Swine Flu in Australia/New Zealand

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Swine Flu Outbreak in Australia

Watching the spread of H1N1, swine flu in Australia is rather amazing.

This first link is from 26 May:

http://www.theaustralian.news.com.au/story/0,25197,25539640-23289,00.html

A total of 25 cases have now been confirmed, including two young boys from the cruise ship, the Pacific Dawn, in Sydney overnight.

"We are moving into a different phase here in Australia; the disease will be spreading quickly," Ms Roxon said.

"We know with the increased number of cases that there will be increased contact, that there will be more people who will be confirmed with having swine flu.

"We need to put all our effort into making sure that is a small number, as small as we can keep it."

Victoria has 14 confirmed swine flu cases, NSW five, South Australia and Queensland two, ACT and Western Australia one.

Australia's swine flu tally rises to 634

http://news.brisbanetimes.com.au/breaking-news-national/australias-swine-flu-tally-rises-to-634-20090603-bup9.html

What a different story, only 8 days later, and these are only the confirmed cases. The real number must be ten times this:

There are now 521 cases of swine flu in Victoria, an increase of 126 overnight.

NSW has 70, Queensland's swine flu tally has risen to 26, Tasmania has two cases, South Australia eight, ACT four, Western Australia two and the Northern Territory one.

Around the rest of Australia, Victoria now sits in the same category as countries such as Mexico, Panama and Japan.

NSW, Queensland and South Australia all announced the move on Wednesday, with Queensland authorities saying Victoria's status warranted further containment measures.

The announcement will affect hundreds of Queensland and NSW families who have flown to Melbourne for the State of Origin rugby league match on Wednesday night.

On Wednesday, Victoria changed its pandemic status from contain to a modified sustain level.

How did it happen? Here is one way, the Pacific Dawn, a cruise ship affectionately now called the "Plague Ship" by some.

http://www.news.com.au/couriermail/story/0,23739,25545684-952,00.html

The Pacific Dawn is currently cruising up the Queensland coast with a new load of passengers after docking in Sydney on Monday when it was the centre of a swine flu alert.

On the cruise into Sydney, flu-like symptoms were reported by 172 passengers - five of whom were Queenslanders who subsequently tested positive for the disease.

Specializes in OB, HH, ADMIN, IC, ED, QI.

"At the moment Australia is is the "virological canary in the cage" - everyone's watching our flu season here to see how things go." quote from post#5 by Indigogirl

I'm wondering why pregnant women in their last trimester, aren't all being given Tamiflu. Even though the fear of developing a mutation of A/H1N1 that resists Tamiflu could prohibit giving it prophylactically to the general public, the high incidence of mortality among those expectant moms, might make it worth the risk.......

Specializes in Too many to list.

http://crofsblogs.typepad.com/h5n1/2009/08/australia-swine-flu-toll-100-as-hospitals-stretched.html

Canberra has underestimated by almost two-thirds the share of swine flu patients ending up in intensive care in its pandemic modelling, as the virus continues to stretch the nation's health resources.

Fatalities among people testing positive to the flu strain passed 100 yesterday. About 20 per cent of those who have died were considered healthy before succumbing to the disease.

Chief Medical Officer Jim Bishop said the rate of emergency department visits and intensive care unit admissions for the disease had taken health authorities by surprise.

"There's a higher percentage of those who are hospitalised that end up in ICU (intensive care unit). We've modelled it at around 10 per cent and we're closer to the 27 per cent mark," he said.

The incidence of the new H1N1 strain in the community is tracking in line with the 2007 flu season, which was considered the worst in recent years, infecting around four out of every five people who test positive to influenza.

The strain it has imposed on the hospital system, however, is disproportionately high.

The number of people with flu-like illnesses going to the emergency departments had doubled and, in some jurisdictions, quadrupled, Dr Bishop said.

Specializes in Too many to list.

Pregnant teachers isolated from swine flu

http://www.thedaily.com.au/news/2009/aug/13/pregnant-teachers-isolated-swine-flu/

Pregnant school teachers on the Sunshine Coast are being isolated from their classes to protect themselves and their unborn babies as the swine flu epidemic continues unabated.

Queensland Teachers Union Sunshine Coast organiser Terry Evans said he knew of at least three Coast teachers in their final trimester who had been put on non-contact duties due to the threat of a disease that is potentially deadly to pregnant women.

Mr Evans said he was satisfied with the Queensland education department's response to date.

As well as anyone pregnant, staff and students with health issues such as diabetes and asthma were also considered vulnerable to swine flu.

A department spokesman said strategies may be implemented at a school or education department workplace to decrease the close contact for pregnant workers.

"It is important that these strategies are discussed with the pregnant worker and their treating medical practitioner, prior to implementation," the spokesman said.

"It is also imperative that pregnant workers take the preventive measures recommended by health authorities to reduce the spread of influenza and seek early medical treatment if they start to develop any influenza-like symptoms."

The spokesman said the department continued to work closely with Queensland Health in relation to the ongoing management of human swine influenza at local schools.

(hat tip PFI/pixie)

I have been home for the past 10 days with my son who has been given the probable diagnosis of influenza. They are no longer testing to see if it is swine or otherwise. GP suspects it is but as he is not high risk and has no respiratory problems there is no point in testing. This influenza is hitting our local area hard. 80% of his soccer team has had it, and they have been dropping like flies at school. I am just waiting to hear about the one kid that isn't going to do so well...

I too have heard that they are no longer testing, unless the person has a preexisting medical condition. It is believed that 80% of flu cases in Australia this year are H1N1. Myself I have been sick twice this flu season but we don't think it was the flu. Knocked me for a week both times.

"At the moment Australia is is the "virological canary in the cage" - everyone's watching our flu season here to see how things go." quote from post#5 by Indigogirl

I'm wondering why pregnant women in their last trimester, aren't all being given Tamiflu. Even though the fear of developing a mutation of A/H1N1 that resists Tamiflu could prohibit giving it prophylactically to the general public, the high incidence of mortality among those expectant moms, might make it worth the risk.......

I know with the information we now have it should be offered at the slightest hint of infection in pregnant women. However, I don't know about giving it to pregnant women that are not sick. Though, if they have been exposed it might be a good idea to give prophylactically.
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