Sunday, July 19, 2009

Swine flu vaccine is safe says Health Secretary Andy Burnham


Health Secretary Andy Burnham has insisted he will never take any risks over the safety of swine flu jabs.

The Minister dismissed scientists' claims that the Government could rush out the vaccines before the results of their clinical trials were known.

Some medical experts warn side effects from vaccines, which have not been fully tested, could claim more lives than swine flu itself.

But Mr Burnham told the Sunday Mirror: "We take advice at all times to make sure the vaccines are safe. We're not taking any risks.

"If it was a more aggressive virus there would have to be a decision about introducing the vaccine more quickly. But this virus is mild in the vast majority of cases."

His comment were echoed by Professor Sir Gordon Duff, co-chairman of the Scientific Advisory Group for Emergencies. Professor Duff said the benefits of the jabs "far outweigh the risks".

He added: "These core vaccines have been tested on 5,000 to 6,000 people already, with no serious adverse effects.

Officials report another swine flu-related death

he Southern Nevada Health District says a 47-year-old man with underlying medical conditions died Friday morning in Clark County. The health district did not release any additional information.

The death appears to be the fourth in Nevada related to swine flu.

Earlier this month health officials reported the swine flu-related death of a 51-year-old man.

In late June, a 33-year-old Clark County man infected with the swine flu virus died. Also last month, health officials reported the death a 70-year-old woman, a New York state resident, who was infected with swine flu.

Clark County has 145 confirmed cases of the virus. Three of those are hospitalized with severe illness.

British Holidaymakers In Swine Flu Warning


The Department of Health, which is currently setting up a new pandemic flu service, advised people with the virus to delay journeys until symptoms had gone.

Officials warned that visitors to a number of countries would have to face strict screening procedures as the illness spreads.

This was demonstrated in China, where 52 British schoolchildren and teachers were placed in quarantine in a Beijing hotel after four teenagers from London were diagnosed with swine flu.

According to the DoH, holidaymakers should take medication such as paracetamol with them and avoid public places if they fall ill.

People travelling to Europe should carry a European Health Insurance Card (EHIC).

If they catch swine flu - symptoms of which are a high temperature as well as two or more of a list including headache, sore throat, runny nose and aching muscles - they should not travel home until recovered.

Health Secretary Andy Burnham, who is due to give a statement to the Commons on Monday, said: "I want families to go on their holidays and have a great time this summer.

"And mums and dads shouldn't worry unnecessarily about swine flu.

"But, just as they would anyway, parents should keep a close eye on their children's health.

"If you're going abroad, as ever, make sure you know where you can get medical advice and if you're holidaying in the UK, remember that from the end of this week alongside GP services, you'll also able to phone the national pandemic flu service hotline for advice."

The advice came as a senior adviser to the Government moved to calm concerns over the swine flu vaccine after questions were raised about whether it will have been sufficiently tested before it is used.

The first deliveries of the vaccine are expected to arrive next month, sparking concerns that doses will be administered before full clinical trials are completed.

But Professor Sir Gordon Duff, co-chairman of the Scientific Advisory Group for Emergencies, said the "benefits far outweigh the risks".

He added: "These core vaccines have been tested on 5,000-6,000 people already, with no serious adverse effects."

Thousands of people in Britain have been affected by swine flu and the total number of UK deaths linked to the virus stands at 29.

Three of the year nine (aged 13-14) children taken ill in China were from the Central Foundation Boys School in Clerkenwell, while one attended Parliament Hill School in Camden.

The quarantined group was among a party of around 600 British students and teachers from across the UK who had travelled to China.

Swine Flu Warning For Small Businesses


David Frost told Sky News: "In many ways this couldn't have come at a worst time.

"After a dramatic decline in the economy there is a touch more confidence coming back.

"But if swine flu does really take off then it will act as a major dampener on any upturn as we pull out of this recession. Small businesses are particularly vulnerable."

He also said small businesses should read all the advice and help being offered on government and business web sites.

Ian O'Donnell who runs Real Point, an IT and web design company in Meriden, near Coventry, has already put plans into force to help stay in business.

He said:" We have provided the five staff with laptops and mobile phones, so if they think they do have flu symptoms they can work from home rather than coming in and spreading it.

"At least they will still be able to deliver the work and there is no risk of them coming in and affecting others. In theory clients could take legal action if we break agreements."

Analysts from Oxford Economics forecast that a six-month pandemic could cost the economy around £60bn.

They suggest that it could extend the recession by as much as two years and see the economy shrink by 7.5% next year.

Tim Daffurn the Managing Director of Factory Reconstruction Ltd in Oldham, which produces pallets and boxes for a range of industries, has serious concerns.

"If there are more than five people off at one time, whilst we're still busy before holidays kick in August, it could very easily be that our biggest customer would say 'if you can't deliver we'll go elsewhere'.

Burnham grandmother had ring stolen

Health Secretary Andy Burnham has revealed that his grandmother's wedding ring was stolen from her finger while she was in a care home shortly before her 2002 death. Skip related content

Grandmother Catherine Murray was forced to sell her home to pay for care in her final years, and yet the care she received "wasn't great", he recalled.

One of Mr Burnham's first actions after being appointed to the Department of Health last month was to put forward proposals to end the "cruel lottery" of care for the elderly in England, which currently sees some older people forced to sell their homes and use up their life savings while others pay nothing.

He is trying to build public support for one of three options for change, including a "partnership" scheme under which the state would pay up to a third of the cost of social care; a voluntary insurance scheme; or a compulsory payment of around £20,000 to cover whatever care is needed at the end of life.

Around 20% of English people need care costing £1,000 or less during retirement, but 50% need more than £25,000 and 20% more than £50,000, while a few can run up bills of £200,000 or more if they spend years in a home with a condition such as Alzheimer's.

Mr Burnham told the Sunday Mirror: "This is a very difficult issue, but I'm determined to grasp the nettle. The idea is to create a National Care Service - an idea with very deliberate echoes of the creation of the National Health Service.

"Some people can face over £200,000 in social care costs. That is a cruel lottery."

Remembering his grandmother's time in a residential care home in Lancashire, Mr Burnham said: "Some of the care my gran received wasn't great. She had stuff nicked all the time. The worst of it was she had her wedding ring taken off her finger. It had been pulled past her knuckle. My mum came in one day and the ring just wasn't there. It was really devastating for all of us."

Mr Burnham stressed that he was not blaming the staff at the home, the "overwhelming majority" of whom did a "magnificent" job.

"We all need to give recognition to care staff, many of whom just get the minimum wage for doing some of the hardest jobs," he said.

British students in Chinese swine flu quarantine


The group of 52 students and teachers were quarantined after four students tested positive for the A(H1N1) virus after arriving in Beijing for a study tour, the British Council said earlier.

"It was a bit of surprise to be detained at the airport. We have been in a state of shock," Ian Tyrell, one of the teachers leading the tour, told AFP by telephone from the hotel where the group was quarantined.

Tyrell said there were some Americans and other nationalities under quarantine at the hotel, some of them students, but he could not provide a specific number.

"They are having a good experience. They are still excited to be in China," Tyrell said.

He added that two of the children who tested positive for swine flu had since rejoined their groups in quarantine, while two others were "doing well" in a Beijing hospital.

China has launched aggressive measures to try and detect swine flu, including temperature checks on foreign flights into the country, and has quarantined dozens of foreign nationals since the virus first emerged in May.

There have been around 1,500 positive cases of the virus in China, the health ministry said on its website, but no deaths have been reported.

Meanwhile, in Singapore, authorities reported its first death linked to swine flu after a 49-year-old man who was diagnosed with the virus died in hospital.

"He died of a heart attack, contributed to by severe pneumonia with underlying influenza A infection," the ministry of health said in a statement.

The man, who suffered from diabetes, hypertension and high cholesterol, was diagnosed with swine flu after he was admitted to a public hospital on Thursday, the statement said.

Georgia said it had confirmed its first case of the virus in a Georgian woman who had arrived from London.

In a separate incident in China, a British student was quarantined along with a teacher for two days after she showed a heightened temperature when she arrived in Beijing this week, the British Council said.

The student showed no flu symptoms and was later allowed to rejoin the group.

And in Italy, the start of the next school year could be put back to try to reduce the spread of swine flu.

"A possible postponement of the start of classes has not been ruled out," deputy Italian health minister Ferrucio Fazio was quoted as saying by the ANSA news agency. No decision had yet been taken, he added.

In North Africa, two new cases were confirmed Saturday in Morocco, bringing to 28 the number who have come down with the virus in the kingdom, its health ministry in Rabat said.

One of the patients was a Moroccan woman aged 32 recently back from Britain, and the other was an 18-year-old American who had come over from Spain.

In the French region of Britanny, officials said a female American tourist was admitted to hospital in Avranches after tests determined that she had the virus.

European Union Health Commissioner Androulla Vassiliou predicted Saturday that 60 million people across the European Union would need priority vaccination against swine flu, a report said.

The commissioner was speaking to Portuguese news agency Lusa while on a tour of member states within the 27-member bloc.

She said the numbers needing jabs in groups most at risk had been estimated at 60 million by the EU's executive arm, but warned: "There won't be vaccinations for everyone."

In the last table released by the World Health Organisation on July 6, the UN agency had recorded 94,512 laboratory-confirmed cases in 136 countries and territories since April, including 429 deaths.

The WHO said Friday, however, it would stop giving figures on the numbers infected with A(H1N1) to allow countries to channel resources into close monitoring of the spread of the disease.

Travel warning to swine flu victims

Britons going on their summer holidays have been warned not to travel if they had swine flu. Skip related content

The Department of Health, which is currently setting up a new pandemic flu service, advised people with the virus to delay journeys until symptoms had gone.

As the Government awaits the arrival of a vaccine for the H1N1 virus, the end of the school year coincides with an outbreak affecting thousands.

Officials warned that visitors to a number of countries would have to face strict screening procedures as the illness spreads.

This was demonstrated in China, where 52 British schoolchildren and teachers were placed in quarantine in a Beijing hotel after four teenagers from London were diagnosed with swine flu.

According to the DoH, holidaymakers should take medication such as paracetamol with them and avoid public places if they fall ill.

People travelling to Europe should carry a European Health Insurance Card (EHIC), the advice added.

If they catch swine flu - symptoms of which are a high temperature as well as two or more of a list including headache, sore throat, runny nose and aching muscles - while abroad, they should not travel home until recovered.

Health Secretary Andy Burnham, who is due to give a statement to the Commons, said: "I want families to go on their holidays and have a great time this summer, and mums and dads shouldn't worry unnecessarily about swine flu. But, just as they would anyway, parents should keep a close eye on their children's health. If you're going abroad, as ever, make sure you know where you can get medical advice and if you're holidaying in the UK, remember that from the end of this week alongside GP services, you'll also able to phone the national pandemic flu service hotline for advice."

Saturday, July 18, 2009

Swine flu cases in the United States


Swine flu cases in the United States rose above 60 on Tuesday as governments around the world intensified steps to battle the outbreak that has killed scores of people in Mexico. President Barack Obama asked Congress for $1.5 billion to fight the fast-spreading disease.

Federal officials suggested the flu may be spreading so fast, there may be no practical way to contain it, and no need to tighten borders further.

So far, there have been no deaths from the fast-spreading virus in the United States.

Still, the U.S. Centers for Disease Control and Prevention in Atlanta said Tuesday that the number of confirmed swine flu cases in the U.S. has jumped to 64 and states said there are at least four more. A CDC official told a Senate panel that includes five hospitalizations, up from one hospitalization the day before.

"Based on the pattern of illness we're seeing, we don't think this virus can be contained... But we do think we can reduce the impact of its spread, and reduce its impact on health," Rear. Adm. Anne Schuchat, the CDC interim science and public health deputy director, told a Senate Appropriations health subcommittee.

"There's a lot of anxiety right now across the country," said subcommittee Chairman Tom Harkin, D-Iowa.

"It's important for people to know there's a lot that we can do," Schuchat told Harkin. "The investments that have been made in preparedness are making a difference."

Still, she warned, not only might the disease get worse, "it might get much worse."

"We don't have all the answers today," she added.

Obama sent a letter to lawmakers asking them for an emergency spending plan to build drug stockpiles and monitor future cases. He said the money will also help international efforts to battle the flu.

Obama spokesman Robert Gibbs, who read the letter to reporters, said the flu outbreak requires "prudent planning" and not panic.

Before Obama called for a supplement spending bill, Harkin said he would push to add an additional $870 million to an upcoming spending bill to fight the flu cases rapidly spreading around the country. On the House side, Appropriations Committee Chairman David Obey said he'll put additional flu-fighting funds into a bill covering the costs of the wars in Iraq and Afghanistan, but he didn't specify how much.

Money to stop the spread of such a flu was stripped from a wide-ranging stimulus bill earlier this year.

Meanwhile, Homeland Security Secretary Janet Napolitano predicted that the new strain of flu, for which there is currently no preventive vaccine, will spread to additional states in the days ahead.

So far, the cases are still in the five states where they previously were reported, with the vast majority, 45 of them in New York City, 10 in California, six in Texas, two in Kansas and one in Ohio.

Federal authorities have begun moving stockpiles of antiviral drugs into the affected areas.

U.S. scientists hope to have a key ingredient for a swine flu vaccine ready in early May, but are finding that the novel virus grows slowly in eggs -- the chief way flu vaccines are made. Even if all goes well, it still will take a few months before any shots are available for the first required safety testing, in volunteers.

"We're working together at 100 miles an hour to get material that will be useful," Dr. Jesse Goodman, who oversees the Food and Drug Administration's swine flu work, told The Associated Press.

Anthony Fauci, director of the National Institute for Allergy and Infectious Diseases, said a vaccine is being developed "very rapidly" and could be ready in time for the next flu season.

No flu-related deaths have been reported in the U.S., while neighboring Mexico has experienced more than 150 deaths considered likely to be caused by the flu.

Meanwhile, the State Department has set up a unit to monitor developments related to overseas outbreaks to "try to sort out fact from fiction and support the interagency process that's being led by the Department of Homeland Security," spokesman Robert Wood said Tuesday.

The department, which on Monday joined the Centers for Disease Control in warning Americans against nonessential travel to Mexico, has closed its embassy in Mexico City and all nine consulates in the country to the public until May 6 in accordance with Mexican regulations aimed at stopping the spread of the flu, he said.

Napolitano, interviewed on NBC, said officials "anticipate confirmed cases in more states." She reiterated President Barack Obama's statement on Monday as he grappled with the first domestic emergency of his presidency -- that the spread of the disease is a cause for concern but not alarm.

She offered no estimate of how widely the flu might spread, nor how many cases might eventually occur.

In addition to the cases identified by the CVC, health officials in Michigan said they have one suspected case, and five are suspected in New Jersey.

Asked about stricter measures, Napolitano said, "That's something that always can be considered,

WHO warns swine flu 'unstoppable'


According to the World Health Organization the new H1N1 virus is ‘unstoppable’. It gave drug makers a full go-ahead to manufacture vaccines against the pandemic influenza strain.

Every country needs to vaccinate citizens against the swine flu virus and must choose who else would get priority after nurses, doctors and technicians. The new virus attacks people differently than seasonal flu - affecting more of younger people, pregnant women, the severely obese and seemingly healthy adults, and causing disease deep in the lungs.

WHO's Strategic Advisory Group of Experts on Immunization (SAGE) recognised that the H1N1 pandemic is unstoppable and therefore all countries need access to the vaccine.

The SAGE recognised that healthcare workers should be immunised first in all countries in order to retain a functional health system as the virus evolves. After that, each country should decide who is next in line, based on the virus's unusual behaviour.

Seasonal influenza is deadly enough - each year it is involved in 2,50,000 to 5,00,000 deaths globally. This includes mostly the elderly or those with some kind of chronic disease that makes them more vulnerable to flu, such as asthma. Also pregnant women and persons with morbid obesity are at risk for severe disease and death from infection.

WHO would be working to get better virus strains for companies from which to make vaccines. The strains that had been distributed did not grow very well in chicken eggs - used to make all flu vaccines.

The WHO also suggested that countries should continue with their normal vaccination programmes against the seasonal flu.

Protestors and swine flu


Thai soldiers and police stop traffic as a jogger makes his way past a security point outside one of the venues of the 42nd ASEAN Regional Forum Saturday, July 18, 2009, in Phuket, Thailand. The Thai government has vowed to protect delegates from anti-government protestors and swine flu.

Thai soldier


A Thai soldier looks on as helicopters conduct drills near one of the venues of the 42nd ASEAN Regional Forum Saturday, July 18, 2009, in Phuket, Thailand. The Thai government has vowed to protect delegates from anti-government protestors and swine flu.

Thailand and Swine flu


A crowd gathers to watch helicopter drills outside one of the venues of the 42nd ASEAN Regional Forum Saturday, July 18, 2009, in Phuket, Thailand. The Thai government has vowed to protect delegates from anti-government protestors and swine flu.

Yanxiang Hotel in Beijing


Quarantined British students, from left, Christopher Panayi, George Edge, and their teacher Ian Tyrrell stand outside the Yanxiang Hotel in Beijing, China, Saturday, July 18, 2009. The students, from the Central Foundation Boys School, in Islington, were among 52 students and teachers who were quarantined after four classmates were diagnosed with swine flu.

Quarantined students from Portland


Quarantined students from Portland, Oregon, stand outside the Yanxiang Hotel in Beijing, China, Saturday, July 18, 2009. Four students visiting China from the United Kingdom have been diagnosed with swine flu, and 52 of their classmates and teachers have been quarantined, the British Embassy said Saturday.

Shanghai airport positive for swine flu


Chinese health workers take the temperatures of airline passengers after a German plane landed at Shanghai airport in May 2009. The British Council says a group of 52 British students and their teachers have been quarantined by Chinese authorities after four students tested positive for swine flu.

Protective Face Masks Swine flu


Children wear protective face masks as they play at a kindergarten in Hong Kong. A group of 52 British students and their teachers have been quarantined by Chinese authorities after four students tested positive for swine flu, the British Council said.

DNA test kits for swine flu.


DNA test kits for swine flu. Singapore has reported its first death linked to swine flu after a 49-year-old man who was diagnosed with the virus died of a heart attack.

H5N1 bird flu virus


A man sells rare pigeons in the popular "Friday market" in south of Cairo July 10, 2009. The government want to ban the sale of birds on the street in a hope to stem the spread of the H5N1 bird flu virus, local media reported at the beginning of July.

Bird Flu


Birds are seen for sale at the popular "Friday market", south of Cairo July 10, 2009. The government want to ban the sale of birds on the street in a hope to stem the spread of the H5N1 bird flu virus, local media reported at the beginning of July

1,000 schools have already recorded cases of swine flu

Bristol health experts have said they are sufficiently prepared to deal with an increase in swine flu cases.

South Gloucestershire has increased the number of swine flu centres, where stocks of antivirals will be handed, out to 28.

In North Somerset stocks of Tamiflu are limited but health managers are confident that there are enough of the drugs to last until another delivery is due to arrive early next week.

People suffering flu-like symptoms are being asked by health experts not to pick up their own tablets, but to nominate a "flu friend" who can go to the swine flu centres on their behalf to minimise the spread of the virus to key health workers such as GPs and pharmacists.

The Health Protection Agency (HPA) estimates there were 55,000 new cases of swine flu in England in the last week, including people visiting GPs and those who are looking after themselves at home.

The number of people who have died after contracting the virus had risen to 29 yesterday, and 652 people have been admitted to hospital since the start of the outbreak.

Seasonal flu, which usually lasts for eight to 10 weeks in winter months, kills about 8,000 people a year nationally.

In 1989/90 an influenza epidemic in Great Britain caused an estimated 26,000 deaths, mainly in the elderly.

About 1,000 schools have already recorded cases of swine flu, although most have managed to stay open.

Letters have been sent to the parents at St Joseph's Catholic Primary School in Portishead, to notify them that a member of staff has been diagnosed with swine flu, but the school told the Bristol Evening Post the affected staff member was not a teacher.

In South Gloucestershire there have been reports of cases in pupils at Mangotsfield Primary School, Stanbridge Primary School in Downend, Tynings Primary School in Soundwell, Elm Park Primary School in Winterbourne and Samuel White's Infant School in Hanham.

But South Gloucestershire School would not confirm any cases or suspected cases when asked to do so by the Evening Post.

April, including 429 deaths

A study by Oxford Economics - a forecasting consultancy whose clients include multinational corporations and government - said recovery could be delayed by a couple of years due to the swine flu pandemic.

'Although so far the social and economic impacts have been very small, if infection rates were to rise much further, significant costs could be expected,' it said.

Comparing the outbreak to the 2003 SARS crisis, it said that outbreak had occurred at a time of strong economic growth. Both consumption and growth had returned as soon as the epidemic was considered under control.

'This time around, such a sharp rebound is unlikely,' it said.

'There is a risk that swine flu tips the United Kingdom and the world economy into deflation. This is because the pandemic would hit at a time when businesses and banks are still reeling from the economic crisis.'

On Thursday, England's chief medical officer Liam Donaldson said that in a worst case scenario, around one in three Britons could be infected and 65,000 could die.

The WHO policy shift was partly motivated by the 'mildness of symptoms in the overwhelming majority of patients, who usually recover, even without medical treatment, within a week of the onset of symptoms'.

In some countries, the investigation and laboratory testing of all cases had absorbed huge resources, leaving health systems with little capacity to monitor severe cases or exceptional events that might mark an increase in the virulence of swine flu.

In the last table released by the WHO on July 6, the health agency had recorded 94,512 laboratory-confirmed cases in 136 countries and territories since April, including 429 deaths.

who had swine flu is dead

The man, who was not identified by officials, had been hospitalized with underlying medical conditions, and had a confirmed case of H1N1 virus or swine flu. Officials stressed the man had several conditions that likely interacted, leading to his death.

"There were multiple underlying health conditions going on," said Vincent C. Martello, assistant deputy county executive/communications, "... all of which contributed to the individual's death."

Case is 1st Ulster fatality

This is the ninth confirmed case of swine flu in Ulster County and the first death there associated with the virus. Martello said the other confirmed cases in the county have been mild, and the individuals have since recovered.

Out of respect for the man's family and their privacy, no further information was made available to the public, according to a press release from the county.

Ulster County Executive Mike Hein expressed his sympathies and said, "Our hearts and prayers go out to the family and friends of this individual, and we will continue to partner with the local medical community and do everything possible to reduce the spread of this disease."

The county Health Department advises the best way to prevent the spread of all forms of flu is for individuals and families to continue to exercise precautions, such as frequent hand washing, staying home and keeping children at home when ill, and contacting your family physician if flu symptoms are present.

High-risk individuals, including young children and those with medical conditions, such as asthma, cardiovascular disease, morbid obesity and liver dysfunction, should be closely monitored for flu-like symptoms and should seek immediate medical attention whenever symptoms are suspected.

There have been 2,582 cases of swine flu, also known as the H1N1 influenza virus, reported in the state as of July 10, according to the Centers for Disease Control and Prevention. Of those cases, at least 41 have been confirmed in Dutchess County, according to the state Department of Health.

Last week, the World Health Organization reported nearly 95,000 cases of swine flu, including 429 deaths worldwide.

Experts estimate swine flu to be about as dangerous as seasonal flu, and there usually isn't a high demand for those vaccines. Still, regular flu kills up to 500,000 people a year worldwide.

While the death is tragic, Martello said the number of cases puts the confirmed rate of infection at a tiny fraction of one percent of the Ulster population. He added there have been no clusters of the virus found.

Swine flu spreads in Gainesville

UF has seen several more confirmed cases of the virus since the first infected student in April, said Phillip Barkley, director of the Student Health Care Center. Barkley said he didn’t know how many more cases were confirmed.

Though only a few more have been verified, there have likely been many more students infected, he said.


The majority of flu cases are the H1N1 strain, known as swine flu, and the SHCC saw about 35 people with some kind of flu or flu-like symptoms last week, he said.

The center does not have the capability to test for the new strain of the flu.

Paul Myers, assistant director of the Alachua County Health Department, said 90 percent or more of all flu cases now are of the H1N1 variety.

Alachua County had 42 confirmed cases as of Wednesday, Myers said.

The state had a total of 2,188 confirmed or probable cases–400 of which were reported in the last week–and 12 deaths. Two of the deaths were reported on Wednesday and two of those who died were pregnant.

The Centers for Disease Control and Prevention has reported more than 37,000 cases and more than 200 deaths in the United States.

The actual number of those affected is probably much higher because most cases go unreported, Myers said.

The average age of those with swine flu is just under 21 years old, he said, with most cases occurring in the 5- to 24-year-old age range. Typically, the flu afflicts those older than 65 and younger than 5, he said.

“That’s odd, but that’s what a novel strain will do,” he said.

One theory is that those older than 50 may be more resistant to the new strain because a similar strain struck in 1957, which may have bolstered their immunity.

Another odd thing about this flu is that it’s striking in the middle of the summer, Myers said, since the flu season usually runs from late fall to early spring.

As a result, Barkley said the SHCC is having to deal with a second flu season this year. On the bright side, it’s milder than usual, he said.

However, since the possibility exists that the center will have to deal with more flu cases in the fall when many students return–and that a swine flu vaccine will be mandated or recommended for college students–the center is preparing itself for a particularly busy semester.

anti-virals to tackle swine flu

HEALTH officials have confirmed there are enough anti-virals available for people diagnosed with swine flu in South Cumbria.

NHS Cumbria has assured members of the public that supplies of Tamiflu are plentiful.

But the anti-viral is not available over the counter and is only being prescribed to high-risk patients, or those who are clinically diagnosed with swine flu.

It does not act as a cure for the virus, but can help to reduce the severity of symptoms in some people.

Supplies of Tamiflu are only available from one collection point in Barrow, the location of which is not being released. More points are expected to be added as the number of cases increase.

A spokeswoman for NHS Cumbria said: “NHS Cumbria has set up anti-viral collection points in Barrow, Kendal, Whitehaven and Carlisle.

“Anti-virals will only be available from these centres after a patient has been clinically diagnosed with swine flu and given a voucher for their flu friend to pick up the medication.

“As and when the number of suspected cases of swine flu increase, more collection points will be opened.

“The UK has one of the largest stockpiles of antivirals in the world and here in Cumbria, we have ample supplies for our needs.

“Anti-virals can help to reduce the length of illness by around one day.

Academy and likely at other schools in fall

The United States Air Force Academy reached 103 confirmed cases of swine flu last week.

As of Friday, there were 37 cadets in isolation, which was down from the previous weekend when 121 cadets were isolated, said John Van Winkle, spokesman for the Academy. At that time, there had also been 124 cadets returned to duty from isolation.

Last week there were less cadets with flu-like symptoms than the week before, he said.


When the Academy started noticing more cases than is usual, they followed the Centers for Disease Control and Prevention’s guidance by putting the cadets in isolation to limit the spread of the illness as well as helping them regain their health and get back to training, Van Winkle said.

The Academy also educated others on base about how to limit the spread of the illness and what the symptoms are for adults and children, he said

The El Paso County Department of Health and Environment has been in contact with the Academy, said Public Health Director Kandi Buckland.

Those found with swine flu at the Air Force Academy are not the only ones in the county to have contracted the illness. Buckland said the department has primarily seen groups of people who have gathered for classes or travel with the virus.

“We need to be prepared for a widespread flu this fall,” she said. School starts in a few weeks, which will increase the chances for the illness to spread.

The health department will be meeting with primary and secondary school leadership, childcare centers, universities and colleges about the potential for the virus’ spread, she said.

“It is important to take this seriously and prepare,” she said. Individuals are strongly encouraged to come up with a plan in case they or their family members contract swine flu including measures such as staying home from work or school.

Businesses are advised to consider what they will do if their workforce is out of the office due to illness, Buckland said.

The outbreak is being managed both in the area and around the country by identifying those who are sick, arranging testing if appropriate and providing information about antiviral medicines to those who are ill, she said.

The virus spreads through droplets that leave the body when one coughs or sneezes, Buckland said. Others can contract swine flu when they rub their eyes, scratch their noses or ingest the droplets.

“It is possible to be contagious prior to having symptoms,” she said.

Symptoms include a fever of 100 degrees or more, body aches and sometimes nausea and vomiting, Buckland said. Pregnant women, children and those who have a chronic condition are more at risk for complications with the flu.

The illness is seen a bit more frequently in those who are between the ages of 5 and 24, she said. Not everyone who believes they could have the virus needs to be tested.

If one suspects he or she might have the swine flu, Buckland asks the individual self-isolate for seven days or until all symptoms have been resolved. She added those who are experiencing flu symptoms and are concerned about their illness and those who have an underlying medical condition should see a healthcare provider.

To prevent contracting the illness, she recommends individuals wash their hands frequently with hot, soapy water when out in public and to not scratch their noses, eyes or mouths, Buckland said.

Most of the 263 deaths in the United States

Laboratory tests confirmed late Thursday that the man, who was hospitalized at the medical center on July 3, had the H1N1 flu.

The man had a serious underlying chronic medical condition that makes it complicated to conclusively state that the flu virus caused his death, according to Dr. MaryAnn Curl, chief of staff at the medical center.

Additional tests are pending that may help infectious disease physicians make a determination on whether the H1N1 flu was the cause of death. The man's family has declined to have an autopsy performed.

“I can't say conclusively that H1N1 was the cause of death, nor can I rule it out,” Curl said. “It will definitely be a contributor.”

The veteran's death is the first death possibly associated with the H1N1 virus at a VA medical center in the region, Curl said, although there have been a small number of deaths associated with the swine flu at VA facilities around the country.

Four deaths in North Carolina have been linked to the virus, including two in Guilford County and one each in Carteret and Wilson counties.

Curl would not elaborate on the specifics of the man's underlying chronic medical condition, but she said that it was a condition that would make him more susceptible to complications from the H1N1 or seasonal flu.

Most of the 263 deaths in the United States associated with the virus have been in people with underlying chronic conditions.

“This veteran had something that would particularly pose an enhanced vulnerability with flu,” Curl said.

The man came to the VA Medical Center with symptoms that were not typical of flu, and doctors did not suspect that the man had the virus initially, Curl said. She said that the man's health deteriorated during the time he was hospitalized, eventually causing him to be put on a ventilator.

When the man's treatment did not appear to be working, doctors decided to send samples to the state lab for testing for the H1N1 flu. Samples were sent to the laboratory on July 10.

Swine flu calls swamp East Anglia

New predictions suggest up to 275,000 could be affected by the pandemic in Norfolk and 1,500 admitted to hospital in the coming months. So far around 1,000 people have been treated with Tamiflu in Norfolk and many more are likely to have been affected.

It comes as four key players in the fight against the virus in the county announced they were leaving NHS Norfolk - including the county's director of public health, Dr John Battersby.

Their departures in early autumn could coincide with the start of a second and possibly larger outbreak of swine flu when the weather gets colder.

Eight patients with swine flu have been admitted in the past week at the Norfolk and Norwich University Hospital, all suffering from other health problems too.

There have been no deaths.

Surgeries and hospitals in East Anglia have been overwhelmed by calls from worried people.

Staff at the N&N have said they need a national flu helpline to take the pressure off them. There is a national recorded information line, but not yet a dedicated helpline which allows people to ask questions, and there have been delays getting through to NHS Direct.

Christine Baxter, N&N director of nursing, said: “We have had a lot of telephone calls, particularly about children, but adults as well. A lot of people are obviously concerned. It would help enormously if the national helpline was up and running.”

Richard Humphries, spokesman for the Queen Elizabeth Hospital in King's Lynn, said: “Our children's ward has been inundated with people asking for further information. We've put a recorded message on the ward's extension which directs worried parents to their own GP or NHS Direct and advises them not to visit the hospital if they think they have flu symptoms.”

Ian Hume, chairman of Norfolk's local medical committee and a GP in Diss, said: “There are lot of calls coming through. We have certainly had many more calls today. Our general advice is to call the national information line or NHS Direct, though we have had people coming back to us because of problems getting through to NHS Direct.”

But there are also mixed messages, with a Department of Health spokesman yesterday recommending that people who think they have swine flu call NHS Direct first. The spokesman said: “There is a swine flu line being set up. It will be up and running at the end of next week, subject to checks.”

Surgeries and hospitals are being inundated with calls from worried patients and parents about swine flu, and some patients have had trouble getting hold of antiviral drugs, with just six collection points in Norfolk.

People calling NHS Direct have also had to wait longer than usual to get advice.

The departure of Dr Battersby coincides with that of the chairman of its clinical executive, as well as two other senior staff.

Dr Battersby, director of public health for both NHS Norfolk and Norfolk County Council, will be leaving in September. He has been in the post since October 2006 when the trust was formed and was previously at the former Southern Norfolk Primary Care Trust (PCT). He is moving to become assistant director at the East of England Public Health Observatory in Cambridge.

Leaving at around the same time will be John Sampson, chairman of the clinical executive committee, who has been in charge of setting the clinical direction for the organisation. He is going back to full-time work as a GP.

Also leaving is Louise Browning, assistant director of planned care, who is going in September to “pursue other career opportunities”. Fiona Reynolds, assistant director of commissioning for primary care, leaves at the end of August to develop a career in private consultancy and spend more time with her family.

Chief executive Julie Garbutt said Dr Battersby “has been an outstanding director of public health”. She said: “There is a full professional team in place at NHS Norfolk that will continue to effectively lead the management of swine flu in the county, when John leaves the organisation.

“In an organisation of our size it is entirely to be expected that, over time, we will have people at all levels leaving to pursue new career interests and new employees joining. Recruitment plans are already being developed to ensure that NHS Norfolk has the skills and capacity to take forward the implementation of our ambitious plans.”

Dr Sampson's job has been advertised this week at a salary of £80,000.

If you think you have swine flu, use the symptom checker at www.nhs.uk, or call NHS Direct on 0845 4647 or the swine flu information line on 0800 1 513513. If you have symptoms and are pregnant, over 65, have a long term condition such as asthma or diabetes or have a child under five you should phone your GP. Do not go to your surgery or hospital unless told to.



There have been complaints from patients about difficulties in picking up the swine flu treatment Tamiflu.

The limited number of collection points has led to inconvenience and confusion for patients and their friends and relatives, who in some cases have had to travel long distances to pick the antiviral drugs up.

NHS Norfolk says it is making Tamiflu available in more places as the disease spreads. From this morning there are around 30 places where it is available. NHS Yarmouth and Waveney, which covers a much smaller area, has nine places where people can pick it up.

And although there are clear guidelines for doctors and pharmacies about where to get Tamiflu, there is still some confusion. Patricia Davies, 69, from New Costessey, caught swine flu earlier this month. After speaking to her GP over the phone he prescribed Tamiflu. Her husband Geoffrey collected the prescription from their surgery in New Costessey and tried to get the drugs from the dispensary there.

Mrs Davies said: “He said he couldn't supply it because it was government-controlled, and he was ringing people to see where it was available from. My husband had to come home again and half an hour later he got a call to say it was available at a chemist in Norwich. He had to get a taxi there, an extra expense to us pensioners.”

Although the guidance is that Tamiflu should be collected by a friend who is not in the same household, to avoid spreading it, Mrs Davies said that she did not have anyone else she could ask to do it.

Ian Mack, GP and clinical executive member for NHS Norfolk, said: “We have a widely distributed supply of antivirals throughout designated pharmacies in Norfolk. We have plans in place to open a 24-hour assessment and collection point in line with the national pandemic flu service.”

Pigs have swine flu


Swine flu has swept the globe at "unprecedented speed," the World Health Organisation said on Friday, as a study warned the pandemic could tip the world into deflation and delay the economic recovery.

The WHO said it would stop giving figures on the numbers infected by the A(H1N1) virus to allow countries to channel resources into close monitoring of unexpected developments and patterns in the spread of the disease.

Argentina, meanwhile, issued a nationwide alert after pigs were confirmed to have the swine flu virus, health authorities said.

"We have detected clinical cases of the A(H1N1) influenza in a pig farm in Buenos Aires province, they have been confirmed by laboratory tests," the national farm and food standards agency said.

In Brazil, the number of deaths from swine flu nearly tripled to 11, including the first person shown to have caught the virus spontaneously within the country.

The increased tally given by Health Minister Jose Gomes late on Thursday added seven to the four fatalities previously given.

The WHO said in an information note on its website the influenza pandemic had "spread internationally with unprecedented speed."

"In past pandemics, influenza viruses have needed more than six months to spread as widely as the new H1N1 virus has spread in less than six weeks."

The Geneva-based health agency said the counting of all individual cases was no longer essential to assess the risk from swine flu.

"WHO will continue to request that these countries report the first confirmed cases and, as far as feasible, provide weekly aggregated case numbers and descriptive epidemiology of the early cases," it added.

While it eased its overall reporting requirement, the WHO called on all countries to "closely monitor unusual events," such as possible clusters of severe or fatal infections, or unusual patterns that might be associated with worsening disease.

In Britain, a study by Oxford Economics — a forecasting consultancy whose clients include multinational corporations and government — said recovery could be delayed by a couple of years due to the swine flu pandemic.

"Although so far the social and economic impacts have been very small, if infection rates were to rise much further, significant costs could be expected," it said.

Comparing the outbreak to the 2003 SARS crisis, it said that outbreak had occurred at a time of strong economic growth. Both consumption and growth had returned as soon as the epidemic was considered under control.

"This time around, such a sharp rebound is unlikely," it said.

"There is a risk that swine flu tips the United Kingdom and the world economy into deflation. This is because the pandemic would hit at a time when businesses and banks are still reeling from the economic crisis."

On Thursday, England's chief medical officer Liam Donaldson said that in a worst case scenario, around one in three Britons could be infected and 65 000 could die.

The WHO policy shift was partly motivated by the "mildness of symptoms in the overwhelming majority of patients, who usually recover, even without medical treatment, within a week of the onset of symptoms."

In some countries, the investigation and laboratory testing of all cases had absorbed huge resources, leaving health systems with little capacity to monitor severe cases or exceptional events that might mark an increase in the virulence of swine flu.

In the last table released by the WHO on 6 July, the health agency had recorded 94 512 laboratory-confirmed cases in 136 countries and territories since April, including 429 deaths.

Swine flu: The facts

What are the symptoms of swine flu?

A temperature of 38°C (100.4°F) or higher, which comes on suddenly, combined with two or more of the following: sudden cough, headache, tiredness, chills, aching limbs and joints, muscular aches, diarrhoea, sore throat, running nose, sneezing or a loss of appetite.

"There is very little bog standard seasonal flu around at the moment, so if you have the above symptoms, it is most likely to be swine flu," says Dr Maureen Baker of the Royal College of General Practitioners.

Should you go to A&E, to your doctor or stay at home?

If swine flu is confirmed as a phone diagnosis, then you will be given an authorisation voucher. This means someone who can act as your "flu friend" can collect it from your GP's surgery and take it to a chemist to pick up Tamiflu (or the alternative anti-viral Relenza if you cannot take Tamiflu, for example, because you are pregnant).

"Avoid going to your GP's surgery. There may be people in the waiting room with underlying health issues for whom swine flu could be very dangerous," says Dr Baker.

The incubation period between infection and symptoms is about four days. "You will be infectious for around five days in all, from a day before symptoms begin, and while the symptoms are at their worst," says John Oxford, Professor of Virology at St Barts and the Royal London Hospital.

Can you take vitamins to stop yourself getting swine flu?

"The only way to reduce your risk of developing this illness is by practising good hygiene," says Professor Oxford.

"The virus can live around 24 hours on surfaces, so regular hand washing and daily cleaning of door handles and other surfaces with a standard cleaner is key."

There is no evidence that taking vitamins or supplements will help.

Do we have enough Tamiflu?

At the moment, yes, according to the Department of Health, which has enough to treat 50 per cent of the population.

The Government is going to increase that stockpile from 23 million to 50 million courses of the tablets but it's unclear when that supply will arrive.

Should you take Tamiflu if you don't have swine flu?

Tamiflu only halts the progression of swine flu. It does not kill the virus, but prevents it from replicating and so spreading the infection in the body. It can also act as a preventative.

"What it does is put a coating around the cells in your airways, throat and nose," says Professor Oxford. "This acts like a glass wall and prevents the virus from infecting the cells there.

"The effects of the Tamiflu will be pretty instant. However, each pill provides only a day's protection. Hypothetically, you could take a pill each day for the duration of this latest outbreak, but the effects of doing this have not been tested in the laboratory.

Furthermore, it is no longer Government policy to hand it out as a wide-scale preventative drug. The early stage of the swine flu outbreak was deemed the containment phase, when it was hoped the spread of the disease could be minimised and anti-viral medication was being given as a preventative measure.

Then, after July 2, this changed when the outbreak was deemed a treatment phase. This means swine flu is so widespread it is no longer containable.

"As the virus is more widespread now, there is no point giving Tamiflu as a preventative measure as so many people can now easily come into contact with someone infected with swine flu," says the Health Protection Agency.

Does Tamiflu have any side effects?

It causes nausea in one in 10 of us. It is also not suitable for pregnant women or those with kidney disease. Possible but rare side effects include skin reactions and symptoms of an allergic reaction.

"The key is not to take it on an empty stomach – we don't know why exactly, but having a dry biscuit or something else to eat just before you take it seems to prevent the nausea in most cases," says Professor Oxford.

Does Tamiflu work on ordinary flu?

Yes and no. "There are many, many different strains of flu," says Dr Baker. "Whereas the majority probably will respond to Tamiflu, others will not but those may respond to other types of anti-viral medication."

Can you buy Tamiflu online, and is it safe to do so?

Yes, but be careful. Around four per cent of spam emails offer Tamiflu and Relenza but there is no guarantee that they are genuine.

Those most at risk of complications include the over 65s, pregnant women and people with chronic conditions such as heart or lung disease.

Could swine flu became resistant to Tamiflu?

Yes, it can do. "There is always a risk that a virus will become resistant to an anti-viral medication," says Professor Oxford. "How long that takes varies; sometimes it never happens at all. However, the good news is that if a medication-resistant virus does mutate then for some reason it becomes less infectious and harder to spread from person to person. Only three people around the world with swine flu have been found to be resistant to Tamiflu treatment.

What happens if the swine flu virus mutates?

If it mutates, there is a possibility that the virus will become resistant to Tamiflu, in which case Relenza, the alternative anti-viral treatment, would be used instead.

Should you take Tamiflu on holiday?

Now that Tamiflu is not widely available as a preventative measure, it is unlikely that you would be able to get hold of a supply to take away with you, unless your GP agreed you were in a high-risk group and needed it.

"If you develop symptoms while abroad, seek medical advice locally," says the Health Protection Agency.

Do not attempt to travel if you do have the symptoms, as in many international airports there are now heat-sensitive cameras which can detect people with a high temperature.

When will there be a vaccine?

The first batch of the vaccine will be available by late August or early September. However, the truth is that scientists have not finished developing it yet. When it does come, it will be necessary to give everybody two jabs.

The Government has initially ordered only 60 million doses – so if everyone does need two doses there will not be enough to go round.

"It would seem sensible that those at risk, such as people with underlying chest problems, pregnant women and possibly health care workers will receive the vaccine first," says the Department of Health.

The next batch of the vaccine would not be available until towards the end of the year, traditionally when the flu season peaks.

The traditional winter flu jab offers 70-80 per cent protection and a swine flu vaccine should offer a similar level.

Swine Flu Vaccines Being Tested

ScienceDaily (July 18, 2009) — Researchers at the University of Antwerp are currently comparing 4 potential vaccines for H1N1v, also known as swine flu or Mexican flu. 300 to 400 volunteers will be recruited for the tests. “There is a good chance that a Mexican flu vaccine is available early November”, expects vaccine expert prof. dr. Pierre van Damme, director of the Centre for the Evaluation of Vaccination (CEV), a department of the Vaccine & Infectious Disease Institute (VAXINFECTIO) at the University of Antwerp.

We were contacted by a number of vaccine producers to test their vaccines as soon as they had a test version”, explains Van Damme. “The CEV can look back on more than 20 years of experience in the scientific evaluation of test vaccines for different producers. We have been cooperating with some of these vaccine companies for many years. Obviously, they do not want to lose time now. That is why the number of test centres has been limited.” Together with the University of Antwerp, the University of Ghent and some centres in Finland, France and Germany are involved in the testing.

“Most producers will have their test vaccines ready by the middle or end of August” says Van Damme. “But a vaccine can only be launched on the market when is has been tested on healthy volunteers. This procedure is also followed for other test vaccines. The vaccination of volunteers will take place in the course of August and September, because all test vaccines come with a vaccination scheme of 2 doses.”

Vaccine probably available from beginning of November

Van Damme expects the final test results in October. "Then the test reports will be delivered to the proper authorities (e.g. EMEA) and it is up to them to give the go-ahead to the vaccine. Consequently, the mass production can start and a few weeks later the vaccine can be launched. This means that a vaccine will probably be available by the beginning of November.”

Van Damme points out that the production will not immediately be sufficient to vaccinate everyone. “That’s way most countries are now identifying target groups to be vaccinated first. It concerns people with crucial professions during a pandemic (e.g. health workers), standard high-risk groups (e.g. people aged over 65 with underlying disorders or people who are chronically ill) and potentially also young children because they can play an important role in the spreading of the flu.”

Time pressure

Van Damme confirms that there is time pressure, but emphasises the need to follow the standard evaluation procedure. “Luckily, this procedure is very similar to the one we use with the winter flu, for which we also use a killed or inactivated vaccine. So we know what side effects we can expect, and we can be certain that the test vaccine will not cause flu symptoms.”

Whether the vaccine will be available on time, is an open question. “On the basis of recent epidemiological data, we estimate the chance that the Mexican flu will quietly fade away (as SARS did a few years ago) to be nearly zero. The data from Spain and the United Kingdom clearly show an increasing spread of the Mexican flu. It is still not clear what the course of the disease will be, but currently the disease symptoms and complications seem to be in the order of the annual winter flu. This situation can continue, but there is also a chance that the flu becomes more serious, for instance when the virus mutates or exchanges genetic material with other winter flu viruses that start circulating. We need to be prepared for these scenarios as well.”


SWINE FLU: Drug collection points set up

HEALTH chiefs said last night they had opened two emergency points in Oxfordshire to dish out swine flu drugs.

Oxfordshire Primary Care Trust yesterday opened its first anti-viral collection point (ACP) at Oxford Town Hall.

A second one will open at Woodgreen Leisure Centre, in Banbury, on Monday.

The centres are aimed at easing the pressure on local health services by helping with the distribution of the anti-viral drug Tamiflu and will be open daily between 10.30am and 4.30pm until further notice.

People diagnosed with swine flu are also being advised to ask a ‘flu friend’ – a relative, friend or neighbour – to collect medication on their behalf to prevent the spread of the disease.

So far, 26 people in England have died after contracting the disease.

Trust director of service redesign Alan Webb said Tamiflu was not a cure but helped ease symptoms and reduced the spread of the disease.

However, he stressed how it was important for people to understand no-one with swine flu or flu like symptoms should go directly to an ACP, to their GP or to any hospital.

He said: “It is important people do not just turn up at ACPs as they will not be able to receive medication without the proper referrals and risk further spreading the infection.

“People should also establish a network of relatives, neighbours or friends to collect anti-viral medication, food and supplies if you get swine flu, so that you do not have to leave home.

“As anticipated the need for anti-viral treatment has increased. Our services and staff are coping very well with the greater pressures that they are now inevitably experiencing.”

It is not known how many people in the county have swine flu. More ACPs will be opened as necessary depending on the number of residents diagnosed with it.

The Health Protection Agency has ordered GPs to diagnose cases on the basis of clinical observation rather than laboratory testing.

Everyone who has flu-like symptoms is assessed by a doctor and if diagnosed with swine flu offered an anti-viral medicine.

Up to 35 per cent of Oxfordshire’s population of 635,000 could contract the illness.

Dr Shakiba Habibula, the trust’s assistant director of public health, said: “We are prepared for 40,000 cases a week at the peak time. There is no need to worry.

“We have good stocks of Tamiflu and the first stocks of vaccinations are expected to become available in August.

“We are prepared to respond to every eventuality.”

Five students in a Maryland Institute

Five students in a Maryland Institute College of Art summer program have been diagnosed with probable H1NI influenza infections, commonly known as swine flu, a college spokeswoman said Friday.

Three of the students enrolled in MICA's pre-college program who were showing symptoms have gone home, said Kathleen Murray, the spokeswoman. One student has been isolated, as recommended by the Baltimore City Health Department, and another is asymptomatic, beyond the seven-day period of infection, Murray said.

The Health Department notified MICA of the probable infections Thursday afternoon, and an e-mail was sent to parents, faculty, staff and students that night, Murray said. As of Friday morning, no new cases had been reported, and the five students were recovering, Murray said.

Pre-college program attendees, typically high school students, stay together in a MICA residence hall, but Health Department officials said there was no need to close any buildings or shut down the program, Murray said.

"The only recommendation was to isolate the five students," she said.

MICA's building services staff was instructed to sanitize surfaces such as elevator buttons more frequently. Sanitizer was also available at guard desks, college offices and in dining facilities.

Maryland health officials have confirmed 732 cases of swine flu. Three of those infected have died from the virus.

Summer camps are feeling the impact. Two children were sent home from a Harford County camp after testing positive for swine flu, health officials said this week. Sandy Hill Camp in Cecil County sent campers home midway through a two-week session last week after 19 children came down with flulike symptoms in 48 hours.

The Muscular Dystrophy Association canceled more than half of its weeklong camp sessions - including two scheduled for Camp Maria in Leonardtown - amid fears that children with already compromised immune systems could become critically ill if they came down with flu, something that is more likely in a setting of shared cabins and meals in close quarters.

swine flu died shortly

A woman who had contracted swine flu died shortly after giving birth prematurely, it was reported.

The woman, who died in Whipps Cross Hospital, was named by her brother as Ruptara Miah. She is thought to be from Bangladesh.

Swine flu Rajendra

The reports of the throat swab samples received from National Institute of Communicable Diseases (NICD), New Delhi are positive," State Nodal Officer for Swine flu Rajendra Tamba said.

The 20-year-old boy had arrived in the state on July 14. "He came to India on July 12 from USA. He was tested negative for swine flu in America," Tamba said.

The boy developed swine flu like symptoms on July 16 and was referred to a private practitioner in South Goa.

"He was quarantined at Chicalim and then admitted in Goa Medical College," Tamba said.

The test reports of throat swabs samples of three more patients sent to New Delhi are awaited, he said.

Swine flu fear at local school

Parents of children at a Shropshire secondary school have spoken of their concern after being told a pupil had been diagnosed as having suspected swine flu.

The pupil attends Rhyn Park School in St Martins, near Oswestry, and a letter was sent to parents on Wednesday by headteacher Richard Hedge.

He said the pupil would not be in school for the rest of term and medical advice was all children without symptoms should attend school as normal.

The school was open as normal on Thursday and yesterday. It has now closed for the summer holidays.

The number of H1N1 swine flu

The number of H1N1 swine flu cases is up by 20 from Friday's total.

There are now 2,250 confirmed cases in New Zealand.

The National Health Coordination Centre says the actual number of cases will be significantly higher, as only a small proportion of people with symptoms is being tested.

This is because for most people, it is a mild illness and they will recover readily at home without needing medical treatment.

The number of New Zealand deaths from swine flu remains at 10.

The Big Island woman, Swine flu

The Big Island woman, who was in her early 50s, died July 7 at Kona Community Hospital.

"Although flu was the primary cause of death for this individual, she had serious underlying medical conditions that exacerbated her condition and contributed to her decline and death," said Dr. Sarah Park, chief of the Disease Outbreak Control Division and state epidemiologist, in a news release. "We all need to take care of ourselves ... to fight off infection."

There have more than 1,000 reported cases of swine flu in the Islands since May.

Nationwide, there have been more than 40,000.

The first swine flu death in the Islands — a woman in her 60s — was on June 19. The O'ahu woman died at Tripler Army Medical Center and officials said she had other serious health problems. The second swine flu death was July 10 at The Queen's Medical Center. The O'ahu resident was in his late 40s and also had underlying medical conditions.

The news of a third swine flu death comes as the Health Department is making a major shift in how it reports swine flu activity in the Islands.

DOH officials said yesterday they would no longer be tallying up the total number of swine flu cases or investigating each case, but instead would concentrate their efforts on investigating clusters of cases, severe cases and swine flu cases in health care workers or among those who have traveled recently.

Other states are also deciding to stop their counts, which officials say represent just a small fraction of the total number of people who have gotten swine flu, or the H1N1 virus.

SYDNEY childcare centres Swine flu

SYDNEY childcare centres are feeling the brunt of the swine flu pandemic, with youngsters at high risk of infecting their peers.

Health Department figures released last week revealed that 94 children aged under five were in hospital with the disease in NSW.

A further 225 children underfive have been confirmed as swine flu sufferers.

NSW Health Director of Communicable Diseases Dr Jeremy McAnulty said it was imperative that parents kept their sick children away from child care.

"Childcare centres are places where small children congregate and, because small children are not aware of the importance of good hygiene, there is an increased risk of contracting diseases,'' he said.

"Parents and childcare centres need to work together to reduce the spread of infectious diseases.

"Childcare centres already have stringent infection-control procedures in place, but it is important that parents co-operate by not sending their child if they are sick.''

Care For Kindies childcare centre at Belfield, in Sydney's inner west, had a confirmed case of swine flu involving a four-year-old girl.

A spokeswoman said the girl had not attended the centre for six days before being diagnosed, but all precautions were still taken to minimise the risk of the flu spreading.

She said 120 parents were contacted by phone and were told that if their child presented flu-like symptoms they were to stay home.

But Child Care NSW president Lyn Connolly said parents should not panic and pull their children out of day care.

"Honestly, I think childcare centres are probably the safest places to be in the country at the moment,'' she said.

"All equipment and toys are washed and disinfected after every use, every single day.

"When children come to the centres in the morning, their hands are washed immediately, so that the home germs remain home germs and the same procedure happens before the children go home.''

Ms Connolly said children in all 11,000 childcare centres monitored by Child Care NSW were ``carefully trained in matters of hygiene''.

Beijing after four came down with swine flu


One of the four, Lucy van Amerongen called her sister to say that the episode had been 'quite intimidating'.

Her sister Amii said: 'Lucy called me this morning telling me that she is confined in a hotel and she is being very brave about the whole thing. '

'She said it was quite intimidating - they have these ‘guns’ that they point at your head which measure your temperature.'

Her father TV producer Victor van Amerongen, 54, who lives near Stroud, Glos., revealed that daughter Lucy, 15, could be quarantined for up to a week.

He said: ''She's with a party of girls from Cheltenham Ladies College but they met up with a lot of other schools from around the world in China.

'Fortunately her immediate party hasn't been affected by swine flu but they have been quarantined in the hotel by the authorities as a precaution.

''It's a four-star hotel with a swimming pool and Lucy and her friends are in great spirits. They are not worried unduly because they have all been tested.

''As far as I'm aware she hasn't been given Tamiflu but there is some sort of ceremony or party in the hotel tonight so they are looking forward to that.

''I spoke to her today and she thinks they will be in quarantine for a week but the situation is developing day by day so that could change.''

And four pupils from Clevedon school in Somerset have sent an email from their hotel room to say that they are being well looked after.

'We are quarantined in the hotel and are all currently well as we have daily temperature checks which are all good,' they said.

'The hotel is really nice and we have proper toilets. We hope we experience more of China as we should be out within four days.'

The students were part of a 1,000-strong group of visitors to China from across the world learning about the country's language and culture.

The trip was organised by the Confucius Institute, an official Chinese body which promotes Chinese language and culture overseas.

The members of the party with swine flu symptoms were teenage pupils from two London schools, according to the Specialist Schools and Academies Trust.

Three attend Central Foundation Boys School in Cowper Street, Hoxton, east London, and one goes to Parliament Hill School in Camden, north London.

The institute's director, Katharine Carruthers, told the BBC: 'They are being extremely well looked after and cared for, to the extent where they're getting pizza delivered to where they are. They are all happy and getting better.

'There are a number of children in quarantine in very comfortable conditions in a four-star hotel in Beijing, who have been in close contact with the swine flu cases.

'Everyone is in good spirits, getting involved in activities and carrying on their Chinese learning.'

Their parents have been told that the quarantine should last a week.

A spokesman for the Foreign and Commonwealth Office said: 'A group of 52 children and teachers are being quarantined in their hotel, including four who have been hospitalised.

'The British Embassy in Beijing and the FCO are trying to establish contact with the organisers of the school groups visiting Beijing and their schools in the UK to ensure that full information is available to all those involved.'

More than 500 Britons were understood to be on the trip organised by the Specialist Schools and Academies Trust, the Department for Children, Schools and Families, the British Council and Chinese organisation Hanban.

A spokesman for the Specialist Schools and Academies Trust said it arranged for 278 children and 49 teachers from all over the UK to travel to China.

The group flew out on July 13-14 and was due to return to the UK on July 27-28.
The students were aged 14 and upwards, he added.

He said: 'It's a terrible shame for those students.

'What we are doing is making sure that the students who are able to, even if they are quarantined, are able to take part in their own cultural activities - for example by doing artwork - as much as possible.

'We are working with Hanban and the health authorities to make sure procedures are being followed.

'The students have also got direct lines into their rooms so they can contact their families.

'Every effort is being made to make sure they do not feel completely isolated but it's obviously very daunting for those students.'

The spokesman said he understood that those who were quarantined were people who had been in close contact with the four in hospital.

The FCO website states that medical screening for the swine flu virus has been introduced at several airports for passengers arriving on international flights, including in China.

'Containment measures may be introduced or changed with little or no notice,' it said.

'You may be required to undergo further tests if you show flu-like symptoms.

'Some countries have put quarantine measures in place for people travelling from affected countries, or in one case at a hotel where an infected person had been staying.

'British nationals who find themselves quarantined overseas should contact their nearest British Embassy/Consulate who will be able to offer consular assistance, though access may be limited due to the quarantine restrictions.'

In the section relating to travel advice for China, the FCO states there are confirmed cases of swine flu in the country.

It adds: 'The Chinese government continues to place great emphasis on screening and surveillance, rapid detection, quarantine and treatment.'

The process can be 'confusing and upsetting', with very little information provided in English, according to the FCO advice.

'You should be aware that if any passenger has flu-like symptoms this may lead to all passengers being quarantined for up to seven days, until health officials are satisfied all are free of the A(H1N1) virus,' it said.

'Any passenger having come into direct/indirect contact with anyone suspected of having the virus may also be quarantined.

'Levels of quarantine differ; all suspected victims are hospitalised, others are confined to hotel rooms, still others are asked to self-monitor and stay at home.'

Last month a British family was held in 'filthy' quarantine conditions after Chinese officials swooped on them over a suspected case of swine flu.

Following the 2003 SARS epidemic and then bird flu, Beijing has acted swiftly with strict measures whenever the country is threatened.

Since the arrival of H1N1 swine flu, quarantine officers have been boarding all international flights and taking passengers' temperatures.

Visitors are then scanned several times more before reaching immigration. Anyone recording a high temperature is immediately quarantined.

China has seen a total of 1,097 cases of swine flu, with one death