Thursday 28 May 2009

Unofficial list of fatal Swine flu chronic conditions

From another newsgroup:
http://groups.google.com.my/group/talk.bizarre/browse_thread/thread/cdd3979b4e4f143e/ee83b940c069ecdd?hl=en&q=swine+flu+death#ee83b940c069ecdd

http://www.nytimes.com/2009/05/27/nyregion/27flu.html

A complete copy of the whole article:
Two More New Yorkers With Swine Flu Die
Evan Abramson for The New York Times

The most important information from this article is a list of pre-cond
"While the ailments that may have made the four New Yorkers who died
more vulnerable to the flu have not been identified, federal and city
health officials have released a list of conditions that increase the
risk from flu. They include being older than 65 or younger than 2;
respiratory ailments like asthma or emphysema; a weakened immune
system because of pregnancy, diabetes or immune-suppressing drugs like
steroids; tuberculosis; heart disease; kidney disease; and morbid
obesity."

A waiting area at Maimonides Medical Center in Brooklyn was converted
to a flu clinic, which was filled with patients who were awaiting
evaluation on Tuesday.

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By ANEMONA HARTOCOLLIS
Published: May 26, 2009

Two more New Yorkers have died with confirmed cases of swine flu, the
city's health commissioner said on Tuesday, bringing the city's total
number of deaths related to the virus to four. Emergency room visits
and hospitalizations also continued to rise.
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Times Topics: Swine Flu (AH1N1 Virus)
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The commissioner, Dr. Thomas R. Frieden, said the two latest
casualties, a 41-year-old woman in Queens and a 34-year-old man in
Brooklyn, were linked to the H1N1 virus by lab tests completed on
Monday and Tuesday. Both patients had underlying health conditions
that put them more at risk, he said. He added that he could not say
officially whether the flu had caused their deaths until autopsies
were finished. Both died on Friday.

Officials have cited underlying conditions as a factor in all four
deaths in the city, but they have not revealed those conditions,
citing medical confidentiality.

Five more public schools were closed on Tuesday because of suspected
swine flu cases, while more than a dozen that had been closed were
reopened.

"It's good that they're back because they were missing a lot of school
days, but in a way it's frightening," said Elizabeth Rosa, 33, a home
attendant, after seeing off her daughter, Jasilyn, 11, and son,
Kristian, 8, at the entrance of Public School 19 in Corona, Queens.
"When I kissed them goodbye I thought, 'Is it going to be O.K.? Is the
school safe?' "

Dr. Frieden, speaking at a news conference at the health department,
noted that both patients who died were relatively young. Health
officials have said that there is some evidence that people born
before 1957 may have been exposed to a similar virus and may have some
immunity to the novel strain of flu that is circulating.

Hospitals that normally get about 200 visits to the emergency room
each day are getting 2,000 per day, he said, and more than 25,000
people have gone to emergency rooms over the past month. The numbers
are highest in Queens, but are increasing in Brooklyn and, to a lesser
extent, in the Bronx and Manhattan.

Over the last five days, he said, 20 to 25 people a day have been
hospitalized with the flu. Before the weekend, the city had recorded
only 57 hospitalizations for flu during the entire preceding 30 days.

Dr. Frieden said the numbers of emergency room visits have been rising
over the past week, perhaps driven by the publicity surrounding the
deaths, but also by the pervasiveness of the virus through the general
population.

To put the current situation in perspective, Dr. Frieden said that in
a regular flu season, 400,000 to 1 million New Yorkers get the flu,
and about a third of them never even realize it.

Of those who have gone to the emergency room, fewer than 1 in 50
needed to be admitted to the hospital, Dr. Frieden said. "The vast
majority of people going to the hospital emergency department probably
shouldn't be going," Dr. Frieden said. Similarly, he said, a spot
check of schools with high absenteeism showed that two-thirds of the
children who were kept home were not sick.

The pressure on emergency rooms could be seen on Tuesday at Maimonides
Medical Center in Brooklyn, where many sick parents came in with sick
children. The hospital created a flu clinic in an area that usually
accommodates patients who have been admitted and are waiting for a
bed. It was filled on Tuesday with people in masks being evaluated for
flu.

Last year in May, the Maimonides emergency room saw an average of 263
patients a day. On Monday, emergency room doctors saw 480 patients.

"The consensus among these physicians," said Dr. Steven J. Davidson,
the chairman of the hospital's emergency medicine department, "is that
the influenza is mild but the patients are unusually scared."

While the ailments that may have made the four New Yorkers who died
more vulnerable to the flu have not been identified, federal and city
health officials have released a list of conditions that increase the
risk from flu. They include being older than 65 or younger than 2;
respiratory ailments like asthma or emphysema; a weakened immune
system because of pregnancy, diabetes or immune-suppressing drugs like
steroids; tuberculosis; heart disease; kidney disease; and morbid
obesity.

With reports of new flu cases tapering off around the country — except
in New York, New Jersey and New England — federal health officials
said on Tuesday that they would concentrate on tracking the swine
flu's progress in the Southern Hemisphere and preparing for a surge of
cases in the fall.

Outside of the Northeast, reports of people with flu symptoms who
visited doctors and hospitals dropped to normal levels for late May,
said Dr. Anne Schuchat, director of immunization and respiratory
disease for the Centers for Disease Control and Prevention.

Although Dr. Schuchat would not say that the flu had peaked for the
season, she said the country was "at a transition point" and officials
would look ahead to the next season, which usually begins in November.

Since the flu was identified in New York in late April, the city has
closed 42 schools in 31 buildings, Dr. Frieden said. Schools have
generally been closed for five days.

Since then, 25 have reopened, including about 20 on Tuesday. Most of
the newly reopened schools had more than 85 percent attendance on
Tuesday, although more than a quarter of the students at Public School
35 in Hollis, Queens, were absent. The handful of schools that
reopened on Friday also appeared to have resumed normal routines, with
more than 90 percent in attendance, according to the Department of
Education's Web site.

A spokeswoman for the department, Marge Feinberg, said that the
overall attendance rate in the city was 82 percent on Tuesday,
compared with 87 percent on May 4, before the flu had struck many
students. The attendance rate in Queens was 82.6 percent on Tuesday,
compared with 88.5 percent at the beginning of May.

Five additional schools are to be closed on Wednesday until Monday:
Q811, a special education program at P.S. 822 in St. Albans, Queens;
P.S. 231, a special education school inside P.S. 180 in Bensonhurst,
Brooklyn (the rest of the building is open); P.S. 369 in Boerum Hill,
Brooklyn (only the special education part of the building); P.S. 68 in
Wakefield, the Bronx; and the Audubon School (P.S. 128) in Washington
Heights.

Reporting was contributed by Ann Farmer, Donald G. McNeil Jr.,
Jennifer Medina and Mathew R. Warren.

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