6/6/2009
Swine flu victim who died identified as Robesonia woman
Diabetes and asthma increased susceptibility to H1N1, officials say
By Dan Kelly and Mike Urban
Reading Eagle
The Berks County swine flu victim who died in Reading Hospital this week was from Robesonia, hospital officials confirmed.
Barbara Bradford, 55, died Thursday and had tested positive for H1N1, officials said.
The disease was an underlying cause of her death along with other health problems, said state Department of Health spokeswoman Stacy Kreideman.
Bradford's death is the first one in Pennsylvania and the 18th in the United States related to the outbreak, officials said.
Bradford's family declined comment Friday at her home on West Penn Avenue.
The state Department of Health did not release the woman's name but said she had significant underlying health issues, which health officials say is typically the case in influenza deaths.
In a press conference Friday afternoon, Gov. Ed Rendell said the woman suffered from diabetes and asthma, two chronic health conditions that made her more susceptible to the virus.
Berks has had 80 confirmed cases of H1N1 and two probable cases, the health department said. Deaths are listed in a separate category and not counted among the confirmed cases, the department said.
Berks has the most cases among counties in Pennsylvania, which has 361 confirmed cases and 61 probable cases.
Fifty of the Berks cases were students in the Conrad Weiser School District, which includes Robesonia, said Dr. Robert L. Urzillo, superintendent.
The federal Centers for Disease Control and Prevention and the state Health Department spent several weeks studying the virus in the district and testing for new cases. They finished that investigation this week, Urzillo said.
The CDC referred questions about the study and about the prevalence of H1N1 in Berks to the state Health Department.Nationally, the numbers of seasonal flu cases usually outnumber novel strains of influenza like swine flu by about five to one, but so far this season swine flu cases are being reported in higher numbers, Kriedeman said.
Kriedeman said that doesn't necessarily mean there have been more cases of swine flu than regular seasonal flu.
The numbers could be elevated because the Health Department, CDC, hospitals and doctors have been aggressively testing for swine flu, she said.
There also are many cases where people contracted either strain of the flu but were never tested.
"Either way, the numbers for this season would be skewed," she said.
Although all types of influenza strike hardest in the very young and very old, people born in 1958 or earlier may already have some natural immunity to the swine flu, Dr. Kenneth J. DeBenedictis, a Reading Hospital epidemiologist, said Friday.
"After 1958, most of the flu virus in the United States was the Asian flu variety," DeBenedictis said.
But that won't help those with underlying health conditions, such as Bradford.
DeBenedictis said Bradford's death does not mean the swine flu is any worse than ordinary flu.
"In fact, I would call the seasonal version of the flu this year and the swine flu as relatively mild versions of the flu," he said.
He said even the deadly flu of 1918 killed only about 2 percent of the people that contracted it, or about 675,000 Americans.
He said about 36 million of the total population of 103,208,000 in 1918 was never exposed to the flu and that 98 percent of those people exposed recovered.
DeBenedictis echoed comments from the state Health Department that swine flu numbers are probably higher in Berks because the CDC has been studying the spread of the virus here.
Dr. Jeffrey Hassel, director of the city health department, said when health officials talk about underlying medical conditions complicated by the flu, they are most commonly referring to diseases of the auto-immune system, like AIDS and diabetes.
Others who are susceptible include people with cancer, heart disease and chronic heart failure, and emphysema, he said.
"Basically, anyone with cancer, a bad heart or lung problems," Hassel said.
He also said he saw no reason for concern over the first swine flu death or the increasing number of cases being reported.
He said there are probably many cases of swine flu and regular seasonal flu that never will be counted because people who contracted them never felt sick enough to see their doctor.
Contact Dan Kelly: 610-371-5040 or
dkelly@readingeagle.com.
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