Tuesday, January 15, 2013

Seasonal Flu: Indiana Update -

January 15, 2013
[I reported on January 9th, 10 deaths in Indiana.  That post is located here.  Today,, 6 days later,  I report 21 dead.]

INDIANAPOLIS - The number of flu-related deaths in Indiana jumped to 21 on Monday, state health officials said.

Two children are among those who have succumbed to the illness, which has infected thousands across the country.

Continued:  http://www.theindychannel.com/lifestyle/health/2-children-among-21-dead-from-flu-in-indiana





Seasonal Fu: Ohio - Flu May Have Played Role in Boy's Death

January 14, 2013
A Boardman mother said she and her husband are "shocked and confused" after finding their 4-year-old son unresponsive in bed over the weekend from what could be flu-related complications.

Shannon Ewert of Beechwood Drive said her son, Hunter, complained of a sore throat and had a slight fever Friday night. She is a nurse and she said she listened to his lungs and they seemed clear.

"The doctors at the hospital said his lungs filling up would have happened very quickly and the only way they would have been able to catch it was by doing an x-ray every hour,"
Ewert said in a telephone interview Monday evening.

She said because Hunter was mostly asymptomatic, she gave him some cough medicine and put him to bed.

"At some point during the night, he made his way from his bedroom to ours. It appears he crawled into our bed and collapsed face down," Ewert said.

She said Hunter was still warm when she woke up and found him and she immediately began performing CPR while her husband called 911. She said ambulance personnel continued working to revive him and he had a ventilator put on him at the hospital, but doctors were unable to revive him.

Continued:  http://www.wytv.com/content/news/local/story/Flu-May-Have-Played-Role-in-Boys-Death/juAbxjX0_UWXXydTH55W8w.cspx

Tensions linger over discovery of coronavirus

A continuing row pits researchers against authorities in Saudi Arabia, where deadly pathogen was first isolated.


Monday, January 14, 2013

Indonesia: Kementan mass production of H5N1 vaccine clade 2.3.2

January 14, 2013
Ministry of Agriculture claimed to mass produce the vaccine clade 2.3.2 H5N1 bird flu, which was centered in the Central Veterinary Farma, in Surabaya, East Java.

"The vaccine has been produced H5NI clade 2.3.2 Farma Veterinary Center. They worked 24 hours nonstop. They are targeted in a short time produce 2 million vaccines. Then be distributed to the areas is a priority handlers spread of the virus," said Deputy Minister of Agriculture Rusman Heriawan , in Kulonprogo Monday.

Wamentan said, the first time the H5N1 strain of AI virus discovered by Center for Veterinary Wates. AI type H5NI a new gene drift with clade 2.1.3 H5NI attacking chickens. But in a short time, a vaccine for AI types H5NI directly found by Center for Veterinary Wates.

"The discovery of AI vaccine type H5NI clade 2.3.2 can not be separated from the good cooperation and coordination between the laboratory with the Ministry of Agriculture. So in short, we managed to find this AI vaccine,"
said Rusman.

According to him, the vaccine used is the identification of the development of bird flu vaccine earlier exterminator. However, the need to test and re-processing up to two or three times.

"So the result of the development of bird flu vaccine.'s Just necessary to repeat two to three times, and could probably five times," he said.

He said, the number of ducks that die from terserangnya AI type H1N5 has struck at least 200 thousand ducks or 0.45 percent of the total 47 million ducks.

"There is no pressure to be established extraordinary occurrence (KLB). Memenandang But we do not need to be specified, because the virus is not the case from Sabang to Merauke, but a particular area as a center for the development of livestock," he said.

For that, once produced AI H5N1 vaccine, he said, it will directly mendistrubusikan to the North Coast region (Northern Beaches) as Brebes, Pemalang (Central Java). North Coast region, particularly in Central Java is the center of the largest duck farming in Indonesia. In addition to Central Java, the vaccine also distributed to the southern wilayan Bantul.

"The rule is endemic vaccines focused on the spread of AI virus H5NI so widespread,"
he said.

In addition, said Wamentan, the Ministry of Agriculture has proposed a budget of Rp220 billion to the Ministry of Finance for the treatment of H5N1 AI problems.

The grant, said Rusman not in money but ducklings and fodder. "Compensation is not always given in the form of money. Assistance money usually do not educate, support will be provided in the form of goods cattle business that continues," he said.

http://www.antaranews.com/berita/353013/kementan-produksi-massal-vaksin-h5n1-clade-232

Indonesia: Sumatera Tulung Harapan Chicken Deaths

[Tulung Harapan is a small village in Sumatera Selatan]
Hundreds of Sudden Death Chickens
January 14, 2013 20:46

Martapura - two weeks, hundreds of chickens owned by residents OKUT sudden death. Inevitably, this condition is increasingly worrisome. As Desa Tulung Harapan, Kecamatan Semendawai East. Citizens expect the government immediately take preventive measures and to detect diseases that attack. 
Albani (30) local residents admitted for two weeks 20 of his chickens died suddenly. "Fear of bird flu. But, we can not ensure that they do not know what kind of illness, "he said.
http://www.sumeks.co.id/index.php?option=com_content&view=article&id=5620:ratusan-ayam-mati-mendadak&catid=60:news-update&Itemid=134

Indonesia: MOH Distributes Circular to all Chief Medical Officers Re: Awareness of New Clade #H5N1

January 14, 2013
Ministry of Health has not been able to infer the level of danger of bird flu virus to humans clade 2.3.2. The reason, in Indonesia has not been found in cases of human deaths from the new strain. "So far the cases are found in ducks and pretty much spread in Indonesia. But so far no attack humans," said Director General of Disease Control and Environmental Health Ministry of Health Professor Chandra Yoga Aditama met at the Port Health Office (KKP) Soekarno Hatta Airport in Tangerang, Banten, on Wednesday (2/1) night.

Nevertheless, Chandra said, it does not turn a blind eye that clade 2.3.2 has been killed in a number of other countries , such as China, Hong Kong and Bangladesh.

 MoH has requested an overview to the WHO, but no definitive answer. "WHO can not provide specific analysis of what a difference this virus before. Due to a limited number of human cases. Handling still like H5N1 virus (bird flu virus type 2.1 or first) . In humans has not been able to conclude whether it is dangerous or not," said Chandra.

Avian Influenza (AI) or bird flu has been endemic in Indonesia since 2003 coded clade 2.1 sub-clade 2.1.3, the only class of pathogens in poultry chickens.
 However, now the AI virus that attacks the duck is different from the previous type because it has a more pathogenic clade 2.3.2, causing morbidity and mortality is high in ducks.

 addition to passing the WHO, said Chandra, the Ministry of Health monitor the development of the case of bird flu virus clade 2.3 .2 through international meetings, particularly with countries affected by the virus.

 Chandra also claims to have been optimizing prevention by distributing warning letters to its ranks as Indonesia. "Once there was a circular from the Directorate General of Livestock Services, I also made ​​a circular to all Chief Medical Officer in Indonesia to be aware of anything at all about a new clade, lest contracting man, " said Chadra.   According to Chandra, who chaired the National Commission Zoononis Coordinating Minister for People's Welfare has called a meeting of relevant ministers clade 2.3.2. In the meeting, Coordinated things to raise awareness of the virus transmitted to humans. 

past two months, hundreds of thousands of ducks died of bird flu virus clade 2.3.2 in a number of provinces in Indonesia. The first case was discovered in Brebes, Central Java. Average occurred in farms. About the origin of the virus and prophylactic vaccines, says Chandra, was a territory of the Directorate General of Livestock and Animal Health of the Ministry of Agriculture. "Because this occurs in birds, I guess more appropriately asked my friends in the Ministry of Agriculture. because they know the mobility of birds and so on , "said Chandra.

Indonesia: Proactively Treating Citizens With Tamiflu With NO Symptoms

 [Sukoharjo is in Central Java.  When the Health Department provides Tamiflu Tables for residents for the primary reason of prevention, it makes it very difficult if not impossible to know if anyone is infected.  We can't obtain any data.  They say there has not been found anyone with fever.  They won't, as long as they are treating people with Tamiflu when they don't have any symptoms.]

http://www.timlo.net/baca/58985/takut-tertular-flu-burung-warga-dipantau-esktra-ketat/


Excerpt:
Sukoharjo - The morningoring would be done DKK for 48 hours, since otherwise ducks in the region is suffering from bird flu latest type.

Even the Health Department also provides Sukoharjo 100 Tami Flu tablets to residents within a radius of 100 meters for the primary prevention of transmission of avian influenza.

Chief Medical Officer Sukoharjo, dr Subiyantoro Guntur on Monday (14/1) said it immediately opened shelters at the health center Polokarto, take steps to prevent H5N1 virus transmitted to humans. Department of Health has set a Bird Flu Alert in District Polokarto.
"Now we know the ducks that died in the village of Bird Flu suffering Bugel, we immediately move. Logistics such as Tami flu spends to direct our residents within 100 meters of the duck's cage. DKK monitored for 48 hours in the region, "said Dr. Thunder Subiyantoro.
Added, during the summer monitoring the patient if found, will be suspected as suspect bird flu. DKK will attempt to anticipate the extra Tami Flu. Tami Flu residents recommended to be consumed within 5 days with a dose of 2 x 1.
"Until now there has been found that people suffering from fever or heat. Hopefully it does not exist.  We already anticipated by Tami Flu recommended drink for 5 consecutive days at a dose of 2 x 1, " he added.

Indonesia: Caution in North Sumatra

[It appears they are also working intensively by producing circulars, in North Sumatra on preventing the bird flu]
January 14, 2013
Medan , North Sumatra Health Office continues to make efforts to prevent the entry and growth of the bird flu virus to that area, one of them by issuing a circular to district / city.

According to the Head of Controlling Health Problems (FMD) of North Sumatra Health Office, Sukarni, on starberita, Monday (14/1) by a circular issued by the Directorate General of Livestock and Animal Health, Ministry of Agriculture 06042/PD number 610.F/12/2012 dated December 16, 2012 on the control of A1 in ducks. 

He said he made a circular to district / city for each region to take steps vigilance against the possible spread of bird flu virus. Moreover Currently, bird flu virus has begun to spread again in West Java, East Java and Central Java.Chances are, besides dengue and malaria are potentially so outbreaks, bird flu virus will also potentially occur in North Sumatra. Thus, we anticipate soon to make a circular.

The action taken by the vocal by calling the destruction of poultry in the infected area, so as not to spread to other areas Although it can be controlled, but we must not be complacent and must remain alert so as not to missed.

+ H5 N1 virus with new types (clade) 21 212 sub-clade is found in birds and humans, but this time based on the results of the examination of the species of ducks were found dead suddenly, has identified 23 sub-clade clade 232.pihaknya [his side] also requested that the district / city conduct outreach to people not to panic, but should still be vigilant through a healthy lifestyle and clean.

"Then, report and refer immediately to hospital A1 any suspect cases of bird flu in humans and immediately coordinate with local animal health ranks to undertake mitigation measures," he said. (ULF / YEZ)


Indonesia: Palembang Works Intensively To Prevent #Birdflu #H5N1

[Palembang is where the suspected human case is from.  They may have discovered him thrutheir socialization efforts.  Palembang is in South Sumatra, Indonesia.]

January 14, 2013
Palembang (South Sumatra ANTARA) - Palembang City Government continues intensively to prevent the circulation of the bird flu virus, by spraying disenfektan routinely in poultry farms and bird markets.

Head of the Department of Agriculture Fisheries and Forestry Municipality Tegoeh Sudirman, in Palembang, Monday said spraying disenfektan as an effort to anticipate the spread of bird flu virus.

"Until now it has not found the bird flu virus that attacks both birds and humans," he said.

According to him, efforts to anticipate the spread of the virus that causes death if infected poultry, carried out by killing germs that could potentially cause H1N5 Virus.

Spraying disenfektan be one attempt but keep poultry cages are essential.

He said his party routinely around to farms and markets to socialize the importance of maintaining cleanliness of the cage and spray disenfektan.

Giving vitamins to poultry are also encouraged to regularly consumed.

He explained that the officers also intensively monitoring the entry and exit of poultry from outside the capital.

That, to anticipate the entry of H1N5 virus infected cattle from other regions. (Nila)

http://tinyurl.com/b6egd5z

Indonesia: Suspected Human Case #Birdflu #H5N1: But No One Is Willing To Talk

Monday, January 14, 2013 
PALEMBANG - A bird flu suspect patient care pavilion in Melati (SARS Center) RSMH Palembang. In search of this newspaper yesterday (14/1), the RSMH no one willing to talk. 
But from one of the nurses there, certainly there is a patient suspect bird flu. The patient was admitted to the pavilion Melati (SARS Center). "The patient was a man, aged about 42 years. Sign in and cared for here, Sunday night, around 22:00 pm, "the nurse said without even mentioning his name. 

With a little scared, she said the patient be directed straight to the pavilion Melati (SARS Center), no longer come to the ER (emergency unit emergency). "Straight to the pavilion because there is a referral from one of the hospitals, with the allegations," he said. (Nat / tha / BMN) B aca more in Sumatra Express tomorrow (15/1)

Sunday, January 13, 2013

Uganda: Vets and medics sign up to fight diseases #H5N1 #Marburg #Ebola #birdflu

13 January 2013 
In a rare example of cross- disciplinary collaboration, veterinary and human medicine experts have agreed to work together to fight disease outbreaks, after many claimed lives and left thousands with grave physical trauma last year.
The diseases targeted for control include Avian influenza (bird flu), Anthrax, Ebola, Marburg haemorrhagic fevers, anthrax and nodding syndrome. Their spread is blamed on contact between man and animals. The World Veterinary Association (WVA) and the World Medical Association (WMA) have agreed to work together to control these outbreaks.
At the local level, the Uganda Medical Association and Uganda Veterinary Association have also agreed to work together to conduct joint research, prevention and control strategies.
According to Dr Margaret Mungherera, president of the Uganda Medical Association, the two associations are expected to sign a memorandum of working together, next month.

Avian Influenza Found in New York Live Bird Market; Japan and Taiwan Halt Poultry Exports from New York

January 11, 2013
USDA’s National Veterinary Services Laboratories has confirmed H5N1 (presumably low pathogenic) from a live bird market in New York.  According to USDA’s agreement with Taiwan, FSIS has been notified to amend the FSIS Export Library to state that the export of poultry meat and meat products from the State of New York to Taiwan is prohibited effective immediately.
This is also the situation for Japan.  Japan’s avian influenza bans cover product produced from birds from farms in the banned state, as well as from birds slaughtered/eggs laid in the state; product processed in the  state; and product that was stored in or transited the state, except after final packaging for FSIS meat products and after official sealing for table shell eggs.

Seasonal Flu: Secondary Infections to blame for flu deaths

By: Kayla Bremer
Doctors say secondary infections are to blame for the two flu–related deaths reported in Lancaster County.
It's the most cases doctors have seen at this time of year in more than a decade.  For most, the flu causes a miserable couple of days but some are at risk for secondary infections.
The most common are sinus infections and bronchitis, but doctors are most worried about pneumonia.
"If you feel like you're getting worse instead of better, that's the time to let somebody know," Dr. Thomas Martin said.  "Check it out further to determine if you may be getting a secondary problem."
Dr. Martin says most people can tolerate the illness, but for some with weak immune systems, it can be deadly.
"Fortunately your not very likely to get secondary complications but the concerns are the very young and the very old and people with underlying problems such as asthma or emphysema."

Continued:  http://www.klkntv.com/story/20572817/secondary-infections-to-blame-for-flu-deaths

US scrambles for flu shots as death toll continues to rise

January 12, 2013
Excerpt:
New York Governor Andrew M. Cuomo declared a Public Health Emergency for all of New York State Saturday.
Cuomo issued an Executive Order which allows pharmacists to administer flu vaccinations to patients between six months and 18 years of age. The order is in effect for 30 days.
New York has already reported 19,128 cases of the flu, nearly five times the amount of cases reported all of last flu season. Two deaths in New York were children.
-snip-
"We're hearing of spot shortages," said Dr. Thomas Frieden, director of the Centers for Disease Control and Prevention.
Colorado offers an example. Kaiser Permanente, which has 535,000 members in the state, stopped giving flu shots this week. But it expected to resume vaccinations when new shipments arrive, expected this weekend.
-snip-
 
 

Replikin Count of Influenza H3N2 Replikin Lethality Gene in the U.S. Approaches That of 1968 H3N2 Pandemic

January 10, 2013

A new study from Bioradar UK Ltd released this week reports that the H3N2 Lethality Gene Counts are approaching those of the highly lethal H3N2 pandemic of 1968

Saturday, January 12, 2013

FDA: Current Drug Shortages: Oseltamivir Phosphate (Tamiflu) for Oral Suspension (6mg/mL 60 mL) (Initial Posting Date) – 1/10/2013

[I could not copy the whole block into one screen shot.  Click on link below for the whole thing].

US Food & Drug Administratiion - Current Drug Shortages O - R (alphabetized)
The information provided in this section is provided voluntarily by manufacturers.  FDA cannot require firms to report the reason for shortage or duration of the shortage or any other information about shortages.  FDA appreciates all information provided by manufacturers.  We post information about shortages as soon as we receive it from the manufacturers.  To report information about shortages or supply issues, manufacturers can send updates to drugshortages@fda.hhs.gov.  Healthcare professionals and patients are also encouraged to notify us of shortages at drugshortages@fda.hhs.gov.

**Listed by Generic name or Active Ingredient**
Excerpt:
Oseltamivir Phosphate (Tamiflu) for Oral Suspension (6mg/mL 60 mL) (Initial Posting Date) – 1/10/2013 

 
Link:  http://www.fda.gov/Drugs/DrugSafety/DrugShortages/ucm314742.htm#oseltamivir

Friday, January 11, 2013

Minister of Agriculture: endemic bird flu in Egypt, "Shame"

1/12/13
Wrote: Fatin Solomon
Dr. Salah Abdul Momin, the Minister of Agriculture and Land Reclamation has been completed, providing space for a large poultry farms in the New Valley governorate in order to get out of the block, and limit, which may cause the disease.
He pointed out that those spaces were completed divided on cut and will be announced soon, pointing out that the crisis facing the ministry at the moment is the high proportion of farms offense, and which exceed 60%, as is random those farms to work without a license and randomly, which puts us in major crisis.
He described endemic bird flu in Egypt as a "disgrace", adding it is also a shame not to deal with the problems that Egypt is going through national Kmchklat Vllqdhae must all join together to confront them.
He stressed that since the emergence of the disease in Egypt have been taken many precautionary measures to curb the spread of the disease, including the need to stop backyard poultry and transport of live birds between provinces and trafficking, these problems bear their burden everyone where it is system is not borne by the government alone.

http://dostor.org/%D8%A7%D9%82%D8%AA%D8%B5%D8%A7%D8%AF/%D8%A7%D9%82%D8%AA%D8%B5%D8%A7%D8%AF-%D9%85%D8%B5%D8%B1/126628-%D9%88%D8%B2%D9%8A%D8%B1-%D8%A7%D9%84%D8%B2%D8%B1%D8%A7%D8%B9%D8%A9-%D8%AA%D9%88%D8%B7%D9%86-%D8%A5%D9%86%D9%81%D9%84%D9%88%D9%86%D8%B2%D8%A7-%D8%A7%D9%84%D8%B7%D9%8A%D9%88%D8%B1-%D9%81%D9%8A-%D9%85%D8%B5%D8%B1-%D8%B9%D8%A7%D8%B1

FluView Week 1 ending January 5, 2013

[I will place last weeks information in brackets in green color, after this weeks information.  All editing below is mine.]

2012-2013 Influenza Season Week 1 ending January 5, 2013


As a result of the end of year holidays and elevated influenza activity, some sites may be experiencing longer than normal reporting delays and data in previous weeks are likely to change as additional reports are received.

Synopsis:

During week 1 (December 30-January 5), influenza activity remained elevated in the U.S., but may be decreasing in some areas.
  • Viral Surveillance: Of 12,876 specimens tested and reported by U.S. World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) collaborating laboratories, 4,222 (32.8%) were positive for influenza. 
    [Of 9,363 specimens tested and reported by U.S. World Health Organization (WHO) and National Respiratory and Enteric Virus Surveillance System (NREVSS) collaborating laboratories, 2,961 (31.6%) were positive for influenza.]
  • Pneumonia and Influenza Mortality: The proportion of deaths attributed to pneumonia and influenza (P&I) was slightly above the epidemic threshold.  [The proportion of deaths attributed to pneumonia and influenza (P&I) was below the epidemic threshold. ]
  • Influenza-Associated Pediatric Deaths: Two influenza-associated pediatric deaths were reported. One was associated with an influenza A (H3) virus and one was associated with an influenza A virus for which the subtype was not determined. 
    [Two influenza-associated pediatric deaths were reported and were associated with influenza B viruses.]
  • Outpatient Illness Surveillance: The proportion of outpatient visits for influenza-like illness (ILI) was 4.3%; above the national baseline of 2.2%. Nine of 10 regions reported ILI above region-specific baseline levels. Twenty-four states and New York City experienced high ILI activity; 16 states experienced moderate ILI activity; 5 states experienced low ILI activity; 5 states experienced minimal ILI activity, and the District of Columbia had insufficient data. 
    [The proportion of outpatient visits for influenza-like illness (ILI) was 5.6%; above the national baseline of 2.2%. Nine of 10 regions reported ILI above region-specific baseline levels. New York City and 29 states experienced high ILI activity; 9 states experienced moderate ILI activity; 4 states experienced low ILI activity; 6 states experienced minimal ILI activity, and the District of Columbia and 2 states had insufficient data.]


Pneumonia and Influenza (P&I) Mortality Surveillance:

During week 1, 7.3% of all deaths reported through the 122 Cities Mortality Reporting System were due to P&I. This percentage was slightly above the epidemic threshold of 7.2% for week 1.

Influenza-Associated Pediatric Mortality:

Two influenza-associated pediatric deaths were reported to CDC during week 1. One was associated with an influenza A (H3) virus and occurred during week 52 (week ending December 29, 2012) and one was associated with an influenza A virus for which the subtype was not determined and occurred during week 1 (week ending January 5, 2013). This brings the total number of influenza-associated pediatric deaths reported during the 2012-2013 season to 20. Additional data can be found at http://gis.cdc.gov/GRASP/Fluview/PedFluDeath.html.

Influenza-Associated Hospitalizations:

The Influenza Hospitalization Surveillance Network (FluSurv-NET) conducts population-based surveillance for laboratory-confirmed influenza-related hospitalizations in children younger than 18 years of age (since the 2003-2004 influenza season) and adults (since the 2005-2006 influenza season).
The FluSurv-NET covers more than 80 counties in the 10 Emerging Infections Program (EIP) states (CA, CO, CT, GA, MD, MN, NM, NY, OR, TN) and additional Influenza Hospitalization Surveillance Project (IHSP) states. The IHSP began during the 2009-2010 season to enhance surveillance during the 2009 H1N1 pandemic. IHSP sites included IA, ID, MI, OK and SD during the 2009-2010 season; ID, MI, OH, OK, RI, and UT during the 2010-2011 season; MI, OH, RI, and UT during the 2011-2012 season; and IA, MI, OH, RI, and UT during the 2012-2013 season.

Data gathered are used to estimate age-specific hospitalization rates on a weekly basis, and describe characteristics of persons hospitalized with severe influenza illness. The rates provided are likely to be an underestimate as influenza-related hospitalizations can be missed, either because testing is not performed, or because cases may be attributed to other causes of pneumonia or other common influenza-related complications.
Between October 1, 2012 and January 5, 2013, 3,710 laboratory-confirmed influenza-associated hospitalizations were reported. This is a rate of 13.3 per 100,000 population. The most affected group is people ≥65 years. Among all hospitalizations, 3,198 (86.2%) were associated with influenza A and 484 (13.0%) with influenza B. There was no virus type information for 22 (0.6%) hospitalizations. Among hospitalizations with influenza A subtype information, 767 (98.7%) were attributed to H3 and 10 (1.3%) were attributed to 2009 H1N1. The most commonly reported underlying medical conditions among hospitalized adults were metabolic disorders, cardiovascular disease, obesity, and chronic lung disease (excluding asthma). Among 55 hospitalized women of childbearing age (15-44 years), 10 were pregnant. The most commonly reported underlying medical conditions in hospitalized children were asthma, neurologic disorders, and immune suppression. More than 40% of hospitalized children had no identified underlying medical conditions. Additional FluSurv-NET data can be found at: http://gis.cdc.gov/GRASP/Fluview/FluHospRates.html and http://gis.cdc.gov/grasp/fluview/FluHospChars.html.

These are only a few of the reports featues.  For the full document including many charts, click on the link below.  The weekly reports can be easily accessed by links provided on the right side-bar, scrolling down to Worldwide Update Influenza Activity.


http://www.cdc.gov/flu/weekly/ 

EuroFlu Weekly Electronic Bulletin

Summary, week 1/2013 Levels of influenza activity in countries in the WHO European Region are heterogeneous, with widespread activity mainly in the western and northern parts of the Region and no or sporadic activity in the eastern part, but a gradual increase overall. Influenza A(H1N1)pdm09, A(H3N2) and type B viruses continue to co-circulate, but the proportion of A(H1N1)pdm09 relative to A(H3N2) is increasing. The number of reported hospitalizations due to severe acute respiratory infection (SARI) remains stable, with 8% of cases being associated with influenza detection.

Full Document:  http://www.euroflu.org/cgi-files/bulletin_v2.cgi?display=1&code=470&bulletin=470

Seasonal Flu: Ohio: 1 Child Died; 22yo Died w/no underlying health conditions; Couple got flu despite being vaccinated this season...

1/11/13
Excerpt:

An Ohio child has died from complications of the flu, and hospitalizations continue to climb here and across the country.
State health officials have learned of one child’s death this season, said Ohio Department of Health spokeswoman Tessie Pollock. She said she could not share the county in which the child lived, or the child’s age or gender. The child was not from central Ohio.


Officials in Greene County did discuss the Tuesday death of a 22-year-old Wright State University student. Public-health officials are investigating the flu-related death of Amelia Catherine Perry of Fairborn for possible contributing health conditions, but the woman appeared otherwise healthy, according to the Dayton Daily News.

Theibert and his wife, Suzanne Cotton, both were smacked by flu despite getting shots earlier in the season. They were sick for a week, he said.

...Dr. Dennis Cunningham, an infectious-disease specialist at Nationwide Children’s Hospital.
Cunningham said that in November and December, the hospital system and its urgent-cares were diagnosing flu in about 600 kids a week through lab tests.
“Right now we’re at about 240 kids a week who are testing positive,” he said.


“We’re actually having more inpatients with flu this year than back when we had H1N1.”

Full Article:  http://www.dispatch.com/content/stories/local/2013/01/11/ohio-childs-death-tied-to-flu.html