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Severe Flu Cases Surge in Manitoba - Aboriginal Community Hit Hard

Re: Severe Flu Cases Surge in Manitoba - 26 on Ventilators Since June 7 - Aboriginal Community Hit Hard

Re: Severe Flu Cases Surge in Manitoba - 26 on Ventilators Since June 7 - Aboriginal Community Hit Hard

Nunavut disputes WHO's concerns about swine flu spike

Last Updated: Wednesday, June 10, 2009 | 12:35 PM ET Comments1Recommend7

CBC News


tp-nu-sobol-curley-flu090609.jpg
Dr. Isaac Sobol, left, and Nunavut Health Minister Tagak Curley speak to reporters in Iqaluit Tuesday about the new swine flu cases. (CBC)

Nunavut's top health official is downplaying fears about the severity of swine flu there, especially after the World Health Organization stated concern about a spike in flu cases in the predominantly Inuit territory.

But Nunavut chief medical officer Dr. Isaac Sobol disputed remarks made Tuesday by Keiji Fukuda, acting WHO assistant director general, who cited a "disproportionate number of serious cases occurring" in Inuit communities in Canada.

"That's very interesting to hear. I have no idea why he would've made that statement because it's not based on any evidence I'm aware of," Sobol told reporters on Tuesday.

The organization's concerns came after Nunavut confirmed 28 new cases of H1N1 influenza Tuesday, more than doubling the total in the territory from 25 to 53.
Severity same in North as elsewhere: Sobol

Sobol added that referring to the flu situation as a pandemic can be misleading. The term pandemic does not take into account the severity of the illness, only its range, he said.

Sobol maintained that the severity of illness in Canada's North is the same as that found in other jurisdictions across Canada.

"In fact, if a pandemic were to be declared, it really doesn't mean anything different in terms of our approach to H1N1 flu virus in Nunavut," he said.

A total six patients have been admitted to hospital with the H1N1 virus, but Sobol said they are all recovering.

Health officials have said the marked rise in Nunavut swine flu cases is partly the result of heightened flu surveillance efforts, in place since Nunavut confirmed its first case on May 28.

Health-care workers across the territory have been testing every patient with flu-like symptoms for the H1N1 virus.

Still, Inuit can be at a higher risk for H1N1 infection, said Dr. Anna Banerji of St. Michael’s Hospital in Toronto, who has studied respiratory illness in Inuit children.

"Part of it is the virus, but a lot of it is the environment or the circumstances these children are living within," Banerji said, adding that people are more at risk for infection when nutrition is poor and houses are overcrowded.

Banerji said she's happy to hear that swine flu cases in Nunavut are not very serious to date.
Yellowknife hospital copes with Nunavut cases

Sobol said if the flu situation changes, he's confident his workers can handle it.

H1N1 flu virus patients from Nunavut have put some pressure on operations at Stanton Territorial Hospital in Yellowknife, the closest hospital to patients in some central Arctic communities.

Stanton CEO Kay Lewis said the facility is providing care to swine flu patients as planned, and has not hit maximum capacity.

"Initially we had an influx of, sort of, three a day coming in," Lewis said.
"It's certainly slowed down from that perspective, and at this point in time … we only have three [babies] from there. So it's hard to predict just where it's going to go."

One of the babies in hospital has the H1N1 virus, while doctors are awaiting test results done on the other two.

Compared to Nunavut, the Northwest Territories has confirmed two cases of swine flu, while the Yukon has one.

http://www.cbc.ca/health/story/2009/06/10/nunavut-flu-who.html
 
Re: Severe Flu Cases Surge in Manitoba - 26 on Ventilators Since June 7 - Aboriginal Community Hit Hard

Re: Severe Flu Cases Surge in Manitoba - 26 on Ventilators Since June 7 - Aboriginal Community Hit Hard

http://www.cjob.com/News/Local/Story.aspx?ID=1101799


In Full Pandemic Mode

6/10/2009

Aboriginal leaders from northeastern Manitoba say some communities are in full pandemic mode as the swine flu continues to hit the region. Chief David Harper of the Garden Hill First Nation says schools and daycares are closed, public events have been cancelled and the band is sanitizing buses and police vehicles at least twice a day. Two cases of the swine flu have been confirmed in Garden Hill and many cases are suspected in nearby St. Theresa Point. Harper and other chiefs are calling on the federal government to boost health services in the area and improve housing. Christina Flett, whose infant son tested positive for the swine flu, says she tried to get help for days, but was told to give her son a bath and some Tylenol. Flett lives with 10 other people in her father's home, because her own house has mold.


http://www.cjob.com/Landing/Story.aspx?ID=1101785

WRHA Wants Hospital Visits Limited
CJOB News Team reporting
6/10/2009


The Winnipeg Regional Health Authority is asking the public to restrict hospital visits. Vice-President and Chief Nursing Officer Jan Currie says the measure is being taken to protect both patients and visitors from the spread of infections. The health authority also issued a list of guidelines that includes advise like "think carefully before bringing a child to the hospital for a visit," and "washing your hands when entering and leaving a patient care unit."



http://www.winnipegfreepress.com/lo...w-cases-of-H1N1-four-aborginals-47537862.html

Four aborginals among 16 new cases of H1N1

By: Staff Writer

10/06/2009 1:55 PM | Comments: 0

WINNIPEG ? Manitoba native leaders say there are four new aboriginal cases of the H1N1 flu among 16 new cases that the province is expected to be confirmed this afternoon.

Sidney Garrioch, grand chief of MKO which represents a number of northern First Nations, said two of the cases are from St. Theresa Point, one is from Garden Hill and another occurred in the Island Lakes Region.

"As far as we are concerned it is a pandemic," said Garden Hill Chief David Harper.

The Free Press will update this story following the provincial briefing on the spread of H1N1 flu this afternoon.
 
Re: Severe Flu Cases Surge in Manitoba - 26 on Ventilators Since June 7 - Aboriginal Community Hit Hard

Re: Severe Flu Cases Surge in Manitoba - 26 on Ventilators Since June 7 - Aboriginal Community Hit Hard

News Manitoba


MB. Health confirms 16 new H1N1 cases

By SUN MEDIA
Last Updated: 10th June 2009, 3:09pm



Another 16 H1N1, or swine flu, cases have now been confirmed in Manitoba, bringing the provincial total to 56.

Manitoba Health says the virus has spread throughout the province and more cases are expected.

The province says the majority of infected people experience only mild illness, even as the number being treated in intensive care units rises.
The health agency urges Manitobans who have respiratory illnesses to visit their doctors.

There have now been 34 H1N1 flu cases reported in Winnipeg alone.

http://www.winnipegsun.com/news/manitoba/2009/06/10/9755256.html
 
Re: Severe Flu Cases Surge in Manitoba - 26 on Ventilators Since June 7 - Aboriginal Community Hit Hard

Re: Severe Flu Cases Surge in Manitoba - 26 on Ventilators Since June 7 - Aboriginal Community Hit Hard

I remember a last years thread about must or not tribes mantain themself in isolation in case of an potential pandemic on the verge..

If I'm not wrong, the decision made was to not mantain an total strict isolation, but instead to rely on the wider community help.

I'm not saying that it is not neccessary to account on and get all the help and treatments it is possible, but maybe, the more isolated communities with enaugh stocked goods, could try an initial policy of strict isolation, which could postpone the infections until safe vaccines are made.

Only a remembering issue, don't take it personaly ...
 
Re: Severe Flu Cases Surge in Manitoba - 26 on Ventilators Since June 7 - Aboriginal Community Hit Hard

Re: Severe Flu Cases Surge in Manitoba - 26 on Ventilators Since June 7 - Aboriginal Community Hit Hard

June 10, 2009

BULLETIN #19 H1N1 FLU

. Manitoba Health and Healthy Living is reporting 16 additional confirmed cases of H1N1 flu. This brings the Manitoba total to 56 reported laboratory-confirmed cases. Manitoba Public Health is currently following up on these latest cases.

. The influenza outbreak is provincewide and more cases are expected in communities across Manitoba. Most Manitobans who become ill are experiencing relatively mild cases of influenza illness and have not required hospitalization. Manitoba has experienced an increased concentration of patients with severe respiratory illness admitted to intensive care units, which is higher in number than previous influenza outbreaks.

. If you're sick with a respiratory illness and you need medical care, your health-care provider will treat you and assess whether you need testing. Testing for viruses does not change the treatment of a viral respiratory illness. Doctors and health-care providers are expected to make flu treatment decisions without influenza test results as they have been trained to diagnose influenza and other viral illnesses. They also have current guidelines for practice in this situation.

. Manitoba is fully responding to the H1N1 situation across the system including:
- In Winnipeg, hospital visitors are asked to restrict their visits to patients in hospital and follow existing guidelines in order to protect both patients and visitors from the spread of infection.
- The provincial government is co-ordinating a centralized dispatch of air ambulances to help better oversee air ambulance traffic and steps are being taken to ensure incoming patients are processed quickly once they arrive in a receiving community such as Winnipeg. The number of air ambulance calls is within the normal range for this time of year.
- The provincial government has provided surgical masks, N95 respirators and anti-virals to assist the federal government in northern Manitoba. Additional personal protective equipment such as gloves and gowns will also be made available as requested by the federal government.
- The provincial government has already provided additional doctors through the Northern Medical Unit.

. [snip]

. For more information about H1N1 flu, see www.manitoba.ca

SUMMARY OF ALL CONFIRMED H1N1 CASES IN MANITOBA AS OF JUNE 10
RHA
(Patient's residence) Total
Assiniboine
Brandon 6
Burntwood/Churchill 10
Central
Interlake
Nor-Man 4
North Eastman 1
Parkland
South Eastman
Winnipeg 34
Total 56
 
Re: Severe Flu Cases Surge in Manitoba - 26 on Ventilators Since June 7 - Aboriginal Community Hit Hard

Re: Severe Flu Cases Surge in Manitoba - 26 on Ventilators Since June 7 - Aboriginal Community Hit Hard

Note that the figures above combine Burntwood and Churchill.

However, the MB Health website distinguishes the two, and assigns all cases to Burntwood = 10

http://www.gov.mb.ca/health/publichealth/sri/cases.html

and map:

http://www.rham.mb.ca/about/

J.
 
Re: Severe Flu Cases Surge in Manitoba - 26 on Ventilators Since June 7 - Aboriginal Community Hit Hard

Re: Severe Flu Cases Surge in Manitoba - 26 on Ventilators Since June 7 - Aboriginal Community Hit Hard

Hum!

Brandon +1
Burntwood +6
Nor-Man +1
Parkland -1
South Eastman -1
Winnipeg +8

Confirmed Cases of H1N1 Flu in Manitoba


As of June 10, 2009
<TABLE cellPadding=4 width="100%" border=0><TBODY><TR><TD bgColor=#015e3f colSpan=2>Health Region</TD></TR><TR><TD width=420 bgColor=#b3c98b>Assiniboine</TD><TD width=98 bgColor=#b3c98b>
0​


</TD></TR><TR><TD width=420 bgColor=#b3c98b>Brandon</TD><TD bgColor=#b3c98b>
6​


</TD></TR><TR><TD width=420 bgColor=#b3c98b>Burntwood</TD><TD bgColor=#b3c98b>
10​


</TD></TR><TR><TD width=420 bgColor=#b3c98b>Central</TD><TD bgColor=#b3c98b>
0​


</TD></TR><TR><TD width=420 bgColor=#b3c98b>Churchill </TD><TD bgColor=#b3c98b>
0​


</TD></TR><TR><TD width=420 bgColor=#b3c98b>Interlake</TD><TD bgColor=#b3c98b>
0​


</TD></TR><TR><TD width=420 bgColor=#b3c98b>Nor-Man</TD><TD bgColor=#b3c98b>
4​


</TD></TR><TR><TD width=420 bgColor=#b3c98b>North Eastman</TD><TD bgColor=#b3c98b>
1​


</TD></TR><TR><TD width=420 bgColor=#b3c98b>Parkland</TD><TD bgColor=#b3c98b>
0​


</TD></TR><TR><TD width=420 bgColor=#b3c98b>South Eastman</TD><TD bgColor=#b3c98b>
0​


</TD></TR><TR><TD width=420 bgColor=#b3c98b>Winnipeg</TD><TD bgColor=#b3c98b>
34​


</TD></TR><TR><TD width=420 bgColor=#015e3f>Total</TD><TD bgColor=#015e3f>
56​



</TD></TR></TBODY></TABLE>

For more information on the H1N1Flu, please click here:
http://www.gov.mb.ca/health/publichealth/sri/cases.html

Confirmed Cases of H1N1 Flu in Manitoba


As of June 4, 2009
<TABLE cellPadding=4 width="100%" border=0><TBODY><TR><TD bgColor=#015e3f colSpan=2>Health Region</TD></TR><TR><TD width=420 bgColor=#b3c98b>Assiniboine</TD><TD width=98 bgColor=#b3c98b>
0​
</TD></TR><TR><TD width=420 bgColor=#b3c98b>Brandon</TD><TD bgColor=#b3c98b>
5​
</TD></TR><TR><TD width=420 bgColor=#b3c98b>Burntwood</TD><TD bgColor=#b3c98b>
4​
</TD></TR><TR><TD width=420 bgColor=#b3c98b>Central</TD><TD bgColor=#b3c98b>
0​
</TD></TR><TR><TD width=420 bgColor=#b3c98b>Churchill </TD><TD bgColor=#b3c98b>
0​
</TD></TR><TR><TD width=420 bgColor=#b3c98b>Interlake</TD><TD bgColor=#b3c98b>
0​
</TD></TR><TR><TD width=420 bgColor=#b3c98b>Nor-Man</TD><TD bgColor=#b3c98b>
3​
</TD></TR><TR><TD width=420 bgColor=#b3c98b>North Eastman</TD><TD bgColor=#b3c98b>
0​
</TD></TR><TR><TD width=420 bgColor=#b3c98b>Parkland</TD><TD bgColor=#b3c98b>
1​
</TD></TR><TR><TD width=420 bgColor=#b3c98b>South Eastman</TD><TD bgColor=#b3c98b>
1​
</TD></TR><TR><TD width=420 bgColor=#b3c98b>Winnipeg</TD><TD bgColor=#b3c98b>
26​
</TD></TR><TR><TD width=420 bgColor=#015e3f>Total</TD><TD bgColor=#015e3f>
40​
</TD></TR></TBODY></TABLE>
For more information on the H1N1Flu, please click here:
 
Re: Severe Flu Cases Surge in Manitoba - 26 on Ventilators Since June 7 - Aboriginal Community Hit Hard

Re: Severe Flu Cases Surge in Manitoba - 26 on Ventilators Since June 7 - Aboriginal Community Hit Hard

Pourquoi les difference negatives?

Ils sont les cas confirmes, n'est-ce pas?

J.
 
Re: Severe Flu Cases Surge in Manitoba - 26 on Ventilators Since June 7 - Aboriginal Community Hit Hard

Re: Severe Flu Cases Surge in Manitoba - 26 on Ventilators Since June 7 - Aboriginal Community Hit Hard

Pourquoi les difference negatives?

Ils sont les cas confirmes, n'est-ce pas?

J.

We saw that often in the United States. The case is allotted to an area then moved after thorough analysis.
 
Re: Severe Flu Cases Surge in Manitoba - 26 on Ventilators Since June 7 - Aboriginal Community Hit Hard

Re: Severe Flu Cases Surge in Manitoba - 26 on Ventilators Since June 7 - Aboriginal Community Hit Hard

Note the Summary of Communicable Disease by Region (RHA) for April 2009:

http://www.gov.mb.ca/health/publichealth/cdc/surveillance/scd/apr09.pdf

And in particular, Burntwood's high MRSA figure.

There are similar monthly reports going back in time that may paint a picture of underlying conditions.

J.
 
Re: Severe Flu Cases Surge in Manitoba - 26 on Ventilators Since June 7 - Aboriginal Community Hit Hard

Re: Severe Flu Cases Surge in Manitoba - 26 on Ventilators Since June 7 - Aboriginal Community Hit Hard

Manitoba's swine flu caseload balloons to 56

First Nation leaders say their northern communities are facing a pandemic

Last Updated: Wednesday, June 10, 2009 |

There are 16 new confirmed cases of swine flu in Manitoba, pushing the province's total to 56, health officials announced Wednesday.

There was no information provided by the province on the ages, gender or residences of the people confirmed to have the most recent cases.

Aboriginal leaders, however, told CBC News that five of the cases are people from the Burntwood health region in the province's far north, which includes a number of First Nations that have been struggling with outbreaks of a flu-like illness.

The World Health Organization this week stated it is on the verge of declaring the swine flu outbreak a pandemic. Acting assistant director-general, Keiji Fukuda, also said the organization is particularly concerned about the number of flu cases appearing recently within Manitoba's aboriginal population.

Schools and daycares closed, public events cancelled

Aboriginal leaders from northeastern Manitoba, part of a group called Manitoba Keewatinowi Okimakanak (MKO), held a press conference in Winnipeg on Wednesday, saying some communities are already dealing with a pandemic.

More than 200 people from St. Theresa Point First Nation have fallen ill since the start of last week. The majority of the ill are being treated in the community, located about 500 kilometres from Winnipeg.

Those with the most severe symptoms are now in Winnipeg, including two who are in critical condition and two others who have been confirmed to have swine flu. One of them is a woman who was pregnant but has since miscarried. Altogether, 27 people from the reserve have been flown to Winnipeg for treatment.

Two cases of swine flu have also been confirmed at Garden Hill First Nation, near St. Theresa Point. Chief David Harper said schools and daycares are closed, public events have been cancelled and the band is sanitizing buses and police vehicles at least twice a day.

And in Split Lake Cree First Nation, about 120 kilometres north of Winnipeg, the community's clinics are packed, and so many children are sick with flu that the school has had to be closed, said health director Mike Moose.

The schools are also closed in South Indian Lake, 900 kilometres north of Winnipeg, due to suspected swine flu cases.

Harper and other chiefs are calling on the federal government to boost healthcare services and improve housing on reserves.

Many reserve homes are overcrowded, with more than a dozen people living in cramped quarters. Aboriginal leaders say the situation has created an ideal breeding ground for the virus to spread.

On-reserve health care substandard: First Nations

They also say the current level of health care is substandard. Garden Hill shares one doctor with another community and has nurses staffing the health station when the doctor is not around.

Christina Flett said she tried to get help for her son, Peter, several times last week, but was told by the nurses to give the 1½-year-old toddler cold baths and Tylenol.

Peter was eventually flown out by air ambulance and confirmed earlier this week to have swine flu, said Christine, who was part of the MKO press conference. Peter, who was released from hospital on Wednesday, was also at the press conference.

Garden Hill is the same reserve where a six-month-old boy died in March after being airlifted to Winnipeg. The feverish boy had been taken into the reserve's nursing station on at least three separate occasions by his mom, who was told to give him Tylenol and cold baths.

He was finally airlifted after suffering a seizure while at the station.

Four additional doctors and several more nurses were sent to St. Theresa Point. Chief David McDougall has been calling for a fully equipped field hospital to be set up in the community to serve St. Theresa as well as Garden Hill and other First Nations.

Harper said his community requested anti-viral drugs, gloves, masks and sanitization equipment from the province a month ago but nothing has been delivered.

Public asked to limit hospital visits with patients

Meanwhile, the Winnipeg Regional Health Authority is asking the public to limit their visits to hospitals in order to reduce the spread of influenza.

"Being in a hospital is a stressful situation for patients, their family and friends," said Jan Currie, the WRHA's chief nursing officer. "We know having visitors helps lessen the stress and makes the stay more pleasant, but we are asking the public to use their best judgment when deciding who should visit and how often."


In order to provide the safest environment for patients, families and staff, the region is asking the public to follow the following guidelines:

Stay home if you have been sick with a fever, cough and/or body aches and tiredness in the past 7 days.

Limit the number of visitors in a patient's room at any given time.

A maximum of two visitors at a time should be with patients in intensive care units.

Wash your hands — when entering and leaving a patient-care unit — with the antimicrobial rinse gel provided by the doors.

Follow and respect any signs or special precautions listed on the door to a patient's room or given verbally by a nurse or other staff.

Cover your mouth with the crook of your arm if you cough.

The WRHA is also urging people to think carefully before bringing a child to hospital for a visit.

Children under 12 years of age must be supervised at all times.

"It's important during times like this for people to use common sense," Currie said. "We know this may be inconvenient, but it is important for the health of our community."

http://www.cbc.ca/health/story/2009/06/10/mb-swine-flu-health-authority.html
 
Re: Severe Flu Cases Surge in Manitoba - 26 on Ventilators Since June 7 - Aboriginal Community Hit Hard

Re: Severe Flu Cases Surge in Manitoba - 26 on Ventilators Since June 7 - Aboriginal Community Hit Hard

Bravo!


Methicillin-resistant Staphylococcus aureus

Burntwood (MRSA): 68

Manitoba : 179

<TABLE cellSpacing=0 cellPadding=4 width="100%" border=0><TBODY><TR vAlign=top><TD><STYLE type=text/css> <!-- img.storyimg { float: left; padding: 0; border: 0; margin: 0 8px 4px 0; border: 0; } --> </STYLE><TABLE cellSpacing=0 cellPadding=0 width="100%" border=0><TBODY><TR vAlign=top><TD>WRHA Wants Hospital Visits Limited
CJOB News Team reporting
6/10/2009

The Winnipeg Regional Health Authority is asking the public to restrict hospital visits. Vice-President and Chief Nursing Officer Jan Currie says the measure is being taken to protect both patients and visitors from the spread of infections. The health authority also issued a list of guidelines that includes advise like "think carefully before bringing a child to the hospital for a visit," and "washing your hands when entering and leaving a patient care unit."
</TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE>
http://www.cjob.com/News/Local/Story.aspx?ID=1101785
 
Severe Flu Cases Surge in Manitoba - 26 on Ventilators Since June 7 - Aboriginal Community Hit Hard

Severe Flu Cases Surge in Manitoba - 26 on Ventilators Since June 7 - Aboriginal Community Hit Hard

Manitoba adopts pandemic response

Province shifts to a disaster footing even as World Health Organization vacillates over whether to call the flu outbreak a full-blown pandemic



Patrick White


Winnipeg — From Thursday's Globe and Mail, Thursday, Jun. 11, 2009 03:33AM EDT



<!-- /#credit --> As the World Health Organization vacillated over whether to call the flu outbreak a full-blown pandemic yesterday, Manitoba shifted to a disaster footing, warning people away from hospitals, closing some northern schools and placing more flu victims in intensive care.


The Winnipeg Regional Health Authority posted flyers throughout city hospitals asking the public to limit hospital visits and urging people with flu symptoms to stay away altogether.


Nurses and physicians within those hospitals are straining to contain a surge in severe cases of the flu that appears to be unique in the country. Yesterday, two more flu sufferers were placed in intensive care, bringing to 27 the total number of people on respirators due to flu symptoms.


The WHO is considering bumping up its pandemic alert from 5 to 6, which would indicate a global pandemic is under way. Under stage 6, the highest alert level, drug-makers would have to fast-track production of a swine flu vaccine, currently scheduled to roll out in December.


In Manitoba, a disproportionate number of those on respirators are aboriginal. Several remote first nations communities have closed schools, placed limits on unnecessary travel and begun intense sanitization programs.


“We're trying as best we can to stop this thing,” said David Harper, Chief of the Garden Hill First Nation, where a second person was confirmed with swine flu yesterday and dozens more are showing symptoms. “We're sanitizing our public vehicles and many of our public places twice a day.”


Chief Harper says the real problem lies in his community's homes. With upwards of 10 people living in cramped quarters, residences offer ideal vectors for disease. When large-scale outbreaks inevitably arise, small rural nursing stations cannot keep up.


“Most would consider their health centres as first-aid centres, at best,” said Donovan Fontaine, acting chief of the Assembly of Manitoba Chiefs.
The first swine flu victim in Garden Hill, 18-month-old Peter Flett, had been prescribed Tylenol and cold baths for several days before nursing staff finally decided to medevac him 500 kilometres to Winnipeg.


“They lost a lot of time there,” said his mother, Christina Flett, her recovering son at her side playing with a toy truck. “We are lucky it didn't come out worse.”


In the House of Commons, Health Minister Leona Aglukkaq rejected opposition accusations that the government has failed to protect first nations.



“Since April of this year we have been acting on our pandemic plan, which includes first nations communities,” she said.


http://www.theglobeandmail.com/news/national/manitoba-adopts-pandemic-response/article1177024/
 
Re: Severe Flu Cases Surge in Manitoba - 26 on Ventilators Since June 7 - Aboriginal Community Hit Hard

Re: Severe Flu Cases Surge in Manitoba - 26 on Ventilators Since June 7 - Aboriginal Community Hit Hard

'We're in a war zone': chief

Leaders of affected communities say health resources inadequate

By: Arielle Godbout
11/06/2009 1:00 AM | Comments: 0


<!--endclickprintexclude-->
1241004.jpg
Enlarge Image
Eighteen-month-old Peter Flett, with mom Christine, was turned away from Garden Hill?s nursing station several times before being airlifted to Winnipeg. (TREVOR HAGAN / WINNIPEG FREE PRESS)



The World Health Organization is concerned about the surge of H1N1 influenza cases in two isolated Manitoba First Nations communities, even as the chief of Garden Hill First Nation said his community lacks basic medical resources to cope with the crisis.

They don't have a full-time doctor or antivirals. They also don't have enough masks, medical gloves or sanitization equipment.

<!-- End Related Items -->Manitoba Health is working to find an extra doctor to send to Garden Hill, but that may not happen until next week. It was only on Wednesday that First Nations Inuit Health decided to send hand sanitizers to First Nations communities, many of which don't have access to running water.
Dozens of First Nations residents have been medevaced to hospitals in Winnipeg with severe flu-like symptoms.

"We need to set up a temporary hospital base right within the region, that is what's urgently needed," Garden Hill Chief David Harper said Wednesday, referring to the Island Lake region that includes three other First Nations communities, including St. Theresa Point. Garden Hill has only a nursing station that shares a doctor with a neighbouring community.

"The amount of medevacs that we've had in one month would almost pay for a hospital. It would definitely pay for a hospital."

Harper said medical equipment such as masks, antivirals and sanitization equipment was ordered last week through the local nursing station but has not arrived. If it doesn't come soon, Harper said, he'll pay for the equipment out of his own pocket.

"Whatever it takes," he said. "We're in a war zone, we have to protect (our community). Especially our children and our elderly."

The Garden Hill school has been closed for the year and members of the community have been asked not to gather in groups, if possible.
"We're fighting an invisible enemy and it's coming into our community," he said.

Four of the 16 new cases of H1N1 confirmed by the province Wednesday are from the Island Lake region. There are now 56 confirmed cases of H1N1 in Manitoba.

Dr. Keiji Fukuda, the WHO's senior influenza expert, had noted on Tuesday the organization is very concerned about reports from Manitoba of severe illness among aboriginal people who have contracted swine flu, noting that in previous pandemics, such populations have been hit particularly hard.
Harper's pleas for a temporary hospital in the Island Lake region were echoed in the House of Commons Wednesday by Churchill MP Niki Ashton.

"Chief (David) McDougall of St. Theresa Point has called for a field hospital to deal with the situation that is so bad," she said during question period in Ottawa. "If we can do this in war zones, why can we not do it on the front lines of a coming pandemic?"

Health Minister Leona Aglukkaq answered that Canada's pandemic plan applies to everyone and Health Canada is working with its provincial and First Nations counterparts.

Harper said one of his community's two confirmed cases of H1N1 is an 18-month-old boy, Peter Flett, who was medevaced to Winnipeg early Monday morning.

He said Peter's case illustrates how poor living conditions, a lack of resources and overworked nurses can have tragic results. He said the toddler was misdiagnosed and turned away from the nursing station a number of times last week.

Manitoba Health's assistant deputy minister, Terry Goertzen, said the department is trying to secure doctors who could be flown into the Island Lake region.

"I understand that we may have a physician resource secured for (Garden Hill) next week but I know that that's not good enough from a community perspective," he said.

Also Wednesday, the Winnipeg Regional Health Authority, which is responsible for Winnipeg hospitals, announced new visitor guidelines.
"We certainly understand how difficult it is to stay away and not visit when someone is in hospital, but we're really asking that people who might have the flu certainly should not come if they've had the flu within the previous seven days," said Jan Currie, vice-president of the WRHA.

Parents should also avoid bringing children under 12 to visit in the hospital because of their susceptibility to influenza.

<!--1 $item-->arielle.godbout@freepress.mb.ca

http://www.winnipegfreepress.com/local/were-in-a-war-zone-chief-47760982.html
 
Re: Severe Flu Cases Surge in Manitoba - 26 on Ventilators Since June 7 - Aboriginal Community Hit Hard

Re: Severe Flu Cases Surge in Manitoba - 26 on Ventilators Since June 7 - Aboriginal Community Hit Hard

'We're in a war zone': chief

Leaders of affected communities say health resources inadequate

By: Arielle Godbout
11/06/2009 1:00 AM
...
"Chief (David) McDougall of St. Theresa Point has called for a field hospital to deal with the situation that is so bad," she said during question period in Ottawa. "If we can do this in war zones, why can we not do it on the front lines of a coming pandemic?"
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arielle.godbout@freepress.mb.ca

http://www.winnipegfreepress.com/local/were-in-a-war-zone-chief-47760982.html

Precisely.
 
Re: Severe Flu Cases Surge in Manitoba - 26 on Ventilators Since June 7 - Aboriginal Community Hit Hard

Re: Severe Flu Cases Surge in Manitoba - 26 on Ventilators Since June 7 - Aboriginal Community Hit Hard

Doctor says province needs flu policy for schools

6/8/2009

An infectious disease expert in Manitoba says in light of recent events both here and abroad, the province has to come up with a policy about school closures before the fall flu season hits.

Dr. Greg Hammond says when the H1N1 virus struck Mexico, they closed a number of public facilities. Children spread the flu faster than adults.

Hammond would not say whether a Dauphin middle school with high absenteeism last week and some students with flu symptoms should be closing, but he does says Manitoba needs to think about policies before fall.

Hammond also says schools and parents should be alerted whenever absenteeism exceeds 10 per cent.

http://www.cjob.com/News/Local/Story.aspx?ID=1100684
 
Re: Severe Flu Cases Surge in Manitoba - 26 on Ventilators Since June 7 - Aboriginal Community Hit Hard

Re: Severe Flu Cases Surge in Manitoba - 26 on Ventilators Since June 7 - Aboriginal Community Hit Hard

Severe flu prompts Manitoba to take emergency measures


PATRICK WHITE
WINNIPEG ? From Thursday's Globe and Mail, Thursday, Jun. 11, 2009 07:00AM EDT


<!-- /#credit -->As the World Health Organization vacillated over whether to call the H1N1 flu outbreak a full-blown pandemic yesterday, Manitoba shifted to a disaster footing, warning people away from hospitals, closing some northern schools and placing more flu victims in intensive care.

The Winnipeg Regional Health Authority posted flyers in hospitals asking the public to limit visits and urging people with flu symptoms to stay away altogether.

Nurses and doctors are straining to contain a surge in severe cases of the flu that appears to be unique in the country. Yesterday, two more flu sufferers were placed in intensive care, bringing to 27 the number of people on respirators due to flu symptoms.

The WHO is considering bumping up its pandemic alert from 5 to 6, which would indicate a global pandemic is under way. Under Stage 6, the highest alert level, drug-makers would have to fast-track production of a swine flu vaccine, currently scheduled to roll out in December.

In Manitoba, a disproportionate number of those on respirators are aboriginal. Several first nations communities have closed schools, placed limits on unnecessary travel and begun intense sanitization programs.
"We're trying as best we can to stop this thing," said David Harper, chief of the Garden Hill First Nation, where a second person was confirmed with flu yesterday and dozens more are showing symptoms. "We're sanitizing our public vehicles and many of our public places twice a day."

Chief Harper said the real problem lies in his community's housing. With upwards of 10 people living in the same house, residences offer ideal vectors for disease. When large-scale outbreaks inevitably arise, small rural nursing stations cannot keep up.

"Most would consider their health centres as first-aid centres, at best," said Donovan Fontaine, acting chief of the Assembly of Manitoba Chiefs.
The first flu victim in Garden Hill, 18-month-old Peter Flett, had been prescribed Tylenol and cold baths for several days before nursing staff finally decided to medevac him 500 kilometres to Winnipeg.

"They lost a lot of time there," said his mother, Christina Flett, her recovering son at her side playing with a toy truck. "We are lucky it didn't come out worse."

http://www.theglobeandmail.com/news...ba-to-take-emergency-measures/article1177311/

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