I have been seeing ALOT of fairly health patients coming in with URI s/s then crashing HARD and ending up on a vent/oscillator, multi-pressors then dying (usually within 24 hours of admission but sometimes just languishing). They aren't technically fitting ILI symptoms and we are being aggressive about influenza swabs, but they are finding as low as 10% sensitivity for the rapid test to pick up on swine-origin H1N1 flu (the latest, correct term of the week). The PCR confirmation tests from the health department take so long to get back, its almost useless. I have been talking with other nurses in my area and they are seeing the same thing at other hospitals. Local event? Happening other places?
I have a really bad feeling about this fall....hope I am wrong