Cartoon: How to tell if you booked the wrong holiday flight...

Japan Today: 70% of Japanese see need to stock food if H1N1 flu spreads

About 70% of Japanese consumers believe it is necessary to stock up on food if the H1N1 flu spreads further and they are instructed to refrain from going outdoors, according to a recent government survey.

Of the 893 people who said food needs to be stocked in the poll, the largest number of respondents, or 33%, said they want about seven days’ supply, showed the findings by the Ministry of Agriculture, Forestry and Fisheries. Some 80-90% cited rice, canned food and wheat-based items such as instant noodles as the types of food they intend to buy if the need arises.

Japan Today: 70% of Japanese see need to stock food if H1N1 flu spreads

Montana's News Station: H1N1 e-mail scam making the rounds

The Montana Department of Public Health and Human Services is reporting that the Centers for Disease Control and Prevention has warned the state about fraudulent e-mails referencing a CDC sponsored State Vaccination Program.

The scam asks recipients of the messages to register personal information if they received a 2009 H1N1 vaccine. But, the CDC has not implemented a state vaccination program requiring registration.

Users that click on the e-mail are at risk of having a malicious program code installed on their computer's operating system.

Montana's News Station: H1N1 scam making the rounds

WHO investigates Tamiflu resistance, updates antiviral recommendations for H1N1 patients with severely compromised immune systems

Following recent reports of clusters of Tamiflu resistance, the WHO recommended that patients with severely weakened immunesystems who become infected with the H1N1 (swine flu) virus receive additional antiviral treatment as needed throughout the duration of their illness, Agence France-Presse reports.

'Although the WHO said there was no evidence that the two clusters found in Wales and in North Carolina [U.S.] marked a wider public health threat, it reiterated calls for vigilance and modified treatment advice for the frontline flu drug,' the news service writes.

In addition to ramping up antiviral treatment, the agency advised physicians treating patients with suppressed immune systems who are not responding to Tamiflu be given the alternative antiviral, Relenza (12/2).
The WHO also announced an investigation into the Tamiflu-resistant cases of H1N1 in hospitals in Wales and the U.S. showed the virus had not spread among hospital workers and the community, the Canadian Press reports.

Read the rest of this article:
WHO investigates Tamiflu resistance,
updates antiviral recommendations for H1N1 patients with severely compromised immune systems

AFP: Netherlands reports mutant swine flu death

Dutch authorities said Thursday a patient infected by a mutant strain of the swine flu virus had died, but added that this was not the cause of death.

Harald Wychgel, spokesman for the Dutch Institute for Health and the Environment, told AFP that there had been a 'minor change in the virus to make it resistant to Tamiflu,' a key treatment for influenza.

'He died not because the virus was resistant but because he was seriously ill and caught the Mexican (swine) flu,' Wychgel said.

The man, whose age had not been given, died Sunday in the northern city of Groningen, local health official Hans Coenraads said.

'We have carried out tests on the patient's associates to see if the mutation had spread but we found no such indications', he said.

Reports said that two more patients in the Netherlands had shown resistance to Tamiflu.

It is the fifth fatal case of mutated A(H1N1) flu in Europe, after two in France and two in Norway.

The World Health Organisation said last month that mutations had been observed in Brazil, China, Japan, Mexico, where the swine flu pandemic began, Ukraine, and the United States, as early as April.

Italy also reported a non-fatal case on Monday.

'The mutations appear to occur sporadically and spontaneously. To date, no links between the small number of patients infected with the mutated virus have been found and the mutation does not appear to spread,' a WHO statement said on November 20.

The WHO also underlined that there was no evidence of more infections or more deaths as a result, while the mutated virus detected up to that point remained sensitive to antiviral drugs used to treat severe flu, oseltamivir (Tamiflu) and zanamivir (Relenza).

Scientists fear that mutations in flu viruses could cause more virulent and deadly pandemic flu. The global health watchdog reiterated a call for close monitoring.

'Although further investigation is under way, no evidence currently suggests that these mutations are leading to an unusual increase in the number of H1N1 infections or a greater number of severe or fatal cases,' it added.

AFP: Netherlands reports mutant swine flu death

Salt Lake Tribune - H1N1 spread continues to slow

Three more Utahns have died and 37 more have been hospitalized due to the H1N1 flu, according to the state's weekly update.

One person, between the ages of 5 and 24, died in the Weber-Morgan Health District. A woman older than 65 died in the Central Utah Health District, and a woman between the ages of 50 and 64 died in the Southwest Utah Health District. A total of 23 Utahns have died from causes related to the flu since its second wave in late August.

Nevertheless, the percentage of patients seen for influenza-like illness has dropped for the fifth straight week.

Read the rest of this article here:
Salt Lake Tribune - H1N1 spread continues to slow

CDC: Swine flu less widespread, down to 32 states

Swine flu infections seem to be dropping, but the number of children who died with the illness rose by about 30, according to a government report released Monday.

Widespread infections of swine flu were reported in 32 states as of Nov. 21, down from 43 states the week before, U.S. Centers for Disease Control and Prevention officials said.

The CDC also said there were 27 new lab-confirmed swine flu deaths in children under 18, bringing the total to about 200 children. That’s the largest one-week tally for children since the pandemic started.

Since it was first identified in April, swine flu has sickened an estimated 22 million Americans, hospitalized about 98,000 and killed 4,000. It has proved to be similar to seasonal flu but a bigger threat to children and young adults.

The swine flu pandemic has so far hit in two waves in the United States: First in the spring, then a larger wave that started in the late summer.

In late October, 48 states reported widespread flu activity

Read the rest of this article here:
CDC: Swine flu less widespread in the USA, down to 32 states

AfricaNews - Swine flu causes deaths in Northern Africa - The AfricaNews articles of KingsleyKobo

The A/H1N1 influenza is currently causing havoc in northern Africa notably in Egypt, Morocco, Libya and Algeria, according to recent statements released by the health ministries of these countries.

After Algeria’s tragedy of three deaths over the weekend, Morocco announced its first swine flu victim – a 24-year-old pregnant woman from the northern city of Tangier.

She died on Sunday after contracting the H1N1 virus, the country’s health ministry said on Monday.

Eighty-three new cases of the disease were diagnosed over the weekend, bringing the total to 1,710 cases in Morocco.

Egypt reported one more death case of A/H1N1 flu on Monday, bringing the country's death toll from the virus to 21, Al-Ahram daily said.

AfricaNews - Swine flu causes deaths in Northern Africa

Examiner.com: First case of H1N1 influenza virus infection in dogs

Two dogs were reported yesterday to be infected with the H1N1 influenza virus, according to the China Daily news. The dogs were both located in Beijing, China.

While not confirmed, it is likely that the dogs became infected with the H1N1 influenza virus through contact with infected people.

Dogs are susceptible to their own form of influenza virus, called canine influenza. However, these are the first documented cases of the H1N1 virus strain infecting the canine species. The canine influenza virus is not known to be transmissible to people but can be passed easily from dog to dog. It appears that the H1N1 virus can be passed from people to dogs and likely from dogs to people as well.

Chinese health officials are trying to reassure people that their dogs are not a threat to them. They say that because the virus has been found in so many species (pigs, ferrets, cats and people), it is not surprising that that it has been found in dogs as well.

Examiner.com: First case of H1N1 influenza virus infection in dogs

H1N1 France: From vaccine refusal to panic and riot police in just 7 days

"Please speak into the hygiaphone." photo: Flickr (CC)

There’s nothing like a good dose of reality to get people to change their minds about things. And the H1N1 vaccine debate in France is a textbook example of that.

The extreme cynicism with which the French considered H1N1 vaccination just one week ago has been replaced by panic and exasperation at not being able to get vaccinated. Riot police have been deployed at certain vaccination stations.

Flesh & Stone has already reported that people have been taking the government to court for attempted mass poisoning or, as the charge sheet puts it: “Attempting to administer substances…of a nature which could result in death.” Polls taken as recently as two weeks ago showed that around 80 percent of the population wouldn’t or most probably wouldn’t, get vaccinated against H1N1, and there has been violent public reaction against government attempts to persuade people to get their children vaccinated. Figures suggest that children represent almost 75 percent of those infected.

Sections of the national media have had a lot of fun ridiculing attempts to get people to vaccinate, and one video skit showed a supposedly desperate health minister begging people to be nice to her and take “my” vaccine.

Things have changed extremely quickly. The days of anti-vaccine conspiracy theories have evaporated into thin air in the space of just one week, replaced by crowds of worried people clamouring to be vaccinated and overwhelming vaccination stations and their staff.

This situation has come about because of the sudden and dramatic rise in infection rates and, with it, the sudden and dramatic rise in the number of dead, particularly among the young.

Read the rest of this article here:
H1N1 France: From vaccine refusal to panic and riot police in just 7 days

Kottke.org: How the H1N1 vaccine is made (using 1.2Bn eggs in the process!)

The most striking feature of the H1N1 flu vaccine manufacturing process is the 1,200,000,000 chicken eggs required to make the 3 billion doses of vaccine that may be required worldwide. There are entire chicken farms in the US and around the world dedicated to producing eggs for the purpose of incubating influenza viruses for use in vaccines. No wonder it takes six months from start to finish. But we'll get to that in a minute.

The most commonly used process for manufacturing an influenza vaccine was developed in the 1940s -- one of its co-inventors was Jonas Salk, who would go on to develop the polio vaccine -- and has remained basically unchanged since then. The process is coordinated by the World Health Organization and begins with the detection of a new virus (or rather one that differs significantly from those already going around); in this instance, the Pandemic H1N1/09 virus.

Once the pandemic strain has been identified and isolated, it is mixed with a standard laboratory virus through a technique called genetic reassortment, the purpose of which is to create a hybrid virus (also called the 'reference virus strain') with the pandemic strain's surface antigens and the lab strain's core components (which allows the virus to grow really well in chicken eggs). Then the hybrid is tested to make sure that it grows well, is safe, and produces the proper antigen response. This takes about six to nine weeks.

Read the rest of this article here:
Kottke.org: How the H1N1 vaccine is made

The Canadian Press: Vaccinations, antiviral supply mean H1N1 no threat to 2010 Olympics

The World Health Organization is sending a representative to monitor for potential disease outbreaks at the 2010 Winter Olympics, but Games officials and health experts say the threat from H1N1 has likely passed.

Most athletes, officials and spectators are expected to be vaccinated against H1N1 by the time the Winter Olympics begin in February.

'If the vaccination rate is high enough, I don't think H1N1 is going to be a risk,' said Dr. Patricia Daly, chief medical health officer for Vancouver Coastal Health, the agency overseeing health services for the Olympics.

Planning for the possible impact H1N1 could have on the Games has been underway since before the WHO declared an official global pandemic in June.

In April, B.C. health officials made a decision to increase the stockpile of antiviral drugs available in the province because of the Games, according to briefing notes released under Access to Information.

How much it cost was censored in the documents, but B.C.'s provincial health officer said in an interview the original supply was boosted by three million doses, bringing the total amount available to 10 million.

Read the rest of this article here:
The Canadian Press: Vaccinations, antiviral supply mean H1N1 no threat to 2010 Olympics

Epinions.com: Do We Really Need Anti-Viral Kleenex?

Kleenex Anti-Viral Tissue is a moisture-activated facial tissue designed to kill common cold and flu viruses from droplets caught in the tissue, thus protecting the hands from contacting the viruses.

Kleenex states these tissues kill 99.9% of these viruses within 15 minutes. These tissues are 3-ply, with the middle layer containing the anti-viral ingredients, and are easily identified as the Anti-Viral brand by the little blue dots all over the layer. They are standard size tissues, measuring 8.4 X 8.2 inches. I've seen them available in the 120-count rectangular box and the 60-count cubed box.

Active anti-viral ingredients include food-grade Citric Acid and Sodium Lauryl Sulfate. Since these ingredients are food-grade, the EPA does not require any warning labels, and the tissues are safe for little ones.

Kleenex also boldly states that these tissues have not been tested against bacteria, fungi, or other viruses. But do we really need them?

Epinions.com: Do We Really Need Anti-Viral Kleenex?

Netherlands to sell surplus flu shots

The Dutch government is going to sell its surplus swine flu vaccine doses to countries who are experiencing acute shortages. Some two million doses will be sold.

They are no longer needed next month for the national vaccination drive.

Another 18 million doses may be sold in the first months of next year. The cabinet says it wants to help countries unable to inoculate all of their risk groups. Health Minister Ab Klink expects no other groups in the Netherlands need to be vaccinated.

The number of people to visit their general practitioner with flu complaints has begun dropping. Eight people, however, died of the A H1N1 virus last week.

All of them had been suffering from other complaints by the time they contracted the flu.

Netherlands to sell surplus flu shots

H1N1 Re-infections Raise Pandemic Concerns

Dr. Debra Parsons, a pediatrician at Kid Care West in Cross Lanes, was met with reactions of doubt from local health officials last month when she said two flu tests had come back positive for H1N1, or swine flu.

Parsons first came down with the virus, complete with all the telltale symptoms, in August.

Her son became ill at the same time with the same symptoms. Figuring they had the same bug, Parsons tested herself to see what it was.

The test came back positive for Influenza A, so the lab at Charleston Area Medical Center sent it to be sub-typed. Parsons was positive for H1N1.

Parsons and her son recovered, but in October they started having the same symptoms, but they became much worse.

They were both tested this time, and the results were the same -- they were positive for Influenza A and then H1N1.

'It was swine flu both times,' Parsons said.

Read the rest of this article here:
H1N1 Re-infections Raise Pandemic Concerns

AAP: Two deaths in France from mutated H1N1

Two patients who were infected by a swine flu mutation that was also recently detected in Norway have died in France, health officials say.

'This mutation could increase the ability of the virus to affect the respiratory tracts and, in particular, the lung tissue,' a statement from the French government's Health Surveillance Institute (InVS) said on Friday.
'For one of these patients, this mutation was accompanied by another mutation known to confer resistance to oseltamivir,' it added, referring to the main drug being used to treat swine flu, under the brand name Tamiflu.

The case was the first drug-resistant strain found in France among the 1,200 strains experts have analysed here, the InVS said, adding that 'the effectiveness of vaccines currently available is not being questioned'.
The two patients were not related and had been hospitalised in two different cities in France, it said.

The death toll in mainland France now stood at 76, the InVS statement said.
The World Health Organisation said on Thursday it was investigating reports of mutations in the swine flu virus, after half a dozen countries recorded cases in which the virus was transforming.

AAP: Two deaths in France from mutated H1N1

H1N1 Cases Declining In Hospitals Across US

The swine flu pandemic has taken a turn in the United States. Doctors in several cities are now reporting fewer cases of the H1N1 virus, prompting some to believe the outbreak may have peaked. Still, the virus has killed nearly 7,000 people worldwide since April, and health officials say there could be another outbreak in the U.S.

At its peak, there were so many outbreaks of H1N1 flu, this children's hospital in Texas had to set up tents for its patients. Two months later, the tents are down and so are the number of people who are sick.

'At some points we were seeing as many as 70 percent of patients testing positive for the flu, and now it's down below 10 percent,' Dr. Pat Crocker, Dell Children's Medical Center estimates.

Read the rest of this article here:
H1N1 Cases Declining In Hospitals Across US

TheMedGuru: Hajj pilgrims in Mecca and Medina unconcerned about swine flu threat

Millions of devout Muslims are descending on the holy cities of Mecca and Medina for the largest annual pilgrimage in the world despite the underlying fears of the pandemic swine flu affecting the Hajj.

A decrease in the turnout had been anticipated sparked by the global pandemic, but pilgrims have poured from the four corners of the world into Saudi Arabia in preparation for this year's Hajj, which will begin on Wednesday, Nov. 25.

According to official sources, around 500,000 pilgrims offered Friday prayers in Medina, the second holiest city in Islam.

Nevertheless, fears of disease were well founded as already four have fallen prey to the lethal virus - the first among pilgrims. The health ministry stated the deaths were due to underlying health issues and the failure of the victims to take adequate precautions and get vaccinated before embarking on the pilgrimage.

Fortunately the number of infections is less than had been feared by Saudi authorities. Only 20 pilgrims had been detected with the virus. Of these, 12 have been treated and discharged, while four remain critical in hospital.

Read the rest of this article here:
TheMedGuru: Hajj pilgrims in Mecca and Medina unconcerned about swine flu threat

Chinaview.com: H1N1 flu virus mutation detected in Hong Kong

Hong Kong's Department of Health announced that it had found the same mutation in a H1N1 flu virus sample as the one detected in Norway recently.

The department said that it had examined the genetic sequence of H1N1 flu viruses in its monitoring system. Out of the 123 sequences studied, one sample showed the same mutation as the Norway strain.

The virus was taken from a year-old boy who developed flu-like symptoms July 22. He was admitted to Prince of Wales Hospital July25 and discharged three days later. He has recovered.

Mutations are frequently encountered in influenza viruses. According to the World Health Organization, the same mutation of the virus has been found on the Chinese mainland and in other countries, including Brazil, Japan, Mexico, Ukraine and the United States.

The virus with this mutation remained sensitive to antiviral drugs, Tamiflu and Relenza. No evidence suggests these mutations are leading to an unusual increase in the number of H1N1 flu infections or a greater number of severe or fatal cases.

Chinaview.com: H1N1 flu virus mutation detected in Hong Kong

WKYC.com: New swine flu strain resistant to Tamiflu

Could there be a new strain of H1N1? That's what health officials are investigating after a few cases seem to be resistant to the treatment drug, Tamiflu.

It was discovered that a few patients at Duke University Medical Centers and a few others overseas in whales were diagnosed with a strain of flu too strong for Tamiflu to treat.

Health officials with the CDC say this doesn't indicate a health emergency. But there is concern over what appears to be mutations of the virus.

'We are unable to say if their deaths were caused by influenza, they are influenza associated but they had medical issues that were compromising their health,' says Megan Davies, a North Carolina State Epidemiologist.

The virus is just as severe, but this new mutation of H1N1 has a different characteristic. It might not be treatable with medications currently available.

Read the rest here:
WKYC.com: New swine flu strain resistant to Tamiflu