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Germany - First in-country infection of H1N1

Gert van der Hoek

In Memoriam - Editor, Senior Moderator
google translated

Pig flu from human to human

For the first time, the pig flu in the country of a person to another have been transferred.

The patients in the Rhine-Neckar region is relatively good.

In addition, two U.S. soldiers in the southwest ill. And there are more suspected cases
.

A 28-year-old woman in the Rhein-Neckar-Kreis, infected after her return from the USA, a 29-year-olds , as health minister Monika Stolz (CDU) on Monday announced in Stuttgart. The two patients are going well in the circumstances. So far had all eleven confirmed cases of the new mild flu in the country lost. Nationwide, there are indications of the Robert Koch Institute in Berlin about a dozen suburban transfers, ie infections in Germany. In other cases, people infected abroad.

In addition, two in Baden-W?rttemberg U.S. soldiers stationed in the new form of influenza illness. When a soldier from Mannheim and Stuttgart from a soldier was suspected to pig flu have been confirmed, said the spokeswoman for the U.S. military hospital in Landstuhl (Rhineland-Palatinate), Marie Shaw, on Monday. Assume the first two cases of swine flu in the U.S. military in Europe. In four other cases, there is a suspicion, but still no confirmation.

All patients are treated in Landstuhl.

Currently, when a soldier from the U.S. airfield Spangdahlem in the Eifel, two Italian soldiers from the Naples and one from Turkey examined whether they are using the new type of influenza virus H1N1 could become infected, said Shaw. The two soldiers, in which the disease has already been confirmed, in an isolated building.

http://www.badische-zeitung.de/sued...n-mensch-zu-mensch-uebertragen--15871531.html
 
Re: Germany - First in-country infection of H1N1

google translated

Pig flu from human to human

For the first time, the pig flu in the country of a person to another have been transferred.
(...)
A 28-year-old woman in the Rhein-Neckar-Kreis, infected after her return from the USA, a 29-year-olds , as health minister Monika Stolz (CDU) on Monday announced in Stuttgart. (...) Nationwide, there are indications of the Robert Koch Institute in Berlin about a dozen suburban transfers, ie infections in Germany. In other cases, people infected abroad.

http://www.badische-zeitung.de/sued...n-mensch-zu-mensch-uebertragen--15871531.html


Thank You, Dutchy for that find ! I appreciate, You're constantly digging the internet for the latest news with great success. :applause:

Regarding the issue of the "first time" human-to-human in country-transmission in Germany, the Badische Zeitung (newspaper) is mistaken. I looked on the original text in German. The English translation is correct, but the news in that item isn't.

The first in country-transmission of novel Influenza A (H1N1) within Germany occured in one of Germany's first cases between April 24 and April 27,2009.

It first was reported by AFP on May 1, 2009.
http://translate.google.com/transla...FQjCNFic7PYEHFNoecj6EifuFpAyXVGBw&tl=en&sl=fr

A detailed scientific report was published on May 3, 2009.

http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=19203


Eurosurveillance, Volume 14, Issue 18, 07 May 2009
Rapid communications

FIRST SEQUENCE-CONFIRMED CASE OF INFECTION WITH THE NEW INFLUENZA A(H1N1) STRAIN IN GERMANY
H Melzl1, J J Wenzel1, B Kochanowski1,2, K Feierabend1, B Kreuzpaintner1, E Kreuzpaintner1, A Rohrhofer1, S Schreder-Meindl1, H Wollner3, B Salzberger4, U Reischl1, W Jilg1, H Wolf1, H H Niller ( )1
1. Institute of Medical Microbiology and Hygiene, University of Regensburg Medical Centre, Regensburg, Germany
2. present address: Microbiology Laboratory Mattes and Kochanowski, Neu?tting, Germany
3. Department of Internal Medicine, District Hospital, Mallersdorf, Germany
4. Department of Internal Medicine 1, University of Regensburg Medical Centre, Regensburg, Germany
________________________________________
Citation style for this article: Melzl H, Wenzel JJ, Kochanowski B, Feierabend K, Kreuzpaintner B, Kreuzpaintner E, Rohrhofer A, Schreder-Meindl S, Wollner H, Salzberger B, Reischl U, Jilg W, Wolf H, Niller HH. First sequence-confirmed case of infection with the new influenza A(H1N1) strain in Germany. Euro Surveill. 2009;14(18):pii=19203. Available online: http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=19203
Date of submission: 03 May 2009
________________________________________
Here, we report on the first sequence-confirmed case of infection with the new influenza A(H1N1) virus in Germany. Two direct contacts of the patient were laboratory-confirmed as cases and demonstrate a chain of direct human-to-human transmission. ________________________________________
A patient in his 30s was admitted to the department of internal medicine of a district hospital in southern Germany, on 24 April 2009 with influenza symptoms. Two days earlier, he had returned from a vacation in Mexico. He presented with fever up to 40? C, cough and dyspnoea. Headache and myalgia were not present. In addition, this patient had an unrelated, previously undiagnosed chronic disease. He was isolated on the morning of 27 April, and fever and dyspnoea resolved during that day. Since the evening of that day, he has been treated with oseltamivir. Because of his underlying medical condition he was transferred to the University Medical Centre on 28 April, where he has been in stable condition until present, with no further clinical signs of influenza.(?) Before the patient was isolated on the morning of 27 April under suspicion of new influenza, he had an estimated 19 close contacts among staff at the district hospital and one patient who stayed in the same twin room as the index case in the district hospital.
One of the nurses who had close contact with him has so far tested positive for the new influenza A (H1N1), and had influenza symptoms for a period of two days on 26-27 April. This case received oseltamivir treatment and stayed isolated at home until 5 May when she had tested negative for the new influenza A(H1N1) strain.
All other contacts among the district hospital staff and additional hospital staff who had not had contact with the index patient (a total of 32 people) were tested one or two times and have remained PCR-negative and healthy as of 7 May.
All 32 were tested and offered oseltamivir prophylaxis, but only a minority accepted the treatment. Contacts among the staff at the University Medical Centre remained healthy and were not tested, because the isolation care of the patient was continued without interruption from the beginning.
A sputum sample of the patient sharing the room with the index case was found positive on 29 April in an influenza A-specific TaqMan-PCR assay (set A, see Table). A second TaqMan-PCR assay, specific for the new influenza A(H1N1) strain (primer set D, see Table), was found positive on the same day. The patient was isolated and treated with oseltamivir in the afternoon of 29 April, and health authorities were informed. He suffered only minor influenza-like symptoms.​
 
Re: Germany - First in-country infection of H1N1

from an email -


Has a user talking about the "First Time" of the story. When in actuallity,
the topic is concerning "the first confirmed cases of the new human strain
of H1N1 among U.S. military personnel in Europe". Not the first in general.
Considering military communities in Europe are fairly close quartered, this
could become something much worse. Not only do we work together, but we eat,
sleep, and play together. Military personell travel from post to post for
work, sports, and leisure and with such tight communities could spread
faster than your average neighborhood.

This link is to the story from the Stars & Stripes: Europe.

http://www.stripes.com/article.asp?section=104&article=63149</pre>
 
Re: Germany - First in-country infection of H1N1

I dunno, the point of the article I posted is not the `first time`, it is about
domestic infection of H1N1. It is not about facts but about philosopy.

Most countries pass through this `first phase`: saying "the confirmed cases are imported or linked to imported cases", so "nothing to worry about".

This is temporary of course.

So "the first time" is about starting to face reality.
 
Re: Germany - First in-country infection of H1N1

Florida1 (post #3): O.k., I understand, that the two US-military cases are alarming and are causing concern in U.S. military personell. I also have to recognize, that probably this is the most important aspect in the quoted report of "Badische Zeitung" (and it is of international interest, of course).
So, obviously, I looked on it in a cursory and narrow-minded mode.

I dunno, the point of the article I posted is not the `first time`, it is about
domestic infection of H1N1. It is not about facts but about philosopy.

Most countries pass through this `first phase`: saying "the confirmed cases are imported or linked to imported cases", so "nothing to worry about".

This is temporary of course.

So "the first time" is about starting to face reality.


Dutchy (post #4), you're absolutely right.

I had a second look on the original report of the "Badische Zeitung". The term "for the first time" refers on the German cases (28 year old woman, who infected a 29-year old man). Although it had not been the first time of human-to-human transmission in Germany, it focused on the fact, that it had been the first time within the German Federal Land "Baden-Wuerttemberg" [im "L?ndle"] that is a southern province of Germany. So, obviously, I even looked on that detail in a cursory and narrow-minded mode. :oops:
 
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