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 Post subject: Re: Pennsylvania
PostPosted: Sat Feb 19, 2011 11:06 pm 
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Location: Pittsburgh, PA USA
For some in the Lebanon Valley, February isn't just about snowstorms, groundhogs and heart-shaped boxes of candy. It can also mean missing work, staying in bed and eating mass quantities of chicken soup.
The number of flu cases generally peaks this month, and doctors' offices are filling up with patients - mostly young adults - who have flulike symptoms that come on suddenly: high fever, body aches, cough, runny or stuffy nose, sore throat, fatigue, headaches, diarrhea and vomiting.

Nearly 7,500 cases and 36 deaths have been reported across the state as of Friday.

"These deaths may be an underestimate of all flu-related deaths because not all deaths are reported to the state, and there may be a delay in reporting some deaths," said Holli Senior, deputy press secretary for the state Department of Health.

Locally, there have been 113 reported flu cases in Lebanon County, but those only represent patients who were tested and account for merely a fraction of actual cases. Only two hospitalizations have been reported, and no outbreaks have been reported in any long-term care facilities. No flu deaths have been reported.

The number of cases is on par with neighboring counties Berks and Schuylkill, with 116 and 108, respectively, but Lebanon's numbers rank higher than the 71 cases reported in Dauphin and lower than the 205 in Lancaster County.

During the last week, there has been an increase in the 2009 A/H1N1 strain, which represents a change in the circulating viruses because the seasonal A/H3N2 was predominant early on in the season.
"This is the strain (A/H3N2) that in general produces the most severe disease and tends to hit relatively hard in elderly populations," Senior explained. "The dominating strain this year overall has been influenza A/H3Ns."

About 26 percent of people affected by the flu in the state this year are between the ages of 25 and 49, while infants and toddlers account for 14 percent of total cases, officials reported.

That is the case here, too, said Dr. Stephen Roda, medical director of the Good Samaritan Hospital's Emergency Department. But when it does hit the elderly population, the symptoms are more severe.

"In the last two weeks, there's been a little bump with people coming in with influenza, maybe half a dozen, but none to my knowledge required hospitalizations," Roda said. "There's been a spike in cases on the East Coast, but that hasn't taken hold here. Part of it might be the heightened awareness as a result of what we went through last year."

Last year's H1N1 virus triggered the first flu pandemic in decades because it was unexpected, he explained. It is no longer the dominant strain because most people have now been either vaccinated or exposed to the virus.

"This year's flu shots are more effective than last year's," he said.

Dr. Daniel Schlegel of the Hershey Medical Center's Department of Family and Community Medicine said he worked in the after-hours clinic Monday night and estimated three out of every four patients had flulike symptoms, adding that the number of flu cases will likely continue to increase in the next three to four weeks before it starts dropping off by May.

So what should people do to avoid getting sick?

Getting a flu shot, avoiding other sick people, washing hands regularly, covering your nose and mouth with hands or tissues when coughing or sneezing, getting adequate rest and eating properly are good preventative measures, according to the Department of Health.

Schlegel added that sick patients opted not to get vaccinated because they think the flu shot will actually cause the flu because they may get a sore throat and runny nose receiving it.

"That is the number one reason I hear people not getting the flu vaccine," he said.

Schlegel said there is no evidence of that, as a study done shows that people injected with just salt water will get a similar reaction.

andreagillhoolley@ldnews.com; 272-5611, ext. 139
http://www.ldnews.com/news/ci_17419453

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 Post subject: Re: Pennsylvania
PostPosted: Mon Feb 21, 2011 5:45 pm 
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Location: Florida
http://www.wpxi.com/news/26942503/detail.html

Vanderbilt Man Dies From Flu; Cases Surge In Western PA

PITTSBURGH -- Officials said a Vanderbilt man died from the flu over the weekend, while the number of cases in Western Pennsylvania continues to increase.

Health officials said the number of flu cases is increasing even among people who were vaccinated.

"Myself and my colleagues, we observe people that were vaccinated for the flu and are coming down with symptoms. So there seems to be some variant strain circulating." said Dr. Andrew Sahud, chairman of the infection prevention committee at Allegheny General Hospital....more at link

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 Post subject: Re: Pennsylvania
PostPosted: Mon Feb 21, 2011 6:29 pm 
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Joined: Wed Aug 19, 2009 10:42 am
Posts: 28232
Location: Pittsburgh, PA USA
Jim wrote:
http://www.wpxi.com/news/26942503/detail.html

Vanderbilt Man Dies From Flu; Cases Surge In Western PA

PITTSBURGH -- Officials said a Vanderbilt man died from the flu over the weekend, while the number of cases in Western Pennsylvania continues to increase.

Health officials said the number of flu cases is increasing even among people who were vaccinated.

"Myself and my colleagues, we observe people that were vaccinated for the flu and are coming down with symptoms. So there seems to be some variant strain circulating." said Dr. Andrew Sahud, chairman of the infection prevention committee at Allegheny General Hospital....more at link

The sequences from the US are largely from clades with S186P or S188T, including the fatal cases in Lehigh Valley.

These sub-clades are circulating throughout trhe northern hemisphere.

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 Post subject: Re: Pennsylvania
PostPosted: Mon Feb 21, 2011 6:39 pm 
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Joined: Sun Jan 23, 2011 9:38 pm
Posts: 149
Location: Florida
niman wrote:
The sequences from the US are largely from clades with S186P or S188T, including the fatal cases in Lehigh Valley.

These sub-clades are circulating throughout trhe northern hemisphere.


What is frustrating is that the vast majority of reports have public health officials claiming that the vaccine is a good match to this year's strains, that it's not too late to get vaccinated, that pH1N1 is included in the vaccine, and that pH1N1 is not nearly as bad as it was in the 2009-10 season. So, people are again complacent and we are probably less prepared for a crisis than we were in 2009.

I know that people at my office have reverted back to pre-Pandemic behavior - coming in sick, coughing and sneezing in the hallways, and not using hand sanitizer.

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 Post subject: Re: Pennsylvania
PostPosted: Mon Feb 21, 2011 6:48 pm 
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Joined: Wed Aug 19, 2009 10:42 am
Posts: 28232
Location: Pittsburgh, PA USA
Jim wrote:
niman wrote:
The sequences from the US are largely from clades with S186P or S188T, including the fatal cases in Lehigh Valley.

These sub-clades are circulating throughout trhe northern hemisphere.


What is frustrating is that the vast majority of reports have public health officials claiming that the vaccine is a good match to this year's strains, that it's not too late to get vaccinated, that pH1N1 is included in the vaccine, and that pH1N1 is not nearly as bad as it was in the 2009-10 season. So, people are again complacent and we are probably less prepared for a crisis than we were in 2009.

I know that people at my office have reverted back to pre-Pandemic behavior - coming in sick, coughing and sneezing in the hallways, and not using hand sanitizer.

Yes, the handling of the H1N1 threat by public health agencies continues to endanger the world's health.

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 Post subject: Re: Pennsylvania
PostPosted: Mon Feb 21, 2011 7:32 pm 
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Joined: Wed Aug 19, 2009 10:42 am
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Location: Pittsburgh, PA USA
Commentary

http://www.recombinomics.com/News/02211 ... re_PA.html

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 Post subject: Re: Pennsylvania
PostPosted: Mon Feb 21, 2011 8:57 pm 
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Joined: Wed Aug 19, 2009 10:42 am
Posts: 28232
Location: Pittsburgh, PA USA
“Compared to last season when we actually had the swine flu, I think this is a little bit milder, but it seems to be catching up,” Dr. Bhogal said.

http://www.whptv.com/news/local/story/F ... XETZQ.cspx

H1N1 is starting to take off in PA as the entire US (and northern hemisphere).

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 Post subject: Re: Pennsylvania
PostPosted: Tue Feb 22, 2011 10:35 am 
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Joined: Wed Aug 19, 2009 2:33 pm
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Vanderbilt paramedic, ambulance dispatcher felled by H1N1 flu
Quote:
David Sechrist's battle with H1N1 began with mild cold symptoms, according to his father. Within just 36 hours, David Sechrist was so ill he was placed in intensive care in a Pittsburgh hospital


http://www.pittsburghlive.com/x/pittsbu ... z1EhML3syq

As a paramedic and dispatcher with a Fayette County ambulance service, David P. Sechrist dedicated his life to helping others.

The 30-year-old Vanderbilt man died Saturday of complications from the H1N1 flu, according to his family.

Despite his untimely passing, Sechrist continues to help others, with his death raising awareness of the importance of flu shots, his family said.

"He got H1N1 from direct contact, so it had to be from somebody in this area," said his father, Rod Sechrist of Dawson.

"Hopefully, we'll help somebody else," he said. "H1N1 is a big misconception at this point. Even at the hospital, they said they hadn't seen H1N1 in months."

Flu cases are on the rise in Pennsylvania, according to the state health department's most recent report.

As of the week ending Feb. 12, there were 1,898 flu cases reported, up from the previous week's tally of 1,632. Flu activity is statewide, but the department noted "significant increases were reported in the southwestern regions."

Of 45 flu specimens sent to the state lab for testing, 60 percent were the H1N1 virus, according to the department's website. Five deaths statewide were attributed to flu complications during the same reporting period, including one child.

David Sechrist's struggle with H1N1 prompted some of his co-workers at Fayette EMS to take advantage of free flu shots available through the ambulance company, said Director Rick Adobato. Adobato said the shot is one of the best ways to prevent flu, but many people opt not to receive one.

"My employees are just as guilty, including David," Adobato said, indicating David Sechrist had not been vaccinated.

"We've been putting shots in arms all week," Adobato said. "It's a hell of a wake-up call."

This year's flu vaccine protects against three strains of the flu virus, including H1N1, said Holli Senior, spokeswoman with the state health department. She said plenty of vaccine is still available.


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 Post subject: Re: Pennsylvania
PostPosted: Tue Feb 22, 2011 12:45 pm 
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Joined: Wed Aug 19, 2009 10:42 am
Posts: 28232
Location: Pittsburgh, PA USA
Tex wrote:
David Sechrist's struggle with H1N1 prompted some of his co-workers at Fayette EMS to take advantage of free flu shots available through the ambulance company, said Director Rick Adobato. Adobato said the shot is one of the best ways to prevent flu, but many people opt not to receive one.

"My employees are just as guilty, including David," Adobato said, indicating David Sechrist had not been vaccinated.

"We've been putting shots in arms all week," Adobato said. "It's a hell of a wake-up call."

This year's flu vaccine protects against three strains of the flu virus, including H1N1, said Holli Senior, spokeswoman with the state health department. She said plenty of vaccine is still available.

Image
Unfortunately, this year's H1N1 vaccine targets Califonia/7, isolated in Aptil, 2009 and this target offers limit protection against the H1N1 circulating in Pennsylvania and the US in general.

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 Post subject: Re: Pennsylvania
PostPosted: Tue Feb 22, 2011 12:57 pm 
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Joined: Wed Aug 19, 2009 10:42 am
Posts: 28232
Location: Pittsburgh, PA USA
Table 2: County Distribution of all Influenza Cases Reported in Pennsylvania this season By Flu type, 10/05/2010-02/12/2011 (#=7,436)**


Influenza Type
TOTAL

A
B
S
U

County
71
7
3
.
81

ADAMS

ALLEGHENY
373
177
46
45
641

ARMSTRONG
39
12
.
1
52

BEAVER
38
28
.
.
66

BEDFORD
26
8
.
1
35

BERKS
99
6
10
1
116

BLAIR
64
5
.
.
69

BRADFORD
22
12
.
.
34

BUCKS
236
8
1
1
246

BUTLER
63
23
5
1
92

CAMBRIA
30
.
.
1
31

CAMERON
1
.
1
1
3

CARBON
45
6
.
2
53

CENTRE
184
21
44
1
250

CHESTER
148
7
8
16
179

CLARION
19
2
3
.
24

CLEARFIELD
23
7
.
1
31

CLINTON
98
2
.
.
100

COLUMBIA
54
5
2
.
61

CRAWFORD
51
1
2
.
54

CUMBERLAND
56
7
.
.
63

DAUPHIN
49
8
1
13
71

DELAWARE
160
7
5
.
172

ELK
21
2
.
.
23

ERIE
268
21
3
.
292

FAYETTE
103
26
1
.
130

FOREST
3
.
.
.
3

FRANKLIN
144
18
17
.
179

FULTON
28
1
.
.
29

GREENE
33
11
.
.
44

HUNTINGDON
33
2
.
.
35

INDIANA
35
13
.
.
48

JEFFERSON
29
1
.
.
30

JUNIATA
39
1
.
.
40

LACKAWANNA
75
.
4
.
79

LANCASTER
160
25
20
.
205

LAWRENCE
5
2
.
.
7

LEBANON
112
.
1
.
113

LEHIGH
386
53
6
.
445

LUZERNE
238
20
4
2
264

LYCOMING
281
55
.
2
338

MCKEAN
56
1
.
1
58

MERCER
16
5
2
.
23

MIFFLIN
72
5
1
.
78

MONROE
88
4
4
7
103

MONTGOMERY
323
10
5
.
338

MONTOUR
19
1
.
.
20

NORTHAMPTON
265
18
35
1
319

NORTHUMBERLAND
82
3
2
.
87

PERRY
7
.
.
.
7

PHILADELPHIA
432
10
20
2
464

PIKE
12
1
.
.
13

POTTER
13
1
.
.
14

SCHUYLKILL
101
7
.
.
108

SNYDER
101
2
.
1
104

SOMERSET
16
1
.
8
25

SULLIVAN
4
1
.
.
5

SUSQUEHANNA
11
.
1
.
12

TIOGA
10
.
1
.
11

UNION
120
.
4
.
124

VENANGO
37
5
3
.
45

WARREN
10
.
.
.
10

WASHINGTON
129
39
.
2
170

WAYNE
5
.
.
.
5

WESTMORELAND
247
95
7
1
350

WYOMING
3
1
.
.
4

YORK
100
9
2
.
111

All
6221
829
274
112
7436

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