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Friday, April 30, 2010

Australia : Doctors bracing for flu epidemic

Via Courier Mail:

" HEALTH authorities are increasingly worried that Queensland is heading for a horror flu season.

Doctors were already expecting a "double whammy" flu threat, with the return of swine flu and two more conventional strains expected to circulate.

Now the number of people requesting flu vaccinations has plummeted after the shots were banned for children aged five and under.

GPs are reporting a 50 per cent drop in requests for the seasonal flu vaccine, which is safe for those over the age of five and protects against swine flu, or H1N1, influenza B and A:Perth.

The swine flu vaccination remains safe for all ages."

Malaysia : H1N1: Another Fatality Involving 40-year-old Man

Via Bernama:

" Another report of a fatality linked to the influenza A (H1N1) virus has been received by the Health Ministry Friday, said the Director-General of Health, Tan Sri Dr Mohd Ismail Merican.

However, he said, the cause of death was not due to H1N1 infection directly.

"This has resulted in the cumulative total for H1N1 fatalities to date remaining unchanged at 81 deaths," he said in a statement.

The deceased was a 40-year-old man who had hypertension and was involved in an accident one week before he was admitted into the ward.

He said the victim was admitted to the Kuala Lumpur Hospital on April 26 after suffering from breathing difficulty, fever and cough. He died on the same day.

Dr Mohd Ismail said although the case was confirmed positive for H1N1 virus infection, the victim was also suffering from bacterial infection in the blood and the death was due to complication following septic shock with multi-organs failure and not due to the H1N1 virus directly."

Malaysia : Current Situation of Influenza A (H1N1) as of 30 April 2010

From Malaysia's Ministry of Health, the latest H1N1 update. Another fatality has been recorded. Malaysia is definitely going through a phase of H1N1 infection which the health authorities are saying "not the second wave", however in the last 1 week alone, the infection rate and fatalities have almost tripled. Someone care to explain this??

The report with my translation:

" Until 8:00am on 30 April 2010, the Ministry received a total of six (6) reports of ILI cluster cases in the following 4 states:
  1. A school in Kemaman, Terengganu – involving 281 people
  2. A family in Shah Alam, Selangor – involving 6 people
  3. A family in OUG, Kuala Lumpur – involving 7 people
  4. A Chinese school in Simanggang, Sarawak – involving 1119 people
  5. Maxis Plaza Centre in Plaza Sentral, Kuala Lumpur – involving 50 people
  6. A kindergarten in Shah Alam, Selangor – involving 81 people

Meanwhile, until 5:30 pm on 29 April 2010, a total of 71 confirmed cases of influenza A (H1N1) was reported for a cumulative of 13,673 cases to date. The remaining ILI cases that are currently being treated in the wards in the country are 587 cases. Of these, 70 cases (11.9%) were confirmed positive influenza A (H1N1). The number of patients treated in the ICU is a seven (7) case in which five (5) of them has risk factors.

The Ministry of Health has received one (1) report of H1N1 fatality. However, the cause of death was not caused by direct infection of H1N1. The cumulative number of H1N1 fatalities remains at 81.

The details of the fatality reported:

A man age 40 years with risk factors of high blood pressure and was involved in a vehicle accident a week before being admitted. The patient was admitted to Kuala Lumpur Hospital on 26 April 2010 after suffering respiratory problems, fever, cough and speech which was not understood. He passed away on 26 April 2010. Although this case is confirmed positive H1N1 virus infection by PCR test, he also had bacterial infections in the blood and cause of death was due to complications of "septic shock with multi-organs failure" by a bacterial infection and not caused by the H1N1 virus directly. "

Indonesia : Sungaiapit, Riau - Bird flu spreads to other villages

Another H5N1 post from Ida at Bird Flu Information Corner:

" Bird flu H5N1 has spread to Desa Parit I/II, Desa Harapan and Kelurahan Sungaiapit since it was firstly identified in Desa Lalang.

Until now, bird flu infected human suspect has reached nine victims. Two of them are now being treated at Arifin Achmad hospital in Pekanbaru, while others are refused to be hospitalized.

Based on the investigation of Health Service and Livestock Service of Kabupaten Siak, so far dead chickens had been tested positive bird flu H5N1.

Also, Health Service had collected patient’s liquid samples for further check and treated patients with Tamiflu."

Is the situation in Indonesia out of control or is it still at moderate level??

Indonesia : Pekanbaru, Riau - Four-year-old bird flu suspect girl dies

Courtesy of Ida at Bird Flu Information Corner:

" A four-year-old girl bird flu suspect patient, Joice Evelyn, died on Wednesday afternoon after had been treated for two days in Arifin Achmad hospital, Pekanbaru, Riau.

Joice, a resident of Sidomulyo, Pekanbaru, had been treated in isolation unit of Arifin Achmad hospital since Monday (26/4) after previously treated in Santa Maria hospital.

Joice had high fever up to 39℃ and breathing rate 90 per minute before the decease.

“Joice never had any contact with birds. We don’t rear any birds at home,” said Harapan Bagariang, Joice’s father.

Previously, Joice developed fever for a week and hospitalized in Arifin Achmad hospital. Because of insufficient medical service, family brought the girl to Santa Maria hospital.

“After a day, Santa Maria hospital’s doctor said that Joice had virus. She was then referred back to Arifin Achmad hospital as it is the only bird flu referral hospital (in Riau)."

Australia : Flu jab still the safer option for children

Via The Independent Weekly:

" Alarm surrounding the suspended flu vaccine could set back vaccination rates around the country, health experts say.

The seasonal flu shot, which guards against influenza A, influenza B and swine flu, was suspended last week for under-fives following a high level of bad reactions in young children.

Hundreds of adverse reactions have been reported, mainly in Queensland and Western Australia, and the vaccine is now under investigation by the Therapeutic Goods Administration.

The scare has given wind to vocal anti-vaccination activists, who have inundated web forums and talkback radio shows with concerns.

However, experts say vaccination programs, while not risk-free, are still the safest route.

SA Health’s chief medical officer Professor Paddy Philips said vaccination was a fundamental cornerstone of good public health and “one of the main reasons we have a healthy community”.

But unlike other states, SA is not releasing the number of children who have had adverse reactions."

US : Swine flu fears push seasonal shots to record high

Via AP:

" Fears of swine flu helped boost vaccination for ordinary seasonal flu last year, with a record 40 percent of adults and children getting the vaccine, federal health officials said Thursday.

The jump was most dramatic in children, but vaccinations also increased in healthy adults under 50, according to Centers for Disease Control and Prevention researchers.

For all ages, the highest seasonal flu vaccination rate previously was about 33 percent, in the 2008-2009 season.

Flu shots have been around since the 1940s. But several things made last fall's campaign unusual:

- Swine flu appeared last spring and was unusually dangerous to children and young adults, prompting more interest in regular flu shots. "We do have the pandemic driving that," said Gary Euler, one of the study's authors.

- Government recommendations kicked in calling for seasonal flu vaccinations for all children.

- Seasonal vaccine was out earlier than usual so manufacturers could focus on the separate swine flu vaccine."

Malaysia : 2 heart patients add to death toll

From the New Straits Times:

" A 61-year- old woman died of influenza A (H1N1) on Saturday, bringing the death toll of people who died directly from the disease between May last year and yesterday to 81.

Another victim who succumbed to complications arising from H1N1 was a 46-year-old man in Terengganu.

The Health Ministry, however, did not update the number of people who died from H1N1 complications although it was learnt that the number is high.

Giving details on the two deaths, Health director-general Tan Sri Dr Ismail Merican said the woman, an ischaemic heart disease patient, who also suffered from diabetes and hypertension, was admitted to the Sultanah Nur Zahirah Hospital in Kuala Terengganu last Friday after complaining of breathing difficulty.

She was a victim of H1N1 as confirmed by a team of specialists who investigated her case.

As for the man who was a heart and hypertension patient, Dr Ismail said, he, too, was admitted to the same hospital on April 22 and died the following day due to lung complication and sepsis due to bacterial infection."

Malaysia : Housewife is 55th person to die of dengue

Via The Star, dengue claims another life:

" A 45-year-old housewife from Perak became the latest victim of dengue fever on Wednes­day, bringing the total of number of deaths this year to 55.

Deputy Health Minister Datuk Rosnah Abd Rashid Shirlin said the ministry viewed the fatalities seriously as it showed a marked increase from the 42 deaths recorded over the first four months of 2009.

“The total number of dengue cases this year is lower compared to the same period last year but we have recorded 13 more deaths and this is worrying,” she said, adding that a total of 15,982 dengue fever cases were reported this year compared to 19,947 over the same period last year.

She said among the reasons for the higher number of deaths this year was that many developed complications due to pre-existing conditions like obesity or kidney problems.

Rosnah said Selangor still topped the list with 7,574 dengue fever cases and 27 deaths this year, followed by Kuala Lumpur and Putrajaya with 1,826 cases and four deaths, Sarawak with 1,815 cases and six deaths, and Johor with 962 cases and three deaths."

Thursday, April 29, 2010

Malaysia : Current Situation of Influenza A (H1N1) as of 29 April 2010

The latest H1N1 update from the Ministry of Health. The death toll keeps on climbing. Please read the whole report to understand the current situation which looks like a cause for concern:

" Up until 8:00 am on 29 April 2010, the Ministry received a total of three (3) ILI cluster report from the following two states as listed in Appendix 1.

Meanwhile, until at 5:30 pm on 28 April 2010, a total of 80 confirmed cases of influenza A (H1N1) was reported for a cumulative of 13,602 number of cases to date. The remaining ILI cases that are currently being treated in the wards in the country are 540 cases. Of these, 55 cases (10.2%) were confirmed positive influenza A (H1N1). The number of patients being treated in the ICU is nine (9) cases in which eight (8) of them have risk factors.

The Ministry of Health has received two (2) reports H1N1 fatalities today. However, only one (1) fatality was directly caused by influenza virus A (H1N1), meanwhile the other fatality case was not caused directly by H1N1 infection. This brings the cumulative number of H1N1 deaths in the country to date to 81.

Two deaths are as follows:
  1. A 61 year-old woman with several risk factors, namely: - heart disease (Ischemic Heart Disease), diabetes mellitus and hypertension. The patient was admitted to Hospital Sultanah Nur Zahirah (HSNZ), Kuala Terengganu on 23 April 2010 after suffering respiratory problems and passed away on 24 April 2010. The discussion of experts has confirmed that the cause of death is caused by influenza virus A (H1N1).
  2. A man age 46 years old with risk factors of heart disease (Dilated Cardiomyopathy) and hypertension. The patient was admitted to Hospital Sultanah Nur Zahirah, Kuala Terengganu on 22 April 2010 and passed away on 23 April 2010. Although this case is confirmed positive H1N1 virus infection by PCR testing, the experts report and blood test results confirms that the cause of death was complications from pneumonia and sepsis by bacterial infection and not caused by the H1N1 virus directly. "

Philippines : DOH-7 starts giving A (H1N1) dose

Via the Global Nation:

" Almost a year after the Department of Health in Central Visayas (DOH-7) reported the first suspected A (H1N1) case, vaccinations against the virus were given to local health workers.

“This is a simultaneous activity nationwide. We are prioritizing health workers because they are the first in line in treating patients,” said Dr. Enrique Sancho, DOH-7 A (H1N1) influenza point person and communicable diseases division chief.

“We have a supply of 13,000 to 14,000 vaccine vials in the region, with one vial equal to 10 doses. We are prioritizing the provincial offices,” he said.

“Cebu has 8,500 vials available. Bohol has 3,000 while the provinces of Negros Oriental and Siquijor will receive their supply directly from the central office,” said Sancho.

He said some 50,000 health workers in the Central Visayas will be vaccinated against the influenza virus."

South Africa : Toll rises to 12 in South African Rift Valley Fever outbreak

Via Xinhua, this is the first time I (as a commoner) am hearing of this disease. I would like to know about this disease and it's effects as it sounds dangerous and as all disease transmitting from animals, this can spread.

" One more person has died of Rift Valley Fever, driving the overall death toll of the disease in South Africa since Feb. 13 to 12, the country's authorities announced on Wednesday.

South African National Institute for Communicable Diseases (NICD) said the latest death had occurred in the Western Cape Province.

The person was from the Oudtshoorn area, an official with the NICD said.

This was the first Rift Valley Fever death in the Western Cape in the current outbreak.

The disease has affected thousands of farm animals and 150 people in the Free State, Northern Cape, Eastern Cape and North West provinces, according to the South African Press Association (SAPA).

In humans, the disease was mostly associated with people who had direct contact with blood or tissues of infected animals, SAPA reported.

The majority of those affected were people working on farms, veterinary workers and abattoirs.
The fever is associated with mild, flu-like symptoms."

World : A clamp for emerging flu viruses

Via Physorg:

" When the human body becomes infected with new influenza viruses, the immune system rapidly activates an inborn protective mechanism to inhibit the intruding pathogen. A protein known as Mx plays an important role in this process, keeping the spread of viruses in check. Exactly how Mx accomplishes this task was previously unknown. Now German virologists from the Institute of Medical Microbiology at the Freiburg University Medical Center and structural biologists from the Max Delbrück Center for Molecular Medicine (MDC) in Berlin-Buch have unraveled the structure of the Mx protein and are able to explain how it develops its anti-viral effect.

New influenza viruses jump from animals to humans with alarming frequency, as evidenced by the virus or, more recently, with the virus. Although humans usually do not have any preexisting immunity to such pathogens, they are not completely unprotected against the invaders. The human body can rapidly mobilize a defense strategy which prevents the influenza viruses from proliferating unchecked in the body.

An essential element of this protection is a protein, known as Mx (short for myxovirus resistance), produced by the body which recognizes many viruses and prevents them from replicating inside infected cells. Under normal conditions this protective protein is not present in the cell at all, but after infection it can be produced in large quantities. The order to produce this protein Mx is made by the signaling protein , which is excreted by infected cells and alarms the organism of the ."

World : To Be or not TB

From the Harvard Crimson, an excellent take on TB, it's future and how it's affecting us right now:

" Tuberculosis: The very name of the disease evokes images of antiquity, a footnote in dusty encyclopedias of human sickness overshadowed by the abbreviated diseases of the present—SARS, HIV/AIDS, H1N1. Few students would be able to guess that one third of the world’s population is infected with TB or that more than 12,000 cases were reported in the U.S. in 2008. Transmitted by coughing, sneezing, or spitting, TB thrives in the humid and closely-packed quarters of slums and urban outskirts.

However, just last week, a Harvard student was diagnosed with TB, with roughly 40 identified as at risk for exposure as a result of this case, reminding us of its startling proximity to our privileged community. Instead of dismissing it as a disease of the developing world, we should take this opportunity to recognize TB’s continued relevance on the public health advocacy agenda and engage with the actors that have long stalled progress.

After a long period of decline, TB incidence has risen dramatically since the 1980s, despite the improvement of sanitary conditions, the development of anti-TB drugs in the 1950s, and the introduction of the World Health Organization’s directly-observed treatment short-course program for more effective treatment. In 1993, the WHO declared TB a global-health emergency, setting ambitious goals which it later conceded could not be met by 2003 or possibly even 2015. That is to say, the consequences from the years of inadequate treatment and low attention to disease control in resource-poor regions have become increasingly clear."

Malaysia : 2 dengue deaths bring toll to 54

Via New Straits Times, an article which covers the current dengue and H1N1 situation in Malaysia:

" Two schoolchildren aged 10 and 16 have died of dengue, bringing the death toll to 54 this year. The two from Negri Sembilan died last week.

A total of 15,665 people had dengue between Jan 1 and April 24 compared with 17,531 cases and 41 deaths during the same period last year.

Kuala Lumpur/Putrajaya, Negri Sembilan, Perak, Malacca, Perlis and Sabah reported a high incidence of the disease last week.

Meanwhile, 30 schoolchildren in five states have been placed under home quarantine after they were treated for suspected Influenza A (H1N1) yesterday.

These children, of whom two have been confirmed positive for H1N1, were treated at government hospitals in Sarawak, Perak, Johor, Kelantan and here.

One of the confirmed cases is from the Taska Children Discovery House in Mont Kiara here. The other is from SMA Madrasah Idrisiah in Kuala Kangsar. "

Wednesday, April 28, 2010

Malaysia : 50 H1N1 Cluster Symptoms Detected At Bentong MRSM

Via Bernama:

" Fifty cases of Influenza A (H1N1) cluster symptoms were detected at the Bentong Mara Junior Science College (MRSM) until yesterday.

Of them, 16 students, including 10 female students, are still confined to an isolation room at the college, said Pahang Local Government, Environment and Health Committee chairman Datuk Hoh Khai Mun.

He said three of them were referred to the Bentong Hospital for further examination.

"All infected students received anti-viral treatment and are in stable condition and their health are being monitored by medical specialists," he told reporters here on Wednesday.

He said to date 31 students were allowed to go home and briefed on prevention and control measures to observed during their isolation period at home.

The Bentong District Health Office will continue to monitor the students and staff of the college to detect any new cases of H1N1, he added."

New Zealand : Swine flu death toll revised to 35

Via Radio New Zealand News:

" The Ministry of Health has sharply upgraded the number of people who have died from swine flu.

Up to now, the ministry has reported 20 deaths associated with the H1N1 virus. But it says it is now including provisional findings by coroners, which adds 15 to the number
.
In its latest update, the ministry says the cases were in Auckland, Counties-Manukau, Canterbury, Otago, South Canterbury, Southland, Taranaki and Waikato.

The 15 deaths occurred between June and August last year, five of them in hospitals.

The deputy director of public health, Fran McGrath, says the ages of the newly associated victims ranged from the late teens to the mid-50s."

World : When Animal Diseases Attack

Via Newsweek, a long but very informative article which takes deeper look at diseases which sources are from animals:

" Animal-based diseases account for 75 percent of newly emerging infectious diseases, including H1N1. Can health agencies work together to stop their spread?

One year ago this month, Dr. Anne Schuchat took the mike at one of the government's first press conferences about a worrisome new flu outbreak. Schuchat, director of the Centers for Disease Control and Prevention's National Center for Immunization and Respiratory Diseases, was trying to clarify what public-health officials knew about a virus that had sickened patients in Mexico and the United States. No, this was not bird flu, Schuchat told reporters listening in by phone from around the country that April day in 2009. That virus, technically known as H5N1, had been circulating since 1997, mainly in Asia. This was swine influenza, or, as it would soon be called, H1N1. "We're talking about a new virus," Schuchat said, referring to the novel form of H1N1, "a combination of a couple of different components of swine, human, and bird influenza."

Malaysia : Current Situation of Influenza A (H1N1) as of 28 April 2010

The latest H1N1 update from the Malaysia's Ministry of Health, to note the increase in ILI cluster cases and H1N1 positive cases. The report with my translation:

" Up until 8:00 am on 28 April 2010, the Ministry received a total of eight (8) reports of ILI cluster cases in the following five (5) states as listed in Appendix 1.

Meanwhile, until 5:30 pm on 27 April 2010, a total of 42 confirmed cases of Influenza A (H1N1) were reported for a cumulative of 13,522 number of cases to date.

The remaining number of ILI cases that are being treated in the wards in the country are 570 cases.

Of these, 61 cases (10.7%) were confirmed positive influenza A (H1N1).

The numbers of patients being treated in the ICU are nine (9) people in which the seven (7) of them has risk factors.

No report of death was received yesterday for a nationwide total of 80 H1N1 fatalities to date."

Macao : Macao reports collective flu outbreak at local school

Via China Daily :

" The Health Bureau of Macao Monday said that it has recorded 12 cases of flu infection at a local school.

The patients were all seven-year-old students at the same class of a local school and all of them have received medical treatments at a local hospital, according to the Bureau. The school has been ordered by the Bureau to implement flu control measures.

Meanwhile, there was no A/H1N1 flu reported on Monday and the accumulative number of such cases has reached 3,608 since June 18 last year, according to the Bureau."

India : Summer’s first swine flu case in Andhra

Via Hindustan Times:

" A cab driver engaged in ferrying people to and from Hyderabad international airport was diagnosed with swine flu, making it the first such case in Andhra Pradesh this summer.

“The patient is in his forties and was brought to our hospital in a critical condition. What aggravated the situation was that he was obese and suffered from diabetes. He is on a ventilator and responding well to treatment,” said Dr K. Subhakar, who is in charge of swine flu cases at Government Chest Hospital in Hyderabad.

“We are not sure how he contracted the disease, but possibly he got it through contact with some H1N1-infected passengers,” he said.

In the wake of detection of a fresh case of the dreaded infection, the state has directed airports in Hyderabad and Visakhapatnam to increase screening of passengers. The screening, which was on a war footing last year, was scaled down with fall in incidence of HINI attacks.

The first case of swine flu in the country was detected in Hyderabad last May. It spread like wildfire for the three following months, killing 53 people and affecting another 786."

Malaysia : 29 new cases reported

Today's news article from New Straits Times based on the MOH's H1N1 update yesterday:

" The influenza A (H1N1) virus infected another 29 people yesterday, bringing the number of infected since May last year to 13,480.

As of 5.30pm on Monday, 563 people had been admitted to hospitals nationwide, with 68 confirmed positive for H1N1 and the remaining with influenza-like illnesses (ILI).

Health director-general Tan Sri Dr Ismail Merican said 10 of the confirmed cases were in intensive care units.

Three ILI cluster cases were reported yesterday, including 485 students of Sekolah Menengah Agama Tengku Fatimah in Pahang, 369 preschoolers from Tadika Real Kids in Puchong here, and 298 National Service trainees at the PDS Resort camp in Kampung Telok, Pasir Pajang, Port Dickson.

Dr Ismail urged the public to adhere to personal hygiene, especially the use of hand sanitisers if they had no access to facilities to wash their hands regularly.

Meanwhile, a halal hand sanitiser, NatShield, has hit the market."

Tuesday, April 27, 2010

Vietnam : Bird flu hits central province of Vietnam

Via Xinhua :

" Bird flu is occurring in the central province Quang Tri of Vietnam, raising the total number of affected provinces in the country to four, said a report of the Department of Animal Health under the Vietnam's Ministry of Agriculture and Rural Development on Tuesday.

The bird flu struck a local farm of Quang Tri province, causing 250 ducks out of 1,500 die, said the department.

The local animal health bureau and authorities have been taking measures to prevent the spread of the H5N1 virus to nearby areas. These measures include slaughtering infected animals and sterilizing the affected areas and their neighborhood.

Currently, Vietnam reports four provinces nationwide hit by avian flu including two northern provinces namely Bac Kan and Quang Ninh, and two central provinces of Quang Ngai and newly- reported Quang Tri, said the department."

Malaysia : Current Situation of Influenza A (H1N1) as of 27 April 2010

Malaysian Ministry of Health's latest H1N1 update with my translation:

" Up until 8:00 am on 27 April 2010, the Ministry received a total of three (3) reports of ILI cluster cases as stated in Appendix 1.

Meanwhile, until at 5:30 pm on 26 April 2010, a total of 29 confirmed cases of influenza A (H1N1) was reported for a cumulative of 13,480 cases to date. The number of ILI cases that are still being treated at the hospital, across the country stood at 563 cases. Of these, 68 cases (12.1%) were confirmed positive influenza A (H1N1). The number of patients being treated in the Intensive Care Unit (ICU) are 10 with seven (7) having risk factors. No report of death was received yesterday for a nationwide total of 80 H1N1 fatalities to date."

Malaysia : Losing Battle Against Dengue

Via Bernama:

" Disappointed with the public apathy towards efforts to eliminate aedes mosquito breeding grounds, Deputy Health Minister Datuk Rosnah Shirlin Rashid said the ministry is fighting a losing battle against the disease unless there is proactive response from the people.

She was also saddened that despite the high awareness among the people of the danger of dengue, their participation and commitment to eliminating the epidemic was very low.

"This is indeed very sad, as many are still not taking this epidemic seriously and taking the necessary steps to contain it, when the preventive steps are simple where you only need 10 minutes a week to clean up your houses and clear any stagnant waters," she told reporters after launching the 2010 Anti-Dengue Campaign here today.

Calling on the public to change to a healthy lifestyle and cleaner environment, Rosnah said they should be more vigilant, just like in the case of the Influenza A(H1N1) pandemic.

Dengue cases involving death in the country had been on the rise, with 54 deaths up to April 24, compared with 41 deaths last year.

From April 18 to 24, a total of 885 cases were reported nationwide, a drop of 29 cases or three per cent compared with 914 cases the previous week."

Indonesia : Indonesia reduces Malaria cases by two-thirds

Via Xinhua:

" The number of malaria cases in Indonesia dropped to over 1.1 million in 2009 from about 3 million per year in the past due to appropriate technology in combating the deadly disease, a statement from Health Ministry said on Monday.

Health Minister Endang Rahayu Sedyaningsih said that among the technology were new anti-malaria drug Artemisinin-based Combination Therapy, Rapid Diagnostic Test tool and mosquito-net equipped with insecticide.

However, the minister said that the current number of malaria cases still resulted in huge financial lost.

"Besides, it can decrease child intelligence, human resources quality and workforce productivity," she said in the statement.

Malaria is still a major health problem in the world, causing high mortality rate among pregnant women and baby."

Nigeria : Malaria kills 300,000 children in Nigeria

Via Xinhua:

" An estimated 300,000 children die of malaria every year in Nigeria, according to the United Nations Children's Fund (UNICEF).

Paula Fedeski, UNICEF's chief communication officer disclosed this in a statement sent to reporters in Abuja on Sunday.

Malaria remains a major public health problem in Nigeria, the statement said, noting that an estimated 300,000 children die of the disease each year.

According to the international body, up to 11 percent of maternal mortality is caused by malaria, which represents one in every four deaths of children and one in 10 deaths of pregnant women.

UNICEF said about 900 million U.S. dollars is lost to malaria annually in prevention and treatment costs and productivity loss.

"It is not difficult to see that in addition to its direct health impact, the disease imposes a heavy social and economic burden," the statement said, adding that malaria still remained the number one killer of children and thousand of adults in the country."

Bangladesh : Bangladesh to strengthen measures after first A/H1N1 flu death of this year

Via Xinhua:

" Bangladesh on Monday said it will further strengthen measures to prevent and better combat outbreaks of A/H1N1 flu after a 34-year-old woman became the first case in the country to die from complications of the infectious disease this year.

Mahmudur Rahman, Head of the country's Institute of Epidemiology, Disease Control and Research (IEDCR) under the Health Ministry, told Xinhua on Monday, "Rumana Jahangir died on Friday after suffering from A/H1N1 flu."

According to health officials, Rumana, an assistant professor of a private university in Bangladesh's capital Dhaka, had underlying health conditions that made it more difficult to fend off the flu.

Rumana Jahangir's sister, who preferred to be unnamed, said, " my sister died in an aeroplane on way to Singapore on Friday evening."

"We decided to take Rumana to Singapore for better treatment as doctors said health condition of my sister, who has undergone a cesarean operation around two weeks ago, severely deteriorated," she said, adding "Rumana died just before the plane's landing in Singapore airport."

Thailand Another red-shirt protester believed to have come down with H1N1

Via The Nation:

" A lab test will today confirm whether another red-shirt protester has come down with the type-A (H1N1) influenza virus.

As of yesterday, six red-shirt guards were being treated for the disease at the BMA General Hospital.

The hospital director Dr Pitchaya Nakwatchara revealed that another red-shirt protester had been admitted at his institution at 2am yesterday with a lung infection and symptoms that could be associated with the type-A (H1N1) influenza. The man afflicted is a 47-year-old Bangkok resident.

"We have put him through a lab test," Pitchaya said, adding that the result would be released today.

Bangkok Metropolitan Administration (BMA) spokesman Thanom Onkatephol yesterday expressed concern about red-shirt demonstrators exposing themselves to this potentially fatal disease."

Monday, April 26, 2010

Malaysia : Current Situation of Influenza A (H1N1) as of 26 April 2010

From the MOH, the latest H1N1 update.

Please note another fatality has been reported. If you have been following my updates in this blog, you would have noticed in the past week itself, the number of fatalities which was recorded has increased dramatically.

Is this a cause for concern??? Comments are welcomed.

" Up until 8:00 am on 26 April 2010, there were no reports of ILI cluster incidents.Meanwhile, until 5:30 pm on 25 April 2010, a total of 15 confirmed cases of influenza A (H1N1) was reported for a cumulative number of 13,451 H1N1 cases to date.

The remaining number of ILI cases that are being treated in the wards across the country stands at 543 cases. Of these, 55 cases (10.1%) were confirmed positive influenza A (H1N1). The numbers of patients being treated in the Intensive Care Unit (ICU) are nine (9) cases with seven (7) being in the high-risk groups.

The Ministry of Health has received one (1) report of death related to H1N1 today. The case involved a 48 year old housewife who has risk factors for diabetes, hypertension and obesity. The patient had been in the ICU of Sultanah Nur Zahirah (HSNZ) Kuala Terengganu Hospital since 18 April 2010, and passed away on 24 April 2010.

Although this patient is confirmed positive H1N1 virus infection by PCR testing, the experts reports and blood test results confirms that the cause of death was "septicaemic shock secondary to severe bronchopneumonia" by bacterial infection and not caused by the H1N1 virus directly.

The death toll in Malaysia remains at 80."

US : Follow-up file: Woman slowly recovers from bout with H1N1

Via S-JR.com, the after effects of the dreaded H1N1 / swine flu as told by this gutsy woman from Illinois:

" Kincaid resident Mindy Dees was fired from her job, lost her hair and saw her car repossessed.
She is struggling to regain her strength and improve the use of her left hand in the wake of lung and nerve damage.

Her problems all stem from a near-fatal bout with H1N1 flu.

“It’s been a hard road, but it can only look up from here,” the married mother of two children said last week.

Dees, 30, who said she lost her job at the Taylorville office of NewWave Communications because she was too weak to return to work, was one of more than 3,000 Illinoisans hospitalized with the novel strain of influenza over the past several months.

She first became ill Oct. 18, the second day she was helping to staff an outdoor booth for her employer during Taylorville Chillifest. That was before the H1N1 vaccine was available. Dees almost died from pneumonia and acute respiratory distress syndrome before being released after a two-month stay at Memorial Medical Center that cost $600,000."

Malaysia : Elderly man latest to succumb to disease

Via New Straits Times, another report in relation to the latest H1N1 fatality and dengue situation in Malaysia:

" A 63-year-old man who suffered from chronic obstructive airway disease became the latest victim of influenza A (H1N1) when he died at Tuanku Jaafar Hospital in Seremban yesterday. His case brings the H1N1 death toll to 80 so far.

Health director-general Tan Sri Dr Ismail Merican said the man was admitted to hospital on April 23. He said three new clusters of influenza-like illnesses (ILI) cases were detected in Kedah, Pahang and Malacca.

In Pahang, 16 people at the Bentong Mara Junior Science College received outpatient treatment for suspected H1N1 while a family in Malacca also received outpatient treatment for the same cause.

On the increase in the number of dengue cases, Dr Ismail said patients who came to hospital accident and emergency departments with symptoms must be seen by a senior medical officer or specialist.

"From now, house officers cannot send home patients with dengue symptoms unless they have been checked by a senior doctor or specialist.

"There have been cases where patients came early to hospitals, were seen by a house officer, given medication and sent home only to die."

Malaysia : Preschool closes to contain HFM outbreak

Via New Straits Times, hand foot and mouth (HFM) disease outbreak in Alor Setar, Kedah, Malaysia:

"Some 270 children were forced to skip classes after Tadika An-Najaah in Jalan Teluk Wanjah here stopped its operation for 10 days to prevent the spread of hand, foot and mouth (HFM) disease.

The kindergarten management came to the decision after two preschoolers were found to be suffering from the disease.

Another three were being monitored by state Health Department officers after they came down with fever and rashes, which are symptoms of HFM disease.I

t is learnt that all five preschoolers were responding well to treatment from a private clinic.State Health director Dr Marzuki Md Isa said the five had been quarantined at home.

Dr Marzuki praised the kindergarten management for its quick move to shut down temporarily to contain the disease.

"Parents should immediately send their children for treatment if they show any symptoms of the disease."

Thailand : Security guards suffer flu outbreak

Via Bangkok Post:

" The City Hall has warned of a fresh outbreak of type-A (H1N1) influenza at the UDD demonstration site after six red shirt guards were found to have been infected with the virus.

The six security guards, all males aged between 16 and 42, have been admitted to the Bangkok Metropolitan Administration General Hospital, BMA spokesman Thanom Onketphon said yesterday.

Two are from Si Sa Ket province.

The other four are from Sukhothai, Chiang Mai, Ubon Ratchathani and Loei. They joined the demonstration led by the United Front for Democracy against Dictatorship on March 12, the spokesman said.

Mr Thanom said the patients began feeling ill on April 21. Seven of them sought medical treatment at the General Hospital on Friday and doctors found six of them had been infected with the virus. The six have received antiviral medication and are in a stable condition."

Malaysia : 63-year-old man latest H1N1 casualty

From The Star:

" A 63-year-old man has become the country’s latest Influenza A(H1N1) casualty, Director-General of Health Tan Sri Dr Mohd Ismail Merican said.

The man, who suffered chronic obstructive airway disease, was admitted to Tuanku Jaafar Hospital in Seremban on April 22 where he died the next day.

Dr Mohd Ismail said that al­­though the man was confirmed H1N1 positive, the specialist said that it was due to blood infection.

“H1N1 deaths nationwide remain at 80 people,” he said in a statement here yesterday. Up to 5.30pm on Saturday, 39 H1N1 cases were reported, bringing the total to 13,436 cases.

Three influenza-like illness (ILI) cluster cases were reported in Pahang, Malacca and Kedah up to 8am yesterday, bringing the cases to 545.

Of the 545 cases, 60 were positive H1N1. Ten patients were in the Intensive Care Unit of which nine had risk factors. "

Sunday, April 25, 2010

Malaysia : Current Situation of Influenza A (H1N1) as of 25 April 2010

Ministry of Health's latest H1N1 update, another fatality has been recorded:

" Up until 8:00 am on 25 April 2010, the Ministry received a total of three (3) ILI cluster cases from the following three (3) states as listed in 'Appendix 1'.

Meanwhile, until at 5:30 pm on 24 April 2010, a total of 39 confirmed cases of influenza A (H1N1) was reported for a total number of H1N1 cases 13,436 to date. The remaining number of ILI cases that are currently being treated in the wards in the country are 545 cases. Of these, 60 cases (11.0%) were confirmed positive influenza A (H1N1). The numbers of patients being treated in the Intensive Care Unit (ICU) are 10 cases in which nine of them have risk factors.

Ministry of Health has received one (1) report of deaths associated with H1N1 today. The case involved a 63 year old male suffering from chronic lung disease (Chronic Obstructive Airway Disease, COAD). The patient was admitted to Hospital Tuanku Jaafar Seremban on 22 April 2010 and died on 23 April 2010. Although this case is confirmed positive H1N1 virus infection by PCR test, the physician of this case confirm that the death was caused by bacterial infection in the blood (sepsis) based on the results of blood tests done. The death toll from H1N1 in the country remains at 80."

Malaysia : Four dengue deaths in KL, so far, this year

Via The Star:

" Four deaths due to dengue were reported from among the 1,639 cases of the disease recorded so far this year in the city, Kuala Lumpur City Hall Director of Health Dr Sallehuddin Abu Bakar said Sunday.

He said the 1,639 cases were higher than the 1,447 recorded for the corresponding period last year.

Dr Sallehuddin appealed to the public to ensure that their homes and surroundings were free of the potential breeding grounds of the Aedes mosquito, carrier of the dengue virus.

The places regarded as active mosquito breeding areas in Kuala Lumpur included Cheras, Setapak, Kepong and Jalan Klang Lama, he told reporters after closing the Communications for Behaviour Impact (Combi) programme at a flats in Keramat Wangsa, here.

The 39 participants of the programme were entrusted with ensuring that the area was free from dengue, as well as disseminating information to the residents on the harm caused by the Aedes mosquito."

Australia : Hundreds line up for swine flu jab

Via ABC News:

" A nationwide ban on seasonal flu shots for small children has not stopped Tasmanians getting a free jab for swine flu.

About 1300 Tasmanians received the vaccination at a clinic in Hobart yesterday.

The state has recorded three cases of swine flu so far this year but 150,000 people have received the vaccination.

The Deputy Director of Public Health, Dr Chrissie Pickin, says the vaccination can be given to anyone over the age of six months unlike the seasonal flu shot which has been suspended for children under the age of five after concerns that some children in Western Australia may have had adverse reactions.

"We've tried really hard to explain that the Panvax swine flu vaccination is an entirely different vaccine to the one that's been suspended and that it's got an extremely good safety record," Dr Pickin said."

Malaysia : Three more succumb to H1N1

Via New Straits Times:

" Three more deaths from Influenza A (H1N1) were reported yesterday.

The latest victims include a 55-year-old man who was admitted to a private hospital here on April 18 for breathing difficulty and died on April 21.

His death was classified as severe bronchopneumonia, secondary to H1N1.

The other two deaths were caused by complications arising from the disease.

One of them was a 53-year-old man who was a diabetic having gangrene on his right leg.

He was admitted to University Malaya Medical Centre on April 9 for virus infection and a serious gangrene problem. He died on April 16.


His death was due to septicaemic shock, secondary to diabetic foot gangrene.

The other was a 59-year-old man with cardiovascular disease and diabetes, who was admitted to Kuala Lumpur Hospital on April 18 for breathing difficulty. He died on April 19 due to acute coronary syndrome."

Malaysia : 9,500 frontliners get H1N1 jabs

Via The Star:

" The State Health Department has inoculated more than 9,500 frontliners, especially those working in hospitals, with the H1N1 vaccine this year.

State Women, Family, Health and Community Development Com­mittee chairman Dr Robia Kosai said 1,059 people from other target groups were also given the vaccines.

She said there was no report of any serious side-effects from the vaccine but said 43 people did complain of slight side-effects such as fever.

Up to yesterday, there were 178 positive A(H1N1) cases reported in the state without any fatality.

“Last year, we had 704 cases of A(H1N1) positive with 12 deaths reported,” she said at a gotong-royong function at SK Agama Sungai Grisek in Sungai Balang yesterday."

Saturday, April 24, 2010

Malaysia : Another H1N1 Death Raises Toll To 80

Via Bernama:

" The Health Ministry on Saturday reported another death due to Influenza A (H1N1), which raises the death toll to 80 since the outbreak of the disease last year.

The statement said the latest victim was a 55-year-old man who was admitted to a private hospital on April 18 after having difficulty breathing and died on Wednesday of "severe bronchopneumonia secondary to H1N1".

Director-General of Health Tan Sri Mohd Ismail Merican reminded the people that H1N1 was still active in the community and advised them to adopt precautionary measures.

The statement said seven reports of Influenza-like Illness (ILI) were received in four states, namely Selangor, Johor, Terengganu and Melaka.

Of these, three cases were reported in Selangor, at the Setia Ikhlas National Service Training Camp in Semenyih, Satellite Pharmacy of the Tengku Ampuan Rahimah Hospital in Klang and a house in Kampung Pinang, Port Klang.

Two of the cases were reported in Johor, at Sekolah Menengah Tun Hussein Onn, Kluang, and the Mahkota army camp, also in Kluang, while one case each was reported in Sekolah Menengah Kebangsaan Jasin, Melaka, and Sekolah Kebangsaan Kijal, Kemaman, Terengganu."

Malaysia : Current Situation of Influenza A (H1N1) as of 24 April 2010

The latest H1N1 update via MOH's website. 3 more fatalities have been reported:

" Up until 8:00 am on 24 April 2010, the Ministry received a total of seven (7) reports of ILI cluster cases in the four (4) states as stated 'Appendix 1' (I used Google Translate for the attachment, it's not so pretty but it's understandable).

Meanwhile, until 5:30 pm on 23 April 2010, a total of 40 confirmed cases of Influenza A (H1N1) were reported for total number of 13,397 cases to date. The remaining ILI cases that are being treated in the wards throughout the country are 556 cases. Of these, 78 cases (14.0%) were confirmed positive influenza A (H1N1). The number of patients being treated in the ICU is 12 cases in which 10 of them has risk factors.

The Ministry of Health has received three (3) reports H1N1 fatalities today. However, only one (1) case was caused by influenza A (H1N1), and two (2) cases was not caused by directly by the infection of H1N1. This brings the cumulative number of H1N1 deaths to date is 80.

The three deaths are as follows:

  1. A 55 year old male with no risk factors for H1N1 infection was admitted to a private hospital in Kuala Lumpur on 18 April 2010 after suffering respiratory problems. The patient died on 21 April 2010 as a result of infection by influenza A (H1N1) and cause of death was "Severe Bronchopneumonia secondary to H1N1".
  2. A 59 year old male with a history of cardiovascular disease and diabetes have been admitted to Hospital Kuala Lumpur on 18 April 2010 due to respiratory problems. The patient died on 19 April 2010 with the cause of death “Acute coronary syndrome". Reports from experts have confirmed that the death was not caused by H1N1.
  3. A 53 year old male with a history of diabetes and gangrene on the right leg and was admitted to the University Malaya Medical Centre on 9 April 2010 for suspected serious infections due to right foot gangrene. The patient died on 16 April 2010 with the cause of death "Septicaemic shock secondary to diabetic foot gangrene”. Reports from experts have confirmed that the death was not caused by H1N1."

New Zealand : Thousands of Kiwis immunised against flu

Via TVNZ:

" Over 800,000 people have already been immunised against flu this year - more than in the entire 2008 flu season and around 100,000 more than at the same time last year.

The Ministry of Health said this would make a real contribution to lessening the risk of a big second wave of swine flu this year, as the 12 month anniversary of the first cases arriving in New Zealand rolls around.

The level of immunisation comes despite a backlog created by a week-long standstill at Europe's airports due to the Iceland volcanic eruption which interrupted the supply of vaccine.

Deputy director of public health Dr Darren Hunt said the next shipment should arrive from France to replenish the national stockpile early next week.

But there was still likely to be some shortfall in vaccine supply for a few days and possibly some delays in GPs being able to book people in for immunisation."

Malaysia : Infant among three deaths this week

Today's report from the New Straits Times :

" A 5-month-old baby boy was among three people who died of influenza A (H1N1) this week.

Director-General of Health Tan Sri Dr Ismail Merican said one of the victims, a 53-year-old man, died because of the disease while the other two because of complications arising from it.

The man, who suffered from uncontrolled diabetes mellitus, hypertension, kidney failure and stroke, died at Sultanah Nur Zahirah Hospital in Kuala Terengganu.

Dr Ismail said a 47-year-old man was admitted to Kuala Lumpur Hospital on April 17 and died three days later because of complications arising from influenza A.

On the baby boy, he said the infant suffered from hydrocephalus (water in the brain) and was admitted to University Kebangsaan Malaysia Medical Centre on March 15 for surgery and died on Wednesday.

As at 8am yesterday, the Health Ministry received 12 new influenza-like illness (ILI) cluster cases from Perak, Johor, Negri Sembilan, Sarawak, Selangor, Malacca and here.

The new cases included 21 pupils of SK Temoh, Batang Padang, Perak; 70 pupils of SMK Puteri Wilayah, Kampung Baru, here and three workers of Kilang Keenway Industries, Kluang, Johor."

India : Swine flu case reported

Via The Hindu, a new H1N1 / swine flu reported:

" A 43-year-old person named Satyanarayana Goud hailing from Nizamabad has tested positive for swine flu on Friday.

Critical condition

Mr. Satyanarayana Goud is admitted to the intensive care unit of Erragadda Chest Hospital and according to hospital doctors is in critical condition.

Meanwhile, the Hyderabad district health authorities have alerted the Nizamabad district health authorities to distribute anti-swine flu medicines among persons who were in close contact with the Mr. Satyanarayana Goud in the recent times.

‘No need to panic'

“Public should not panic because the swine flu cases have been sporadic in Hyderabad city and elsewhere in the State,” assured District Medical and Health Officer (DMHO) Dr. Ch. Jaya Kumari."

Malaysia : No new cases but school remains on alert

Via The Star:

" NO new Influenza A (H1N1) cases have been reported at SJK (C) Han Ming in Puchong over the last two weeks but the school is not letting its guard down.

Since March 30, six students, a teacher and a canteen worker have been tested positive for the flu.

Seven of them have recovered and returned to school.

Parent-Teacher Association chairman Loh Mun Shum said among the precautions taken by the school were disinfecting the classrooms twice a day and spraying disinfectant within the school compound.

“We have also distributed masks to the students and washed all the kitchen utensils with boiling water."

ECDC - Weekly influenza surveillance overview - 23 April 2010

From ECDC (European Centre for Disease Prevention and Control, their weekly update (In PDF format) :

WISO - 23 April 2010

WHO - Pandemic (H1N1) 2009 - update 97

World Health's Organization latest H1N1 update, excerpt:

" 23 April 2010 -- As of 18 April 2010, worldwide more than 214 countries and overseas territories or communities have reported laboratory confirmed cases of pandemic influenza H1N1 2009, including over 17853 deaths.

Situation update:

Currently the most active areas of transmission of pandemic influenza are in parts of West and Central Africa but transmission is also still occurring in South East Asia, and Central America. Pandemic influenza activity remains low in much of the temperate zone of both the northern and southern hemispheres. Seasonal influenza type B viruses have been increasingly detected over a larger area and are now the predominant circulating influenza viruses across East Asia, Central Africa and Northern and Eastern Europe. Very small numbers of type B viruses have also recently been detected in Central America. Seasonal influenza H3N2 is still being detected in South and Southeast Asia (mainly Indonesia), as well as sporadically in several countries of West Africa, and Eastern Europe.


In Europe, most countries reported a low intensity of respiratory diseases with only 6.8% of respiratory specimens testing positive for influenza. This week the total number of influenza B virus detections continued to exceed that of influenza A, as in recent weeks, although at low levels. Of note, some sporadic detections of seasonal H1N1 and H3N2 viruses were reported in Eastern Europe.

In East Asia, very few pandemic influenza viruses are being detected. In China, Mongolia, and Republic of Korea most influenza like illness (ILI) cases are now due primarily to influenza type B viruses. In China, overall influenza activity continues to decline and no pandemic influenza virus was detected this week. In Mongolia, influenza type B virus continues to circulate but is declining since a recent peak. An increased trend of respiratory disease activity associated with increasing circulation of influenza type B viruses has been reported in the Republic of Korea during the past few weeks. Small numbers of seasonal influenza H1N1 and H3N2 viruses continue to be sporadically reported in some countries of the region.

In South and Southeast Asia, the most active areas of transmissions of pandemic influenza are in Malaysia, Singapore, and Thailand. Although pandemic influenza virus is the predominant circulating influenza virus in the region, influenza H3N2 and influenza type B continue to co-circulate in Singapore and Thailand and Indonesia. In Singapore, rates of influenza-like illness (ILI) and acute respiratory infections (ARI) increased compared to previous week but are still below the epidemic threshold. In Indonesia, in contrast to other countries of the area, the predominant virus circulating continues to be influenza H3N2, with few detections of influenza type B and pandemic influenza viruses. In Malaysia, an increase in the number of respiratory disease consultations due to influenza-like-illness (ILI) was reported in the majority of the states compared to previous week. In Bangladesh, a small but slightly increased (compared to the previous week) numbers of pandemic influenza cases continues to be detected."

Malaysia : Six new A(H1N1) clusters found in Johor

Via The Star:

" Six new Influenza A(H1N1) clusters have been identified in the state.

Four clusters have been found at various schools in Kluang, Batu Pahat and Johor Baru, said state Women, Family, Health and Community Development Committee chairman Dr Robia Kosai.

One cluster was found at a kindergarten and a residential area in Batu Pahat, she added.

“There are also rumours about people being admitted in the intensive care unit for the influenza in Batu Pahat but I would like to inform the public that this is not true.

“We always maintain a transparent approach and the people will be informed of any new fatalities or serious cases,” she told reporters after launching a programme on home-based businesses for women here yesterday."

Friday, April 23, 2010

Malaysia : One more H1N1 death recorded

Via News Straits Times, the latest article based on the Ministry of Health's latest H1N1 update which I've posted earlier:

" One more death from Influenza A(H1N1) was recorded today while two deaths not directly related to the disease also reported.

The death from H1N1 infection involved a 53-year-old man with risk factors such as uncontrolled diabetes mellitus, hypertension, kidney failure and stroke.

Director-general of Health Tan Sri Dr Mohd Ismail Merican said in a statement that the man died on April 19 at Sultanah Nur Zahirah Hospital in Kuala Terengganu and the cause of death was reported as "severe bronchopneumonia, H1N1 positive with acute respiratory distress syndrome".

This brings the number of deaths from H1N1 infection to 79 so far.

On cluster cases of influenza-like illness (ILI), Dr Mohd Ismail said that up 8am today, 12 cases were reported in six states -- Johor, Negeri Sembilan, Melaka, Sarawak, Perak and Selangor -- and Kuala Lumpur."

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

Reuters : Potentially deadly fungus spreading in U.S. and Canada

A threat in our hands?? Only time will tell. This deserves our attention for it's developments. Via Reuters:

" A potentially deadly strain of fungus is spreading among animals and people in the northwestern United States and the Canadian province of British Columbia, researchers reported on Thursday.

The airborne fungus, called Cryptococcus gattii, usually only infects transplant and AIDS patients and people with otherwise compromised immune systems, but the new strain is genetically different, the researchers said.

"This novel fungus is worrisome because it appears to be a threat to otherwise healthy people," said Edmond Byrnes of Duke University in North Carolina, who led the study.

"The findings presented here document that the outbreak of C. gattii in Western North America is continuing to expand throughout this temperate region," the researchers said in their report, published in the Public Library of Science journal PLoS Pathogens here.

"Our findings suggest further expansion into neighboring regions is likely to occur and aim to increase disease awareness in the region."

Malaysia : Prison on alert after 5 inmates show signs

Via News Straits Times:

" About 4,990 prisoners and staff at the Kluang Prison complex were told to be on high alert for symptoms of influenza A (H1N1) after they came in contact with five prisoners showing symptoms of the disease.

One of the five had been admitted to hospital while the rest were treated as outpatients.Director-General of Health Tan Sri Dr Ismail Merican said the four sick prisoners were being confined to one cell in the prison.

"Throat swabs were taken from all the five prisoners and we have yet to know whether they are H1N1 victims," he added.

The prisoners were among 43 in seven clusters, who were taken to hospitals in Johor, Kelantan and Terengganu for suspected Influenza A (H1N1). "

Malaysia : Four in seven cluster cases test positive for A(H1N1)

Today's news from The Star:

" Four people tested positive for Influenza A(H1N1) in seven cluster cases reported to health authorities over 24 hours since Wednesday.

They were among 48 people in the seven clusters who had influenza-like illnesses, and the most number of people infected were in SBP Integrasi Batu Rakit in Kuala Terengganu with 26 patients.

The other cluster cases reported were at Institut Kemahiran Tinggi Batu Pahat, Johor (five); Ai-Alif kindergarten in Parit Khalid in Batu Pahat, Johor (two); SMU (A) Tarbiah Diniah hostel in Pasir Mas, Kelantan (four); national service camp in Bukit Jong, Kuala Krai, Kelantan (three); Kluang Prisons and quarters (five); and SJK (T) Taman Ungku Tun Aminah in Johor Baru, Johor (three).

Health director-general Tan Sri Dr Ismail Merican said while all the patients were given anti-viral medication, two have been hospitalised and some quarantined.

Dr Ismail added that as of Wednesday, out of 649 patients treated in hospitals for symptoms of flu, 91 were confirmed to have been infected with A(H1N1). There was no death on Wednesday."

Thursday, April 22, 2010

Malaysia : Current Situation of Influenza A (H1N1) as of 22 April 2010

Latest H1N1 update from Malaysia's Ministry of Health (as of 22nd April 2010). There is a definite increase in all cases. The report with my translation:

" Up until 8:00 am on 22 April 2010, the Ministry received a total of seven (7) ILI cluster cases in the following three (3) states as listed in attachment 1 (use google translate from Malay to English):

  1. A higher skill institute in Batu Pahat, Johor, 741 people exposed, 5 people in ILI cases, samples awaiting results, all was given symptomatic treatment as outpatients.
  2. KEMAS Al-Alif Kindergarten, Parit Khalid, Parit Raja, Johor, 22 people exposed, 2 people in ILI cases, 1 sample H1N1 positive, 1 is admitted in the hospital while the rest was given symptomatic treatment as outpatient.
  3. SMU (A) Hostel, Tarbiah Diniah, To' Uban, Pasir Mas, Kelantan, 250 people exposed, 4 people in ILI cases, samples awaiting results, 3 was given antiviral treatment as outpatients and students has been isolated in hostel.
  4. Bukit Jong national training camp, Kuala Krai, Kelantan, 471 people exposed, 3 people in ILI cases, samples awaiting results, 3 was given antiviral treatment as outpatients and separated in isolation rooms.
  5. Quarters and prison, Kluang, Johor, 4998 people exposed, 5 people in ILI cases, samples awaiting results, 1 is admitted in hospital, 4 was treated as outpatients, 4 was given antiviral treatment and inmates has been seperated in different cells.
  6. Taman Ungku Tun Aminah Tamil School, Johor Baru, Johor, 2285 people exposed, 3 people in ILI cases, 3 samples H1N1 positive, 3 was given antiviral treatment as outpatients.
  7. SBP Integration Batu Rakit, Kuala Terengganu, Terengganu, 644 people exposed, 26 people in ILI cases, samples awaiting results, 7 was given antiviral treatment as outpatients.

Meanwhile, until 5:30 pm on 21 April 2010, a total of 24 confirmed cases of Influenza A (H1N1) was reported for a total of 13,298 cases to date. The total number of ILI cases that are being treated in the wards in the country are 649 cases. Of these, 91 cases (14.0%) were confirmed positive influenza A (H1N1). The number patients being treated in the ICU are 13 cases in which 11 of them has risk factors. No reports of death received yesterday.

New Zealand : Pandemic Influenza H1N1 2009 (swine flu) – Update 182

Via The Scoop:

" Our experience in 2009 proved the particular value of robust pandemic planning across sectors, a responsive health system, good communication (here and with other countries), and basic public health and hygiene measures such as washing and drying hands and not going to work or school if you’re sick.

Influenza can be a serious illness, and while last year it was mild for most, we mustn't lose sight of the fact that for some it was very serious, or fatal. The pandemic hasn’t gone away, and we are expecting a second wave of influenza this year, although it should have less impact if the virus stays the same. This year’s influenza immunisation programme will help protect New Zealanders from pandemic influenza. People should also remain vigilant about the basic hygiene measures they can take, plus seeking early medical advice when they are unwell, particularly if they are at higher risk of severe illness.

Surveillance to date in 2010 is showing that influenza-like illness in the community remains below baseline levels. There have been four lab-confirmed cases of Pandemic Influenza H1N1 in New Zealand since the beginning of this year, but no sign yet of the beginning of a second wave. "

World : Vaccine Now Misses Many Pneumococcal Infections in Kids

Via Healthday:

" The advent in 2000 of the PCV7 vaccine to battle bacteria that causes pneumonia, meningitis and sepsis (blood infection) in children has caused notable changes in strains that cause these illnesses, researchers report.

Most worrisome is the recent spread of strains not covered by the vaccine, the team aid.

Immunizations with the PCV7 vaccine is now recommended for all children before the age of 2.
American researchers found that the most common cause of invasive pneumococcal infections is now a strain called serotype 19A, which is not covered by the PCV7 vaccine.

The studies also found a rise in infections caused by antibiotic-resistant pneumococci.

One study, an analysis of 2001-07 data by Boston University researchers, revealed that only 15 percent of serious pneumococcal infections in Massachusetts were caused by one of the seven strains covered by the PCV7 vaccine.

The remaining 85 percent were caused by other strains, most commonly serotype 19A."

Reuters : Urgency needed in pandemic preparation: U.S. official

Via Reuters:

" The task of preparing for flu pandemics remains urgent, and the world must guard against complacency in the wake of the H1N1 outbreak, which appears less deadly than a potential bird flu pandemic, a U.S. health official said.

Participants in a ministerial conference on influenza in Hanoi, "felt the need to re-commit" to the effort, Assistant Secretary of State for Oceans and International Environmental and Scientific Affairs Kerri-Ann Jones said on Wednesday.

About 17,000 people have died from laboratory-confirmed cases of H1N1 but the World Health Organization, which declared the H1N1 flu a pandemic last June, has said the real death toll is likely to be many times higher.

Initial fears that the pandemic would kill millions have turned out to be unfounded so far. Orders for vast quantities of vaccines are being renegotiated.

Experts, however, fear that if the more deadly H5N1 bird flu virus mutates to become easily transmissible between humans it could lead to such a pandemic.

"We still continue to be in a period of urgency," Jones told a news conference."

Vietnam : Global framework for avian influenza and pandemic

Via The Scoop:

" Drawing on the lessons of responses to H5N1 avian influenza and H1N1 pandemic influenza, ministers and senior officials from more than 70 countries today agreed on the way forward in responding to avian influenza, preparing for pandemics and tackling newly emerging infectious diseases.

The Hanoi Declaration proposes a multi-sector array of national measures to keep a look out for new diseases that may cross from animals to humans and to deploy public health measures promptly against outbreaks. It calls for focused action at the interface between human, animal and environmental health systems, as well as continued efforts to reduce the extent of H5N1 and H1N1.

Countries and international agencies are urged to “remain vigilant with respect to emerging threats such as H5N1, pandemic H1N1, and other influenza viruses”.

The Declaration recognizes the necessity for continuing and strengthening international and regional cooperation against diseases for which there may be no human immunity and which can cross borders in a matter of days. It emphasizes the need, for effective communication between professionals and public, community engagement and for strengthened public health and veterinary systems. "

Malaysia : Kindergartens urged to close down if pupils display H1N1 symptoms

Via The Star, the right move to protect the small ones. Kudos to the Johor State Women, Family, Health and Community Development Committee chairman Dr Robia Kosai.

" Kindergartens that have pupils suffering from Influenza A (H1N1) symptoms are urged to close down for at least one week.

State Women, Family, Health and Community Development Committee chairman Dr Robia Kosai said closing down the kindergartens was important to prevent the virus from spreading, as Johor had recorded three cluster cases so far.

“Two of the cluster cases were from Batu Pahat and another from Kluang involving kindergartens.

“The kindergartens’ authorities have been advised to close down and quarantine their schools the moment they detected such symptoms among their pupils,” she told pressmen after launching an academic award ceremony for disabled children at the Mawar Complex here.

Dr Robia said that the state had recorded a total of 41 cases this year in the Batu Pahat, Kluang, Johor Baru, Muar and Pontian districts.

“So far, one death had been reported, in Johor Baru earlier this month,” she said."

UK : SWINE FLU BACK ‘SOON’

Via The Express, more reminders to the people of UK that swine flue / H1N1 could make a drastic return:

" A SERIOUS outbreak of swine flu could hit Britain in the coming months, scientists have warned.

The UK is “not out of the woods yet” because the H1N1 strain seen last summer is likely to remain the dominant strain this coming flu season.

One Government flu adviser said the perception that “everyone’s had it” was wrong – as only one in seven had come into contact with the bug in some areas.

And Professor Robert Dingwall, from the University of Nottingham, admitted the UK was not hit as badly as expected during last year’s pandemic.

“But this does not mean that the virus is not capable of getting round these defences, leading to a second wave of infection,” he said.

He added that governments were “damned if they act and damned if they don’t”.

But it was “much better” to prepare for a worst-case scenario and then scale down the response than have to crank it up in an emergency, he said."

Philippines : Health workers to get first A(H1N1) vaccines – DOH

From The Manila Times, the Department of Health explains their vaccination plan, also to note the last emphasises the importance of meningitis vaccination for kids:

" The Department of Health (DOH) on Wednesday said that health workers, who are considered to be at higher risk of getting infected because of more probable exposure to viruses, will be vaccinated against the A(H1N1) flu virus.

“Our front line health workers are at higher risk for getting the disease than ordinary people due to their larger probability of exposure. In addition, they may also transmit the infection to other patients, as well as their families and co-workers,” Health Secretary Esperanza Cabral said.

“It is appropriate that [the health workers] be given priority now that the vaccines are ready for deployment,” she added.

The Health department plans to vaccinate more than 420,000 health workers starting this month.

Health authorities disclosed that the 1.9 million doses of the vaccine arrived during the last week of March and are now being delivered to different areas of the country.

The vaccines were donated by the World Health Organization (WHO) to the Philippines as per an agreement signed on November 25.

The WHO pledged to give nine million doses of the said vaccine."

Malaysia : 85 recovering in hospital

Via News Straits Times:

" Eighty-five people suffering from influenza A (H1N1) were in hospital as at 5.30 pm on Tuesday.

They included some of the 75 new cases reported in the 24 hours up to 8am on the same day.

The 85 H1N1 cases were among 624 people admitted to hospital with influenza-like illness (ILI).

Eight of those confirmed positive for H1N1 are in serious condition.

Director-general of Health Tan Sri Dr Ismail Merican said of the 75 new cases, seven were from the six cluster cases reported in Selangor and Malacca.

One of the cluster cases involved 41 workers of Kilang Plastic V Sdn Bhd in Kampung Air Hitam in Jalan Langat, Klang, who were taken to hospital when they showed symptoms of the disease.

"We took throat swab samples from all of them and are awaiting laboratory results to ascertain if they are victims of the disease."

The other cluster ILI cases were:- two pupils of SMK (P) Sri Aman, Section 14, Petaling Jaya, of whom one has been confirmed positive and admitted to hospital.

Both were treated with anti-viral drugs while 1,211 pupils of the school were being observed for symptoms of H1N1;

- two family members staying at Jalan Teratai 3, Taman Tasik Teratai, Serendah, Selangor, were found to be H1N1 positive while and another was suspected to be a victim of the disease;

- two family members at Km19, Jalan Chinchin, Jasin, Malacca, were treated for ILI symptoms and were awaiting laboratory results to confirm if they were victims of H1N1;

- Four in a family residing at Kampung Ganum, Alor Gajah, Malacca, were found positive for H1N1; and,

- 11 pupils of SRJK (T) Ladang Bukit Kajang, Jasin, Malacca, were treated for ILI symptoms and were awaiting test results."

Wednesday, April 21, 2010

Malaysia : 75 New H1N1 Cases Detected

Via Bernama:

" As of 5.30pm Tuesday, 75 new cases of Influenza A (H1N1) have been detected, bringing the total number of cases to 13,274.

Health Director-General Tan Sri Dr Mohd Ismail Merican said however, no new cases of death were reported yesterday.

Eleven people were undergoing treatment at the intensive care unit, of which eight were in the high-risk category, he said in a press statement issued by the health ministry Wednesday.

Nationwide, Dr Mohd Ismail said, 624 influenza-like illness (ILI) cases were reported, adding that 85 of those cases were confirmed to be H1N1 positiveAs of 8am in Selangor and Melaka today, Dr Mohd Ismail said that health authorities received six reports pertainig to ILI cluster cases."

Malaysia : MOH's attachment

After checking their website many times, finally the MOH has updated the attachment to todays H1N1 update.

I have translated it but if you wish to read it for yourself please use Google Translate as always:

ILI clusters cases as of 8:00am 21st April 2010:

  1. Sri Aman Secondary School, 1211 people exposed, 2 people in ILI cases, 1 sample H1N1 positive, 1 case was admitted and 2 was given antiviral treatment.
  2. A family in 53, Jalan Teratai 3, Taman Tasik Teratait, Serendah Selangor, 6 people exposed, 3 people in ILI cases, 2 sample H1N1 positive, all 3 was given antiviral treatment as outpatients.
  3. A family in KM 19, Jalan Chinchin, Jasin, Melaka, 4 people exposed, 2 people in ILI cases, sample awaiting confirmation, 1 was given antiviral treatment as outpatient.
  4. A family in GD 116-A, Batu 17 1/2 Kg Ganun, Alor Gajah, Melaka, 12 people exposed, 4 people in ILI cases, 4 sample H1N1 positive and 8 was given antiviral treatment as outpatients.
  5. A Tamil primary school in Ladang Bukit Kajang, Jasin, Melaka, 127 people exposed, 11 people in ILI cases, sample awaiting confirmation, 11 was given antiviral treatment as outpatients.
  6. Plastic factory V Sdn Bhd, Lot 8595 Kg Ait Hitam, Bt. 6 1/2 Jalan Langat, Klang, Selangor, 245 people exposed, 41 people in ILI cases, sample awaiting confirmation, all was given symptomatic treatment as outpatients.

Malaysia : Five dengue deaths last week, bringing year's toll to 52

Based on the article from The Star, besides H1N1, we have another disease which we need to battle with. Malaysia being a tropical country has long battled dengue and sometimes we are winning the battle but at times we tend to lose them too.

" Five people have died from dengue in the week between April 11 and Saturday.

Two of the five deaths occured in the Federal Territories of Kuala Lumpur and Putrajaya, two in Selangor and one in Kelantan.

Health director-general Tan Sri Dr Ismail Merican said the deaths were due to the complications, either from dengue haemorrhagic fever or dengue shock syndrome.

Four of the deaths, he added, occured in either areas with dengue epidemic or high breeding rate of aedes mosquitoes.

Dr Ismail said the rising trend of dengue deaths was worrying as monitoring showed that only 15 out of the 52 deaths this year had been diagnosed as dengue fever before the patients were admitted to hospitals.

"This shows that there are still cases where there is a delay in diagnosis although the patients come early for treatment," he said.

He said there were 886 dengue cases reported in that week, an increase of 28 cases compared to the previous week."

Malaysia : Family of four in Alor Gajah tested positve for A(H1N1)

Via The Star, more details with regards to the update I posted earlier:

" A family of four in Alor Gajah has been tested positive for influenza A(H1N) in the latest number of influenza-like illness clusters reported to the Health Ministry.

A statement also said as at 8am on Wednesday, six ILI clusters have been reported.

The ministry said the four, who were also tested positive for influenza A(H1N1), have been given anti-viral treatment.

The family is from Kg Ganun, Alor Gajah in Malacca.

Other cluster cases were reported in SMK Sri Aman in Section 14, Petaling Jaya, with one patient tested positive for A(H1N1), a family in Serendah, Selangor and another family in Jasin, Malacca.

Two members of the family in Serendah were tested positive of A(H1N1).

Health director-general Tan Sri Ismail Merican said as at 5.30pm on Tuesday, there had been 75 cases tested positive for the influenza, making it a total of 13,274 cases in the country.

Eleven people are still warded in the intensive care unit from A(H1N1).

No deaths have been reported. "

Malaysia : MOH - Current Situation of Influenza A (H1N1) as of 21 April 2010

The Ministry of Health's latest H1N1 update. Excerpt with my translation, the attachment for the ILI cluster cases is still not updated - it shows the older attachment (the day before), once it's updated i will post it. Here's what I have currently:

"Up until 8:00 am on 21 April 2010, the Ministry received a total of six (6) report of ILI cluster cases from the following two (2) states.

Meanwhile, until at 5:30 pm on 20 April 2010, a total of 75 confirmed cases of Influenza A (H1N1) was reported for a total 13,274 cases confirmed to date. The number of ILI cases that are currently being treated in the wards in the country are 624 cases.

Of these, 85 cases (13.6%) were confirmed positive influenza A (H1N1). The number of cases being treated in the ICU are11 people in which eight (8) admissions has risk factors. No reports of death received yesterday."

If you have been following my blog updates, I'm sure you can see what I see, a definite increase of H1N1 cases from day to day........and I'm still hearing people saying we are not in the second wave, I maybe wrong but the facts don't lie.

Bangladesh : Bangladesh on alert after A/N1N1 flu infection accelerates

Via Xinhua:

" Bangladesh has directed health officials across the country to remain on alert after finding A/ H1N1 flu to rapidly spread this month, officials said Tuesday.

They said the disease had been sustaining at lower level in Bangladesh during January-March period of 2010 but this month it spread hastily infecting many across the country, posing a fresh threat of massive outbreak.

"So, we've asked all officials concerned to remain on alert," Mahmudur Rahman, Head of the country's Institute of Epidemiology, Disease Control and Research (IEDCR) under the Health Ministry, told Xinhua Tuesday.

He said the total number of the identified flu cases in the country stood at 956 till Tuesday while the number of cases were 814 untill December, 2009 since June of the same year.

Regarding whether there is any possibility of major outbreak of the disease in the country in the coming months, Rahman said the possibility is very low, as they have adequate preparations to contain the spread of the disease."

World : Flu drugs saved many pregnant swine flu victims

Via AP:

" Quick treatment with flu medicine saved the lives of many pregnant women who were stricken by swine flu last year, according to the most complete analysis of deaths among expectant mothers.

The study by the Centers for Disease Control and Prevention counted 56 pregnant women who died from the new virus in 2009, confirming the dangers of the disease to this group.

Based primarily on U.S. figures from the first few months of the global epidemic, which began last April, CDC officials believe that though pregnant women account for just 1 percent of the population, they have at times accounted for as many as 5 percent of swine flu deaths.

The analysis found that only one of the U.S. women who died was treated with flu medicine like Tamiflu within the first two days of symptoms; just four of those who died got treatment within the first four days.

"Early treatment really makes a difference," said Dr. Sonja Rasmussen of the CDC, one of the study's authors."

UK : Girl died of swine flu after being misdiagnosed

Via Telegraph:

" A teenage girl who died of swine flu went without vital drugs after she was diagnosed with pneumonia, an inquest heard today.

Madelynne Butcher returned from holiday in Tenerife with a chest infection and was taken to Southampton General Hospital.

Dr Anindo Banerjee, a respiratory consultant, suspected the 18-year-old was suffering from a bacteria-based pneumonia infection and put her on anti-biotics.

Doctors were concerned that, with only limited stocks of swine flu medicine, they should not prescribe the specialist drugs unless they were very confident in their diagnosis, the inquest was told.

It was another 36 hours before tests confirmed the student had contracted the H1N1 virus and she was started on Tamiflu, the inquest at Leicester Town Hall heard."

Namibia : Govt Prepares for Flu

Via All Africa:

" THIS week the Ministry of Health and Social Services begins a series of workshops to train health officials from the private and state sectors on the H1N1 vaccine.

The National Health Emergency Management Committee (NEMC), led by Dr Jack Vries, is laying the foundations for the arrival of the 220 000 doses of H1N1 flu vaccine sponsored by the Worth Health Organisation, expected in Namibia in two weeks.

A training workshop, in which medical experts will lend their expertise regarding the H1N1 flu vaccine, including preparing health workers for the administration and monitoring of the side effects of the vaccine, takes place in Windhoek on Thursday and Friday."

Malaysia : Six More ILI Cases Reported

Via Bernama:

" Six more cluster Influenza Like Illness (ILI) cases have been reported in Kedah, Sarawak, Kuala Lumpur, Perak, Selangor and Terengganu up to 8am on Tuesday.

Director-General of Health Tan Sri Dr Mohd Ismail Merican said the cases involved Body Fashion (M) Sdn Bhd in Kulim Industrial Estate in Kulim, Kedah, Little Catepillar Childcare Centre in Bintulu, Sarawak and Desana Aman 1 Police Quarters in Pantai Dalam, Kuala Lumpur.

A Health Ministry statement said the other cases were reported in schools namely SM Iskandar Shah in Parit, Perak, SMK Alam Megah in Shah Alam, Selangor and SM Sri Serating in Marang, Terengganu.

Dr Mohd Ismail said there were 41 influenza A H1N1 confirmed cases up to 5.30pm yesterday bringing the total to 13,199 cases.

ILI patients in wards totalled 570 of which 67 were confirmed positive influenza A H1N1."Thirteen are in the Intensive Care Unit (ICU) of which 10 have risk factor.

No deaths were reported yesterday," he said."

Tuesday, April 20, 2010

Malaysia : MOH - Current Situation of Influenza A (H1N1) as of 20 April 2010

The latest H1N1 update from the MOH in Malaysia. The numbers keep on rising and as I said before it's a worrisome trend. The report with my translation:

" Up until 8:00 am on 20 April 2010, the Ministry received a total of six (6) report of ILI cluster cases in the following six (6) states as listed in attachment 1 (I have listed them below since the attachment is in PDF format and it's in Malay language, if you want to read the report & the attachment use Google Translate):

  1. Body Fashion (M) Sdn Bhd, Kulim, Kedah - 860 exposed, 82 people in ILI cases, 2 sample H1N1 positive, 17 received antiviral treatment and the rest was given symptomatic treatment as outpatients.
  2. Little Caterpillar Childcare Centre Kindergarten, Bintulu, Sarawak, 67 exposed, 11 people in ILI cases, 2 sample H1N1 positive, 1 case admitted, 2 was given antiviral treatment.
  3. B-9-7, Desa Aman 1 Police Housing, Pantai Dalam, Kuala Lumpur, 11 exposed, 6 people in ILI cases, 1 sample H1N1 positive, 2 cases admitted, 6 was given antiviral treatment.
  4. Iskandar Shah Secondary school hostel, Parit, Perak, 5 exposed, 2 people in ILI cases, samples waiting for confirmation, 2 cases admitted and given antiviral treatment.
  5. Alam Megah Secondary school, Shah Alam, Selangor, 1299 exposed, 32 people in ILI cases, 2 sample H1N1 positive, 2 cases admitted and given antiviral treatment.
  6. Sri Serating Secondary school, Marang, Terengganu, 671 exposed, 7 people in ILI cases, samples waiting for confirmation, 7 was given antiviral treatment as outpatients.

Meanwhile, up until 5:30 pm on 19 April 2010, a total of 41 confirmed cases of Influenza A (H1N1) was reported for a cumulative number of cases to date 13,199. The total ILI cases which are currently being treated in the wards in the country are 570 cases.

Of these, 67 cases (11.8%) were confirmed positive influenza A (H1N1). The total number of cases that are being treated in the ICU is 13 in which ten (10) of the admissions has risk factors. No reports of death was received yesterday."

Macao : Nearly 116,000 inoculated against A/H1N1 flu

Via Xinhua:

" A total of 115,790 people in Macao have been inoculated with the A/H1N1 vaccines so far,according to the figures released on Monday by Macao's Health Bureau.

Some 28 people were inoculated with the vaccines on Monday alone,which was initiated by the Bureau in late November last year,according to the Health Bureau.

The Bureau also said that there was no newly confirmed case of A/H1N1 flu reported on Monday, and the total number of such case has reached 3,607 since June 18 last year,of which two patients died.

Previously,the SAR government has announced that it has purchased some 700,000 doses of A/H1N1 vaccines,and local medical staff,children,old people and patients with chronic disease were among the group of local people who were firstly inoculated with these vaccines.

World : Is Bird Flu Back, Or Did It Never Go Away? (H5N1)

Via NPR's health blog,

"Just as your worries have faded about swine flu, today at the International Ministerial Conference on Animal and Pandemic Influenza in Hanoi, Vietnam, an infectious diseases expert is raising red flags about the ongoing presence of H5N1, also known as avian flu.

That other H-something N-something virus continues to be a "serious menace" even though bird flu has mostly been eliminated from the 63 countries it infected during the high-point of the global outbreak in 2006, according to U.N. Food and Agriculture Organization Chief Veterinary Officer Dr. Juan Lubroth.

At a recent conference, Lubroth said bird flu is still present in Bangladesh, China, Egypt, Indonesia and Vietnam. Just a few days ago a 22-year-old man and a 2-year-old tested positive for the virus in Bac Can province in Vietnam, Reuters reports."

As you read through the article, you would notice that they have mentioned about Mr. Crawford Killian, whose blog I follow intensively and whose writing inspired me to start off my own blog.

Malaysia : Liow: Early treatment key to surviving pandemic flu

I found this article from the The Sun; it's with regards to the lates H1N1 situation in Malaysia but this report has more details compared to the others. Please read the whole article, especially the last paragraph:

" Health Minister Datuk Seri Liow Tiong Lai today stressed on the importance of early treatment and vaccination particularly among high risk groups to control the increase of the influenza A(H1N1) virus transmission rate in Malaysia.

"The important thing is to get anti-viral treatment within three to four days of experiencing Influenza Like Illnesses (ILI) symptoms as it is the ‘golden period’ for recovery," said Liow.

"Do not wait to get treatment because early treatment is crucial in order for the antiviral to sufficiently slow down the A(H1N1)’s virus multiplication process within the human body; so that our antibody can attack and kill the virus," he said.

Meanwhile, another school was closed effective today after it recorded five confirmed cases of influenza A(H1N1) in two weeks.

A representative of a private school in Kota Damansara here told theSun that Sekolah Sri KDU had been issued a notification on Friday to close both its primary and secondary schools for one week after it recorded its fifth confirmed case of A(H1N1).

She said the school had consistently taken preventive measures since the first outbreak last year, including taking students’ temperature at the school gates. "