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Pandemic ‘swine’ flu could double burden on healthcare systems

mixin

Well-known member
Researchers from the MRC Centre for Outbreak Analysis and Modelling at Imperial College London, working in collaboration with the World Health Organization and public health agencies in Mexico, have assessed the threat presented by the new strain of influenza A (H1N1) in Mexico.

The researchers estimate that in Mexico, influenza A (H1N1) is fatal in around 4 in 1,000 cases, which would make this strain of influenza as lethal as the one found in the 1957 pandemic. The researchers stress that healthcare has greatly improved in most countries since 1957 and the world is now better prepared. The epidemic of influenza A (H1N1) is thought to have started in Mexico on 15 February 2009.

The data, published in Science magazine, suggests that by the end of April, around 23,000 people were infected with the virus in Mexico and 91 of these died as a result of infection. However, the figures are uncertain as some mild cases may have gone unreported. For every person infected, it is likely that there will be between 1.2 and 1.6 secondary cases. This is high compared to normal seasonal influenza, where around 10-15% of the population are likely to become infected. However, it is lower than would be expected for pandemic influenza, where 20-30% of the population are likely to become infected.

Professor Neil Ferguson, author of the research, said: “Our study shows that this virus is spreading just as we would expect for the early stages of a flu pandemic. So far, it has been following a very similar pattern to the flu pandemic in 1957, in terms of the proportion of people who are becoming infected and the percentage of potentially fatal cases that we are seeing. “What we’re seeing is not the same as seasonal flu and there is still cause for concern – we would expect this pandemic to at least double the burden on our healthcare systems.

However, this initial modelling suggests that the H1N1 virus is not as easily transmitted or as lethal as that found in the flu pandemic in 1918,” added Prof. Ferguson.

http://www.clinicalservicesjournal.com/Story.aspx?Story=5117
 
Re: Pandemic ?swine? flu could double burden on healthcare systems

Re: Pandemic ?swine? flu could double burden on healthcare systems

Tough choice are coming...

Rural hospitals struggle with flu

TORY SHEPHERD, BEN HYDE

June 02, 2009 12:01am

COUNTRY hospitals can only cope with a handful of patients in the event of a flu pandemic.

SA Health's country health influenza pandemic plan shows the dedicated flu hospitals at Port Augusta ? which has a "child focus" in the case of a pandemic ? Berri and Port Lincoln could deal with only five patients each. Mt Gambier and Whyalla could take 10 each.

The plan also says if a pandemic continued to spread, even non-elective surgery (ie urgent surgery) would have to be cancelled, leading to "ethical dilemmas" for healthcare staff over who to treat.

An SA Health spokesman said the state was "well prepared" for any pandemic, and that the planning was set up to cope with a "much more virulent" virus than the current swine flu virus, which is about as serious as ordinary seasonal flu.

"Our country hospitals, like our major metropolitan hospitals, will work together if we see a serious illness hit our state, and will make sure they continue to provide the best possible care to South Australians," he said.

Nationally, there are now 400 confirmed cases of swine flu, and still only seven cases in SA. There are more than 300 cases in Victoria, and 11 Victorian schools have been closed.

Federal Health Minister Nicola Roxon says it is "inevitable" that Australia will need to notch up its alert level. "It will continue to be assessed hourly, as well as daily, whether there are different steps that should be taken," she said.

Cruise ship Pacific Dawn docked in Sydney yesterday after all passengers, including Australian idol singer Casey Donovan, were cleared of having swine flu.

NSW Health earlier came under fire for letting thousands of passengers disembark, and new passengers embark, on the ship despite crew and passengers being infected with the virus. Four of SA's cases are passengers from the ship.

NSW Health have tested all 2500 people on board in the past few days.

Also yesterday, Australia's chief medical officer, Professor Jim Bishop, said advice to people with the flu may change as more cases are identified. Healthier people may be told to stay at home, and only those in "at-risk" groups should seek medical advice.

He also said the current strain of ordinary influenza had developed a resistance to the Tamiflu vaccine.

Blackfriars Priory School, which was closed for a week after a Year 7 boy contracted the disease, reopened yesterday. Year 12 student Daniel Dolatowski said it had been inconvenient being in home isolation.

http://www.news.com.au/adelaidenow/story/0,27574,25572062-2682,00.html
 
Re: Pandemic ?swine? flu could double burden on healthcare systems

Re: Pandemic ?swine? flu could double burden on healthcare systems

#2: "COUNTRY hospitals can only cope with a handful of patients in the event of a flu pandemic."

Now porge the subsequent overwhelming money, efforts and health bills to the travel/.... industry, which insisted on no early, and further, real strict 2 weeks of entering quarantines or groundings.
 
Re: Pandemic ?swine? flu could double burden on healthcare systems

Re: Pandemic ?swine? flu could double burden on healthcare systems

The data, published in Science magazine, suggests that by the end of April, around 23,000 people were infected with the virus in Mexico and 91 of these died as a result of infection. However, the figures are uncertain as some mild cases may have gone unreported.

AND you have deaths that may have gone unreported. I am sick of this trend of always clarifying the numbers in one direction or the other.
 
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