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US swine flu deaths hit double-digits

SALT LAKE CITY – Swine flu forced Christina Huitron to make a choice no mother should ever have to make.

On Wednesday she told doctors to take her 21-year-old son off life support, making Marcos Sanchez the nation's 10th fatality associated with the newly discovered virus that continues to spread across the globe.

"I knew he was suffering," Christina Huitron told KSL-TV. "I don't know how he was feeling, but I just knew I had to do it because he was passing away slowly anyways, and I didn't want him to suffer anymore."

Sanchez checked into a suburban hospital Saturday, vomiting blood and burning with fever, Huitron told The Salt Lake Tribune. By Tuesday he was suffering from multiple organ failure.

Dr. David Sundwall, executive director of the Utah Department of Health, said Marcos, the state's first swine flu fatality, was overweight and had chronic medical conditions, including respiratory problems, that put him at risk.

"This is not a person who was overall genuinely healthy," Sundwall said.

Sanchez had not traveled recently. Dagmar Vitek, medical director for the Salt Lake Valley Health Department, said an investigation to determine how he contracted the virus was under way. Utah has 122 confirmed cases of the virus.

In neighboring Arizona, health officials said Wednesday a 13-year-old boy from Tucson also has died with swine flu. The teenager died Friday of complications from the flu. He had been hospitalized May 10.

Pima County Health Department spokeswoman Patti Woodcock said an older sibling of the teen is hospitalized with the virus, while other family members have recovered.

Swine flu has sickened more than 11,000 people in 41 countries and killed 85, according to the World Health Organization, whose figures often trail those of individual countries. Mexico has reported 75 deaths, the U.S. 10, and one in both Canada and Costa Rica.

In New York City, officials, colleagues, friends and family gathered Wednesday at a funeral home to remember Mitchell Wiener, an 55-year-old assistant principal who died of swine flu Sunday.

"Whenever I needed help, I used to always go to him," student Jeffery Grey told reporters outside the funeral home. "I really don't know who to go to now when I need help."

Two more New York City public schools closed because of swine flu, bringing the number of city public and private schools shuttered within the last week to 23. One school closed Thursday across the Hudson River in Fort Lee, N.J., another closed in Reno, Nev., and four schools closed in Lodi, Wis., after students were sickened.

Judy Davis, a spokeswoman for the Washoe County District Health Department in Nevada, said state, county and school officials agreed that closing Mendive Middle School in Sparks was "best course of action" to prevent further spread of the flu after five students were sickened and one was hospitalized.

But experts said closing schools once students were already ill would do little to halt the virus' seemingly inexorable spread.

"As a disease containment measure, it is not likely to be effective," said Dr. Paul Biddinger, associate director of the Center for Public Health Preparedness at the Harvard School of Public Health.

(This version CORRECTS that Patti Woodcock is a spokeswoman for the Pima County (Ariz.) Health Department, not the Arizona Department of Health Services.)

Swing Flu is Slowing Down in Mexico

Influenza A(H1N1) Swine Flu which is dangerous Virus or Flu and this Swing Flu or Influenza A(H1N1) which is coming from the pig. The Mexico has been affected greatly and for this reason they announced to close the schools,cafe,shops and restaurants. But the good the news is the swine flu influenza outbreak have been dropping, according to health officials.

Mexico’s Secretary of Health told reporters over the weekend that the epidemic in that country had peaked and the number of new cases was on the decline. He also complained that some countries – most notably China – had reacted inappropriately by quarantining some travelers arriving from Mexico, even though they showed no symptoms of influenza. We’ll look at how various countries have acted – even over-reacted in some cases – to protect their borders and their citizens from the possible pandemi

According to BBC:

Restaurants and cafes in Mexico City are to reopen on Wednesday after the country recorded a fall in new cases of the swine flu virus.

Libraries, museums and churches are to follow suit a day later but cinemas, theatres and bars are to remain closed, the mayor’s office said.

Government officials are meeting to discuss when schools and businesses across the country can resume work.

More than 1,000 cases of the virus have been reported in 20 countries.

Confirmed cases in the US have risen from 226 to 286, spread over 36 states, with most patients suffering mild symptoms. One death has been confirmed - that of a Mexican two-year-old boy who was visiting Texas.

Officials say the rise in cases in recent days was due to results of lab tests coming through, rather than because of a new surge in cases.

The UN says it has seen no evidence of a spread at community level in Europe and Asia - a development that would trigger the highest level of alert.

Dr Keiji Fukuda, deputy chief of the World Health Organization (WHO), told reporters it was essential that surveillance remained strong worldwide.

Transmission to people who have not visited Mexico has been confirmed in six countries.

The virus is suspected of claiming 101 lives in Mexico though the number of confirmed cases there is 26, its health minister said on Monday.

After Mexico accused China of unfairly quarantining some of its citizens, the two countries sent planes to pick up each other’s citizens.

In other developments

• Canada’s confirmed number of cases rose to 140

• Of nine new confirmed cases of swine flu in the UK, seven appear to have been acquired from people who had not been to Mexico; total confirmed cases stood at 27

• About 250 recruits and personnel at an army camp in the western Swiss canton of Fribourg were placed under quarantine after two recruits reported having flu symptoms

‘Phase of decline’

Mexico’s shutdown is credited with stemming the spread of the virus but it badly affected the country’s economy.

President Felipe Calderon went on national TV on Sunday night to say a nationwide shutdown and an aggressive information campaign appeared to have helped curtail the outbreak in Mexico.

“We have succeeded in detaining or at least slowing the spread of the virus precisely because the measures have been the correct ones,” he said.

Swine flu has been confirmed as the cause of 26 deaths in Mexico and 701 people have been infected, Health Minister Jose Angel Cordova said on Monday.

Earlier, he had said the epidemic was “in its phase of decline”, having peaked between 23 and 28 April.

Talking about the possible reopening of schools, he warned it would “not happen just like that”. “There will have to be training, preparations for teachers and parents,” he told reporters.

Inhabitants of the capital interviewed by Reuters news agency on Sunday spoke of their frustration at the upset caused by the restrictions.

“They should open everything back up so we can work,” said Alberto Vazquez, 28, who washes cars for a living.

“These last days have been hard on us. If we don’t work, we don’t eat.”

‘Deceptive’ virus

Mexico has criticised China for placing in quarantine up to 70 Mexicans even though they showed no sign of having contracted swine flu.

A Mexican-chartered plane has left for Beijing to pick up Mexican citizens from different Chinese cities.

China, which denies discrimination, sent a plane in the opposite direction to pick up 200 Chinese nationals stranded in Mexico City.

A Mexican man staying in a Hong Kong hotel was confirmed to have contracted the virus on Friday. More than 250 guests and staff at the hotel are being held under quarantine for a week.

Canada asked China for an explanation on Monday after it also quarantined a group of at least 20 Canadian students, none of whom had shown any flu symptoms, in the north-eastern town of Changchun.

WHO chief Margaret Chan said there was “no indication” that swine flu, or H1N1, might develop into a pandemic similar to the Spanish Flu which killed tens of millions at the end of World War I.

Addressing a meeting of the UN General Assembly in New York by video link from Geneva, she also cautioned against complacency: “Flu viruses are very unpredictable, very deceptive… We should not be over-confident. One must not give H1N1 the opportunity to mix with other viruses.”

UN chief Ban Ki-moon, in New York, said the WHO did not plan to raise its pandemic alert to the highest level if the outbreak continued in its current pattern.

The severity of the swine flu virus remains uncertain, the BBC’s Imogen Foulkes reports from Geneva.

Health experts worldwide want to know which population groups are most vulnerable and why the virus has caused severe pneumonia among some patients, and diarrhoea - not normally associated with flu - in others, our correspondent says.

On Tuesday the WHO will hold a meeting of doctors and scientists to discuss these questions. The answers, the WHO says, will help all those working to control and treat the virus.

Background

The swine flu is likely a descendant of the infamous "Spanish flu"[citation needed]that caused a devastating pandemic in humans in 1918–1919. In less than a year, that pandemic killed more an estimated 50 million people worldwide. Descendants of this virus have persisted in pigs; they probably circulated in humans until the appearance of the Asian flu in 1957, and reemerged in 1977.Direct transmission from pigs to humans is rare, with 12 cases in the U.S. since 2005.

The flu virus is perhaps the trickiest known to medical science; it constantly changes form to elude the protective antibodies that the body has developed in response to previous exposures to influenza or to influenza vaccines. Every two or three years the virus undergoes minor changes. Then, at intervals of roughly a decade, after the bulk of the world's population has developed some level of resistance to these minor changes, it undergoes a major shift that enables it to tear off on yet another pandemic sweep around the world, infecting hundreds of millions of people who suddenly find their antibody defenses outflanked.Even during the Spanish flu pandemic, the initial wave of the disease was relatively mild and the second wave was highly lethal.

In 1957, an Asian flu pandemic infected some 45 million Americans and killed 70,000. Eleven years later, lasting from 1968 to 1969, the Hong Kong flu pandemic afflicted 50 million Americans and caused 33,000 deaths, costing approximately $3.9 billion. In 1976, about 500 soldiers became infected with swine flu over a period of a few weeks. However, by the end of the month investigators found that the virus had "mysteriously disappeared" and there were no more signs of swine flu anywhere on the post. There were isolated cases around the U.S. but those cases were supposedly to individuals who caught the virus from pigs.

Medical researchers worldwide, recognizing that the swine flu virus might again mutate into something as deadly as the Spanish flu, were carefully watching the latest 2009 outbreak of swine flu and making contingency plans for a possible global pandemic.