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Swine flu reports jump by half in a week

Chuck

Moderator
[Could someone post the graph accompanying this article? Thanks.]

http://www.timesonline.co.uk/tol/life_and_style/health/article6715105.ece

July 15, 2009
Swine flu reports jump by half in a week
Influenza graph

(Strategic Health Authority)

The spike to the left of the graph covers the seasonal flu outbreak over winter. The spike on the right hand side covers the swine flu alert
David Rose


The number of swine flu cases has jumped by nearly 50 per cent in a week, figures released today indicate.

Data from a sample of GPs? surgeries, seen by The Times, shows that up to 40,000 people complained to their doctor last week of ?flu-like illness? in England and Wales, with a huge rise in the number of young children being affected.

The report shows that the highest rates of reported illness are in children aged five to 14, with 160 of every 100,000 in this age group reporting symptoms, followed by 114 per 100,000 of the 0 to four-year-olds.

Overall, the rate of people complaining of symptoms increased to 73.4 cases for every 100,000 people in the week to Sunday, compared to 50.3 cases per 100,000 the week before.
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This is a rise of 46 per cent and is equivalent to about 39,150 people across the country reporting symptoms compared to about 27,000 people who did so the previous week.

The figures, from the Royal College of GPs (RCGP), are based on a sample of 84 doctors? surgeries across the country. Although they do not provide a total of confirmed cases of the H1N1 virus they are used by the Government as an official measure of how the outbreak is spreading.

The figures show the current outbreak is already worse than the seasonal flu experienced over Christmas and the New Year which was the worst for eight years. The winter flu outbreak hit a peak of 69 cases per 100,000 people across England and Wales. Doctors would normally expect to see fewer than 30 cases per 100,000.

The Health Protection Agency said last week that the number of people who actually are infected with the virus could be as low as 28 per cent of those reporting symptoms, or about 11,000 of those contacting their GP last week. Nearly 200,000 concerned people have also contacted NHS Direct about flu symptoms since April.

London is still the area worst affected by the current outbreak although the number of people reporting symptoms last week dropped to around 140 per 100,000 population ? but cases in all other areas of the country are rising.

By region, reports of illness in central parts of the country more than doubled from 43 to 94 cases per 100,000 in a week.

In the South, the average rate of cases was 75 per 100,000 people last week, but the rate in the North also rose sharply from 6.6 to 37.2 in the same period.

Between 5,000 and 7,000 deaths are attributed to flu in a typical winter, although the number can rise to more than 10,000 in bad years. Typically, the elderly will make up the vast majority of these fatal cases.

But experts are concerned that the H1N1 swine flu strain is mainly affecting younger people. There have so far been 17 swine flu-related deaths in the UK, including a child of six, but ages and details of underlying health conditions are not known for all the victims.

According to figures released last week, of the 335 people being treated in hospital for a swine flu infection about one in three (107) were aged 15 or younger.

An update on the number of people being treated in hospital with flu and further detail on laboratory-confirmed cases is expected tomorrow.

Professor Steve Field, chairman of the RCGP, said that the NHS was well-prepared for a worst-case scenario.

?There are robust plans in place in all hospitals to manage any increase in the number of patients with influenza and an increase in patients who have respiratory illnesses, such as pneumonia, bronchitis or asthma,? he said.

?As the numbers increase, a proportion of those will inevitably need intensive care, as some swine flu patients are already getting. These plans will include the use of hospital beds, the postponement of elective surgery, the use of surgical beds and the sharing of patients between hospitals which, if it got very severe, could see some patients moved out of their locality.?
 
Re: Swine flu reports jump by half in a week

FLU-585_589704a.gif


Interestingly this is the chart for week 28 but that's not yet up on the official site at http://www.rcgp.org.uk/clinical_and_research/rsc/weekly_data.aspx (still week 27 there)

Anyone know of another source - obviously The Times does.
 
Re: Swine flu reports jump by half in a week

http://www.guardian.co.uk/world/2009/jul/15/swine-flu-cases-sixfold-increase


Swine flu cases soared sixfold last week, NHS figures reveal

* Denis Campbell and Owen Bowcott
* guardian.co.uk, Wednesday 15 July 2009 18.25 BST


The number of people diagnosed with swine flu soared almost sixfold during the course of last week in some parts of England, NHS figures revealed today.

The virus is spreading fast across much of the country and the total of those affected rose by 42% in the seven days up to last Sunday, according to data provided by family doctors.

Information collected by the Royal College of General Practitioners' research and surveillance centre in Birmingham, which monitors communicable and respiratory disease, shows that the rate of people diagnosed with influenza-like illness in the north of England leapt from 6.6 per 100,000 of population during 29 June to 6 July to 37.2 per 100,000 between 6 and 16 July.

It more than doubled in central England from 42.8 to 93.9 per 100,000 but only rose slightly in the south of England from 72.1 to 74.9 per 100,000. However, cases in London ? the worst affected swine flu "hotspot" so far with the West Midlands ? declined from about 180 to 140 per 100,000. Across England as a whole the incidence increased from 51.88 to 73.42 during that week, a rise of 42%.

Sir Liam Donaldson, the Government's chief medical officer, will tomorrow afternoon release latest details of the numbers of people who have died or been hospitalised by or been diagnosed with the H1N1 bug. The death toll currently stands at 16.

Professor Steve Field, chairman of the Royal College, said: "Swine flu is spreading rapidly across the whole of the country now. GPs are saying that they are coming under a lot of pressure from patients who have it, and many GPs say that the publicity surrounding the death of six-year-old London schoolgirl Chloe Buckley has increased demand and made people more anxious, although there is no reason for them to be so."

Children aged between five and 14 remain the worst affected, with an incidence rate of 160 per 100,000. The rate among under-fives is 114 per 100,000 and 89.4 among those aged 15-44.

There appeared to be an element of "inconsistency" in official advice over whether GPs are expected to prescribe anti-viral treatment to all those diagnosed with swine flu.

The NHS Direct website informs patients that: "If swine flu is confirmed, ask a healthy friend or relative to visit your GP to pick up a document entitling you to antiviral medication." The statement raises the expectation that those diagnosed will automatically be given Tamiflu or Relenza to help relieve symptoms.

But advice circulated by the Royal College makes it clear that even if a diagnosis is confirmed, clinical discretion means it may not be necessary to prescribe anti-viral drugs to an infected, healthy patient. Doctors, the college insisted, should excercise clinical discretion in their decision on whether or not to give the drugs.

The advice given to GPs treating those diagnosed with swine flu who are not in a vulnerable medical category is to "consider authorisation of antivirals bearing in mind whether the patient has a strong preference for active treatment."

Professor Steve Field, chairman of the Royal College of GPs, agreed that there appeared to be an "inconsistency" between the two lines of advice.

He said: "The last time [the advice] was changed was to give more discretion to GPs for dealing with those outside the at risk groups and partly to send the message to patients that they don't all need Tamiflu."

The decision whether to prescribe should be reached in "partnership" between doctor and patient, he added. "I don't think it's the GP's job not to give it."

The Department of Health said it did not believe there was any differnece in the advice being proffered. "There's not going to be a case of people being refused Tamiflu," a spokeswoman said.

A GP who contacted The Guardian said that the differing advice being given to GPs and patients was placing an unnecessary burden on GPs and out of hours care "resulting in hytteria and patients in real need being put at risk" because people were being told they needed Tamiflu "when they don't".

Gloucestershire police today defended the decision to send three officers wearing face masks, gloves and overalls into a house containing a suspected swine flu victim. "It was a precaution at the time. but won't necessarily become standard practice", said a spokeswoman.
 
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