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kelee877
04-25-2009, 04:21 PM
RUH-ROH Sirens Please


WHO declares swine flu crisis a health emergency
57 minutes ago
GENEVA (AP) — The World Health Organization has declared the swine flu outbreak in North America a "public health emergency of international concern."

The decision means countries around the world will be asked to step up reporting and surveillance of the disease implicated in dozens of human deaths in Mexico and at least eight nonfatal cases in the U.S.
WHO fears the outbreak could spread to other countries and is calling for a coordinated response to contain it.

WHO Director-General Margaret Chan made the decision late Saturday after consulting influenza experts during an emergency meeting.
She earlier told reporters the outbreak had "pandemic potential."
But her agency held off raising its pandemic alert level, citing the need for more information.

THIS IS A BREAKING NEWS UPDATE. Check back soon for further information. AP's earlier story is below.

GENEVA (AP) — The World Health Organization warned countries around the world on Saturday to be on alert for any unusual flu outbreaks after a unique new swine flu virus implicated in possibly dozens of human deaths in North America.

WHO Director-General Margaret Chan said the outbreak in Mexico and the United States was evolving quickly and was a very serious situation. She said it had "pandemic potential" because it is an animal virus strain infecting people, but the agency cannot say "whether or not it will indeed cause a pandemic."

"It would be prudent for health officials within countries to be alert to outbreaks of influenza-like illness or pneumonia, especially if these occur in months outside the usual peak influenza season," Chan told reporters by telephone from Geneva, where she convened an emergency meeting of influenza experts.

"Another important signal is excess cases of severe or fatal flu-like illness in groups other than young children and the elderly, who are usually at highest risk during normal seasonal flu," she said.

Several Latin American and Asian countries have already started surveillance or screening at airports and other points of entry.
At least 62 people have died from severe pneumonia caused by a flu-like illness in Mexico, WHO says. Some of those who died are confirmed to have a unique flu type that is a combination of bird, pig and human viruses. The virus is genetically identical to one found in California.
U.S. authorities said eight people were infected with swine flu in California and Texas, and all recovered.

So far, no other countries have reported suspicious cases, according to WHO.

But the French government said suspected cases are likely to occur in the coming days because of global air travel. A French government crisis group began operating Saturday. The government has already closed the French school in Mexico City and provided French citizens there with detailed instructions on precautions.

Chilean authorities ordered a sanitary alert that included airport screening of passengers arriving from Mexico. No cases of the disease have been reported so far in the country, Deputy Health Minister Jeanette Vega said, but those showing symptoms will be sent to a hospital for tests.
In Peru, authorities will monitor travelers arriving from Mexico and the U.S. and people with flu-like symptoms will be evaluated by health teams, Peru's Health Ministry said.

Brazil will "intensify its health surveillance in all points of entry into the country," the Health Ministry's National Health Surveillance Agency said in a statement. Measures will also be put in place to inspect cargo and luggage, and to clean and disinfect aircraft and ships at ports of entry.
Some Asian nations enforced checks Saturday on passengers from Mexico.
Japan's biggest international airport stepped up health surveillance, while the Philippines said it may quarantine passengers with fevers who have been to Mexico. Health authorities in Thailand and Hong Kong said they were closely monitoring the situation.

Asia has fresh memories of an outbreak of severe acute respiratory syndrome, or SARS, which hit countries across the region and severely crippled global air travel.

Indonesia, China, Thailand, Vietnam and other countries have also seen a number of human deaths from H5N1 bird flu, the virus that researchers have until now fingered as the most likely cause of a future pandemic.
The Dutch government's Institute for Public Health and Environment has advised any traveler who returned from Mexico since April 17 and develops a fever over 101.3 degrees Fahrenheit (38.5 Celsius) within four days of arriving in the Netherlands to stay at home.

The Polish Foreign Ministry has issued a statement that recommends that Poles postpone any travel plans to regions where the outbreak has occurred until it is totally contained.

The Stockholm-based European Center for Disease Prevention and Control said earlier Saturday it shared the concerns about the swine flu cases and stood ready to lend support in any way possible.

WHO's emergency committee, called together Saturday for the first time since it was created in 2007, draws on experts from around the world. They may decide that the outbreak constitutes an international public health emergency. If so, they will consider whether WHO should recommend travel advisories, trade restrictions or border closures and raise its pandemic alert level.

JDSeese
04-25-2009, 04:28 PM
GENEVA (AP) — The World Health Organization warned countries around the world on Saturday to be on alert for any unusual flu outbreaks after a unique new swine flu virus implicated in possibly dozens of human deaths in North America.

...

At least 62 people have died from severe pneumonia caused by a flu-like illness in Mexico, WHO says.



1. Like how they said "North America" instead of "Mexico". What is that supposed to accomplish?

2. It's that severe pneumonia that is the killer. I almost wonder if the swine flu is weakening their immune system so that the pneumonia would be able to take them out handily. Otherwise this virus does NOT... repeat does NOT appear to be a killer at this point in time

night driver
04-25-2009, 06:51 PM
It's nice to see that WHO still has their eye on the ball, unlike the SARS debacle they participated in, with VERY reactive responses. At least they are being PROACTIVE here....

TOTO
04-25-2009, 07:46 PM
"North America" instead of "Mexico".

The USA no longer exists.

When Bush was president, he sign into law the
NORTH AMERICAN UNION - NAU
USA - Canada - Mexico

Welcome to 666

.

firebird
04-25-2009, 07:57 PM
"North America" instead of "Mexico".

The USA no longer exists.

When Bush was president, he sign into law the
NORTH AMERICAN UNION - NAU
USA - Canada - Mexico

Welcome to 666

.

Bingo

Raggedy Man
04-25-2009, 08:01 PM
1. Like how they said "North America" instead of "Mexico". What is that supposed to accomplish?

2. It's that severe pneumonia that is the killer. I almost wonder if the swine flu is weakening their immune system so that the pneumonia would be able to take them out handily. Otherwise this virus does NOT... repeat does NOT appear to be a killer at this point in time
The swine flu virus itself causes the pneumonia, i.e., viral pneumonia. That's the pneumonia they are speaking of, and the cause of death in these cases, as opposed to secondary bacterial pneumonia, which is the most common cause of death in "regular" flu.
(I'm an M.D. and love this Infectious Diseases stuff...)

Jubilee on Earth
04-25-2009, 08:05 PM
Thanks for explaining that, Raggedy. I was wondering where the pneumonia fit into all of it, and how the two were related.

JDSeese
04-25-2009, 08:08 PM
:-D
Doctor Man,

If one becomes infected with the swine flu virus, will it always develop into viral pneumonia, or are there factors involved?

johngaltfla
04-25-2009, 08:12 PM
The swine flu virus itself causes the pneumonia, i.e., viral pneumonia. That's the pneumonia they are speaking of, and the cause of death in these cases, as opposed to secondary bacterial pneumonia, which is the most common cause of death in "regular" flu.
(I'm an M.D. and love this Infectious Diseases stuff...)

Raggedy, which would be better to own...

N95 or P100 masks? I've got both but the question is hitting me hard in the email and I want to steer them in the right direction. During the Avian Flu scare I heard that the P100 masks were best.

night driver
04-25-2009, 08:17 PM
Raggedy, you will enjoy these:

Here is the link to CSue's FICTIONAL best guess as to how H5N1 would have played out in 2005.

I'm still hunting her nursing thread..


http://www.curevents.com/vb/showthread.php?t=9227

CS's thread HERE on how to handle H5N1

http://www.timebomb2000.com/vb/showthread.php?t=140635


AAAAAAND the Grail:

http://www.timebomb2000.com/vb/showthread.php?t=44351

Raggedy Man
04-25-2009, 08:39 PM
:-D
Doctor Man,

If one becomes infected with the swine flu virus, will it always develop into viral pneumonia, or are there factors involved?
No, not always. Just if you're "unlucky." There are several factors which may play a role--age, general health, etc. It's probably a bit flippant to say "the luck of the draw," but in a lot of cases, that's what it is.

Raggedy Man
04-25-2009, 08:40 PM
Raggedy, which would be better to own...

N95 or P100 masks? I've got both but the question is hitting me hard in the email and I want to steer them in the right direction. During the Avian Flu scare I heard that the P100 masks were best.
I would go with the P100s, although either would be better than nothing...

Raggedy Man
04-25-2009, 08:41 PM
Raggedy, you will enjoy these:

Here is the link to CSue's FICTIONAL best guess as to how H5N1 would have played out in 2005.

I'm still hunting her nursing thread..


http://www.curevents.com/vb/showthread.php?t=9227

CS's thread HERE on how to handle H5N1

http://www.timebomb2000.com/vb/showthread.php?t=140635


AAAAAAND the Grail:

http://www.timebomb2000.com/vb/showthread.php?t=44351
Good stuff! Thanks! I wonder whatever happened to Canada Sue?

Raggedy Man
04-25-2009, 08:49 PM
Thanks for explaining that, Raggedy. I was wondering where the pneumonia fit into all of it, and how the two were related.
You're very welcome. The key point is that with ANY flu, the pneumonia is what can be lethal. With more virulent (such as pandemic) flu, it's the viral pneumonia, which is part of the primary infection itself; with garden-variety flu, it's secondary bacterial pneumonia which sets in as a result of weakened immunity and damaged/compromised mucosa (usually staph or strep pneumonia).
I have no idea what's going to happen in this situation. I am very afraid that this thing MAY go pandemic and cause mass casualties. The next few days will tell us a lot. If we get fatality reports here in the USA, look out.

firebird
04-25-2009, 08:51 PM
Keep boxes of latex gloves around too, they will be very useful and can be thrown away after use.

Raggedy Man
04-25-2009, 08:51 PM
Also, read about "cytokine storm," which is a big reason these viruses are so fatal for young, healthy people with robust immune systems. If you remember, it was also mentioned in The Stand.

Raggedy Man
04-25-2009, 08:54 PM
Keep boxes of latex gloves around too, they will be very useful and can be thrown away after use.
Yep. And Lysol/Clorox wipes, hand sanitizer for when soap and water aren't available, etc. Also, if you can't get heavy duty masks, even regular surgical masks or TB masks (which look like duck bills) may be of some use.

Stropes
04-25-2009, 08:57 PM
Yep. And Lysol/Clorox wipes, hand sanitizer for when soap and water aren't available, etc. Also, if you can't get heavy duty masks, even regular surgical masks or TB masks (which look like duck bills) may be of some use.

I picked up Lysol wipes, cleaner and spray today. I know the cashier thought I was nuts, but she didn't say anything. I didn't tell her why I was buying them either (I got 4 of each to fill in my holes at home). I almost didn't get that many, but I just had this feeling there wouldn't be any on the shelf by Monday.

firebird
04-25-2009, 08:58 PM
Don't forget bleach. It seems to kill everything.

Raggedy Man
04-25-2009, 09:01 PM
I picked up Lysol wipes, cleaner and spray today. I know the cashier thought I was nuts, but she didn't say anything. I didn't tell her why I was buying them either (I got 4 of each to fill in my holes at home). I almost didn't get that many, but I just had this feeling there wouldn't be any on the shelf by Monday.
Good job! I swear by Lysol and Clorox for viruses, in spray, liquid, and wipes forms. Everyone should have at least the wipes with them at all times, for use on anything that you might touch out in public--shopping cart handles, door handles, elevator buttons, etc. And always wash your hands as often as you can!

Raggedy Man
04-25-2009, 09:02 PM
Don't forget bleach. It seems to kill everything.
Yep. I use a lot of Clorox in my office.

Stropes
04-25-2009, 09:05 PM
Good job! Everyone should have at least the wipes with them at all times, for use on anything that you might touch out in public--shopping cart handles, door handles, elevator buttons, etc.

I decided to keep one of the containers of wipes in my car for just this reason.

night driver
04-25-2009, 09:28 PM
RM< the TB masks (properly fitted) are likely a LOT better than surgical masks...

Though I may be thinking of a different mask than you are.....the ones I am thinking of are about 1/8 to 1/4 inch thich, look padded and are a BIATCH to do ANYTHING in except standing or sitting.....


Our research a couple years ago suiggested that simple surgical masks were, actually, not so much better than simple dust masks which were, pretty much, engenderers of false confidence.....

N 95 was the base, N 100 was the better.

Sarah
04-26-2009, 01:34 AM
Yep. I use a lot of Clorox in my office.

Yup-me too, my office gets Cloroxed. On the weekend the floors get mopped with clorox/water

Sarah
04-26-2009, 01:37 AM
RM-in our peds id journals we are seeing more peds deaths from the garden variety flu due to MRSA secondary infections in the form of pneumonia. Pretty scarey stuff. I tended to be extra cautious this flu season and if I saw pneumonia developing or the patient was more ill than expected I was more aggressive in my workup and treatment. I hate to see another flu making its rounds, RSV season has finally settled down and expect for a periodic cold or sporadic rotovirus patient we're back to more sports and school physicals, panicked parents over tick bites, bug bites, and poison ivy stuff.

kelee877
04-26-2009, 05:19 AM
Keep boxes of latex gloves around too, they will be very useful and can be thrown away after use.

I have been suggesting that in every thread

Don't forget bleach. It seems to kill everything.


you can also use pool chlorine...a little bit of that added to water and phew cleaner