Tuesday, May 5, 2009

Global's Daily Influenza A (H1N1) Update - May 5, 2009

Current WHO Pandemic Alert Phase: 5


Influenza A (H1N1) Total Cases by Country (as of 8 AM PST May 5th)

Table has been reformatted and now represents total case numbers.

WHO Regions & Country

Total Cases

Total Deaths

Lab Confirmed* as of May 5th

Cases as of Yesterday

Lab Confirmed*

as of May 5th

Deaths as of Yesterday

AMERICAS

Mexico

590

590

25

25

US

403

286

1

1

Canada

140

101

0

0

El Salvador

2

2

0

0

Costa Rica

1

1

0

0

Columbia

1

1

0

0

EUROPE

UK

18

15

0

0

Spain

54

40

0

0

Germany

8

8

0

0

France

4

2

0

0

Austria

1

1

0

0

Netherlands

1

1

0

0

Switzerland

1

1

0

0

Denmark

1

1

0

0

Ireland

1

1

0

0

Italy

2

1

0

0

Portugal

1

0

0

0

EASTERN MEDITERREAN

Israel

4

3

0

0

WESTERN PACIFIC

Hong Kong

1

1

0

0

New Zealand

6

4

0

0

SOUTH-EAST ASIA

Rep. of Korea

1

1

0

0

TOTALS

1241

1001

26

26

*Lab confirmed cases and deaths have been provided by the World Health Organization’s Influenza A (H1N1) – Update #15 and the CDC.

Local/National News

  • The first severe case of H1N1 in Canada was disclosed on Monday. A young girl was admitted to hospital in Alberta with severe symptoms resulting from influenza A H1N1. However, the Globe and Mail quoted local health officials who said that she was in stable condition and “doing well.”
  • Health Canada is advising Canadians not to purchase products claiming to fight or prevent infection from the influenza A H1N1 virus. While there are approved antiviral drugs that may help prevent or reduce the symptoms associated with the flu, there are currently no products authorized for sale in Canada that are indicated specifically for the treatment of H1N1.
  • As of Tuesday, May 5th, there were 39 new confirmed cases in Canada, including 17 in Ontario and 10 in BC. While there are 8 provinces with confirmed cases, the majority are in BC (39) , Nova Scotia (38), Ontario(31), and Alberta (24). PHAC

International News
  • Mexico's flu epidemic has begun to decline, according to Health Minister Angel Cordova. He said hospital admissions for flu-like illness were dropping and credited the public's use of face masks and hand washing for helping to limit the spread of the epidemic. But he said the assessment was preliminary and the country had to stay on guard. Agence France-Presse
  • A group of 23 Canadian university students travelling through China is being held in quarantine as a precaution against the H1N1 flu. Canwest
  • New data show more than a quarter-million prescriptions for Tamiflu pills alone were filled at retail U.S pharmacies in the week ending last Friday. That's 34 times higher than the week before — as the regular influenza season wound down — and more than double the peak of last winter's flu season. Yahoo News

Latest Guidance from the WHO, the U.S. CDC, and PHAC

Today’s Key Question

What should you do if you get flu-like symptoms? (from PHAC)


  • Protect yourself and others

    • If possible wear a simple surgical mask
    • Use a tissue when coughing or sneezing
    • Have those around you clean their hands often

  • Get rest away from others

    • You will be contagious for 7 days and should stay home
    • Stay at least 2 meters (6 feet) away from others

  • Treat the fever and cough

    • Use a cough suppressant (unless under 6 years old))
    • Acetaminophen or ibuprofen every 4-6 hours may help to bring down the fever and take away the aches (do not give aspirin to children)
    • If you have antivirals, take them twice a day

  • Get lots of fluids, nutritious food and ensure a smoke-free environment
  • Separate your things from those who are healthy
    • Make sure you have your own towel, face cloth, toothbrush etc
    • Disinfect door knobs and light switches with a bleach based cleaner

  • Be on alert for complications (and contact your health provider if they arise), such as:

    • Asthma
    • Pneumonia
    • Starting to feel better, then having the fever return
    • Wheezing, shortness of breath or difficulty breathing, coughing up blood
    • Purple or bluish lip color
    • Chest pain
    • Difficulty waking up, unusually quiet or unresponsive, strange thoughts or actions
    • New onset of diarrhea, vomiting or abdominal pain
    • Signs of dehydrations such as dizziness when standing and low urine production