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NHS Helpline now just a recording, surge in cases in Scotland and Bradford/Leeds

kiwibird

Editor, Senior Moderator
http://www.theherald.co.uk/news/news/display.var.2516578.0.Warning_of_surge_in_swine_flu_cases.php


The public has been warned to expect a surge in the numbers of new swine flu cases after the largest jump yet in the outbreak in Scotland.

The news that 111 further people had tested positive over 24 hours in laboratory analyses - bringing the total number of Scottish cases to 850 - came as it was announced a fresh surge of swine flu cases has left NHS Direct swamped with calls and parts of the UK unable to contain the virus.

On Monday and Tuesday this week, NHS Direct received more than 6500 calls from people worried they had swine flu.
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Callers are currently hearing a recorded message saying the service is only dealing with emergency cases.

Health Secretary Nicola Sturgeon warned that while the healthcare task had been about containment as Scotland's cases were previously localised in the Dunoon area, Paisley and the south side of Glasgow - there has been further spread.

Ms Sturgeon said: "While the focus in the early stages of the outbreak has been primarily on containment we are now moving to a point where we are now seeing increased community transmissions. We're now looking ahead to a situation where local health boards will proceed on a flexible basis according to the situation in their specific areas."

In an interview, published in a nursing journal, she said that the majority with the virus have had mild effects similar to seasonal flu. But she added: "we have to be prepared for the prospect that the virus could mutate and return in a more virulent form."

Scotland was "still very much open for business and visitors are at no greater risk of contracting the virus here than anywhere else," she said.

UK Chief Medical Officer Sir Liam Donaldson yesterday warned there could be "tens of thousands of cases" each week by the autumn because the virus is more likely to thrive in colder months.

Meanwhile, the advice from NHS Direct was to check swine flu symptoms online before calling.

A spokeswoman warned that people with non-urgent calls faced a longer wait before being dealt with.

Maintaining a recent trend, Greater Glasgow and Clyde was home to the most significant increase in cases over the latest 24 hour period, this time 92. Lanarkshire confirmed 14; Lothian, two; Borders, one; Fife, one; and Tayside, one.

Of the latest cases, just three were linked with travel.

Yesterday also saw four new school closures - Cumbernauld Primary and St Helen's Primary, also in Cumbernauld, St Charles' Primary in Cambuslang and Crawforddyke Primary and Nursery in Carluke. There are currently four people in hospital with swine flu.
 
Re: NHS Helpline now just a recording, surge in cases in Scotland

Re: NHS Helpline now just a recording, surge in cases in Scotland

http://news.sky.com/skynews/Home/UK...ck_To_Make_Enough_Doses_For_All_UK_Population
Swine Flu: 'Stay At Home If You Are Ill'

5:40am UK, Friday June 26, 2009
A fresh surge of swine flu cases has seen NHS Direct swamped with calls and has left some A&E departments struggling to cope.

A senior microbiologist testing for influenza at the country health lab in San Diego, California

A lab worker tests for swine flu; production of the vaccine is now underway

People with flu-like symptoms are being advised to stay at home and if possible check their symptoms on the cold and flu symptom checker on www.nhs.uk or ring the swine flu information line on 0800 1 513 513.

Those still concerned should call their GP rather than visit in person.

London and the West Midlands have now adopted a policy of outbreak management, meaning new swine flu cases will be clinically diagnosed rather than being confirmed by laboratory results.

Doctors will also use the drug Tamiflu more selectively, targeting only people with symptoms and the drug is now unlikely to be handed out to everyone who has come into contact with a swine flu sufferer as a precaution.

Earlier it was announced a deal had been agreed to provide enough swine flu vaccine doses for the entire UK population as the number of confirmed British cases rose to 3,597.

Among new cases reported were 10 students at the University of Exeter, who are mildly affected by the virus and are receiving medical care.

All are expected to make a full recovery and the Health Protection Agency has advised that the University can remain open.

The new infections come as the Government announced at a swine flu briefing that GlaxoSmithKline and Baxter Healthcare would be producing enough vaccine for the entire UK population.

Initial doses are expected to be available from August, leaving officials with a choice over whether to start by tackling regional virus hotspots or whether to treat vulnerable individuals first.

NHS Swine Flu leaflet
NHS Swine Flu Leaflet red chevron
Download the government publication containing the official advice.

Chief Medical Officer Sir Liam Donaldson told Sky News: "The Government has to decide who gets priority.

"Should it be based on geographic reasons, because the nature of the virus is mild, or do you prioritise those at higher risk, such as people with prior medical conditions?"

Sir Liam added that there was also a case for targeting what he called "super-spreaders" of the virus, and that a team of scientists was working to determine the best course of action.

"We're still expecting a surge of new cases in autumn and winter," he warned.

Reporting from the Department of Health, Sky's Ian Woods said: "We're now seeing a move beyond the idea that this can be contained - it's impossible to do so because it's a pandemic.

"The focus is now on how to manage this pandemic."
 
Re: NHS Helpline now just a recording, surge in cases in Scotland

Re: NHS Helpline now just a recording, surge in cases in Scotland

The new infections come as the Government announced at a swine flu briefing that GlaxoSmithKline and Baxter Healthcare would be producing enough vaccine for the entire UK population.

Initial doses are expected to be available from August




Im sorry but i for one will not be taking a chance with a vaccine, that will not have been fully tested,in the rush to get it out.
 
Re: NHS Helpline now just a recording, surge in cases in Scotland and Bradford/Leeds

Health officials issue warnings

6:30am Friday 26th June 2009
By Claire Lomax ?


The first cases of swine flu have been confirmed in Bradford.

Three adults are being given anti-viral medicines and responding well to the treatment.

NHS Bradford and Airedale last night urged people who suspect they have swine flu to stay at home.

The outbreak in Bradford comes as parts of the UK have so many cases of swine flu the virus cannot be contained, the Government revealed yesterday.

So far, 3,597 cases of swine flu have been confirmed in the UK but the true figure is thought to be higher.

London and the West Midlands are adopting outbreak management, which will see people with swine flu clinically diagnosed rather than being confirmed by laboratory results. It comes as NHS Direct is being overwhelmed with calls from members of the public worried about swine flu.

Callers are likely to hear a recorded message saying the service is only dealing with emergency cases. A spokesman for the service said NHS Direct was experiencing a large volume of calls about the virus.

Bradford health chiefs have urged people to consider establishing a network of flu friends who can help if someone gets ill, by collecting medicines, food and other supplies so the person with flu has no need to go out.

They were asked to particularly think about neighbours who may live alone and invite them to be a flu friend.

A spokesman for NHS Bradford and Airedale said: ?If you think you have symptoms of flu you should stay at home and use the NHS symptom-checker online at nhs.uk ?If you are still worried please ring your GP or contact NHS Direct on 0845 4647 for advice.?

A district-wide pandemic flu committee, led by NHS Bradford and Airedale, is meeting regularly to ensure systems can be rapidly activated if necessary. Preparations include setting up a telephone flu line and anti-viral collection points.

GPs, dentists, opticians and pharmacists are prepared to cope and have continuity plans in place, including buddying arrangements in case of a high number of staff absences.

NHS Bradford and Airedale has set up corporate and tactical business continuity working groups with representatives from key services. Their role is to ensure the NHS organisation is resilient at a time of crisis.

A supply of protective equipment is ready to be issued to NHS staff most at risk, including social care teams, GPs and swabbing teams.

Health Secretary Andy Burnham yesterday urged people to continue observing good hygiene, such as washing their hands, covering their mouth when coughing and disposing of dirty tissues. ?If you have flu-like symptoms and are concerned, stay at home,? he said.

e-mail: claire.lomax @telegraphandargus.co.uk
http://www.thetelegraphandargus.co....flu_hits_district_as_three_treated_for_virus/
 
Re: NHS Helpline now just a recording, surge in cases in Scotland and Bradford/Leeds

List of questions asked on NHS Symptoms Advice Guide:
Contact with swine flu

In the last 7 days have you:

* visited a country considered at high risk for swine flu, [help]
* been in close contact with someone known to have swine flu, or [help]
* been in close contact with someone suspected of having swine flu? [help]
* None of the above

Answer None to this question if you have not been to a high risk country or have not been in contact with a known or suspected case of swine flu but do have cold or flu symptoms and want further advice.

Pg 2
It's possible to have cold or flu symptoms with other medical conditions. It's always best to check for these first, just to be safe, before checking your other symptoms.

Do any of the following apply to you?

* I have pain in or across the centre of my chest (see further information)
* I have pain in my shoulder, arm or jaw
* I am severely short of breath and I can't talk in full sentences
* I have swelling around my lips, mouth, tongue or throat
* My lips, fingernails or toenails are changing colour

Please Note: We have further information to help you answer this question

Pg 3

Just to be safe

Do any of the following apply to you?

* I have a headache so bad that I can't do anything
* I can't move my chin down to my chest
* I find looking at bright light painful
* I am unusually drowsy or confused

Please Note: We have further information to help you answer this question


Supporting information
Headache

If you can't complete any normal tasks involving movement, keeping your eye(s) open, reading, watching TV or concentrating, then answer Yes.
Move my chin down

Only answer Yes if you are completely unable to move your neck downwards. Answer No if you can, but would prefer not to because of the pain.
Bright light

People who can?t stand bright light will often move to a darkened room and will have their eyes closed and covered. It is unlikely that they will be watching TV, and they will be unable to look directly at any light, including daylight.
Drowsy

Drowsy means unusually sleepy or lethargic. A person who is drowsy would be more difficult to get a response from than a person who is sleeping normally, and would be more likely to fall asleep again quickly.
Confused

Confused means:

* Unable to think clearly
* Uncertain what is happening around you
* Unsure what day, or what time of day it is



* Yes
* No

Please select either Yes or No
Why are you asking me this?

This question is looking for common symptoms of meningitis or other serious conditions.

Pg4
Just to be safe

Do either of the following apply to you?

* I am developing a new rash with tiny red or purple pinprick marks that do not fade when I press a clear glass or finger against them
* I am developing pinprick marks that are changing into purple blotches, bruises or blood blisters

Please Note: We have further information to help you answer this question

Supporting information
Rash

* When a rash first appears, there may be only one or two isolated spots.
* This rash can appear anywhere, so don't forget to check the palms of your hands, the soles of your feet and the roof of your mouth.
* On dark skin, this type of rash is easiest to see on paler areas of the skin, such as palms of hands and soles of feet.



* Yes
* No

Please select either Yes or No
Why are you asking me this?

A rash like this can be a sign of another condition.

Pg 4

Which of your symptoms would you like advice about?

To begin with, you might want to choose your worst symptom. You can check other symptoms later.

* Sore throat
* Cough
* Earache
* Pain over my cheekbones or across my forehead
* General aches and pains or runny nose

Please select at least one symptom from the list
Why are you asking me this?

A cold often affects many different parts of your body such as your nose, throat, lungs or ears. So it's normal to have a number of symptoms.

(at this point cough was selected)

Pg 5
Other symptoms

Finally, as well as a cough, do any of the following symptoms apply to you?

* I have a sharp pain in my chest when I breathe in
* I am wheezing
* I am bringing up red, rusty coloured, brown, green or grey phlegm

* Yes
* No
(This has taken about 10 minutes so far)(make that 15...)

Then:
Pg 6
Request a call back from an NHS Direct advisor


We can see from your answers that you or the person you are caring for may need a more detailed assessment. Please fill in the form below and one of our advisors will call you back.

Please note that this call back service is only suitable for adults and children over 5 years of age.

If you have completed this symptom checker and you or the person you are enquiring for is under 5, please call NHS Direct on 0845 4647 now.

When you request a call back, the advisor will already have your details, but they will need additional information to give you the best advice.

This information is used only by NHS Direct to provide you with advice and information. It is not shared with other organisations, or stored or combined with any other medical records held by your GP or local NHS provider.

We will aim to call you back within 1 hour.

All calls to and from NHS Direct are recorded.


Please note that this service is provided for people in England only. For health advice and information in other parts of the UK please visit the NHS in Northern Ireland, NHS 24 (Scotland) or NHS Direct Wales.

From the above journey through the helpline it strikes me that if you were old (and unable to access the internet), confused and unable to think clearly, coughing severely.... and having difficulty breathing, or, at the end of the full survey, in Northern Ireland, Scotland or Wales this process could take at least half an hour. Even if you got through the full list and were in England you possibly have to wait another hour for someone to ring you back!
 
Re: NHS Helpline now just a recording, surge in cases in Scotland and Bradford/Leeds

I think I've probably got it, along with my family. I too looked on the NHS advice pages , thought they were more-or-less useless.

Silly thing is, if I say "it might be swine flu", people say, "Oh no, if it was, somebody would be doing something about it".

If it is swine flu, which I suspect, I think there must be a great deal of it circulating that no-one officially hears about, we all just took to our beds for 24 hours then got up and carried on.

It was about 48 hours incubation, I know who I got it from, and the person who was worst affected was a fit male in his mid-20s.
 
Re: NHS Helpline now just a recording, surge in cases in Scotland and Bradford/Leeds

I am sorry you and your family are ill. I hope you feel better soon. Just for your info I have copied this:

http://www.flutrackers.com/forum/showthread.php?t=106774

How long can an infected person spread this virus to others?
At the current time, CDC believes that this virus has the same properties in terms of spread as seasonal flu viruses. With seasonal flu, studies have shown that people may be contagious from one day before they develop symptoms to up to 7 days after they get sick. Children, especially younger children, might potentially be contagious for longer periods. CDC is studying the virus and its capabilities to try to learn more and will provide more information as it becomes available.

It is very difficult when no one about is being careful - but at least you can try and protect others who may be vulnerable. Don't forget if symptoms seem to disappear and then get worse, see a doctor.

What are considered severe symptoms of influenza?

For Adults:

? Difficulty breathing
? Purple or blue discoloration of the lips
? Vomiting and unable to keep liquids down
? Signs of dehydration such as dizziness when standing, absence of urination, or in infants, a lack of tears when they cry
? Seizures or uncontrolled convulsions
? Loss of consciousness
? Alteration in thinking

For Children:

? Fast breathing or trouble breathing
? Bluish or gray skin color
? Not drinking enough fluids
? Not waking up or not interacting
? Being so irritable that the child does not want to be held
? Flu-like symptoms that improve then return with fever and worse cough
? Fever with a rash

IF SEVERE SYMPTOMS DEVELOP, CALL YOUR HEALTH CARE PROVIDER. IF THE
HEALTHCARE PROVIDER IS NOT AVAILABLE, GO TO THE EMERGENCY ROOM.
Full list here:http://www.flutrackers.com/forum/showthread.php?t=110797

And an influenza manual:

Dr Gratton Woodsons Flu Treatment Manual

http://www.birdflumanual.com/resourc...za/Default.asp

Please print off and refer to when needed.

Might be now - hope some of this helps.Best Wishes Kiwi.
 
Re: NHS Helpline now just a recording, surge in cases in Scotland and Bradford/Leeds

Could we have a link to that NHS Symptoms Advice Guide if there is one, please?
 
Re: NHS Helpline now just a recording, surge in cases in Scotland and Bradford/Leeds

Scots Swine Flu Total nearly 1000
Scots swine flu total closes in on 1000 after 72 new cases found

Jun 26 2009

SCOTLAND'S tally of confirmed case of swine flu today approached 1,000 after 72 new cases were confirmed.

The total number has now reached 922.

Of the newly-confirmed cases nearly all - 61 - were in Greater Glasgow and Clyde.

The remainder were in Lanarkshire, Forth Valley, Grampian, Tayside, Lothian and Highland.

Four people were being treated in hospital.

Health Secretary Nicola Sturgeon said the increase was not unexpected, and the pattern was similar to other areas and countries.

"The containment strategy adopted during the early stages of the outbreak has, we believe, played a key role in helping to limit the spread of H1N1," she said.

"We will, as the outbreak develops through community transmission, perhaps need to move towards a flexible model of treatment which reflects the needs of individual regions."
http://www.dailyrecord.co.uk/news/sc...6908-21474203/
 
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