Health Spectator

Karen Hays died July 17 from complications to swine flu.

A 51-year-old nurse in Sacramento, CA became that state’s first health-care worker to die of swine flu. Karen Ann Hays died July 17 of a severe respiratory infection, pneumonia and H1N1, according to her death certificate. She also had methicillin-resistant Staphylococcus aureus (MRSA), a staph infection that is resistant to many antibiotics.

The Sacramento Bee reported the death on July 31. Hays was a triathlete, skydiver and marathon runner—not the typical sort of person to die of the flu, one might think.

“It’s not surprising for an otherwise healthy person to die of H1N1,” said Dr. Glennah Trochet, Sacramento County’s public health officer in a statement to the Bee.

“Nationwide all along there have been people who have died who did not have underlying medical conditions” such as obesity or pregnancy, she said. “When a disease is common enough and circulates enough, you will see all kinds of deaths.”

The World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC) have both said that health-care workers should be among the first to receive vaccinations against swine flu.

British health authorities reported July 14 that Dr. Michael Day of Bedfordshire, north of London, died from complications of the flu, becoming the first physician known to have died in the pandemic.

The U.S. Food and Drug Administration (FDA) Tuesday announced its decision that mercury amalgam fillings—the so-called “silver” fillings most Americans have in their teeth—contain insufficient mercury to warrant concern.

“While elemental mercury has been associated with adverse health effects at high exposures, the levels released by dental amalgam fillings are not high enough to cause harm in patients,” the FDA website proclaims.

A national group called Moms Against Mercury, along with three other organizations, had sued the FDA in 2006 to have mercury fillings removed from the U.S. market. Later that year, an FDA panel of outside experts voted 13-7 against two statements put to them regarding the FDA’s position that mercury amalgam fillings were safe:

The panel’s rejection of these statements caused quite a flurry among pro-mercury and anti-mercury forces alike. Those opposed to the use of mercury in fillings were heartened that at last the government might be listening. The American Dental Association (ADA), which has long favored the use of mercury fillings and supported the FDA’s position, was stirred to action over the possibility that mercury amalgam might finally be banned.

According to the FDA’s website, Tuesday’s ruling was the FDA’s final word on the subject, to the disappointment of those who were hoping to have mercury banned from dental fillings because of its proven adverse health effects.

Denmark Norway, and Sweden have banned the use of mercury amalgams. Several other countries do not allow the use of mercury fillings in young people under the age of 18.

To see a video entitled “How Mercury Causes Brain Neuron Degeneration” produced by the University of Calgary Faculty of Medicine, click here.

Surprisingly, the Centers for Disease Control and Prevention’s swine flu tally for all 50 states plus the District of Columbia, Puerto Rico and the U.S. Virgin Islands does not appear to have changed much since the last time we looked. This week, the CDC changed its normal schedule of updating the figures on Friday in honor of the Advisory Committee on Immunization Practices meeting yesterday. Yesterday’s figures, which are the final figure for the week, were effective as of 7:00 PM Thursday, June 25 EDT.

The U.S. is reporting 27,717 confirmed or probable swine flu cases with 127 deaths confirmed to be the result of swine flu. Wisconsin continues to lead the states with 4,273 cases reported and 4 deaths. Texas and Utah have 10 deaths apiece, while New York has 35, California 16, and Illinois has 12.

A story by AP reporter Michael Stobbe says one U.S. official has estimated that more than one million Americans may have become infected with the novel H1N1 swine flu at this point.

Stobbe attributes the estimate to Lyn Finelli, an official with the Centers for Disease Control and Prevention (CDC). Finelli gave a presentation at a meeting of the vaccine advisory committee in Atlanta on Thursday. (more…)

First pandemic declared in 41 years

Acceding to a global rise in A(H1N1) infections, the World Health Organization today raised its pandemic alert level for swine flu to level 6—its highest level.

Asking member nations not to impose restrictions on travel or anything that might interfere with commerce, the organization stressed that the alert level reflects the widespread nature of the flu—its “unstoppability”—but not the severity of its symptoms or the number of its fatalities, which so far appear to be below the levels posed by so-called “seasonal” flu.

Indeed, WHO recommends that drug manufacturers stay on track with producing their annual allotments of seasonal flu vaccines before switching over to produce vaccines for swine flu.

In a report early last week, Health Spectator had reported that the novel H1N1 epidemic had technically achieved pandemic status according to WHO’s guidelines just by virtue of its rapid spread in Australia. The outbreak began in North America, and WHO guidelines specify a pandemic level 6 when the infection has achieved uncontrolled human-to-human transmission in more than one part of the globe.

There have been 28,774 infections reported in 74 countries to date, including 144 deaths, according to WHO’s latest tally of laboratory-confirmed cases.

We mentioned in our last posting on swine flu that if cases in Australia increased significantly, the World Health Organization (WHO) may be forced to declare A(H1N1) a pandemic.

Cases in Australia have continued to mount. Friday’s figure was 876 confirmed cases in Australia, according to WHO statistics, which are updated Mondays, Wednesdays and Fridays. As of today, WHO is reporting 1,051 cases in Australia, while the local weblog Swine Flu in Australia, is reporting that Australian cases have reached 1,207.

Since Australia is just now entering the winter season, its swine flu caseload could explode. Swine Flu in Australia is also reporting that thanks to a soccer match last week, “the entire Queensland team is now in quarantine after a player tested positive to Swine Flu.”

The latest WHO figures put the global swine flu count at 25,288 cases, with 139 dead and 73 countries affected. Those figures were released as of 6:00 am GMT, Monday, June 8.

Meanwhile, Dehli reported its first swine flu case yesterday, bringing India’s total swine flu caseload to 10 as of Sunday. Those figures are not reflected in this morning’s WHO report.

As the “new” A(H1N1) swine flu spreads in the U.S., 13,217 cases are current in all 50 states plus the District of Columbia and Puerto Rico. There were 27 U.S. deaths from the flu as of 11 am today, according to the Centers for Disease Control (CDC) in Atlanta. At the time of our last report on U.S. fatalities a week ago, deaths totaled 15, with 48 states and Washington, DC claiming 8,975 infections.

That gives the U.S. an increase of 4,242 cases in one week, with 12 more dead over the same period—an 80% increase in deaths for a 47% increase in cases. (more…)

World Health Organization’s Keiji Fukuda, chief of that organization’s influenza group, said today that WHO is “getting closer” to declaring a stage 6 (pandemic) status for the A(H1N1) swine flu, according to the Associated Press.

Today’s update on WHO’s website had not yet appeared as of 2:26 pm EST, but early reports say WHO is setting the number of global infections at 18,965 across 64 countries, with 117 deaths. That number contrasts with the figures of 17,410 cases across 62 countries and 115 deaths posted on June 1.

India has reported two more cases of the “new” swine flu, bring that country’s total to three infections. Those individuals are being quarantined. Egypt has reported its first case of swine flu, despite having ordered the country-wide slaughter of all pigs.

Meanwhile, an 11-week-old child has become New York City’s fifth casualty to swine flu, according to reports from AP and the Daily News. The Daily News identifies the child as Steven Montanez, from the Bronx.

15 swine-flu deaths in U.S. as of May 29

According to Centers for Disease Control (CDC) data released at 11 am, Friday, May 29, the number of H1N1 (“swine flu”) cases in the U.S. is rapidly approaching the 10,000 mark. (see table) In fact, it likely will have reached that level by the time you read this, given the rate at which cases have increased over approximately the past week.

Meanwhile, health officials seem intent upon emphasizing the relatively mild symptoms of this so-called “new” or “novel” H1N1 influenza, as the CDC calls it. At the same time, the U.S. government has entered into a deal to acquire swine flu vaccine for persons it deems most worthy. (more…)

H1N1 spreads to five new countries

The World Health Organization (WHO) announced today that the H1N1 virus has spread to Taiwan, Kuwait, Iceland, Switzerland and Honduras, with a total 12,515 people infected. The death toll has reached 91. Eighty of those deaths have occurred in Mexico, a country that also accounts for 4,174 of the total infections.

Canada and Costa Rica have each had one death from the disease; the remaining nine have been in the United States. So far, the disease has not been detected in Africa, where it is feared it will achieve pandemic status should it occur. Because of widespread poverty in that region, the death rate there could easily meet or exceed the levels seen so far only in Mexico.