Sunday 22 November 2009

Children death data confirms Swine Flu is much worse

http://www.guardian.co.uk/world/2009/nov/22/panic-flu-deaths-ukraine-politicians

40 - 150 children die annually from normal flu.

CDC had admitted that it had VASTLY underestimated the swine flu
deaths.

In just 6.5 months 300 - 800 children died with 13 - 14 million
infected with swine flu. Which means that it will get much worse.
Given a population of 300 million, i.e. about 30 times, the death
could reach 9000 - 24000 children, alone.

It makes swine flu 200 times worse than all common flu variants
combined altogether.

It makes it vital for Tamilflu to be used quickly as currently
recommended by WHO and CDC.

Despite so much evidence from Mexico and Canada, WHO and CDC didn't
make such clear recommendations making them responsible for all the
unnecessary deaths due to late or even non-administration of Tamilflu,
which is still effective at the moment.

Cases of Tamilflu resistance is increasing and is as predicted by any
intelligent person. Even manufacturers predict it will happen as in
the case of all antiviral and antibiotics.


Published Sunday November 22, 2009
Scientists struggle to explain some cases

THE WASHINGTON POST
« Flu Watch

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JETERSVILLE, Va. — On Wednesday, Oct. 7, 6-year-old Heaven Skyler
Wilson dragged herself off the school bus that dropped her in front of
her home on a rural road in Jetersville, just south of Richmond. The
little girl, who had never had so much as an ear infection in her
life, was pale and feverish and complained of an upset stomach.

The next day, Heaven's grandmother, Pat Sparrow, took her to a nearby
clinic. Heaven, usually a bright, bubbly girl with blond pigtails,
dimples and effusive energy, had a sore throat and a 103-degree
temperature. The doctor swabbed her for the flu, and the test was
positive.

It was just something going around, Sparrow said she was told. The
doctor told Sparrow to take Heaven home, give her Tylenol and chicken
broth, and let her rest.

By the next morning, Heaven couldn't breathe. Sparrow called 911.
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"How does she sound?" Sparrow said the dispatcher calmly asked.

Sparrow's panicked husband held the phone to the child's heaving
lungs. "This is how she's breathing! Will you get here now?"

He scooped the child in his arms and rushed across the lawn to meet
the ambulance. By the time they arrived at Chippenham Hospital in
Richmond about 30 minutes later, Heaven's face was blue. Emergency
room doctors intubated her and put her on a respirator.

Two weeks later, on Oct. 21, ravaged with double pneumonia and a staph
infection that deprived her brain of oxygen, Heaven was disconnected
from the respirator. She lived for four minutes.

At 11:18 p.m., Heaven died in the arms of her mother, Sara Wilson.
"You never heard such an awful scream from someone who loved her child
so much," Sparrow said, her voice shaking.

This year's swine flu is, by official standards, a "mild to moderate"
pandemic. As in every year, with every seasonal flu, people get sick.
Some are hospitalized. And some die. But it is the seemingly random
deaths of healthy, young people such as Heaven that are driving much
of the fear around swine flu.

With seasonal flu, 90 percent of the people who die are older than 65;
most of those victims are older than 85. The worst outbreaks of
seasonal flu are usually reported in nursing homes. But with this
year's H1N1 strain, the demographics are reversed. Now, most of those
dying are younger than 65, the worst outbreaks are in schools and the
highest hospitalization rate is among children younger than 4.

Forty to 150 children die from the seasonal flu every year. The
Centers for Disease Control and Prevention recently said that it had
vastly underestimated the number of children who have died from swine
flu. The number of pediatric deaths had previously been reported to be
129. Now, the government estimates that 300 to 800 children died
between April 1 and Oct. 17. During that period, 14 million to 34
million Americans came down with swine flu, the CDC said.

Nationwide, about one-third of the children who have died were, like
Heaven, otherwise healthy, CDC officials and other reports said.

Heaven was the first and only confirmed H1N1 victim in Virginia to die
despite having no underlying complications or health condition. Of the
27 Virginia swine flu victims who have died since April, three have
been children.

The mystery over a relative handful of cases is fueling anxiety about
the scarcity of vaccine, jamming switchboards at pediatricians'
offices and sending concerned parents to overflowing health clinics.
(That eagerness to get the vaccine is, however, a minority phenomenon:
In a Washington Post-ABC News poll last month, more than six in 10 of
those surveyed said they will not get vaccinated, and only 52 percent
of parents planned to have their children vaccinated.)

Scientists are at a loss to explain why perfectly healthy young people
might die from the flu.

"Why would younger individuals, otherwise healthy, succumb to this
virus?" asked Anthony Fauci, director of the National Institute of
Allergy and Infectious Diseases. "That, in the experience we have
generally with other viruses, rarely, rarely happens. We don't know
the answer to that. But that is the thing that scares parents,
understandably."

In any flu, death most often comes because the virus has so weakened
the lungs and body that infection sets in.

Beth Bell, an associate director of the CDC's National Center for
Immunization and Respiratory Diseases, said many of the children who
have died had no underlying medical condition but succumbed to a
secondary bacterial infection.

"That's one of the reasons why we say that if a child appears to be
getting better, then gets worse again, that's a danger sign," Bell
said. A child might be recovering from the viral infection when common
bacteria that naturally colonize in the nose, mouth or throat begin to
reproduce wildly and take hold of the weakened body. "We don't know
why that might be," Bell said. "But it's not a time to wait."

CDC confirms importance of early Tamilflu

http://www.latimes.com/features/health/la-me-flu-guidelines21-2009nov21,0,2717012.story?track=rss

Many doctors in US had been warned by CDC not to delay administering
Tamilflu, because it is found that 25% of those with confirmed Swine
Flu were not administered with Tamilflu.

The author also recommends Tamilflu even after 48 hours because there
were cases that Tamilflu was effective.

When to take a sick child to the ER
Children and youths are especially hard-hit by swine flu. It is
important to watch for danger signs, as the onset of respiratory
failure can be swift.
By Rong-Gong Lin II

November 21, 2009


For parents worried about a child sick with the flu, deciding when to
head to the emergency room can be difficult.

Unlike the typical seasonal flu, which is generally most dangerous to
infants and the elderly, the H1N1 strain has hit children, teenagers
and young adults unusually hard and with little warning.

The U.S. Centers for Disease Control and Prevention estimated earlier
this month that more children have died from the H1N1 flu than people
over 65, about 540 children as of mid-October compared to 440 seniors.
And the agency recently reported that flu-related pediatric deaths
were continuing to rise. An estimated 2,900 adults between 18 and 64
have died. Most years, 90% of people who die of the flu are 65 or
older, officials said.

Life-threatening cases, however, remain unusual. As concern grows
about the danger of H1N1, doctors also are seeing an uptick in what
they call the "worried well," parents who seek emergency care for
perfectly healthy children.

So when should you take your child to the emergency room? Doctors say
parents and guardians should assess how sick a child is in part based
on experience.

"Is there something really different about your child that's different
from the seven or eight viral infections your kid gets every year?
Those are the changes to look out for," said Dr. Mark Morocco,
associate residency director for emergency medicine at UCLA.

Warning signs include significant difficulty breathing; inability to
drink fluids or urinate for more than six hours; change in the color
of the mouth or lips; or unusual behavioral changes, such as a crying
child who cannot be consoled, or a child who doesn't wake up or walk
or talk normally.

If any of those symptoms show up in children, parents should take them
to the emergency room, Morocco said, noting that "respiratory
infections are often things that are the most life-threatening in
children."

Lung inflammation is particularly dangerous to infants and young
children because their airways are smaller. According to the
California Department of Public Health, the flu virus replicates in
the airways and lungs, causing them to swell. The inflammation makes
it difficult for the lungs to work, reducing the body's ability to
take oxygen into the bloodstream.

In California, the most common causes of deaths associated with H1N1
flu have been viral pneumonia and acute respiratory distress syndrome,
state health officials wrote in a recent report in the Journal of the
American Medical Assn. Experts are telling clinicians to treat the
H1N1 strain differently than the seasonal flu.

In a Journal of the American Medical Assn. editorial published earlier
this month, former CDC director Julie Louise Gerberding wrote that
patients who have a five- or six-day history of flu-like illness and
whose ability to breathe is worsening "appear to be at risk for rapid
deterioration" and should be treated with antiviral drugs and admitted
to the hospital.

"Clinicians should not be falsely reassured by previous good health,
young age and absence of major comorbidities because these
characteristics do not exclude the potential for respiratory failure
and death," Gerberding wrote.

The CDC has also warned that some physicians are not prescribing
antiviral drugs to H1N1 patients, pointing to studies that show that
about 25% of hospitalized patients with lab-confirmed H1N1 did not
receive Tamiflu or similar drugs.

Even among those who did get antiviral drugs, medication was often
delayed for one or two days after they were admitted to a hospital,
the CDC said. California health officials have also said that
antiviral medication can reduce mortality even when given late, which
is defined as more than 48 hours after symptoms begin.

Although most people who are hospitalized or have died from H1N1 have
underlying medical conditions, a significant proportion of H1N1
victims are otherwise healthy.

"What's surprising about this flu is . . . we're seeing patients
between the ages of 10 and 47 with no underlying medical problems that
are getting into trouble. And that's scary for us, because it's hard
to know who is going to get in trouble," said Dr. Gail Carruthers,
director of the pediatric emergency department at Long Beach Memorial
Medical Center and Miller Children's Hospital.

Sometimes, patients will report flu-like symptoms for as little as
three hours or as long as two weeks, then quickly become significantly
worse. Their lungs begin to fail and fill up with fluid, requiring
intensive care.

Carruthers recalled two recent patients, a teenager and a middle-aged
person, whose lungs began failing even though they had no underlying
medical conditions.

"It's almost like watching them drown," Carruthers said. "They feel
like they can't get any air." But, Carruthers added, "if you don't
feel short of breath, and you have a dry cough, you're probably fine
staying at home."

ron.lin@latimes.com

Saturday 14 November 2009

Better late than never: WHO correction

Earlier one group of WHO experts only recommend Tamilflu after 3 days
by which time the effectiveness of Tamilflu is proven to be almost
zero based on manufacturers' tests.

It has caused more deaths than those who don't get any Tamilflu at
all, and most probably responsible for the increase in the number of
Tamilflu resistant swine flu.

Soon all the expensive Tamilflu stocks will be useless as a result of
that stupid WHO recommendation when the number of Tamilflu resistant
cases overwhelm the normal swine flu.

You may argue that WHO never recommend the administration of Tamilflu
after 48 hours but giving a directive that ONLY THOSE WITH PROVEN
SERIOUS CASES BE GIVEN TAMILFLU is the same as saying that, because
serious cases can only be proven more than 48 hours of flu symptoms.

With the introduction of vaccination, it is now time to finish all the
Tamilflu stocks in order to save as many lives as possible.

Despite all the meaningless deaths caused by the earlier WHO
recommendation, stupidly implemented by thoughtless doctors, this new
recommendation should be welcomed.

It does not mean the most doctors are thoughtless. In fact most of
them have ignored this earlier directive as shown by various medical
advises given by successful doctors who managed to save lives.

http://www.rferl.org/content/Amplifier_WHO_Urges_Doctors_To_Use_Antiviral_Drugs_Sooner_To_Prevent_Swine_Flu_Deaths/1877353.html

WHO Urges Doctors To Use Antiviral Drugs Sooner To Prevent Swine Flu
Deaths

The recommendation to administer antivirals such as Tamiflu much
earlier represents a dramatic turnaround.
November 13, 2009
By Charles Recknagel
The World Health Organization (WHO) is urging doctors to administer
antiviral drugs sooner to patients suffering from swine flu.

At the same time, it says it is sending emergency supplies of
antivirals -- such as Tamiflu and Relenza -- to developing countries
hardest hit by the pandemic, including Afghanistan, Azerbaijan,
Belarus, Kyrgyzstan, Ukraine, and Mongolia.

The WHO recommendation to administer antivirals early is a dramatic
turnaround from the UN agency's earlier guidelines.

Previously, the WHO had urged doctors to use laboratory tests to
confirm that patients have the H1N1 virus before administering
antiviral drugs.

But the organization said on November 12 that as medical workers have
gained experience with swine flu, they have learned that waiting for
lab tests can be a fatal delay.

"People in at-risk groups need to be treated with antivirals as soon
as possible when they have flu symptoms," Dr. Nikki Shindo, a medical
officer with the WHO's global influenza program, told reporters in
Geneva. "This includes pregnant women, children under 2 years old, and
people with underlying conditions such as respiratory problems."

She said that people who are not in high-risk groups can wait a little
longer.

"People who are not from at-risk groups but who have persistent or
rapidly worsening symptoms should also be treated with antivirals,"
she said. "These symptoms include difficulty breathing and a high
fever that last beyond three days."

But Shindo said the vast majority of patients who contract swine flu
will not have symptoms lasting long enough to require antivirals.

"I want to stress that people who are not from the at-risk group and
have only a typical cold need not take antivirals," Shindo said. "We
are not recommending taking antivirals if otherwise healthy people are
experiencing only mild illness, or as a preventive in healthy people."

Rapid Deterioration

The change in the WHO's guidelines comes as doctors in pandemic areas
find that the H1N1 virus can cause a very rapid deterioration of
health in some patients, usually on the fifth or sixth day following
the onset of symptoms.

The deterioration is characterized by primary viral pneumonia, which
destroys the lung tissue and does not respond to antibiotics. Even
when such patients are placed under intensive care in hospitals, it
can be too late to prevent death.

A plane full of antiviral drugs is unloaded in Ukraine earlier this
month.
Shindo said that the UN health agency asked doctors what they could
have done differently to avoid the fatalities, and that all had said
"without exception" that the outcomes would have been different if the
patients had been treated with an antiviral drug earlier.

The hardest-hit countries since the influenza season began in the
Northern Hemisphere are countries with medical systems that even in
normal times have to cope with shortages of funding and medicines.
Those fragile systems now have been overwhelmed with flu patients and
have limited stocks of antivirals to cope with the pandemic.

Shindo said the WHO is rushing additional supplies of antivirals to
six countries.

"Recently, we sent supplies to Afghanistan, Mongolia, Belarus, and
Ukraine," she said, "and we will send antivirals to Azerbaijan and
Kyrgyzstan."

Rapid Distribution

She called on all the countries to rapidly distribute the new supplies
to local areas so that patients who need them do not have to travel to
central hospitals.

"A further recommendation we make is that countries decentralize the
distribution of antivirals and insure that general practitioners have
access to these medicines for their patients. Patients should not need
to visit a hospital in order to get antivirals prescribed," Shindo
said.

Since the H1N1 virus was first identified early this year, it has
swept worldwide and is now the dominant form of flu in circulation.

The WHO says that in areas where there is widespread influenza,
doctors should assume that patients with flulike symptoms are infected
with H1N1.

The flu is unlike normal seasonal influenza in that it appears to
particularly affect younger and healthy people. Worldwide, around 40
percent of severe cases are now occurring in previously healthy
children and adults under the age of 50.

By contrast, normal seasonal influenza usually targets older people,
with 90 percent of deaths occurring in people over 65 years of age.

Saturday 7 November 2009

CDC update confirm severity of H1N1 over common flu

It is the most complete statistics on swine flu that I had ever come
across so far although it is localised to some place in USA that is
suffering with winter.

Before it was estimated that 80% of flu cases were swine flu.

This time, it is not just estimate but actual tests.

http://www.examiner.com/x-18331-Natural-Health-Examiner~y2009m11d6-H1N1-Swine-Flu-statistics-update-by-CDC-1142009

H1N1 Swine Flu statistics update by CDC, 11-4-2009
November 6, 5:05 PMNatural Health ExaminerGenevieve Kiger
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H1N1 Swine Flu Spreading Quickly
The Reach of H1N1 Swine Flu Spreads Daily

On November 4th, the Centers for Disease Control and Prevention (CDC)
issued an update on H1N1 swine flu statistics in the US current
through October 24th, week 42.

H1N1 Swine Flu vs. Regular Seasonal Flu

During the week of October 18-24, there were 19,642 specimens tested
for influenza virus. Of those, 8,268 (42.1 percent) tested positive
for some variety of flu virus. 21 specimens were influenza B, with
the remaining 8,247 being influenza A. 5,453 of those cases were
confirmed as H1N1 swine flu; the remainder either were not subtyped,
or the sub typing was unsuccessful. Not one single specimen
successfully subtyped showed either of the normal seasonal flu
subtypes (H1 and H3).

What is the Current Spread of H1N1?

Forty-eight states reported geographically widespread influenza
activity, Guam and two states reported regional influenza activity,
the District of Columbia and Puerto Rico reported local influenza
activity, and the U.S. Virgin Islands did not report.

Region 3 (DE, DC, MD, PA, VA, WV) and Region 7 (IA, KS, MO, NE)
reported the greatest percentage of cases that tested positive for
flu. Region 3 also had, by far, the greatest number of confirmed
H1N1 swine flu cases.

Other Important H1N1 Swine Flu Statistics in the Update

* There were 22 pediatric deaths associated with an influenza
virus during the week in question, 19 of which were confirmed H1N1
swine flu, and three whose subtype was undetermined. The child deaths
were located in Arizona [3], Florida, Georgia, Guam, Montana, Ohio,
South Dakota, Tennessee [2], Texas [9], Washington, and Wisconsin.
This brings the total flu-related deaths in children since August 30th
to 74, and 114 overall with the H1N1 virus. In contrast, there was
only one influenza-related pediatric death in the same week last year.
* The percentage of deaths associated with P&I (pneumonia and
influenza) was above epidemic levels. For the week in question, the
epidemic level is considered to be 6.6 percent of all deaths; it was
at 7.1 percent.
* All areas reporting had levels of ILI (influenza-like illness)
above the baseline for this time of year. the national baseline for
the week in question is 2.3 percent; but the week's figures were right
at 8 percent.