastro intestinal shedding. It's certainly a question we have, since that definitely can
 
happen with viruses.
 
 
Dave Daigle: Richard, what were your other questions?
 
 
Richard Knox: And if so, is it being used to determine whether there have been wider
 
spread than has been reported or maybe even asymptomic spread.
 
..............................................................................
 
 
H1N1 S-OIV
(swine flu)
 
 
No Fever, No Respiratory/cough

People are presenting with -

Gastro Intestinal Shedding
..............................................
 
Operator: The next is from Richard Knox, "National Public Radio." Your line is open.
 
 
Richard Knox: Thanks very much. I appreciate the opportunity. One thing, just to finish a
 
thought that Daniel DeNoon brought up with possible sequel shedding, I don't think I got
 
quite clear. Is there any evidence yet as to whether it is shed by that route or not yet?
 
And I have a couple of others.
 
 
 
Anne Schuchat: Sure. We are looking at shedding, and I'm not aware of results yet about
 
gastro intestinal shedding. It's certainly a question we have, since that definitely can
 
happen with viruses.
 
 
Dave Daigle: Richard, what were your other questions?
 
 
Richard Knox: And if so, is it being used to determine whether there have been wider
 
spread than has been reported or maybe even asymptomic spread. And then finally, if I
 
may, some have wondered whether we might see a summer flu phenomenon. I think you
 
just suggested that you think it is likely to follow the usual pattern in which temperature
 
and humidity will suppress that. But like Frank MONTO suggested, maybe we will. Can you
 
discuss a little bit about the possibilities of that?
 
 
 
Anne Schuchat: We are very interested in the question of asymptomatic spread, and
 
that's part of the evaluations that we're doing. This can happen with seasonal influenza
 
strains, and we are looking at that possibility, as well. We're working towards
 
development of a sear logic as sate that can tell us whether a lot of people have been
 
exposed without getting clinical systems. So that's another thing we'll be looking for. We
 
don't have results on that yet at this time. We wonder whether this strain will continue
 
during the summer, and give us more of a summer influenza pattern. This is certainly a
 
possibility. It's not something that I can predict. Most years, the seasonal influenza strains
 
have very reduced amounts here in the northern hemisphere. Unfortunately, we don't
 
know whether we'll get a break this summer with this virus. We'll be looking there and also
 
in the southern hemisphere where we expect there may be an important increase of this
 
virus.
 
 
Dave Daigle: Thank you, Richard. Next question, please, operator.
.................................................................................

why was it left out...total dead stop....
here-
 
 
 
 
........................................
 
 
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Do you remember a while back? when they talked about it being on surfaces...that is a polite way of saying ...spread by fecal oral route and is one reason (in my mind) why it is passing so furiously through schools...  it is both F/O route and also sneezing. 
 
saying people have no symptoms...and spread it... well intestinal shedding is not as overt as fever and sneezing... but it's another way to get it around.  And that is why they were scrubbing the whole darn school.
 
.......................
 
 
 
 
U.S. health officials troubled by new flu pattern
..........................................................................
 

Mon May 18, 2009 4:12pm EDT 

By Maggie Fox, Health and Science Editor
 
 
WASHINGTON (Reuters) - The new influenza strain circulating around most of the United
 
States is putting a worrying number of young adults and children into the hospital and
 
hitting more schools than usual, U.S. health officials said on Monday.
 
 
 
The H1N1 swine flu virus killed a vice principal at a New York City school over the weekend
 
and has spread to 48 states. While it appears to be mild, it is affecting a disproportionate
 
number of children, teenagers and young adults.
 
 
 
This includes people needing hospitalization -- now up to 200, said Dr. Anne Schuchat of
 
the U.S. Centers for Disease Control and Prevention.
 
"That's very unusual, to have so many people under 20 to require hospitalization, and
 
some of them in (intensive care units)," Schuchat told reporters in a telephone briefing.
 
"We are now experiencing levels of influenza-like illness that are higher than usual for this
 
time of year," Schuchat added. "We are also seeing outbreaks in schools, which is
 
extremely unusual for this time of year."
 
 
 

.................................
 
 
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Our Government will not panic the citizens with a Phase 6.  There is a danger of flu burnout
 
if they declare a Pandemic phase 6 too early.  There is pressure, they will not cave.
 
The Federal Govt. has planned it all out.
 
 
Our Federal Government has
3 Stages contained within Phase 6
..........................................................

 
 
 
Swine Flu's Spread in Japan May Prompt WHO to Declare Pandemic

By Simeon Bennett
 
May 19 (Bloomberg) -- Dozens of swine flu cases in Japan may prompt the World Health
 
Organization to declare a pandemic, a former WHO adviser said, spurring demand for
 
vaccines to fight the contagion.
 
Article cont. here-
 
 
.............................................
 
 
 and here is a real live article that agrees...
 
 
WHO says no Phase 6 for swine flu, for now
 
 
 
 
 article cont. here-
 
 
.....................................
 
 
 
 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote rickster58 Quote  Post ReplyReply Direct Link To This Post Posted: May 19 2009 at 4:34am
Going to Level 6 would for most countries, mean closing their borders and restricting travel. As we have just seen in Mexico this caused a massive slump in Tourism.
 
I think WHO will delay for as long as possible declaring a level 6 pandemic for the simple reason, international pressure not to declare is high and WHO critics are many.
 
As many countries rely on tourism to keep their economy afloat I see intense lobbying from affected countries, even lies and deception regarding the seriousness of their outbreaks.
 
This will most probably be to the detriment of people worldwide who are currently lulled into a false sense of security and have not prepared.
 
I see it already in the Australian media. The dumbing down of the issue, the trivializing of the seriousness of this current outbreak, failure to report significant world events related to H1N1.
 
For example.....the CDC statement saying they believe up to 100,000 Americans may have the virus received very little coverage here. 
 
For Goodness sakes, I'm no Einstein but when I see numbers like that I get alarmed.
 
My prediction:  We will see a gradual, but noticable decline in accurate media stories relating to H1N1.
 
 
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hi....thanks for posting.   I agree, the spread will be toned down during the summer, I'm ok
 
as long as it's mild.  The Govt should be more forward moving on asking people to stock
 
some supplies ... for the fall return.  Keep us posted on events down under...
..................................
 
this from....
 

Rear Admiral Anne Schuchat, M.D., is the current Interim Deputy Director for Science and

Public Health Program at the CDC.
 
 
"One of our working hypotheses is that older adults may have some pre-existing
 
protection against this virus due to their exposure long ago to some virus that may be
 
distantly related," Schuchat said.

...............................................


Makes sense....there is plenty out there to be related  to...

 

 From: Salient points in the history of swine influenza (adapted from Done and Brown,

1999), from Swine influenza: a zoonosis, Paul Heinen

 

History of swine influenza (In Humans)
..................................................................

 

1918
Swine influenza H1N1 described in north central USA. Hungery, and China.

 
May have been cause of human pandemic [19], which resulted in 20-40 million
human deaths.


1930
Shope isolated influenza virus from pigs [33], The prototype classic swine

 
influenza H1N1 strain (A/swinw/Iowa/30) transmitted experimentally to pigs.


1941
Recognized in Europe and disappeared.


1970
Transmission of human H3N2 virus to pigs.  Avian- like H3N2 in pigs in Asia.


1976
Classical H1N1 reappears in European pigs.


1979
Introduction of whole H1N1 virus from birds to pigs. Antigenically distinguishable from

classical strains. Still circulating today (2002).


1984
Reassortment between human H3N2 and avian H1N1 in swine resulting in reassortant

H3N2 virus with avian
i
nternal gene segments [5]. H3N2 strains first associated with respiratory epizootics. Still
 
circulating today (2002).


1986
Classical H1N1 reappears in UK, similar to classical H1N1 in continental Europe.


1987
Reassortant H3N2 associated with respiratory epizootics in UK. Related to A/Port

Chalmers/73 (H3N2).


1989
Avian like swine H1N1 is dominant and widespread in Europe.


1992-1993
Avian like H1N1 strains widespread in UK.


1993
Infection of children with reassortant H3N2 virus from pigs and isolation of avian like swine

H1N1 virus from a
pneumonia patient in the Netherlands.


1994
H1N2 first isolated in pigs in UK, and later also in Belgium. Human avian reassortant virus [3, 37].


1992-1998
H3N1 (H3 human, N1 swine) and H1N7 (H1 human, N7 equine) also occurred in swine in the UK but failed to spread.


1998
H9N2 in pigs and humans in Asia [17]. Apparently an avian virus that has adapted to pigs.


1998
For the first time, H3N2 viruses cause severe disease in N. America. Viruses are triple

(avian human classical swine) reassortants, distinct from earlier strains and European
 
strains. H1N2 identical to H3N2, but with H1HA from classical swine H1N1, also isolated.


1999
Single case of isolation of avian H4N6 from pigs with pneumonia in Canada.


2002
Current situation in Europe: avian like H1N1, and reassortant human like H3N2 and H1N2.

In North America: classical swine H1N1, triple reassortant H3N2.

............................................
 
 
 

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http://www.cidrap.umn.edu/cidrap/content/influenza/swineflu/news/may1909hospital-jw.html

 
................
 
CDC finds patterns in novel flu hospitalizations

Lisa Schnirring * Staff Writer

May 19, 2009 (CIDRAP News) – In a first early look at trends in patients who have been hospitalized with novel influenza H1N1infections, the Centers for Disease Control and Prevention (CDC) said today that all but one of a group of 30 patients presented with fever and that about two thirds of them had an underlying medical condition.

The CDC's review, based on California patients who were hospitalized from Apr 20 through May 17, appeared yesterday in an early online version of Morbidity and Mortality Weekly Report (MMWR). Anne Schuchat, MD, interim deputy director CDC's science and public health program, said during a media briefing today that the majority of patients recovered without problems after short hospitalizations, though some had severe illness with prolonged complications and remain hospitalized.

As of May 17, California officials have reported 553 confirmed or probable novel influenza cases. The 30 patients who were hospitalized are from 11 counties, most located in the southern or central part of the state. The age range was 27 days to 89 years, with a median age of 27.5 years.

The report contains detailed clinical descriptions of four patients that represent a range of illness severity, including:

  • A 5-month-old girl who was born premature, has multiple underlying health conditions, and apparently became infected with the new flu strain at the hospital, where she remains
  • A 29-year-old woman, previously healthy, who had pneumonia, was treated in the intensive care unit (ICU), and was discharged from the hospital after 9 days
  • A 32-year-old man with a history of obstructive sleep apnea who had pneumonia, was treated in the ICU, and was discharged from the hospital after 10 days
  • An 87-year-old woman with multiple health conditions who remains hospitalized in critical condition

The most common diagnoses at admission were pneumonia and dehydration. Of the 19 patients who had underlying health conditions, the most common were chronic lung disease, immunosuppression, cardiac disease, diabetes, and obesity. The most common symptoms were fever, cough, vomiting, and shortness of breath. "That's unusual for seasonal flu," Schuchat said.

Five of the patients were pregnant. Two of the women miscarried—one at 13 weeks and the other at 35 weeks. CDC officials emphasized last week that pregnancy is a known influenza risk factor and that pregnant women who have suspected, probable, or confirmed novel flu cases should receive oseltamivir (Tamiflu) for 5 days.

None of the patients had microbiological evidence of a secondary bacterial infection. Schuchat said that mirrors what CDC officials are seeing elsewhere, but she added that researchers are monitoring the situation closely. A previous report on Mexican patients who died from novel influenza infections also indicated that many had viral, not bacterial, pneumonia.

Half of the patients received oseltamivir, and five were treated within 48 hours of symptom onset. Of the 15 who didn't receive antiviral treatment, 6 sought medical care more than 48 hours after they got sick.

Though the patients who needed prolonged intensive care were more likely to be very young, be very old, or have a debilitating underlying medical condition, the CDC emphasized that one 18-year-old patient who was relatively healthy and had only mild chronic lung condition required ICU treatment and a ventilator.

Schuchat said the CDC recommends that all hospitalized patients be monitored carefully and receive antiviral therapy, even if they're past 48 hours of symptom onset.

CDC. Hospitalized patients with novel influenza A (H1N1)virus infection, California, April-May 2009. MMWR 2009 May 18;58(Early Release):1-5 [Full text]

See also:

May 12 CIDRAP News story "CDC urges vigilance for pregnant women with flu symptoms"

 
 
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(Note- the punch line is in yellow)


(but read it like you don't know that..... cause it isn't really a joke)

 

Are we asking...  What ever happened to..."Well, if there is a pandemic we will not have a
vaccine available, no pandemic vaccine.  It will take about 6 months to get it."


and now suddenly... 


We can have a pandemic vaccine available?  


(and we know this novel never seen in animals h1n1 type virus is THE ONE)


(She....being Dr. Chan of WHO)
...................................................................................................


...a swine flu vaccine would use one strain, enabling drugmakers to triple the current

seasonal output of 900 million doses. Using an additive that boosts immune response
 
would also boost production capacity, she said. Still, 4.9 billion doses is a "very optimistic
 
maximum" that depends on whether people would need one or two shots, she said.

 

Governments are already trying to secure supplies before a pandemic is declared.


The U.K., France, Belgium and Finland agreed to buy about 158 million shots from


 Glaxo and Baxter of Deerfield, Illinois,


according to statements last week from Glaxo and the U.K. government.


The U.S. hasn't ordered any, Sebelius said today in Geneva.

 

To contact the reporters on this story: Jason Gale in Singapore at j.gale@bloomberg.net; Dermot Doherty in Geneva at Ddoherty9@bloomberg.net
Last Updated: May 19, 2009 12:46 EDT

http://www.bloomberg.com/apps/news?p...CRnJg&refer=uk

 
 
...........................
 
 

 
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Originally posted by Mary08 Mary08 wrote:

 http://www.cidrap.umn.edu/cidrap/content/influenza/swineflu/news/may1909hospital-jw.html 
May 19, 2009 (CIDRAP News)
CDC finds patterns in novel flu hospitalizations .....
...underlying health conditions, the most common were:
 chronic lung disease, immunosuppression, cardiac disease, diabetes, and obesity.
Cry
Dense populations are going to be hit very hard by this pestiferousness little (flu virus) monster. "Technologist"
Stock 3 months water, food, weapon/ammo, meds, supplies, and some money at home.
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Annie.. talk to us... never hold in the worry.  My pop had some of the above and has kept on one flu season after another.  That is only a guideline ... not Gospel.  Remember in the 1918 pandemic....  98% of the people lived.
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This is bad, very bad indeed....

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Here are some videos from CDC...
 
 
 
and for diversion...
 
The Nightly Business Report
..............................................
 
 
 
Antiques Road Show
..................................
 
 
 
 
Antiques Road Show Field Trips
....................................................
 
 
 
Palm Springs, Hour 1 | Episode 1301
Art Theft: A California Plein Air Collection
Jim McCarty
web.mac.com/jcmccarty
Palm Springs, Hour 2 | Episode 1302
Vintage Trophy Belt Buckles:
Pappy & Harriet's Pioneertown Palace
www.pappyandharriets.com
Palm Springs, Hour 3 | Episode 1303
Celestial Maps:
GarganOptics
www.garganoptics.com
Dallas, Hour 1 | Episode 1304
28-Star American Flags:
The Dallas Historical Society
www.hallofstate.com
Peter Keim
www.agrandoldflag.com
Dallas, Hour 2 | Episode 1305
Vintage Marionettes:
Gary Busk
info@string-time.com
Dallas, Hour 3 | Episode 1306
Modern Silver:
Dallas Museum of Art
www.dallasmuseumofart.org
Wichita, Hour 1 | Episode 1307
Vintage Air Travel Posters:
Kansas Aviation Museum
www.kansasaviationmuseum.org
Wichita, Hour 2 | Episode 1308
Coleman Collectibles:
Cheney State Park
www.kdwp.state.ks.us
International Coleman Collector’s Club
www.colemancollectorsclub.com/
Wichita, Hour 3 | Episode 1309
Carder Steuben Glass:
Wichita Art Museum
www.wichitaartmuseum.org
Chattanooga, Hour 1 | Episode 1310
Civil War-Era Cannon:
Chickamauga and Chattanooga National Park
www.nps.gov/chch
Historical Ordnance Works
www.historicalordnanceworks.com/
Chattanooga, Hour 2 | Episode 1311
Minor League Baseball Collectibles:
Chattanooga Lookouts
www.lookouts.com
Andy Broome
www.andybroome.com
Chattanooga, Hour 3 | Episode 1312
Folk Art Walking Sticks:
City of Chattanooga Parks & Recreation
www.chattanooga.gov
Grand Rapids, Hour 1 | Episode 1313
Vintage Hood Ornaments:
Gilmore Car Museum
www.gilmorecarmuseum.org
Grand Rapids, Hour 2 | Episode 1314
Modern Furniture:
Public Museum, Grand Rapids
www.grmuseum.org
Grand Rapids, Hour 3 | Episode 1315
Delft Tiles:
The Holland Museum
www.hollandmuseum.org
Hartford, Hour 1 | Episode 1316
Maritime Paintings:
Mystic Seaport, The Museum of America and the Sea
www.mysticseaport.org
Hartford, Hour 2 | Episode 1317
Antique Connecticut Tall Clocks:
American Clock & Watch Museum
www.clockmuseum.org
Hartford, Hour 3 | Episode 1318
Connecticut Inn & Tavern Signs:
Connecticut Historical Society
www.chs.org
 
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Pandemic alert level remains at phase 5, says WHO chief

2009-05-20 00:36:35 GMT2009-05-20 08:36:35 (Beijing Time)  Xinhua English

World Health Organization (WHO) Director-General Margaret Chan speaks at a press conference in Geneva May 19, 2009.(Xinhua Photo)

World Health Organization (WHO) Director-General Margaret Chan speaks while United Nations Secretary-General Ban Ki-moon looks on at a press conference in Geneva May 19, 2009. (Xinhua Photo)

GENEVA, May 19 (Xinhua) -- The World Health Organization (WHO)'s pandemic alert level remains at phase 5, despite the quick increase of new A/H1N1 infections in Japan, the chief of the UN agency said on Tuesday.

"I must emphasize we are still in phase 5," WHO Director-general Dr. Margaret Chan told a news conference in Geneva, where the 62nd World Health Assembly (WHA) is being held.

The total number of laboratory-confirmed A/H1N1 flu cases in Japan has increased to 159 as of Tuesday, while the number for Sunday was only seven, according to the tally of the WHO.

But Chan said most of the infections in Japan happened in schools through contacts with patients.

There may be some cases that health authorities were not able to identify linkage of patients, but this is not unusual, Chan said, adding that similar situations had already happened in Britain and some schools in New York.

"So we will continue to work with the (Japanese) government and monitor the evolution of the situation," Chan said.

According to the WHO's current pandemic alert system, phase 5 means a pandemic is imminent, while a raise to phase 6, the highest level, will mean a pandemic is under way.

But the changes of alert phases are mainly based on the geographic spread of the flu virus, instead of the severity and deadliness of diseases.

On the opening day of the WHA on Monday, health ministers of Britain, Japan and some other countries urged the WHO to revise the alert system and take into consideration the severity of the disease before declaring a pandemic.

Chan told the assembly that she would follow their instructions carefully, particularly concerning the criteria for a move to phase 6.

Source:http://english.sina.com/life/p/2009/0519/242411.html
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hi July...good to see you here.

I'm listening to the CDC briefing ... there was a question (I was waiting for it) on the new

vaccine they are making.  And if it will protect people if the novel H1N1 virus changes

before the fall flu season....  the answer was that there is a "posibility" it may not (protect.)
 
 
in many opinions...it will go into the North and South East Asian whirlpool this summer and
 
come back here in the fall... the same?  I think not.  So that "posibility" is a reality.
.............................
 
Everyone must decide for their own family, keep asking questions, always be informed.
 
 
...........
 
 
 
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I think most people give the flu a glance and go about daily life.  What does it take to get
 
everyone's attention?  to put something away for the fall just in case is well worth the
 
effort.
 
 
This out of Utah...
 
 
He said he was troubled by what he called "flu fatigue. It is not bogus. It is not trumped up. It is not false. It is real."
 
 
Our Govt. is very concerned about "flu fatigue".  The Govt. will wait until absolutely the pre
 
planned moment to assist... which makes sense.  And it will not be at the time of the
 
phase 6 declaration... please see Govt. stages page 7 of this thread.
 
 
.........................
 
 
 
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Originally posted by Mary08 Mary08 wrote:

I'm listening to the CDC briefing ... there was a question (I was waiting for it) on the new

vaccine they are making.  And if it will protect people if the novel H1N1 virus changes

before the fall flu season....  the answer was that there is a "posibility" it may not (protect.)
 
 
in many opinions...it will go into the North and South East Asian whirlpool this summer and
 
come back here in the fall... the same?  I think not.  So that "posibility" is a reality.
.............................
 
Everyone must decide for their own family, keep asking questions, always be informed.
 
 
...........
 
 
 
i belive that is the reason why they dont start the mass proiduction of the new vaccine (against  A/ H1N1) - because the virus could mutate in the new form in the fall.
I do apologize for my poor english. Prepare for the Worst and Hope for the Best!
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(She....being Dr. Chan of WHO)
...................................................................................................


...a swine flu vaccine would use one strain, enabling drugmakers to triple the current

seasonal output of 900 million doses. Using an additive that boosts immune response
 
would also boost production capacity, she said. Still, 4.9 billion doses is a "very optimistic
 
maximum" that depends on whether people would need one or two shots, she said.

(quoting Dr. Chan)

 
 
Governments are already trying to secure supplies before a pandemic is declared.


The U.K., France, Belgium and Finland agreed to buy about 158 million shots from


 Glaxo and Baxter of Deerfield, Illinois,


according to statements last week from Glaxo and the U.K. government.


The U.S. hasn't ordered any, Sebelius said today in Geneva.

 

To contact the reporters on this story: Jason Gale in Singapore at j.gale@bloomberg.net; Dermot Doherty in Geneva at Ddoherty9@bloomberg.net
Last Updated: May 19, 2009 12:46 EDT

http://www.bloomberg.com/apps/news?p...CRnJg&refer=uk

 ....................
 
 
 
...The U.S. hasn't ordered any, Sebelius said today in Geneva...
 
 
 
Waiting until we see what comes out of North and South East Asia
 
in August, September?
 
..........
 
 Doctor Dan Jernigan
 
On CDC Briefing May 20, 2009
.....................................................
 
 
Candidate viruses will be ready the end of May to be sent off to Manufacturers.
 
An early vaccine could be given to Healthcare workers. (if they will take it)
 
Early meaning as late as October.
 
On the virus being different by the time a vaccine is available, there is a possibility,
 
there may be a need of a second, different  (additional) vaccine.
 
44 States are now able to do their own novel H1N1 confirmations.
 
 
NYC Health Dept Notices sharp increase in Emergency room visits.
 
78% of viruses collected in surveillance are novel H1N1.
 
Of the 247 hospitalizations, 70% have underlying conditions. 
 
Seeing pneumonia with H1N1 Hospitalizations.
 
Out of all confirmed and possible H1N1 cases, 60% are 5 to 24 yrs old.
 
Of those cases hospitalized, 40% are 19 to 49 yrs old.
 
(wondering about the ages of the other 60% hospitalized?)
 
 
Evidence of reactivity infers that there may be cross immunity in some people
 
born prior to 1957.... (while also saying the community has no immunity to this)
 
 
 
 
School age children with severe diease Hospitalized ?
 
Not clear... info given... uses a new number of Hospitalizations "looked at" and out of
 
those 164... we've done some analysis.... the median age hospitalized  is 19 yrs. 
 
 
of Hospitalized
..............................
 
about 18% 10 to 18 yrs old
 
about 11%    5 to 9 yrs old
...................................................
 
about 29%  5 to 18 yrs old
 
 
age 50 and over 13%
 
 
Largest number of hospitalizaions
 
37%  19 to 49 yrs old
 
 
 
 
 
 
 
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Dr. Max Kahn, a Manhattan pediatrician, says his office performs a simple nasal swab test
 
that can distinguish influenza from more than 100 other viruses that can cause cold
 
symptoms.

"We can't do anything more," he said. "If the child is significantly ill, we'll give an antiviral

medication."

If the parent asks for the new swine flu test, he tells them that the only laboratory

performing it is the state's, "and they're swamped and only doing people who are
 
hospitalized or have underlying disease."

source
http://www.nytimes.com/2009/05/21/health/21diagnosis.html?_r=1

 

Did I read that right?


... they're swamped and only doing people who are hospitalized or have underlying disease."


Swamped?  with people who are hospitalized?


and the Doctor from CDC is telling us that ,....(SO FAR? )

there have been... 247 hospitalizations?

After 9/11... we can call 247 hospitalizations in how many days.... swamped?

(Of the 247 hospitalizations, 70% have underlying conditions. )


OR... does it mean there are a lot more than 247 hospitalizations?

Can a NYC Doctor tell us if 247...can swamp the city?


Seeing pneumonia with H1N1 Hospitalizations.
 
Out of all confirmed and possible H1N1 cases, 60% are 5 to 24 yrs old.

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247 hospitalizations can swamp one or two hospitals but not an entire city with dozens of hospitals.

"Health care industry employs approximately 375,000 people in New York City, making it the city's largest employer. In New York, 40,000 physicians work at more than 70 hospitals ; the city's 20 public hospitals served 1.5 million people in 1998 alone."

http://en.wikipedia.org/wiki/Economy_of_New_York_City#Medicine_and_biomedical_research

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If they are "overwhelme" that just scares the bejeezes out of me thinking about the possibility in the fall.  Just drives the message home that we are soooo on our own if this pandemic develops in the fall.
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itle : WHO hesitates to declare H1N1 pandemic
By :
Date : 21 May 2009 1748 hrs (SST)
URL : http://www.channelnewsasia.com/stories/afp_world/view/430839/1/.html

GENEVA - A month after the world was alerted to a potential flu pandemic, the WHO was caught Thursday between the spread of the new Influenza A (H1N1) virus to 41 countries and doubts fostered by its mild symptoms.

More than 11,000 cases and 85 deaths have been recorded since the outbreak of A(H1N1) influenza emerged in Mexico and the United States, and the world remains at flu alert level five, signalling an "imminent pandemic".

But World Health Organisation Director General Margaret Chan is hesitating about declaring a fully-fledged pandemic by moving to phase six, even though travellers have carried it to other continents.

The top level would indicate sustained community transmission in a second region outside the Americas.

On Thursday, Japanese Prime Minister Taro Aso appealed for calm as a total of 281 A(H1N1) flu cases were reported in the country, including the first in greater Tokyo, the world's largest urban area.

Antoine Flahaut, an epidemiologist and head of the School of Public Health (EHESP), told AFP that the technical elements were in place to move into the pandemic phase.

"But the WHO senses that recommendations which go with that are not adapted to the situation," he explained, pointing to air travel restrictions or advice to wear surgical masks.

"Invoking phase six would be disproportionate with the current situation."

The doubts have grown because of the relatively mild symptoms of A(H1N1) flu, which experts acknowledge is no worse than seasonal influenza for now.

Many of the deaths have occurred among those who were suffering from other ailments, a common pattern for ordinary strains of flu.

During a meeting at the WHO's annual assembly Thursday, Chan listed the issue of A(H1N1) flu's severity among other criteria that were prompting caution.

"One of the things we're not seeing is the same spread in the southern hemisphere that we've seen in the first three countries," a WHO official added.

When the WHO's annual assembly opened on Monday, British Health Secretary Alan Johnson voiced doubts about phase six that had been growing behind the scenes after countries rushed to contain new cases of A(H1N1) flu.

"I think you, as you and others have said, need more time, we need more time to study this," Johnson told Chan, prompting nods of approval from other health officials afterwards, including China, Japan and New Zealand.

"She has taken that on board," WHO spokesman Thomas Abraham said late Thursday, underlining that most of the cases in Japan were largely confined to students or their close entourage.

Chan acknowledged this week that the WHO's pandemic response plan, introduced three years ago, was largely designed around the more deadly and virulent, but less transmissible, H5N1 bird flu virus.

"This scale was based on geographical distribution, but the public belief is that pandemic means seriousness," said Sylvie Briand, acting director of the WHO's Global Influenza Program.

But the WHO is also looking ahead at the potential progress of the new virus, and fears of its impact in poor countries, where millions of people are already weakened by chronic illness.

"Whatever the member states might say, we are in phase five," Abraham pointed out.

In studies released by the New England Journal of Medicine, scientists pointed out the similarities between the new A(H1N1) virus and ones behind pandemics that marked the 20th century.

Those pandemics in 1918-1919 -- which killed an estimated 50 million people -- in 1957-1963 and 1968-1970 started off as mild but went through waves that became more lethal at their peak, often the second season, and had different
impacts in different regions.

They also affected young people -- a feature underlined by the WHO in the current outbreak -- and were highly transmissible, the researchers from the US National Institutes of Health and George Washington University said.

Abraham said it was still not clear if young people were more affected by A(H1N1) flu because of the nature of the virus, or because it was more likely to be passed around among students in the close confines of schools.

"This virus does affect younger people, we don't know the reason for this - whether it's viral or epidemiological," he explained.

- AFP/ir

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from Setag-
 
 
 
Having a look at the May 20th 2009 info pdf...from the CDC...I wrote from the May 20th audio
 
briefing yesterday.  Reporter wanted to know about school age hospitalizations....
 
 
Looking at the charts on the pdf....
 
 
50% of the hospitalizations are
 
children age 0 to 18 years old...
 
 
in 1918 the greatest number of deaths were............ infants to age 4 yrs.
 
 
 
 
Number of cases reported to CDC as of May 20th 2009
 
New York
 
200 to 400 cases
 
 
Does that sound right?
 
New York State is not reporting Probable Cases.
About 20 states are not reporting them.
 
..................................................................................
 
I will be adding info here... for the next half hour.
 
..............
 
 
 
thank you July...
 
 
from WHO...
 

...doubts fostered by its mild symptoms.
 
..."Invoking phase six would be disproportionate with the current situation."
 
 
 
If you look at the pdf chart on page 20... and call it mild as does the CDC....and then
 
draw a line in bell fashion upward to the winter flu season....up...up....up...try
 
not to fall off your chair.
 
 
 
PDF Chart here-
 
 
 
 
................
 
They have a lot to do to get ready for September.  No sense getting a panic going,,,but it
 
is important to tell people to make plans for children if schools close and to have some
 
extra food at home incase of illness.... this needs to be done bit by bit...use tv to do it.
 
We are used to flood, hurricane info...no one will fall apart.    If this is not done...people
 
will feel out of control.
 
 
Have all the drug stores set up flu displays with info on not giving children asprin.
 
have flu products out, recipe for home made pedialyte...
 
 
 
..............
 
 
Please show these recipes to your Doctor and ask if he/she agrees with the formula.
 
 

By: DiB's
Sep 19, 2001

After having three kids, I could have saved a lot of $ making this myself.

Ingredients

Directions

  1. 1
    Mix all together well and store in the fridge for no more than 3 days.
  2. 2
    Make ice cubes or popsicles with this.
or
 
 
When your child is sick, your health care provider may recommend an electrolyte replacement drink like Pedialyte or Gatorade. This alternative recipe can be made at home for less money and you can choose to avoid ingredients like dyes that groups have asked the FDA to ban (red 40 and Blue 1 are in Pedialyte liquid and Red 40, Blue 1, Yellow 6 are in the Pedialyte popsicles).

Prep Time: 0 hours, 2 minutes

Cook Time: 0 hours

Ingredients:

  • 2 quarts water
  • 2 tablespoons sugar
  • 1 teaspoon baking soda
  • 1/2 teaspoon salt substitute (made with potassium chloride)
  • 1/2 teaspoon salt
  • 1 package Kool-Aid or other flavoring (optional) OR
  • 2 teaspoons vanilla (or other) extract

Preparation:

Mix all ingredients together and refrigerate. Use the mix within 4 days.

This can also be frozen into popsicles.

For those who are not concerned with dyes, using Kool-Aid or another powdered drink mix will add flavor. For those concerned with dyes, you can get something called the Flavorit Home Flavoring Kit, which is like what they use at the pharmacy to mask really bitter medications. It is dye-free, sugar-free and they've yet to have an allergic reaction to any of the flavors. You can pick these up at many drug stores. Kool-Aid also has a line of flavors called "Invisibles" that are dye-free. And really, if your child is vomiting, who wants to clean up that bright red or blue mess?

 
 
 
 
......................
 
 
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Must be global before raising.


GENEVA (Reuters) - The head of the World Health Organization said on Thursday she would not hesitate to raise the global pandemic alert to the top of the six-point scale if the new H1N1 flu is spreading globally. "When I see more signals coming from the virus itself or the spread of the disease, including severity, I would not shy away from making a very difficult decision. I would not compromise the world people's health," Margaret Chan said.
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In other words they are waiting for the info out of the North and South East Asia region....where our fall flu normally comes from.  it's wait and see now.
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CDC Telebriefing on Investigation of Human Cases of H1N1 Flu

May 21, 2009, 12 noon ET

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in the 1918 "swine flu"  high number of deaths in the 0 to age 4 group.
 
It is showing up again in the 2009 "swine flu"  in this 0 to 4 age range.
 
But they say the over 65 group at present is not yet showing a similar fatality range.
 
 
 
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Characteristics of
Influenza Pandemics
 

Flu pandemics occur when the virus
acquires a new hemagglutinin and/or
neuraminidase
 
Because the population has no pre-existing
immunity, morbidity and mortality in flu
pandemic are high, esp in younger people
 
To cause a pandemic, the flu virus must be
able to spread person-to-person easily
(e.g., the reproductive index is high)
 
Causes successive waves of infection
 
 
Second or later waves of the pandemic
 
Based on past experiences, at least a second severe wave of outbreaks caused by the
 
new virus would be expected to occur within 3-9 months of the initial epidemic in many
 
countries.


According to the CDC, the influenza virus sweeps through the population once, infecting

30% or less of the population, then circulates again among those not infected the first
 
time. This may occur because of the relatively lower level of population immunity.


Influenza viruses are circulating year-round in tropical regions with low levels of

circulation during the summer in the U.S. This may permit evolution of the virus' H and
 
N protein (antigenic drift) to better adapt to infecting more people.
 
 
 
 
 
........................
 
 
 
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Personal thoughts on transcript of virtual press conference,


Dr Keiji Fukuda,

Assistant Director-General ad Interim
for Health Security and Environment,
World Health Organization

22 May 2009
............................................................................................................................................



A Reporter forgot the Doctors' message

of the need for flexibility moving from phase 5 to phase 6.


"...changed the rule of the game in the middle of the game itself..."


Another Reporter wanted to know if severity meant ...dead people in the hospital?


A Reporter asked about protecting pilgrims going to the Hajj in Saudi Arabia.


The Doctor answered in part-


"...how to protect the pilgrims who are coming to the Hajj. It is a

difficult situation to

think through and how to protect people in this kind of situation."


(My personal opinion is, call off the Hajj for this year.)


Reporters wanted to know ...when... the WHO will move to Phase 6

Pandemic Level.


The Doctor pretty much answered the question before they asked.


"...they still have to focus on those unusual cases and investigate

them very intensively. This is how we are going to find out new

patterns about this disease, this is how we are going to find out when

the epidemiology is changing."


When pressed The Doctor went on to say...


"...if the virus moves into the Southern Hemisphere and causes

significant outbreaks in places such as Africa or South America and we

see patterns which are different from what we are seeing in North

America and that it appears clear that there is either a much more

severe effect or there is a change in how the virus is behaving, these

are the kinds of things which would signal that there is an increased

risk for people getting harmed."



And lastly... I found this logical for the time being.


"...moving towards surveillance in which they are looking at: rates of

illness, numbers of people appearing at doctors offices with illness

with consistent with H1N1 infection, and they are really going to begin

deemphasizing, counting cases one by one."


and...


"In fact most of the cases that we are seeing right now are clinically

mild and we

are not having the kind of high death rates that we might expect if we

were to see an H5N1pandemic. Moreover. what the countries said is that

we are in this mixed situation and we are concerned that if we go to

Phase 6 the message to our populations will be: "You should be very

afraid", whereas in fact we think that it indicates that the virus is

spreading out but the level of fear should not go up and there should

not be an increase in anxiety."


Source-
http://www.who.int/mediacentre/influenzaAH1N1_presstranscript_20090522.pdf
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Do you think masks protect you?                               :/
......................................................
 
 
 
updated info-
 

Interim Recommendations for Facemask and Respirator Use to Reduce Novel Influenza A (H1N1) Virus Transmission

May 23, 2009 9:00 AM ET

 
 
VIDEO    
 
 
 
 
.............................
 
 
NPR
 

 

Do Face Masks Protect From Flu?

by Allison Aubrey

Listen Now [3 min 41 sec]

 
source...article here-
 
 
 
.........................................
 
 
 
 
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Google: More People Will Die From Swine Flu If We Cannot Retain Search Data

 
 
Co-founder makes ridiculous assertions to justify sidestepping privacy concerns
 
 
 
Steve Watson
Infowars.net
Wednesday, May 20, 2009
 
 
 
 
Google has cited a possible influenza pandemic as a reason why it should be allowed to permanently retain users’ search data without restrictions.
 

There as a reason why it should be allowed to permanently retain users' search data without restrictions.

is an ongoing debate within the European Commission as to how long web companies should be able to keep such data, with privacy advocates suggesting it be wiped after six months.

However, Google co-founder Larry Page has suggested that the company should not be hindered in retaining search data, rather ludicrously suggesting that the more restrictions there are on data retention, the "more likely we all are to die".

"Our up-to-date influenza estimates may enable public health officials and health professionals to better respond to seasonal epidemics and pandemics," Page is reported to have claimed at Google annual Zeitgeist conference in London.

He said Google's ability to plot and predict potential pandemics would not be possible if the firm had to delete search data after six months, the BBC reports.

(Article continues)

 
 
.......................................
 
 
 
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Anne Schuchat, M.D., Interim Deputy Director for Science and Public Health Program
 
 
Gleenings from todays briefing.
......................................................
 
 
They do expect a surge in cases in the fall... and are in a transition period in how they look at cases the next 10 weeks.
 
 
They are preparing for the fall.
 
Looking at clinical patterns to identify risk factors.
 
almost all the positives for flu virus are now H1N1.
 
Less disease showing up now than a week ago.
 
on Testing in the Southern Hemisphere....
 
Does this virus cause hospitalizations with penumonia.
 
On Vaccine production...
Waiting til ....as late as possible ...learn all possible from Southern Hemisphere
 
experience...severity and clinical pilot lots...to make a decision in late summer, early fall.
 
 
On the fall surge....  expect seasonal flu to return in early to late fall or winter...this virus
 
(novel H1N1) will continue to circulate...wether it will dominate or disapear...Preparing for
 
the possibilty it will return.
 
Latest info...oseltamiver  no resistance yet .. for novel H1N1.
 
 
asking about a vaccine for the Southern Hemisphere...no time to produce vaccine for the
 
southern Hemisphere flu season this summer...Trying to address their eventual needs. 
 
Active efforts....countries that will need help.
 
New York still seeing cases.  Why hasn't the virus trickled out more to the outlying community? 
 
New York is a part of region 2... higher level of illness...also region 1 which is New England.  
 
CDC has provided assistance to NYC.  NY is an active investigation.
 
 
Schools are not to be closed to lessen transmission.
 
Ill children need to stay at home and recover.
 
 
 
 
 
 
 
 
 
 
 
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gady71 View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote gady71 Quote  Post ReplyReply Direct Link To This Post Posted: May 26 2009 at 12:48pm
thank you again Mary08
I do apologize for my poor english. Prepare for the Worst and Hope for the Best!
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My own take on the-


CDC Telebriefing on Investigation of Human Cases of H1N1 Flu
Thursday, May 28, 2009 1:00 PM Eastern
...............................................................................................................

 

Not seeing dramatic increases...reporting over the long weekend

case counts...   inter 13 398 confirmed suspected


8,585 probable  and confirmed cases,   12 fatalities,   507 hospitalizations.

largest number of cases,  62%  5-24 yrs old


over 65 is only  1 percent of cases

Begining next week, will have a different scehual, less case count reporting...
weekly reporting.... will be through fluview.


In some respects novel H1N1 is similar to seasonal flu. 


Seasonal H1N1 (also) causes more disease in younger people. 

But Seasonal H1N1 causes fewer deaths than H3N2.  (this is a comparison?)

Novel H1N1 attack rate similar to seasonal flu.

(this novel H1N1 strain is dangerous to pregnant women...not in this comparison?)

 

Hospitalizations... pregnancy and underlying conditions...seeing this with seasonal flu


Vaccines.... Manufactureres  will be coming out with candidate lots in the next few weeks...

from candidate virus strains...clinical studies over the summer months.
Developing bulk  ingredients, antigen adjuvant for the vaccines. 

Meeting timelines...but production is unpredictable.

Final vaccine needs to wait for clinical studies...ingredients...long way to go before deciding

on vaccinating...would be in the fall... not before October.

(in 1918 largest deathrate was in October)


On Fluview...information seems to be a couple of weeks old... is there any way to get more

updated data?

...we are trying to gauge the intensity of reporting, to the information needs, some of the

delay that happens is because we are testing isolates and waiting for results...
there is a natural dely there...(locally)... getting information from NYC in a timely way. 

(in other words......it's national reporting ...expect the delay)


severity is challenging to measure....1918 ...2% range.  .15 -  .2  ...resulting in death now..

novel H1N1

Use of vaccine in the fall...public input in these decisions...how severe .... how disrupting,

who is getting disease... etc.   Clinical studies will be vital... if tests suggest we can not
 
make a vaccine that is protective, or that there is unacceptable safety properties of a
 
vaccine ...will need to weigh that heavily in a reccomendation for vaccination.


Sothern Hemisphere-  Global flu surviellence network .... many investigators,

 
one of the international collaborating centers is in Australia.  ...a number of countries....a
 
number of places...


How can attack rates be similar to seasonal flu?

...attack rate information we have so far is partial...the range we are seeing is similar,

...with a higher rate in younger kids.... we haven't yet measured asymptomatic i
 
infections...it's possible with additional studies these attack rates will be adjusted
 
upwards... (to soon to say)


Attack rates...  less the attack rate...than the severity..  

now.....7- 7 % range...  high  in Mexico.

1918  ...  30% or so
1957  ...?
1968  ...?


... not a pandemic virus?


On novelty...quite novel for humans

..................................................................................................................

(Perhaps we were not so aware of how seasonal influenza harmed pegnent women in the past?)


Gives warning signs... I will post them again at the bottom of this page.

Please.... be on the look out for these warning signs below.


Keep an eye on Pregnant women!

Flu like symptoms inprove but then come back with fever and cough.
...........................................................................................................................................


WARNING SIGNS
..............................


If you become ill and experience any of the following warning signs, seek emergency medical care.

In children emergency warning signs that need urgent medical attention include:

Fast breathing or trouble breathing
Bluish or gray skin color
Not drinking enough fluids
Severe or persistent vomiting
Not waking up or not interacting
Being so irritable that the child does not want to be held
Flu-like symptoms improve but then return with fever and worse cough
In adults, emergency warning signs that need urgent medical attention include:

Difficulty breathing or shortness of breath
Pain or pressure in the chest or abdomen
Sudden dizziness
Confusion
Severe or persistent vomiting
Flu-like symptoms improve but then return with fever and worse cough

 
One of the Doctors mentioned this... for the 1918 flu.... he said it was imperitive to stay flat
 
in bed  and not get up, because some did...thinking they were better and it came back
 
and .... not good.    So if you are ill just don't try to bounce back quickly...although this was
 
not a finding in the first wave. .... but, later.
............................................................................
pandemicflu.gov
 
I know I keep putting up these warning signs.... hoping if needed...it will be remembered.
...............................................
 
 
 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Annie Quote  Post ReplyReply Direct Link To This Post Posted: May 30 2009 at 12:58pm

Thanks Mary. Could you check the advise staying "flat in bed and not get up," I always thought that was a prescription for pneumonia. I just do not know. I'd have thought at least sitting up would help, all the 1918 pictures of beds lined up do show everyone flat in bed, (?pillow?). Thanks, Annie

 

Dense populations are going to be hit very hard by this pestiferousness little (flu virus) monster. "Technologist"
Stock 3 months water, food, weapon/ammo, meds, supplies, and some money at home.
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