Canada - Recent Severe Flu Cases Worry Health Officials

http://www.canadianmedicinenews.com/2009/06/recent-severe-cases-of-h1n1-worry.html#c

Dr David Butler-Jones, the government's Chief Public Health Officer (above right), said that although the vast majority of the 7,775 cases detected in Canada so far (see the map below for a breakdown by province or visit the Public Health Agency's surveillance website) have been mild and have resulted in full recoveries, the anticipated "second wave" of infections this fall has been preceded already by the mysterious appearance in recent weeks of a small number of "severe" infections.

...the reason or reasons for the emergence of this new set of "severe" cases in Canada has not been determined, though epidemiologists with Health Canada and the Public Health Agency of Canada have been dispatched to study the matter. Possible explanations, he explained, could include: genetic variations that result in either too little or too great an immune response in infected patients, a mutation in the H1N1 virus (which would augur potentially very serious consequences in the general population over the months to come, it would seem), or some combination of factors. He warned that we should expect to see more cases in Canada over the coming months, including more severe cases, and more deaths.

At the top of the news lately have been accusations that the federal government's response to the rapid spread of the H1N1 flu virus in aboriginal communities, particularly in Manitoba, has been insufficient. Health Canada's regional director of First Nations and Inuit Health, Valerie Gideon, endeavored to convince reporters that was not the case. The shipments of hand sanitizer, which had been delayed because of concerns that the alcohol-based gels might be abused by First Nations patients, have now been delivered, she said, and nursing stations are open on the reserves 24 hours per day and are stocked with necessary medical supplies.

One interesting item to note about Monday's news conference was the tone that Dr Butler-Jones employed when discussing recommended precautionary measures for pregnant women and people with preexisting health conditions, both of which groups of patients may be at higher risk of experiencing dangerous complications if they are infected with the H1N1 flu. Whereas US Vice-President Joe Biden was mocked not long ago for warning people to avoid crowded places like buses and trains for fear of catching the virus, Dr Butler-Jones said very seriously that pregnant women in Canada should consider staying out of crowds. He refused, however, to cite specific crowded places pregnant women should avoid; he demurred when asked by one reporter if he meant women should avoid shopping malls and public transportation, only mentioning for certain (and this is where things took a brief turn for the surreal) that pregnant women should avoid mosh pits.