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Queens tot suspected to be second swine flu death in New York City

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  • #16
    Re: Queens tot may be second swine flu victim

    Originally posted by Commonground View Post
    I don't believe this. That is way to quick.
    In 1918 people got on the subway and were dead before they reached their destination.


    • #17
      Re: Queens tot may be second swine flu victim

      Originally posted by niman View Post
      In 1918 people got on the subway and were dead before they reached their destination.
      apples and oranges


      • #18
        Re: Queens tot susoected to be second swine flu death in New York City

        How is it apples and oranges?

        1918 was a swine virus that came in multiple waves. We are already at a 0.4% case fatality rate -- this is comparable to the 1957 pandemic. There are probably not many SNPs required to increase the H1N1 case fatality rate to the level of 1918 (2.5%).

        The only questions to me, really, are:

        A) Did the toddler die of H1N1?
        B) If so, what is the genome sequence?


        • #19
          Re: Queens tot susoected to be second swine flu death in New York City

          In the first few hours of a media event some of the news reports are not 100%. We have seen this many times. Maybe the toddler was eating or he simply sipped some fluid? These reports are important in the collection of information but not necessarily 100% definitive.


          • #20
            Re: Queens tot may be second swine flu victim

            Originally posted by AlexanderSJones View Post
            The hard work huh. They must mean run RT rtPCR on the sample. This should not take more than 24h - 48h. I am also quite sick of the spin -- people's lives are at stake here -- it is not a game for the authorities to play around with.

            Anyway I agree Mountain and thebes that this suggests cyanosis. Good catch Dr Niman... I wonder if this is the regular New York strain.

            Statistically, you would expect this (cyanosis) to happen occasionally even without new polymorphisms. But they will definitely need to sequence the strain and post it online so we can check.

            Did I miss something? Where is the NYC cyanosis stated - there were several reports of cyanosis in Mexico flying in early April - in deaths that were reported as "bacterial pneumonia" - and atypical pneumonia


            • #21
              Re: Queens tot may be second swine flu victim

              Originally posted by Commonground View Post
              apples and oranges
              Only by year. So far 2009 is a 1918 re-run.


              • #22
                Re: Queens tot may be second swine flu victim

                Originally posted by Extrapolation View Post
                Did I miss something? Where is the NYC cyanosis stated - there were several reports of cyanosis in Mexico flying in early April - in deaths that were reported as "bacterial pneumonia" - and atypical pneumonia


                • #23
                  Re: Queens tot suspected to be second swine flu death in New York City

                  remember small children have all kinds of illness's also.

                  being a firefighter paramedic i have seen kids with all

                  different kinds of colds....this may not have been h1n1

                  just playin devils advocate..but it is true.
                  IAFF 1526


                  • #24
                    Re: Queens tot suspected to be second swine flu death in New York City

                    Updates on NYC outbreak:

                    Toddler’s Death Stokes Flu Concerns
                    By Sewell Chan
                    Updated, 11:32 a.m. | New York City health authorities are investigating the death of a 16-month-old child as a possible case of swine flu.

                    The boy, identified as Jonathan Zamora Castillo of Corona, Queens, died at 10:20 p.m. Monday at Elmhurst Hospital Center, less than an hour after being brought in with a high fever, the hospital announced. The child’s 3-year-old sibling, who was also brought to the hospital, was treated and released, Mayor Michael R. Bloomberg said Tuesday morning.

                    In addition, the mayor announced that there were four confirmed and four probable cases of swine flu at Rikers Island, the city’s jail complex.

                    On Sunday, an assistant principal at a Queens public school, Mitchell Wiener, became the city’s first swine flu death. It was not clear whether the child who died Monday night had any underlying health problems.

                    “Every parent in the city, myself included, can appreciate the grief the parents of these children are experiencing,” the mayor said of Jonathan’s parents. “We don’t yet know if the child who died had contracted the H1N1 virus. Tests will be performed at the city’s Health Department lab to investigate that question.”

                    In a suggestion that the city was concerned that residents without health insurance and illegal immigrants might be hesitant to go to hospitals, the mayor emphasized that neither factor should hinder anyone ill from seeking treatment.

                    “Whether you have health insurance coverage or your immigration status is in question, it doesn’t matter,” the mayor said. “We will not ask about that. I don’t know and don’t care what the immigration status was of the children in question.”

                    Alan D. Aviles, the president of the city’s Health and Hospitals Corporation, said that emergency admissions were running about 50 percent higher than usual for adults and “more than 100 percent above average” for children.

                    The union representing the city’s correctional officers issued a statement on Tuesday morning criticizing the response to the swine-flu outbreak among inmates, and suggested that inmates be temporarily relocated to other facilities. The union, the Correction Officers’ Benevolent Association, has scheduled a 12:30 p.m. news conference.

                    In his news conference, the mayor rejected the idea of relocating the inmates.

                    “Correction and health officials are monitoring the situation and preparing to implement additional inmate screening and, where needed, isolation of ill inmates,” the mayor said. “It is in some senses easier to control because, obviously, the prisoners can’t leave. On the other hand, it is also a confined area where we really don’t have the choice of moving people out and asking them to stay home The situation in the schools if you think about it, is exactly the reverse.”

                    Asked about the call by Norman I. Seabrook, the president of the Correction Officers’ Benevolent Association, for inmates to be relocated, the mayor turned a bit testy. “If he’s an epidemiologist, it’s the first time I heard, but I’ll be happy to listen to him,” the mayor said.

                    Also on Tuesday, city officials took questions on the criteria used to determine when and which schools to close. Since late last week, 16 schools in 12 school buildings have been ordered shut.

                    Dr. Adam Karpati, a deputy health commissioner, who was at the mayor’s news conference, said:

                    Our main criteria that we’re looking at is not necessarily absenteeism. Children are absent from school for a variety of reasons. What we’re really focusing on is kids who are being identified by the school nurse in the school as having a documented fever when they come into the room. That’s the main indicator we’re looking at.

                    Dario Centorcelli, a spokesman for Elmhurst Hospital Center, where the child died, said there were typically about 200 patients each day in the pediatric emergency room, a number that rose sharply over the weekend and peaked at 407 patients on Monday.

                    “We’re pulling resources from every place we can,” to deal with increased demand, Mr. Centorcelli said. “So far we’ve been coping,” he said, while noting that there were now longer waits for patients.

                    The waiting room for pediatric emergency care on Tuesday was crowded with about 75 children and adults. Many wore surgical masks. Kids slept on colorful benches, in front of a mural of Central Park.



                    Health officials could determine as early as Tuesday afternoon whether swine flu killed a 16-month-old baby in Queens, authorities said.

                    Mayor Bloomberg said tests are being performed to pinpoint whether the child, identified by sources as Jonathan Zamora, is the city's second death related to the H1N1 virus.

                    "What we do know is a child is dead, and it's very tragic," he said at a Tuesday morning briefing in Midtown. "Speculation is not something we want to do."

                    Officials also said there are four confirmed cases of the flu at the Rikers Island prison complex, leading corrections staff to take precautions.

                    Both new inmates and prisoners being transported to court will be checked for flu-like symptoms, Bloomberg said.

                    The mayor also predicted more schools could be added to the list of 15 public, one parochial and one private school that have been shuttered.

                    The developments come hours after the Monday night death of Zamora, whose parents emigrated from Mexico four years ago but have not returned to their homeland recently.

                    Officials said Zamora had no pre-existing health problems. His parents noticed he had a high fever - it spiked to 105 degrees - when they put him to bed Sunday night. He died soon after he was rushed to Elmhurst Hospital late Monday.

                    The hospital took tissue swabs from Jonathan's body and the the city's public health lab will test to determine if he died of the H1N1 virus, Health Department spokeswoman Jessica Scaperotti said.

                    "We're beginning the investigation today," Scaperotti said Tuesday.

                    The baby's 3-year-old sister and two cousins also came down with flulike symptoms.
                    The other three children, who lived in Corona with Jonathan, were treated at the same hospital and released. One of the released children attended a nursery school near the family's home.

                    "They don't want to talk to anyone," said Alex Ramirez, 32, who answered the door at the home of the grieving parents.

                    The pediatric emergency room at Elmhurst Hospital saw two to three times its normal volume of visitors, hospital officials said.

                    "People are frightened," hospital spokesman Dario Centorcelli said.

                    "We're pretty much overwhelmed here," Centorcelli said. "We only have so much room and so much staff. We've put on extra staff, we've opened extra clinics. There's only so much room and staff we have."

                    Those seeking treatment reported waits of up to 10 hours.

                    Edgar Villalba, 12, waited nine hours with his mother for his 10-month-old sister to be seen. "You just see people coughing, sneezing, wearing masks," he said of the overloaded emergency waiting room. He said his sister does not have swine flu.

                    The vast majority of people seeking help are being told to return home to rest and to take Tylenol or ibuprofin, sold over the counter as Advil or Motrin or in generic form. "Most of the cases are mild," Centorcelli said.


                    • #25
                      Re: Queens tot suspected to be second swine flu death in New York City

                      <a rel="nofollow" href="">Commentary</a>


                      • #26
                        Re: Queens tot may be second swine flu victim

                        Originally posted by Commonground View Post
                        I don't believe this. That is way to quick.
                        It appears that the mother was caring for four small children. One of them taking a nap and not being a problem would quite possibly have been viewed as a relief for her, one less kid she had to keep track of. It might be only when she couldn't rouse him that she became really concerned. When I was an EMT, I heard more than one parent say, "But my child was fine just a few hours ago--why is he so sick now?" There can be lots of reasons. Kids have much less reserve to fight off life-threatening conditions. When something hits them they can go fast.


                        • #27
                          Re: Queens tot suspected to be second swine flu death in New York City

                          #24: "... child's ... sibling ... also ... treated ..."

                          So, some bug sure circulated.
                          So much similarity of 1918 symptoms to be droped.
                          Cases foging is already on work.
                          Estimated 1 milion of already infected, USA (tipicaly 10 x more than officialy 100.000).
                          The 1918 bug was in recent years lab resuscitated.
                          So much coincidences to prefer only the easy/inocent options.

                          #25: recombinomics link text

                          This triple virus "party" at 34-41 C environment temperature, scientificaly confirmed.

                          Summer is aproaching in the northern hemisphere.
                          That leaves the virus "fading/vanishing" as wishfull dreams.

                          More barriers of every kind, more time to reach the multiple seasonal/pandemic vaccines.


                          • #28
                            Officials: Early tests show tot didn't have swine flu


                            BY MICHAEL FRAZIER |
                            10:43 PM EDT, May 19, 2009

                            [PHOTO] 15-month-old Jonathan Zamora-Castillo died at Elmhurst Hospital Center Monday night after exhibiting symptoms of swine flu. (Handout / May 19, 2009)

                            As swine flu continued Tuesday to migrate through city schools and Rikers Island, city health officials said preliminary test results show a Queens toddler did not die of the virus.

                            In a statement Tuesday night, the city health department said tests on nasal swabs from 15-month-old Jonathan Zamora Castillo "did not indicate H1N1 infection."

                            Because the boy died, however, the city is sending tissue specimens to the U.S. Centers for Disease Control and Prevention in Atlanta to get "definitive results." Results are expected later this week.

                            Yesterday, health officials confirmed four swine flu cases and four probable cases involving inmates at Rikers Island. The confirmed cases includes an inmate whose test showed last week he had the virus.

                            The ongoing flu outbreak prompted the closure of three more schools - two in Queens and one in lower Manhattan. The trio will be closed as of Thursday. It also has prompted a series of school closings in Queens, Brooklyn and Manhattan.

                            Fifteen public schools and one parochial school in Queens also remained closed yesterday. One all-boys school on Manhattan's Upper East Side closed voluntarily.

                            Mayor Michael Bloomberg said in a public health briefing Tuesday that the city did the tests on the toddler after Jonathan's parents took him to a Queens hospital with flulike symptoms and the boy died within an hour.

                            Earlier, the boy's father said in an interview that doctors told him his son didn't have swine flu. "We don't know what my son died of," said Zeferino Zamora, 30, speaking in Spanish outside his home in Corona.

                            Private doctors and hospitals in New York City cannot confirm swine flu tests. Only the city's health department can perform that test locally, said Dr. Adam Karpati, a deputy commissioner in the agency.

                            The city's only confirmed swine flu death came Sunday, when Mitchell Wiener, 55, an assistant principal at IS 238 in Hollis, died from the virus at a Queens hospital.

                            Tuesday, Zamora was initially reluctant to talk with a group of reporters. But he eventually recalled the night his son fell ill. Zamora, a dishwasher, said he arrived home from work about 8:30 p.m. Monday and his wife, Gloria Castillo, 20, told him she thought their son, who had been fine in the morning, was sick. "She touched his cheek," which was hot with fever, although he said a thermometer wasn't used.

                            The couple rushed the boy to Elmhurst Hospital Center in Queens, where he died at 10:20 p.m. Zamora said the family arranged with the Mexican consulate to have his son's body taken to Mexico for burial.

                            Health officials said Jonathan's 3-year-old sister, Michelle, and a 1-year-old cousin, who had mild influenza-like symptoms, were treated at the same hospital around the same time and released.

                            Maria Alvarez and staff writers

                            Sophia Chang and John Valenti
                            contributed to this story


                            • #29
                              Re: Queens tot suspected to be second swine flu death in New York City

                              Originally posted by niman View Post
                              <a rel="nofollow" href="">Commentary</a>

                              Suspect Swine H1N1 Toddler Death in NY Raises Concerns
                              Recombinomics Commentary 17:02
                              May 19, 2009

                              A medical examiner will determine if the 16-month-old boy who died shortly after arriving at Elmhurst Hospital in Queens is the second death from swine flu in New York City.

                              Family members say the boy was turning blue as they rushed him to the hospital.

                              The above comments on a suspect swine flu fatality in Queens, New York raise additional pandemic concerns. The number of confirmed and suspect cases in Queens has been high (see <a rel="nofollow" href="">updated maps</a> leading to more the a dozen school closings, due in part to the high number of students with flu like symptoms, as well as the confirmed swine H1N1 death of an <a rel="nofollow" href="">assistant principal</a>.

                              Yesterday, the suspect toddler developed a fever in the morning, was eating in the afternoon, and was unresponsive by evening, when he was rushed to the hospital and died. The sudden death, coupled with rapid development of cyanosis, are classic symptoms associated with fatal influenza cases in 1918.

                              In 1918 an H1N1 swine flu recombined with an H1N1 seasonal flu that led to 20-50 million fatalities, as the virus spread world wide and affected approximately 1/3 of the population. That outbreak began as mild disease in the spring and most of the fatalities were associated with outbreaks in the fall of 1918 and 1919. There were multiple waves during the outbreak, raising concerns of a similar scenario in 2009.

                              An efficiently transmitted swine H1N1 in the human population has not been reported since 1918, Although WHO has not yet raised the pandemic phase from 5 to 6, the sustained transmission in North America, combined with reports of community spread in<a rel="nofollow" href="">Europe</a> and <a rel="nofollow" href="">Asia</a> leaves little doubt that the 2009 pandemic has begun.

                              The evolution of the H1N1 is being closely monitored by sequencing labs across the world, and most isolates to date are closely related. However, the presence of avian PB2 raises concerns that the frequency of cases will not decline in the summer in the northern hemisphere, because the avian PB2 is optimal at 41 C, which would lead to efficient transmission in the summer. Moreover, the seasonal flu has the mammalian version of PB2, which has optimal activity at 34 C. However, the swine H1N1 transmitting in the summer hemisphere may acquire E627K, leading to a virus efficiently transmitting in the winter also.

                              Similarly, swine H1N1 in the southern hemisphere may acquire H274Y, leading to Tamflu resistance, which could complicate treatment of the more severe cases, which may involve previously healthy young adults. Another H1N1 death (44M) was just reported in St. Louis, MO.

                              The strong parallels between 1918 and 2009 continue to cause concern.

                              "The next major advancement in the health of American people will be determined by what the individual is willing to do for himself"-- John Knowles, Former President of the Rockefeller Foundation


                              • #30
                                Re: Queens tot suspected to be second swine flu death in New York City


                                Google translation:

                                Child died in Queens did not have influenza H1N1
                                The analysis carried out in an infant who died after being hospitalized in New York with respiratory problems are not suffering from swine flu, health officials said the city.

                                Drafting LTH / Agencies

                                A Health Department statement said the analysis made on samples taken from nasal boy 16 months, Jonathan Zamora Castillo.

                                Were also sent tissue samples for further analysis at the Centers for Disease Control and Prevention in Atlanta. The results would be ready this week.

                                The small, parents, died on Monday, May 18 at night at Elmhurst Hospital Center of Queens County. Hospital officials said they had high fever when he arrived.

                                Mayor Michael Bloomberg said that the death of the child "is very tragic, beyond what caused it."

                                Zeferino Zamora, father of the child, confirmed that the baby was placed in emergency but told a local tabloid that the family came to know how the child endermarse. "Everything came from scratch," said the boy's parents grieved while showing a recent photograph of the deceased.

                                Zamora explained that until Sunday night his son was in excellent health.

                                The infant's death occurred one day after a deputy school, if I was sick with H1N1 influenza, died on Sunday May 17, becoming the first death linked to the virus in New York City and the sixth in the country.

                                Mitchell Wiener, who worked at a secondary school in Queens, died on Sunday night, said Andrew Rubin, spokesman for the Flushing Hospital Medical Center. Wiener, who had been hospitalized and connected to an artificial respirator, he was sick almost a week before the school closed its doors on Thursday. It is likely that other complications of the virus have also influenced his death, said Rubin.

                                Wiener was hired as a substitute teacher in March 1978 and subsequently as a teacher of mathematics, where he worked until 2007. Since then he worked as deputy director in high school, Susan B. Anthony, in the Hollis neighborhood.

                                School closures

                                And the death of an infant teacher and have not only complicate the fear of the spread of the virus in the City of New York where, until last Monday, 18 school authorities ordered the closure of 18 schools due to the large number of students have been suffering from symptoms similar to those of the terrible influenza A (H1N1).

                                Meanwhile, Mayor Bloomberg, and the health authorities of the city, noted that his goal is to help those who are most affected by the flu.

                                The school counselor in the city, Joel Klein, the president of the teachers' union, Randi Weingarten, who in turn reported are monitoring the schools where students have been absent for flu like symptoms. The United Federation of Teachers in New York has 11 telephone lines in five municipalities of the city to collect information on flu outbreaks, and school closures.

                                Bloomberg has insisted that all city residents, regardless of insurance coverage or immigration status, should seek treatment before allowing the influenza A is complicated. Emergency services in the city are facing at this time to 50% additional income adults and children twice.

                                Bloomberg also reported the existence of four confirmed and four probable cases among the prison population in the municipal jail in Rikers Island, located in the River East between Queens and the Bronx. According to the mayor is not possible to evacuate the thousands of prison inmates, but steps are being taken to prevent further contagion.

                                The heads of the Centers for Disease Control have found that influenza A, although appear to present a less lethal flu season, affects a disproportionate number of children, adolescents and young adults. With high numbers of hospitalizations and colleges concerned. According to a working hypothesis, children may not have the immune protection of other similar virus in adults.

                                In any case, the specialists in epidemiology from the government insisted that the 5123 confirmed cases and six deaths were certified the tip of a huge iceberg globalized. Although in comparative terms is that seasonal influenza is a factor linked to the deaths of 36,000 people each year in United States and more than 250,000 around the world.

                                Zeferino Zamora, father of Jonathan Zamora child of 16 months, shows a photo of the baby who died at a hospital in Queens.