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Indiana/Ohio: Two Siblings Die of Swine Flu, ages 19 & 26

Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

Two severe cases in a brother and sister might also indicate that they share a common gene that makes them more susceptible to this flu. Or they might both share another bug such as MRSA.
 
Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

Note the bold text. This is the first report I can find that Mindy tested negative. That is likely incorrect, as other reports state she tested positive for influenza A, and all influenza A in North American right now is virtually H1N1.

On the brighter side, apparently Matt's father is recovering too.

http://www.indystar.com/article/200.../1083/LIVING01/Teen+is+state+s+1st+H1N1+death

Teen is state's 1st H1N1 death
19-year-old from Dearborn County had no underlying health problems
By Shari Rudavsky
Posted: July 11, 2009. Post a Comment RecommendE-mailPrintShare.A



A .A Dearborn County teenager who died Sunday in a Cincinnati hospital is Indiana's first fatality from the H1N1 flu virus, health officials said Friday.
Matthew McIntosh, 19, is the second person to die in Ohio of the virus and the first in the Cincinnati area, Hamilton (Ohio) County Coroner O'Dell Owens said. An autopsy revealed no underlying health problems, he said.


Nationwide, there have been 211 deaths attributed to H1N1, or swine flu, and 37,246 confirmed cases.
Since the start of the outbreak, Indiana has had 273 cases and 36 hospitalizations. The death was the first confirmed case in Dearborn County, in the southeastern part of the state.
Indiana State Department of Health officials declined to confirm McIntosh's identity or provide further details, saying such information could mislead the public into complacency.
"If we focus on one individual, we could give false hope or false security to everyone," said Dr. Judith Monroe, state health commissioner. "We don't feel we have the right to do that."
Instead, Monroe emphasized that people should continue to take precautions against the virus by covering their mouths when they cough, washing their hands and staying home if they are ill.
While the disease has been mild in most cases, people with asthma, other respiratory conditions, heart disease and possibly obesity appear to be at increased risk for more severe illness, she said.
Older people may have immunity. Only 6 percent of those hospitalized are older than 65.
Seasonal influenza, which kills about 36,000 people a year, tends to strike the very old and very young worse than young, healthy adults.
Health officials are gearing up to fight both flu viruses this fall. On Friday, the federal government announced it will make nearly $7.3 million available to Indiana to help the state prepare.
Unlike seasonal flu, the H1N1 virus is spreading despite the warmer weather, Monroe said.
"This is July. It's hot and humid, and we have a circulating influenza virus," she said. "That is unusual."
From the beginning, McIntosh's case was unusual. McIntosh passed out in a barn. Doctors thought something in the barn was to blame.
"Normally a swine flu case would not be a coroner's case," Owens said.
McIntosh's older sister also fell ill around the same time, as did his father and a friend, Owens said. His sister, who has tested negative for the virus, remains in intensive care. Both the friend and the father are recovering.
On Friday, McIntosh's H1N1 swab came back positive, solving the mystery.
 
Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

This was posted as a comment on one of the articles by someone who says they are Matt's cousin. The barn story might be completely false.

http://www.local12.com/news/local/s...ne-Flu/N_iYY60Z-0quy8f_8KYuUA.cspx?p=Comments

first of all matt was not found in a barn his mother took him to the hospital after being sick for a few days. and i wouldnt have lost my 19 year old cousin if the FREAKING DOCTORS WOULD HAVE BEEN DOING THEIR JOBS! the doctors told my family that matt did not have swine flu.I miss my cousin very much and i hope the doctors that worked on matt read this. this is rediculous. if you cant do the job right then dont do it at all.
 
Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

Regarding the care that provided to Matt, we do not know the validity of this claim. The second video clip in my previous post the hospital claims Matt was suspected of having H1N1 from the beginning. If the wasn't, then the hospital should be concerned about exposure to others.


This was posted as a comment on one of the articles by someone who says they are Matt's cousin. The barn story might be completely false.

http://www.local12.com/news/local/s...ne-Flu/N_iYY60Z-0quy8f_8KYuUA.cspx?p=Comments

first of all matt was not found in a barn his mother took him to the hospital after being sick for a few days. and i wouldnt have lost my 19 year old cousin if the FREAKING DOCTORS WOULD HAVE BEEN DOING THEIR JOBS! the doctors told my family that matt did not have swine flu.I miss my cousin very much and i hope the doctors that worked on matt read this. this is rediculous. if you cant do the job right then dont do it at all.
 
Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

You're right. We don't know the validity of the claim about his treatment. But the statement that he was found on the floor or a barn is clearly false. He may have helped clean out a barn before taking ill, causing the doctors to suspect a hantavirus (or worse yet arenavirus), but his mother drove him to the hospital on the night of 6/27 - 6/28 after he coughed up blood at a performance of the band.

The barn had nothing to do with this illness, except maybe throwing doctors off track.
 
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Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

Another comment on the article (but this commenter doesn't claim any relation to our cluster) seems to indicate a lot of H1N1 in the area despite the lack of testing:

http://www.local12.com/news/local/s...ne-Flu/N_iYY60Z-0quy8f_8KYuUA.cspx?p=Comments

I have a question. I have all the same symptoms of the swine flu. I went to Dearborn County Hosp last night with a fever of 103.2 which i have had for four days now. All my results came back fine but there is cloudiness in my lungs so they are saying its pneumonia. I was up all night throwing up. My fever usually goes away in the morning then hits me hard around 2pm. Does anyone think i should have a second opinion from a better hospital?
--------------------------------------------------------------------------------
 
Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

I found this article while looking for new ones - it's from Tues., July 7 and includes some new info:

http://thejournal-press.com/index.php?option=com_content&task=view&id=4666&Itemid=104

Meanwhile, fellow Strange on Display bandmate Kristine Spielmann also is in University Hospital along with her sister Regina.

The Spielmann girls are hospitalized as a precaution, and have tested positive for the flu, said their father Tom Spielmann.

If we had seen this article at the beginning, we would have certainly known this was H1N1 as two cases in the cluster would have been positive for flu (there is no other flu in the area). Also worth noting that Regina is a new case, and is likely third-generation (from Matt) having caught H1N1 from Kristine.
 
Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

Regarding the care that provided to Matt, we do not know the validity of this claim. The second video clip in my previous post the hospital claims Matt was suspected of having H1N1 from the beginning. If the wasn't, then the hospital should be concerned about exposure to others.

The hospital may have continued pursuing the H1N1 hypothesis, but that isn't what they were saying to either the general public or the McIntosh family. If you go back and read through the articles in this thread you'll find the hospital spokesman saying things like

"We can say with 95 percent certainty that it's not swine flu, tests have been performed on those and so far they have come back negative."

and

"It's being treated as either viral, bacterial or fungal. We don't really have any clue as to what we're dealing with, yet."

An article on Wednesday said

Bird Flu and H1N1 have been ruled out.

Matt's mother wasn't told it was swine flu:

She says she's proof whatever killed her son, Matt, and has her daughter, Mindy, in intensive care must not be contagious, even though doctors are still baffled by it.

And a couple of days later,

?The McIntosh family has told reporters that they do not believe the disease - whatever it is - is contagious.?

But the hospital shouldn't be condemned for not diagnosing H1N1 right away. Look at the MMWR dispatch released yesterday on the Michigan critical cases. None of those 10 cases were positive on antibody testing and only 2 out of 10 were postive on viral cultures. It wasn't until the PCR tests were done that they were confirmed as having H1N1 - just like Matt. This virus is hard to test for - and perhaps even harder to find in the most virulent cases (perhaps because the virus is farther down in the lungs???).

I imagine in this case that the doctors were originally thinking hantavirus and because they had never seen the flu act this way before (and the flu tests were negative too) they really didn't think was H1N1. The word needs to get out to medical professionals that (1) a negative rapid flu test or viral culture does NOT rule out H1N1 and (2) this flu virus can be much more virulent than any other flu virus they've seen before.
 
Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

Another comment from one of Matt's friends on the same site. This is symbol for symbol - she bleeped a profanity - I didn't. So much for Matt being quarantined. Fortunately, this appears to be an "ordinary" Pandemic H1N1 case, and not a mutated virus or novel pathogen. I don't think the hospital did such a good job handling this, but most hospitals are not used to dealing with emerging diseases.

Well, I'd like to leave a comment about the latest video for this actually. They say "they never mis-diagnosed this"..is that SO? What about when you said Skinny didn't have swine flu, and you were 95% sure of that? That's fairily probable I believe. What's that little 5%? Oh I know, to cover your a**es I suppose. Lets see do I blame Indiana for taking so long? Yes, yes I do..because I know for a -fact- they knew before they announced it to us. One more little dispute for you, he was "quarantined the entire time". Really? So when I was in there, holding one of my best friends hands, talking to him and and dropping off a get well soon card and present and visiting Mindy..that's what quarantined is? When my friend K. was watching a movie with him? When his family was in there? Get real. They gave us little doctors masks and said wash your hands, thats it. After he passed on they quarantined Mindy. But I don't regret being in there with them a bit. You can contain a virus, you can't contain my love.
 
Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

But I don't regret being in there with them a bit. You can contain a virus, you can't contain my love.

That just breaks my heart! What a sweet passionate comment.
 
Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

I just cross-referenced the obituary in post #7 with the other articles. Matt's father's name is Mark. So the situation at this point is:

Matt McIntosh (19) - dead, confirmed H1N1
Melinda "Mindy" McIntosh (26), sister of Matt - critical condition, influenza A positive, H1N1 tests pending
Mark McIntosh, father of Matt and Mindy - possible mild case, no word on symptoms, tests or condition
Katrina McIntosh, mother of Matt and Mindy, wife of Mark - no symptoms

Kristine Spielman (19), singer in Matt's band - ill, influenza A positive, no word on H1N1 tests, likely recovered, likely discharged
Regina Spielman, sister of Kristine - ill, influenza A positive, no word on H1N1 tests, possibly recovered, possibly discharged.
 
Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

That just breaks my heart! What a sweet passionate comment.

This whole cluster breaks my heart. I feel like I know these people well from what I have read the past four days. We've never had details even close to this on any outbreak on FT before.
 
Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

:angel:as far as i know Mark was not sick . he was at Matts burial yesterday. i am a family member.and on mindy the lastest i heard she is holding her own. and i dont think she is in a coma no more.
 
Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

Thank you very kindly for your update of the family. We are keeping you all in our thoughts.
 
Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

Welcome, pt1968.

Thank you kindly for your post. I am very sorry for this loss to your family.
 
Re: Indiana/Ohio: Doctors investigating mysterious death of man and critical illness of his sister

Re: Indiana/Ohio: Doctors investigating mysterious death of man and critical illness of his sister

Also, the symptom of coughing up blood is unusual. I don't remember that being reported from any H1N1 patient (or any 1918 or H5N1 patient for that matter).


Alert. John Barry, in his book The Great Influenza, documents case after case after case in the 1918 Spanish Flu re: the coughing up of blood. If I am remembering correctly, for some, blood also was discharged from almost any cavity. Discharge of blood was associated most often with death of the individual.
 
Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

Another comment by a family member on the above article in response to Rshell's comment with the profanity in it. I don't think he was ever tested for H1N1 at Dearborn County Hospital:

Rshell thank you for saying that. and when matt was in dearborn county they told us that they didnt have a way of testing skinny. so thank you again.
 
Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

Yes, Thank you, pt1968. Please accept my condolences to your family for the loss of Matt. I hope Mindy recovers soon:tiphat:
 
Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

Welcome pt1968. I'd like to offer my condolences as well.

Yes, Thank you, pt1968. Please accept my condolences to your family for the loss of Matt. I hope Mindy recovers soon:tiphat:
 
Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

Re: Indiana/Ohio: Doctors investigating H1N1 death of man and critical illness of his sister

Young man dies of H1N1 flu with no underlying health conditions
By Michael Krebs.
Published 59 min ago by ■ Michael Krebs

After collapsing in a barn in Indiana, a nineteen-year-old man dies from exposure to the H1N1 swine flu virus. It may be the first H1N1 death recorded without the usual 'underlying health conditions' label.
As America ticks closer to the 2009 flu season, a young Indiana man's death from the virus on Saturday may offer a window on what is to come - an autopsy revealing that he had no other underlying health conditions.
Health officials throughout the world have been working as much to calm the healthy public as they have been to treat and understand those infected with the H1N1 virus. The public has become familiar with one of the pronouncements on H1N1 deaths - that the victim had "previous underlying health conditions."

Spokespeople at the World Health Organization and at the CDC and at hospitals around the world have also made it a point of characterizing the swine flu as a "mild" animal, but have vaguely cautioned on the impact it may have this coming fall and winter when flu season begins in the Northern Hemisphere.

But the death of this 19-year-old man may very well be something different.
Reporting on the story, UPI notes that his death "was unusual because he was healthy with no underlying illness, health officials said. Most of the 211 people believed to have died from infection with the H1N1 virus have suffered from conditions that made them vulnerable."

The H1N1 remains dangerous because it is a new virus that is operating in an open ecology. Since viruses mutate quickly in nature, there have already been different strains identified throughout the world - a particularly worrisome one in Asia, for example, having resisted Tamiflu.
 
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