Texas - Dallas/Ft. Worth area seasonal flu 2013/2014

[JimO]

Re: Texas - Dallas/Ft. Worth area seasonal flu 2013/2014

Collin County Confirms Two More Flu Deaths

Collin County health officials reported two more flu-related deaths in the county on Friday.

The victims are described as a Plano resident in her fifties and a Murphy resident in his sixties. Collin County has reported four total flu-related deaths this year, including these two victims.

That brings the total number of victims to 41 in North Texas during this flu season.

...more

http://www.nbcdfw.com/news/health/Collin-County-Confirms-Two-More-Flu-Deaths-240818131.html

[tetano]

Re: Texas - Dallas/Ft. Worth area seasonal flu 2013/2014

Denton Mother Diagnosed With H1N1 In Coma





Their younger sister, Toya Norman, 46, is one of the dozens in North Texas to recently be diagnosed with the deadly H1N1 virus. Norman, a mother of two from Denton is currently in the ICU at Denton Regional Medical center where she lies in a specially ordered bed used to treat H1N1 patients.

he has been in a medically induced coma for about two weeks now, and according to the family, hasn?t shown any signs of getting better.

http://dfw.cbslocal.com/2014/01/17/denton-mother-diagnosed-with-h1n1-in-coma/

[NS1]

Re: Texas - Dallas/Ft. Worth area seasonal flu 2013/2014

141 Fatalities in Texas
by
2014-01-17 *

• pH1N1 Dominant Texas Fatality by County [Excel]
• pH1N1 Dominant Texas Fatality by County [html/css]
• Distribution of pH1N1 Influenza Fatalities in Texas [map by Al]

* 2014-01-18 Updated Stats from Jim Oliveros

[NS1]

Re: TX: The Flu in Dallas County is Killing About As Many People As It Usually Does

News story
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<tr style="float: center;"><td style="font-size: 140%; font-weight: bold;">The Flu in Dallas County is Killing About As Many People As It Usually Does
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<tr style="float: center;"><td style="font-size: 90%;">The difference this go-round -- and the reason you're seeing so many death-tallying news reports -- is that this is the first year Dallas County has tracked adult flu deaths.
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<tr style="float: center; font-size: 60%;"><td>By Eric Nicholson</td></tr>
<tr style="float: center; font-size: 60%;"><td><a href="http://blogs.dallasobserver.com/" target="_blank">Dallas Observer Blog</a> Fri., Jan. 10 2014 at 12:12 PM</td></tr>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: 100%;">'To put this all in context, we spoke with Dallas County Health Director Zach Thompson.

Twenty-one deaths (17 in Dallas County) seems like a lot, but it's about on par with previous flu seasons . . .

Thompson says it's not significantly more or less virulent than the A and B strains that predominated last year . . .

Thompson says the vaccine is about 99.9 percent effective . . .'</span></div>
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pH1N1
Limits
of
Interpretation
Texas

We would like to commend the Dallas County health department for being the only Texas county that reported early significant fatalities and then continued to report on the s2013 pH1N1 epidemic in Texas [FT#215755]. In the 10 day period between our early and most recent Dallas County Fatality collection, the total has increased to 206% of the original 17 deaths from 2014-01-07.

Only 6 sequences are on file from US Public Health sources to describe the entire state of Texas for the current season (s2013) and the inter-season (i2013). Genetic change counts are featured for each sequence's Hemagglutinin (HA) and Neuraminidase (NA) segment.

• HA 22 & NA 15 for Texas 2013-December
• HA 21 & NA 18 for Texas 2013-November
• HA 23 & NA 16 for Texas 2013-October
• HA 21 & NA 14 for Texas 2013-September
• HA 26 & NA 13 for Texas 2013-August
• HA 23 & NA 16 for Texas 2013-July

The comprehensive search shows a combined count of 35 to 39 genetic changes for Texas cases in the only two segments that are targeted by the vaccine. If the virus is clearly different and the vaccine is clearly unchanged from 2009, then what are the circumstances around which the unchanged vaccine has been proven as a match to the changed virus reservoir, a circulation producing a very different clinical outcome pattern?

Have properly handled samples from the current cases from Texas been under Hemagglutinin Inhibition assay against sera from ferrets challenged only with the vaccine strain, CA/07?

Are vaccinated patients in the Dallas Critical Care units? How many patients who took the vaccine that is reported to be "about 99% effective" have died?

The 2014-01-17 measure taken 5 days ago of 35 Dallas County Fatalities is a doubling of the influenza death count in only 10 days.

Because of the diligence of Dallas county, they now represent 31% of all Texas influenza fatalities, although they represent only about 10% of the state population. That 31% fatality ratio result is certainly a bias due to failed reporting in the other major geographies like Houston, San Antonio, Austin, Fort Worth and West Texas, but it does show the distinct potential of understanding a disease if the data on hand is reported.

Reporting the vaccination status and clinical progressions in these cases is beneficial to citizens and medical delivery personnel. But if all that can be done is a report of the rough count, then please continue to report that count.

[Shiloh]

Re: Texas - Dallas/Ft. Worth area seasonal flu 2013/2014

Source: http://www.nbcdfw.com/news/health/De...241715401.html


Denton County Reports Fifth Flu-Related Death
By Frank Heinz
| Thursday, Jan 23, 2014 | Updated 4:23 PM CST

Health officials in Denton County confirmed Thursday their fifth flu-related death of the season.

Officials with the Denton County Health Department said the patient was a man in his 40s who had not received the flu shot and who had an underlying health condition...

[JimO]

Re: Texas - Dallas/Ft. Worth area seasonal flu 2013/2014

Dallas County reports five new flu-related deaths Friday, but officials insist outbreak easing

The on-going flu outbreak appears to have peaked in Dallas County, although health officials warned Friday that the illness is still spreading and could worsen.

Health officials reported five additional flu-related deaths for the week ending Jan. 18. The county?s death toll is 40 so far this season.

...more

http://thescoopblog.dallasnews.com/2014/01/dallas-county-flu-outbreak-easing-five-new-deaths-reported-friday.html/

[NS1]

Re: TX: Death Of Ft. Worth City Worker Investigated As Possibly Flu-Related

Source: http://dfw.cbslocal.com/2014/01/10/d...y-flu-related/


Local
Death Of City Worker Investigated As Possibly Flu-Related
January 10, 2014 6:25 PM
Joel Thomas

TARRANT COUNTY (CBS 11 NEWS) ? Fort Worth health workers are looking into what may be another flu-related death.

Co-workers and acquaintances say Diana Ruelas was in her mid to late 30′s. According to a CBS 11 News source, Ruelas left her job, as a City of Fort Worth Code Compliance Officer, early with flu-like symptoms. She died Thursday night...

News story.
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<tr style="float: center;"><td style="font-size: 140%; font-weight: bold;">42-Year-Old Fort Worth Woman Possibly Died From Flu
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<tr style="float: center;"><td style="font-size: 90%;">Family is waiting for confirmation her death was flu-related
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<tr style="float: center; font-size: 60%;"><td>By Amanda Guerra</td></tr>
<tr style="float: center; font-size: 60%;"><td><a href="http://www.nbcdfw.com/news/health/" target="_blank">5 NBCDFW.COM</a>
Friday, Jan 10, 2014 | Updated 11:41 PM CST</td></tr>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: 100%;">'Laura Ruelas, 18 Year Old Daughter of 42 year old Fort Worth Compliance Officer Diana Ruelas:

On Thursday, Laura said she and her mom were sitting on the couch watching T.V. when she asked if her mom was comfortable.

?And she goes, ?I?m comfortable,?? said Ruelas. ?But something seemed wrong, so I called 911 and she wasn?t breathing. They told me to do CPR on her. So I was talking to the 911 operator until the ambulance and fire department got there. They worked on her for 30 minutes and then they stopped,? she explained.'

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[NS1]

Re: Texas - Dallas/Ft. Worth area seasonal flu 2013/2014

Another death at home in an age-related healthy young adult less than 50 miles from this woman's location.

[NS1]

Re: Texas - Dallas/Ft. Worth area seasonal flu 2013/2014

News story.
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<tr style="float: center;"><td style="font-size: 140%; font-weight: bold;">Still No Confirmed Flu-Related Deaths in Tarrant County
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<tr style="float: center;"><td style="font-size: 90%;">Fort Worth death could be related to flu
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<tr style="float: center; font-size: 60%;"><td>By Chris Van Horne</td></tr>
<tr style="float: center; font-size: 60%;"><td><a href="http://www.nbcdfw.com/news/local/" target="_blank">5 NBCDFW.COM</a>
Friday, Jan 10, 2014 | Updated 7:18 PM CST</td></tr>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: 100%;">'Russell Jones
Tarrant County Public Health
Chief Epidemiologist

"The Tarrant County Public Health Department and it's hospital and clinic partners aren't required to report deaths."

In fact, Tarrant County has no confirmed flu deaths this season. The flu isn't impacting the county any less.

"What's occurring in Dallas is the same that's occurring here and the rest of the state," said Russell Jones, Tarrant County Public Health chief epidemiologist. "That kind of gives you an indication as to what they're seeing is occurring everywhere else."'

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Reporting Anomaly
UnCovered
Tarrant County

Crowd-sourced data quality appears to be significantly higher than primary source material concerning Public Health Influenza death reporting in some geographies.

At this time of this story's original publication, media reports had accumulated at least ten fatalities in Tarrant County, but the health department had reported none of them because no law requires them to report.

We have been concerned that the numbers in Tarrant County, the westward section of the Dallas-Fort Worth metroplex, did not reflect activity commensurate with expected population outcomes. Now we see that the numbers are openly admitted to not represent the actual case and fatality counts.

The Chief Epidemiologist of Tarrant County, population of 1.88 million, noted that trends under his watch are the same as in Dallas. As of this moment, Dallas County is the only county that reported significant early mortality in Texas and continues to report current statistics. Other metropolitan areas have stalled their fatality reporting.

The 2014-01-17 measure taken last week of 35 Dallas County Fatalities is a doubling of the influenza death count in only 10 days. Those citizens of Tarrant County may want to heed their epidemiology chief and realise that they are also probable for a doubling effect.

[NS1]

Re: Texas - Dallas/Ft. Worth area seasonal flu 2013/2014

News story.
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<tr style="float: center;"><td style="font-size: 140%; font-weight: bold;">Number of flu deaths reaches 40, but local outbreak may be easing
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<tr style="float: center;"><td style="font-size: 90%;">Dallas County reported five more flu deaths Friday, although fewer infections seemed to signal an easing of the local outbreak.
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<tr style="float: center; font-size: 60%;"><td>By SHERRY JACOBSON Staff Writer</td></tr>
<tr style="float: center; font-size: 60%;"><td><a href="http://www.dallasnews.com/news/metro/" target="_blank">The Dallas Morning News</a>
Published: 24 January 2014 10:00 PM
Updated: 24 January 2014 10:53 PM</td></tr>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: 100%;">'Dr. Christopher Perkins
Dallas County Health and Human Services
Medical Director

"?Flu activity is still high, but we?ve also had the fourth week in a row with fewer people testing positive on flu tests."

. . .

Based on such testing, the local outbreak appears to have peaked in the third week of December, when 27.5 percent of flu tests were positive.

. . .

Local hospitals reported 26 influenza-related deaths since September, when the surveillance effort began. The county medical examiner?s office detected an additional 14 deaths.'

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[tetano]

Re: Texas - Dallas/Ft. Worth area seasonal flu 2013/2014

Granbury mom is the latest victim of flu outbreak

GRANBURY ? There's been another flu death in North Texas. Stacey Parker was a 38-year-old mother of five from Granbury.

Her family said she never got a flu shot; now they are encouraging everyone to be inoculated.

Doctors said Parker was a victim of the H1N1 swine flu strain.

"It's been an almighty trial," said Stacey's husband, Tony Parker. "I have never been through something like this."

http://www.wfaa.com/news/local/Granbury-mom-is-the-latest-victim-of-flu-outbreak-242115121.html

[NS1]

Re: Texas - Dallas/Ft. Worth area seasonal flu 2013/2014

166 Fatalities in Texas
by
2014-01-25 *

* 2014-01-25 Updated US Deaths by State [FT#216453] from Jim Oliveros

[NS1]

Re: Texas - Dallas/Ft. Worth area seasonal flu 2013/2014

Granbury mom is the latest victim of flu outbreak

GRANBURY ? There's been another flu death in North Texas. Stacey Parker was a 38-year-old mother of five from Granbury.

Her family said she never got a flu shot; now they are encouraging everyone to be inoculated.

Doctors said Parker was a victim of the H1N1 swine flu strain.

"It's been an almighty trial," said Stacey's husband, Tony Parker. "I have never been through something like this."


http://www.wfaa.com/news/local/Granb...242115121.html

Bedroom / ex-urb community about 40 miles southwest of Fort Worth.

[NS1]

Re: Texas - Dallas/Ft. Worth area seasonal flu 2013/2014

Granbury mom is the latest victim of flu outbreak

GRANBURY ? There's been another flu death in North Texas. Stacey Parker was a 38-year-old mother of five from Granbury.

Her family said she never got a flu shot; now they are encouraging everyone to be inoculated.

Doctors said Parker was a victim of the H1N1 swine flu strain.

"It's been an almighty trial," said Stacey's husband, Tony Parker. "I have never been through something like this."


http://www.wfaa.com/news/local/Granb...242115121.html

News story with video from 00:18 to 00:26 defining the bird fatality site on the highway.
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<tr style="float: center;"><td style="font-size: 140%; font-weight: bold;">200 dead birds found in Burleson may have starved, veterinarian says
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<tr style="float: center;"><td style="font-size: 90%;">About 200 grackles and a few starlings were found dead on and around Interstate 35W in Burleson this week.
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<tr style="float: center; font-size: 60%;"><td>By Matt Peterson and
Yusra Jabeen, Staff Writer</td></tr>
<tr style="float: center; font-size: 60%;"><td><a href="http://thescoopblog.dallasnews.com/" target="_blank">The Dallas Morning News</a>
3:27 pm on January 24, 2014</td></tr>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: 100%;">'Dr. Bob Denton
Veterinarian

Cold weather and hunger coupled with old age and underlying disease might have killed the birds.

. . .

?It is indeed strange? for such a large number of birds to die at the same time, he said'

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Food is Everywhere
in the
DFW MetroPlex

Scavenger Starvation

Burleson is about 10 miles south of Highway 20's bordering of Fort Worth and roughly 30 miles east of Granbury as the grackle flies, a community featuring lake activity adverts.

Grackles near Texas cities are peri-domestic birds, large and effective scavengers that will eat from pet food bowls after driving off cats and small dogs. They congregate behind restaurants and at dining patios often taking food from tables recently emptied, but not yet cleared.

Few would rank starvation as a cognate to Texas grackles near a metropolis of 6 million covering an 60 mile by 40 mile populated corridor. Per capita restaurant business frequently is in the top decile nationwide. Food is everywhere for the undiscriminating grackle.

On-site Necropsy Findings

The doctor conducting the necropsy found enlarged liver and upper respiratory infection on the specimen under exam. An opinion from an off-site, non-attending specialist indicated a potential for starvation, among other options like disease and cold weather.

Somehow the headline is only suggestive of starvation?

On-site Fatality Scene Findings

The animal control officers say they've "never seen anything like it." The attending doctor says that such a large number dying at once is strange. The off-side expert says that it's common.

We generally weigh opinions more for those who have the facts at hand. Those who are looking at the problem tend to provide a more detailed contemporary description.

200 birds, at the same instant, die of starvation and fall from the sky into a 1,000 square foot area?

==

Jones JC, Sonnberg S, Ko?er ZA, Shanmuganatham K, Seiler P, Shu Y, et al.
Possible role of songbirds and parakeets in transmission of influenza A(H7N9) virus to humans.
Emerg Infect Dis [Internet]. 2014 Mar [date cited].
http://dx.doi.org/10.3201/eid2003.131271
DOI: 10.3201/eid2003.131271
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<tr style="float: center;"><td style="font-size: 140%; font-weight: bold;">Possible Role of Songbirds and Parakeets in Transmission of Influenza A(H7N9) Virus to Humans
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<tr style="float: center;"><td style="font-size: 90%;">Songbirds are common household pets and are in close contact with humans and domesticated animals. Their wild counterparts also are likely to interact with poultry in backyard farms and in many farming sectors (14,15).
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<tr style="float: center; font-size: 60%;"><td>By Jeremy C. Jones, Stephanie Sonnberg, Zeynep A. Ko?er, Karthik Shanmuganatham, Patrick Seiler, Yuelong Shu, Huachen Zhu, Yi Guan, Malik Peiris, Richard J. Webby, and Robert G. Webster</td></tr>
<tr style="float: center; font-size: 60%;"><td><a href="http://wwwnc.cdc.gov/eid/" target="_blank">EID Journal</a>
Volume 20, Number 3?March 2014
Ahead of Print
January 24, 2014</td></tr>
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<span style="font-family: Georgia, Times New Roman, serif; font-size: 100%;">'Isolation of Virus from Organs Extract:

The sparrow that underwent necropsy showed trace virus only in the lungs (Table 3). Both finch species showed high virus titers in the trachea (4.5?4.6 log10 EID50/mL). In the zebra finches, virus was observed only in the tracheas, consistent with swab findings, but 1 of 2 society finches showed trace amounts of virus in the brain and eye, whereas the other had trace amounts in the small and large intestine and high lung virus titer (5.8 log10 EID50/mL) (Table 3).'

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The passerine birds in this recent experiment showed various combinations of upper and lower respiratory infection.

[Shiloh]

LA: Obit- Died 1/26/24 of flu/pneumonia complications; M, 34 yrs.

Source: http://www.meaningfulfunerals.net/fh...97&fh_id=14597

Obituaries
Philip Edward Fugate

...Phil passed away January 26, 2014 in Shreveport, Louisiana after complications with the flu and pneumonia...