Newsletter 17 Februari 2010

New Issue
Study links pandemic spread to gaps in paid sick leave
Employees without paid sick days were more likely to work when they were sick during the peak of the fall pandemic wave and may have extended the outbreak by infecting their coworkers, according to a research group.
Using data from the US Centers for Disease Control and Prevention (CDC) and the US Department of Labor, the investigators estimate that almost 26 million employed Americans age 18 and older may have been infected with the pandemic H1N1 virus from September through November. They projected that nearly 18 million took at least a part of a week off due to illness and that 8 million apparently worked while they were sick. [...]
Source: CIDRAP
Read more: http://www.cidrap.umn.edu/cidrap/content/influenza/biz-plan/news/feb1610sickleave-jw.html

Research
Gastrointestinal absorption of Tamiflu in critically ill patients with H1N1
An increased dosage of Tamiflu (oseltamivir) for patients with critical illness is unlikely to be required in the treatment of pandemic (H1N1) influenza, contrary to current international guidelines, found a new study http://www.cmaj.ca/cgi/doi/10.1503/cmaj.092127 in CMAJ (Canadian Medical Association Journal) www.cmaj.ca.
World Health Organization (WHO) guidelines recommend that all critically ill patients should be treated with Tamiflu and if the patient was unresponsive to standard doses or critically ill, a higher dose should be considered.
The CMAJ study looked at the gastrointestinal absorption of Tamiflu in 44 patients, 18 years of age or older, with suspected or confirmed pandemic (H1N1) influenza who were admitted to nine ICUs in two cities in Canada (Winnipeg and Ottawa) and Tarragona, Spain because of respiratory failure. As critically ill patients may have gastrointestinal absorption issues, guidelines suggest higher doses of Tamiflu.[...]
Source: eurekalert.org
Read more: http://www.eurekalert.org/pub_releases/2010-02/cmaj-gao021610.php

H1N1 learnings: Risk factors for severe outcomes among patients admitted to hospital with H1N1
A new study in CMAJ (Canadian Medical Association Journal) http://www.cmaj.ca/cgi/doi/10.1503/cmaj.091823 of all patients in Canada admitted to hospital for H1N1 in the first five months of the outbreak summarizes the risk factors for a severe outcome (www.cmaj.ca). The H1N1 pandemic presents important learnings for clinicians and researchers and data on severe outcomes can help inform future treatment and prevention guidelines.
The risk of a severe outcome among patients admitted to hospital with H1N1 was elevated among those who had an underlying medical condition and patients 20 years of age and older. Patients aged 65 years and older were at the greatest risk for death.[...]
Source: eurekalert.org
Read more: http://www.eurekalert.org/pub_releases/2010-02/cmaj-hlr021610.php

Fulminant Myocarditis Associated With Pandemic H1N1 Influenza A Virus in Children
Acute myocarditis is a well-recognized, albeit rare, manifestation of numerous viral infections (1) with a broad spectrum of symptoms and clinical features (2). Fulminant myocarditis may present with fatal arrhythmias, atrioventricular block, and/or varying degrees of cardiogenic shock (3).
The prevalence of myocardial involvement in influenza infection ranges from 0 to 11% depending on the diagnostic criteria used to define myocarditis (4).
Fulminant myocarditis is an uncommon complication, typically diagnosed in association with circulatory collapse or at autopsy in patients with influenza-associated fatal outcomes (5). A few case reports and series (6–8) represent the incidental diagnoses of influenza-associated acute fulminant myocarditis, but the true prevalence remains unknown.
Here we present the first known report of acute myocarditis in pediatric population associated with the present pandemic H1N1 influenza A virus infection. Four cases occurred within a 30-day period, and 3 of them were diagnosed as fulminant myocarditis with fatal or near-fatal outcomes. [...]
Source: Journal of the American College of Cardiology
Read more: http://content.onlinejacc.org/cgi/content/full/j.jacc.2010.01.004v1

Comment
Stolen: WHO statement on the H1N1 Pandemic
Dr. Joanne Stolen
I would like to summarize a statement put out by the World Health Organization (WHO) in regard to the H1N1 Pandemic and the various accusations swirling around. The statement I am summarizing was given by Dr. Keiji Fukuda on behalf of the WHO at the Council of Europe hearing on pandemic (H1N1) 2009. He is a special adviser on pandemic influenza. Before coming to WHO, Dr. Fukuda was chief of the epidemiology unit in the influenza branch at the Centers for Disease Control and Prevention in the United States. The WHO is a specialized agency of the United Nations with 193 member states. The WHO implements the global health policies decided upon by these countries and provides technical support to the countries that helps all countries to protect and improve the health of their populations. The response to the H1N1 pandemic is just one example.
Basically the statement points out that this current influenza pandemic is a scientifically well-documented event in which the emergence and spread of a new influenza virus has caused an unusual epidemiological pattern of disease throughout the world. The labeling of the pandemic as “fake” is to ignore recent history and science and to trivialize the deaths of more than 14,000 people and the many additional serious illnesses experienced by others. The H1N1 influenza pandemic has created immensely complicated challenges for countries as well as the global community, and there is much to learn about how the world can improve its handling of such events and a need to separate fact from rhetoric. Recently, accusations have been made that policies and recommendations of the WHO were influenced by the pharmaceutical industry. The WHO guards against the influence of any improper interests. The influenza pandemic policies and responses recommended and taken by the WHO were not improperly influenced by the pharmaceutical industry. [...]
Source: summitdaily.com
Read more: http://www.summitdaily.com/article/20100215/NEWS/100219870/0/FRONTPAGE

Risk Communication
Righttime Medical Care Provides Free H1N1 Vaccine to Community
Righttime Medical Care is doing its part to help the community in these troubled economic times by giving free H1N1 flu shots to its patients. "We’re celebrating 20 years of service this year, and feel this is a good way to give back to the communities we serve,” said Robert G. [...]
Source: PRWeb via Yahoo! News
Read more: http://news.yahoo.com/s/prweb/20100216/bs_prweb/prweb3611294_2


Photo

India’s H1N1 death count touches 1309

Source: The Med Guru
Read more: http://www.themedguru.com/20100216/newsfeature/india-s-h1n1-death-count-touches-1309-86132362.html

Quote
"We are going to be vaccinating...starting with pregnant women, people at entry points, people who are involved in sports administration," said Motsoaledi. South Africa Health Minister Aaron Motsoaledi.
Source: Goal.com - World Cup 2010: Swine Flu Threat In Mind
Read more: http://www.rs.goal.com/en/news/1863/world-cup-2010/2010/02/16/1793220/world-cup-2010-swine-flu-threat-in-mind

News Flash
Questions and Answers: Flu-Related Hospitalizations and Deaths in the United States from April 2009 - January 30, 2010.
CDC Swine Flu Updates
This Q&A provides updated information about flu-related hospitalizations and deaths in the United States reported to CDC from April 2009 - January 30, 2010.
Read more: http://www2c.cdc.gov/podcasts/download.asp?af=h&f=769690

Seoul to Deliver Hand Sanitizers to Pyongyang
Korea Times
South Korea plans to deliver 1 billion won worth of hand sanitizers to help North Koreans fight the H1N1 flu virus, the Ministry of ...
Read more: http://news.google.com/news/url?fd=R&sa=T&url=http%3A%2F%2Fwww.koreatimes.co.kr%2Fwww%2Fnews%2Fnation%2F2010%2F02%2F116_60926.html&usg=AFQjCNH9NBUVV6ZtPzlodLI9lAdLHQLbyw

Disclaimer: Newsletter ini hanya merupakan kumpulan dari artikel/liputan/tulisan yang diambil dari berbagai sumber mengenai situasi terkini pandemi influenza di seluruh dunia termasuk Indonesia. Namun demikian isi/ilustrasi/foto tidak mewakili kepentingan atau kebijakan KOMNAS FBPI secara langsung


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