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Girl, 6, ill with swine flu, dies

Gert van der Hoek

In Memoriam - Editor, Senior Moderator
Girl, 6, ill with swine flu, dies


Jun 22, 2009 03:03 PM


THERESA BOYLE
STAFF REPORTER

A 6-year-old Peel Region girl, who was ill with swine flu, has died.

Medical officals called a 3 p.m. press conference this afternoon to announce details of the child's death.

She died last Monday, officials said, and the H1N1 virus was present.

However, it's not known what role the virus might have played in her death.

Health Minister David Caplan and other medical officials planned to conduct the press conference.

http://www.thestar.com/news/gta/article/654828
 
Re: Girl, 6, ill with swine flu, dies

Simple question ... would she likely have died if she had not been infected ?!
 
Re: Girl, 6, ill with swine flu, dies

Exactly marcovth. The shifting SOP from "milder than seasonal flu" to "underlying health conditions" to the latest "it is not known what role the virus might have played" is getting more sickening every time I read it. Died a week ago? Wow they really are letting a big lag build up.
 
Re: Girl, 6, ill with swine flu, dies

Girl, 6, first child in Ont. to die from H1N1 flu

Updated: Mon Jun. 22 2009 2:54:54 PM

<SCRIPT language=javascript type=text/javascript> var byString = ""; var sourceString = "The Canadian Press"; if ((sourceString != "") && (byString != "")) { document.write(byString + ", "); } else { document.write(byString); }</SCRIPT>The Canadian Press
<!-- dateline -->TORONTO<!-- /dateline --> ? A six-year-old girl from Peel Region west of Toronto is the first child in Ontario to die after contracting swine flu.
However, health officials are still not sure exactly what role the H1N1 virus played in the girl's death.
It's also not clear yet if she had other underlying medical conditions that could have contributed to her death.
Since the swine flu outbreak started, three other people in Ontario who had the H1N1 virus have died, but all three had chronic medical conditions.
Twenty people who have the virus were in Ontario hospitals as of last week, a number of whom have underlying medical conditions.
There have been more than 2,500 confirmed cases of swine flu in Ontario, but most are considered mild with symptoms very similar to an annual seasonal flu.
Globally, H1N1 has been confirmed in nearly 45,000 people in more than 90 countries, with about 180 deaths attributed to the virus.

http://toronto.ctv.ca/servlet/an/lo..._swineflu_090623/20090622/?hub=TorontoNewHome
 
Re: Girl, 6, ill with swine flu, dies

Source: http://www.news.ontario.ca/mohltc/e...-fatality-associated-with-h1n1-flu-virus.html

Ontario Investigates First Child Fatality Associated With H1N1 Flu Virus

June 22, 2009 3:10 PM

Dr. Arlene King, Ontario's Chief Medical Officer of Health, says that a six-year-old girl with the H1N1 flu virus has died. The Peel Region child had not been hospitalized and passed away on June 15. On June 19 laboratory testing confirmed a positive test for the H1N1 flu virus in this individual.

The H1N1 flu virus appears to have been a factor in the girl's death. The exact role the virus played in the death is under investigation by the Office of the Chief Coroner.

Ontario has 137 new confirmed cases of H1N1 flu virus since Friday, bringing the total number of cases in the province to 2,665. Almost all of the cases reported to date have symptoms similar to those of seasonal influenza. The vast majority of these cases have recovered. Twenty-four people who have the H1N1 flu virus were in hospital as of June 19, a number of whom have underlying medical conditions.
The Ontario cases involve 1,365 males and 1,228 females (the gender of 12 cases is unknown) with an age range of <1 to 84. The average age of the cases is 21.
QUICK FACTS


* On average, two to three children under the age of 19 die every year because of seasonal influenza.
* Symptoms of the H1N1 flu virus are similar to seasonal influenza (flu) including, chills and cough followed by fever, loss of appetite, muscle aches and fatigue, runny nose, sneezing, watery eyes and throat irritation. Nausea, vomiting and diarrhea may occur in adults as well as in children. In more severe cases, or in people with chronic conditions, complications such as pneumonia may develop.
* People who have symptoms of respiratory illness should contact their health care provider or call Telehealth Ontario at 1-8....
* For general information on the H1N1 flu virus, call the ServiceOntario INFOline at 1-800-476-9708 or visit the Ministry of Health and Long-Term Care website.
 
Re: Girl, 6, ill with swine flu, dies

On average, two to three children under the age of 19 die every year because of seasonal influenza.

Presumably they are referring to Ontario. I wonder how many years that average is based on. It is also likely they can actually document this number since it is based on pediatric cases and it seems there are more stringent reporting rules on deaths in children.
 
Re: Girl, 6, ill with swine flu, dies

Presumably they are referring to Ontario. I wonder how many years that average is based on. It is also likely they can actually document this number since it is based on pediatric cases and it seems there are more stringent reporting rules on deaths in children.

That would be in the whole of Canada not just Ontario.

There have been no pediatric deaths as a result of influenza this season. (well, this is the first)
http://www.phac-aspc.gc.ca/fluwatch/08-09/w23_09/index-eng.php

2007-2008 - 3
http://www.phac-aspc.gc.ca/fluwatch/07-08/w27-28_08/index-eng.php

2006-2007 - 2
http://www.phac-aspc.gc.ca/fluwatch/06-07/w33_34_07/index-eng.php

2005-2006 - 3
http://www.phac-aspc.gc.ca/fluwatch/05-06/w23_24_06/index-eng.php

2004-2005 - 3

I didn't have time to go further back in fluwatch but all the archives are here. http://www.phac-aspc.gc.ca/fluwatch/archive-eng.php They keep cumulative counts so you can work backwards from the final weeks (they don't always mention pediatric hospitalization/death esp if nothing happened that week, so you may need to go back a few weeks....)
 
Re: Girl, 6, ill with swine flu, dies

<TABLE class=lan18 cellSpacing=0 cellPadding=0 width="97%" align=center border=0><TBODY><TR><TD class=hei22 vAlign=bottom height=25>Confirmed A/H1N1 flu cases surge to 6,457 in Canada

</TD></TR><TR><TD bgColor=#ffffff height=4></TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width="50%" align=center border=0><TBODY><TR><TD height=8></TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width="97%" align=center border=0><TBODY><TR><TD width="48%">www.chinaview.cn
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2009-06-23 11:01:55
</TD><TD class=hui12 align=middle width="26%"></TD><TD class=hui12 align=middle width="12%">
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Print</TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width="80%" border=0><TBODY><TR><TD height=20></TD></TR></TBODY></TABLE><TABLE class=lt14 cellSpacing=0 cellPadding=0 width="97%" align=center border=0><TBODY><TR><TD class=lt14>


OTTAWA, June 22 (Xinhua) -- A total of 747 new A/H1N1 flu cases were registered in Canada in the past three days, bringing the total confirmed cases to 6,457, the Public Health Agency of Canada (PHAC) said on Monday.


Two deaths were reported, both in Quebec, bringing the death toll in that province to nine and 15 across nation, the PHAC said.

To date, 404 patients have been hospitalized among the laboratory-confirmed cases, it said.

The province of Ontario still has the most cases with the number standing at 2,665, followed by Quebec with 1,660 cases.

Health officials in Ontario confirmed one new death, which, if counted, would have brought the national total to 16, according to local reports.

The victim was a six-year-old girl from the Toronto area, the first child who died of the virus in Canada.

The girl showed the usual symptoms of a flu on June 14, and died the next day without having been admitted to hospital. She was later confirmed to have contracted the A/H1N1 flu virus. Officials said they were unsure what role the H1N1 virus played in the Ontario girl's death and are investigating whether the child had any underlying medical conditions.


</TD></TR></TBODY></TABLE>

http://news.xinhuanet.com/english/2009-06/23/content_11586485.htm
 
Re: Girl, 6, ill with swine flu, dies

Swine flu toll hits 16 as Brampton girl dies TheStar.com - Canada - Swine flu toll hits 16 as Brampton girl dies
<!-- LANDSCAPE IMAGE FOR THE ARTICLE--><!-- SIDE BAR CONTAINER --><!-- SUB TITLE 1 -->6-year-old among latest victims linked to H1N1 virus

<!-- PUBLISH DATE -->June 23, 2009
<!-- AUTHOR 1 -->Theresa Boyle
<!-- CREDIT 1-->Health Reporter
<!-- ARTICLE CONTENT-->A 6-year-old Brampton girl with swine flu died only a day after she began showing flu-like symptoms.
The child, who attended Roberta Bondar Public School, passed away a week ago and it was only discovered after she died that she had the H1N1 influenza virus.
The exact cause of death has not yet been determined, but the virus is known to have been a contributing factor, Dr. Arlene King, Ontario's chief medical officer of health, told a news conference yesterday.
The child got a fever and began vomiting on Sunday, June 14, and died the following day. An autopsy was performed and lab results revealed last Friday she did indeed have the virus. She is the fourth Ontarian with the virus to die.
Quebec health officials released a statement late yesterday afternoon to announce two new deaths in the province. They gave no details and did not return calls.
The deaths of the two Quebecers and the Brampton girl bring to 16 the number of Canadians to die after contracting swine flu.
Though the child, whose identity has not been made public, did not have any apparent pre-existing medical problems, the coroner's office is now trying to determine whether she had an undiagnosed condition. It's not known how the girl contracted the virus, but two members of her extended family had mild cases.
Officials are providing few details about the girl's death, including where she died. All King would say was that she did not die in hospital or at home.
Yesterday, Dr. David Mowat, medical officer of health for Peel, sent a letter to students, parents and staff at the elementary school, advising them that the girl was not symptomatic when she was in class.
"As such, the risk of transmission of H1N1 flu virus from this student to others in the school is very low," he wrote.
King said children at the school should continue attending class unless they feel ill. "At this time, we do not recommend that any schools be closed if there is a suspect or confirmed case," she said.
There have been more than 2,650 confirmed cases of swine flu in Ontario – and more than 5,700 across Canada – but most are considered mild with symptoms very similar to an annual seasonal flu.

Meantime, an international conference on disaster management being held in Toronto heard that private businesses are purchasing their own supplies of antiviral medications to prevent employees from being infected.
Amin Mawani, a professor with the Schulich School of Business at York University, said it's advisable for companies to take such measures to curb employee absenteeism and protect profits in the event that a second, more severe wave of the virus strikes in the fall.
"Pandemic planning can be viewed as insurance," he said.
But Alison Stuart, assistant deputy minister of public health, said the province is not advocating that such measures be taken.
"We have not recommended to either the health sector or more broadly to other sectors in Ontario that they stockpile antivirals as (preventative measures)."
With files from The Canadian Press

http://www.thestar.com/printArticle/655062



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Re: Girl, 6, ill with swine flu, dies

It looks like the poor child died in the car on the way to the hospital.

Link: http://www.thespec.com/News/article/588451

H1N1 victim 'wasn't even crying'

June 24, 2009
Raveena Aulakh
The Hamilton Spectator
BRAMPTON (Jun 24, 2009)

Within minutes, six-year-old Rubjit Thindal went from happily chatting in the backseat of the car to collapsing and dying in her father's arms.

"If we had known it was so serious, we would have called 911," Kuldip Thindal, Rubjit's distraught mother, said in Punjabi yesterday. "She just had a stomach ache -- she wasn't even crying."

Rubjit was pronounced dead at hospital barely 24 hours after showing signs of a fever. Later, doctors told her parents she had the H1N1 influenza virus, which used to be known as swine flu. She is believed to be the youngest person in Canada with the virus to have died.

On the evening of June 14, Rubjit had a bit of a fever and complained that her legs and arms hurt. The next morning, Kuldip took her to a walk-in clinicon McLaughlin Road and the doctor prescribed the pain reliever Advil.

By the afternoon, the little girl's fever was gone but she was complaining of a stomach ache.

Kuldip again took her to the clinic at about 2 p.m. The doctor gave her pills and told the Grade 1 student at Roberta Bondar School in Brampton to take it easy. She was fine for a bit, said Kuldip, but she kept asking "me to massage her arms and legs."

In the evening, when Rubjit said her stomach was still hurting, Kuldip and her husband, Gurmukh, decided to take her immediately to the Georgetown Hospital.

Kuldip was driving. It was about 8 p.m. and they were five minutes from the hospital. Rubjit sat in the backseat with her dad, talking -- as usual -- and sipping apple juice.

A minute later, Rubjit suddenly put her hand on her chest and said it was hurting.

The next minute, her body went limp and she stopped breathing.


Gurmukh performed CPR while Kuldip raced into the hospital's parking lot. They left the car doors open and the keys in the ignition as they scrambled to get their daughter inside the hospital.

It was about 8:05 p.m. when they arrived, Kuldip remembers. Two hours later, doctors confirmed their little girl was dead.

Just like that.

The exact cause of her death has not yet been determined, but the virus is known to have been a contributing factor, Dr. Arlene King, Ontario's chief medical officer of health, told a news conference Monday.

The H1N1 virus is having a greater impact on young people. The average age of the 2,665 Ontarians infected with the virus is 21. The youngest patient has been under the age of 1 and the oldest 84.

Dr. Allison McGeer, director of infection control at Mount Sinai Hospital, explained that older people are more likely to have built up antibodies to fight the virus by having been infected with similar strains or vaccinated against similar strains in the past.

"As you get older, you accumulate experience with H1N1 and you are protected against all H1N1 viruses," she said.

This is different from regular season flu which causes more serious complications in those under the age of 2 and over 65.

At Rubjit's school on Monday, a photograph of the girl was placed on a table outside the office where dozens of cards made by her classmates had been placed on the wall around it. Harmeen and Gagan, who haven't been to school since their sister died, said they planned to go to school tomorrow to get the cards.

A Peel Region spokesperson said the risk of other children in her school contracting the flu was very low.

Rubjit's parents say they don't know where the little girl contracted the virus.

The entire family has been tested and Kuldip said doctors have told them no one else has it. But not knowing how Rubjit got it is giving her sleepless nights.

"She was so lively, never sat still for a minute and was always laughing," said Kuldip, who admits she keeps wondering if Rubjit would still have been alive had she taken her to the hospital instead of the walk-in clinic.

"I don't know anything any longer," she said, shaking her head.

Yesterday, her older daughter, Harmeen, 13, sat next to her, passing her a glass of water when Kuldip was overwhelmed with tears. Her son, Gagan, 10, was on the computer watching videos of his sister dressed in traditional Indian clothes, singing and dancing to loud Punjabi music.

"She loved dressing up and having her photographs taken," he said.

Rubjit's two aunts -- one from Vancouver and another from California -- sat on the floor with Kuldip talking about the little girl's antics. Narinder, Kuldip's sister-in-law, had met Rubjit a few hours before she died. "She (Rubjit) had been talking about her birthday. She was very excited about it."

The little girl would have turned 7 on Aug. 29.

A couple of weeks ago, she told her aunt in India to send her a blue-coloured salwar-kameez -- a traditional Punjabi dress -- and blue bangles for her birthday.

On the weekend, Kuldip bought a blue salwar-kameez and matching bangles for her daughter's funeral.

With files from Theresa Boyle and The Canadian Press
 
Re: Girl, 6, ill with swine flu, dies

Source: http://www.caledonenterprise.com/article/71749

Girl with swine flu loses life
Friday June 26 2009
BY MATTHEW STRADER, ENTERPRISE STAFF
Six-year-old Rubjit Thindal tested positive for the H1N1 virus after her death. The role the virus played in her death remains under investigation.


The Region of Peel has experienced the first death of a patient determined to have the H1N1 virus, or Swine flu as it is commonly known.
Six-year-old Rubjit Thindal of Brampton died on June 15, within 24 hours of showing signs of a fever.
?Yes, a six-year-old girl has tragically died,? said Eileen de Villa, associate medical officer for the Region of Peel. ?This young girl did test positive for the virus, but the exact role the virus played in that death is currently under investigation by the coroner.?
While Thindal did test positive for the virus, the message from the public health office at the Region of Peel is not changing, and as de Villa shared, the office is also telling people that an influenza death is not uncommon.
?It is not unusual,? said de Villa. ?Roughly 300 people die of seasonal influenzas in Onatario every year. It is expected with influenza that there are cases that can be described as mild, or milder, where the people generally recover, and there are cases that can be described as more severe and result in death. It is tragic what has happened, and our sympathies go out to the family, but it is not unheard of, and it is expected every year.?

Dr. de Villa also explained that the key message from the public health office will not change because of the death. While the H1N1 virus is showing up in a young age group, patients in Ontario have an average age around 21, there are no new cautionary statements for parents, besides what has already been shared.
?The key message is still to monitor your health,? said de Villa. ?If you show signs and symptoms of flu, stay away from school and work and certainly contact your health care provider.?

The public health office continues to promote good hygiene and control measures, such as covering mouths when sneezing or coughing, and washing hands with soap and water.
The Peel Regions? website has more information about seasonal flus and control measures for them at: www.peelregion.ca/health/
As of press time on Thursday, there were 559 cases of Swine flu reported in the Region. Most of those have recovered, according to the office of Public Health.
 
Re: Girl, 6, ill with swine flu, dies

Source: http://www.caledonenterprise.com/article/71749

Girl with swine flu loses life
Friday June 26 2009
BY MATTHEW STRADER, ENTERPRISE STAFF
.
“It is not unusual,” said de Villa. “Roughly 300 people die of seasonal influenzas in Onatario every year.
In the US, pediatric deaths are reportable. The number of deaths for the entire season in the entire country has been less than 100 for most of not all years since reporting became manditory (in 2003?).
 
Re: Girl, 6, ill with swine flu, dies

Note from Post #5 above:

On average, two to three children under the age of 19 die every year because of seasonal influenza.

So...with another death, A/H1N1 Ontario will have tied the average for the year...and summer is not flu season.
 
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