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The Discovery of the 2009 A/H1N1 Pandemic - Mexico: April 17 New Respiratory Illnesses - Including Mexico City & Oaxaca

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  • Re: Mexico: Respiratory Illnesses - Including Mexico City & Oaxaca

    per PAHO -


    "...Acute respiratory diseases: The cumulative incidence of pneumonia and influenza was 184 per 100,000, 1997-2000. Registered mortality from respiratory diseases, including pneumonia and influenza was 43 cases per 100,000, 1999...."


    Comment


    • Re: Mexico: Respiratory Illnesses - Including Mexico City & Oaxaca

      We are very alarmed, and have had alerts issued by our Ministry of health regarding a respiratory outbreak in mexico, describing several deaths, many in previously healthy young adults, and health care workers affected. We are including Mexico in our Febrile Respiratory illness screening of all pts in ER and admissions.
      Why hasn't this hit the Major news yet?????????????



      ONTARIO, CANADA
      Cornwall Crown Attorney contracted unknown illness on Mexico trip


      Simard on life support, family member says

      Posted By David Nesseth and Michael Peeling, The Cornwall Standard Freeholder

      CORNWALL ? Acting city Crown Attorney Guy D. Simard, 47, is in a coma after he contracted an unknown illness during a recent trip to Mexico, a family member said.

      Simard is in Ottawa General Hospital, where he admitted himself after gradually feeling worse since he returned from the trip on March 22.

      ?We don?t know, the hospital doesn?t know (what he contracted),? said Lise Lavictoire, Simard?s aunt.

      Lavictoire confirmed that Simard is on a respirator and awaiting a blood transfusion.

      ?They?re doing other tests today,? she added. ?They said he?s very strong, so they have hope.?

      Simard is surrounded by family at the hospital, she said, including his mother, wife and son.

      Murray MacDonald, director of prosecutors for eastern Ontario, said he will be monitoring Simard's health before deciding on a course of action about his duties.

      Simard, a graduate of the University of Ottawa, took on the position of Acting Crown Attorney in January after MacDonald, Cornwall?s former Crown Attorney, took on a contract position in Ottawa.

      "He is very ill right now," said a colleague of Simard at the Ministry of the Attorney General. "We're hoping he can pull through this illness."

      Article ID# 1502177

      Comment


      • Re: Mexico: Respiratory Illnesses - Including Mexico City & Oaxaca

        Welcome Terrafirma!

        Do you think that Canada is extra cautionary due to the SARS episode?

        Comment


        • Re: Mexico: Respiratory Illnesses - Including Mexico City & Oaxaca

          Originally posted by terrafirma View Post
          We are very alarmed, and have had alerts issued by our Ministry of health regarding a respiratory outbreak in mexico, describing several deaths, many in previously healthy young adults, and health care workers affected. We are including Mexico in our Febrile Respiratory illness screening of all pts in ER and admissions.
          Why hasn't this hit the Major news yet?????????????



          ONTARIO, CANADA
          Cornwall Crown Attorney contracted unknown illness on Mexico trip


          Simard on life support, family member says

          Posted By David Nesseth and Michael Peeling, The Cornwall Standard Freeholder

          CORNWALL ? Acting city Crown Attorney Guy D. Simard, 47, is in a coma after he contracted an unknown illness during a recent trip to Mexico, a family member said.

          Simard is in Ottawa General Hospital, where he admitted himself after gradually feeling worse since he returned from the trip on March 22.

          ?We don?t know, the hospital doesn?t know (what he contracted),? said Lise Lavictoire, Simard?s aunt.

          Lavictoire confirmed that Simard is on a respirator and awaiting a blood transfusion.

          ?They?re doing other tests today,? she added. ?They said he?s very strong, so they have hope.?

          Simard is surrounded by family at the hospital, she said, including his mother, wife and son.

          Murray MacDonald, director of prosecutors for eastern Ontario, said he will be monitoring Simard's health before deciding on a course of action about his duties.

          Simard, a graduate of the University of Ottawa, took on the position of Acting Crown Attorney in January after MacDonald, Cornwall?s former Crown Attorney, took on a contract position in Ottawa.

          "He is very ill right now," said a colleague of Simard at the Ministry of the Attorney General. "We're hoping he can pull through this illness."

          Article ID# 1502177
          Crown attorney Simard's condition improving



          Posted By MICHAEL PEELING

          Posted 15 days ago

          <table style=""> <tbody><tr> <td style="width: 521px;">
          </td> <td style="vertical-align: top;">
          </td> </tr> </tbody></table>

          Crown attorney Guy Simard is making a strong recovery from a life-threatening illness.
          Simard was the area's head legal prosecutor for only a few months when a serious respiratory infection that turned into pneumonia sent him to the hospital in his home of Hawkesbury two weeks ago.
          His condition took a turn for the worse after spending the night in the hospital, prompting doctors to have him airlifted to an Ottawa hospital.
          Simard is still in the intensive care unit, but his colleague Murray MacDonald, director of prosecutors for Eastern Ontario, said his successor as Cornwall Crown attorney is expected to be moved out of the ICU any day now.
          "He is awake and anxious to get back on his feet," MacDonald said. "He wants to extend his deep appreciation for the words and letters of support he has received from friends and family."
          MacDonald said Simard won't be returning to work anytime soon as he needs time to recover.
          There are currently measures in place to cover for Simard's absence, but MacDonald will be naming an acting Crown attorney for the Cornwall office later this week.


          Comment


          • Re: Mexico: Respiratory Illnesses - Including Mexico City &amp; Oaxaca

            Certainly that's where the turning point was, but I don't believe we are doing anything other than what is prudent and safe. (We routinely perform Febrile Respiratory illness screening on all ER and admitted patients, and have just added Mexico to the list of travel "hot zones"). Apparantly our Government has been notified by the Mexican authorities of the situation. Here is part of the MEMO issued:

            " THE MOHLTC and the "OAHPP were contacted April 20 by the PHAC (Public Health Agency Canada) regarding a number of sever respiratory illness (SRI) cases occurring in various locations of south and central mexico. The cases in Mexico presented with influenza-like symptoms that rapidly progressed to severe respiratory distress in about 5 days, with many requiring mechanical ventilation. Some patients have died. most cases have occurred in previously healthy young adults aged between 25-44 years old. Some health care workers have been affected.. Some specimens have teste d positive for influenza A and B viruses; however it is not clear at this stage whether these cases represent isolated events or whether they are linked. Furthermore, there is no evidence at present to suggest infection with an unusual pathogen, including a novel strain of influenza.
            Recommended Actions for Ontario Health Care Providers:
            - given the severity of cases, it is prudent for front line providers to actively look for cases of SRI, particularly in persons recently returned (within 2 weeks) from Mexico, and report information to your local Medical officer of Health". ...

            Comment


            • Re: Mexico: Respiratory Illnesses - Including Mexico City &amp; Oaxaca



              Swine Flu (H1N1) Infection in Two Children Southern California March - April, 2009
              ... unique combination of gene segments that previously has not been reported among swine or human influenza viruses...

              Comment


              • Re: Mexico: Respiratory Illnesses - Including Mexico City &amp; Oaxaca

                Originally posted by terrafirma View Post
                Certainly that's where the turning point was, but I don't believe we are doing anything other than what is prudent and safe. (We routinely perform Febrile Respiratory illness screening on all ER and admitted patients, and have just added Mexico to the list of travel "hot zones"). Apparantly our Government has been notified by the Mexican authorities of the situation. Here is part of the MEMO issued:

                " THE MOHLTC and the "OAHPP were contacted April 20 by the PHAC (Public Health Agency Canada) regarding a number of sever respiratory illness (SRI) cases occurring in various locations of south and central mexico. The cases in Mexico presented with influenza-like symptoms that rapidly progressed to severe respiratory distress in about 5 days, with many requiring mechanical ventilation. Some patients have died. most cases have occurred in previously healthy young adults aged between 25-44 years old. Some health care workers have been affected.. Some specimens have teste d positive for influenza A and B viruses; however it is not clear at this stage whether these cases represent isolated events or whether they are linked. Furthermore, there is no evidence at present to suggest infection with an unusual pathogen, including a novel strain of influenza.
                Recommended Actions for Ontario Health Care Providers:
                - given the severity of cases, it is prudent for front line providers to actively look for cases of SRI, particularly in persons recently returned (within 2 weeks) from Mexico, and report information to your local Medical officer of Health". ...

                Thank you for this. As a public health site we are very cautionary and appreciate the attention given to this by Canada Public Health.


                Last edited by sharon sanders; April 23, 2009, 07:43 AM. Reason: added link to Canada Public Health

                Comment


                • Re: Mexico: Respiratory Illnesses - Including Mexico City &amp; Oaxaca

                  Originally posted by terrafirma View Post
                  http://www.cdc.gov/mmwr/preview/mmwr...m58d0421a1.htm

                  Swine Flu (H1N1) Infection in Two Children Southern California March - April, 2009
                  ... unique combination of gene segments that previously has not been reported among swine or human influenza viruses...

                  Link to thread about Swine Flu in Southern California on FluTrackers -

                  Comment


                  • Re: Mexico: Respiratory Illnesses - Including Mexico City &amp; Oaxaca

                    Originally posted by terrafirma View Post
                    C Some specimens have teste d positive for influenza A and B viruses; however it is not clear at this stage whether these cases represent isolated events or whether they are linked. Furthermore, there is no evidence at present to suggest infection with an unusual pathogen, including a novel strain of influenza.
                    At this point, the nature of the lack of evidence for a novel strain of influenza is remains unclear. If it just means that there is no evidence for H5N1, then something related to the H1N1 swine flu in southern California is a possibility. If it means that the associated flu was seasonal flu (B, H1N1, or H3N2) then swine flu is unlikely because it does not sub-type as seasonal flu (unless the samples are a mixture of seasonal and swine flu, which of course would be a VERY bad combination).

                    Any details on the "lack of evidence"?

                    Comment


                    • Re: Mexico: Respiratory Illnesses - Including Mexico City &amp; Oaxaca

                      Sorry, nothing further to offer!

                      Comment


                      • Re: Mexico: Respiratory Illnesses - Including Mexico City &amp; Oaxaca

                        Originally posted by terrafirma View Post
                        http://www.cdc.gov/mmwr/preview/mmwr...m58d0421a1.htm

                        Swine Flu (H1N1) Infection in Two Children Southern California March - April, 2009
                        ... unique combination of gene segments that previously has not been reported among swine or human influenza viruses...
                        Just to clarify the above statement, all sequences released at GISAID (HA, NA, M) are clearly swine H1N1. The "unique combination" is in reference to the fact that NA and M are Eurasian swine sequences, while HA (and sequence of other gene segments which have not been released) is North American swine.

                        Thus, the isolates from southern California have 8 swine gene segments, but the combination of swine genes from North America and Europe is unique and has never been reported previously (in humans or swine).

                        Comment


                        • Re: Mexico: Respiratory Illnesses - Including Mexico City &amp; Oaxaca

                          Source: http://www.cbc.ca/health/story/2009/...lu-mexico.html

                          Canadians returning from Mexico urged to be on alert for flu-like symptoms
                          20 die from severe respiratory illness in Mexico
                          Last Updated: Thursday, April 23, 2009 | 9:30 AM ET
                          CBC News

                          Canadians who have recently returned from Mexico should be on alert for flu-like symptoms that could be connected to a severe respiratory illness, according to an advisory sent to health services across Canada.

                          The Public Health Agency of Canada contacted health and quarantine services on April 17 to inform them that Mexican health authorities had advised Canada to be on alert for possible infections.

                          A severe respiratory illness appears to have infected hundreds in south and central areas of Mexico, according to Mexican health officials.

                          The illness has killed at least 20 people in Mexico, mostly men between the ages of 25 and 44, according to a public advisory sent out by Canadian health authorities.

                          Hundreds of people have also reportedly been hospitalized and health-care workers have also been infected.

                          Officials said there are not yet any reports of the illness outside of Mexico.

                          The cause of the illness has not been confirmed. Mexican health officials said samples so far have tested positive for influenza A and B.

                          People infected with the virus initially suffer flu-like symptoms that include fever, cough, sore throat, muscle and joint pain and shortness of breath. The illness then elevates to a severe respiratory illness within about five days.

                          Anyone who has returned from Mexico within the last two weeks and is suffering similar symptoms is being asked to contact a physician.

                          Mexican health authorities said that many of those diagnosed with the illness have had to be put on ventilators.

                          Comment


                          • Re: Mexico: Respiratory Illnesses - Including Mexico City &amp; Oaxaca

                            In post #112 it mentions it is sensitive to Tamiflu. If this source is to be believed, is there any sense in listing the possible flu strains still sensitive to Tamiflu in that area?

                            Comment


                            • Re: Mexico: Respiratory Illnesses - Including Mexico City &amp; Oaxaca

                              Do we know what part of Mexico that Acting city Crown Attorney Guy D. Simard had travelled to? I do not see that information listed anywhere in the media. I am sure that the health authorities did ask.

                              Also, are they testing his contacts? No symptoms in family members?

                              Comment


                              • Re: Mexico: Respiratory Illnesses - Including Mexico City &amp; Oaxaca

                                #132:
                                "influenza-like symptoms that rapidly progressed to severe respiratory distress in about 5 days, with many requiring mechanical ventilation"


                                The researchers knows better, but seems to me that ordinary seasonal flu could not do that.

                                This is more like to the China/Russia/... recent strange outbreaks.

                                The ressembling of SARS or BF "one week to mechanical ventilation" shape seems to point to an serious agent.

                                Comment

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