AP: Calif. nurses protest lack of swine flu equipment

A union says some California hospitals aren't adequately protecting nurses from swine flu.

The California Nurses Association plans to protest Wednesday in San Francisco in the wake of a Sacramento nurse's swine flu death last month.

The union wants hospitals to provide better masks, equipment and protocol to protect nurses from further sickness.

The union says nurses across the state are reporting difficulties getting the masks recommended by the Centers for Disease Control and Prevention, and having them properly fitted to be airtight.

The protest comes less than three weeks after Sacramento nurse Karen Ann Hays died after contracting swine flu. The 51-year-old marathoner's death is the first among California health care workers related to sickness.

AP: Calif. nurses protest lack of swine flu equipment

CTV.ca | U.K. lab may have found fix for low flu vaccine yield

A British laboratory may have found a fix for the low yield problem that has been plaguing companies making swine flu vaccine.

The National Institute for Biological Standards and Control says it is ready to ship new versions of its vaccine seed strain to manufacturers as of today.

The lab's principal scientist, John Wood, says early work with the new version of the seed strain shows it generates a virus yield that's on par with what manufacturers get in seasonal flu vaccine production.

CTV.ca | U.K. lab may have found fix for low flu vaccine yield

Times Online: Tamiflu causes sickness and nightmares in children, study finds

More than half of children taking the swine flu drug Tamiflu experience side-effects such as nausea and nightmares, research suggests.

An estimated 150,000 people with flu symptoms were prescribed the drug through a new hotline and website last week, according to figures revealed yesterday.

Studies of children attending three schools in London and one in the South West showed that 51-53 per cent had one or more side-effects from the medication, which is offered to everyone in England with swine flu symptoms.

Times Online: Tamiflu causes sickness and nightmares in children, study finds

Queensland Country Life: A/H1N1 flu found in New South Wales piggery

News from Australia:
Swine flu, or the influenza A/H1N1 (2009) virus, has been detected in a NSW piggery as a result of human-to-pig transmission.

Australian Pork Ltd has moved quickly to reassure consumers that the transmission holds no implications for Australian consumers.

APL chief executive Andrew Spencer says consumers can 'have the utmost confidence in pork as a safe and healthy meat to eat'.

Mr Spencer said experts in Australia and overseas, including state and federal health departments, the Australian Medical Association, Australian Veterinarian Association, the World Health Organisation and the World Organisation for Animal Health, have agreed there is no food safety risk associated with the flu virus.

Queensland Country Life: A/H1N1 flu found in New South Wales piggery

CDC H1N1 Flu | Novel H1N1 U.S. Situation Update

Total U.S. Novel H1N1 Flu Hospitalizations and Deaths as posted July 31, 2009, 11:00 AM ET

Reporting States and Territories* - 47
Hospitalized Cases 5,514
Deaths 353
*Includes the District of Columbia, American Samoa, Guam, Puerto Rico and the U.S. Virgin Islands.

The number of hospitalized novel H1N1 cases and deaths presented in this table are an aggregate of reports received by CDC from U.S. states and territories and will be updated weekly each Friday at 11am.

For state level information, refer to state health departments.

CDC discontinued reporting of individual confirmed and probable cases of novel H1N1 infection on July 24, 2009.

CDC will report the total number of hospitalizations and deaths weekly, and continue to use its traditional surveillance systems to track the progress of the novel H1N1 flu outbreak.

For more information about CDC’s novel H1N1 influenza surveillance system, see Questions & Answers About CDC's Novel H1N1 Influenza Surveillance.

CDC H1N1 Flu | Novel H1N1 U.S. Situation Update

WHO | Pandemic influenza in pregnant women

Research conducted in the USA and published 29 July in The Lancet [1] has drawn attention to an increased risk of severe or fatal illness in pregnant women when infected with the H1N1 pandemic virus.

Several other countries experiencing widespread transmission of the pandemic virus have similarly reported an increased risk in pregnant women, particularly during the second and third trimesters of pregnancy. An increased risk of fetal death or spontaneous abortions in infected women has also been reported.
Increased risk for pregnant women

Evidence from previous pandemics further supports the conclusion that pregnant women are at heightened risk.

While pregnant women are also at increased risk during epidemics of seasonal influenza, the risk takes on added importance in the current pandemic, which continues to affect a younger age group than that seen during seasonal epidemics.

WHO strongly recommends that, in areas where infection with the H1N1 virus is widespread, pregnant women, and the clinicians treating them, be alert to symptoms of influenza-like illness.

WHO | Pandemic influenza in pregnant women

BBC NEWS - 'Swine flu liner' docks in France

A cruise ship carrying dozens of victims of swine flu among its 5,000 passengers and crew has docked in the south of France, officials have said.

Sixty crew members have so far been diagnosed with the H1N1 virus, while 70 of their colleagues were also showing signs of being infected, they added.

They will be treated on board the ship while it docks at Villefranche-sur-Mer.

On Thursday, officials said a 14-year-old girl infected with H1N1 had become France's first fatality from the virus.

However, they cautioned that it did not appear that her death, at a hospital in the north-western city of Brest, had been directly linked to the virus.

BBC NEWS - 'Swine flu liner' docks in France

DJ Whoo Kid & Tony Yayo - The Swine Flu (free from YOURAUDIOFIX.COM)

"Yes indeed, it is here! Tony Yayo & DJ Whoo Kid finally release The Swine Flu! Sorry, no long winded description or synopsis for this one YAF viewers, I mean come on it’s The Talk of New York, Tony Yayo! Tracklist and Download after the jump!"

DJ Whoo Kid & Tony Yayo - The Swine Flu

NYTimes.com: US Swine Flu Plan Would Put Some Ahead for Vaccine

A panel of health experts laid out a plan on Wednesday for vaccinating certain people first in the likely event that not enough swine flu vaccine will be available to immunize every American in time for the expected surge of cases this fall and winter.

The top priority group, 159 million Americans, or about half the population, would include health care workers and emergency medical responders, because their jobs are critical.

It would also include people with the highest risk of complications and severe illness from the new H1N1 virus: pregnant women; children and young adults from 6 months to 24 years; and people ages 25 to 64 with medical problems like asthma, diabetes or heart disease."

NYTimes.com: US Swine Flu Plan Would Put Some Ahead for Vaccine

CDC: Up To 40 Percent Of Americans May Get Ill

U.S. health officials say swine flu could strike up to 40 percent of Americans over the next two years and as many as several hundred thousand could die if a vaccine campaign and other measures aren't successful.

Those estimates from the Centers for Disease Control and Prevention mean about twice the number of people who usually get sick in a normal flu season would be struck by swine flu. Officials said those projections would drop if a new vaccine is ready and widely available, as U.S. officials expect.

The U.S. may have as many as 160 million doses of swine flu vaccine available sometime in October, and U.S. tests of the new vaccine are to start shortly, federal officials said this week.

WBZTV.com: Centers For Disease Control And Prevention Estimates Up To 40 Percent Of Americans May Get Ill

WHO | Pandemic (H1N1) 2009 briefing note 4

The number of human cases of pandemic (H1N1) 2009 is still increasing substantially in many countries, even in countries that have already been affected for some time.

Our understanding of the disease continues to evolve as new countries become affected, as community-level spread extends in already affected countries, and as information is shared globally. Many countries with widespread community transmission have moved to testing only samples of ill persons and have shifted surveillance efforts to monitoring and reporting of trends.

This shift has been recommended by WHO, because as the pandemic progresses, monitoring trends in disease activity can be done better by following trends in illness cases rather than trying to test all ill persons, which can severely stress national resources. It remains a top priority to determine which groups of people are at highest risk of serious disease so steps to best to protect them can be taken.

In addition to surveillance information, WHO is relying on the results of special research and clinical studies and other data provided by countries directly through frequent expert teleconferences on clinical, virological and epidemiological aspects of the pandemic, to gain a global overview of the evolving situation.

WHO | Pandemic (H1N1) 2009 briefing note 4

Al Jazeera English - H1N1 virus spreads to 160 countries

The H1N1 flu virus has spread to at least 160 countries across the world, the World Health Organisation (WHO) has said.

The global virus, which the UN health agency declared a pandemic in June, has resulted in nearly 800 deaths worldwide since it was first detected in Mexico four months ago, WHO officials said in Geneva, Switzerland, on Friday.

'The spread of this virus continues, if you see 160 out of 193 WHO member states now have cases, so we are nearing almost 100 per cent, but not quite yet,' said Gregory Hartl, a WHO spokesman.

'For the moment we haven't seen any changes in the behaviour of the virus,' he said.

'What we are seeing still is a geographic expansion across countries.'

Al Jazeera English - H1N1 virus spreads to 160 countries

Reuters: U.S. has bought 195 million doses of H1N1 vaccine

The U.S. government has bought 195 million doses of H1N1 swine flu vaccine for a possible autumn vaccination campaign, a U.S. federal official said Thursday.

The U.S. Health and Human Services Department has also contracted for 120 million doses of adjuvant, a compound to stretch the number of doses of vaccine needed, the department's Dr. Robin Robinson told a meeting of Food and Drug Administration advisers.

Five companies are making H1N1 vaccine for the U.S. market -- AstraZeneca's MedImmune unit, Australia's CSL Ltd, GlaxoSmithKline Plc, Novartis AG and Sanofi-Aventis SA.

Earlier, an FDA official said vaccine makers were only getting about 30 percent as much vaccine from eggs as they usually get with seasonal influenza vaccine.

Reuters: U.S. has bought 195 million doses of H1N1 vaccine

CBC News - Health officials: Tamiflu-resistant strain is rare

Health officials say a recent Quebec case of drug-resistant swine flu shouldn't prompt Canada to change its approach to Tamiflu, as the strain remains rare worldwide.

A 60-year-old Quebec man is one of five people around the world found to have a strain of H1N1 flu resistant to the antiviral drug Tamiflu (oseltamivir). The other cases occurred in Japan, Denmark and Hong Kong.

The Quebecer was given a low preventive dose of Tamiflu as a precaution because he had a pulmonary condition and doctors thought he might have been exposed to swine flu.

CBC News - Health officials: Tamiflu-resistant strain is rare

Sky News UK: Swine Flu Latest: 100,000 New Swine Flu Cases Reported In Past Week

One hundred thousand new cases of swine flu have been recorded in the last seven days.

The figure for England is double the total of the previous week.

Some 840 people are described as being 'seriously ill' in hospital with the illness - and 63 people are being treated in intensive care.

The death toll in the UK stands at 31, but that is likely to climb when the Department of Health releases its weekly update online later.

Sky News UK: Swine Flu Latest: 100,000 New Swine Flu Cases Reported In Past Week

ComputerWorld Hong Kong: Swine flu raises telework questions

The possibility of a widespread swine flu outbreak is prompting companies to think about business continuity and how options such as telework or telecommuting may become a necessity.
A recent whitepaper by Nortel Networks on business continuity and teleworking posed the following questions to enterprises:

1. Can your business operate at 60% of its employee capacity?

2. Due to quarantine mandates, can you maintain business operations when you cannot permit your employees to work from their office?

3. How do you continue to conduct business when health officials and your organization have banned your business travel into affected geographical areas?

4. During times of crisis, do you have the capability and capacity to seamlessly communicate status and share information with all stakeholders

Companies that have solid telework plans in place are in good shape, says Chuck Wilsker, president and CEO of the Telework Coalition in the US.
Those that aren’t prepared to have employees work offsite may find operations at a standstill if the swine flu threat were to escalate to the point of widespread absenteeism or building closures.

ComputerWorld Hong Kong: Swine flu raises telework questions

Cartoons

More A/H1N1 cartoons here

CBS News Video: H1N1 Pregnancy Risks

On CBS News dr. Jennifer Ashton spoke with Harry Smith about the heightened flu danger for pregnant women.

CBS News Video: H1N1 Pregnancy Risks

CNN.com: U.S. trials for H1N1 vaccine announced

In a race to beat the flu season, medical institutes across the United States will begin human trials for a new H1N1 flu vaccine starting in early August, the University of Maryland announced Wednesday.
Concern about the H1N1 virus grew after it spread quickly around the globe earlier this year.

Concern about the H1N1 virus grew after it spread quickly around the globe earlier this year.

In the hope of getting the vaccine to those who will need it most by October, the clinical trials will enroll as many as 1,000 adults and children at 10 centers nationwide, said officials at the Center for Vaccine Development at the University of Maryland School of Medicine, which will lead the effort. The trials will measure the safety and effectiveness of the vaccine.

The research is a first step toward U.S. health officials' goal of developing a safe and effective vaccine against H1N1, also known as swine flu, which has been declared a global pandemic by the World Health Organization

The time frame for developing a vaccine is a tight one.

'It's going to be close,' said Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases at the National Institutes of Health. 'I believe it can be [ready by October] if things run smoothly. We hope they will, but you never can tell when you're dealing with biological phenomena like making vaccines and administering them.'

The announcement of the U.S. trials followed the announcement earlier this week, by an Australian company, CSL Ltd., of the first human trials of a swine flu vaccine.

CNN.com: U.S. trials for H1N1 vaccine announced

The Lancet Infectious Diseases: Closure of schools during an influenza pandemic

In response to WHO raising the influenza pandemic alert level from phase five to phase six, health officials around the world are carefully reviewing pandemic mitigation protocols.

School closure (also called class dismissal in North America) is a non-pharmaceutical intervention that is commonly suggested for mitigating influenza pandemics.

Health officials taking the decision to close schools must weigh the potential health benefits of reducing transmission and thus case numbers against high economic and social costs, difficult ethical issues, and the possible disruption of key services such as health care.

Also, if schools are expected to close as a deliberate policy option, or just because of high levels of staff absenteeism, it is important to plan to mitigate the negative features of closure. In this context, there is still debate about if, when, and how school closure policy should be used.

The Lancet published a Review, in which a multidisciplinary and holistic perspective and review the multiple aspects of school closure as a public health policy is taken. Implications for the mitigation of the swine-origin influenza A H1N1 pandemic are also discussed.

The Lancet Infectious Diseases: Closure of schools during an influenza pandemic