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Discussion thread: USA - Texas: H1N1pdm09 December 17, 2013+
Re: Discussion thread: USA - Texas: Unknown ILI flu type illness December 17, 2013
I find 2 Conroe Regional Medical Centers on the map. One is in Conroe and the other is in Huntsville. They are north and south of a very large area of a state park, national forest and other recreational areas.
Do we know which hospital they were admitted to?
The salvage of human life ought to be placed above barter and exchange ~ Louis Harris, 1918
Re: Discussion thread: USA - Texas: Unknown ILI flu type illness December 17, 2013
The latest on the news thread here:
USA - Texas: Public Health department confirmed unidentified illness - 4 died out of 8 hospitalized including 2 "very sick" in Montgomery county - more tests pending
I find 2 Conroe Regional Medical Centers on the map. One is in Conroe and the other is in Huntsville. They are north and south of a very large area of a state park, national forest and other recreational areas.
Do we know which hospital they were admitted to?
I'm pretty sure the medical center is in Conroe, mixin, from the media location references.
Here's another question I have for the Montgomery Health Department:
Has E. coli been ruled out? One patient got sick at Thanksgiving and that is a notorious time for food-borne illness outbreaks.
"...there’s an obvious contest that’s happening between different sectors of the colonial ruling class in this country. And they would, if they could, lump us into their beef, their struggle." ---- Omali Yeshitela, African People’s Socialist Party
(My posts are not intended as advice or professional assessments of any kind.) Never forget Excalibur.
I'm pretty sure the medical center is in Conroe, mixin, from the media location references.
Here's another question I have for the Montgomery Health Department:
Has E. coli been ruled out? One patient got sick at Thanksgiving and that is a notorious time for food-borne illness outbreaks.
The symptoms don't really match E. coli. E. coli doesn't really cause pneumonia.
The fact that it now appears there is no contact between the patients (and no HCW are ill) seems to me to rule out severe contagious illnesses such as MERS, plague, etc. That leaves two possibilities:
1. These are the most severe cases of a much wider illness, possibly even seasonal flu.
2. This illness is not spreading H2H, but rather something only these few individuals came in contact with.
At this point, given the high ILI levels in the area, I am leaning toward the first option.
December 18, 2013
Single bacterial super-clone behind world epidemic of drug-resistant E. coli
Michael McCarthy
UW Health Sciences and UW Medicine
Posted under: Health and Medicine, News Releases, Research, Science
Virulent, drug-resistant forms of E. coli that have recently spread around the world emerged from a single strain of the bacteria ? not many different strains, as has been widely supposed. This is the finding of a study reported today, Dec. 17, in mBio. The strain causes millions of urinary, kidney and bloodstream infections a year. It could have a far greater clinical and economic impact than any other strain of bacteria, including the so-called MRSA superbug.
PNEUMONIA ASSOCIATED WITH ACUTE SALMONELLOSISReport of a Case of Salmonella Bronchopneumonia and Fourteen Cases of Interstitial Pneumonia
ALFRED P. INGEGNO, M.D.; JOHN B. D'ALBORA, M.D.; JOHN N. EDSON, M.D.; PETER J. GIANQUINTO, M.D.
Arch Intern Med (Chic). 1948;81(4):476-484. doi:10.1001/archinte.1948.00220220047003.
"...there’s an obvious contest that’s happening between different sectors of the colonial ruling class in this country. And they would, if they could, lump us into their beef, their struggle." ---- Omali Yeshitela, African People’s Socialist Party
(My posts are not intended as advice or professional assessments of any kind.) Never forget Excalibur.
Re: Discussion thread: USA - Texas: Unknown ILI flu type illness December 17, 2013
I think we still know very little about this event.
It appears these are the concrete facts as of this time:
1) 8 people were hospitalized in this event. 4 are dead.
2) 1 alive person tested positive for H1N1pdm09 after initially testing negative previous to this afternoon. There is no information about any co-morbidities, co-infections, or vaccine status in regard to this patient.
3) 2 alive persons tested negative at least twice for some collection of flu strains.
4) The flu re-test results are still pending for 1 alive person.
5) There is very little information provided about the 4 deceased persons. There is a reference that none of these people had been vaccinated with this year's seasonal flu vaccine.
6) There are no patient histories or epidemiological data available/confirmed from any government source. Onset, hospitalization, death dates are missing.
7) All patients tested negative at least once for novel coronavirus.
From the currently available information it is impossible to draw any firm conclusions about this event.
Montgomery County Public Health， Conroe, Texas. 19,849 次赞 · 65 人在谈论 · 23 人来过. The home of clinical services, disease investigation, and public health preparedness and response for Montgomery County,...
Re: Discussion thread: USA - Texas: Unknown ILI flu type illness December 17, 2013
they said "positive for H1N1" but they didn't say what segments
they tested, presumably just the HA.
And they didn't say where they tested, did they do lung-samples ?
We know D225G preferrably goes into the lungs and there might be
fewer viruses in the upper tract after some days/weeks.
They should know about D225G from PCR meanwhile, would they
have mentioned it, if it was found ?
Anyway, CDC is on it now, we should know it in a few days.
And there is no spreading
All the deaths were male, what sex were the other 4 ?
Re: Discussion thread: USA - Texas: Unknown ILI flu type illness December 17, 2013
Extremely ridiculous information management from local and state health authorities at least.
I do not attempt to wonder if this is an Alabama cluster replica, where unneeded alarm was sounded after a series of 'regular' respiratory infections, complicated by other common bacteria.
Re: Discussion thread: USA - Texas: Unknown ILI flu type illness December 17, 2013
Let us not forget that the H1N1 virus-09 remains a pandemic virus and, like his predecessors, can cause new waves up to 5 years at a distance of the first one (see the lesson of 1957), keeping the characteristic to cause mortality in the younger age groups
Extremely ridiculous information management from local and state health authorities at least.
I do not attempt to wonder if this is an Alabama cluster replica, where unneeded alarm was sounded after a series of 'regular' respiratory infections, complicated by other common bacteria.
What is the point for these outbreak of alarm?
Or, if there is a point at all.
It certainly could be an Alabama rerun, with other common pathogens being detected in other patients in the next couple days.
Alternatively, it could just be an H1N1 outbreak, with several more cases being confirmed by more careful testing.
Or it could be something else, such as a Legionella outbreak in the hospital (at least one of the fatalties appears to have taken ill in the hospital after heart surgery), and the one H1N1 case could be a background detection or a co-infection.
Find out how you can track and monitor flu activity in Texas through Influenza (Flu) Surveillance Data. Explore reports of flu activity in Texas and the US.
Note: 1 Pediatric death with un-subtyped influenza virus reported in September
The first round of H1N1pdm09 was significant for the pediatric population as well - three times as many deaths during that flu season compared to past seasons.
I am encouraging all of my friends and family to get vaccinated. There isn't much time before the rest of the U.S. begins to see high influenza rates and it can take up to two weeks (or longer for children) for the vaccination to be most effective.
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