Increase in respiratory illness reported in southeast Alabama: 10 hospitalizations, 2 deaths - multiple pathogens detected, including influenza A/H1N1

[Giuseppe]

[Source: Alabama Department of Health, full PDF document: (LINK). Edited.]


NEWS RELEASE / ALABAMA DEPARTMENT OF PUBLIC HEALTH, RSA Tower 201 Monroe Street, Suite 914 Montgomery, AL 36104, Phone 334-206-5300 Fax 334-206-5520, www.adph.org


Increase in respiratory illness reported in southeast Alabama

FOR IMMEDIATE RELEASE


CONTACT: Mary McIntyre, M.D., M.P.H., (206-5325


The Alabama Department of Public Health (ADPH) and the Houston County Health Department, in consultation with the Centers for Disease Control and Prevention, are investigating a cluster of respiratory illnesses of unknown origin in southeast Alabama.

Seven people have been admitted to a hospital with fever, cough and shortness of breath.

Two of the seven have died.

Laboratory samples have been obtained from all patients. Laboratory testing continues at both ADPH Bureau of Clinical Laboratories and CDC?s Respiratory Laboratory. ADPH and CDC have recommended the hospital use respiratory precautions, which include staff using N95 masks when caring for patients presenting with respiratory symptoms.

If you or your family members have respiratory symptoms of fever, cough and shortness of breath, please contact your health care provider to be evaluated.


-30- 5/21/13

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[Emily]

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths

http://www.dothaneagle.com/news/article_c7cfba0a-c234-11e2-9bc6-0019bb30f31a.html

Two dead, others sick locally from unknown illness
Posted: Tuesday, May 21, 2013 11:37 am

Posted on May 21, 2013

Matt Elofson


Seven people have been admitted to area hospitals, and two of them have died, in what health officials described Tuesday a ?cluster? of respiratory illnesses with flulike symptoms.

Of the seven people, two have died and the other five remain hospitalized, one in an intensive care unit. No specific hospitals were named.
click here!

The illnesses date back as far as April 19 and to as recent as Monday...

 

[Giuseppe]

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths

Source: WSFA.com: http://www.wsfa.com/story/22313426/unknown-respiratory-illness-threatens-southeast-alabama


Unknown respiratory illness threatens Southeast Alabama

Posted: May 21, 2013 7:05 PM Updated: May 21, 2013 7:45 PM

HOUSTON CO., AL (WSFA) - Two Alabama residents have died from a respiratory illness that doctors and health officials have been unable to explain.

(...)


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[Giuseppe]

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths

WARNING: Not confirmed information!

'''A person with knowledge of the situation, speaking on the condition of anonymity, said some of the cases could be linked to Orlando. At least one of the people who died is believed to have recently worked in the Florida city.''

[21:59:57] Giuseppe Michieli: http://dothanfirst.com/fulltext?nxd_id=273702

 

[curiosity]

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths

warning: Not confirmed information!

'''a person with knowledge of the situation, speaking on the condition of anonymity, said some of the cases could be linked to orlando. At least one of the people who died is believed to have recently worked in the florida city.''

[21:59:57] giuseppe michieli: http://dothanfirst.com/fulltext?nxd_id=273702

 

[sharon sanders]

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths

From: FluTrackers <flutrackers@earthlink.net>
To: Dain Weister <Dain_Weister@DOH.state.fl.us>
Subject: Alabama respiratory cluster supposedly linked to Orlando
Date: May 21, 2013 4:29 PM

Dain -

Can you comment on this - something I can publish? I need it now as this is a developing story:

http://www.dothaneagle.com/news/article_c7cfba0a-c234-11e2-9bc6-0019bb30f31a.html

"A person with knowledge of the situation, speaking on the condition of anonymity, said some of the cases could be linked to Orlando. At least one of the people who died is believed to have recently worked in the Florida city."

Our thread on this:

http://www.flutrackers.com/forum/showthread.php?t=206175




My official question is:

Does the Orange County public health department know of any respiratory illnesses, and or clusters, that are of unknown or known origin? If so, what types of respiratory illnesses are currently circulating in the Orange county/Orlando area? In particular - are there any persons who are diagnosed or have been treated for any respiratory illnesses of novel type disease?


Thanks,

Sharon Sanders
Editor-in-Chief
FluTrackers.com

 

[sharon sanders]

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths

Dain Weister is the Communications Manager at Florida Department of Health, Orange and Seminole Counties

 

[Emily]

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths

http://dothanfirst.com/fulltext?nxd_id=273812

Latest: Two Dead, Five Sick From Unknown Illness
By: Ken Curtis
Updated: May 21, 2013
[snip]
The illness is not believed related to an avian flu outbreak that has killed 131 people in China. Smith wouldn't speculate whether the Alabama cases could be the H1N1 virus, commonly called swine flu.

The 2 deaths were in the 30's to 40's age range.

 

[sharon sanders]

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths

http://dothanfirst.com/fulltext?nxd_id=273812


The 2 deaths were in the 30's to 40's age range.

This update also says that all of the affected live in Alabama. So was the Orlando, Florida mention just an unfounded rumour, or what?

 

[sharon sanders]

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths

From: FluTrackers <flutrackers@earthlink.net>
To: Dain Weister <Dain_Weister@DOH.state.fl.us>
Subject: Alabama respiratory cluster supposedly linked to Orlando
Date: May 21, 2013 4:29 PM

Dain -

Can you comment on this - something I can publish? I need it now as this is a developing story:

http://www.dothaneagle.com/news/article_c7cfba0a-c234-11e2-9bc6-0019bb30f31a.html

"A person with knowledge of the situation, speaking on the condition of anonymity, said some of the cases could be linked to Orlando. At least one of the people who died is believed to have recently worked in the Florida city."

Our thread on this:

http://www.flutrackers.com/forum/showthread.php?t=206175




My official question is:

Does the Orange County public health department know of any respiratory illnesses, and or clusters, that are of unknown or known origin? If so, what types of respiratory illnesses are currently circulating in the Orange county/Orlando area? In particular - are there any persons who are diagnosed or have been treated for any respiratory illnesses of novel type disease?


Thanks,

Sharon Sanders
Editor-in-Chief
FluTrackers.com

Dain responded:

"Nothing reported to us like this.

We are at a mild designation for flu cases.

All I know at this point. I'm inquiring further."

 

[sharon sanders]

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths

From: FluTrackers <flutrackers@earthlink.net>
To: Dain Weister <Dain_Weister@DOH.state.fl.us>
Subject: Alabama respiratory cluster supposedly linked to Orlando
Date: May 21, 2013 4:29 PM

Dain -

Can you comment on this - something I can publish? I need it now as this is a developing story:

http://www.dothaneagle.com/news/article_c7cfba0a-c234-11e2-9bc6-0019bb30f31a.html

"A person with knowledge of the situation, speaking on the condition of anonymity, said some of the cases could be linked to Orlando. At least one of the people who died is believed to have recently worked in the Florida city."

Our thread on this:

http://www.flutrackers.com/forum/showthread.php?t=206175




My official question is:

Does the Orange County public health department know of any respiratory illnesses, and or clusters, that are of unknown or known origin? If so, what types of respiratory illnesses are currently circulating in the Orange county/Orlando area? In particular - are there any persons who are diagnosed or have been treated for any respiratory illnesses of novel type disease?


Thanks,

Sharon Sanders
Editor-in-Chief
FluTrackers.com

Further response from Dain:

"There is no Epidemiological link to our area at this point, and no spike in any kind of cases like that here."

 

[curiosity]

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths

Thank you Sharon for asking. (And Dain Weister for responding so quickly.)

 

[curiosity]

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths

Alabama Department of Public Health outbreak investigations link:

http://www.adph.org/epi/Default.asp?id=5548

Note the investigations into unknown GI and Respiratory Cases at bottom of list for 2013.

________________


Alabama Department of Public Health Influenza Graph Link:

http://www.adph.org/Influenza/assets/ILI&BCLpositives.pdf

Note there have been no positive influenza specimens reported since what looks like 4/20/13. And prior to that the few positives were Influenza B.

 

[alert]

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths

http://vitals.nbcnews.com/_news/201...tory-illness-strikes-7-in-alabama-2-dead?lite

Mysterious respiratory illness strikes 7 in Alabama; 2 deadBy JoNel Aleccia, Senior Writer, NBC News
Two people have died and five others have been hospitalized in a mysterious cluster of respiratory illnesses in southeast Alabama, state health officials said.

The victims, all adults, had symptoms including fever, cough and shortness of breath, but the cause of the illnesses is unknown, said Dr. Mary McIntyre, the acting state epidemiologist for the Alabama Department of Public Health. The hospital is using respiratory precautions, which include requiring staff to wear special N95 masks that reduce the chance of infection.

State health officials have collected and analyzed samples of specimens from all patients. So far, one sample has tested positive for H1N1 influenza A, but it's not clear that that is behind the unusual illnesses. There's no evidence of other kinds of flu, including the H7N9 strain that has caused illness and death in China, McIntyre said.

Laboratory samples have been sent to the Centers for Disease Control and Prevention, but testing results are not yet available, officials said.

There's no evidence that any of the victims had a connection or traveled outside the country, which would have put them at risk for unusual pathogens, including a deadly new coronavirus recently christened MERS or Middle East Respiratory Syndrome.

"At this point it's too early to tell," McIntyre told NBC News. "That's why we called it a respiratory illness of unknown origin."

State and federal health officials will continue to investigate the illnesses.

 

[alert]

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths -at least one case positive for H1N1

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths -at least one case positive for H1N1

So it's not a cluster in the traditional sense, only a geographical one:

http://www.wsfa.com/story/22313426/mystery-illness-kills-2-alabama-residents-hospitalizes-5-others

[snip]

ADPH was general in its statement about the locations of those affect, calling the area affected "Southeast Alabama". A news conference covered by the Dothan Eagle cited an official who said all seven patients came from the eight-county service area including Barbour, Coffee, Dale, Geneva, Henry, Houston and Pike counties.


Samples have been taken from the patients and will be examined at the ADPH Bureau of Clinical Laboratories and the CDC Respiratory Laboratory.

So far none of those affected by the mystery illness appear to be connected to each other and there's no indication that any had recently traveled outside the country.

 

[hawkeye]

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths -at least one case positive for H1N1

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths -at least one case positive for H1N1

This story is getting picked up and broader attention

http://vitals.nbcnews.com/_news/201...tory-illness-strikes-7-in-alabama-2-dead?lite

 

[tetano]

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths -at least one case positive for H1N1

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths -at least one case positive for H1N1

Published Date: 2013-05-21 19:37:13
Subject: PRO/EDR> Undiagnosed respiratory disease - USA: (AL), fatal, RFI
Archive Number: 20130521.1729125

UNDIAGNOSED RESPIRATORY DISEASE - USA: ALABAMA, FATAL, REQUEST FOR INFORMATION
******************************************************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org

[1]
Date: 21 May 2013
Source: Alabama Department of Public Health [edited]
http://adph.org/news/assets/130521.pdf


Undiagnosed Respiratory Illness, Alabama, USA
---------------------------------------------
NEWS RELEASE / ALABAMA DEPARTMENT OF PUBLIC HEALTH, RSA Tower 201 Monroe Street, Suite 914 Montgomery, AL 36104, Phone 334-206-5300 Fax 334-206-5520, www.adph.org


Increase in respiratory illness reported in southeast Alabama

FOR IMMEDIATE RELEASE


CONTACT: Mary McIntyre, M.D., M.P.H., (206-5325


The Alabama Department of Public Health (ADPH) and the Houston County Health Department, in consultation with the Centers for Disease Control and Prevention, are investigating a cluster of respiratory illnesses of unknown origin in southeast Alabama.

7 people have been admitted to a hospital with fever, cough and shortness of breath; 2 of the 7 have died.

Laboratory samples have been obtained from all patients. Laboratory testing continues at both ADPH Bureau of Clinical Laboratories and CDC's Respiratory Laboratory. ADPH and CDC have recommended the hospital use respiratory precautions, which include staff using N95 masks when caring for patients presenting with respiratory symptoms.

If you or your family members have respiratory symptoms of fever, cough and shortness of breath, please contact your health care provider to be evaluated.

--
Communicated by:
Giuseppe Michieli
<gimi69@libero.it>
http://www.FluTrackers.com

******
[2]
Date: 21 May 2013
Source: Dothan Eagle [edited]
http://www.dothaneagle.com/news/article_c7cfba0a-c234-11e2-9bc6-0019bb30f31a.html


7 people have been admitted to area hospitals, and 2 of them have died, in what health officials described Tuesday as a "cluster" of respiratory illnesses with flulike symptoms.

Of the 7 people, 2 have died and the other 5 remain hospitalized, one in an intensive care unit. No specific hospitals were named.

The illnesses date back as far as [19 Apr 2013] and to as recent as Monday [20 May 2013].

The Houston County Health Department held a press conference on Tuesday [21 May 2013] morning to release some details.

The symptoms are flu-like, with those affected suffering from fever, shortness of breath, and cough. There are no other similar clusters of this illness in Alabama. All the cases are from within a 10-county area in Southeast Alabama.

The Alabama Department of Public Health and the Centers for Disease Control have recommended hospitals use precautions, including having staff use protective masks.
Health officials aren't sure who is at risk, but advise anyone displaying symptoms to seek advice from their physician.

Anybody with general questions can contact the Houston County Health Department at 334-678-2800.

[Byline: Matt Elofson]

--
Communicated by:
ProMED-mail
<promed@promedmail.org>

[Reports of clusters of undiagnosed severe acute respiratory illness [SARI] associated with fatalities are disconcerting at any time, but given the outbreaks of SARI due to influenza A (H7N9) in China this year, and the ongoing occurrence of SARI due to the MERS-CoV related to contact in the Middle East, this report of a cluster of as yet undiagnosed SARI in Southern Alabama in the USA raises concerns. While one presumes the routine influenza virus testing has been done, results of such laboratory testing are not mentioned in the above reports.

More information on this cluster would be greatly appreciated including laboratory testing thus far, epidemiologic features of the cases -- age, sex, history of travel, history of contact with other cases or animals.

For a map of Alabama showing counties, see http://www.digital-topo-maps.com/county-map/alabama.shtml.
For the interactive HealthMap/ProMED map of the USA showing the location of Alabama, see below. - Mod.MPP

A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/r/1FEr.]

http://www.promedmail.org/direct.php?id=20130521.1729125

 

[Giuseppe]

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths -at least one case positive for H1N1

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths -at least one case positive for H1N1

Source: Dothan Eagle, full page: http://www.dothaneagle.com/news/article_c7cfba0a-c234-11e2-9bc6-0019bb30f31a.html

Posted on May 21, 2013 by Matt Elofson

(...)

Peggy Williams, a state Department of Health investigator, said of the five people who remained hospitalized Tuesday, one was in an intensive care unit at a local hospital.

(...)

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[alert]

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths -at least one case positive for H1N1

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths -at least one case positive for H1N1

The wording here suggests more than one positive result for influenza:

http://www.foxnews.com/health/2013/05/22/mysterious-illness-kills-2-in-southeast-alabama/


Mysterious respiratory illness kills 2, leaves 5 others hospitalized in Alabama
Published May 22, 2013
Associated Press

UNDATED: A worker at the Center for Disease Control and Prevention sits at a station in the emergency operations center at the CDC. (AP)

MONTGOMERY, Ala. ? A mysterious respiratory illness has left five people hospitalized and two dead in southeast Alabama, state health officials said Tuesday.

Seven people have been admitted to hospitals with a fever, cough and shortness of breath in recent weeks, Alabama Department of Public Health spokeswoman Mary McIntyre said in a statement.

Two of the seven have died. The Alabama Department of Public Health and the Centers for Disease Control Respiratory Laboratory are analyzing lab tests from all seven patients. McIntyre says officials hope to have preliminary results on the samples back by Wednesday or Thursday morning.

The illness was first reported late last week and the last of the seven patients was hospitalized Monday, McIntyre said.

It wasn't immediately clear which municipalities the illnesses were concentrated in.

"We're only aware of the Southeast, but we don't know -- we haven't received reports from anywhere else," McIntyre said. "That's why we're trying to get the information out."

McIntyre said it's unclear what's causing the illness but some of the seven patients also had the flu. Authorities are urging hospital staff to wear masks when caring for patients who appear to be suffering from respiratory illnesses.

The Centers for Disease Control referred all questions to Alabama health officials.

 

[alert]

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths -at least one case positive for H1N1

Re: Increase in respiratory illness reported in southeast Alabama (Health Dept., May 21 2013): 7 cases, 2 deaths -at least one case positive for H1N1

http://www.krmg.com/news/news/local/mystery-illness-baffling-health-officials/nXyxH/

[snip]

State health officials can?t seem to find common ground among the patients either.

Patients range from young to elderly, so there?s no clear group more susceptible to whatever it is causing people to get sick.

Health officials also say they?re not sure how contagious the condition is either, but they do not that no family members of the current patients have gotten sick.