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New Issue
BJOG release: Swine flu in pregnancy – what to look out for
A new study published in BJOG: An International Journal of Obstetrics and Gynaecology examines how the swine flu virus, Influenza A H1N1 (2009), affects pregnant women.
Clinicians at the KK Women’s and Children’s Hospital in Singapore treated 211 confirmed cases of pregnant women with swine flu between 26 May 2009 and 14 September 2009. These were women who had fever and/or acute respiratory illness at presentation and a positive diagnosis of having swine flu through a throat swab.
Most of these patients reported having fever at home but only 62.2% had a fever when they arrived at hospital. Cough was the most prevalent symptom, occurring in 90.5%. Other recorded symptoms were: runny nose (62.1%), sore throat (58.8%), muscle ache (32.2%), headache (18%), and breathlessness (13.3%). Co-morbidities included: asthma (12.8%), hypertension (0.5%) and gestational diabetes (1.9%). There were two cases of pneumonia, one requiring admission to intensive care. Both recovered.
Source: Royal College of Obstetricians and Gynaecologists
Read more: http://www.rcog.org.uk/news/bjog-release-swine-flu-pregnancy-%E2%80%93-what-look-out
Research
Treatment strategies for severe cases of pandemic influenza have focused on antiviral therapies. In contrast, passive immunotherapy with convalescent blood products has received limited attention. We consider the hypothesis that a passive-immunotherapy program that collects plasma from a small percentage of recovered adults can harvest sufficient convalescent plasma to treat a substantial percentage of severe cases during a pandemic. We use a mathematical model to estimate the demand and supply of passive immunotherapy during an influenza pandemic in Hong Kong. If >5% of 20- to 55-year-old individuals recovered from symptomatic infection donate their plasma (donor percentage > 5%), >67% of severe cases can be offered convalescent plasma transfusion (treatment coverage > 67%) in a moderately severe epidemic (R 0 < 1.4 with 0.5% of symptomatic cases becoming severe). A donor percentage of 5% is comparable to the average blood donation rate of 38.1 donations per 1,000 people in developed countries. Increasing the donor percentage above 15% does not significantly boost the convalescent plasma supply because supply is constrained by plasmapheresis capacity during most stages of the epidemic. The demand–supply balance depends on the natural history and transmission dynamics of the disease via the epidemic growth rate only. Compared to other major cities, Hong Kong has a low plasmapheresis capacity. Therefore, the proposed passive-immunotherapy program is a logistically feasible mitigation option for many developed countries. As such, passive immunotherapy deserves more consideration by clinical researchers regarding its safety and efficacy as a treatment for severe cases of pandemic influenza.
Source: The National Academy of Sciences
Read more: http://www.pnas.org/content/early/2010/01/22/0911596107
Comment
From headline news to has-been
by Fergus Walsh (BBC News)
Swine flu began as a global health emergency, but thankfully never lived up to the initial fears. Cast your mind back to July 2009 and Britain was in the grip of swine flu fever. There were more than 100,000 cases a week and it dominated the headlines. When the National Pandemic Flu Service was launched it initially went into meltdown. Little wonder as at one point the website was getting 2,600 hits per second.
Source: BBC Blog
Read more: http://www.bbc.co.uk/blogs/thereporters/ferguswalsh/2010/02/from_headline_news_to_hasbeen.html
Risk Communication
CDC: Enjoy a safe and healthy Lunar New Year!
[...] Important Health Information
Mosquito-borne illnesses, such as malaria, dengue fever, and Japanese encephalitis, are common throughout Asia, so it is very important to take steps to prevent insect bites. In addition, you may need to take prescription medicine to protect yourself from malaria or get a vaccine against Japanese encephalitis. Talk to your doctor about which prevention measures are right for you and your destination.
Food and Water. Eating contaminated food and drinking contaminated water can cause illnesses such as hepatitis A, typhoid fever, and travelers’ diarrhea. Read about how to prevent these diseases by visiting the Safe Food and Water page of the Travelers’ Health website.
Seasonal flu, 2009 H1N1 flu and avian flu
Flu is a common illness in travelers. It is important to consider getting a seasonal flu shot before your trip. Learn more about seasonal flu.
This year a vaccine against 2009 H1N1 flu is also recommended, especially if you are at risk from health complications from flu. Learn more about 2009 H1N1 Flu and read the Travelers’ Health H1N1 outbreak notice: 2009 H1N1 flu: Global Situation.
Due to the circulation of 2009 H1N1 flu, some countries may screen arriving travelers for symptoms of the flu. Read more about possible screening for international travelers.
Another type of flu called avian influenza (“bird flu” or H5N1) has been found in poultry and wild birds in Asia, Europe, and Africa. While rare, human infection and death from H5N1 have been reported. To learn more about H5N1 virus visit, see Human Infection with Avian Influenza A (H5N1) Virus: Advice for Travelers.
Source: CDC
Read more: http://wwwnc.cdc.gov/travel/content/news-announcements/lunar-new-year-2010.aspx
Photo
Quote
"If this had been a bird flu virus then we would have needed enough antivirals for everybody and everybody would have wanted it. A lot of planning went into how to deal with the pandemic and in general we have been relatively successful in the dealing with it." Professor Wendy Barclay, a virologist from Imperial College London.
Source: From headline news to has-been - BBC
Read more: http://www.bbc.co.uk/blogs/thereporters/ferguswalsh/2010/02/from_headline_news_to_hasbeen.html
News Flash
Drop in swine flu cases leads to helpline closure
BBC News
The National Pandemic Flu Service in England is to close because of the sharp decline in cases of the H1N1 swine flu virus. ...
Bird Flu Watch ahead of Chinese New Year
Thai-ASEAN News Network
Livestock officials across the country have stepped up bird flu control measures as the Chinese New Year celebrations draw near.
Read more: http://www.thailandoutlook.tv/tan/ViewData.aspx?DataID=1024824
Swine flu pandemic winding down, claims ministry
Austrian Independent
It said seven people with swine flu had had to be hospitalised during the past week, compared to 15 during the previous week. The ministry added that the ...
India's H1N1 toll touches 1274
TheMedGuru
... worldwide more than 209 countries and overseas territories or communities have reported laboratory confirmed cases of pandemic influenza H1N1 2009, ...
Suspect quarantined in Lampung hospital
The Jakarta Post
Abdul Moeloek General Hospital in Bandarlampung, Lampung, has again quarantined a patient suspected of being infected the bird flu after showing symptoms of high fever, coughing and difficulties of breathing.
Read more: http://www.thejakartapost.com/news/2010/02/10/suspect-quarantined-lampung-hospital.html
Two-thirds of swine flu vaccines remain unused in NI
BBC News
The Department of Health in Northern Ireland still has half a million swine flu vaccines which remain unused. In mid-January, there were more than 60% of ...
Cumulative Number of Confirmed Human Cases of Avian Influenza A/(H5N1) Reported to WHO
WHO
Read more: http://www.who.int/csr/disease/avian_influenza/country/cases_table_2010_02_10/en/index.html
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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