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Sri Lanka - 10 Suspected Deaths Due to Novel H1N1 - Emergency Situation - No Test Kits - Tamiflu Severely Restricted

drjagathv

Resident
First suspected death of a child due to influenza A-H1N1 belong to a high risk group seem have occurred in the outstations of Sri Lanka. Still it is not confirmed, however, it is unfortunate that tests are not readily available for the patients suspected to be suffering with H1N1 infections in Kandy. Health officials warned that due to unnecessary closure of roads air is polluted and children are at high risk of getting severe respiratory illnesses in Kandy. It takes several days to send the samples and obtain results from Colombo whenever the medical profession encounter suspected patients with H1N1 infections. Antiviral drugs such as oseltamivir phosphate are not available for the medical practitioners to promptly obtain from the pharmacies on prescription. To obtain oseltamivir phosphate it needs special permission from the Colombo officials, which could lead to unnecessary delay in initiating early treatment. Early treatment can prevent death in H1N1 where as late treatment would not be very effective. Even the medical profession and consultants in outstations cannot obtain oseltamivir due these restrictions. It is time to correct these errors and try and save valuable lives of other children who are at risk of loosing lives due to H1N1 infections in Kandy.
 
Re: Recommendations for people with disabilities about the H1N1 virus Focus on protecting those at highest risk

Re: Recommendations for people with disabilities about the H1N1 virus Focus on protecting those at highest risk

Thank you Dr. for highlighting this problem.

All patients who present will influenza symptoms are presumptive for novel H1N1 as it is the dominant strain in the world. Rapid tests are not reliable.

Do what you can. We are forwarding your message to the highest levels.

Please see this study:

Role of Statins in Preventing Death among Patients Hospitalized with Labconfirmed Influenza Infections


http://omk.pcipr.com/files/1084/706.pdf
 
Re: Sri Lanka - 1st Suspected Death Due to Novel H1N1 - Emergency Situation - No Test Kits - Tamiflu Severely Restricted

Re: Sri Lanka - 1st Suspected Death Due to Novel H1N1 - Emergency Situation - No Test Kits - Tamiflu Severely Restricted

First H1N1 death in Sri Lanka?

Sat, Nov 7, 2009,

Nov 07, Colombo: First suspected death due to influenza A-H1N1 of a child in Kandy who belonged to a high risk group is most probably due to the pneumonia related to the flu, health sources said.

The recent death of the child, whose parents were medical professionals, was sending the message that condition of all the patients contracting H1N1 flu may not be life threatening is no longer true.

The cause of the child's death whether it was due to H1N1 was still not confirmed. Samples have been sent to the Medical Research Council in Colombo for verification of the presence of H1N1 virus. A full inquiry is being held into the death to ascertain the cause.

According to a health professional speaking on anonymity, tests are not readily available in Kandy for the patients suspected to be suffering with H1N1 infections. It takes several days to send the samples and obtain results from Colombo whenever the medical professionals encounter suspected patients with H1N1 infections.

The health professional said the antiviral drugs such as oseltamivir (Tamiflu) are not available for the medical practitioners to promptly obtain from the pharmacies on prescription. The doctors in outstations need special permission from the Colombo officials to obtain oseltamivir, which could lead to unnecessary delay in initiating early treatment.

It is time to correct these errors to try and save valuable lives of other children who may be at risk due to H1N1 infections in areas outside Colombo, the source added.

Oseltamivir must be taken within 12 to 48 hours from the first appearance of flu symptoms to stop the flu virus from spreading inside the body. However, the drug does not prevent secondary complications arising from the flu.

The Health Ministry has imported stocks of oseltamivir sufficient for the treatment of 30,000 individuals but specified that the treatment would only be given to those severely in need of it.

The Epidemiology Unit of the Health Ministry has set up sentinel units in twenty hospitals around the country with specially trained personnel to treat persons found to be positive with H1N1.

According to the guidelines of the Epidemiology Unit only patients with severe or progressive symptoms will be admitted to hospitals for laboratory diagnosis and treatment with anti virals. Those with mild illness would be managed as out patients with supportive medication and proper advice.

The anti viral agent oseltamivir has been available only in sentinel hospitals and the sentinel sites have been urged make arrangements to get their stocks through the Medical Supplies Division. Peradeniya Teaching Hospital is the nearest sentinel site to the city of Kandy.

http://www.colombopage.com/archive_091/Nov1257534810CH.html
 
Re: Sri Lanka - 1st Suspected Death Due to Novel H1N1 - Emergency Situation - No Test Kits - Tamiflu Severely Restricted

Re: Sri Lanka - 1st Suspected Death Due to Novel H1N1 - Emergency Situation - No Test Kits - Tamiflu Severely Restricted

First H1N1 death in Sri Lanka?

Sat, Nov 7, 2009,

Nov 07, Colombo: First suspected death due to influenza A-H1N1 of a child in Kandy who belonged to a high risk group is most probably due to the pneumonia related to the flu, health sources said.

The recent death of the child, whose parents were medical professionals, was sending the message that condition of all the patients contracting H1N1 flu may not be life threatening is no longer true.

The cause of the child's death whether it was due to H1N1 was still not confirmed. Samples have been sent to the Medical Research Council in Colombo for verification of the presence of H1N1 virus. A full inquiry is being held into the death to ascertain the cause.

According to a health professional speaking on anonymity, tests are not readily available in Kandy for the patients suspected to be suffering with H1N1 infections. It takes several days to send the samples and obtain results from Colombo whenever the medical professionals encounter suspected patients with H1N1 infections.

The health professional said the antiviral drugs such as oseltamivir (Tamiflu) are not available for the medical practitioners to promptly obtain from the pharmacies on prescription. The doctors in outstations need special permission from the Colombo officials to obtain oseltamivir, which could lead to unnecessary delay in initiating early treatment.

It is time to correct these errors to try and save valuable lives of other children who may be at risk due to H1N1 infections in areas outside Colombo, the source added.

Oseltamivir must be taken within 12 to 48 hours from the first appearance of flu symptoms to stop the flu virus from spreading inside the body. However, the drug does not prevent secondary complications arising from the flu.

The Health Ministry has imported stocks of oseltamivir sufficient for the treatment of 30,000 individuals but specified that the treatment would only be given to those severely in need of it.

The Epidemiology Unit of the Health Ministry has set up sentinel units in twenty hospitals around the country with specially trained personnel to treat persons found to be positive with H1N1.

According to the guidelines of the Epidemiology Unit only patients with severe or progressive symptoms will be admitted to hospitals for laboratory diagnosis and treatment with anti virals. Those with mild illness would be managed as out patients with supportive medication and proper advice.

The anti viral agent oseltamivir has been available only in sentinel hospitals and the sentinel sites have been urged make arrangements to get their stocks through the Medical Supplies Division. Peradeniya Teaching Hospital is the nearest sentinel site to the city of Kandy.

http://www.colombopage.com/archive_091/Nov1257534810CH.html

Recommendations for the high risk groups about the H1N1 virus Focus on protecting those at highest risk. http://www.flutrackers.com/forum/sho...d.php?t=124224


It is important to highlight if there are any short comings and adopt corrective measures to rectify them without any further delay, which would help saving many valuable lives in the near future. That is the social responsibility of all citizens living in this planet. If we do not highlight them, then we have not done our duties on behalf of our patients. Their voice is not heard at all. If we can save few more lives, at the end of the day we have then done our service for the mankind. That is our social responsibility. We thank flu-Trackers regarding your commitment.
Dr. V W Jagath Vasanthathilaka.
Consultant Rheumatologist.
 
Re: Sri Lanka - 1st Suspected Death Due to Novel H1N1 - Emergency Situation - No Test Kits - Tamiflu Severely Restricted

Re: Sri Lanka - 1st Suspected Death Due to Novel H1N1 - Emergency Situation - No Test Kits - Tamiflu Severely Restricted

Doctor - Have you seen this? May help with co-morbidities.....


[FONT=verdana, arial, helvetica, sans-serif]Statins for the Prevention and Treatment of Infections[/FONT][FONT=verdana, arial, helvetica, sans-serif]

A Systematic Review and Meta-analysis
[/FONT]
[FONT=verdana, arial, helvetica, sans-serif] <nobr>Imad M. Tleyjeh, MD, MSc</nobr>; <nobr>Tarek Kashour, MD</nobr>; <nobr>Fayaz A. Hakim, MD</nobr>; <nobr>Valerie A. Zimmerman, PhD</nobr>; <nobr>Patricia J. Erwin, MLS</nobr>; <nobr>Alex J. Sutton, PhD</nobr>; <nobr>Talal Ibrahim, MBBS(Hons), MD, FRCS(Tr&Orth)</nobr> [/FONT]

[FONT=verdana, arial, helvetica, sans-serif] Arch Intern Med. 2009;169(18):1658-1667. [/FONT]

[FONT=verdana, arial, helvetica, sans-serif]Results Sixteen cohorts were eligible and differed in<sup> </sup>representativeness, outcome assessment, and comparability of<sup> </sup>exposed (statin) and unexposed (nonstatin) groups. Nine cohorts<sup> </sup>addressed the role of statins in treating infections: bacteremia<sup> </sup>(n = 3), pneumonia (n = 3), sepsis (n = 2),<sup> </sup>and bacterial infection (n = 1). The pooled adjusted<sup> </sup>effect estimate was 0.55 (95% confidence interval, 0.36-0.83;<sup> </sup>I<sup>2</sup> = 76.5%) in favor of statins. Seven cohorts addressed<sup> </sup>infection prevention in patients with vascular diseases (n = 3),<sup> </sup>chronic kidney disease (n = 1), diabetes (n = 1),<sup> </sup>intensive care unit–acquired infections (n = 1),<sup> </sup>and in general practice (n = 1). The pooled effect<sup> </sup>estimate was 0.57 (95% confidence interval, 0.43-0.75; I<sup>2</sup> = 82%)<sup> </sup>in favor of statin use; there was some evidence of publication<sup> </sup>bias for this analysis (Egger test; P = .07). Meta-regression<sup> </sup>did not identify potential effect modifiers that explain the<sup> </sup>between-study heterogeneity.[/FONT]


http://archinte.ama-assn.org/cgi/con...rt/169/18/1658


Most of the world will not have access to masks, anti-virals, vaccines...

How can we turn our backs???

Please - someone fund a study at Vanderbilt to further quantify the effectiveness of the use of statins for influenza. The cost would be about 3.5 million dollars.

Contact: Gordon Bernard M.D.



"Generic agents might not work, but....

We have a choice

• We can undertake the necessary research before the pandemic arrives and show that generic agents will not be effective, or

• We can undertake the research after the pandemic has passed and show that millions could have been saved."


David Fedson M.D.
 
Last edited:
Re: Sri Lanka - 1st Suspected Death Due to Novel H1N1 - Emergency Situation - No Test Kits - Tamiflu Severely Restricted

Re: Sri Lanka - 1st Suspected Death Due to Novel H1N1 - Emergency Situation - No Test Kits - Tamiflu Severely Restricted

Recommendations for the high risk groups about the H1N1 virus Focus on protecting those at highest risk. http://www.flutrackers.com/forum/sho...d.php?t=124224


It is important to highlight if there are any short comings and adopt corrective measures to rectify them without any further delay, which would help saving many valuable lives in the near future. That is the social responsibility of all citizens living in this planet. If we do not highlight them, then we have not done our duties on behalf of our patients. Their voice is not heard at all. If we can save few more lives, at the end of the day we have then done our service for the mankind. That is our social responsibility. We thank flu-Trackers regarding your commitment.
Dr. V W Jagath Vasanthathilaka.
Consultant Rheumatologist.

Health authorities in Sri Lanka are taking further measures to face the new situation. They are aware of the current situation and they consider relaxing some of the restrictions on issue of drugs. Health authorities are also taking steps to make sure tests are readily available in the outstations.
 
Re: Sri Lanka - 1st Suspected Death Due to Novel H1N1 - Emergency Situation - No Test Kits - Tamiflu Severely Restricted

Re: Sri Lanka - 1st Suspected Death Due to Novel H1N1 - Emergency Situation - No Test Kits - Tamiflu Severely Restricted

Thank you for the update.
 
Re: Sri Lanka - 1st Suspected Death Due to Novel H1N1 - Emergency Situation - No Test Kits - Tamiflu Severely Restricted

Re: Sri Lanka - 1st Suspected Death Due to Novel H1N1 - Emergency Situation - No Test Kits - Tamiflu Severely Restricted

Health authorities in Sri Lanka are taking further measures to face the new situation. They are aware of the current situation and they consider relaxing some of the restrictions on issue of drugs. Health authorities are also taking steps to make sure tests are readily available in the outstations.

Clinicians and the consultants who attend suspected patients with H1N1 in Sri Lanka suggest that introduction and wide spread availability H1N1 vaccine at this stage would minimize further dissemination of H1N1 infections in the outstations as well as in the Capital.

Dr. V W Jagath Vasanthathilaka
 
Re: Sri Lanka - 1st Suspected Death Due to Novel H1N1 - Emergency Situation - No Test Kits - Tamiflu Severely Restricted

Re: Sri Lanka - 1st Suspected Death Due to Novel H1N1 - Emergency Situation - No Test Kits - Tamiflu Severely Restricted

Clinicians and the consultants who attend suspected patients with H1N1 in Sri Lanka suggest that introduction and wide spread availability H1N1 vaccine at this stage would minimize further dissemination of H1N1 infections in the outstations as well as in the Capital.

Dr. V W Jagath Vasanthathilaka

Viral studies seem have confirmed that it is due to H1N1 flu.

http://www.sundaytimes.lk/091108/News/nws_04.html
 
Re: Sri Lanka - 1st Suspected Death Due to Novel H1N1 - Emergency Situation - No Test Kits - Tamiflu Severely Restricted

Re: Sri Lanka - 1st Suspected Death Due to Novel H1N1 - Emergency Situation - No Test Kits - Tamiflu Severely Restricted

Viral studies seem have confirmed that it is due to H1N1 flu.

http://www.sundaytimes.lk/091108/News/nws_04.html

Article from above link...

[FONT=Verdana, Arial, Helvetica, sans-serif]Sunday November 8, 2009[/FONT]
[FONT=Verdana, Arial, Helvetica, sans-serif]unday November 8, 2009[/FONT]
[FONT=Verdana, Arial, Helvetica, sans-serif]Sunday November 8, 2009[/FONT]
<table border="0" cellpadding="3" cellspacing="0" width="100%"><tbody><tr><td bgcolor="#ffffff" valign="top">First Swine flu death in Lanka
</td> </tr> <tr> <td bgcolor="#ffffff" valign="top">By Kumudini Hettiarachchi</td> </tr> <tr> <td bgcolor="#ffffff" valign="top"> A 16-year-old boy in Kandy has died of H1N1 (Swine flu), the first reported death in Sri Lanka of this global pandemic flu, senior health officials confirmed yesterday.

The victim, son of two doctors, died on Wednesday night at the Kandy Teaching Hospital, the officials said. The Medical Research Institute confirmed that the death was caused by H1N1, the officials who declined to be identified, said.

Officials stressed, however, that there was no cause for alarm and urged the public not to panic. ?This boy had other complications including spinal and lung problems which could have aggravated the illness and placed him in a high-risk category,? one official explained.

They advised the public to go to the nearest hospital if anyone has a persistent fever for more than two days and flu-like symptoms as most state hospitals are geared to handle H1N1, while Base Hospitals which have consultants have been issued with anti-viral drugs to deal with the virus, an official said. The anti-virals should be taken only on the recommendation of a consultant who has clinically diagnosed H1N1 and deems it the right time to administer them, he said.

Although earlier H1N1 was diagnosed among those coming from abroad and their close contacts, the ?community spread? of this flu has now begun in the country. Up to October 15, 115 H1N1-affected people had been detected through the airport surveillance mechanism.
</td></tr></tbody></table>
 
Re: Sri Lanka - 1st Suspected Death Due to Novel H1N1 - Emergency Situation - No Test Kits - Tamiflu Severely Restricted

Re: Sri Lanka - 1st Suspected Death Due to Novel H1N1 - Emergency Situation - No Test Kits - Tamiflu Severely Restricted

Article from above link...

[FONT=Verdana, Arial, Helvetica, sans-serif]Sunday November 8, 2009[/FONT]
[FONT=Verdana, Arial, Helvetica, sans-serif]unday November 8, 2009[/FONT]
[FONT=Verdana, Arial, Helvetica, sans-serif]Sunday November 8, 2009[/FONT]
<table border="0" cellpadding="3" cellspacing="0" width="100%"><tbody><tr><td bgcolor="#ffffff" valign="top">First Swine flu death in Lanka
</td> </tr> <tr> <td bgcolor="#ffffff" valign="top">By Kumudini Hettiarachchi</td> </tr> <tr> <td bgcolor="#ffffff" valign="top"> A 16-year-old boy in Kandy has died of H1N1 (Swine flu), the first reported death in Sri Lanka of this global pandemic flu, senior health officials confirmed yesterday.

The victim, son of two doctors, died on Wednesday night at the Kandy Teaching Hospital, the officials said. The Medical Research Institute confirmed that the death was caused by H1N1, the officials who declined to be identified, said.

Officials stressed, however, that there was no cause for alarm and urged the public not to panic. ?This boy had other complications including spinal and lung problems which could have aggravated the illness and placed him in a high-risk category,? one official explained.

They advised the public to go to the nearest hospital if anyone has a persistent fever for more than two days and flu-like symptoms as most state hospitals are geared to handle H1N1, while Base Hospitals which have consultants have been issued with anti-viral drugs to deal with the virus, an official said. The anti-virals should be taken only on the recommendation of a consultant who has clinically diagnosed H1N1 and deems it the right time to administer them, he said.

Although earlier H1N1 was diagnosed among those coming from abroad and their close contacts, the ?community spread? of this flu has now begun in the country. Up to October 15, 115 H1N1-affected people had been detected through the airport surveillance mechanism.
</td></tr></tbody></table>

Antiviral drugs such as oseltamivir phosphate seem to be now available on prescription in Sri Lanka in-order to initiate early treatment for the patients belonging to the high-risk groups. We thank every body regarding your concern. We need the vaccine as well.

Dr. V W Jagath Vasanthathilaka
 
Re: Sri Lanka - 1st Suspected Death Due to Novel H1N1 - Emergency Situation - No Test Kits - Tamiflu Severely Restricted

Re: Sri Lanka - 1st Suspected Death Due to Novel H1N1 - Emergency Situation - No Test Kits - Tamiflu Severely Restricted

Antiviral drugs such as oseltamivir phosphate seem to be now available on prescription in Sri Lanka in-order to initiate early treatment for the patients belonging to the high-risk groups. We thank every body regarding your concern. We need the vaccine as well.

Dr. V W Jagath Vasanthathilaka


Latest information
http://www.dailymirror.lk/DM_BLOG/Sections/frmNewsDetailView.aspx?ARTID=68379
 
Re: Sri Lanka - 1st Suspected Death Due to Novel H1N1 - Emergency Situation - No Test Kits - Tamiflu Severely Restricted

Re: Sri Lanka - 1st Suspected Death Due to Novel H1N1 - Emergency Situation - No Test Kits - Tamiflu Severely Restricted


Central province schools close from Monday over A-H1N1<input name="txtArtID" id="txtArtID" value="68379" type="hidden">

All schools in the Central Province will close from Monday over fears the A-H1N1 virus is spreading in the area, Central province governor Tikiri Kobakaduwa told Daily Mirror online. He said the school vacation which is scheduled for December 9 will be given early with the school closure.
The Governor said that 6 children and 3 pregnant women have died in the province so far and this resulted in the decision to close schools in the province as a precautionary measure. He added that a circular over the school closure will be issued to the schools tomorrow.
 
Re: Sri Lanka - 1st Suspected Death Due to Novel H1N1 - Emergency Situation - No Test Kits - Tamiflu Severely Restricted

Re: Sri Lanka - 1st Suspected Death Due to Novel H1N1 - Emergency Situation - No Test Kits - Tamiflu Severely Restricted

Novel Influenza (A H1N1) threat:
Kandy schools close from Monday

Samanthi WEERASEKERA, Thilak PUSHPAKUMARA, Indrani THORADENIYA

In view of the fast spreading new influenza viral fever in the Central Province, the Government has decided to close down all schools in the province from November 23.

This decision follows a meeting Central Province Governor Tikiri Kobbekaduwa had on Thursday with the Central Province Chief Minister Sarath Ekanayake, health officials and education authorities in the province.

At the meeting, health authorities stated that 10 persons had already died of suspected A H1N1 fever in the province.

Governor Tikiri Kobbekaduwa said that there were more than 500,000 students in schools in the province and the danger of the disease spreading was possible and added that this decision was taken to arrest the situation.

http://www.dailynews.lk/2009/11/20/news04.asp

------------------------------

CP SCHOOLS CLOSED AMIDST A-H1N1 FEARS



Schools closed from Monday as precautionary measure

By Indika Sri Aravinda, J.A.L. Jayasinghe and L.B.Senaratne

All schools in the Central Province will be closed from next Monday over fears the A-H1N1 virus is spreading in the area, Central Province Governor Tikiri Kobbekaduwa told the Daily Mirror yestedray.

[snip]

The Governor said ten people including children and pregnant women have died in the province so far and this resulted in the decision to close schools in the province as a precautionary measure. He added that a circular over the school closure would be issued to the schools today. The decision has been taken at a special meeting chaired by the Governor and attended by the Chief Secretary of the Central Province, Director of Education and a group of specialist doctors.

[snip]

A vaccine is to be imported to Sri Lanka from the United States to counter the A-H1N1 virus which is spreading throughout the country, Chief Health Ministry Epidemiologist Dr. Paba Palihawadana told Daily Mirror online.

She said the situation was becoming serious with five deaths already been reported as a result of the A-H1N1 flu from Kandy, Matara and Anuradhapura.

[snip]


and this at the bottom of the article:

Fever hits children in Kiriella

By G.A.S.Gamaethige- Pelmadulla

The year three classroom of Ellagama Vidyalaya, Kiriella in the Ratnapura district had to be temporarily closed down yesterday due to a sudden spread of a mysterious fever among 19 students.

The school principal said he was compelled to take this precautionary measure in a bid to prevent the spread of fever among other students.

http://www.dailymirror.lk/DM_BLOG/Sections/frmNewsDetailView.aspx?ARTID=68452
 
Re: Sri Lanka - 10 Suspected Deaths Due to Novel H1N1 - Emergency Situation - No Test Kits - Tamiflu Severely Restricted

It is confirmed in Sri Lanka that 5 deaths are due to H1N1 infections. Suspected H1N1 infections were found all over the Island, it is difficult to verify those figures as they are not confirmed.
 
Re: Sri Lanka - 10 Suspected Deaths Due to Novel H1N1 - Emergency Situation - No Test Kits - Tamiflu Severely Restricted

It is confirmed in Sri Lanka that 5 deaths are due to H1N1 infections. Suspected H1N1 infections were found all over the Island, it is difficult to verify those figures as they are not confirmed.

H1N1 infections seem to be widespread. More and more confirmed patients reported.

http://www.dailymirror.lk/DM_BLOG/Se...px?ARTID=68519
 
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