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Sunday 30 December 2012

Norovirus Cruise: 'Outbreaks' On Two Ships

Norovirus Cruise: 'Outbreaks' On Two Ships

Both luxury liners, the Queen Mary 2 and the Emerald Princess, reported the outbreak to the Centres for Disease Control, following guidelines that come into play when more than 2% of the passengers and crew are laid low.

The US public health agency said it was still conducting lab tests to determine the pathogen, but it said norovirus was suspected.

On Cunard's Queen Mary 2, which left New York on December 22 for a 10-day cruise, 194 passengers and 11 crew members of the more than 3,800 people were reported ill, the CDC said.

And on the Emerald Princess, owned by Princess Cruises, which returned to Fort Lauderdale on December 27, 189 passengers and 31 crew members of the more than 4,400 people on board fell sick, the CDC said.

The CDC said both liners had taken steps to stem the outbreak, including cleaning and disinfecting more often, as well as keeping passengers informed.

But Sue Hayes, from Arkansas, said she was on the Emerald Princess and her husband fell ill. She has been critical of how the crew members handled the crisis.

"It started just a couple of days into the cruise and has affected so many that the staff can't keep up with what they have to do for those who are sick," she said on Facebook.

"I have to phone to get the room cleaned because there aren't enough staff to even get clean towels and the room stewards are not allowed to come into the room.

"I have gone and got food for him because it may be a long time to get it delivered, like two hours after scheduled."

Some people who said they were on the Queen Mary 2 said on Cruise Critic that they were advised to avoid the buffet because of the sickness and that infected passengers were being kept in their rooms.

"I have never felt as sorry for the staff as I do now. They are working round the clock battling this situation," Andiamo said on the blog.

"It is serious, but in my opinion it is being handled very well.

"The festivities continue and those of us who have avoided this virus continue to enjoy the many offerings we come to expect and appreciate.

"For those passengers who have been exposed, they are confined to their cabins until declared safe to come out."

Sky News contacted both Cunard and Princess Cruises for comment but both companies said no one was available to comment.

Similar outbreaks hit two P&O luxury liners - the Azura and the Oriana - earlier this month.

The cruise ship infections come as norovirus is thought to be behind the deaths of four people in a hospital in Japan.

The patients, aged between 80 and 97, died of breathing problems and pneumonia last week after suffering vomiting and diarrhoea, said officials at Denentoshi Hospital in Yokohama.

Almost 100 other people have been infected at the hospital since Tuesday.

Norovirus has been sweeping the UK and has led to the closure of dozens of hospital wards.

The Health Protection Agency said there could have been more than a million cases in the UK this season.

The number of cases has risen earlier than expected this year, following an as-yet unexplained trend seen across Europe and other parts of the world.

Norovirus symptoms include sudden vomiting, diarrhoea, or both, a temperature, headache and stomach cramps. The bug usually goes away within a few days but can be contagious for a couple of days after vomiting has ended.



Tuesday 18 December 2012

Norovirus could have hit 880,000 people | Society | guardian.co.uk

http://www.guardian.co.uk/society/2012/dec/18/norovirus-could-880000-people

Posted by RobLW

Norovirus: New Warning About Vomiting Bug

Norovirus: New Warning About Vomiting Bug

The Health Protection Agency (HPA) says the number of confirmed cases of norovirus is 83% higher than the same time last year,

So far this season, there have been 3,046 cases in England and Wales, compared to just 1,669 cases last season.

But for every reported case there are likely to be a further 288 unreported sufferers, warns the HPA.

The bug has swept the country and has led to the closure of dozens of hospital wards.

It has also affected holidaymakers on two P&O cruise ships, the Oriana and the Azura.

Norovirus is highly contagious and can be transmitted through contact with an infected person or contaminated surfaces and objects.

It is known to spread rapidly in closed environments such as hospitals, schools and nursing homes.

Symptoms include sudden vomiting, diarrhoea, or both, a temperature, headache and stomach cramps. The bug usually goes away within a few days.

Although people can suffer from norovirus at any time of the year, activity increases in the winter months, with most cases seen between January and March.

John Harris, a norovirus expert at the HPA, said: "The number of laboratory confirmed cases has risen again, following the drop in the number we reported last week.

"Norovirus is very contagious so we would urge anyone who thinks they may be unwell with norovirus to stay at home and stay away from hospitals and care homes.

"The infection is short-lived although it is very unpleasant while you are unwell. Most people will not need to go to see their doctor and will recover in a couple of days. It is important to take plenty of fluids to avoid dehydration."

A Department of Health spokesperson said the NHS was "well prepared" for the increase in health problems which are typical at this time of year.

The spokesperson added: "Our weekly published figures show the number of beds closed across the NHS due to norovirus symptoms is around 2%. This compares to 2.9% of beds that were closed during the peak of norovirus cases last winter."

 


Posted by Rob LW

Friday 14 December 2012

A new SARS virus?

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http://mbio.asm.org/content/3/6/e00515-12?goback=%2Egde_3941428_member_195956376
Posted by Rob LW

Monday 15 October 2012

Human infection with avian influenza A(H5N1) virus and associated animal health events w

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www.who.int/influenza/human_animal_interface/Influenza_Summary_IRA_HA_interface_01Oct12.pdf

Fascinating

Posted by Rob LW

Fwd: Health News - Dr. Ian Lipkin Addresses Concerns over Potentially Hazardous H5N1 Influenza Research


 H5N1 Influenza Research


Tuesday 9 October 2012

Congo Fever: Fears For Victim's Family


Congo Fever: Fears For Victim's Family

James Matthews, Scotland Correspondent
Having come to the UK seeking asylum, the man, aged in his late 30s, had lived in Glasgow for several years and worked as a mechanic in a garage that he owned in the city's East End.
The man, who has not yet been named, was diagnosed with the rare tropical disease after flying into Glasgow last Tuesday following a trip to Afghanistan.
The man's friends in Glasgow are now concerned for at least three of his family members back in Afghanistan, who are displaying the same symptoms.
Having undergone initial treatment in Glasgow, the man was transferred to London's Royal Free Hospital in a RAF isolation aircraft.
The Royal Free, which houses a specialist centre for hazardous infections, confirmed on Saturday that he had died.
Sky News understands the man had been attending his brother's wedding in Samangan Province, around 250km (150 miles) north of Kabul.
He began to experience symptoms of CCVHF on his return journey and, by the time he returned to Glasgow, was very ill.
The man was a member of the Scottish Afghan Society and its acting chairman Mohammed Asif told Sky News: "He was 38 years old and had a son who is aged 5 or 6.
"My friend picked him up at Glasgow Airport and he was in pain, he was very tired and his body was aching."
Mr Asif said: "The biggest worry is that the disease might spread. Three members of his family, including a brother and sister, are showing similar symptoms: vomiting, ear pain and body ache.
"We've been in touch with local politicians in the area to warn them - my friend stayed the night in a guesthouse in Kabul on his way back.
"There, they have burned the carpets, mattresses, cups and cutlery that he might have used.
"He flew back to Glasgow via Dubai but had missed his connecting flight and so had to stay the night in Dubai airport.
"The police there stopped him because they thought he might have taken drugs but they soon realised that he was just very sick."
Mr Asif said the man's family in Afghanistan have not yet been informed of his death.
"We are currently making efforts to contact them," he said.
"At the moment his wife, who is Eastern European, is liaising with the authorities about funeral arrangements.
"It may be that, because of the circumstances of his death, that we're unable to send his body back to Afghanistan for a funeral.  We may have to bury him in a Muslim cemetery in Glasgow."
It is the first confirmed case of CCVHF in the United Kingdom.
Two passengers who sat near to the man on the Emirates flight from Dubai to Glasgow are being monitored as a precaution.
:: Anyone who is worried they may have the disease should contact NHS24 for advice on 0800 0858531.


Cheers

Rob

Sent from another mobile device with an annoyingly small keyboard, apologies for any typos 

Saturday 6 October 2012

La. has 25 new West Nile cases | The Advertiser | theadvertiser.com

http://www.theadvertiser.com/viewart/20121006/NEWS01/210060304/La-has-25-new-West-Nile-cases?odyssey=mod%7Cnewswell%7Ctext%7CFRONTPAGE%7Cp

Posted by Rob L W

Congo Fever: Man Dies In London Hospital

Congo Fever: Man Dies In London Hospital

The man had recently returned home to the UK and was being treated in complete isolation after being admitted to Gartnavel General Hospital's Brownlee Centre in Glasgow, less than three hours after arriving in Scotland.

He was then transferred to the Royal Free London NHS Foundation Trust. Tests revealed he flew into Scotland from Dubai, though his journey originated in the Afghan capital, Kabul.

It was the first recorded case of the deadly disease in the UK. Other passengers who sat close to him on an aircraft are undergoing daily health checks.

The health board said two of them - one who remained in "close proximity" to the ill man during the flight - will be monitored on a daily basis for the next two weeks for any developments of relative symptoms.

The other two passengers do not require follow-up surveillance and the risk to all other passengers on the flight from Dubai is "extremely low", it added.

In a statement, the board said: "In total, therefore, we are currently following up two passengers from the flight with daily monitoring as a precaution for two weeks - two weeks is the maximum incubation period for the disease."

"Crimean-Congo haemorrhagic fever can be acquired from an infected patient only through direct contact with their blood or body fluids, therefore there is no risk to the general public," the Royal Free London NHS Foundation Trust said.

"We would like to extend our condolences to his family."

Congo fever is a tick-borne viral infection and is fatal in 30% of human cases. It causes large areas of severe bruising, nosebleeds and uncontrolled bleeding at needle injection sites.

Early symptoms include headaches, fever, vomiting and back, joint and stomach pain. They can also include red eyes, red spots on the roof of the mouth and jaundice.

The virus is widespread in parts of Africa, Asia, India and the Middle East.

:: Anyone who is worried they may have the disease should contact NHS24 for advice on 08000 858531.



Cheers

Rob

Sent from another mobile device with an annoyingly small keyboard, apologies for any typos 

Friday 5 October 2012

Congo Fever Case Confirmed In Scotland

Congo Fever Case Confirmed In Scotland

Tests revealed the 38-year-old, who flew into Scotland from a Dubai stopover, has Crimean-Congo haemorrhagic fever (CCHF).

It has emerged this afternoon that the man's journey originated in the Afghan capital, Kabul.

It is the first recorded case of the disease in the UK.

The man was admitted to Gartnavel General Hospital's Brownlee Centre in Glasgow less than three hours after arriving in Scotland and has since been transferred to the Royal Free London NHS Foundation Trust.

His condition is described as critical but stable.

Passengers who sat close to the man on Emirates flight EK027 on Tuesday have been contacted. Three passengers as well as airport staff are being cared for as a precautionary measure.

Although they are not showing any symptoms of the disease, doctors said they would be closely monitored.

Dr Syed Ahmed, an NHS consultant in public health who is co-ordinating investigations into the case, said: "The risk of person-to-person transmission of Crimean-Congo viral haemorrhagic fever is extremely low as it can only be transmitted by direct contact with infected blood or body fluids.

"It is not a virus which is transmitted through the air. As such, the risk to those who were in close contact with him is minimal.

"We have already made contact with all the patient's close contacts and they are being followed up appropriately.

"The decision to transfer the patient to the high-security unit at the Royal Free was taken in line with the national protocol for the management of cases such as this."

CCHF is a tick-borne viral disease and is fatal in 30% of human cases.

It causes large areas of severe bruising, nosebleeds and uncontrolled bleeding at injection sites.

Early symptoms include headaches, fever, vomiting and back, joint and stomach pain. They can also include red eyes, red spots on the roof of the mouth and jaundice.

The virus is widespread in parts of Africa, Asia, India and the Middle East.

:: Anyone who is worried they may have the disease should contact NHS24 for advice on 08000 858531.




Crimean-Congo Viral Haemorrhagic Fever case in Glasgow

New rapid RSV test

http://www.equities.com/news/headline-story?dt=2012-10-04&val=558296&cat=hcare

Posted by Rob LW

Experts seeking SARS-like virus arrive in Saudi Arabia - Health - CBC News

http://www.cbc.ca/news/health/story/2012/10/04/sars-virus-saudi-arabia.html

Posted by Rob LW

Influenza Encyclopedia

http://www.influenzaarchive.org/


Posted by Rob LW

Reverse Zoonosis: Researchers Investigate Human-To-Animal Transmission Of Flu - The Huffington Post

http://www.huffingtonpost.com/mobileweb/2012/10/04/reverse-zoonosis-flu-influenza-humans-animals-cats-dogs_n_1940448.html


Thanks


Rob

This email was sent from a mobile device with an annoyingly small keyboard, apologies for any typos

Monday 24 September 2012

New 'Sars-like' coronavirus identified by UK officials

New 'Sars-like' coronavirus identified by UK officials

 

http://www.bbc.co.uk/news/health-19698335

Tuesday 18 September 2012

Thursday 13 September 2012

Sanofi's dengue vaccine falters in clinical trial - FierceVaccines

http://www.fiercevaccines.com/story/sanofis-dengue-vaccine-falters-clinical-trial/2012-09-11?utm_medium=nl&utm_source=internal

Posted by Rob LW

CDC Reports More Cases, Hospitalizations and Nation's First H3N2v-Associated Death

Futurity.org – How childhood virus leads to adult asthma

http://www.futurity.org/health-medicine/how-childhood-virus-leads-to-adult-asthma/

posted by Rob LW

Early infection with respiratory syncytial virus impairs regulatory T cell function and increases susceptibility to allergic asthma : Nature Medicine : Nature Publishing Group

http://www.nature.com/nm/journal/vaop/ncurrent/full/nm.2896.html

Posted by Rob LW

Mexico Slaughters 22.3 M Birds to Prevent Spread of Flu | Fox News Latino

http://latino.foxnews.com/latino/health/2012/09/12/mexico-slaughters-223-mn-birds-to-prevent-spread-flu/


Posted by Rob LW

Thursday 9 August 2012

The Myth of the Human Clinical Trial Guinea Pig

In the modern age of medicine, where evidence based medicine (1) takes a defining role in determining what treatments and medications the health service provides, there is a myth that is slowly being dispelled; The myth of the human clinical trial guinea pig.

 

(http://www.newscientist.com/blogs/culturelab/2010/08/the-risky-business-of-human-trials.html )

 

Medicine was once a subject where quack doctors would prescribe woodlice to treat deafness (2) but now with double-blind (3) clinical trails doctors can now understand what treatments work and which merely seem to be beneficial due to the placebo effect (4). Taking part in a clinical trial is hugely beneficial for society, as it allows science to determine whether a new drug is an improved treatment and to determine the side effects, in order to weight up the cost-benefit (5) of treatment. It is highly dependent of altruistic volunteers willing to participate, and many are compensated for the time and expenses incurred.

 

(http://www.wingsforlife.com/en/research/ )

 

Obviously with any type of compensation there are individuals who are motivated by the money, a researcher has followed the stories of several people in the USA who do clinical trials for a living and has published a book ‘the professional guinea pig’ (6). However most people do not take it to such extremes and many companies put restrictions on the number and spacing of clinical trials a person can participate in within a year. While many people will admit their initial motivating reason for taking part was the financial benefit, but most stated at the end of the trail they were more interested in the science behind the trail and the medical cause they were helping to test a new treatment for (7).

 

 

The term guinea pig is outdated and misleading, because it suggests that volunteers sign up and have no idea what will happen to them. This is not the case, as all companies require informed consent and have ethical requirements to disclose the procedure and any risks before the subjects take part, so they can choose if this is something they would like to take part in and they are free to withdraw at any time. The image of clinical trials in the media has undergone a rapid change over the last few years and has now become something that most people would be comfortable taking part in, with fewer than 7% of people saying they would never take part in a clinical trial (8). This holds huge benefits for both science and society as a whole.

 

 

 

(1)   http://en.wikipedia.org/wiki/Evidence-based_policy

(2)   http://jaivirdi.com/2012/03/

(3)   http://en.wikipedia.org/wiki/Double_blind#Double-blind_trials

(4)   http://en.wikipedia.org/wiki/Placebo_effect#Mechanism_of_the_effect

(5)   http://en.wikipedia.org/wiki/Cost_benefit

(6)   http://www.newscientist.com/blogs/culturelab/2010/08/the-risky-business-of-human-trials.html

(7)   http://www.metro.co.uk/news/897443-is-2-000-enough-to-be-a-drug-guinea-pig

(8)   http://www.bbc.co.uk/news/health-18634095

 

This article is the opinion of the author and does not represent any company.

 

Monday 30 July 2012

Two Ebola Cases Reported In Ugandan Capital

Two Ebola Cases Reported In Ugandan Capital

The outbreak began three weeks ago in the Kibale district in the west of the country, where 13 people have died.

Now there have been two confirmed cases in the capital, Kampala. One of those infected - a health worker from Kibale who travelled to the city - has died.

"The Ministry of Health are tracing all the people who have had contact with the victims," President Yoweri Museveni said in a state broadcast.

"Ebola spreads by contact when you contact each other physically … avoid shaking of hands, because that can cause contact through sweat, which can cause problems.

"Do not take on burying somebody who has died from symptoms that look like Ebola - instead call health workers because they know how to do it ... avoid promiscuity because this sickness can also go through sex," he added.

Seven doctors and 13 health workers at the capital's Mulago Hospital are now in quarantine.

World Health Organisation (WHO) spokesman Tarik Jasarevic pointed out that neither of the two Kampala infections had been contracted in the city.

Ebola is characterised by the sudden onset of fever, intense weakness, muscle pain, headache and sore throat, often followed by vomiting, diarrhoea and in some cases, both internal and external bleeding.

It spreads by direct contact with the blood or other body fluids of infected persons, and has a fatality rate of between 23% and 90% according to the WHO.

Museveni said that the virus had not been immediately identified this time, resulting in a delay.

"The bleeding which normally accompanies Ebola did not take place initially among these patients," he said, adding that health workers at first did not therefore realise what the problem was. Because of that delay the sickness spread."

Health officials said that the source of the outbreak had yet to be confirmed but that the villages affected were located close to forests famous for several species of primates.



Saturday 14 July 2012

Flu season spreads through South-eastern Australia | Vaccine News Daily

http://vaccinenewsdaily.com/news/319338-flu-season-spreads-through-southeastern-australia/

Seems that flu is going to be bad in Australia this year, not surprising after previous mild seasons. It's often the case that a bad flu season in the southern hemisphere predicts a bad season in the northern.

Posted by Rob LW

Wednesday 11 July 2012

FDA approves self-administered HIV test

http://www.healio.com/infectious-disease/hiv-aids/news/online/%7BD15A8932-CB2E-437F-80E5-B9D31807469B%7D/FDA-approves-self-administered-HIV-test

Sent via Infectious Disease News iPhone Application, available in the iTunes App Store.
See the latest from Infectious Disease News at - http://www.infectiousdiseasenews.com


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Alex Mann BSc,MSc
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Rate of death linked to H1N1 15 times higher than previously confirmed


http://www.healio.com/infectious-disease/vaccine-preventable-diseases/news/online/%7B2C8C10B0-09BC-47D6-8FF3-A275A312A2DB%7D/Rate-of-death-linked-to-H1N1-15-times-higher-than-previously-confirmed

Inovio Initiates H1N1 Universal Influenza Vaccine Clinical Trial Targeting Over-65 Population, Which Represents 90?0of Flu Deaths - MarketWatch

http://www.marketwatch.com/story/inovio-initiates-h1n1-universal-influenza-vaccine-clinical-trial-targeting-over-65-population-which-represents-90-of-flu-deaths-2012-07-10

Posted by Rob LW

Medical News: H1N1 Vaccine with Adjuvant Found Safe - in Infectious Disease, Flu

http://www.medpagetoday.com/InfectiousDisease/URItheFlu/33690

Posted by Rob LW

Influenza virus hits Australia - Xinhua | English.news.cn

http://news.xinhuanet.com/english/health/2012-07/11/c_131707688.htm

Posted by Rob LW