A 23-month-old toddler passed away in Texas from the swine flu virus as agencies in the U.S. and around the global scrambled to contain a raising global health imperil that has also dragged Germany onto the roster of afflicted nations.
"Even though we've been expecting this, it is very, very sad," said Dr. Richard Besser, acting chief of the Centers for Disease Control and Prevention. "As a pediatrician and a parent, my heart goes out to the family."
Learn how you can protect yourself from Swine Flu.
In what has become standard procedure in this widening health crisis, Besser went from network to network Wednesday morning to give an update on what the Obama administration is doing. He said agencies in essence are still "trying to learn more about this strain of the flu." His appearances as Germany reported its first cases of swine flu infection, with three victims.
"It's very crucial that people take their concern and channel it into action," Besser said, adding that "it is crucial that people understand what they need to do if symptoms appear.
"I don't think it (the reported death in Texas) indicates any change in the strain," he said. "We see with any flu virus a spectrum of disease symptoms."
66 infections had been reported in the U.S. before the report of the toddler's death in Texas.
The world has no vaccine to prevent infection but United States health officials aim to have a key ingredient for one ready in early May, the big step that vaccine manufacturing business are awaiting. But even if the World Health Organization ordered up emergency vaccine supplies — and that decision hasn't been made yet — it would take at least two more months to produce the initial shots needed for human safety testing.
"We're working together at 100 miles an hour to get material that will be useful," Dr. Jesse Goodman, who oversees the FDA swine flu work, told The Associated Press.
The United States is transporting to states not only enough anti-flu medication for a million people, but also masks, hospital supplies and flu test kits. President Barack Obama asked Congress for $1.5 billion in emergency funds to help build more drug stockpiles and monitor future cases, as well as facilitate global efforts to avoid a full-fledged epidemic.
"It's a very serious possibility, but it is still too early to say that this is inevitable," the WHO's flu chief, Dr. Keiji Fukuda, told a telephone news conference.
Cuba and Argentina banned flights to Mexico, where swine flu is suspected of killing more than 150 people and sickening well over 2,000. In a bit of good news, Mexico's health secretary, Jose Cordova, late Tuesday called the death toll there "more or less stable."
Mexico City, one of the world's largest cities, has taken forceful steps to curb the virus' spread, starting with closing down schools and on Tues expanding closures to gyms and swimming pools and even telling restaurants to limit service to takeout. People who venture out tend to wear masks in hopes of protection.
The number of confirmed swine flu cases in the U.S. rose to sixty-six in 6 states, with forty-five in NY, eleven in Calif., six in TX, two in KS and one each in Indiana and Ohio, but cities and states suspected more. In NY, the city's health commissioner said "many hundreds" of school children were sick at a school where a few students had confirmed cases.
New Zealand, Australia, Israel, Britain, Canada and now Germany have also reported cases.
But only in Mexico so far are there confirmed deaths, and scientists remain baffled as to why.
The WHO argues against closing down borders to halt the spread, and the United States — although checking arriving travelers for the ill who may need care — agrees it's too late for that tactic.
"Sealing off a border as an approach to containment is something that has been talked over and it was our planning assumption should an outbreak of a new strain of flu occur overseas. We had plans for trying to swoop in and knockout or quench an outbreak if it were occurring far from our borders. That's not the case here," Besser told a telephone briefing of Nevada-based health providers and reporters. "The idea of trying to confine the spread to Mexico is not possible at all."
"Border controls do not work. Travel restrictions do not work," WHO spokesman Gregory Hartl said in Geneva, recalling the SARS epidemic earlier in the decade that wiped out 774 people, mostly in Asia, and slowed the global economy.
Authorities sought to keep the crisis in context: Flu deaths are common around the world. In the United States alone, the Center for Disease Control and Prevention says about 36,000 people a year die of flu-related causes. Still, the CDC calls the new strain a combining of pig, bird and human viruses for which people may have limited natural immunity.
Therefore the need for a vaccine. Using samples of the flu taken from people who fell ill in Mexico and the United States, scientists are engineering a strain that could trigger the immune system without causing illness. The desire is to get that element — called a "reference strain" in vaccine jargon — to manufacturers around the second week of May, so they can begin their own laborious production work, said CDC's Dr. Ruben Donis, who is directing that effort.
Vaccine manufacturers are just beginning production for next winter's regular influenza vaccine, which protects against 3 human flu strains. The WHO wants them to stay with that course of action for now — it won't call for mass output of a swine flu vaccine unless the outbreak worsens globally.
But sometimes new flu strains pop up briefly at the end of one flu season and disappear only to reappear the next autumn, and at the very least there should be a vaccine in time for next winter's flu season, Dr. Anthony Fauci, the National Institutes of Health's infectious diseases chief, said Tuesday.
Showing posts with label swine flu prevention. Show all posts
Showing posts with label swine flu prevention. Show all posts
Wednesday, April 29, 2009
Tuesday, April 28, 2009
Swine flu spreads to Middle East, Asia-Pacific
The swine flu epidemic crossed new borders Tuesday with the first cases confirmed in the Middle East and the Asia-Pacific region, as world health officials said they suspect American patients may have transmitted the virus to others in the U.S.
Most people confirmed with the new swine flu were infected in Mexico, where the number of deaths blamed on the virus has surpassed 150.
But confirmation that people have been infecting others in locations outside Mexico would indicate that the disease was spreading beyond travelers returning from Mexico, World Health Organization spokesman Gregory Hartl told reporters on Tuesday in Geneva.
Hartl said the source of some infections in the United States, Canada and Britain was unclear.
The swine flu has already spread to at least six countries besides Mexico, prompting WHO officials to raise its alert level on Monday.
"At this time, containment is not a feasible option," said Keiji Fukuda, assistant director-general of the World Health Organization.
New Zealand reported Tuesday that 11 people who recently returned from Mexico contracted the virus. Tests conducted at a WHO laboratory in Australia had confirmed three cases of swine flu among 11 members of the group who were showing symptoms, New Zealand Health Minister Tony Ryall said.
Officials decided that was evidence enough to assume the whole group was infected, he said. Those infected had suffered only "mild illness" and were expected to recover, authorities said. There are 43 more suspected cases in the country, officials said.
The Israeli Health Ministry on Tuesday confirmed the region's first case of swine flu in the city of Netanya. The 26-year-old patient recently returned from Mexico and had contracted the same strain, Health Ministry spokeswoman Einav Shimron.
Dr. Avinoam Skolnik, Laniado Hospital's medical director, said the patient has fully recovered and is in "excellent condition" but will remain hospitalized until the Health Ministry approves his release.
Another suspected case has been tested at another Israeli hospital but results are not in, the ministry said.
Meanwhile, a second case was confirmed Tuesday in Spain, Health Minister Trinidad Jimenez said, a day after the country reported its first case. The 23-year-old student, one of 26 patients under observation, was not in serious condition, Jimenez said.
With the virus spreading, the U.S. prepared for the worst even as President Barack Obama tried to reassure Americans.
At the White House, a swine flu update was added to Obama's daily intelligence briefing. Obama said the outbreak is "not a cause for alarm," even as the U.S. stepped up checks of people entering the country and warned U.S. citizens to avoid nonessential travel to Mexico.
"We are proceeding as if we are preparatory to a full pandemic," said Homeland Security Secretary Janet Napolitano.
The European Union health commissioner suggested that Europeans avoid nonessential travel both to Mexico and parts of the United States. Russia, Hong Kong and Taiwan said they would quarantine visitors showing symptoms of the virus.
Mexico, where the number of deaths believed caused by swine flu rose by 50 percent on Monday to 152, is suspected to be ground zero of the outbreak. But Mexican Health Secretary Jose Angel Cordova late Monday said no one knows where the outbreak began, and implied it may have started in the U.S.
"I think it is very risky to say, or want to say, what the point of origin or dissemination of it is, given that there had already been cases reported in southern California and Texas," Cordova told a press conference.
It's still not clear when the first case occurred, making it impossible thus far to determine where the breakout started.
Dr. Nancy Cox of the Atlanta-based Centers for Disease Control and Prevention has said she believes the earliest onset of swine flu in the United States happened on March 28. Cordova said a sample taken from a 4-year-old boy in Mexico's Veracruz state in early April tested positive for swine flu. However, it is not known when the boy, who later recovered, became infected.
The World Health Organization raised the alert level to Phase 4, meaning there is sustained human-to-human transmission of the virus causing outbreaks in at least one country. Monday was the first time it has ever been raised above Phase 3.
Putting an alert at Phases 4 or 5 signals that the virus is becoming increasingly adept at spreading among humans. Phase 6 is for a full-blown pandemic, characterized by outbreaks in at least two regions of the world.
Fifty cases — none fatal and most of them mild — were confirmed in the United States. Including the New Zealand, Israeli and new Spanish reports, there were 92 confirmed cases worldwide on Tuesday. That included six in Canada, one in Spain and two in Scotland.
Symptoms include a fever of more than 100, coughing, joint aches, severe headache and, in some cases, vomiting and diarrhea.
Amid the alarm, there was a spot of good news. The number of new cases reported by Mexico's largest government hospitals has been declining the past three days, Cordova said, from 141 on Saturday to 119 on Sunday and 110 Monday.
In a bid to prevent mass contagion, Mexico canceled school nationwide until May 6, and the Mexico City government is considering a complete shutdown, including all public transportation. The Cinco de Mayo parade celebrating Mexico's defeat of a French army on May 5, 1862 and Mexico City's traditional May 1 parade were canceled. More than 100 museums nationwide were closed.
At Mexico City's international airport, families grimly waited for flights out of the capital or country, determined to keep their masks on until they touched ground somewhere else.
Three games involving Mexico City soccer clubs were played with no spectators over the weekend. Decio de Maria, secretary general of the Mexican soccer federation, said plans for future matches would be announced on Wednesday.
"The idea is to look for the fewest number of games that have to be played behind closed doors," he said. "If it's necessary, we'll play all the matches behind closed doors. We don't foresee canceling any games."
Many residents of Mexico City wore blue surgical masks, though the CDC said most masks offer little protection. Many victims have been in their 30s and 40s — not the very old or young who typically succumb to the flu. So far, no deaths from the new virus have been reported outside Mexico.
It could take four to six months before the first batch of vaccines are available, WHO officials said. Some antiflu drugs do work once someone is sick.
Napolitano, the U.S. Homeland Security chief, said Washington is dispatching people and equipment to affected areas and stepping up information-sharing at all levels of government and with other nations.
Richard Besser, the CDC's acting director, said his agency is aggressively looking for evidence of the disease spreading and probing for ways to control and prevent it.
Flu deaths are nothing new in the United States. The CDC estimates that about 36,000 people died of flu-related causes each year, on average, during the 1990s in the United States. But the new flu strain is a combination of pig, bird and human viruses that humans may have no natural immunity to.
Besser said that so far the virus in the United States seems less severe than in Mexico. Only one person has been hospitalized in the U.S.
"I wouldn't be overly reassured by that," Besser told reporters at CDC headquarters in Atlanta, sounding a cautionary note.
The best way to keep the disease from spreading, Besser said, is by taking everyday precautions such as frequent handwashing, covering up coughs and sneezes, and staying away from work or school if not feeling well.
WHO spokesman Peter Cordingley singled out air travel as an easy way the virus could spread, noting that the WHO estimates that up to 500,000 people are on planes at any time.
Governments in Asia — with memories of previous flu outbreaks — were especially cautious. Singapore, Thailand, Japan, Indonesia and the Philippines dusted off thermal scanners used in the 2003 SARS crisis and were checking for signs of fever among passengers from North America. South Korea, India and Indonesia also announced screening.
Teams of doctors, nurses and government officials boarded flights arriving in Japan from Mexico, the U.S. and Canada to check passengers for signs of the flu, Japanese Health Ministry official Akimori Mizuguchi said.
World stock markets fell Tuesday as investors worried that any swine flu pandemic could derail a global economic recovery.
Most people confirmed with the new swine flu were infected in Mexico, where the number of deaths blamed on the virus has surpassed 150.
But confirmation that people have been infecting others in locations outside Mexico would indicate that the disease was spreading beyond travelers returning from Mexico, World Health Organization spokesman Gregory Hartl told reporters on Tuesday in Geneva.
Hartl said the source of some infections in the United States, Canada and Britain was unclear.
The swine flu has already spread to at least six countries besides Mexico, prompting WHO officials to raise its alert level on Monday.
"At this time, containment is not a feasible option," said Keiji Fukuda, assistant director-general of the World Health Organization.
New Zealand reported Tuesday that 11 people who recently returned from Mexico contracted the virus. Tests conducted at a WHO laboratory in Australia had confirmed three cases of swine flu among 11 members of the group who were showing symptoms, New Zealand Health Minister Tony Ryall said.
Officials decided that was evidence enough to assume the whole group was infected, he said. Those infected had suffered only "mild illness" and were expected to recover, authorities said. There are 43 more suspected cases in the country, officials said.
The Israeli Health Ministry on Tuesday confirmed the region's first case of swine flu in the city of Netanya. The 26-year-old patient recently returned from Mexico and had contracted the same strain, Health Ministry spokeswoman Einav Shimron.
Dr. Avinoam Skolnik, Laniado Hospital's medical director, said the patient has fully recovered and is in "excellent condition" but will remain hospitalized until the Health Ministry approves his release.
Another suspected case has been tested at another Israeli hospital but results are not in, the ministry said.
Meanwhile, a second case was confirmed Tuesday in Spain, Health Minister Trinidad Jimenez said, a day after the country reported its first case. The 23-year-old student, one of 26 patients under observation, was not in serious condition, Jimenez said.
With the virus spreading, the U.S. prepared for the worst even as President Barack Obama tried to reassure Americans.
At the White House, a swine flu update was added to Obama's daily intelligence briefing. Obama said the outbreak is "not a cause for alarm," even as the U.S. stepped up checks of people entering the country and warned U.S. citizens to avoid nonessential travel to Mexico.
"We are proceeding as if we are preparatory to a full pandemic," said Homeland Security Secretary Janet Napolitano.
The European Union health commissioner suggested that Europeans avoid nonessential travel both to Mexico and parts of the United States. Russia, Hong Kong and Taiwan said they would quarantine visitors showing symptoms of the virus.
Mexico, where the number of deaths believed caused by swine flu rose by 50 percent on Monday to 152, is suspected to be ground zero of the outbreak. But Mexican Health Secretary Jose Angel Cordova late Monday said no one knows where the outbreak began, and implied it may have started in the U.S.
"I think it is very risky to say, or want to say, what the point of origin or dissemination of it is, given that there had already been cases reported in southern California and Texas," Cordova told a press conference.
It's still not clear when the first case occurred, making it impossible thus far to determine where the breakout started.
Dr. Nancy Cox of the Atlanta-based Centers for Disease Control and Prevention has said she believes the earliest onset of swine flu in the United States happened on March 28. Cordova said a sample taken from a 4-year-old boy in Mexico's Veracruz state in early April tested positive for swine flu. However, it is not known when the boy, who later recovered, became infected.
The World Health Organization raised the alert level to Phase 4, meaning there is sustained human-to-human transmission of the virus causing outbreaks in at least one country. Monday was the first time it has ever been raised above Phase 3.
Putting an alert at Phases 4 or 5 signals that the virus is becoming increasingly adept at spreading among humans. Phase 6 is for a full-blown pandemic, characterized by outbreaks in at least two regions of the world.
Fifty cases — none fatal and most of them mild — were confirmed in the United States. Including the New Zealand, Israeli and new Spanish reports, there were 92 confirmed cases worldwide on Tuesday. That included six in Canada, one in Spain and two in Scotland.
Symptoms include a fever of more than 100, coughing, joint aches, severe headache and, in some cases, vomiting and diarrhea.
Amid the alarm, there was a spot of good news. The number of new cases reported by Mexico's largest government hospitals has been declining the past three days, Cordova said, from 141 on Saturday to 119 on Sunday and 110 Monday.
In a bid to prevent mass contagion, Mexico canceled school nationwide until May 6, and the Mexico City government is considering a complete shutdown, including all public transportation. The Cinco de Mayo parade celebrating Mexico's defeat of a French army on May 5, 1862 and Mexico City's traditional May 1 parade were canceled. More than 100 museums nationwide were closed.
At Mexico City's international airport, families grimly waited for flights out of the capital or country, determined to keep their masks on until they touched ground somewhere else.
Three games involving Mexico City soccer clubs were played with no spectators over the weekend. Decio de Maria, secretary general of the Mexican soccer federation, said plans for future matches would be announced on Wednesday.
"The idea is to look for the fewest number of games that have to be played behind closed doors," he said. "If it's necessary, we'll play all the matches behind closed doors. We don't foresee canceling any games."
Many residents of Mexico City wore blue surgical masks, though the CDC said most masks offer little protection. Many victims have been in their 30s and 40s — not the very old or young who typically succumb to the flu. So far, no deaths from the new virus have been reported outside Mexico.
It could take four to six months before the first batch of vaccines are available, WHO officials said. Some antiflu drugs do work once someone is sick.
Napolitano, the U.S. Homeland Security chief, said Washington is dispatching people and equipment to affected areas and stepping up information-sharing at all levels of government and with other nations.
Richard Besser, the CDC's acting director, said his agency is aggressively looking for evidence of the disease spreading and probing for ways to control and prevent it.
Flu deaths are nothing new in the United States. The CDC estimates that about 36,000 people died of flu-related causes each year, on average, during the 1990s in the United States. But the new flu strain is a combination of pig, bird and human viruses that humans may have no natural immunity to.
Besser said that so far the virus in the United States seems less severe than in Mexico. Only one person has been hospitalized in the U.S.
"I wouldn't be overly reassured by that," Besser told reporters at CDC headquarters in Atlanta, sounding a cautionary note.
The best way to keep the disease from spreading, Besser said, is by taking everyday precautions such as frequent handwashing, covering up coughs and sneezes, and staying away from work or school if not feeling well.
WHO spokesman Peter Cordingley singled out air travel as an easy way the virus could spread, noting that the WHO estimates that up to 500,000 people are on planes at any time.
Governments in Asia — with memories of previous flu outbreaks — were especially cautious. Singapore, Thailand, Japan, Indonesia and the Philippines dusted off thermal scanners used in the 2003 SARS crisis and were checking for signs of fever among passengers from North America. South Korea, India and Indonesia also announced screening.
Teams of doctors, nurses and government officials boarded flights arriving in Japan from Mexico, the U.S. and Canada to check passengers for signs of the flu, Japanese Health Ministry official Akimori Mizuguchi said.
World stock markets fell Tuesday as investors worried that any swine flu pandemic could derail a global economic recovery.
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