GOD BLESS YOU PRESIDENT CORY!

GOD BLESS YOU PRESIDENT CORY!
Showing posts with label CDC. Show all posts
Showing posts with label CDC. Show all posts

Monday, May 25, 2009

Did Taiwanese Mother and Daughter Flu H1N1 Cases Attend a Yoga Session in Manila or Not? Duque Says No, Taiwan CDC Says Yes!



25 May 2009

Secretary Francisco Duque III has been doing a yeoman's job in the present H1N1 crisis but there are things he is not telling us. 

Below is Update No. 22 of the DOH dated May 25, 2009 and here, Secretary Duque continues to tell us that "on further investigation, the Department of Health was informed that the Taiwanese nationals did not attend a yoga workshop in the Philippines": 
Update No. 22 -PRESS STATEMENT ON THE CURRENT SITUATION OF INFLUENZA A (H1N1) IN THE PHILIPPINES

H1N1 UPDATE NO. 22

May 25, 2009

As of May 25, the Department of Health has identified ten new Cases Under Observation (CUO), eight of whom are from NCR, one from Region I and one from Region VII. Since May 1, the DOH has monitored 113 CUOs, two of whom were confirmed cases of A(H1N1). Fifteen CUOs still have pending laboratory results, the remaining 96 have been discarded since they are negative for Influenza A(H1N1).

Globally, the World Health Organization reported a total of 12,022 cases and still 86 deaths in 43 countries as of May 24. There are no new countries reporting confirmed cases of Influenza A (H1N1).

Update on the two confirmed cases in the Philippines. Both cases are well and do not have any symptoms. They are still being monitored and will be discharged once their repeat PCR becomes negative for A (H1N1). At present, all their close contacts have not reported any symptoms of flu and are observing home quarantine.

Update on the Taiwanese two nationals. On further investigation, the Department of Health was informed that the Taiwanese nationals did not attend a yoga workshop in the Philippines. However, it was found that this confirmed A(H1N1) case and her daughter did attend a social gathering while visiting the country. The DOH is now in the process of tracing their contacts and will update you as information becomes available.

We would like to reiterate that if you have traveled to an Influenza A(H1N1) affected country or have been exposed to a confirmed case of Influenza A(H1N1) and have fever, cough, sore throat or other flu-like symptoms, please consult a health facility immediately. You can also call the DOH Hotline (02) 711-1001 or 711-1002.

DOH Influenza A(H1N1) Surveillance Progress Report (as of May 25, 2009)    

This is what Secretary Duque said yesterday:

On the Taiwanese national who visited the Philippines, the DOH is continuously investigating the case.  We have already coordinated with Taiwan Centers for Disease Control who reported yesterday that the patient has already fully recovered. At present, her daughter only has mild respiratory symptoms and does not have fever anymore.  Based on the information we have, the Taiwanese woman fell ill after visiting the Philippines for a short vacation.  She did not attend any social gathering in the country, which could have exposed her to the virus while here in the Philippines.
What do the Taiwanese have to say about this matter?  To find out, let's turn to the authorities in Taiwan, the Centers for Disease Control R.O.C. (Taiwan).  So that there is no dispute as to what they're saying, here's a snapshot of their website as of 25 May 2009, 6:04pm, Manila time:



This is what the Taiwan CDC says in its website:

On May 22, 2009, the Central Epidemic Command Center (CECC) confirmed the forth and fifth imported case of influenza A (H1N1) in Taiwan. The forth case is a 30-year-old, Taiwan-born female who traveled to Manila, the Philippines to attend an international yoga workshop with her daughter, elder sister and a friend from May 16 to 20, 2009. The participants in the events were mostly from the United States, Canada and Australia. The case took flight PR896 and arrived at Taiwan at 09:30 on May 20, 2009. Before boarding the plane, the case experienced influenza-like symptoms such as lightheadedness and sore throat, but did not develop fever. Therefore, the case returned home after she arrived in Taiwan and had dinner at a friend’s house. On May 21, 2009, she put on a facemask and sought medical attention at a clinic because her symptoms persisted. Her doctor suspected that she was infected with influenza A (H1N1) and thus referred her to a hospital. At the hospital, she was diagnosed with a fever of 38℃, sore throat, and light cough, and was immediately sent to the negative pressure isolation room for treatment and specimen collection. In the evening of May 21, 2009, the case’s daughter developed fever and was sent to the hospital for treatment at the negative pressure isolation room. The case’s daughter has come into close contact with fiver of her family members. In addition, the public health personnel have visited the kindergarten the case’s daughter attends for epidemiological investigation in order to determine if school closure is necessary.

CECC urged the passengers sitting in the same row and in the 3 rows in front and behind the case and the crew members on flight PR896 (departed from Manila at 07:39 on May 20, 2009 and arrived at Taoyuan at 09:31 on the same day; the case’s plane seat: 23B) to voluntarily report themselves to the Taiwan Centers for Disease Control (Taiwan CDC) through the Communicable Disease Reporting and Consultation Hotline, 1922. After contacting Taiwan CDC, public health personnel will visit them to administer antiviral prophylaxis and request them to conduct self-health management: observe their own health, conduct home quarantine, and measure their body temperature twice a day for a period of seven days. If any of the close contacts develop influenza-like symptoms such as fever and cough during the next 2-7 days, please be sure to contact the local health unit first and refrain from seeking medical attention on his/her own. On the other hand, the passengers on board the same flight with the case should not be overly panicked and are urged to conduct self-health management for seven days or call 1922 for consultation.

Also, take note that the Taiwan CDC informs Taiwanese of the flight number of affected H1N1 cases and advises all passengers who took the flight "to conduct self health management for seven days or call 1922 for consultation."

That is, of course, not the procedure that the DOH is doing in the Philippines. Dito po gusto nila tayong maging VIGILANT but we're not given adequate information.

More on this when I return.

Wednesday, April 29, 2009

U.S. FDA Authorizes Emergency Use of Tamiflu and Relenza to Better Respond to Swine Flu Outbreak

29 April 2009

The U.S. FDA has issued the following press release announcing that it is authorizing  the use of antiviral drugs Relenza and Tamiflu "to respond to the swine flu virus under certain circumstances.  This was done through the issuance of Emergency Use Authorizations (EUA). The full text of the U.S. FDA media release follows:

FDA News
FOR IMMEDIATE RELEASE
April 27, 2009

Media Inquiries:
Peper Long, 301-796-4671
Consumer Inquiries:
888-INFO-FDA

FDA Authorizes Emergency Use of Influenza Medicines, Diagnostic Test in Response to Swine Flu Outbreak in Humans

The U.S. Food and Drug Administration, in response to requests from the U.S. Centers for Disease Control and Prevention, has issued Emergency Use Authorizations (EUAs) to make available to public health and medical personnel important diagnostic and therapeutic tools to identify and respond to the swine flu virus under certain circumstances. The agency issued these EUAs for the use of certain Relenza and Tamiflu antiviral products, and for the rRT-PCR Swine Flu Panel diagnostic test.

The EUA authority allows the FDA, based on the evaluation of available data, to authorize the use of unapproved or uncleared medical products or unapproved or uncleared uses of approved or cleared medical products following a determination and declaration of emergency, provided certain criteria are met. The authorization will end when the declaration of emergency is terminated or the authorization revoked by the agency.

Currently, Relenza is approved to treat acute uncomplicated illnesses due to influenza in adults and children 7 years and older who have been symptomatic for less than two days, and for the prevention of influenza in adults and children 5 years and older. Tamiflu is approved for the treatment and prevention of influenza in patients 1 year and older.

The EUAs allow for Tamiflu also to be used to treat and prevent influenza in children under 1 year, and to provide alternate dosing recommendations for children older than 1 year. In addition, under the EUAs, both medications may be distributed to large segments of the population without complying with the label requirements otherwise applicable to dispensed drugs, and accompanied by written information pertaining to the emergency use. They may also be distributed by a broader range of health care workers, including some public health officials and volunteers, in accordance with applicable state and local laws and/or public health emergency responses.

In authorizing an EUA for the rRT-PCR Swine Flu Panel diagnostic test, the FDA has determined that it may be effective in testing samples from individuals diagnosed with influenza A infections, whose virus subtypes cannot be identified by currently available tests. This EUA allows the CDC to distribute the swine flu test to public health and other qualified laboratories that have the needed equipment and the personnel who are trained to perform and interpret the results.

The test amplifies the viral genetic material from a nasal or nasopharyngeal swab. A positive result indicates that the patient is presumptively infected with swine flu virus but not the stage of infection. However, a negative result does not, by itself, exclude the possibility of swine flu virus infection.

The EUA authority is part of Project BioShield, which became law in July 2004.

Health care professionals and consumers may report serious adverse events (side effects) or product quality problems with the use of this product to the FDA's MedWatch Adverse Event Reporting program either online, by regular mail, fax or phone. 
--Online: www.fda.gov/MedWatch/report.htm 
--Regular Mail: use postage-paid FDA form 3500 available at: www.fda.gov/MedWatch/getforms.htm and mail to MedWatch, 5600 Fishers Lane, Rockville, MD 20852-9787 
--Fax: (800) FDA-0178 
--Phone: (800) FDA-1088

For more information:
FDA’s Emergency Use Authorization of Medical Products Guidance, go to 
www.fda.gov/oc/guidance/emergencyuse.html.
The FDA website is here.

You will note that the FDA issued the EUAs "in response to requests from the U.S. Centers for Disease Control and Prevention."  This is clearly part of the aggressive posture that the entire US government, led by the CDC, is adopting in response to the outbreak of swine flu virus that has now jumped out of North America and reached the Middle East (in Israel) and Oceania in New Zealand.

The EUAs basically expanded the use of the antiviral drugs for this swine flu emergency.  

In the case of Tamiflu for example which is "approved for the treatment and prevention of influenza in patients 1 year and older," the EUA, during the swine flu emergency, allows Tamiflu "also to be used to treat and prevent influenza in children under 1 year, and to provide alternate dosing recommendations for children older than 1 year."

Also, the EUAs, allow both Relenza and Tamiflu "to be distributed to large segments of the population without complying with the label requirements otherwise applicable to dispensed drugs, and accompanied by written information pertaining to the emergency use. They may also be distributed by a broader range of health care workers, including some public health officials and volunteers, in accordance with applicable state and local laws and/or public health emergency responses."

Please see a related post on Tamiflu and Arianna Anastos of Queens, New York.
 
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