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WHO underscores H1N1 risk to young and healthy

first_imgOct 16, 2009 (CIDRAP News) – The susceptibility of some young, healthy people to severe illness with pandemic H1N1 influenza marks a striking difference from the pattern of disease seen in seasonal flu epidemics, the World Health Organization (WHO) said today.The factors that increase the risk of severe illness in previously healthy people remain unknown, the WHO said in reporting on the results of a 3-day conference on the features of severe H1N1 cases. The meeting involved about 100 clinicians, virologists, and other experts at the Pan American Health Organization headquarters in Washington, DC.The ability of the virus to make young, healthy people dangerously sick has been noted for months, but the WHO put new emphasis on the phenomenon today. At the same time, the agency said pregnant women, children younger than 2 years, and people with chronic lung disease face the greatest risk of severe illness.In a statement, the WHO said the experts confirmed that the vast majority of patients around the world experience an uncomplicated flu-like illness and recover within a week, even without treatment.Patients hard to treat But concern now focuses on “small subsets of patients who rapidly develop very severe progressive pneumonia,” the agency said. “In these patients, severe pneumonia is often associated with failure of other organs, or marked worsening of underlying asthma or chronic obstructive airway disease.”These patients are hard to treat, which suggests that emergency rooms and intensive care units will bear the heaviest burden during the pandemic, the statement said. That conclusion matched the message from several medical journal reports published in the past week on hospitalized H1N1 cases.Primary viral pneumonia is the most common finding in severe cases and often causes death, the WHO said. However, bacterial infections have been found in about 30% of fatal cases—more common than previously recognized.Data from animal studies also show the virus’s ability to cause severe pneumonia. “This virus really likes the lower respiratory tract,” said the WHO’s Dr.Nikki Shindo at a press teleconference today. “That means this virus is likely to cause viral pneumonia.”Physicians who have managed severe cases “agreed that the clinical picture in severe cases is strikingly different from the disease pattern seen during epidemics of seasonal influenza,” the WHO statement said. “While people with certain underlying medical conditions, including pregnancy, are known to be at increased risk, many severe cases occur in previously healthy young people. In these patients, predisposing factors that increase the risk of severe illness are not presently understood, though research is under way.”In a separate pandemic update today, the WHO noted that about a third of intensive care unit patients with H1N1 in Australia and New Zealand had no predisposing conditions. Likewise, Canadian and Mexican researchers who recently reported on severe cases were “impressed” by the number that occurred in previously healthy people, the agency said.The latest US figures suggest that an even higher proportion of patients hit hardest by the virus were previously healthy. The Centers for Disease Control and Prevention reported this week that 45% of about 1,400 adult H1N1 patients who were hospitalized had no preexisting health problems.In severe cases, patients usually begin deteriorating about 3 to 5 days after their first symptoms, the WHO statement said. Many of them then slip into respiratory failure, requiring admission to an ICU and ventilatory support. Some patients don’t respond well to conventional ventilatory support, making treatment even harder.Known at-risk groupsOf groups with conditions that raise the risk of severe illness, conference participants agreed that three lead the list: pregnant women, especially in the third trimester; children under the age of 2 years, and people with chronic lung disease, including asthma, the WHO reported.Disadvantaged populations, such as minority groups and indigenous people, also are disproportionately subject to severe disease, the WHO said. The reasons are not clear, but possibilities include lack of access to care and an increased prevalence of conditions like asthma and diabetes.The statement also noted that obesity—especially morbid obesity—has been present in many of the severe H1N1 cases, but its role remains poorly understood.More support for antiviralsOn the brighter side, the meeting pointed up a growing body of evidence that prompt treatment with the antiviral drugs oseltamivir and zanamivir is helpful, the WHO said.”We have increased evidence that timely antiviral treatment really helps to decrease the severe disease,” said Shindo at the press conference.Where the virus is circulating, clinicians should base antiviral treatment decisions on epidemiologic and clinical findings and not wait for lab test results, she said. “The message for clinicians is, don’t miss this opportunity for early treatment.”Shindo said the WHO has shipped antivirals from its stockpile to 72 countries so far.See also: Oct 16 WHO report on clinical consultationhttp://www.who.int/csr/disease/swineflu/notes/h1n1_clinical_features_20091016/en/index.htmlOct 16 WHO weekly update on pandemichttp://www.who.int/csr/don/2009_10_16/en/index.htmlAug 28 WHO briefing note on lessons from recent outbreakshttp://www.who.int/csr/disease/swineflu/notes/h1n1_second_wave_20090828/en/index.htmllast_img read more

GAA NEWS: MAC CUMHAILLS U16’S WIN DERBY MATCH AGAINST GLENFIN

first_imgMac Cumhaills GAA News: Donegal HurlersHard luck to the Donegal hurlers who were beaten by Mayo on Saturday in the National League. The final score was Donegal 1-11 and Mayo 2-13. Donegal enter into their next game with a chance to avoid relegation. Best of luck to all the team and hoping that as many people as possible come out and support the lads in the next game.Donegal/Tyrone Game:Well done to the Donegal team who defeated Tyrone in the National Football League on Sunday. This was a very important result which helps the county in their endeavour to retain division 1 status. Well done to Marty, Rory and all the lads. The club would like to say a massive thank you to everyone who helped on Sunday for the Donegal/Tyrone game as programme sellers, half time draw, shop workers, social centre staff and also to the many others who helped in various different roles to ensure the day passed without incident. U-16 Football Result:Our U16’s travelled to Páirc Taobhoige to take on Glenfin on Sunday morning. A highly impressive performance by the MacCumhaill’s lads seen them come out winners in the end of the local derby. Well done to all the players and management team involved.Under-14 Hurling:Our hurlers travelled to Donegal to take on Four Masters on Thursday evening. In a tight game that went point for point MacCumhaills won out in the end. A good finish seen the lads overcome a 4 point deficit in the last 5 minutes to claim the win. Final score: Four Masters 4.05 Sean Mac Cumhaills 4.06Club Donegal Cards:We have a number of Club Donegal Cards which will grant access to the All-County League and every Club Championship game for the forthcoming season. The cards are priced at €50 for the card alone or €70 for a card plus a Club Donegal item of clothing when it arrives (possibly an O’Neill’s Polo Shirt this year). Anyone interested please contact Eugene Gallagher on 086 609 8801. Coaching Officers:The club are currently seeking people to fill the roles of Football and Hurling coaching officers within the club. These are very important roles in the club. Anyone interested in these positions please contact Minor Board Secretary Bryan Cannon on 087 623 6599.Club Lotto:The club are asking for people to help out by selling lotto’s. This would involve helping to sell 1 week out of every 7 or 8 depending on the amount of teams formed. This is an important source of funding for the club and a great way to help get involved with your club. All help available would be greatly appreciated. If interested please contact Terry O’Reilly on 086 609 5347. Lotto Results:There was no winner of this week’s Lotto. The numbers drawn were 8, 19, 23 and 24. There were no match 3 winners. Three names pulled out, Michelle Carlin, Elaine Bourne and Margaret Glackin each receive €30. Next week’s Jackpot is €4,400. Terry O’Reilly’s team is selling this week. If you’re not in you can’t win!Bingo:The Bingo is back in the Villa Rose on Sunday night with an 8.30pm start. The Snowball jackpot is €9,000 for 45 numbers or less. All are very welcome.Training Schedule:New players to all teams are more than welcome. If there is a change of time/location it will be noted on Facebook or sent via text.There is no under 6’s this week due to the Easter Holidays and the school being closed. Training will be back on Wednesday the 15th April in St. Columbas’s Hall.Under-8 training is on Wednesday evening at the club at 6.00pm, all boys and girls are welcome. Training will cost 2 Euro every night, and all players must have their membership paid also. Please bring gum shield and water bottle.U-10 football for boys and girls is on a Wednesday at 6.00pm. Please bring €2, gum shield and water.U-12 boy’s football is on a Wednesday at 7.00pm.The U-14 boy’s football training will be on a Sunday morning at 10am.U-16 boy’s football is on Friday 6.30 to 7.30pm.Minor football training is on a Monday from 6pm and a Friday from 7.30pm.U-8 & U-10 Hurling 1pm to 2pm on Sunday.U-12 Hurling from 12.00 to 1.00pm on Sunday.U-14 & U-16 Hurling on a Monday from 7.00 to 8.00.The U-12 girl’s football starts back on the 10th of March from 6.00 to 7.00pm.The U-14 girl’s football is on a Tuesday from 6.30 to 7.30pm.The U-16 and Minor Girl’s Football is on Thursday from 7.00 to 8.00pm.The U-12, U-14 and U-16 Girls camogie is on a Monday at 4.30 to 6.00pm and a Friday from 5.30 to 7.00pm.Club Shop:The club shop will be open on a Wednesday from 5.45 to 7.15. The club stocks a large amount of club-crested shorts, gloves, bags and bottles and a limited number of club crested O’Neills half-zip tops.Steward Bibs:Can anyone in possession of a club steward’s bib return to the club as soon as possible.GAA NEWS: MAC CUMHAILLS U16’S WIN DERBY MATCH AGAINST GLENFIN was last modified: March 30th, 2015 by Mark ForkerShare this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to share on Pocket (Opens in new window)Click to share on Telegram (Opens in new window)Click to share on WhatsApp (Opens in new window)Click to share on Skype (Opens in new window)Click to print (Opens in new window)Tags:GAAMac CumhaillsNoticesSportlast_img read more