Personally, I find it appalling that they're requesting/recommending pregnant women and children get it first. Guinea pigs eh? I'm 9 months pregnant and both my midwife and OB told me NOT to get it b/c there hasn't been enough testing; and quite frankly, I wouldn't get it anyway. Too much media hype, too much attention being drawn to this instead of ways OTHER THAN a "shot" to protect you. How come we always think of "medicinal" ways to protect ourselves versus through other "non-medicinal" ways first? Have we ever thought about current medicines that already suppress peoples immune systems, thereby making them more susceptible to dying from the flu? Probably not. There are plenty of drugs that children are on (asthma inhalers) that already suppress their immune system, making them more susceptible to getting pneumonia b/c their own immune systems are already suppressed. I'm only throwing out one example.
I smell profit over patient safety yet again. Yes, I'm a bit skeptical as I always am. Especially when we know there is such a LARGE profit to be made off of fear!
Last edit by CityKat on Oct 25, '09
Quote from Charity
Does anybody know how we are differentiating between H1N1 and the "regular" flu? If they have stopping doing confirmatory tests, do they do a prelim that can tell what kind? I seem to remember a friend whose daughter had it. They told her they could not give her an official diagnosis with the test they did, but that it was the same class (or something) as the H1N1, which differs from the current "regular" one going around. Do the symptoms differ?
They have not completely stopped doing confirmatory tests. Hospitalized patients and those presenting to sentinel reporting hospitals are having the rRT-PCR to confirm H1N1. Dr's offices and some hospitals are using the rapid influenza tests but the CDC recognizes that these tests have a high rate of false negatives (10-70% accurate) and they may or may not be able to distinguish between type A or B influenza and they certainly cannot subtype if it is H1N1. Clinicians therfore are advised to treat empirically bazed on the constellation of symptoms.
Quote from CDC
Rapid influenza diagnostic tests (RIDTs) are widely available but have variable sensitivity3 (range 10 – 70%) for detecting 2009 H1N1 influenza when compared with real-time reverse transcriptase polymerase chain reaction (rRT-PCR), and a negative RIDT result does not rule out influenza virus infection4
. RIDTs have a high specificity5
). Depending on which commercially available RIDT is used,the test can either i) detect and distinguish between influenza A and B viruses; or ii) detect both influenza A and B but not distinguish between influenza A and B viruses. More information on sensitivity, specificity and interpretation of RIDT results can be found athttp://www.cdc.gov/h1n1flu/guidance/rapid_testing.htm
As of October 17, 2009:
Quote from CDC
All subtyped influenza A viruses being reported to CDC were 2009 influenza A (H1N1) viruses.
Last edit by HonestRN on Oct 25, '09
: Reason: add link