Aussie to develop (WHO) swine flu guidelines

[Shiloh]

Source: http://news.theage.com.au/breaking-...velop-swine-flu-guidelines-20090530-bqho.html

Aussie to develop swine flu guidelines
Tony Bartlett
May 30, 2009 - 1:04AM

A leading academic will fly to Geneva next month to help the World Health Organisation (WHO) develop guidelines to tackle swine flu.

Bond University's Professor Chris Del Mar helped WHO develop protocols for bird flu and will be the only Australian on a team of about 10 experts from around the world on the team.

Their task will be to draw up guidelines on how to cope with swine flu if it reaches pandemic level.

"At the moment, I feel we are probably being a bit too liberal with the use of antiviral medications," Prof Del Mar said.

"We will be discussing whether the widespread use of these medicines to prevent people catching swine flu could potentially cause resistance to the drug.

"There is also the issue of who should be given the medication and at what time they should be given it; whether it should be administered to anyone who is sick or whether it should depend on the severity of the illness."

Prof Del Mar, Dean of Bond University's Faculty of Health Sciences and Medicine, co-led a study on the use of physical barriers, such as regular hand-washing and wearing masks, gloves and gowns, to prevent the spread of respiratory viruses like influenza and SARS.

The study was published in the British Medical Journal and suggested the simple, low-cost physical measures should be given higher priority than anti-viral medicines in preparing for a national pandemic.

"The use of these physical barriers will be a major discussion topic and consideration in the development of the set of guidelines for a swine flu pandemic," he said.

 

[tropical]

Re: Aussie to develop (WHO) swine flu guidelines

Catch22 unfolding worldwide.

First it was omited to barriering traveling mixing and schoolars minglings.

Than subenter the testing giveup for non colapsing patients.

Now, after such worldwide proliferation of undetectable seeding humans, "to decrease the probability of antivirals resistance strains", the rullers would cut off the antivirals administering for the non hospital treated population.

That means no "flu buddy", or "flu med postman", would delivers antivirals at homes after telephone GP interview of the patients with mild symptoms for early administration.

That would further means no individual early treatments in the Tamiflu 48 hours curative schedule of patients with no early initial serious symptoms, from govs Tamiflu storidges.

Such new policy would stigmatized the successfull treatment of folks who initialy starts with light symptoms for several days, with only later blowing in serious viral pneumonias, breathing colapses, etc.

For them, the later hospital (maybe hospitalized, maybe not if there will be no rooms) antiviral Tamiflu treatment would mean near nothing, and probable illness worsening, because Tamiflu administering curative schedule would be trespassed, and the quantity of virus proliferated in a body would probably overwhelm it.

So first it was tolerated an not strict barriering because of business, and now the only somewhat working med would be triaged to early hospitalized patients only.
Watching at the overall hospitals treating capacities - there will be small the part of the population who could reach it if the infections started to surge heavily.

Only if the number of notable cases of infections remains low and light, it could fit.

Otherwise this would be an patients early treatments rights breaking.

Source: http://news.theage.com.au/breaking-...velop-swine-flu-guidelines-20090530-bqho.html

Aussie to develop swine flu guidelines
Tony Bartlett
May 30, 2009 - 1:04AM

A leading academic will fly to Geneva next month to help the World Health Organisation (WHO) develop guidelines to tackle swine flu.
...
"We will be discussing whether the widespread use of these medicines to prevent people catching swine flu could potentially cause resistance to the drug.

"There is also the issue of who should be given the medication and at what time they should be given it; whether it should be administered to anyone who is sick or whether it should depend on the severity of the illness."
...
The study was published in the British Medical Journal and suggested the simple, low-cost physical measures should be given higher priority than anti-viral medicines in preparing for a national pandemic.

"The use of these physical barriers will be a major discussion topic and consideration in the development of the set of guidelines for a swine flu pandemic," he said.

 

[Snicklefritz]

Re: Aussie to develop (WHO) swine flu guidelines

Hmmm....I could be wrong here. But, I thought seasonal H1N1 resistance to Tamiflu was first detected in Scandanavia where Tamiflu is not widely prescribed, as opposed to Japan. I thought that was what all the uproar was about.

If my memory is correct, why all the concern about using it liberally? It seems there much more to it than prevalence of use. In any case, now that seasonal H1N1 is resistant, wouldn't it be easy for novel H1N1 to acquire via reassortment or recombination anyway?

Seem a bit hysterical to me...but, what do I know?

 

[tropical]

Re: Aussie to develop (WHO) swine flu guidelines

Hmmm....I could be wrong here. But, I thought seasonal H1N1 resistance to Tamiflu was first detected in Scandanavia where Tamiflu is not widely prescribed, as opposed to Japan. I thought that was what all the uproar was about.

If my memory is correct, why all the concern about using it liberally? It seems there much more to it than prevalence of use. In any case, now that seasonal H1N1 is resistant, wouldn't it be easy for novel H1N1 to acquire via reassortment or recombination anyway?

Seem a bit hysterical to me...but, what do I know?

From previous threads explanations seems you depicted it exactly.

The fears that the pandemic virus pick up the resistance from hosts infected by both viruses. We read here sci. news about dual infections as normal for an percent of the population.
So, from that angle it is not linked to Tamiflu usage resistance.

They probably want also to spare it for some next more devastating wave, but if they fear resistance, now it is time to use it already.

But maybe, exists real possibilities (such here posted #1 Aussi Prof. statement seems point to) to gaining more resistance by wide usage also, so if they are not sure, they want to close the somministrations pipes preventively.

About that speculation probably knows more the Aussi cited researcher who will sucreated the policy at Geneva. He, and probably his team, seems to protect the option of non preventive, non out of hospital Tamiflu treatments. Maybe he published some research texts about.

The problem is, as already seen, that there are possible deadly outcomes right now with XXX "underlaying conditions" patients (or even healthy) if Tamiflu is not taken in time, or if it is not taken at all ...


P.S. I'm inserted on my previous post the literals on the "to decrease the probability of antiviral resistance strains", to highlight that this is an sci. Aussi/.../WHO derived possible stand, which could lead to be inserted into their's new rules, learned from this thread news text #1:
""At the moment I feel we are probably being a bit too liberal with the use of antiviral medications," Prof Del Mar said.
"We will be discussing whether the widespread use of these medicines to prevent people catching swine flu could potentialy cause resistance to the drug""
P.S.2. Some additional infos linked also to the above also at: post #6 http://www.flutrackers.com/forum/showthread.php?t=106761