Malaysia : Pandemic Influenza A (H1N1) situation as of 23 April 2010

The latest H1N1 update from Malaysia's Ministry of Health, the death toll climbs with 3 new fatalities. Even the cluster cases has increased dramatically. Is this the second wave or will it be another denial? You be the judge, look at the numbers.

It's a long report but please take the time to read it, as all the information provided is important for us. My heartfelt condolences goes out to the family members of all the deceased.

" Up until 8:00 am on 23 April 2010, the Ministry received a total of twelve (12) ILI cluster cases in the following seven (7) states as stated in attachment 1 (i have listed the states below.)

Meanwhile, until 5:30 pm on 22 April 2010, a total of 59 confirmed cases of Influenza A (H1N1) was reported for a cumulative total 13,357 cases to date. The total number of ILI cases that are being treated in the wards in the country are 603 cases. Of these, 82 cases (13.6%) were confirmed positive influenza A (H1N1). The number of cases being treated in the ICU are 12 cases in which nine of them has risk factors.

The Ministry of Health has received three (3) reports of H1N1 fatalities today. However, only one (1) case is caused by Influenza A (H1N1) and two (2) cases the cause of death was not caused directly by infection of H1N1. This brings the cumulative number of H1N1 deaths to date in the country to 79.

The three fatalities are as follows:

1. A 53 year old male who had multiple risk factors such as uncontrolled diabetes mellitus, hypertension, renal failure, and stroke. This case died on 19 April 2010 at Sultanah Nur Zahirah Hospital, Kuala Terengganu due to Influenza A (H1N1) infection and the cause of death was "Severe Bronchopneumonia, H1N1 positive with Acute Respiratory Distress Syndrome."
2. A 47 year old male admitted to Kuala Lumpur Hospital on 17 April 2010 and died on 20 April 2010. The results of the medical report and discussion of experts from Kuala Lumpur Hospital and Sungai Buloh Hospital, the death was classified as not caused directly by H1N1 but is caused by complications of various organ dysfunction ("Septic shock with multiorgan failure").
3. A 5-month-old boy who suffered from the problem "hydrocephalus" was admitted in the University Kebangsaan Malaysia Medical Center on March 15, 2010 for a surgical treatment and died on 21 April 2010. The results of the medical report and discussion of medical experts, the death was classified as not caused directly by H1N1 but is caused by infection complications after surgery for the problem of "hydrocephalus" and "Severe Acute Respiratory Distress Syndrome"

ILI cluster cases states:

• A school in Perak, under investigation
• A school in Kuala Lumpur, 786 people exposed
• A factory in Johor, 700 people exposed
• 3 schools in Johor, over 3500 people exposed
• A school in Negeri Sembilan, 840 people exposed
• A school in Malacca, 634 people exposed
• A family in Sarawak, 4 people exposed
• A family in Klang, Selangor, 5 people exposed