Kidderminster Health Concern

Independent Kidderminster Hospital and Health Concern

 

 

21/03/10
Everybody going to the World Cup, especially young people, would be well advised to have a dose of this vaccine.
At this precise moment the World Health Organization is worried about the African subcontinent - it looks like a potential hotspot.
Swine flu will probably remain a problem for at least one or probably a couple of winters to come."
Professor John Oxford, the UK's leading flu virologist

"The pandemic H1N1 influenza virus, first reported in the US and Mexico in early 2009, was likely to be the main strain circulating next winter. 
The next flu season in the southern hemisphere will be starting soon and the pandemic flu virus is expected to return.
Travellers should protect themselves by getting the vaccine well before they travel.
Those attending the World Cup in South Africa in June should also take advantage of the protection the vaccine can offer."

Sir Liam Donaldson, England's Chief Medical Officer.

The infection is expected to return after the summer.

Current low levels of swine flu are still causing serious illness - 
in England there are 65 people in hospital and 14 patients in intensive care.

Eligibility for vaccination has now been extended to travellers to countries in the southern hemisphere after advice from government vaccination advisers.

14/02/10
The National Pandemic Flu Service has closed down.

Set up to dispense drugs to patients in England without the need to see doctors, the hotline and website could be restored in seven days should the situation change. Anyone who thinks they have flu can still check their symptoms online.

Parents with young children are still being advised to have them immunised against the disease.

  The virus may not be around at the moment but it could come back
Sir Liam Donaldson Chief Medical Officer for England

About five million of the 90 million doses of antiviral drugs that were made available were actually dispensed.  An announcement is expected in around 10 days regarding what the government will do with its remaining stocks of vaccine.

23/01/10
By 18 January just 40%.of nurses in London have been vaccinated against swine flu, the NHS has admitted in a response to a Freedom of Information request by BBC London.

The majority of medical staff remain unprotected against the virus.
Figures also reveal that the take-up has reached a plateau, with a limited increase in the numbers of staff to have been vaccinated.
_________________

In reply to another Freedom of Information request, it has been revealed that only one child who was previously healthy has died from swine flu across the West Midlands region. Of the seven children aged under 15 who have died, all but one had an underlying health condition..

Two children in the region with underlying health conditions have died in the under-five category since the epidemic began - which is the latest age-group that is currently being advised to have the swine flu vaccination.

The West Midlands Strategic Health Authority had persistently refused to release the data but the Director of public health for the West Midlands region, Dr. Rashmi Shukla, denied concealment and said that swine flu disproportionately affected younger people.
"We are still having cases of under fives being admitted to hospital and into critical care. As the largest proportion of any age group that is being admitted to hospital is the under fives, it is still important that they have access to vaccination."

Sir Liam Donaldson, has said 20 children under five have died in the UK from swine flu-related conditions since April. Most of these had underlying illnesses.

In comparison, research by Douglas Fleming, director of the Birmingham Research Unit of the Royal College of General Practitioners, showed that 'mortality in children from influenza and respiratory syncytial virus' showed that, on average, 38 children under one year of age in England die each year from seasonal flu.
________________

Amid predictions that a "third wave" of the pandemic is unlikely to happen, the government is making plans to offload millions of doses of swine flu vaccine and officials are in discussion with manufacturer GSK over contracts for remaining doses pre-purchased by the UK.

Options include_

  • selling surplus vaccine
  • donating it to poorer countries
  • keeping a larger stockpile. (It has a shelf-life of five years)
  • to keep supplies of the vaccine 'adjuvant' (the booster chemical which is produced separately from the vaccine) for use in future pandemics.

“We have to keep a stockpile for ourselves anyway because we don't know what's going to happen in 2010 ”
Professor David Salisbury, head of immunisation

The UK bought 60m doses of swine flu vaccine from GSK and 30m from Baxter - but the smaller contract had a 'break clause' should the doses not be needed.
To date; 23.9m doses of GSK vaccine have been delivered for immunisation of priority groups in the UK as well as 5m Baxter vaccines.
(An official figure for the cost of the vaccine to the UK has never been given but it is likely to run into hundreds of millions.)

Last week France announced it was selling millions of doses of swine flu vaccine after finding they had more than enough to cope with the outbreak.


National Pandemic Flu Service
Click to access their On-line service

or ring
0800 1 513 100
Minicom: 0800 1 513 200

NHS Direct can be contacted on 0845 46 47
http://www.nhsdirect.nhs.uk/

Download Swine Flu information .pdf

NHS Direct Symptom Checker

BBC answers FAQs on Swine Flu


SWINE FLU SYMPTOMS (Source: NHS)

  1. High temperature, tiredness and lowered immunity
  2. Headache, runny nose and sneezing
  3. Sore throat
  4. Shortness of breath
  5. Loss of appetite, vomiting and diarrhoea
  6. Aching muscles, limb and joint pain

HYGIENE ADVICE (Source National Public Health Service for Wales)

  1. Cover your nose and mouth when coughing or sneezing, using a tissue where possible
  2. Dispose of tissues promptly and carefully
  3. Wash hands frequently with soap and water
  4. Clean hard surfaces such as door handles regularly with a normal cleaning product
  5. Help your children to follow hygiene advice

14/01/10
Although the number of cases of swine flu has fallen to a low of below 5,000 in England in the past week, the number of people in hospital after being infected has not dropped to the same extent.
There has also been a striking increase in critical care admissions in the over 65s who make up a quarter of the 103 patients currently taking up intensive care beds

Since swine flu was first reported in April 2009 there have been 360 deaths across the UK - 251 in England, 28 in Wales, 64 in Scotland and 17 in Northern Ireland - mostly in people with underlying health conditions.

Chief Medical Officer, Sir Liam Donaldson, said they would be calculating the economic costs of the pandemic at a later date.
"We're in the 21st century and people do not need to die from vaccine preventable illnesses.
We want to prevent deaths, people going to hospital and that's generally been the approach we have taken."

30/12/09
With Swine flu vaccinations of priority at risk groups being completed GPs are now being encouraged to concentrate on children between the ages of six months and five years. 
Agreement has now been reached to support surgeries financially, and so the programme should accelerate in the new year. That particular age-groujp has been targeted because high numbers of under fives have been admitted to hospital after falling ill with swine flu.

"Swine flu has had less public attention recently, but it is still a major threat to public health. Young children are still very much at risk, and when they are infected some suffer severely, so this vaccination programme for the under fives is very important. Having your child vaccinated greatly improves his or her protection from the disease, but also helps to make it less likely the illness will be spread between children."
Dr Brian Keeble - NHS Suffolk.

GOOD NEWS
The second wave of the pandemic is on its way out as cases of swine flu appear to be falling throughout the country, although there is still a chance of an upsurge in seasonal flu after Christmas.
Generally there is less flu about and most people who get it either are not aware they are infected or have a very mild disease.
There were an estimated 9,000 new cases of swine flu in the past week in England (compared with 11,000 the week before).
In Scotland there were around 8,000 cases (down from nearly 9,000 the week before).
Cases continue to fall in Wales and Northern Ireland.

BAD NEWS
In England there are more than 500 people in hospital with swine-flu-related conditions, and 100 of those are in intensive care.
There have been almost 300 deaths since the outbreak began in April.
In the past week another 16 people have died across the UK.
"You can take a cold statistical view and look at the 300 deaths and throw your hat in the air.
Or you can look at the families who may not have a child or a father or mother around the table this Christmas.
If we can prevent those deaths then that is a reason to throw your hat in the air."

Sir Liam Donaldson, the Chief Medical Officer

Of the 299 deaths, 14 in Northern Ireland, 26 in Wales, 56 have been in Scotland, and 203 in England.

08/12/09
Talks with GPs stall - Flu vaccination scheme disarray

Negotiators had offered doctors £5.25 per dose (comparable with the rate for the first priority group) but failed to see eye-to-eye over the amount of flexibility the government was willing to give doctors over the rest of their workload. Under the terms of their existing contract, doctors are paid bonuses to give most patients appointments within 48 hours, as well as allowing them to book in advance; and without this, the BMA argued, vaccinating three million children during the busy winter period would leave doctors out of pocket.

[And we wouldn't want that to happen; would we .. ?_Ed]

The vaccination of the first wave groups, including health workers, is continuing as normal since they were covered by a deal that was brokered in early autumn.

"We sincerely wanted to be able to reach a national agreement. Unfortunately this has not been possible, because the government would not support adequate measures to help free up staff time. At the busiest time of the year for general practice, with surgeries already dealing with the additional work of vaccinating the first wave of at-risk groups, we felt this was vital in order to ensure this next phase could be carried out quickly."
Dr Laurence Buckman, chairman of the BMA's GPs committee.

It might have been possible for some doctors to agree to vaccinate children if they can reach individual deals with their local health managers; however, the government has asked health chiefs to focus their attention on other NHS workers.

District nurses routinely carry out vaccinations for housebound patients as part of other immunisation programmes, but might not be able to vaccinate such large numbers of children. Health visitors are also likely to be asked to help. Their level of experience of vaccinating varies considerably and many will need extra training.

04/12/09
There were just 22,000 infections over the past seven days - compared to 46,000 the week before - halving the number of new cases of swine flu ( comparable to what has been seen in past winters).

Still 1,000 people are in hospital in the UK, and the death toll has reached 270.

In Scotland there are estimated figures of 12.300 people contracting swine flu last week, compared to just over 21,000 the week before.

The government report progress made with the vaccination programme, with1.6m doses given in England, a rise of 600,000 in the past week.

01/12/09
Deaths from the H1N1 virus climb above epidemic level in some states.
This co-incides with warnings from US officials of delays in the delivery of swine flu vaccines - with only 28-30 million doses available by the end of the month (down from an earlier estimate of 40 million).
Anne Schuchat of the US Centers for Disease Control and Prevention (CDC).

Swine flu was having an especially strong impact on children: 86 have died this year - greater than the number that normally die in an entire flu season.
____________________________

In the UK, up to a third of children in some areas may have had swine flu, but many will not have been ill.
In a review of blood tests by the Health Protection Agency, higher levels of infection among children are shown than originally thought.

This is particularly true of "hotspot areas" such as London and the West Midlands where a third of school-aged children may have had the virus - but only one in 10 (or less) got ill and showed symptoms. The average across the UK is probably about a fifth. This reinforce the supposition that the pandemic is a mild strain of flu.

SWINE FLU IN CHILDREN
The most common symptoms of swine flu are_

  • A cough, sore throat, fever and muscle aches
  • A minority of patients have also suffered vomiting and diarrhea
  • But as health officials are pointing out there are a very large number who have had the virus without having any symptoms
  • If children do fall ill, parents can contact their GPs or the flu service to get drugs to lessen the symptoms and shorten the illness
  • Children with health problems and all under-fives are among the priority groups being offered vaccination

18/11/09
Critics warned trying to contain the outbreak was wasting resources and increasing the risk of drug resistance.

The World Health Organisation has now recorded 45 cases of Tamiflu-resistant swine flu around the globe with two such cases being from the Lothians area and another is believed to come from Fife, Scotland.
This is a mutated form of the H1N1 virus which does not respond to Tamiflu - millions of doses of which have been stockpiled as a first line of defence for the flu pandemic.

Professor Hugh Pennington, of Aberdeen University, pointed out that an alternative drug called Relenza was also available to treat swine flu.
"Obviously the worry is that this might spread and cause outbreaks which are going to be resistant to Tamiflu. So far there has been no sign of that, it is a question of ‘watch this space’. Most of the time these Tamiflu-resistant strains are quite weak and don’t spread very well and that seems to be the case so far.”

Health Secretary Nicola Sturgeon said
“This is a rare occurrence but it’s not of huge concern and it’s certainly not a sign that swine flu is mutating into something more serious. It’s something that can happen when an individual is on anti-virals for a prolonged period of time.”


A poll by health magazine Pulse of 107 GPs found that high-risk patients – those with conditions such as heart disease, diabetes or who are pregnant - are refusing the swine flu jab because they fear it is neither safe nor necessary.

Letters calling them in for the inoculation are being ignored - with less than 50 per cent of those offered the jab presenting themselves to be inoculated.
Fewer than one in 20 pregnant women have attended clinics offering the jab in some areas.

“A number of patients were very negative about swine flu vaccination. 
It’s going to be extremely difficult to meet targets.”

Dr. Gary Calver, a GP in Folkestone, Kent.

16/11/09
The Centers for Disease Control and Prevention (CDC) said the new system is based on more precise figures show 22 million Americans contracted the virus in six months with some 98,000 hospitalised.
The CDC now estimates that 3,900 people in the US have died from the virus in the past six months - and of children under 18, an estimated eight million have had swine flu, with 36,000 hospitalised and 540 deaths.

_____________________________

A "half-term effect" could be the reason for the number of new swine flu cases in the past week falling by nearly a quarter to 64,000 in England.
In other parts of the UK there were slight rises as the number of people estimated to have caught the virus in Scotland (21,500) was up from 17,500 the week before.
Figures were much lower in Wales and Northern Ireland.
Chief Medical Officer Sir Liam Donaldson is waiting for next week's figures to give a fuller picture.

13/11/09
The death of an adult from the Dumfries & Galloway region (suffering from an underlying health condition) after contracting H1N1, takes the total number of Scottish swine flu related deaths to 34.
Scottish government estimates 21,500 people contracted swine flu in the past week.
NHS Scotland has received just under 550,000 doses of the Pandemrix vaccine, about 40% of the number needed for the priority groups.

A small number of staff at the Borders hospital have have phoned in sick as unable to work after reacting badly following vaccination against both swine flu and seasonal flu at the same time.
Only health workers at the Borders General Hospital have been affected.
NHS Borders said it would continue to immunise its staff against both swine flu and seasonal flu at the same time.   
                       

07/11/09
Four more people have died after contracting swine flu in the West Midlands, it emerged today, as cases of those infected continued to rise.

The latest deaths brings the total of those who have died after testing positive for the disease in the region to 19. The number of sufferers admitted to hospital this week was 203 compared with 146 last week and 95 inpatients with swine flu were being treated in hospital as of Wednesday, according to the West Midlands Strategic Health Authority.

27/10/09
With the UK experiencing a steep rise in swine flu infections and being well into the second peak of swine flu cases, concerns are being raised about the sustained pressure that will be put on the health service.

The number of new cases reported in England over the past week has nearly doubled to 53,000. In Scotland, there was a slight rise to 14,650.
With more and more people are being admitted into intensive care (there are 99 people in critical care beds), the number of deaths in the UK has now reached 128.

"If current trends continue we are going to have to surge capacity. My message now is that the NHS must be ready." Ian Dalton, head of flu planning at the NHS.

It is the rate of admission to these specialist beds which is causing particular concern - now at a rate of one in five admissions, compared with one on ten during the summer.

Sir Liam Donaldson, the government's chief medical officer, said he is "mystified" by the pattern emerging on intensive care wards.
"The NHS has never before had a run from mid July to March and April with intensive infectious disease like this. While the 1,000 death-toll was low even compared to the normal number of deaths from seasonal flu, which normally stands at about 6,000 to 8.000, the tragedy is that the victims of swine flu were often young."

Latest estimates suggest there could be another 35,000 admissions in the coming months - more than 5,000 of which could require intensive care support, although the latest "worst-case scenario" for total deaths over the winter has been reduced radically, from 19,000 to 1,000.

 24/10/09
The European Medicines Agency are offering advice contrary to that of HM Government.

TWO doses of 'PANDEMRIX' - the GloxoSmithKline jab, is their recommendation - for all those in high-risk groups / and those outside 18-60 yrs of age.

For Baxter's 'CLEVAPAN' their advice remains 2 doses at a three week interval.
There is currently NO 'Clevapan' in the country

21/10/09
From 21 October hospitals are to start to vaccinate their at-risk patients and front-line health staff.

Next week GPs will start to invite patients for immunisation. 
This will continue for several months. It was originally hoped to administer it alongside the seasonal flu vaccine since many in the 'swine flu' group are eligible for the 'normal flu' jab but that programme is now well under way.
For many it will mean repeat trips back for both vaccines.

How will it be administered ?

There will be two vaccines used in the UK - one made by GlaxoSmithKline and the other by Baxter.
People over the age of 10 given the GSK one will only need one dose.
Younger children have shown in trials that they need two to get the right reaction from their immature immune systems.

The GSK jab is grown inside eggs and, at present, the Baxter version is being reserved for those who have egg allergies - who will need two doses three weeks apart.

Is it safe?

The official regulator, the European Medicines Agency, which licenses new treatments has concluded that both jabs are safe and effective following trials involving thousands of people.

Are there Side-effects ?

The most common side-effects are minor ones, such as headaches, joint pain, muscle pain, fever and fatigue. 
[Very like flu itself, then_Ed]
     

17/10/09
US officials have warned of delays in the delivery of swine flu vaccines

Deaths from the H1N1 virus have reached the epidemic threshold and have even climbed above epidemic levels in some states, with swine flu widespread in 41 of them.

So only 28-30 million doses would be available by the end of the month, down from an earlier estimate of 40 million, said Anne Schuchat of the US Centers for Disease Control and Prevention (CDC).

Swine flu has had an especially strong impact on children, 86 of whom have died this year, half of which were between 12 and 17- numbers greater than would normally be expected to die in an entire flu season !

"These are very sobering statistics. Some of these children have been totally healthy." (Ms. Schuchat).  

This coincides with an early on-set of severe winter weather in the Eastern sea-board states.
                            __________________________________________

Giving paracetamol to babies after vaccinations as a precaution against fever may lower the effectiveness of the immunisation, says a Lancet publication of Czech research.
This includes Swine Flu jabs.

"Giving paracetamol before or after vaccines is not to be encouraged because firstly it has little benefit and secondly this preliminary data suggests it may do harm."
Dr David Elliman, Great Ormond Street Hospital

16/10/09
Patients in hospital deemed at risk of the infection - including pregnant women and people with health problems - will get the jab from 21 October.

GPs will start calling patients in the week after until 13 million people in the priority groups are vaccinated.

14/10/09

The much predicted second wave has begun but so far the increase in cases in England and Wales is much slower than predicted; they remain very high in Northern Ireland, whereas in Scotland, cases actually fell.

Sir Liam Donaldson said:
"We are well into the second wave of pandemic flu but it is proving so far to be a slow burn. There is a possibility it might peak and at a lower level than we thought. This would be incredibly positive because it would mean we could roll out the vaccine. It would mean we might be able to avert a subsequent very big peak. But on the other side of the coin we have a worrying number of people going into hospital and intensive care. It isn't a killer virus but it can kill."

04/10/09 
Up to 1,000 children will be taking part in a study to test the two swine flu vaccines
although, when the UK vaccination programme starts, it is expected to begin with high risk groups - the very young - elderly - and medical staff.

The trial began on Saturday, involving children (aged between six months and 12 yrs-of-age) in Oxford, Southampton, London, Bristol and Devon, receiving two doses of the vaccine, three weeks apart, followed by a blood test three weeks later.

Consenting parents are being briefed on the risks. Participation in the scheme is voluntary. Scientists have enough older children taking part in the study but have appealed for more children under the age of three to take part.

"This weekend we are trying to enroll around 200 children ... which we think is the largest number of people ever to be enrolled in a clinical trial in such a short space of time in the UK. 
What we are trying to do is to find out if one of the vaccines is better than the other in terms of immune reactions, particularly against swine flu, but also to make sure that one of the vaccinations doesn't have worse side effects than the other. 
This is the age group which doesn't respond to vaccinations as well as adults and we really need to know this effect before we see a wider vaccination in the UK. 
We really need to know this effect before we see a wider vaccination in the UK ”

Dr Saul Faust, senior lecturer in child health at the University of Southampton

Adam Finn, professor of paediatrics at Bristol University, has previously said that evidence of the effects on children was urgently needed.
"Young children, particularly under five, do seem to be at risk of serious illness. 
And secondly, there is clear evidence that flu epidemics and pandemics are spread very efficiently by children. 
Children infect each other and their parents very efficiently and for that reason a hugely effective strategy to controlling epidemics of this kind is to immunise children."

Millions of doses of the vaccines have been purchased for use across the UK and the Department of Health estimate they will have enough vaccine for half the population by the end of the year.

25/09/09
Swine flu cases in England almost double over seven days - official figures say 9,000 new cases - compared with 5,000 the previous week, and 3,000 before that. 
The total number of swine flu-related deaths in the UK rose to 82 - with levels in Wales and Northern Ireland much lower.
In Scotland weekly figures show a slight increase - from 6,180 to 7,034.

Everything suggests we are seeing the start of the second peak, but we just don't know how big that will be
         Sir Liam Donaldson, chief medical officer
"Children and young people were responsible for much of the rising number of new infections - with outbreaks reported in 66 schools (although the true number was likely to be much higher)."

These levels are below those of seasonal flu that could be expected during a bad winter.

18/09/09
Swine Flu cases double in Scotland in one week.

The health department estimates that 6,180 people in Scotland contracted swine flu last week, compared to 3,336 in the previous week: and a woman from the Lothians has become the ninth swine flu patient to die in Scotland

"While this tragic death shows that in some cases the H1N1 virus can cause complications, I would like to stress that the majority of people contracting H1N1 are continuing to experience mild symptoms." - Health Secretary Nicola Sturgeon. 
"There had been a "significant increase" in the number of people consulting their GP with flu-like symptoms over the last two weeks."

"The potential threat from H1N1 remains serious, even if it continues to be a relatively mild virus. 
Vaccination is the best defence we have against the H1N1 virus and Scotland is preparing very well for the vaccination programme. 
Simple hygiene measures like frequent handwashing and using tissues can do a huge amount to help prevent flu spreading. 
Most people suffered fairly mild symptoms and made a full recovery within a week."

A total of 143 people with "significant" underlying health conditions had been taken to hospital with swine flu since the start of the outbreak.

06/09/09
Latest figures predict that the 65,000 people of the previous estimation as the number who could die from swine flu in the UK this winter are unlikely to be realised. 
Government scientific advisers have revised the figure to produce a worst-case scenario of 19,000 deaths, based on one in three people becoming infected.
Cases of swine flu continue to drop off with only 4,500 new cases in England last week.
There are currently 159 patients in hospital, 31 of those in a critical condition in intensive care; with the death toll in the UK now standing at 70 - 61 in England, seven in Scotland and one each in Wales and Northern Ireland.

We want the NHS to plan for a worst case scenario
Professor Sir Liam Donaldson

02/09/09
Two of the 'Swine Flu' Call Centres have been closed.
In the Farnborough Centre, for example, each worker (after four hours training) was averaging  just TWO x Five Minute calls, per 8-hour shift. The rest of the day was spent playing cards or board games.

Health Secretary Andy Burnham's "guess-timate" of some 100,000 cases - every day - by the end of August now seems a 'little' off-track .. as reports of just 700 new cases per day are authenticated.

Which is BAD NEWS for ANDY .. but GOOD NEWS for those who aren't feeling ill.

28/08/09
A 52-year-old man has become the seventh person to die in Scotland after suffering from swine flu.
This news comes as Sharon Pentleton, who was treated for swine flu in Sweden, was discharged from hospital.

25/08/09
Tamiflu and Relenza are unlikely to help children who catch the H1N1 virus.

Research by a University of Oxford team, published in the British Medical Journal, casts doubt on the policy of giving antiviral drugs to children for swine flu having shown that it rarely prevents complications in children with seasonal flu, yet carries side effects. Antivirals are the mainstay of treatment at the moment & are designed to ensure that symptoms are mild and reduce the chance of an infected person giving the illness to someone else.
While this study shows that antiviral treatment can shorten the duration of normal seasonal flu in children by up to a day and a half, it also shows that they have little or no effect on asthma flare-ups, ear infections or the likelihood of children needing antibiotics - and the drugs can cause unpleasant side effects, such as vomiting (Tamiflu).

There were an estimated 30,000 new cases of swine flu in England in the last week - a drop compared with the 110,000 cases the week before - and a decrease also in Scotland and Wales. 
Over the last four years ministers have spent more than £500m on preparations for the pandemic, whereas seasonal flu routinely kills 12,000 people in England and Wales each year

“Our research is finding for most children these antiviral drugs are probably not going to have much of an effect ”
Study author Dr. Matthew Thompson.

GP Dr. Carl Heneghan, a clinical lecturer at Oxford University and a Co-researcher, said the current policy of giving Tamiflu for mild illness was an "..inappropriate strategy. The downside of the harms outweigh the one-day reduction in symptomatic benefits."

Flu expert Professor Hugh Pennington said "Tamiflu has a place but it's not a wonder cure." but was not surprised by the report, which underlined what was already known about Tamiflu.

22/08/09
A 55-year-old woman from Caerphilly has become the first person in Wales to die after testing positive for swine flu. Having first been admitted to hospital on 2 August with flu-like symptoms she was later transferred to an intensive care unit with cardiac-related problems.
There have now been more than 50 swine flu-related deaths in the UK.

17/08/09
Plans unveiled on Thursday (13th August) to vaccinate over 13 million people in the first wave of the UK programme do not have GPs signed up to the deal.

The British Medical Association has asked for extra funds to administer the two-shot jab - all of which is extra work, over and above their normal surgery work. Doctors are paid £7.51 for each seasonal flu vaccine and other jabs, such as travel inoculations but have argued in talks that they need extra money to cover staffing and administration costs and the overtime they may need to do. They have also asked for their bonus payments to be protected if work such as blood pressure checks is affected.

About a fifth of the UK population - this amounts to more than 13 million - will be immunised (people with health conditions, such as heart disease and diabetes, pregnant women, those with weakened immune systems and frontline health and social care workers will be the first to receive the jab.)

“ Talks with the government remain ongoing and we are hopeful that these discussions will conclude shortly. Currently, the health service is working well in response to this enormous challenge and all doctors will continue to work hard on behalf of all their patients."
Dr Laurence Buckman, of the British Medical Association

31/07/09
With an estimated 110,000 new cases of swine flu last week, compared with 100,000 the week before, there are indications the number of swine flu cases in England is no longer rising rapidly and may have "plateau-ed".

In the first seven days of England's swine flu helpline - a telephone and web-based helpline service designed to relieve pressures on the NHS and GPs, 150,000 people were given tamiflu; with more than half of children prescribed Tamiflu suffer side-effects such as nausea and insomnia (a "high proportion" of British schoolchildren reporting problems after taking oseltamivir (Tamiflu) medication).

“I think we are probably seeing a downturn in the illness at the moment but we don't anticipate it staying away I think we are probably seeing a downturn in the illness at the moment but we don't anticipate it staying away. We expect to see a big surge in autumn."
Professor Sir Liam Donaldson, Chief Medical Officer

Figures suggest higher rates than previously in some areas of the North West and South West. Overall, around one in every 150 people in England has had swine flu so far and there have been 31 deaths - this figure being higher in younger age groups (1 in 90 under ones and 1 in 77 one-to-four year-olds infected since the start of the pandemic).

Ian Dalton, the National Director for NHS Flu Resilience, said he was working with the 10 Strategic Health Authorities to produce an updated critical care plan by the end of August.
"It will set out the action that has to be taken in order to increase critical care capacity. I would like to reassure people that this will build on a lot of previous planning."

22/07/09
West Midlands death brings UK total to 31.

A national flu service will be launched later this week in England to relieve the pressure on the health service. The phone and website service will only relieve pressure on the NHS through being staffed by NON-MEDICAL personnel - who, like all staff in a call centre, will 'talk' to you via a 'crib-sheet' of questions.
This will then provide flu diagnosis and access to drugs without the need to go to GPs.

Answer the questions 'correctly', and you will be allocated a number.
[Oh goodie, just what I need_Ed]

Your 'Flu-Friend' is expected to take this number to one of the NINE pharmacies in Worcestershire that will prescribe the medication .. provided that your 'friend' has remembered to take with them Identification Documents for both themselves AND YOU.

Otherwise, they will have to come all the way back home (that's their home AND your home) before returning WITH the paperwork.
[What fun_Ed]

The service will not cover Scotland, Wales or Northern Ireland.
Every region in England is seeing "exceptional" levels of demand (except for of Yorkshire and the Humber).

Vaccines for swine flu will arrive in the UK by the end of August, although it is not clear when vaccination might start - because of the need for testing and licensing.

The government has warned that the number of deaths from the virus this winter in the UK could reach between 19,000 and 65,000 but stress these are worst-case scenarios - compared to the average12,000 seasonal flu deaths.

17/07/09
Cherie Blair has pulled out of a ceremony at Liverpool Hope University, where she was to be honoured, because she has suspected swine flu.

15/07/09
Between 30 to 35% of the population may catch swine flu this winter and the virus could be here for up to five years, the government's medical chief Sir Liam Donaldson has warned.

"The virus will not just be here for one winter - previous pandemics have been around three, four, five years."

14/07/09
The deaths of six-year-old Chloe Buckley and GP Dr Michael Day bring to 17 the number of swine flu-related deaths in the UK.
Tests will focus on whether they had any underlying health problems which may have contributed to their deaths.

Research by the University of Wisconsin (published in the journal Nature) suggests that the swine flu virus attacks the respiratory system in a more sustained way than the standard seasonal flu virus.

11/07/09 
A patient in Essex became the first person in the UK without underlying health problems to die of swine flu, according to reports from Basildon and Thurrock University Hospital (NHS East of England) on Friday.
That makes 15 people who are thought to have died in the UK after contracting swine flu.

Virology expert Professor John Oxford, of Queen Mary's College of Medicine in London, said,
"We've all been gritting our teeth, waiting for this to happen, and now it has. This doesn't necessarily mean the virus has mutated. Whether more patients with no underlying health problems die of the disease really depends on what the virus does next. As the virus moves through the community you'll get some people who have no symptoms, some who have mild symptoms, some who get very ill and some who die, including those without any underlying health problems."

Epidemic levels
England's chief medical officer Sir Liam Donaldson said that the number of swine flu cases in London and the West Midlands was approaching epidemic levels.

10/07/09
Seven cases have been reported in Wyre Forest schools,  including_
..     a teacher and a pupil at Baxter College
..     2 pupils at St. John's CofE Primary
..     three pupils at St. Wulfstan's RC Primary

This follows confirmed cases at Bromsgrove, Worcester and Malvern.

Headteachers confirmed that, in line with Stage Three HPA regulations, their schools would remain open, while issuing guidelines on hygiene.

08/07/09
National health experts who have been working on swine flu met at NHS Worcestershire, yesterday, and issued a statement saying that they expect half of Worcestershire's population to get swine flu by the end of the year.

Five times the number of people who usually get seasonal flu each year will suffer from Swine Flu, it is predicted - about 250,000 Worcestershire residents. 
Anti-viral medication is available from just 11 pharmacies across the county, according to NHS Worcestershire, and it must be collected by your designated "flu friend". You will be told which is your nearest pharmacy.

Advice is that anyone with flu symptoms should stay at home and telephone NHS Direct or their GP - where a designated 'Flu Doctor' will have been selected from the practice staff. 
Assessments would be given over the phone, and if necessary, anti-viral medication would then be prescribed.


Swine flu is a respiratory illness caused by the type A flu (H1N1) virus. 
The latest outbreaks in countries around the world have been caused by a new version (strain) of the virus.

Transmission of this new virus is thought to occur in the same way as seasonal flu. The infection can be effectively treated with antiviral medication. Most reported cases in the UK have been mild and people have recovered fully after treatment.

The UK has now moved to a treatment phase to manage the current pandemic flu outbreak. 
As a result GPs will diagnose cases on the basis of clinical observation rather than laboratory testing. 
Everyone who has flu-like symptoms will be assessed by a doctor and if diagnosed with swine flu will be given antivirals to manage their illness.


Health protection advice

General hygiene can help to reduce transmission of all viruses, including the swine flu virus. This includes:

  • Covering your nose and mouth when coughing or sneezing, using a tissue when possible
  • Disposing of dirty tissues promptly and carefully
  • Maintaining good basic hygiene, for example washing hands frequently with soap and water to reduce the spread of the virus from your hands to your face or to other people
  • Cleaning hard surfaces (such as door handles) frequently using a normal cleaning product.

2 July 2009

Government's announcement yesterday (July 02 2009) that the UK is moving to a new phase in the response to the current pandemic flu virus means there will be a change to the surveillance information that the Health Protection Agency will be able to provide to the media in future.

The Agency has been carrying out laboratory testing of suspected cases of pandemic flu (H1N1v) since the outbreak came to light in April. The Agency's daily update has been based, since then, on the number of positive test results being confirmed through the Centre for Infections and the Agency's regional network of laboratories.

The new policy moves from measures to try and contain the pandemic flu virus to focussing on providing appropriate treatment to people with H1N1v flu. This means that, nationally, clinicians will now rely on patients' symptoms rather than laboratory tests to diagnose illness. Although we will continue to test a proportion of patients to ensure we keep getting up to date information about the virus, the daily reporting of laboratory confirmations will no longer be an accurate way to record the spread of infection, as it will not include the vast majority of cases.

The HPA will, therefore, no longer be providing a daily update of the numbers of cases confirmed through laboratory tests.


Dr Simon Tanner (NHS London) said London has seen a "spike" in flu cases in the past week, being the second-worst affected area in the UK, with more than 1,900 cases. A 19-year-old man from south London, with serious underlying health problems, has died after contracting swine flu - the fourth person with swine flu to die in the UK.

The government's Chief Medical Officer, Sir Liam Donaldson, has warned the public

  • to avoid panic buying "counterfeit" anti-swine flu drugs online
  • not to resort to self-medication.
  • turn down any invitations to swine flu parties

Experts warn that the number of cases in the UK could rise to 100,000 a day by the end of next month.

Anyone who is being investigated as a possible case of swine flu (which means they meet the epidemiological criteria and have symptoms) or has been confirmed with the infection will be offered antivirals and will be asked to stay at home and limit their contact with other people.  

Where antivirals are prescribed, it is important that the specified course of treatment is followed and completed, even though in some cases this medication may cause nausea. 

If travellers become ill while on holiday, on the flight home, or on their return:

  • Travellers should continue to be aware of the risk of swine flu and anyone experiencing flu-like symptoms during a stay in a country affected by swine flu should contact a health professional and inform them of their symptoms.
  • Anyone who becomes ill on their flight home should alert cabin crew to their symptoms. There are well established procedures in place for dealing with passengers who become unwell on flights and the airline will advise port health officials on the ground that a passenger requires a health assessment and may need treatment.
  • Travellers returning from a country affected by swine flu who become unwell with flu-like symptoms within seven days of their return should stay at home and contact their GP or NHS Direct on 0845 4647.
  • To access the Department of Health Swine Flu Information line when abroad, call 00 44 207 928 1010.

General infection control practices and good respiratory hand hygiene can help to reduce transmission of all viruses, including swine flu. This includes:

  • Maintaining good basic hygiene, for example washing hands frequently with soap and water to reduce the spread of virus from your hands to face or to other people.
  • Cleaning hard surfaces (e.g. door handles) frequently using a normal cleaning product.
  • Covering your nose and mouth when coughing or sneezing, using a tissue when possible.
  • Disposing of dirty tissues promptly and carefully.
  • Making sure your children follow this advice.

 http://www.hpa.org.uk/


Interesting Statistics 
(if you overlook the pain and misery it takes to generate the numbers)

How Swine Flu affects the Population

Age UK USA Mexico
60+ 2% 1.5% 2.2%
50+ 4% 5.6% 9.9%
40+ 8% 10.5% 16.2%
30+ 9% 10.5%  
20+ 16% 38.9% 32.9%
10+ 37% 31.7% 26.1%
10- 22% 7.9% 12.1%

Some cases are 'Age Unassigned' .. Mexico groups into different age bands

In 'attacking' younger people H1N1 imitates it's WW1 'cousin' - as well as finding their life-styles more conducive to spread.


“There is concern that the virus might mutate in the southern hemisphere over their winter and become more virulent, but there's no sign of that yet.
Fergus Walsh BBC's medical correspondent.

"These flu viruses can change their pattern of attack, so when we come into the flu season in the autumn and winter in this country, when we expect a big surge of cases, we need to watch very carefully to see if the character of the virus is changing."
Chief medical officer, Sir Liam Donaldson

Flu expert Professor John Oxford:
"People should not panic as the outbreak was milder than others seen in the past century. It is global and fulfilling the requirements of a pandemic but I don't think anyone should worry because nothing drastic has happened between yesterday and today."


LEVEL SIX

The World Health Organization (WHO), in an emergency meeting in Geneva, has declared a global flu pandemic ..

“It is global and fulfilling the requirements of a pandemic.”
Professor John Oxford, flu expert.

.. even though the current pandemic seems to be moderate and causing mild illness in most people.
One factor which may have prompted the move to a level six pandemic was that in the southern hemisphere the virus seems to be crowding out normal seasonal influenza.

Official reports say there have been 28,000 cases globally and 141 deaths and figures are rising daily.
The last pandemic - in 1968 - with Hong Kong - flu killed about one million people.

While the number of cases has made the declaration inevitable, the problem WHO face is that the pandemic "phase system" is designed for a very different type of virus - such as the deadlier 'bird flu'. It was believed that the next pandemic would be something like H5N1 bird flu, where you were seeing really high death rates, and so there were people who believed we might be in a kind of apocalyptic situation and what we're really seeing now with H1N1 is that in most cases the disease is self-limiting.

There have been more than 800 cases in the UK with some areas of Scotland being particularly hard hit.

The government has been stockpiling antivirals such as Tamiflu and has ordered vaccine, some doses of which could be available by October.


27/06/09
A six year-old girl (not aged nine, as previously reported) has died at Birmingham Children's Hospital after contracting swine flu.
The girl, who had other, serious health problems, died on Friday evening; and is the third swine-flu related fatality in the UK

Meanwhile, experts have reported the first case of swine flu that they believe is resistant to Tamiflu.
Pharmaceutical company Roche Holding AG confirmed a Danish patient with H1N1 influenza showing a resistance to the main antiviral drug used to fight the pandemic.

27/06/09
The West Midlands remains the most badly affected area of England, with 158 new cases confirmed on Friday, bringing the total to 1,516.


US health officials estimate that at least one million Americans have been infected with swine flu since the H1N1 virus emerged nearly three months ago. 
This number is far higher than cases reported to the authorities, with figures based on surveys, rather than laboratory evidence. 
The numbers suggest that the death rate from swine flu is lower than previously thought although 127 people had died.
The Centers for Disease Control and Prevention (CDC) said many cases were mild, although 127 people had died. 

26/06/09 
It a statement made today reference was made to the exponential increase in numbers of cases which may be seen in the Autumn..
"Instead of reporting cases in the units and tens .. 
we'll be seeing daily increases in their thousands, and tens of thousands."

24/06/09 
2 Pupils at Stanley Road Primary School (Worcester City centre) were among 59 new cases in the West Midlands region confirmed by the Health Protection Agency on Tuesday. The children did not acquire the infection at school.

The Federation of Small Businesses is warning that too few companies are making contingency plans against the possible spread of swine flu this autumn, and is meeting Government officials to discuss what measures firms need to take.

23/06/09
A second office worker at Arrowe Park Hospital in Wirral has been confirmed as testing positive for swine flu.
A first confirmed case made a complete recovery and returned to work on 15 June
.

21/06/09  
Nunnery Wood High School in Worcester
which closed on 16 June after a year-eight pupil was a confirmed case of swine flu, will remain shut for an extra two days to try to stop the virus spreading.
With four cases now confirmed and 17 students awaiting test results, it will now only be open to GCSE exam students on Monday and Tuesday before re-opening to all pupils on Wednesday.

18/06/09 
Sean Connolly, the city's director of resources, said "Containment is too late in Birmingham. We are planning for the mitigation phase."

Containment Policy: all people who may potentially have come into contact with an infected individual are offered anti-viral drugs in order to isolate the virus and allow no opportunity for it to spread.
Mitigation Policy: drugs are only given to those people, such as family members, who are at significant risk of infection.

The outbreak at Welford Primary School, Handsworth, Birmingham (which shut in May with nearly 200 people connected to the school diagnosed with the virus) is at the heart of the epidemic and Dr Sue Ibbotson, of the Health Protection Agency, said it was not surprising cases had spread to other schools in the area. It is understood that 34 of the city's schools have been affected by the virus. Welford Primary School has now reopened.
________

More than 1,200 passengers and crew will be kept on board the cruise ship Ocean Dream, placed in quarantine by the Venezuelan Government following an outbreak of swine flu on board.
Ocean Dream had docked at the Venezuelan island of Margarita after passengers were stopped from disembarking at previous stops in Barbados and Grenada.
Three crew members were diagnosed with the flu virus and eleven more crew members are reported to have symptoms.

Ocean Dream is managed by Spanish tour operator Pullmantur and their Holding Company, the Miami-based "Royal Caribbean", offered no comment.

"The virus was detected in three crew members and the boat must now stay in quarantine until June 24."
Venezuelan health official Jorge Alchaer.

16/06/09 
At least 40 schools in the West Midlands region have been affected by the swine flu virus, of which at least 19 are in Birmingham, two are in Solihull, four are in Worcestershire and two are in north Staffordshire.
A special school in the Black Country is also affected.

Holte Visual and Performing Arts College in Lozells joins St James' CE Primary in  Handsworth,  Anglesey Primary in Lozells, and Birchfield Primary in Aston on the Birmingham schools closure list.
Heathfield Primary in Handsworth reopened last week

This brings the number of people infected with swine flu in the West Midlands to 388, a rise of 34, making the region the worst affected in England.

15/06/09 
A female patient
who had underlying health problems was one of 10 people being treated in the greater Glasgow area and is the first victim in the UK
Swine flu has now infected almost 500 people in Scotland out of 1,261 cases in the UK - with thirty-five new cases in Scotland confirmed on Sunday.

Since the virus enter the country with Scottish tourists, that part of the country is some weeks ahead of the rest of the UK in the spread of the virus.

Virologist Professor John Oxford said "I still think the chances of picking up the virus are remote. It is not going to get any worse during the summer."

A further 172 patients have been confirmed with swine flu in the UK, bringing the total infected to 1,164.

There are now 12 cases at Malvern College, including at least one involving a member of staff (NHS Worcestershire) giving the region 354 confirmed cases out of the 752 in England.
Malvern College will remain closed this week but Malvern St James has stayed open for lessons (three suspected cases have proved negative).

Nunnery Wood High School in Worcester, where a case was confirmed previously, is  open.

The West Midlands region has 39 of the 61 latest confirmed cases of swine flu across England.

13/06/09  
The number of confirmed swine flu cases in the UK has reached 1,004 - with the Health Protection Agency saying that there were 921 confirmed cases in the UK (with 72 new cases in England).
Later, Scottish health authorities confirmed a further 83 cases, most of them located in Greater Glasgow and Clyde.

Lydgate Junior School, Sheffield, announced on Friday that it would be closed next week following A further six cases of swine flu after the first pupil's diagnosis.
NHS Sheffield said six more people had tested positive, and 11 others & all pupils and staff members who had displayed flu-like symptoms had been given anti-viral treatment
.

12/06/09  
The Downs, public school Malvern College's preparatory school, has closed for 10 days after six cases of swine flu were confirmed; but that closure is being reviewed on a daily basis.

In a Commons statement, Health Secretary Andy Burnham said 28 more people had been admitted to hospital and that most of those had made a full recovery.
"We recognised from the outset that we would be unlikely to prevent a widespread outbreak indefinitely."

The UK has enough anti-viral drugs for 50% of the population and has plans to raise that figure to 80%.

11/06/09 
WHO chiefs spoke to ministers in the world's worst-hit countries on Wednesday.
Analysts say calling the H1N1 strain a pandemic will make little difference to the handling of the outbreak but the move may prompt national governments to impose measures such as travel bans and could speed-up the production of vaccines.

10/06/09  
With a further 32 cases being confirmed, the Scottish Government said the increase, on top of a record jump of 43 on Monday, brings the total to 264.
Of these, 11 are now being treated in hospital, including three in intensive care in Paisley.

07/06/09  
“All the experts think that the numbers we've got are a significant underestimate” .. to quote Prof Hugh Pennington, a leading bacteriologist at Aberdeen University.
"The number of swine flu cases in the UK is probably double the official figure of well above 500 - more cases having been confirmed on Saturday."

A soldier and three of his close colleagues have been confirmed with swine flu at the British army's biggest base, Catterick Garrison in North Yorkshire.

"In the United States, they think for every case they know about, every confirmed case, there are 20 other cases out there in the community. I don't think we're anywhere near that, but I think it would be very reasonable to say we've got at least twice as many cases as we know about, and it may be more than that."

Worldwide there have been 19,315 confirmed swine flu cases in 66 countries, with 117 deaths - all in Mexico and the US.

03/06/09
A 45-year old  Scottish man from Paisley is the first person in the UK to become critically ill wholly because of swine flu.
He is one of two new critical cases being treated in intensive care at the Royal Alexandra in Renfrewshire; the other is a 38-year-old woman who has 'underlying health problems' - as does a 37-year-old man who remains in a critical condition in a Glasgow hospital. 

Toward School, near Dunoon, which has 25 pupils, was closed after a primary six pupil tested positive for the virus. The Appletree private nursery school in Rothesay has also been closed and its 40 pupils treated with antiviral drugs. 
There are now 65 swine flu cases in Scotland.

31/05/09
The Health Protection Agency (HPA) said on Sunday that 32 suspected cases were being investigated at Eton. In a letter to parents, the school warned of seven probable and 25 possible cases - following confirmation on Thursday that a 13-year-old pupil had contracted the virus.

Now three further Eton College pupils have been diagnosed with swine flu, taking the total number of cases at the top public school to four.

A 31-year-old man from Cærphilly has been confirmed as the first case of swine flu in Wales, according to health chiefs

Meanwhile, in Mexico City, all restrictions imposed last month, following an outbreak of swine flu across Mexico, have been lifted
"No new infections had been reported for a week in the capital and there was no longer a need to wear mask in public places," said Mayor Marcelo Ebrard, who's city had virtually ground to a halt at the height of the flu emergency with schools, bars and cinemas closed.

30/05/09  
The Health Protection Agency (HPA) has confirmed 10 more cases of swine flu at Welford Primary School 74.
The total number of people in the UK diagnosed with the virus is 215.
In addition, two other cases  - a child in London and an adult in the North West region - have been confirmed

28/05/09
Forty-five children at  Welford Primary School, in Handsworth, Birmingham and five adults have a "very mild illness" in "the very vast majority of cases". All are responding well to treatment, health officials say.
The school would have a "deep-clean" during the holiday while all the patients are being treated at home with anti-viral drugs.

27/05/09
Welford School in Handsworth has had forty-four new cases of the disease confirmed by the Health Protection Agency.
Fifty children and adults (including at least one teacher) connected with the primary school are now being treated for swine flu.

The number of cases is expected to rise in what is the single largest outbreak of the virus in the UK.

The West Midlands now has 57 of the 184 confirmed UK cases..

______

And in Scotland, a 37-year-old man, from Glasgow, who was admitted to the intensive care unit of the Victoria Infirmary last Thursday, is confirmed as critically ill.  It is a "highly probable" case of swine flu.

Admitted with a chest infection but routinely tested for a range of viruses, there was no evidence he had contact with any known case of swine flu and had no history of recent travel.

22/05/09
Three new cases of swine flu have been confirmed in England, taking the UK total to 112, health officials say.
The latest cases were all children from the same Worcestershire family who had recently been to the US.

Meanwhile three members of one family in Scotland have become probable H1N1 cases, after holidaying in Florida.

Globally more than 11,000 people have been diagnosed in 41 countries, the World Health Organization has reported. There have been 85 deaths.
________

Swine Flu .. What to Do

Catch it*, Bin it, Kill it!

Dr Richard Harling, Director of Public Health for Worcestershire, says:

"Obviously we are concerned about the possibility of an influenza pandemic and we are making sure that our plans are in place should we need them.
The emphasis at the moment is on treating any patients with suspected swine flu.  Symptoms of infection include_ 

  • fever, 

  • cough, 

  • runny nose, 

  • limb or joint pain 

  • and headache.

People who develop symptoms -
and who have returned from Mexico or the US
within the last seven days -

 should STAY AT HOME -

and contact NHS Direct on 08 45 46 47.

We will then make arrangements to come and assess them and provide treatment, if necessary. 

They are asked not to go to their GP
and not to go to hospital.
"

* THEY MEAN CATCH THE BUGS .. IN A TISSUE .. 
                                     YOU DON'T HAVE TO CATCH THE DISEASE !

Remember, Flu 'bugs' can live on surfaces for several hours .. 
To help avoid catching Flu, Wash Your Hands regularly ..
.. after opening and closing doors, using the lift, answering the telephone, using someone else's PC or Laptop, receiving cash or change ..

Health Protection Agency website


The team from Imperial College, London, working in collaboration with the World Health Organisation and public health agencies in Mexico, have reported(*) that it was too early to say, definitively, whether the present virus will cause deaths on a massive scale, or prove little more lethal than normal seasonal flu.
Lead researcher Professor Neil Ferguson believes his "fast and dirty" analysis of Mexico's swine flu outbreak suggests that the H1N1 virus is about as dangerous as the virus behind a 1957 pandemic that killed 2 million people worldwide but, hopefully, is not nearly as lethal as the infection that caused the 1918 'Spanish' flu pandemic, which caused an estimated 50 million deaths in 1918.

Projections suggest swine flu has "full pandemic potential", spreading readily between people, and is likely to go global in the next six to nine months, when up to a third of the world's population could be infected.

Current statistics are that the number of laboratory-confirmed swine flu cases has reached 5,251 - across some 30 countries in the world. So far, some 61 people have died from the disease.

Professor Ferguson expects a "really major epidemic" - with its full impact on the UK not likely to be known until the annual flu season in the autumn and winter.

"This virus really does have full pandemic potential.
It is likely to spread around the world in the next six to nine months and when it does so it will affect about one-third of the world's population.
To put that into context, normal seasonal flu every year probably affects around 10% of the world's population every year, so we are heading for a flu season which is perhaps three times worse than usual - not allowing for whether this virus is more severe than normal seasonal flu viruses."

His study suggests swine flu could 
kill four in every 1,000
infected people.

"We really need to be prepared, particularly for the autumn.
At the moment, the virus is not spreading fast in the northern hemisphere, because we are outside the normal flu season, but come the autumn it is likely to cause a really major epidemic.
One of the key decisions which has to be made this week by the world community is how much do we switch over current vaccine production for seasonal flu to make a vaccine against this particular virus?
I think those decisions need to be made quickly."

(* Published in the journal 'Science')


  • The W.H.O. says that 985 cases of the virus had been officially reported across 20 countries. (Monday 4th)

  • The sudden rise in numbers in the USA is as a result of lab tests confirming existing cases (160 to 226) - there are few new cases

Reactions across the world vary:

  • Canada has reported the first case of the virus moving from humans to pigs  following the infection of 200 animals after the return of a farm worker from Mexico

  • Egypt says it will continue slaughtering up to 600,000 pigs as a precaution against swine flu, following clashes on Sunday with farmers that left 12 people injured.
    NB This action is partly a public health measure (the 'farmers' are a group of people who scavenge the public waste dumps and feed the pigs on rotten organic waste .. think of the heat !) - and partly due to religious practises (the 'farmers' are Coptic Christians who are living in a country [90% Muslim] which rejects the eating of pork)

    WHO food safety scientist Peter-Ben Embarek said that while increased surveillance was necessary, there was no recommendation to cull animals, and pork remained safe to eat.
    "From a consumer point of view there is no risk from consuming cooked pork products."

[Remember, it was custom and practice (within living memory .. i.e. before fridges and freezers) for Worcestershire folk not to eat Pork if there was no 'R' in the month as a precaution against 'off' meat (viz. May through to September)_Ed]


Mexico restricts movement

Mexico is beginning a five-day shutdown, covering two public holidays and a weekend, of parts of its economy, in a bid to slow the spread of swine flu.

  • Non-essential government services will be suspended
  • Businesses such as cinemas and restaurants will be closed
  • Some factories will stop production
  • Schools are already closed
  • Residents have been urged to stay at home.

Swine Flu 'Pandemic'

Four more cases are under investigation in Worcestershire.
Although unrelated to the initial Redditch case (only "a mild case" and responding well to treatment) - no further details have been released about these four suspected cases.

Two adults - a woman from Redditch, Worcs, and a 22 yr. old man from Barnet, south London - are undergoing treatment (at home) following their return from Mexico.
The two previously confirmed cases in Scotland continue to be treated in hospital.

In addition, a 12-year-old girl from Paignton Community College in Devon, is also confirmed as having contracted swine flu after visiting Mexico. The girl's school has shut and pupils will be offered anti-viral drugs.
The 12-year-old arrived on the same Thompson flight into Birmingham International Airport from Cancun as Dawn and Iain Askham, the couple from Polmont, near Falkirk in Scotland. who had been on their honeymoon and were the UK's first confirmed cases.


The UN's World Health Organisation Director-General Keiji Fukuda has said that the deadly swine flu virus first detected in Mexico can no longer be contained within that country - and may spread across the globe.

After an emergency meeting of experts, brought forward by a day because of concerns over the outbreak, WHO has raised its alert level from three to four (two steps short of declaring a full pandemic) and said that countries should now focus on mitigating the effects of the virus.

Though only 20 cases are as yet confirmed, the number of probable deaths from the virus in Mexico has officially risen to 152.
The USA (a further 20 cases of swine flu were confirmed in New York & cases have also been reported in Ohio, Kansas, Texas and California, bringing the total across the country to more than 40), Canada (6), Spain (1) and Britain (2) have confirmed milder versions. In Israel, Brazil, Guatemala, Peru, Australia, New Zealand and South Korea, suspected cases are being tested.
In almost all swine flu cases outside Mexico, people have been only mildly ill and have made a full recovery. This is thought to be due to initial better health and prompt treatment.
_________

SWINE FLU
Swine flu is a respiratory disease thought to spread through coughing and sneezing. Symptoms mimic those of normal flu - but in Mexico people are dying. Good hygiene - such as using a tissue when coughing and sneezing - and washing hands thoroughly - can help reduce transmission.
The virus comes from the same strain that causes seasonal outbreaks in humans but this newly detected version contains genetic material from versions of flu which usually affect pigs and birds.
The first batches of a swine flu vaccine could be ready in four to six months' time, but it will take several more months to produce large quantities of it.

Iain and Dawn Askham, of Polmont, near Falkirk, who fell ill following their return from honeymoon in Cancun, were described on Monday as not being particularly ill - while receiving treatment in Lanarkshire.
_________________________

WHO PANDEMIC ALERT PHASES

Phase 1: No viruses circulating among animals causing infections in humans

Phase 2: Animal influenza virus causes infection in humans, and is considered potential pandemic threat

Phase 3: Influenza causes sporadic cases in people, but no significant human-to-human transmission

Phase 4: Verified human-to-human transmission able to cause community-level outbreaks. Significant increase in risk of a pandemic
(The virus is showing a sustained ability to pass from human to human, and is able to cause community-level outbreaks)

Phase 5: Human-to-human transmission in at least two countries. Strong signal pandemic imminent

Phase 6: Virus spreads to another country in a different region. Global pandemic under way

"What this can really be interpreted as is a significant step towards pandemic influenza. But also, it is a phase that says we are not there yet," Mr Fukuda said.
"In other words, at this time we think we have taken a step in that direction, but a pandemic is not considered inevitable."

Professor Steve Field, chairman of the Royal College of Physicians, has commented that people in the UK were "perfectly safe at the moment", and did not need to start wearing facemasks or stop eating pork.

"I don't think people in this country need to be worried at the moment; the focus needs to be on people coming in from Mexico and other areas where this infection has taken hold."
___________

TRAVEL ADVICE

The UK Foreign Office is advising against all but essential travel to Mexico. Britons visiting or resident in Mexico are being advised to consider leaving.

The department has suspended routine consular and visa services at the Mexico City embassy and issued a statement saying,
"British Nationals should continue to follow local advice on precautions to take to avoid exposure to the influenza."

Shares in airlines have fallen sharply on fears about the economic impact of the outbreak.
__________________

PREVIOUS PANDEMICS
The 1918-19 flu pandemic (commonly referred to as the Spanish flu) was one that spread to nearly every part of the world. It was caused by an unusually virulent and deadly 'Influenza A' virus strain of subtype H1N1. Lasting just 9 months, it is estimated that anywhere from 20 to 100 million people were killed worldwide, or the approximate equivalent of one third of the population of Europe; more than double the number killed in World War One.
This pandemic has been described as "the greatest medical holocaust in history" and may have killed more people than the Black Death.

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