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Netherlands - (A) H1N1 - 2009-2010 - Hospitalisations 2,200+ - Deaths 63

Re: Netherlands - (A) H1N1 - Hospitalisations 2,124 - ICU 203 - Deaths 51

Re: Netherlands - (A) H1N1 - Hospitalisations 2,124 - ICU 203 - Deaths 51

google translated

RIVM weekly update


New Influenza A (H1N1)

Summary December 18, 2009, week 51

􀂃
In the last week the hospitalization rate for a laboratory confirmed infection
New with Influenza A (H1N1) also decreased from last week, 50 patients
reported this week compared to 104 last week.

In addition, 1 new death reported: a 63-year-old man with underlying disease. These deceased
New person was not vaccinated against Influenza A (H1N1).
􀂃
The age distribution of patients hospitalized for a laboratory confirmed infection
New with Influenza A (H1N1) shows that 92% younger than 65 years and 50% younger than 20 years. The
Most images of children aged 0 to 4 years (27%).
􀂃
In total, until December 16, 2124 patients hospitalized and 51
deceased patients. In 57% of inpatients and 90% of deceased patients was
existence of underlying medical problems.
􀂃
The number of patients with flu-like symptoms that are reported to the GP is the last week
declined further. The incidence of influenza-like illness (IAZ) of the previous week was 5.7
per 10,000 inhabitants. In 5 of the 25 examined samples (20%) were New Influenza A (H1N1)
found. The incidence of pneumonia was 1.1 per 10,000 inhabitants.
􀂃
Last week 4 Intensive Care cases reported, this decrease is compared with previous week,
9 IC recordings were then reported. A total of 203 patients included (were) in the Intensive
Care. Of these patients 115 were persons required mechanical ventilation and 69% of the
patients had an underlying disease.
􀂃
Several of the National Influenza Center from week 28 influenza viruses were investigated 95%
of type A (H1N1) v.
􀂃
Until this week in the Netherlands diagnosed 13 patients, including 2 this week, with
a New Influenza A (H1N1) virus that is resistant to the anti viral drug Tamiflu (oseltamivir)
that these patients are treated. Four of these patients are deceased. Around the 13
patients have so far no laboratory confirmed cases of transmission of the Tamiflu
resistant influenza found.
􀂃
Within the Nursing Infectious Diseases Surveillance Network (SNIV) No increase in the
incidence of influenza-like illness seen. There is no increase in pneumonia among
nursing home residents.
􀂃
In the week ending Wednesday, December 9, 2009 in the total mortality of the CBS no
increase seen.

Conclusion: The number of people visiting the doctor for flu-like symptoms is further
decreased.

On this basis can still be spoken of a mild flu in the Netherlands, which now
decreases towards the baseline. The reported number of hospitalizations, and IC recordings
deaths is also further decreased compared to last week.

There is 1 person in the past week due to the deceased New Influenza A (H1N1), which
familiar with underlying medical problems.

http://www.rivm.nl/cib/binaries/H1N1overzicht_tcm92-61018.pdf
 
Re: Netherlands - (A) H1N1 - Hospitalisations 2,156 - ICU 209 - Deaths 53

Re: Netherlands - (A) H1N1 - Hospitalisations 2,156 - ICU 209 - Deaths 53

google translated

RIVM announced this will be the last weekly update: epidemic seems to be over.


New Influenza A (H1N1)

Summary December 28, 2009, week 52



In the last week the hospitalization rate for a laboratory confirmed
New infection with Influenza A (H1N1) also decreased from last week, 31
patients have been reported this week compared to 50 last week. In addition, 2 new
deaths reported: a 57-year-old man and a 62-year-old woman, both with underlying
suffering. One person was not vaccinated for New Influenza A (H1N1), the second
This person was unknown.

The age distribution of patients hospitalized for a laboratory confirmed
New infection with Influenza A (H1N1) shows that 92% younger than 65 years younger and 50%
than 20 years. Most images of children aged 0 to 4 years (27%).

In total, until December 23, 2156 included patients (were) in the hospital and
53 patients are deceased. In 57% of inpatients and 90% of the deceased
patients had underlying medical problems.

The number of patients with flu-like symptoms that are reported to the GP is the last
week further declined. The incidence of influenza-like illness (IAZ) in recent
week was 4.4 per 10,000 inhabitants. In 3 of the 22 samples examined IAZ (14%) was
New Influenza A (H1N1) found. The incidence of pneumonia was 1.4 per 10,000
residents.

Last week 6 Intensive Care last week and reported shots were 4 this IC
recordings. A total of 209 patients included (were) in Intensive Care. Of these
patients had 117 people needed mechanical ventilation and 69% of patients had
an underlying disease.

Several of the National Influenza Center from week 28 studied influenza viruses
was 94% of type A (H1N1) v.

Until this week were 14 patients diagnosed in the Netherlands, of which 1 this week,
with a New Influenza A (H1N1) virus that is resistant to the antiviral agent Tamiflu
(oseltamivir) that such patients are treated. Four of these patients are deceased.

Around the 13 patients have so far no laboratory confirmed cases of transmission
of the Tamiflu resistant influenza found.

Within the Nursing Infectious Diseases Surveillance Network (SNIV) No increase in the
incidence of influenza-like illness seen. There is no increase in pneumonia among
nursing home residents.

In the week ending Wednesday, December 16, 2009 in the total mortality of CBS
see no increase.

Conclusion: The number of people visiting the doctor for flu-like symptoms is
further decreased. The flu epidemic in the Netherlands seems to be over.

The number of reported
hospitalization is also decreased from last week. There are the
Last week 2 persons deceased due to the new Influenza A (H1N1), both
familiar with underlying medical problems.

http://www.rivm.nl/cib/binaries/H1N1overzicht_tcm92-61018.pdf
 
Re: Netherlands - (A) H1N1 - Hospitalisations 2,156 - ICU 209 - Deaths 53

Re: Netherlands - (A) H1N1 - Hospitalisations 2,156 - ICU 209 - Deaths 53

Can you provide distribution of the 53 NL fatalities by provincie ?
 
Re: Netherlands - (A) H1N1 - Hospitalisations 2,156 - ICU 209 - Deaths 53

Re: Netherlands - (A) H1N1 - Hospitalisations 2,156 - ICU 209 - Deaths 53

Celvin11 said:
Can you provide distribution of the 53 NL fatalities by provincie ?
Click to expand...

These are not available. Anyway: Holland is a small country, 16 million people.
 
Re: Netherlands - (A) H1N1 - Hospitalisations 2,178 - ICU 209 - Deaths 54

Re: Netherlands - (A) H1N1 - Hospitalisations 2,178 - ICU 209 - Deaths 54

Euro Surveill. Surveillance of Hospitalisations for 2009 Pandemic Influenza A(H1N1) in the Netherlands, 5 June – 31 December 2009

Eurosurveillance, Volume 15, Issue 2, 14 January 2010

"clinical and epidemiological characteristics of patients hospitalised in the Netherlands for the 2009 pandemic influenza A(H1N1)"

Several interesting observations can be made:

- Obesity did not seem to be a riskfactor, however, no systematic data was collected on length and weight of the hospitalised patients not reported to be obese, which may have resulted in underreporting as obesity is likely to have been a subjective assessment of the attending physician.

- 44,2 % of the hospitalised patients did not have an underlying disease

- 9,8 % of the deaths did not have an underlying disease

- Asthma was the most common underlying condition, followed by other chronic lung disease and cardiovascular disease

- The median age of non-ICU hospitalised patients was 17 years

- For patients admitted to an ICU the median age was 42 years

- For patients who died the median age was 52 years

- Incidence of non-ICU hospitalisations peaked in the group of 0-4 year-olds and thereafter declined with age.

- Incidence of ICU admissions and deaths, however, showed a second peak in the group of 55-64 year-olds

- Of the non-ICU hospitalised patients 29.5% (508/1,722) had pneumonia

- Among the patients who were admitted to an ICU, 74.3% (153/206) had pneumonia and 63.3% (126/199) needed mechanical ventilation.

- Pneumonia was reported for 31 of 46 fatal cases for whom this information was available and 21 of 49 patients who died had received mechanical ventilation.

Full report is posted here:

http://www.flutrackers.com/forum/showthread.php?t=138984
 
Last edited:
Re: Netherlands - (A) H1N1 - Hospitalisations 2,202 - Deaths 59

Re: Netherlands - (A) H1N1 - Hospitalisations 2,202 - Deaths 59

RoRo said:
RIVM April 1st (week 12) is reporting 59 fatalities, but the ECDC is reporting 61.
http://www.rivm.nl/cib/themas/nieuwe-influenza/stand-van-zaken.jsp
http://ecdc.europa.eu/en/publicatio...SN_Weekly_Influenza_Surveillance_Overview.pdf (page 11)

Edit: On second view, the RIVM is dated March 25th, but both are called week 12.
Click to expand...

Today RIVM updated their website. announcing the 60th fatality.

I assume #61 will be reported next week in the weekly update on friday.
 
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