Showing posts with label Daily Update - May 13. Show all posts
Showing posts with label Daily Update - May 13. Show all posts

Thursday, May 13, 2010

Global's H1N1 Update - 05/13/10

The next update will be on Tuesday, May 18th, at 0830 hrs PST.

The WHO Pandemic Alert level remains at Phase 6


Influenza A (H1N1) Cases and Deaths*

*Cases reported by The World Health Organization (WHO) are as of May 2, 2010

Looking ahead: beyond H1N1

With the North American H1N1 pandemic looking more and more like it’s over, Global Consulting has partnered with Roche Canada to host a workshop aimed at helping groups and organizations carry their pandemic safeguarding measures beyond H1N1. Many organizations spent a lot of money and worked like yeomen preparing for the pandemic, and a lot of companies have gleaned new insights into their operations through their efforts. There’s no reason to scrap those resources just because the crucible they were forged in has cooled. There will be other infectious threats in the future, to be sure, but the benefits realized here can also be applied in areas well beyond the scope of emergency planning.


A number of speakers are confirmed for the workshop. Dr. Allan Holmes helped a lot of companies and government authorities develop their frontline response to the pandemic. He’s going to share his experiences in guiding the public through the threat. Dr. Graham Dodd, an emergency physician who worked clinically at Royal Inland Hospital during the outbreak, will talk about the impact H1N1 had on our health care system and the kinds of things it, and we, can expect in the future. Also, Gian Di Giambattista, one of Ontario Power Generation’s emergency planning chiefs, will give his perspective working at a utility few of us can do without, and, with three nuclear power plants on line, has little inherent tolerance for operational disruptions. All three men expect to give and come away with valuable insight gathered from each other and the attendees. Global Consulting


International News

WHO will take another look at its pandemic alert status

After the onset of the southern hemispheric winter, the World Health Organization’s Emergency Committee will meet to re-assess the status of the H1N1 pandemic. The 15-member panel will then recommend that the UN body maintain its current alert status, stand down to a “post-peak” level or declare the pandemic over. To date, there have been over 18 000 laboratory-confirmed deaths due to H1N1, but it will be a few years before we know the actual death toll. John Mackenzie, the committee chair and the only member known to the public, said that the casualty rate will prove to be high as the 1957 and 1968 outbreaks, which claimed lives by the millions. Identities of committee members are kept secret to insulate them from influence from drug companies or special interest groups. Reuters


EU Members of Parliament are miffed over their handling of H1N1

Over 200 deputies of the of the 736-member European Union’s Parliament have called for an investigation into the EU’s response to the H1N1 outbreak. Isabelle Durant, a Belgian MEP, described the EU’s management of the pandemic as having "seriously undermined the credibility of, and confidence in our institutions." The proposal sent to the parliament asserts that the amount spent on vaccines was unwarranted, officials should have changed their response tactics early on, and that the EU relies too heavily on the World Health Organization. The Parliament

Wednesday, May 13, 2009

Global's Daily Influenza A (H1N1) Update - May 13, 2009

GMS INFLUENZA A (H1N1) Daily Update as of May 13, 2009 (0830 HRS PST)

Current WHO Pandemic Alert remains at Phase 5

Influenza A (H1N1) Cases and Related Deaths by Country (as of 8 AM PST May 13th)

WHO Regions & Country

Lab Confirmed Cases

Lab Confirmed Deaths

Cases Confirmed on May 12th

Total Cases

Deaths Confirmed on May 12th

Total Deaths

AMERICAS

Mexico

0

2059

0

56

US

409

3009

0

3

Canada

28

358

0

1

El Salvador

0

4

0

0

Costa Rica

0

8

0

1

Columbia

3

6

0

0

Guatemala

2

3

0

0

Brazil

0

8

0

0

Panama

13

29

0

0

Argentina

0

1

0

0

Cuba (new)

1

1

0

0

EUROPE

UK

13

68

0

0

Spain

3

98

0

0

Germany

0

12

0

0

France

0

13

0

0

Austria

0

1

0

0

Netherlands

0

3

0

0

Switzerland

0

1

0

0

Denmark

0

1

0

0

Ireland

0

1

0

0

Italy

0

9

0

0

Portugal

0

1

0

0

Sweden

0

2

0

0

Poland

0

1

0

0

Norway

0

2

0

0

Finland (new)

2

2

0

0

EASTERN MEDITERRANEAN

Israel

0

7

0

0

WESTERN PACIFIC

China (incl. Hong Kong)

1

3

0

0

New Zealand

0

7

0

0

Australia

0

1

0

0

Japan

0

4

0

0

SOUTH-EAST ASIA

Rep. of Korea

0

3

0

0

Thailand (new)

2

2

0

0

TOTALS

477

5728

0

61

*Lab confirmed cases and deaths have been provided by the WHO’s Influenza A (H1N1) – Update #27.

Local/National News
  • On May 12th, the Public Health Agency of Canada announced that 26 additional cases of Influenza A (H1N1) had been confirmed. Ontario still has the most cases in Canada (113), followed by British Columbia (83), Nova Scotia (64), Alberta (53), Quebec (25), Saskatchewan (12), PEI (3), New Brunswick (2), and Manitoba (2). Canada’s total case count is now at 358. PHAC

  • The British Columbia Centre for Disease Control (BCCDC) is reporting the following confirmed case numbers across the province:
    • 32 in Fraser Health

    • 2 in Interior Health

    • 16 in Northern Health

    • 23 in Vancouver Coastal Health

    • 10 on Vancouver Island


  • Four workers at two Toronto hospitals, one of whom had contact with patients, have tested positive for the novel H1N1 flu. Two of the employees were reportedly exposed to the virus in the community, and one of them passed it on to two coworkers. A hospital spokeswoman said so far no novel H1N1 infections have been reported in any patients that had contact with the sick staff members. Toronto Star

International News


  • WHO authorities said on May 12th that countries should save antiviral drugs for those patients most at risk, including those already suffering from other diseases or complications. Associated Press

  • The virus isolated from a second swine flu patient in the Netherlands has an intriguing mutation in a gene called PB2 that could mean that the virus has become better at spreading from person-to-person, a team of Dutch researchers reported on Friday on ProMED, a monitoring system for disease outbreaks.

  • At a news briefing on May 12th, Dr. Anne Schuchat of the U.S Centers for Disease Control and Prevention (CDC) warned that pregnant women are at increased risk for flu complications such as pneumonia, dehydration, and premature labor, especially with the novel H1N1 strain. She said the CDC is investigating 20 cases of the disease in pregnant women, a few of whom have had severe complications, and one fatality, a previously reported Texas woman. Schuchat urged prompt antiviral treatment for pregnant women and prophylaxis if they had come in contact with suspected or confirmed cases. CDC briefing transcript

  • On May 11th, Cuba's health ministry announced the nation's first H1N1 case- a Mexican medical student who was studying at a clinic in Cuba and had recently returned from a visit to his home country. A few hours later, Fidel Castro, Cuba's former president, posted a column on the government's Web site accusing Mexico of hiding the flu outbreak until after US President Obama's visit in April. AP

Antiviral News

  • Europe's heavy use of antiviral medication against swine flu does not appear to be creating drug resistance, but countries should follow the lead of Mexico and the United States to target the medicine to patients most at risk, the World Health Organization said Tuesday. WHO flu expert, Dr. Nikki Shindo, told reporters there is always a risk that drug-resistant flu viruses will emerge through the overuse of such antivirals. Associated Press

  • Roche, the maker of Tamiflu (oseltamivir), announced that it is donating 5.65 million treatment courses to the WHO to replenish a 2-million-course regional outbreak stockpile and a 3-million-course rapid-response stockpile. The donation also establishes a pediatric stockpile of 650,000 courses. Production capacity will reach 110 million courses over the next 5 months and will amount to 36 million courses per month by the end of the year if needed. Roche press release

Latest Guidance from the WHO, the U.S. CDC, the BCCDC and the PHAC
Today’s Key Question

So far, how does influenza A H1N1 compare to past pandemics?

A recent report published in the journal, Science, has analysed the ongoing H1N1 outbreaks and concludes that the spread of this novel virus has all of the characteristics of a pandemic. Fortunately, the data also indicates that thus far, fatality rates are much lower than those seen during the 1918 flu outbreak or those anticipated from an avian influenza pandemic.

The study focuses largely on data from Mexico, and found the following:

  • 6,000 – 32,000 individuals had been infected in Mexico by late April (despite only 2,059 lab confirmed cases as of today)

  • The swine flu rate has a basic reproductive rate of 1.2-1.6. This number takes into account how easily the virus spreads within a population, by comparison seasonal flu is usually about 1.2, while the more severe waves of the 1918 pandemic were around 2.

  • Swine flu strikes children more than the elderly. One theory to explain this is that adults are more likely to have encountered similar viruses and developed some level of immunity to them.

  • The fatality rate from this season’s swine flu outbreak has been measured at around 0.4% but the data is still very preliminary. This is similar to the milder 1957 influenza pandemic.

Despite the fact that swine flu is relatively mild thus far, the authors warned that health care providers should be on alert for the upcoming flu season. In a normal flu season, officials expect that around 10% of the population would fall will with seasonal flu; however, this study predicted that 30% of the population may fall ill if influenza A (H1N1) returns next season. Nature