Thursday, April 30, 2009

Swine Flu Diagnosed in World Bank Employee in Washington

A World Bank employee in Washington has been preliminarily diagnosed with swine flu after traveling on business in Mexico from April 14 to April 18, before the outbreak was reported by world health officials, the bank said.

If the diagnosis is confirmed, it would be the first in the nation’s capital.

The employee sought treatment upon his return from Mexico, and has fully recovered, according to the company e-mail. He received a preliminary diagnosis last night, and a second test is underway by the U.S. Centers for Disease Control and Prevention, the e-mail said.

Source: http://www.bloomberg.com/apps/news?pid=20601087&sid=a2q8_Ll2i7dE&refer=home

WHO phase of pandemic alert

In nature, influenza viruses circulate continuously among animals, especially birds. Even though such viruses might theoretically develop into pandemic viruses, in Phase 1 no viruses circulating among animals have been reported to cause infections in humans.

In Phase 2 an animal influenza virus circulating among domesticated or wild animals is known to have caused infection in humans, and is therefore considered a potential pandemic threat.

In Phase 3, an animal or human-animal influenza reassortant virus has caused sporadic cases or small clusters of disease in people, but has not resulted in human-to-human transmission sufficient to sustain community-level outbreaks. Limited human-to-human transmission may occur under some circumstances, for example, when there is close contact between an infected person and an unprotected caregiver. However, limited transmission under such restricted circumstances does not indicate that the virus has gained the level of transmissibility among humans necessary to cause a pandemic.

Phase 4 is characterized by verified human-to-human transmission of an animal or human-animal influenza reassortant virus able to cause “community-level outbreaks.” The ability to cause sustained disease outbreaks in a community marks a significant upwards shift in the risk for a pandemic. Any country that suspects or has verified such an event should urgently consult with WHO so that the situation can be jointly assessed and a decision made by the affected country if implementation of a rapid pandemic containment operation is warranted. Phase 4 indicates a significant increase in risk of a pandemic but does not necessarily mean that a pandemic is a forgone conclusion.

Phase 5 is characterized by human-to-human spread of the virus into at least two countries in one WHO region. While most countries will not be affected at this stage, the declaration of Phase 5 is a strong signal that a pandemic is imminent and that the time to finalize the organization, communication, and implementation of the planned mitigation measures is short.

Phase 6, the pandemic phase, is characterized by community level outbreaks in at least one other country in a different WHO region in addition to the criteria defined in Phase 5. Designation of this phase will indicate that a global pandemic is under way.

During the post-peak period, pandemic disease levels in most countries with adequate surveillance will have dropped below peak observed levels. The post-peak period signifies that pandemic activity appears to be decreasing; however, it is uncertain if additional waves will occur and countries will need to be prepared for a second wave.

Previous pandemics have been characterized by waves of activity spread over months. Once the level of disease activity drops, a critical communications task will be to balance this information with the possibility of another wave. Pandemic waves can be separated by months and an immediate “at-ease” signal may be premature.

In the post-pandemic period, influenza disease activity will have returned to levels normally seen for seasonal influenza. It is expected that the pandemic virus will behave as a seasonal influenza A virus. At this stage, it is important to maintain surveillance and update pandemic preparedness and response plans accordingly. An intensive phase of recovery and evaluation may be required.

Source: http://www.who.int/csr/disease/avian_influenza/phase/en/

Wednesday, April 29, 2009

Seven Countries Now Confirm Cases of Swine Flu

The virus is now suspected in the deaths of more than 150 people in Mexico. There are also confirmed cases in six other countries (the United States, Canada, New Zealand, Britain, Spain, and Israel). In the U.S., authorities have confirmed at least 65 cases of swine flu.

Source: http://www.voanews.com/english/2009-04-29-voa19.cfm

WHO raised the level of its six-tier alert system to 5

The World Health Organization warned the first influenza pandemic since 1968 is “imminent” and urged stepped-up preparations after swine flu was confirmed in at least nine countries and 11 U.S. states.

WHO raised the level of its six-tier alert system to 5, indicating little time remains for countries to complete emergency plans. U.S. cases jumped to 94, from 64 yesterday, with hundreds of suspected cases at New York schools.

A stage 5 warning is “a strong signal that a pandemic is imminent” with little time left for preparation, according to the WHO Web site. A pandemic, rated 6 on WHO’s alert system, is an unexpected outbreak of a new contagious disease that spreads from person to person across borders. In such cases, almost no one has natural immunity.

Source: http://www.bloomberg.com/apps/news?pid=20601087&sid=a0NYYjUy._xo&refer=home

Swine Flu Toll Climbs to 91 Across 10 U.S. States

Ninety-one people in 10 U.S. states have confirmed cases of swine flu, up from 64 reported yesterday. New cases were reported in Arizona, Indiana, Massachusetts, Michigan and Nevada. The CDC count included the case of a child from Mexico who died at a Texas hospital, the agency said.

Source: http://www.cdc.gov/swineflu/


World Health Organization calls emergency meeting on swine flu

The World Health Organization is calling a third emergency meeting of its flu experts in response to a spike in swine flu cases. The panel meeting today will discuss the current alert level - at phase 4, two levels below the threshold for a full pandemic outbreak.

In response to the panel's earlier advice, the United Nations' agency declared the outbreak an international public health emergency and raised its alert level, meaning the risk of a global outbreak has jumped.

Copyright © 2009 The Canadian Press. All rights reserved.

Travel Advisories for swine flu

U.S. officials recommended that nonessential travel to Mexico be avoided and the European Union told travelers to avoid outbreak areas. Malaysia today asked the WHO to ban outbound travel from Mexico by people who are ill.

Japan suspended visa-free entry for Mexican nationals, countries including Australia, Singapore and South Korea are screening air passengers, and Taiwan advised against visiting Mexico.

Australia is testing 90 people for swine flu, and authorities are searching for 15 people who were on a plane from Mexico two days ago, Health Minister Nicola Roxon said.

Source: http://www.bloomberg.com/apps/news?pid=20601087&sid=a38ip8h11HoY&refer=home

Swine Flu Kills US child

A 23-month-old Texas child became the first to die in the U.S. from swine flu, and New York Mayor Michael Bloomberg said hundreds of students in the city are suspected to be infected.

The new cases, including the death that was confirmed today by U.S. health officials, show the disease is taking root outside Mexico.

Mexico, where the virus toll is highest, said 159 people may have died from the malady, with seven of those verified by laboratory tests. Seven countries have confirmed swine flu, including the U.K., Canada, Israel, New Zealand and Spain. Officials in Bavaria said Germany found two cases.