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First cases of new H3N2v influenza strain reported in Minnesota

Shiloh

Editor, Senior Moderator
Source: http://www.communitynewscorp.com/main.asp?SectionID=1&SubSectionID=94&ArticleID=8117

8/20/2012 5:29:00 PM
First cases of new influenza strain reported in Minnesota

Minnesota has recorded its first confirmed case and a second probable case of a new influenza strain that people acquire through contact with pigs.

The two cases were reported in a pre-school-age child and an older sibling from a family living in the Twin Cities metro area. Both children developed symptoms of the illness two days after the family visited a live animal market in Dakota County on Aug. 10. Neither child required hospitalization, and both are recovering...
 
Re: First cases of new influenza strain reported in Minnesota

Re: First cases of new influenza strain reported in Minnesota

[Source: State of Minnesota Department of Health, full page: (LINK). Edited.]

News Release / August 20, 2012 / Minnesota Department of Health - Minnesota Department of Agriculture - Minnesota Board of Animal Health

First cases of new influenza strain reported in Minnesota



Minnesota has recorded its first confirmed case and a second probable case of a new influenza strain that people acquire through contact with pigs.

The two cases were reported in a pre-school-age child and an older sibling from a family living in the Twin Cities metro area.

Both children developed symptoms of the illness two days after the family visited a live animal market in Dakota County on Aug. 10.

Neither child required hospitalization, and both are recovering.

Both children were tested for the virus that causes the new flu strain, but only the younger child tested positive.

However, the older child is considered a ?probable? case, based on the child?s history of flu-like illness and the family connection to the younger child.

Officials at the Minnesota Department of Health (MDH) believe both children were most likely exposed to the new flu strain from pigs while they were at the animal market.

People usually get the new strain of flu ? known as variant H3N2 (H3N2v) - from pigs rather than other people.

A few cases have been reported where an individual got the illness from another person, but there was no further spread of the illness to additional people.

In addition to the Minnesota case, over 200 cases of the illness have been reported in eight states since the beginning of the year.

Most have occurred in children who were exhibiting pigs at state or county fairs, or people who visited swine exhibits at fairs.

MDH officials emphasized that H3N2v does not pose any food safety risk - there is no evidence that you can get it by eating pork.

The illness also tends to be relatively mild - similar in severity to recent strains of regular, seasonal flu. Hospitalization rates for H3N2v have been relatively low.

They did note, however, that this year?s regular seasonal flu vaccine will not protect against H3N2v.

Health officials stressed that there is no reason to discourage people from patronizing live animal markets - or visiting the upcoming State Fair, local county fairs or other venues where pigs may be present - because of concerns about H3N2v.

MDH has been working with the Minnesota Board of Animal Health and the Minnesota State Fair to address possible concerns about H3N2v, and take steps to prevent the spread of the illness.

MDH has been conducting stepped-up surveillance for possible cases of H3N2v, leading directly to identification of the two cases reported today.

Other preventive measures have included working with state and local fair veterinarians to monitor pigs for signs of disease, and encouraging 4-H and FFA participants who are exhibiting swine to let staff nurses know if they are ill.

MDH has joined fair officials in discouraging fairgoers or exhibitors from eating, drinking or placing anything in their mouths while in animal exhibit areas, and emphasizing the importance of washing their hands with soap and running water after any exposure to animals.

People who are running a fever or have other flu symptoms are being advised to avoid contact with pigs, since H3N2v can be passed from humans to pigs, as well as from pigs to humans.

Exhibitors and others who can?t avoid contact with pigs are being encouraged to take additional protective measures if they develop possible flu symptoms. Those measures include wearing protective clothing, gloves and a mask that covers the nose and mouth.

The Minnesota Board of Animal Health is encouraging pork producers to continue observing good biosecurity practices on their farms. BAH is recommending that farmers observe a number of precautions to help protect livestock and people from illness:
  • Minimize the number of visitors on the farm.
  • Avoid sharing equipment with other farms.
  • Do not allow anyone showing signs of illness on your farm.
  • Encourage workers to thoroughly wash their hands with soap and water before eating or drinking.
Livestock farmers should also continue to watch for signs of sickness in their animals and talk to their veterinarian about any concerns.

Health officials say there is no reason to forgo a trip to the fair ? or refrain from patronizing live animal markets.

However, they do suggest taking a prudent approach if you are at high risk for complications of the flu.

They suggest that you may want to consult with your health care provider about the risks associated with H3N2v - and consider avoiding exposure to swine - if you are in a high risk group.

People at high risk for flu complications include:
  • Children under five and people age 65 and older.
  • Pregnant women.
  • People with underlying health conditions like asthma, diabetes, heart disease or neurological problems.
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For more information, contact:


Buddy Ferguson, MDH Communications, 651-201-4997 / Joni Scheftel, State Public Health Veterinarian, 651-201-5107 / Michael Schommer, MDA Communications, 651-201-6629 / Bethany Hahn, BAH Communications, 651-201-6830
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Re: First cases of new influenza strain reported in Minnesota

Re: First cases of new influenza strain reported in Minnesota

Source: http://www.myfoxtwincities.com/story/19407441/3rd-h3n2-flu-case-in-minnesota-more-expected


3rd H3N2 flu case in Minnesota, more expected
Posted: Aug 29, 2012 12:03 PM EDT Updated: Aug 29, 2012 12:03 PM EDT

ST. PAUL, Minn. (KMSP) -

Another case of H3N2 influenza has been confirmed in the Twin Cities, according to the Minnesota Department of Health.

The latest case was reported in a man in his 20s from the metro area who purchased a pig at a live animal market in Dakota County on Aug. 17. This is the third H3N2 case to occur in a Minnesota resident who had visited a live animal market, including one confirmed and one probable case in children...
 
Re: First cases of new influenza strain reported in Minnesota

Re: First cases of new influenza strain reported in Minnesota

[Source: Minnesota Department of Health, full page: (LINK). Edited.]

News Release / August 29, 2012 / Contact information


Additional case of variant flu strain reported in state


Health officials had expected to see more cases; behavior of virus does not appear to have changed


An additional case of variant H3N2 (H3N2v) influenza has been confirmed in a Minnesota resident, according to officials at the Minnesota Department of Health (MDH).

The latest case was reported in a man in his twenties from the Twin Cities metro area. The man had purchased a pig at a live animal market in Dakota County on Aug. 17.

MDH officials emphasized that they expect to continue seeing more cases of the illness, and that the virus has not become more virulent or more easily spread.

?We expect to continue seeing new cases of this illness, at least for a while,? said Deputy State Epidemiologist Richard Danila, ?However, we have not seen any change in the behavior of this virus. We have been actively looking for cases. We are recommending that clinicians ask patients about swine contact, and send clinical samples for patients with influenza symptoms.?

?Although people can get the virus from pigs, it isn?t easily passed from one person to another, and the illness has not been severe,? Danila said. ?This latest flu patient did not require hospitalization.?

So far this year, nationwide, 277 cases of H3N2v influenza have been reported to CDC. Since July only 13 people have been hospitalized. All have since recovered.

?Flu should always be regarded as a serious illness,? Danila said. ?However, the illness caused by this virus appears to be comparable to regular seasonal flu.?

The latest Minnesota case is the third to occur in a state resident who had visited a live animal market. Minnesota had previously recorded one confirmed and one probable case in children whose family had been to a live animal market.

MDH officials emphasized, however, that those cases should not be taken as evidence of any unique risk associated with live animal markets.

?For the most part, people get this illness from pigs,? Danila said. ?Any situation where people come in contact with pigs can be a potential source of exposure.? Officials from MDH and the Minnesota Department of Agriculture (MDA) have been working with proprietors of the three live animal markets in the Twin Cities to reduce the risk of becoming infected at one of those facilities.

Health officials emphasized that you can?t get H3N2v from eating pork ? H3N2v is in no way a food safety issue.

Efforts are also continuing efforts to prevent the spread of H3N2v in connection with swine exhibits at the State Fair and local county fairs. Nationally, most reported human cases of the illness have occurred in young people who were exhibiting swine at state or local fairs, and who had prolonged, close contact with their animals. Fair officials have stepped-up procedures in place to monitor swine exhibitors for flu symptoms.

In order to reduce the risk of H3N2v infection, MDH is discouraging fairgoers and exhibitors, as well as visitors to live animal markets, from eating, drinking or placing anything in their mouths while in areas where animals are displayed or exhibited. Officials also continue to stress the importance of washing your hands with soap and running water after any exposure to animals.

People who are running a fever or have other flu symptoms are being advised to avoid contact with pigs, since H3N2v can be passed from humans to pigs, as well as from pigs to humans.

Health officials say there is no reason to forgo a trip to the fair ? or refrain from patronizing live animal markets ? this year. However, they do suggest taking a prudent approach if you are at high risk for complications of the flu, and avoiding situations where you may be exposed to swine ? either at the fair or at a live animal market.

People at high risk for flu complications include:
  • children under five and people age 65 and older
  • pregnant women
  • people with underlying health conditions like asthma, diabetes, heart disease or neurological problems
The symptoms of influenza, which tend to come on suddenly, can include a sore throat, coughing, fever, headache, muscle aches and fatigue. People who are at risk for severe illness or become severely ill with influenza-like symptoms should see a physician. Because influenza is caused by a virus, antibiotics are not effective against it.


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For more information, contact:

Buddy Ferguson, MDH Communications: 651-201-4997 / Michael Schommer, MDA Communications: 651-201-6629
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Re: First cases of new influenza strain reported in Minnesota

Re: First cases of new influenza strain reported in Minnesota

Published Date: 2012-08-31 13:31:31
Subject: PRO/AH/EDR> Influenza (79): USA (MN) human infection, correction
Archive Number: 20120831.1275374

INFLUENZA (79): USA (MINNESOTA), HUMAN INFECTION, CORRECTION
************************************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org

Date: Fri 31 Aug 2012
From: Marie Gramer [edited]


Re: ProMED-mail Influenza (79): USA (MN) human infection 20120830.1273921
----------------------------------------------------------------------
Regarding the moderator's (CP) comments on the Start Tribune article [dated Wed 29 Aug 2012], the moderator states (incorrectly): "...whereas the 1st case was a child presumed to have contracted infection from a pig displayed at the state fair."

That is incorrect. In the article itself, and in the ProMED-mail announcement 16 lines above the moderator's comment, it clearly states, "Minnesota reported its 1st human case of the new virus in a preschooler who visited a live-animal market on 10 Aug 2012." So, no, the 1st case did not contract the infection at the state fair. Also, the Minnesota State Fair opened on 23 Aug 2012 and runs through Labor Day (and 10 Aug 2012 is outside that date range).

--
Communicated by:
Marie Gramer, DVM, PhD
Associate Clinical Professor
University of Minnesota Veterinary Diagnostic Laboratory
1333 Gortner Avenue
Saint Paul, MN 55108 USA

[ProMED-mail thanks Professor Marie Gramer for drawing attention to this error, which was also reported by Richard N Danila, PhD, MPH, Acute Disease Investigation and Control Section Manager, and Deputy State Epidemiologist Minnesota Department of Health, St Paul, Minnesota.

Dr Danila has provided the additional information that: "Our 1st confirmed case, who had a sibling which we identified as a probable case, also acquired their infections at the same live animal market where they had been with their parents who purchased 2 pigs on 10 Aug 2012 (not at a swine exhibit as posted by the moderator)."

The moderator apologises for the erroneous comment, which was based on a misreading of the text of the press report. - Mod.CP]
 
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