Colds and flu

31 August 2009

Swine flu spreads at 'unbelievable' rate

Swine flu spreads four times faster than other viruses and 40% of the fatalities are young adults in good health, the world's top health official warned.

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Swine flu spreads four times faster than other viruses and 40% of the fatalities are young adults in good health, the world's top health official warned.

"This virus travels at an unbelievable, almost unheard of speed," World Health Organisation Director General Margaret Chan told France's Le Monde daily in an interview. "In six weeks it travels the same distance that other viruses take six months to cover," Chan said.

"Sixty percent of the deaths cover those who have underlying health problems," Chan said. "This means that 40% of the fatalities concern young adults - in good health - who die of a viral fever in five to seven days.

"This is the most worrying fact," she said, adding that "up to 30% of people in densely populated countries risked getting infected."

H1N1 most prevalent flu strain
Chan's warning came a day after the WHO said the virus had overtaken others to become the most prevalent flu strain. "Evidence from multiple outbreak sites demonstrates that the A(H1N1) pandemic virus has rapidly established itself, and is now the dominant influenza strain in most parts of the world," the UN agency said in a statement.

"The pandemic will persist in the coming months as the virus continues to move through susceptible populations," it added. Chan underlined that emergency and healthcare services in several countries had come under strain, and stressed that resources allocated for cancer patients and those suffering from heart disease should not be diverted.

"One must not rob Peter to pay Paul," she said. "All governments must prepare for the worst." She said the most important thing in the battle against the virus was "political leadership."

More than 2,180 people around the world have died from the virus since it emerged in April, according to the latest WHO figures.

Months before enough vaccine is available
Chan also said that it could be months before sufficient vaccine is available to combat the pandemic. She put world production capacity at 900 million doses a year, for a global population of 6.8 billion people.

Even if this was an unprecedented effort, and authorities were speeding up procedures for getting vaccines to the market, there should be no question of compromises on their safety and effectiveness, Chan said.

Britain and France received their first batches of swine flu vaccine this week. Australia on Friday said a massive swine flu vaccination programme would start in October and Turkey hopes the first supplies of the vaccine will come by that time.

Under-50s at greatest risk
While 90% of severe and fatal cases occur in people aged above 65 in seasonal flu, most of those who die from swine flu are under the age of 50.

A "very severe form of disease" affecting the lungs and causing severe respiratory failure among young and healthy people was being reported, WHO said Friday, adding that highly specialised care was required.

Large numbers of such patients could therefore "overwhelm" intensive care units and disrupt the provision of care for other diseases, it warned.

In the southern hemisphere where the flu-prone winter season is tailing off, the WHO said cities in several countries had reported that nearly 15% of hospitalised cases required intensive care. (Sapa-AFP, August 2009)

Read more:
Tamiflu resistance warning
WHO predicts swine flu explosion

 

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Flu expert

Dr Heidi van Deventer completed her MBChB (Bachelor of Medicine and Bachelor of Surgery) degree in 2004 at the University of Stellenbosch.
She has additional training in ACLS (Advanced Cardiac Life Support) and PALS (Paediatric Advanced Life Support) as well as biostatistics and epidemiology.

Dr Van Deventer is currently working as a researcher at the Desmond Tutu Tuberculosis Centre at the University of Stellenbosch.

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