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  • Californie: 2469 cas - 32 morts

    Our Mission: The California Department of Public Health is dedicated to optimizing the health and well-being of the people in California. Learn About Us and meet our Director, Dr. Mark Horton.
    Dr. Mark Horton discusses H1N1 Swine Flu See Video
    Swine Flu (H1N1) Outbreak:
    Swine Flu (H1N1) Hotline for the Public (1-888-865-0564):
    CDPH has activated a toll-free H1N1 (Swine Flu) hotline in English and Spanish. Assistance in other languages is also available. The hotline is operational Monday through Friday from 7 a.m. to 6 p.m., and on weekends from 8 a.m. to 4 p.m.
    California Case Total (May 8, 2009, 2:30 p.m.). Map
    <DIR dir=ltr style="MARGIN-RIGHT: 0px"><DIR>Confirmed: 171. Counties: Alameda, 3; Amador 1; Calaveras 1; Contra Costa, 3; El Dorado 1; Imperial 23; Los Angeles 14; Marin 4; Monterey 5; Orange 4; Riverside 7; Sacramento 4; San Bernardino 18; San Diego 51; San Francisco 6; San Joaquin 3; San Luis Obispo 9; San Mateo 1; Santa Clara 7; Sonoma 1; Tulare 3; Ventura 2.
    Probable: 201. Counties: Alameda 6; Contra Costa 16; El Dorado 4; Imperial 22; Los Angeles 15; Madera 1; Marin 1; Monterey 5; Orange 14; Riverside 10; San Benito, 1; San Bernardino 23; San Diego 46; San Joaquin 2; San Mateo 1; Santa Clara 17; Solano 3; Sonoma 1; Tulare 2; Ventura 11.
    </DIR></DIR>
    Follow these four flu prevention tips: (1) Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it. (2) Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand cleaners are also effective. (3) Try to avoid close contact with sick people. (4) If you get sick with flu, it is recommended that you stay home from work or school and limit contact with others to keep from infecting them. Avoid touching your eyes, nose or mouth. Germs spread this way.
    Siga los siguientes cuatro consejos para prevenir la influenza: (1) Cubra su boca y nariz con pañuelos desechables al toser o estornudar y deséchelos adecuadamente. (2) Lávese las manos con jabón y agua tibia o con un desinfectante de manos a base de alcohol. (3) Evite acercarse a personas enfermas. (4) Permanezca en casa cuando esté enfermo, así evitará el contacto con los compañeros de trabajo y los amigos. Trate de no tocarse los ojos, la nariz o la boca para evitar la propagación de gérmenes.

    Latest News, Information and Resources From CDPH:
    <MENU dir=ltr><MENU>CDPH Announces New K-12 School Swine Flu Dismissal Guidance
    Swine Flu Homepage
    Swine Flu (H1N1) Information for Health Professionals
    CDPH Swine Flu Interim Mask and Respirator Guidance
    CDPH Interim Swine Flu Student Dismissal Guidance (Updated May 5, 2009)
    Be Prepared California Web site
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    Multimedia:
    <MENU dir=ltr><MENU>CDPH Twitter
    CDPH Multimedia Page
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    • Latest News from the CDC:
    <MENU><MENU>Updates on Swine Flu Investigation (CDC)
    Swine Flu and You - Questions and Answers (CDC)
    Interim Guidance for Swine influenza A (H1N1): Taking Care of a Sick Person in Your Home (CDC)
    Swine Influenza Key Facts (CDC)
    Swine Flu Video Podcast (CDC)
    Swine Influenza in Pigs and People Brochure (CDC, U.S. Department of Agriculture)
    Travel Warning: Swine Influenza and Severe Cases of Respiratory Illness in Mexico--Avoid Nonessential Travel to Mexico (CDC)
    Datos Importantes Sobre la Influenza Porcina (Gripe Porcina) - Espanol (CDC)
    </MENU></MENU>http://ww2.cdph.ca.gov/Pages/default.aspx
    <MENU><MENU></MENU></MENU>

  • #2
    Re: Californie: 254 cas confirmés

    Swine Flu (H1N1) Outbreak:
    • Swine Flu (H1N1) Hotline for the Public (1-888-865-0564):
      CDPH has activated a toll-free H1N1 (Swine Flu) hotline in English and Spanish. Assistance in other languages is also available. The hotline is operational Monday through Friday from 7 a.m. to 6 p.m., and on weekends from 8 a.m. to 4 p.m.
    California Case Total (May 13, 2009, 2:30 p.m.). Map
    <DIR dir=ltr style="MARGIN-RIGHT: 0px"><DIR><DIR>Confirmed: 254. Counties: Alameda, 3; Amador 1; Calaveras 1; Contra Costa, 3; El Dorado 6; Imperial 30; Los Angeles 25; Marin 7; Monterey 5; Orange 14; Placer 1; Riverside 12; Sacramento 5; San Bernardino 33; San Diego 63; San Francisco 5; San Joaquin 4; San Luis Obispo 9; Santa Clara 14; Shasta 1; Sonoma 2; Tulare 5; Ventura 5.
    Probable: 219. Counties: Alameda 5; Contra Costa 23; El Dorado 1; Imperial 36; Los Angeles 28; Madera 1; Marin 1; Monterey 6; Orange 8; Riverside 6; San Benito, 1; San Bernardino 24; San Diego 37; San Francisco 1; San Joaquin 5; San Mateo 1; Santa Barbara 1; Santa Clara 16; Solano 3; Stanislaus 1; Ventura 13; Yolo 1.
    </DIR></DIR></DIR>http://ww2.cdph.ca.gov/Pages/default.aspx

    Comment


    • #3
      Re: Californie: 298 cas confirmés et 206 cas probables

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      Home

      Our Mission: The California Department of Public Health is dedicated to optimizing the health and well-being of the people in California. Learn About Us and meet our Director, Dr. Mark Horton.
      Dr. Mark Horton discusses H1N1 Swine Flu See Video

      Latest News:

      Swine Flu (H1N1) Outbreak:
      • Swine Flu (H1N1) Hotline for the Public (1-888-865-0564):
        CDPH has activated a toll-free H1N1 (Swine Flu) hotline in English and Spanish. Assistance in other languages is also available. The hotline is operational Monday through Friday from 7 a.m. to 6 p.m., and on weekends from 8 a.m. to 4 p.m.
      California Case Total (May 14, 2009, 2:30 p.m.). Map
      <DIR dir=ltr style="MARGIN-RIGHT: 0px"><DIR><DIR>Confirmed: 298. Counties: Alameda, 7; Amador 1; Calaveras 1; Contra Costa, 19; El Dorado 6; Imperial 36; Los Angeles 25; Marin 6; Monterey 5; Orange 15; Placer 1; Riverside 12; Sacramento 5; San Bernardino 44; San Diego 69; San Francisco 5; San Joaquin 4; San Luis Obispo 9; San Mateo 1; Santa Clara 14; Shasta 1; Sonoma 2; Tulare 5; Ventura 5.
      Probable: 206. Counties: Alameda 3; Contra Costa 7; El Dorado 1; Imperial 27; Los Angeles 28; Madera 1; Marin 5; Monterey 6; Orange 8; Riverside 12; San Benito, 1; San Bernardino 23; San Diego 41; San Francisco 1; San Joaquin 5; San Mateo 1; Santa Barbara 1; Santa Clara 17; Solano 3; Stanislaus 1; Ventura 13; Yolo 1.
      </DIR></DIR></DIR>http://ww2.cdph.ca.gov/Pages/default.aspx

      Comment


      • #4
        Re: Californie: 333 cas confirmés et 220 cas probables

        Latest News:

        Swine Flu (H1N1) Outbreak:
        • Swine Flu (H1N1) Hotline for the Public (1-888-865-0564):
          CDPH has activated a toll-free H1N1 (Swine Flu) hotline in English and Spanish. Assistance in other languages is also available. The hotline is operational Monday through Friday from 7 a.m. to 6 p.m., and on weekends from 8 a.m. to 4 p.m.
        California Case Total (May 15, 2009, 2:30 p.m.). Map
        <DIR dir=ltr style="MARGIN-RIGHT: 0px"><DIR><DIR>Confirmed: 333. Counties: Alameda, 15; Amador 1; Calaveras 1; Contra Costa, 24; El Dorado 6; Imperial 45; Los Angeles 27; Marin 6; Monterey 5; Orange 18; Placer 1; Riverside 13; Sacramento 6; San Bernardino 47; San Diego 72; San Francisco 5; San Joaquin 4; San Luis Obispo 9; San Mateo 1; Santa Clara 14; Shasta 1; Sonoma 2; Tulare 5; Ventura 5.
        Probable: 220. Counties: Alameda 3; Contra Costa 20; El Dorado 1; Imperial 17; Los Angeles 34; Madera 1; Marin 5; Monterey 6; Orange 8; Riverside 15; Sacramento 3; San Benito, 1; San Bernardino 23; San Diego 38; San Francisco 1; San Joaquin 5; San Mateo 1; Santa Barbara 1; Santa Clara 17; Solano 3; Stanislaus 1; Ventura 13; Yolo 1; County undetermined 2.
        </DIR></DIR></DIR>
        Follow these four flu prevention tips: (1) Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it. (2) Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand cleaners are also effective. (3) Try to avoid close contact with sick people. (4) If you get sick with flu, it is recommended that you stay home from work or school and limit contact with others to keep from infecting them. Avoid touching your eyes, nose or mouth. Germs spread this way.
        Siga los siguientes cuatro consejos para prevenir la influenza: (1) Cubra su boca y nariz con pañuelos desechables al toser o estornudar y deséchelos adecuadamente. (2) Lávese las manos con jabón y agua tibia o con un desinfectante de manos a base de alcohol. (3) Evite acercarse a personas enfermas. (4) Permanezca en casa cuando esté enfermo, así evitará el contacto con los compañeros de trabajo y los amigos. Trate de no tocarse los ojos, la nariz o la boca para evitar la propagación de gérmenes.

        Latest News, Information and Resources From CDPH:

        Comment


        • #5
          Re: Californie: 333 cas confirmés et 220 cas probables

          Pas de nouvelles

          Comment


          • #6
            Re: Californie: 333 cas confirmés et 220 cas probables

            <TABLE cellSpacing=0 cellPadding=0 width="100%" border=0><TBODY><TR><TD bgColor=#9b3236></TD></TR><TR><TD bgColor=#efefef></TD></TR><TR><TD vAlign=center align=middle bgColor=#efefef>May 18, 2009 / 58(Early Release);1-5</TD></TR><TR><TD bgColor=#efefef></TD></TR></TBODY></TABLE><!-- closing 1px line --><TABLE cellSpacing=0 cellPadding=0 width="100%" border=0><TBODY><TR><TD vAlign=center width=630 bgColor=#333333></TD></TR></TBODY></TABLE><!--webbot bot="Include" endspan i-checksum="11222" --><TABLE cellSpacing=0 cellPadding=0 width="100%" border=0><TBODY><TR><TD width=10 rowSpan=2> </TD><!-- report Title --><TD vAlign=top width="100%">


            <!-- content area --><!-- body area -->Hospitalized Patients with Novel Influenza A (H1N1) Virus Infection --- California, April--May, 2009

            Since April 15 and 17, 2009, when the first two cases of novel influenza A (H1N1) infection were identified from two southern California counties, novel influenza A (H1N1) cases have been documented throughout the world, with most cases occurring in the United States and Mexico (1--3). In the United States, early reports of illnesses associated with novel influenza A (H1N1) infection indicated the disease might be similar in severity to seasonal influenza, with the majority of patients not requiring hospitalization and only rare deaths reported, generally in persons with underlying medical conditions (2,3). As of May 17, 2009, 553 novel influenza A (H1N1) cases, including 333 confirmed and 220 probable cases, had been reported in 32 of 61 local health jurisdictions in California. Of the 553 patients, 30 have been hospitalized. No fatal cases associated with novel influenza A (H1N1) infection had been reported in California. This report summarizes the 30 hospitalized cases as of May 17, including a detailed description of four cases that illustrate the spectrum of illness severity and underlying risk factors. This preliminary overview indicates that, although the majority of hospitalized persons infected with novel influenza A (H1N1) recovered without complications, certain patients had severe and prolonged disease. All hospitalized patients with novel influenza A (H1N1) infection should be monitored carefully and treated with antiviral therapy, including patients who seek care >48 hours after illness onset (4,5).
            Summary of Hospitalized Cases
            Beginning on April 20, 2009, the California Department of Public Health (CDPH) and local health departments in Imperial and San Diego counties worked with hospital infection-control practitioners to initiate enhanced surveillance for hospitalized cases of laboratory-confirmed or probable novel influenza A (H1N1) infection at all 25 hospitals in the two counties. Three days later, on April 23, 2009, CDPH extended this surveillance statewide. Cases are reported as either probable (defined as detection of influenza A by real-time reverse transcription--polymerase chain reaction [rRT-PCR] that is unsubtypable for human influenza virus subtypes H1 or H3) or confirmed (defined as positive by CDC protocol for rRT-PCR for novel influenza A H1N1).* Approximately 96% of unsubtypable California specimens subsequently have been confirmed as novel influenza A (H1N1) at CDC or at the CDPH Viral and Rickettsial Disease Laboratory (VRDL).†
            For this report, a hospitalized case was defined as a confirmed or probable case of novel influenza A (H1N1) infection in a patient who was hospitalized for ≥24 hours. Of the 30 hospitalized patients, 26 were confirmed and four were probable (confirmatory testing is in progress); symptom onset ranged from April 3 to May 9. The cases were reported from 11 counties, most of which are located in southern or central California. The largest number of patients, (15 [50%]) resided in San Diego and Imperial counties. Of the 26 patients for whom information on ethnicity was available, 17 (65%) were Hispanic. Ages of the 30 patients ranged from 27 days to 89 years, with a median age of 27.5 years; 21 (70%) were female. Four (13%) patients had traveled to Mexico in the 7 days before onset of illness. None of the 30 patients reported exposure to swine or a known confirmed case of novel influenza A (H1N1) infection.
            The most common admission diagnoses were pneumonia and dehydration. Nineteen patients (64%) had underlying medical conditions; the most common were chronic lung disease (e.g., asthma and chronic obstructive pulmonary disease), conditions associated with immunosuppresion, chronic cardiac disease (e.g., congenital heart disease and coronary artery disease), diabetes, and obesity. The most common symptoms were fever, cough, vomiting, and shortness of breath; diarrhea was uncommon. Of the 25 patients who had chest radiographs, 15 (60%) had abnormalities suggestive of pneumonia, including 10 with multilobar infiltrates and five with unilobar infiltrates. Six patients were admitted to the intensive care unit (ICU), and four required mechanical ventilation. Five patients were pregnant. Two of these developed complications, including spontaneous abortion and premature rupture of the membranes; the fetuses were at 13 and 35 weeks gestation, respectively.
            Of the 24 patients tested for influenza A in the hospital, the rapid antigen test was positive in 16 and negative in five; three patients tested positive by other methods (direct immunofluorescent antibody [two patients] and culture [one patient]). None of the 30 patients had microbiologic evidence of secondary bacterial infection by blood, urine, or sputum cultures (or endotracheal aspirate or bronchoalveolar lavage cultures in the case of intubated patients). Fifteen (50%) received antiviral treatment with oseltamivir; for five patients, treatment was initiated within 48 hours of onset of symptoms. Among the 15 not treated with antivirals, six sought care >48 hours after illness onset. Of the 22 patients with available history, six (27%) had received seasonal influenza vaccination. As of May 17, 23 patients had been discharged to home, with a median length of hospital stay of 4 days (range: 1--10 days). Seven patients remained in the hospital, with median lengths of stay of 15 days (range: 4--167 days) (Tables 1 and 2).
            Case Reports
            Patient 3. An infant girl aged 5 months was born prematurely at 27 weeks in early December 2008 with intrauterine growth retardation and congenital heart disease with patent ductus arteriosus and ventricular septal defect. The infant had a complicated hospital course in the neonatal ICU after birth, including development of bronchopulmonary dysplasia and respiratory distress syndrome requiring prolonged mechanical ventilation and multiple courses of steroids, several episodes of clinical sepsis and pneumonia, and chronic anemia and thrombocytopenia. By the fifth month, the infant had been weaned from the ventilator and was doing well on high-flow nasal cannula oxygen. However, on hospital day number 150, she developed a new nonproductive cough and fever, with a new infiltrate of the right lung on chest radiograph that progressed to complete opacification of both lung fields. Multiple blood, urine, and sputum cultures were unrevealing; rapid antigen test was positive for influenza A, with subsequent confirmation at the CDPH VRDL for novel influenza A (H1). The source of the infant's infection is still under investigation. The infant was reintubated and started on broad spectrum antibiotics and oseltamivir at a dose of 2 mg/kg every 12 hours, 3 days after fever. As of May 14, the patient remained hospitalized in critical condition.
            Patient 16. A previously healthy woman aged 29 years, who was 28 weeks pregnant, sought care at an emergency department on April 26 with complaints of subjective fever, productive cough, and increasing shortness of breath during the preceding 10 days. Upon initial evaluation, the patient's vital signs were notable for low grade fever (99.6°F [37.6°C]), a respiratory rate of 38 breaths per minute, blood pressure of 112/57 mmHg, heart rate of 104 beats per minute, and oxygen saturation of 87% on room air. A chest radiograph revealed bilateral perihilar interstitial infiltrates with mediastinal lymphadenopathy. Her complete blood count and chemistries were normal except for an elevated white blood cell count of 11.4 cells/mm3 with a differential of 42% segmented neutrophils, 45% bands, and 9% lymphocytes. The patient was admitted to the ICU and started on broad spectrum antibiotics (azithromycin and ceftriaxone). Serial fetal ultrasounds were normal. Multiple blood, urine, and sputum cultures were unrevealing; rapid antigen test was positive for influenza A, with subsequent confirmation of novel influenza A (H1N1) at the CDPH VRDL. She was not treated with antiviral medications. She gradually improved and was discharged on amoxicillin after 9 days.
            Patient 18. A man aged 32 years with a history of obstructive sleep apnea sought care at an emergency department on May 5 with a 3-day history of fever, chills, and productive cough. The patient reported he had been taking amoxicillin for a diagnosis of sinusitis, following complaints of vertigo and dizziness, for the past 2 weeks. His vital signs showed a temperature of 99.1°F (37.3°C), blood pressure of 89/58 mmHg, and heart rate of 84 beats per minute. Physical exam of the chest showed good air movement bilaterally, although chest radiograph revealed bilateral infiltrates. His complete blood count and chemistries were normal except for an elevated white blood cell count of 13.8 cells/mm3 with a differential of 94% segmented neutrophils and 4% lymphocytes. An arterial blood gas showed respiratory acidosis and hypoxemia with pO2 of 80 mm Hg on room air. The patient was admitted to the ICU on empiric broad spectrum antibiotics and required intubation on the second hospital day for worsening hypoxemia. Initial microbiologic workup and influenza rapid antigen tests were negative; the patient was started on oseltamivir on hospital day 2. A repeat rapid antigen test and bronchoalveolar lavage viral culture were positive for influenza A, with subsequent confirmation of novel influenza A (H1N1). The patient improved, was extubated on hospital day 5, and was discharged on hospital day 10.
            Patient 29. A woman aged 87 years with multiple medical problems, including recently diagnosed breast cancer with possible abdominal metastasis, hypertension, diabetes mellitus, coronary artery disease, cerebrovascular disease, chronic renal insufficiency, and obesity, was brought for care at an emergency department on April 21 after being found unconscious by her daughter. The patient had reported onset of fever, cough, and weakness 2 days before admission and also new onset of orthopnea and bilateral leg swelling. She was wheelchair bound and had no recent history of travel or known contact with ill persons.. In the emergency room the patient was afebrile, with a blood pressure of 57/39 mmHg, pulse 57, respiratory rate of 14 breaths per minute, and oxygen saturation of 87% on room air. Electrocardiogram was suggestive of non Q-wave myocardial infarction. Chest radiograph showed bilateral pneumonia and congestive heart failure with marked cardiomegaly. Her laboratory abnormalities included an elevated white blood cell count of 13.4 cells/mm3, mild anemia with a hematocrit of 34%, a mildly elevated creatinine at 1.8 mg/dL, alanine aminotransferase of 36 units/L and aspartate aminotransferase of 160 units/L, and markedly elevated troponin and creatinine kinase levels of 29.43 ng/mL and 653 IU/L, respectively. The patient went into respiratory arrest and was subsequently intubated and started on low dose dopamine, and admitted to the ICU with a diagnosis of myocardial infarction, congestive heart failure, pneumonia and presumed sepsis. A chest computed tomography (CT) scan showed complete atelectasis of the right middle lobe, bilateral ground glass opacities of the upper lobes, and bilateral pleural effusions. A subsequent bronchoscopy identified a large cauliflower-shaped mass in the right lower lobe airway. Multiple blood, urine, and sputum cultures were unrevealing; rapid antigen test was positive for influenza A, with subsequent confirmation of novel influenza A (H1N1) at the CDPH VRDL. The patient remains hospitalized in critical condition under intensive care.
            Reported by: J Louie, MD, K Winter, MPH, K Harriman, PhD, D Vugia, MD, C Glaser, MD, B Matyas, MD, D Schnurr, PhD, H Guevara, MS, CY Pan, E Saguar, R Berumen, E Hunley, S Messenger, PhD, C Preas, D Hatch, MD, G Chavez, MD, California Dept of Public Health. P Kriner, MPH, K Lopez, MD, Imperial County Public Health Dept; D Sunega, D Rexin, San Diego County Health and Human Svcs; Los Angeles County Swine Flu Surveillance Team, Los Angeles County Dept of Public Health; S Roach, J Kempf, Tulare County Health and Human Svcs Agency; R Gonzalez, L Morgan, MPH, San Bernardino County Dept of Public Health, California. N Barnes, MS, L Berman, MS, S Emery, MPH, B Shu, MD, KH Wu, PhD, J Villanueva, PhD, S Lindstrom, PhD, Influenza Div; D Sugarman, MD, M Patel, MD, J Jaeger, MD, E Meites, MD, N Dharan, MD, EIS officers, CDC.
            Editorial Note:

            Initial surveillance for hospitalized cases of novel influenza A (H1N1) infection in California indicates that the majority of patients were discharged after short hospital stays. Previously healthy patients without underlying chronic medical conditions recovered with an uncomplicated hospital course and a median length of stay of 2.5 days (range: 1--7 days). Although one third of hospitalized patients had abnormal chest radiographs with multilobar infiltrates, only 9% were treated with oseltamivir; nonetheless, most had favorable outcomes. Of five pregnant women, two developed serious sequelae; however, the role that preceding infection with novel influenza A (H1N1) played in these outcomes is unclear.
            Certain hospitalized patients in California experienced severe disease and prolonged hospital courses. Of note, three of the six California patients admitted to an ICU continue to require prolonged intensive care. Extremes in age and multiple and debilitating underlying medical conditions might be contributing to the severity of illness in these patients. Although chronic underlying medical conditions and pregnancy classically are associated with a greater risk for complications for seasonal influenza (6), one patient (patient 18) who was relatively healthy with only mild chronic pulmonary disease required intensive care and mechanical ventilation. More data are needed regarding which populations are at greatest risk for hospitalization and severe sequelae after infection with novel influenza A (H1N1).
            As of May 15, 2009, 9% of approximately 11,600 clinical specimens submitted for testing to California public health laboratories since April 27, 2009, were positive by rRT-PCR for influenza A; of those, 23% and 28% were subtyped as seasonal influenza A/H1 and A/H3, respectively. These results indicate that seasonal influenza viruses continue to circulate throughout California and might be a cause of influenza-like illness and positive results from rapid antigen tests. Although rapid antigen test results were positive in 67% of tested cases in this series, anecdotal reports from other cases confirmed at CDPH VRDL, tested mostly in the outpatient setting, suggest that false positive and negative results are common. Accordingly, CDPH has emphasized the importance of testing influenza viruses in the state with rRT-PCR. CDPH also has advised clinicians in California to collect respiratory specimens for rRT-PCR testing, subtyping, and further characterization at public health laboratories from patients who are hospitalized or who die with febrile respiratory illness.
            Additional information regarding California testing guidelines is available at http://ww2.cdph.ca.gov/programs/vrdl/pages/diagnostictestingforswineinfluenzaA(H1).aspx. Additional information regarding novel influenza A (H1N1) treatment guidance and other CDC recommendations is available at http://www.cdc.gov/h1n1flu/guidance.
            References
            1. CDC. Swine influenza A (H1N1) infection in two children---southern California, March--April 2009. MMWR 2009;58:400--2.
            2. Dawood FS, Jain S, Finelli L, et al. Emergence of a novel swine-origin influenza A (H1N1) virus in humans. N Engl J Med 2009;361[online]. Available at http://content.NEJM.org/cgi/content/full/nejmoa0903810.
            3. CDC. Outbreak of swine-origin influenza A (H1N1) virus infection---Mexico, March--April 2009. MMWR 2009;58:467--70.
            4. CDC. Novel influenza A (H1N1) virus infections in three pregnant women---United States, April--May 2009. MMWR 2009;58:497--500.
            5. McGeer A, Green KA, Plevneshi A, et al; Toronto Invasive Bacterial Diseases Network. Antiviral therapy and outcomes of influenza requiring hospitalization in Ontario, Canada. Clin Infect Dis 2007;45:1568--75.
            6. CDC. Prevention and control of influenza: recommendations of the Advisory Committee on Immunization Practices (ACIP), 2008. MMWR 2008;57(No. RR-7).

            * Additional information available at http://www.who.int/csr/resources/publications/swineflu/realtimeptpcr/en/index.html.
            † Additional information available at http://ww2.cdph.ca.gov/programs/vrdl/pages/enhancedsurveillanceforinfluenzaa(h1).aspx.

            <TABLE class=data-table><TBODY><TR><TH class=header-row scope=col colSpan=3>TABLE 1. Case characteristics for 30 hospitalized patients with novel influenza A (H1N1) --- California, April 15, 2009--May 17, 2009
            </TH></TR><TR><TH class=column-head scope=col>Case characteristic
            </TH><TH class=column-head scope=col>No.
            </TH><TH class=column-head scope=col>(%)
            </TH></TR><TR><TD class=data-row scope=row>Age group (yrs)
            </TD><TD class=data-row></TD><TD class=data-row></TD></TR><TR><TD class=data-inset-cell scope=row><5
            </TD><TD class=data-row align=right>6
            </TD><TD class=data-row align=right>(20)
            </TD></TR><TR><TD class=data-inset-cell scope=row>5-19
            </TD><TD class=data-row align=right>7
            </TD><TD class=data-row align=right>(23)
            </TD></TR><TR><TD class=data-inset-cell scope=row>20-39
            </TD><TD class=data-row align=right>8
            </TD><TD class=data-row align=right>(27)
            </TD></TR><TR><TD class=data-inset-cell scope=row>40-59
            </TD><TD class=data-row align=right>4
            </TD><TD class=data-row align=right>(13)
            </TD></TR><TR><TD class=data-inset-cell scope=row>>60
            </TD><TD class=data-row align=right>5
            </TD><TD class=data-row align=right>(17)
            </TD></TR><TR><TD class=space-row scope=row>Chronic comorbid illness*
            </TD><TD class=space-row align=right></TD><TD class=space-row align=right></TD></TR><TR><TD class=data-inset-cell scope=row>Chronic lung disease†
            </TD><TD class=data-row align=right>11
            </TD><TD class=data-row align=right>(37)
            </TD></TR><TR><TD class=data-inset-cell scope=row>Other immunosuppression§
            </TD><TD class=data-row align=right>6
            </TD><TD class=data-row align=right>(20)
            </TD></TR><TR><TD class=data-inset-cell scope=row>Chronic cardiac disease¶
            </TD><TD class=data-row align=right>5
            </TD><TD class=data-row align=right>(17)
            </TD></TR><TR><TD class=data-inset-cell scope=row>Diabetes mellitus
            </TD><TD class=data-row align=right>4
            </TD><TD class=data-row align=right>(13)
            </TD></TR><TR><TD class=data-inset-cell scope=row>Obesity
            </TD><TD class=data-row align=right>4
            </TD><TD class=data-row align=right>(13)
            </TD></TR><TR><TD class=data-inset-cell scope=row>Seizure disorder
            </TD><TD class=data-row align=right>3
            </TD><TD class=data-row align=right>(10)
            </TD></TR><TR><TD class=space-row scope=row>Pregnancy
            </TD><TD class=space-row align=right>5
            </TD><TD class=space-row align=right>(17)
            </TD></TR><TR><TD class=space-row scope=row>Symptoms and signs
            </TD><TD class=space-row align=right></TD><TD class=space-row align=right></TD></TR><TR><TD class=data-inset-cell scope=row>Fever
            </TD><TD class=data-row align=right>29
            </TD><TD class=data-row align=right>(97)
            </TD></TR><TR><TD class=data-inset-cell scope=row>Cough
            </TD><TD class=data-row align=right>23
            </TD><TD class=data-row align=right>(77)
            </TD></TR><TR><TD class=data-inset-cell scope=row>Vomiting
            </TD><TD class=data-row align=right>14
            </TD><TD class=data-row align=right>(46)
            </TD></TR><TR><TD class=data-inset-cell scope=row>Shortness of breath
            </TD><TD class=data-row align=right>13
            </TD><TD class=data-row align=right>(43)
            </TD></TR><TR><TD class=data-inset-cell scope=row>Chills
            </TD><TD class=data-row align=right>11
            </TD><TD class=data-row align=right>(37)
            </TD></TR><TR><TD class=data-inset-cell scope=row>Sore throat
            </TD><TD class=data-row align=right>10
            </TD><TD class=data-row align=right>(33)
            </TD></TR><TR><TD class=data-inset-cell scope=row>Body aches
            </TD><TD class=data-row align=right>10
            </TD><TD class=data-row align=right>(33)
            </TD></TR><TR><TD class=data-inset-cell scope=row>Rhinorrhea
            </TD><TD class=data-row align=right>9
            </TD><TD class=data-row align=right>(30)
            </TD></TR><TR><TD class=data-inset-cell scope=row>Headache
            </TD><TD class=data-row align=right>5
            </TD><TD class=data-row align=right>(17)
            </TD></TR><TR><TD class=data-inset-cell scope=row>Conjunctivitis
            </TD><TD class=data-row align=right>3
            </TD><TD class=data-row align=right>(10)
            </TD></TR><TR><TD class=data-inset-cell scope=row>Diarrhea
            </TD><TD class=data-row align=right>3
            </TD><TD class=data-row align=right>(10)
            </TD></TR><TR><TD class=data-inset-cell scope=row>Altered mental status
            </TD><TD class=data-row align=right>2
            </TD><TD class=data-row align=right>(7)
            </TD></TR><TR><TD class=data-inset-cell scope=row>Generalized weakness
            </TD><TD class=data-row align=right>2
            </TD><TD class=data-row align=right>(7)
            </TD></TR><TR><TD class=space-row scope=row>Clinical findings and course
            </TD><TD class=space-row align=right></TD><TD class=space-row align=right></TD></TR><TR><TD class=data-inset-cell scope=row>Infiltrates on chest radiograph**
            </TD><TD class=data-row align=right>15
            </TD><TD class=data-row align=right>(60)
            </TD></TR><TR><TD class=data-inset-cell scope=row>Intensive-care unit admission
            </TD><TD class=data-row align=right>6
            </TD><TD class=data-row align=right>(20)
            </TD></TR><TR><TD class=data-inset-cell scope=row>Mechanical ventilation
            </TD><TD class=data-row align=right>4
            </TD><TD class=data-row align=right>(13)
            </TD></TR><TR><TD class=data-inset-cell scope=row>Antiviral treatment
            </TD><TD class=data-row align=right>15
            </TD><TD class=data-row align=right>(50)
            </TD></TR><TR><TD class=footnote-row scope=row colSpan=3>* Conditions listed are not mutually exclusive; certain patients had multiple underlying chronic diseases.
            † Includes asthma, chronic obstructive pulmonary disorder, bronchopulmonary dysplasia/respiratory distress syndrome, bronchiolitis obliterans organizing pneumonia, Sjogren syndrome, and obstructive sleep apnea.
            ¶ Includes congenital heart disease, atrial fibrillation, status-post aortic valve replacement, and coronary artery disease.
            § Includes immunosuppressive drugs, cancer, and congenital immunodeficiency.
            ** Out of 25 cases with chest radiographs.
            </TD></TR></TBODY></TABLE>

            <TABLE class=data-table><TBODY><TR><TH class=header-row scope=col colSpan=11>TABLE 2. Detailed clinical characteristics for 30 hospitalized patients with novel influenza A (H1N1) --- California, April 15, 2009--May 17, 2009 (Continued)
            </TH></TR><TR><TH class=column-head scope=col>Patient no.
            </TH><TH class=column-head scope=col>Age
            </TH><TH class=column-head scope=col>Sex
            </TH><TH class=column-head scope=col>Underlying conditions*
            </TH><TH class=column-head scope=col>Admission diagnosis
            </TH><TH class=column-head scope=col>Abnormal complete blood count values
            </TH><TH class=column-head scope=col>Chest radiographic findings
            </TH><TH class=column-head scope=col>Intensive-care unit admission
            </TH><TH class=column-head scope=col>Mechanical ventilation
            </TH><TH class=column-head scope=col>Antiviral treatment
            </TH><TH class=column-head scope=col>Length of stay
            </TH></TR><TR><TD class=text-row scope=row>1
            </TD><TD class=text-row>27 days
            </TD><TD class=text-row>F
            </TD><TD class=text-row>None
            </TD><TD class=text-row>Rule out sepsis
            </TD><TD class=text-row>None
            </TD><TD class=text-row>Normal
            </TD><TD class=text-row>No
            </TD><TD class=text-row>No
            </TD><TD class=text-row>None
            </TD><TD class=text-row>3 days
            </TD></TR><TR><TD class=text-row scope=row>2
            </TD><TD class=text-row>6 wks
            </TD><TD class=text-row>M
            </TD><TD class=text-row>None
            </TD><TD class=text-row>Pneumonia
            </TD><TD class=text-row>Anemia†
            </TD><TD class=text-row>Bilateral infiltrates
            </TD><TD class=text-row>No
            </TD><TD class=text-row>No
            </TD><TD class=text-row>Oseltamivir
            </TD><TD class=text-row>6 days
            </TD></TR><TR><TD class=text-row scope=row>3
            </TD><TD class=text-row>5 mos
            </TD><TD class=text-row>F
            </TD><TD class=text-row>Prematurity, intrauterine growth retardation, bronchopulmonary dysplasia, congenital heart disease, chronic corticosteroid administration
            </TD><TD class=text-row>Respiratory Distress Syndrome, prematurity
            </TD><TD class=text-row>Leukocytosis,§ anemia†
            </TD><TD class=text-row>Bilateral infiltrates
            </TD><TD class=text-row>Yes
            </TD><TD class=text-row>Yes
            </TD><TD class=text-row>None
            </TD><TD class=text-row>Still hospitalized: day 167
            </TD></TR><TR><TD class=text-row scope=row>4
            </TD><TD class=text-row>17 mos
            </TD><TD class=text-row>M
            </TD><TD class=text-row>None
            </TD><TD class=text-row>Pneumonia respiratory failure
            </TD><TD class=text-row>Leukocytosis,§ lymphopenia¶
            </TD><TD class=text-row>Bilateral infiltrates
            </TD><TD class=text-row>No
            </TD><TD class=text-row>No
            </TD><TD class=text-row>None
            </TD><TD class=text-row>2 days
            </TD></TR><TR><TD class=text-row scope=row>5
            </TD><TD class=text-row>3 yrs
            </TD><TD class=text-row>F
            </TD><TD class=text-row>None
            </TD><TD class=text-row>Dehydration
            </TD><TD class=text-row>None
            </TD><TD class=text-row>Not done
            </TD><TD class=text-row>No
            </TD><TD class=text-row>No
            </TD><TD class=text-row>Oseltamivir
            </TD><TD class=text-row>1 day
            </TD></TR><TR><TD class=text-row scope=row>6
            </TD><TD class=text-row>3 yrs
            </TD><TD class=text-row>M
            </TD><TD class=text-row>T-cell immunodeficiency
            </TD><TD class=text-row>Pneumonia
            </TD><TD class=text-row>Leukocytosis,§ anemia†
            </TD><TD class=text-row>Bilateral infiltrates
            </TD><TD class=text-row>Yes
            </TD><TD class=text-row>No
            </TD><TD class=text-row>Oseltamivir
            </TD><TD class=text-row>5 days
            </TD></TR><TR><TD class=text-row scope=row>7
            </TD><TD class=text-row>7 yrs
            </TD><TD class=text-row>F
            </TD><TD class=text-row>Asthma, obesity
            </TD><TD class=text-row>Asthma exacerbation
            </TD><TD class=text-row>Leukopenia**
            </TD><TD class=text-row>Unilobar infiltrate
            </TD><TD class=text-row>No
            </TD><TD class=text-row>No
            </TD><TD class=text-row>None
            </TD><TD class=text-row>4 days
            </TD></TR><TR><TD class=text-row scope=row>8
            </TD><TD class=text-row>9 yrs
            </TD><TD class=text-row>M
            </TD><TD class=text-row>Asthma
            </TD><TD class=text-row>Dehydration
            </TD><TD class=text-row>Leukopenia** Lymphopenia¶
            </TD><TD class=text-row>Hyperinflation, perivascular cuffing
            </TD><TD class=text-row>No
            </TD><TD class=text-row>No
            </TD><TD class=text-row>None
            </TD><TD class=text-row>5 days
            </TD></TR><TR><TD class=text-row scope=row>9
            </TD><TD class=text-row>15 yrs
            </TD><TD class=text-row>M
            </TD><TD class=text-row>Seizure disorder
            </TD><TD class=text-row>Dehydration
            </TD><TD class=text-row>Lymphopenia¶
            </TD><TD class=text-row>Normal
            </TD><TD class=text-row>No
            </TD><TD class=text-row>No
            </TD><TD class=text-row>Oseltamivir
            </TD><TD class=text-row>1 day
            </TD></TR><TR><TD class=text-row scope=row>10
            </TD><TD class=text-row>15 yrs
            </TD><TD class=text-row>M
            </TD><TD class=text-row>Cerebral palsy, asthma, seizure disorder
            </TD><TD class=text-row>Fever, seizure
            </TD><TD class=text-row>Thrombocytopenia††
            </TD><TD class=text-row>Multilobar infiltrates
            </TD><TD class=text-row>No
            </TD><TD class=text-row>No
            </TD><TD class=text-row>Oseltamivir
            </TD><TD class=text-row>Still hospitalized: day 11
            </TD></TR><TR><TD class=text-row scope=row>11
            </TD><TD class=text-row>17 yrs
            </TD><TD class=text-row>F
            </TD><TD class=text-row>Pregnancy
            </TD><TD class=text-row>Not available
            </TD><TD class=text-row>Not available
            </TD><TD class=text-row>Not available
            </TD><TD class=text-row>No
            </TD><TD class=text-row>No
            </TD><TD class=text-row>Oseltamivir
            </TD><TD class=text-row>5 days
            </TD></TR><TR><TD class=text-row scope=row>12
            </TD><TD class=text-row>19 yrs
            </TD><TD class=text-row>F
            </TD><TD class=text-row>None
            </TD><TD class=text-row>Acute pharyngitis
            </TD><TD class=text-row>Lymphopenia¶
            </TD><TD class=text-row>Normal
            </TD><TD class=text-row>No
            </TD><TD class=text-row>No
            </TD><TD class=text-row>Oseltamivir
            </TD><TD class=text-row>1 day
            </TD></TR><TR><TD class=text-row scope=row>13
            </TD><TD class=text-row>19 yrs
            </TD><TD class=text-row>F
            </TD><TD class=text-row>Pregnancy
            </TD><TD class=text-row>Rule out sepsis
            </TD><TD class=text-row>Lymphopenia¶
            </TD><TD class=text-row>Not done
            </TD><TD class=text-row>No
            </TD><TD class=text-row>No
            </TD><TD class=text-row>None
            </TD><TD class=text-row>2 days
            </TD></TR><TR><TD class=text-row scope=row>14
            </TD><TD class=text-row>21 yrs
            </TD><TD class=text-row>F
            </TD><TD class=text-row>None
            </TD><TD class=text-row>Dehydration
            </TD><TD class=text-row>None
            </TD><TD class=text-row>Normal
            </TD><TD class=text-row>No
            </TD><TD class=text-row>No
            </TD><TD class=text-row>Oseltamivir
            </TD><TD class=text-row>2 days
            </TD></TR><TR><TD class=text-row scope=row>15
            </TD><TD class=text-row>26 yrs
            </TD><TD class=text-row>F
            </TD><TD class=text-row>None
            </TD><TD class=text-row>Pneumonia, respiratory failure
            </TD><TD class=text-row>None
            </TD><TD class=text-row>Unilobar infiltrate
            </TD><TD class=text-row>No
            </TD><TD class=text-row>No
            </TD><TD class=text-row>Oseltamivir
            </TD><TD class=text-row>2 days
            </TD></TR><TR><TD class=text-row scope=row>16
            </TD><TD class=text-row>29 yrs
            </TD><TD class=text-row>F
            </TD><TD class=text-row>Pregnancy
            </TD><TD class=text-row>Pneumonia
            </TD><TD class=text-row>Leukocytosis§
            </TD><TD class=text-row>Bilateral infiltrates
            </TD><TD class=text-row>Yes
            </TD><TD class=text-row>No
            </TD><TD class=text-row>None
            </TD><TD class=text-row>9 days
            </TD></TR><TR><TD class=text-row scope=row>17
            </TD><TD class=text-row>30 yrs
            </TD><TD class=text-row>F
            </TD><TD class=text-row>Diabetes melitus, obesity
            </TD><TD class=text-row>Viral syndrome, vomiting
            </TD><TD class=text-row>None
            </TD><TD class=text-row>None
            </TD><TD class=text-row>No
            </TD><TD class=text-row>No
            </TD><TD class=text-row>Oseltamivir
            </TD><TD class=text-row>1 day
            </TD></TR><TR><TD class=text-row scope=row>18
            </TD><TD class=text-row>32 yrs
            </TD><TD class=text-row>M
            </TD><TD class=text-row>Obstructive sleep apnea
            </TD><TD class=text-row>Respiratory failure
            </TD><TD class=text-row>Leukocytosis,§ lymphopenia¶
            </TD><TD class=text-row>Bilateral infiltrates
            </TD><TD class=text-row>Yes
            </TD><TD class=text-row>Yes
            </TD><TD class=text-row>Oseltamivir
            </TD><TD class=text-row>8 days
            </TD></TR>
            </TBODY></TABLE>

            <TABLE class=data-table><TBODY><TR><TH class=header-row scope=col colSpan=11>TABLE 2. (Continued) Detailed clinical characteristics for 30 hospitalized patients with novel influenza A (H1N1) --- California, April 15, 2009--May 17, 2009
            </TH></TR><TR><TH class=column-head scope=col>Patient no.
            </TH><TH class=column-head scope=col>Age
            </TH><TH class=column-head scope=col>Sex
            </TH><TH class=column-head scope=col>Underlying conditions*
            </TH><TH class=column-head scope=col>Admission diagnosis
            </TH><TH class=column-head scope=col>Abnormal complete blood count values
            </TH><TH class=column-head scope=col>Chest radiographic findings
            </TH><TH class=column-head scope=col>Intensive-care unit admission
            </TH><TH class=column-head scope=col>Mechanical ventilation
            </TH><TH class=column-head scope=col>Antiviral treatment
            </TH><TH class=column-head scope=col>Length of stay
            </TH></TR><TR><TD class=text-row scope=row>19
            </TD><TD class=text-row>34 yrs
            </TD><TD class=text-row>F
            </TD><TD class=text-row>Asthma, pregnancy
            </TD><TD class=text-row>Dehydration
            </TD><TD class=text-row>Leukopenia,** thrombocytopenia††
            </TD><TD class=text-row>None
            </TD><TD class=text-row>No
            </TD><TD class=text-row>No
            </TD><TD class=text-row>None
            </TD><TD class=text-row>7 days
            </TD></TR><TR><TD class=text-row scope=row>20
            </TD><TD class=text-row>35 yrs
            </TD><TD class=text-row>F
            </TD><TD class=text-row>None
            </TD><TD class=text-row>Pneumonia
            </TD><TD class=text-row>Leukocytosis,§ anemia†
            </TD><TD class=text-row>Not done
            </TD><TD class=text-row>No
            </TD><TD class=text-row>No
            </TD><TD class=text-row>None
            </TD><TD class=text-row>7 days
            </TD></TR><TR><TD class=text-row scope=row>21
            </TD><TD class=text-row>35 yrs
            </TD><TD class=text-row>F
            </TD><TD class=text-row>Down syndrome, congenital heart defect, congenital T-cell deficiency
            </TD><TD class=text-row>Pneumonia, respiratory failure
            </TD><TD class=text-row>Lymphopenia,¶ thrombocytopenia††
            </TD><TD class=text-row>Bilateral infiltrates
            </TD><TD class=text-row>No
            </TD><TD class=text-row>No
            </TD><TD class=text-row>None
            </TD><TD class=text-row>4 days
            </TD></TR><TR><TD class=text-row scope=row>22
            </TD><TD class=text-row>40 yrs
            </TD><TD class=text-row>F
            </TD><TD class=text-row>Asthma, HTN, obesity
            </TD><TD class=text-row>Pneumonia, respiratory failure
            </TD><TD class=text-row>Leukocytosis,§ anemia†
            </TD><TD class=text-row>Bilateral infiltrates
            </TD><TD class=text-row>Yes
            </TD><TD class=text-row>Yes
            </TD><TD class=text-row>None
            </TD><TD class=text-row>Still hospitalized: day 18
            </TD></TR><TR><TD class=text-row scope=row>23
            </TD><TD class=text-row>41 yrs
            </TD><TD class=text-row>F
            </TD><TD class=text-row>Autoimmune hepatitis/biliary cirrhosis s/p liver transplant, HTN, obesity
            </TD><TD class=text-row>Viral syndrome
            </TD><TD class=text-row>Leukopenia,¶ anemia,† thrombocytopenia††
            </TD><TD class=text-row>Unilobar infiltrate
            </TD><TD class=text-row>No
            </TD><TD class=text-row>No
            </TD><TD class=text-row>Oseltamivir
            </TD><TD class=text-row>6 days
            </TD></TR><TR><TD class=text-row scope=row>24
            </TD><TD class=text-row>42 yrs
            </TD><TD class=text-row>F
            </TD><TD class=text-row>Asthma, gastrointestinal reflux, pregnancy
            </TD><TD class=text-row>Premature rupture of membranes, pre-eclampsia
            </TD><TD class=text-row>None
            </TD><TD class=text-row>Not done
            </TD><TD class=text-row>No
            </TD><TD class=text-row>No
            </TD><TD class=text-row>Oseltamivir
            </TD><TD class=text-row>4 days
            </TD></TR><TR><TD class=text-row scope=row>25
            </TD><TD class=text-row>49 yrs
            </TD><TD class=text-row>M
            </TD><TD class=text-row>Aortic valve replacement, HTN, lupus nephritis, seizure disorder
            </TD><TD class=text-row>Fever
            </TD><TD class=text-row></TD><TD class=text-row>Not available
            </TD><TD class=text-row>No
            </TD><TD class=text-row>No
            </TD><TD class=text-row>None
            </TD><TD class=text-row>Still hospitalized: day 15
            </TD></TR><TR><TD class=text-row scope=row>26
            </TD><TD class=text-row>69 yrs
            </TD><TD class=text-row>M
            </TD><TD class=text-row>COPD, HTN, atrial fibrillation
            </TD><TD class=text-row>Respiratory distress
            </TD><TD class=text-row>Leukopenia¶
            </TD><TD class=text-row>Normal
            </TD><TD class=text-row>No
            </TD><TD class=text-row>No
            </TD><TD class=text-row>None
            </TD><TD class=text-row>Still hospitalized: day 13
            </TD></TR><TR><TD class=text-row scope=row>27
            </TD><TD class=text-row>72 yrs
            </TD><TD class=text-row>F
            </TD><TD class=text-row>COPD, BOOP, DM, atrial fibrillation, HTN, chronic corticosteroid administration
            </TD><TD class=text-row>Respiratory distress
            </TD><TD class=text-row>Leukocytosis§
            </TD><TD class=text-row>Unilobar infiltrate
            </TD><TD class=text-row>No
            </TD><TD class=text-row>No
            </TD><TD class=text-row>None
            </TD><TD class=text-row>10 days
            </TD></TR><TR><TD class=text-row scope=row>28
            </TD><TD class=text-row>73 yrs
            </TD><TD class=text-row>F
            </TD><TD class=text-row>COPD, HTN
            </TD><TD class=text-row>Respiratory distress
            </TD><TD class=text-row>Lymphopenia¶
            </TD><TD class=text-row>Normal
            </TD><TD class=text-row>No
            </TD><TD class=text-row>No
            </TD><TD class=text-row>Oseltamivir
            </TD><TD class=text-row>3 days
            </TD></TR><TR><TD class=text-row scope=row>29
            </TD><TD class=text-row>87 yrs
            </TD><TD class=text-row>F
            </TD><TD class=text-row>CAD, COPD, HTN, breast cancer
            </TD><TD class=text-row>Pneumonia, respiratory failure
            </TD><TD class=text-row>Leukocytosis,§ anemia†
            </TD><TD class=text-row>Bilateral infiltrates and pleural effusions
            </TD><TD class=text-row>Yes
            </TD><TD class=text-row>Yes
            </TD><TD class=text-row>None
            </TD><TD class=text-row>Still hospitalized: day 27
            </TD></TR><TR><TD class=text-row scope=row>30
            </TD><TD class=text-row>89 yrs
            </TD><TD class=text-row>F
            </TD><TD class=text-row>Sjogren syndrome, pulmonary fibrosis, chronic corticosteroid administration, HTN
            </TD><TD class=text-row>Not available
            </TD><TD class=text-row>Leukocytosis,§ positive D-dimer
            </TD><TD class=text-row>Unilobar infiltrate
            </TD><TD class=text-row>No
            </TD><TD class=text-row>No
            </TD><TD class=text-row>Oseltamivir
            </TD><TD class=text-row>Still hospitalized: day 4
            </TD></TR><TR><TD class=footnote-row scope=row colSpan=11>* HTN: hypertension. COPD: chronic obstructive pulmonary disease. CAD: coronary artery disease. BOOP: bronchiolitis obliterans organizing pneumonia.
            † Hematocrit <35%.
            § Total leukocyte count >10 cells/mm3.
            ¶ Total lymphocyte count <800 cells/mm3.
            ** White blood cell count <5,000 cells/mm3.
            †† Platelet count <150,000 cells/mm3.
            </TD></TR></TBODY></TABLE>

            <TABLE width="100%" border=1><TBODY><TR><TD><SMALL>Use of trade names and commercial sources is for identification only and does not imply endorsement by the U.S. Department of Health and Human Services. <HR align=center width="10%">References to non-CDC sites on the Internet are provided as a service to MMWR readers and do not constitute or imply endorsement of these organizations or their programs by CDC or the U.S. Department of Health and Human Services. CDC is not responsible for the content of pages found at these sites. URL addresses listed in MMWR were current as of the date of publication.</SMALL>
            </TD></TR></TBODY></TABLE><SMALL>All MMWR HTML versions of articles are electronic conversions from typeset documents. This conversion might result in character translation or format errors in the HTML version. Users are referred to the electronic PDF version (http://www.cdc.gov/mmwr) and/or the original MMWR paper copy for printable versions of official text, figures, and tables. An original paper copy of this issue can be obtained from the Superintendent of Documents, U.S. Government Printing Office (GPO), Washington, DC 20402-9371; telephone: (202) 512-1800. Contact GPO for current prices.</SMALL>
            **Questions or messages regarding errors in formatting should be addressed to mmwrq@cdc.gov.
            Date last reviewed: 5/18/2009
            </TD></TR></TBODY></TABLE>

            http://www.cdc.gov/mmwr/preview/mmwr...m58e0518a1.htm

            http://www.cdph.ca.gov/HealthInfo/di...Influenza.aspx

            Comment


            • #7
              Re: Californie: 445 cas confirmés et 227 cas probables

              Our Mission: The California Department of Public Health is dedicated to optimizing the health and well-being of the people in California. Learn About Us and meet our Director, Dr. Mark Horton.
              Dr. Mark Horton discusses H1N1 Swine Flu See Video

              Latest News:

              H1N1 (Swine Flu) Outbreak:
              H1N1 (Swine Flu) Hotline for the Public (1-888-865-0564):
              CDPH has activated a toll-free H1N1 (Swine Flu) hotline in English and Spanish. Assistance in other languages is also available. The hotline is operational from 8 a.m. to 5 p.m. 7 days a week.
              California Case Total (May 21, 2009, 2:30 p.m.). Updated each Thursday afternoon. Map
              Confirmed: 445. Counties: Alameda, 29; Amador 1; Calaveras 1; Contra Costa, 24; El Dorado 6; Imperial 56; Kings 1; Los Angeles 43; Marin 12; Monterey 5; Orange 19; Placer 1; Riverside 15; Sacramento 7; San Bernardino 61; San Diego 92; San Francisco 9; San Joaquin 8; San Luis Obispo 17; San Mateo 4; Santa Clara 14; Shasta 1; Sonoma 2; Sutter 1; Tehama 1; Tulare 5; Ventura 10.
              Probable: 227. Counties: Alameda 3; Butte 1; Contra Costa 22; El Dorado 1; Imperial 17; Los Angeles 44; Madera 3; Marin 1; Monterey 7; Orange 8; Riverside 23; Sacramento 3; San Benito, 1; San Bernardino 21; San Diego 35; San Joaquin 1; Santa Barbara 1; Santa Clara 21; Solano 3; Sonoma 1; Stanislaus 1; Ventura 8; Yolo 1.
              Latest News about H1N1 (Swine Flu):

              http://www.cdph.ca.gov/Pages/default.aspx

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              • #8
                Re: Californie: 576 cas confirmés et 226 cas probables

                Latest News:

                H1N1 (Swine Flu) Outbreak:
                CDPH Confirms Two Deaths From Novel H1N1 Flu
                H1N1 (Swine Flu) Hotline for the Public (1-888-865-0564):
                CDPH has activated a toll-free H1N1 (Swine Flu) hotline in English and Spanish. Assistance in other languages is also available. The hotline is operational from 8 a.m. to 5 p.m. 7 days a week.

                California Case Total (May 28, 2009, 5:00 p.m.). Updated each Thursday afternoon. Map

                Confirmed: 576. Counties: Alameda, 34; Amador 1; Butte 1; Calaveras 1; Contra Costa, 50; El Dorado 6; Imperial 58; Kings 1; Los Angeles 73; Madera 3; Marin 13; Monterey 12; Orange 22; Placer 1; Riverside 24; Sacramento 7; San Benito 1; San Bernardino 74; San Diego 119; San Francisco 9; San Joaquin 8; San Luis Obispo 17; San Mateo 5; Santa Clara 14; Shasta 1; Sonoma 2; Sutter 1; Tehama 2; Tulare 6; Ventura 10.

                Probable: 226. Counties: Alameda 6; Contra Costa 16; El Dorado 1; Imperial 17; Los Angeles 43; Monterey 3; Orange 8; Riverside 20; Sacramento 3; San Benito, 2; San Bernardino 20; San Diego 33; San Joaquin 1; San Mateo 3; Santa Barbara 2; Santa Clara 31; Santa Cruz 2; Shasta 1; Solano 3; Sonoma 2; Stanislaus 1; Ventura 7; Yolo 1.
                Latest News about H1N1 (Swine Flu):
                <MENU><MENU>H1N1 (Swine Flu) Homepage (CDPH)
                Updates on H1N1 (Swine Flu) Investigation (CDC)
                </MENU></MENU>http://www.cdph.ca.gov/Pages/default.aspx

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                • #9
                  Re: Californie: 1519 cas

                  Latest News

                  Reported Cases of Novel Influenza A (H1N1) Virus Infections in California as of June 25, 2009: 1519 cases (1294 confirmed, 225 probable). Provisional data is posted weekly on Thursday afternoons.


                  http://www.cdph.ca.gov/HealthInfo/di...Influenza.aspx

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                  • #10
                    Re: Californie: 1519 cas

                    <table border="0" cellpadding="0" cellspacing="0" width="100%"><tbody><tr><td colspan="2" class="f-title">

                    </td> </tr> <tr> <td style="font-family: Arial,Helvetica,sans-serif; font-size: 13px;" align="center">Publié le 2009-07-10 15:03:29 | French. News. Cn</td> <td> <table class="taille" align="right" border="0" cellpadding="0" cellspacing="0" width="140"> <tbody><tr> <td width="100" height="30">
                    </td> <td align="center" width="20">
                    </td> <td width="1"></td> <td align="center" width="20">
                    </td> </tr> </tbody></table> </td> </tr> </tbody></table> <!-- begin_ct --> HOUSTON (Etats-Unis), 10 juillet (Xinhua) -- Le nombre total des décès dus à la grippe A/H1N1 a été porté à 32 en Californie, l'Etat le plus peuplé des Etats-Unis, alors que le nombre de cas confirmés et probables s'élève désormais à 2.469, selon les dernières statistiques publiées jeudi par le département de la Santé publique de Californie.
                    Au total 11 nouveaux décès ont été rapportés en Californie durant la semaine dernière, et 484 nouveaux cas confirmés et probables ont été découverts sur la même période.
                    Depuis le déclenchement de l'épidémie A/H1N1, la Californie a été parmi les Etats les plus touchés par le virus H1N1, San Diego et Orange étant les deux comtés les plus touchés en Californie, avec cinq décès et des centaines de cas confirmés pour chacun des deux.
                    Cependant, le département a indiqué que le nombre rapporté de cas en Californie ne réflétait pas le nombre réel de cas dans l'Etat, du fait que des individus en consultation externe ne passent pas de test prouvant ou non qu'ils sont atteints du virus, et que beaucoup de cas ne peuvent pas être découverts en raison de la nature modérée du virus chez la plupart des patients.

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