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NZ - Swine flu overwhelms Christchurch hospital

DazzaMc

Well-known member
Swine flu overwhelms Christchurch hospital

All elective cardiac surgery in Canterbury has been postponed as swine flu overwhelms Christchurch Hospital's intensive care unit (ICU).

Hospital acting general manager Ruth Barclay said eight people requiring heart surgery had their operations postponed this week.

The ICU, which usually cares for a maximum of 12 patients, has been treating 15 people.

At least eight patients in the unit had swine flu or flu and required ventilation, Barclay said.

Surgery will resume when ICU numbers drop.

Swine flu has put some young people with no previous medical conditions in intensive care units around the country. The national death toll from swine flu yesterday hit 10.

The Ministry of Health said swine flu was the dominant virus circulating and accounted for up to 90 per cent of all flu-like illness.

Canterbury businesses could also soon feel the impact of swine flu.

Canterbury Employers' Chamber of Commerce chief executive Peter Townsend said more than 847,000 weeks of labour could be lost if the infection rate reached the predicted 30 per cent peak.

The productivity loss was "very significant".

"Absenteeism is high and people are definitely being impacted by it. It is working its way through the community, and the business sector isn't excluded from that," he said.

"It's not a panic situation, but a situation we should manage to the best of our abilities."

About 30 staff were absent from Foodstuffs South Island's Christchurch head office on the same day last week.

The grocery giant's Hornby distribution centre was also stretched by the loss of ill workers, chief executive Steve Anderson said.

"We don't know if it was swine flu, but with the added awareness, people are staying away with colds as well," he said.

Townsend believed absence rates would rise. "Those issues are starting to increase and we're expecting it to peak somewhere around late August or early September."

The pandemic was a further blow for businesses struggling through the "biggest economic crisis since the Depression".

"Under normal circumstances, companies would be in a much better position to cope with the cost of absenteeism and the cost of declining production and sales due to the swine flu, but because we're all running pretty lean at the moment there's not a lot of room to move," he said.

Canterbury-West Coast Secondary Principals' Association chairman Denis Pyatt said he expected no problems with pupils returning from school holidays next week.

"I anticipate we'll carry on as normal," he said.

http://www.stuff.co.nz/world/swine-flu/2601427/Swine-flu-overwhelms-Christchurch-hospital
 
Re: NZ - Swine flu overwhelms Christchurch hospital

It's starting....

Auckland is around 1.5 - 2 weeks behind Christchurch, I expect Auckland hospital's to be joining Christchurch in the overwhelmed department by then then...
 
Re: NZ - Swine flu overwhelms Christchurch hospital

Swine flu has put some young people with no previous medical conditions in intensive care units around the country. ...........

The Ministry of Health said swine flu was the dominant virus circulating and accounted for up to 90 per cent of all flu-like illness.

If it's 90% now in NZ, we should expect nearly 100% in northern hemisphere in 6 months.

.
 
Re: NZ - Swine flu overwhelms Christchurch hospital

Otago university seeing an explosion of flu cases as students return from holidays and engage in Re-O week celebrations. starting a few days ago - and multiplying today- many students sick - wide range of symptoms apart from hang-overs. 25,000 young people in the right target age group - will the local health dept be able to cope with what is evolving as of now.?
 
Re: NZ - Swine flu overwhelms Christchurch hospital

Glad to see I'm not alone when doing the Maths here.

We just don't have enough ICU beds. Pure and simple.

Me and my family are bailing from Auckland in around 2 weeks time - not so much because of the virus but more because of the panic which could set in once people realise there isn't a functional health care system any more.

I was hoping it wouldn't come to this...



One Question to ask - if we removed all our fancy medicines, health-care and technology - would anyone like to have a guess at what the average mortality rate would be?
 
Re: NZ - Swine flu overwhelms Christchurch hospital

Dazzamc
i think they need to get their tamiflu/relenza distributed soon before the time gap and distribution system start to fall apart. I think NZ ers will handle it ok while it remains moderate - but may be a different situation if mutates and things start to get more intense - i just don't think the average kiwi has given this senerio a lot of thought - but by my accounts we are about 10 - 14 days from a major wake up jolt.
 
Re: NZ - Swine flu overwhelms Christchurch hospital

Otago university seeing an explosion of flu cases as students return from holidays and engage in Re-O week celebrations. starting a few days ago - and multiplying today- many students sick - wide range of symptoms apart from hang-overs. 25,000 young people in the right target age group - will the local health dept be able to cope with what is evolving as of now.?

"Re-O" ... at the risk of sounding like an old fuddy duddy, back in my day you just came back in winter and got on with it. Mind you, in my day they didn't have Castle Street riots either, altho it was an additional feature on the social calendar by the time my brother was at Otago....
 
Re: NZ - Swine flu overwhelms Christchurch hospital

great place to go to uni - i have three there now - 2 with suspected swine flu
 
Re: NZ - Swine flu overwhelms Christchurch hospital

Otago here ... I hope the student flats are not as cold, damp and drafty as they used to be.
 
Re: NZ - Swine flu overwhelms Christchurch hospital

Flu-clogged hospitals may have to defer operations
NZPA July 17, 2009, 7:43 pm

Intensive care units in the nation's hospitals are filling up, a senior health official says.

The public can expect to see some surgery being postponed around the country over the next few weeks, Dr Darren Hunt, deputy director of public health told NZPA.

Intensive care departments are facing problems in coping with patients from major operations, in addition to the mounting tide of seriously ill flu victims.

Dunedin and Invercargill hospitals are already preparing to take patients from Christchurch hospital -- which has been swamped with swine flu cases -- though no patients have yet been transferred.

The last time the nation's public health system was stressed like this -- during the Sars outbreak in 2003 -- health officials found New Zealand had little capacity to provide intensive care for infectious patients in sealed rooms with a lower air pressure than the rest of the hospital.

News reports yesterday said eight people were in the Christchurch ICU unit with swine flu or flu-like illnesses who needed ventilation.


The unit had also had to increase the number of patients from 12 to 15 and might have to send patients to other South Island hospitals.

The Dunedin hospital ICU, which has been on the redevelopment project list for many years, can accommodate 10 patients, but usually takes only six because of space and staffing issues.

In Australia, 36 people are in intensive care in NSW and five are being treated using cardiac bypass machines.

Hospitals on that side of the Tasman have ordered new machines from overseas in anticipation of a worsening of the situation, the vice-president of the Australian and New Zealand Intensive Care Society, Michael O'Leary, told the Sydney Morning Herald.

Dr O'Leary said Australia and New Zealand now have more confirmed swine flu infections per capita than any other country: 462 per million people, compared with 158 per million in Britain and 118 per million in the USA.

Dr Hunt declined to provide a specific figure for New Zealand, and said "accurate case rate data are not yet available to compare New Zealand's rate".


Australian authorities said they had currently had 202 swine flu patients in hospital, and 83 of them were in intensive care, with some hospitals deferring major operations, including cancer surgeries.

The patients include six pregnant women, in their second and third trimesters, who are fighting for their lives in intensive care units across western Sydney, while two Victorian swine flu patients were in intensive care units this week after giving birth.

The Royal Australian and New Zealand College of Obstetricians and Gynaecologists today urged pregnant women to wear masks in public and "wash themselves scrupulously" after coming into contact with others, the Sydney Morning Herald reported.

The college's president, Ted Weaver, said pregnant women did not have to "go into lockdown" but should work from home if possible.

"Be alert, but not alarmed -- if it's not essential to go out, stay home," Dr Weaver said.

Swine flu can pass to a foetus through infected membranes in the placenta or can cause a baby to overheat if the mother is running a fever. Pregnancy reduces a woman's immunity, and her capacity to breathe properly due to compression on her lungs from the foetus.

New Zealand has recorded 10 swine flu deaths so far, but the MOH said it was only recording deaths where swine flu was a definite contributing factor.

Dr Hunt said New Zealand health officials were unable to say how many women in advanced pregnancy were among the swine flu patients who have been treated in NZ intensive care units, or how many of the confirmed swine flu cases had been in pregnant women.

But pregnant women were a group at greater risk of complications from swine flu, including pneumonia, and needed to be particularly watchful for signs and symptoms.

Pregnant women who fell ill with influenza-like illness should seek medical advice promptly -- any of these patients with swine flu qualified for free doses of the anti-viral Tamiflu.

The number of confirmed cases in New Zealand -- only a tiny fraction of the actual number of swine flu patients -- rose to 2230, up from 2107 yesterday.
http://www.bloomberg.com/apps/news?pid=20601081&sid=aV27wUQr8gE8
 
Re: NZ - Swine flu overwhelms Christchurch hospital

i posted earlier that i had 2 children who are students at otago university with swine flu - well as of yesterday thats three out of three. All three live seperatly in flats and a hall of residence - they have not been in physical contact with one another during or before onset- all have been regularly vaccinated for seasonal flu and 90% of flu circulating in NZ is now swine flu.I had briefed them before returning to uni from hols to let me know as soon as they felt sick if that was the case. the first two called within 24 hrs of onset and began taking antiviral med immediatly(which they had on hand) the symptoms of sore throat, cough, tiredness , headache - one with fever one not - subsided quickly (one - two days) after beginning antiviral med - third is on day two of illness - started antiviral treatment 12hrs into symptoms.
The point of this post is to illustrate my experience and the rapid recovery following early treatment with antivirals - almost amazing how quickly they did their job when one would have expected the condition to have continued to worsen for a couple more days.It also serves to illustrate that even with antivirals onhand and someone ready to advise patient and patient primmed to look out for symptoms onset of treatment still took 24hrs for first two - 12hrs for third. It seems apparent to me that under normal circumstances the time delay gap between onset of symptoms and start of antiviral treatment for most is going to be beyond the 48hr effective window for treatment initiation.maybe a better system needs to be introduced before a second - potentially more lethal wave begins - otherwise lives will be lost needlessly.
 
Re: NZ - Swine flu overwhelms Christchurch hospital

I agree. I'm also in the South Island, my daughter and I both likely have it (we had seasonal flu shots but still have influenza-like symptoms).

We were lucky that a doctor friend came over and checked us out to confirm that it was probably 'flu and lucky that we had Tamiflu on hand (though I hate, HATED cracking open those two packets - felt like swallowing capsules of liquid gold).

If he hadn't been around I probably would have waited to see if my daughter's symptoms deteriorated to be certain, and that would have been day 3 or possibly beyond.

She has an underlying condition so she would have got Tamiflu down at the flu clinic, but I am much happier to be able to push the button here at home, without potentially exposing her on the off chance it's not h1n1 she's got. But not sure if I would have been brave enough to do it without the green light from a doc, and it would have been out of the three day window before I could have got in touch with her GP. God only knows what happens in households with low awareness, no personal Tamiflu stockpile and even less understanding than mine (v limited) of difference between cold and flu etc etc.
 
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