H1N1 cases in health workers show need for protection

first_imgJun 18, 2009 (CIDRAP News) – An analysis of novel H1N1 influenza cases in healthcare workers in the early weeks of the epidemic shows that half of them were probably infected on the job, and most of those weren’t using respiratory protection, the Centers for Disease Control and Prevention (CDC) said today.Among 26 cases for which detailed information was available, 13 of the healthcare personnel (HCP) were believed to have been infected in a healthcare setting, the CDC said. Only three of the infected workers reported using a surgical mask or an N-95 respirator.The findings suggest that health workers are being infected both at work and in the community and that healthcare facilities need to reinforce messages about current infection control recommendations, the CDC said in the Jun 19 issue of Morbidity and Mortality Weekly Report.Part of the problem is that potentially infectious patients aren’t always being identified as soon as they arrive at a clinical or hospital, so medical workers are not promptly alerted about the need to don protective garb, CDC officials said at a news briefing today.Exposure factorsThe CDC had received reports of 48 novel flu infections in HCP by May 13, and 26 of those included detailed information about possible exposures to the virus. Two of the 26 workers were hospitalized, but none required intensive care, and all recovered.Six of the 26 workers reported caring for a patient with H1N1 flu, and another six cared for a patient with a respiratory illness, the CDC said. Six workers reported close contact with someone who had the virus or a respiratory illness, and four had traveled recently to Mexico.Of the 13 personnel judged likely to have been infected at work, 12 probably or possibly caught the virus from a patient, and the other person probably was infected by another healthcare worker, the CDC reported.As for the other 13 personnel, 11 were believed to have been infected outside work, and the other two had no reported exposures either on or off the job.Among the 12 people believed to have been infected by patients, 11 gave information on their use of personal protective equipment (PPE) while working. Only three of these reported always using a surgical mask or an N-95 respirator. Five reported always wearing gloves, but none reported consistent use of eye protection. Nor did any worker report always using gloves, gown, and a mask or respirator.However, the findings do not prove that the workers were infected because they didn’t use PPE, the report states.Infection control recommendationsBecause of the lack of a vaccine and limited data on the novel virus’s behavior, the CDC currently recommends that at-risk HCP use N-95 respirators, eye protection, and contact precautions, in addition to the usual infection control precautions for seasonal flu, the report notes. The latter include vaccination, isolation of patients in single rooms, and standard and droplet precautions.Among the barriers to the use of proper infection control precautions, the CDC says, is failure to recognize patients and activities that warrant such precautions. Dr. Michael Bell commented at today’s news briefing. He is associate director for infection control in the CDC’s Divisionof Healthcare and Quality Promotion, National Center for Preparedness, Detection, and Control of Infectious Diseases.”Probably the single most important thing is that infectious patients be identified at the front door,” whether in a hospital or an outpatient clinic, Bell said.He added later, “One of the patterns we’re beginning to see is that healthcare facilities are not promptly identifying potentially infectious patients.” In normal circumstances, with no indication that PPE is needed, “there’s no way to expect those personnel to do this consistently. That identification of a potentially infectious patient’s first step is absolutely essential for this to work.”The number of novel flu infections in people involved in healthcare has grown to 81 since May 13, Bell reported. He said the CDC does not have detailed information on the additional cases, but there are no signs of a “sudden increase or an alarming change in pattern.””We are not seeing anything to indicate that HCP are overly represented among cases in this country,” he added.The MMWR article says that about 4% of confirmed and probable H1N1 cases in adults up to May 13 were in HCP, whereas about 9% of working adults in the United States work in healthcare.Disease severity in young peopleIn other comments at today’s briefing, Dr. Daniel Jernigan, deputy director of the CDC’s Influenza Division, said the robust immune response of young people may have something to do with the finding that the virus is hitting younger people harder than older groups. Last week Dr. Margaret Chan, head of the World Health Organization, said most of the severe and fatal cases are occurring in people between 30 and 50.In response to a question, Jernigan noted that older people may have some protection from the virus because of previous exposures to other H1N1 viruses, distant relatives of the new strain.”In terms of the younger individuals, it may be that the severity of the disease is due to the robust immune response of younger individuals,” he added. “But at this point we don’t have any specific information to tease that out. But I would say that the serology supports the notion that there may be protection among older individuals, and the severity of the disease, notably in Mexico City, suggests that the robust immune response in the younger may be responsible for the severity.”On another topic, Jernigan said it’s too early to tell whether the novel H1N1 viruses will crowd out seasonal flu viruses and become predominant in the southern hemisphere’s current flu season. He said the data from some areas suggest that the novel virus is becoming dominant, but some laboratories are testing only for that strain, so the true picture isn’t clear. In some other areas where surveillance has been done for a long time, authorities are finding that the novel virus is predominant but that seasonal strains are also circulating, he said.”Right now we don’t have enough information to say that there is a replacement occurring, and at this point we’re expecting that there’ll be multiple subtypes circulating this fall,” he said.See also: Transcripts of CDC press briefings on novel H1N1 fluhttp://www.cdc.gov/h1n1flu/press/last_img read more

Irish PM says good chance social distancing rule can be relaxed

first_imgTopics : The daily number of new COVID-19 cases has stayed below 100 for 13 of the last 14 days and the so-called “reproduction rate” narrowed further to 0.4 to 0.5 this week, a trend the country’s top epidemiologist described as “astonishingly stable.”Ireland partially eased stay-at-home restrictions last week, the first of a five-stage plan that currently only sees restaurants opening in late June, hotels in July and finally pubs in August, far later than many European countries.Restaurants in Italy, the Netherlands, Austria, Portugal and Germany have reopened with looser 1 to 1.5 meter guidelines. Operators in the Czech Republic, Iceland and Switzerland that have had to stick to 2 meters have had the benefit of being open since May to try to salvage some of the busy summer season.Varadkar said on Wednesday that he hoped to be in a position to speed up the reopening plan next week.”I certainly want to accelerate it. It’s really the numbers next week that tell us whether we’re still going in the right direction,” he added on Friday. Irish Prime Minister Leo Varadkar raised the prospect on Friday of halving social distancing rules from two meters to one if the rate of coronavirus infections comes down further in a potential boost to still shuttered restaurants and pubs.Facing one of the longest shutdowns in Europe, Ireland’s hospitality sector has called for the guidelines to be eased in line with a number of other European countries, saying it could be the difference between some operators reopening or not.”Before we can relax that rule and maybe reduce it to 1 [meter], which I know a lot of people would like, we just need to see the virus come down a bit more. We’re not at that point yet but I think there’s a good chance we get there, just not quite yet,” Varadkar told Ireland’s FM104 radio station.last_img read more

Trump’s media pugilist Kellyanne Conway steps down

first_imgKellyanne Conway, a long-serving advisor to President Donald Trump known for sparring with reporters, announced Sunday she will step down to focus on her family.Conway, 53, has been at Trump’s side since day one, managing his 2016 campaign that catapulted the reality TV star into the world’s most powerful office.But the past four years of singular loyalty to Trump, including defending him on TV and with informal “gaggles” with the press, have taken a toll. Topics : Her husband, prominent Washington lawyer George Conway, is one of Twitter’s most prolific Trump critics, repeatedly and loudly questioning the president’s mental fitness for office.Also, Conway’s 15-year-old daughter Claudia wrote on Twitter Saturday that she was “devastated” that her mother would speak at the Republican convention, and pledged to seek legal emancipation “due to years of childhood trauma and abuse”.Less than 24 hours later, Kellyanne Conway tweeted a statement that closes by saying: “For now, and for my beloved children, it will be less drama, more mama”.Conway said she would step down by the end of the month and that her husband George would also be making some changes.center_img “We disagree about plenty but we are united on what matters most: the kids,” she wrote.Conway has become both famous and notorious for sparring with the media, often by finding a way to change the topic, turn the question back on the reporter, or merely complain.All of which did with a flamboyant fashion sense — snake-skin pattern dress one day, a bright red one the next — standing out in an often-gray city.Her work led her at one point to be depicted on the long-running US comedy show Saturday Night Live as “Kellywise”, a spoof of the murderous, sewer-dwelling clown from horror novel and film “It”.Conway also stuck out her White House role while a parade of other aides were forced out, quit or left in humiliation.Conway, a lawyer and pollster by training, said her departure was her call.”This is completely my choice and my voice. In time, I will announce future plans.”last_img read more

The prediction Nicolas Pepe made about Olivier Giroud and Pierre-Emerick Aubameyang before Arsenal’s FA Cup triumph

first_imgAubameyang and Pepe came away from Wembley with FA Cup winners’ medals (Picture: Getty)The Gunners held on to their advantage against a 10-man Chelsea side following Mateo Kovacic’s sending off to get their hands on the trophy for a record 14th time to strengthen their status as the most successful team in the history of the competition. AdvertisementAdvertisementADVERTISEMENTArsenal forward Pepe had one of his better games since arriving from Lille last summer and looked to have scored a sublime equaliser in the first half before it became clear Ainsley Maitland-Niles was in an offside position in the build-up to the strike.And while the Ivorian has had a mixed debut campaign in England, he was never in any doubt that he would be on the winning team at Wembley. Olivier Giroud left Wembley empty handed just as Nicolas Pepe predicted (Picture: Getty)A new video has emerged which shows just how confident Nicolas Pepe felt about securing victory heading into Arsenal’s FA Cup final clash with Chelsea. Frank Lampard’s men dominated the early stages at an empty Wembley on Saturday evening and took the lead through Christian Pulisic, who continued his remarkable run of form to score his fifth goal in all competitions since the season restarted.But it was Pulisic’s former Borussia Dortmund team-mate, Pierre-Emerick Aubameyang, who stole the headlines as he fired home from the penalty spot to level midway through the first half before beating Willy Caballero with an exquisite dinked finish in the 67th minute. The prediction Nicolas Pepe made about Olivier Giroud and Pierre-Emerick Aubameyang before Arsenal’s FA Cup triumph Pepe picked up his first piece of silverware with the Gunners (Picture: Getty)In a short video taken on Snapchat prior to the match, Pepe vowed to get the better of Chelsea and made a promise that the final would be about him and Aubameyang rather than ex-Arsenal striker Giroud.‘Tomorrow we qualify for the Europa League,’ he said.‘I don’t want to hear about Chelsea, Olivier Giroud – tomorrow, it’s Aubameyang, Pepe.’ Comment Metro Sport ReporterMonday 3 Aug 2020 9:54 amShare this article via facebookShare this article via twitterShare this article via messengerShare this with Share this article via emailShare this article via flipboardCopy link7kSharescenter_img Advertisement Much of the talk following Saturday night’s showpiece surrounded the future of Arsenal’s talisman, Aubameyang, with the Gabon international out of contract in less than 12 months’ time. ‘I am really not thinking about this now I really just want to enjoy with the guys and take the trophy now,’ Aubameyang told BT Sport shortly after the final whistle.‘I think everyone gave their best for the team today, we deserved it. ‘The journey has been long, great evening, I will enjoy all night for sure, I had this inspiration.’More: Arsenal FCArsenal flop Denis Suarez delivers verdict on Thomas Partey and Lucas Torreira movesThomas Partey debut? Ian Wright picks his Arsenal starting XI vs Manchester CityArsene Wenger explains why Mikel Arteta is ‘lucky’ to be managing ArsenalArsenal head coach Mikel Arteta urged Aubameyang to stay on at the club and become a legend alongside the likes of Thierry Henry and Ian Wright. Asked about the striker’s winning goal, Arteta said: ‘It’s the most difficult thing in football, that’s for sure, and he makes it simple – look at the second goal he scored.‘We always had incredible strikers at this football club and Auba deserves to be named and compared with the big names.‘By winning trophies he will be closer to that and the longer he stays there as well.‘Hopefully we can have him for more time.’Will Aubameyang still be an Arsenal player next season?Yes0%No0%Share your resultsShare your resultsTweet your resultsFollow Metro Sport across our social channels, on Facebook, Twitter and Instagram. For more stories like this, check our sport page.MORE: Martin Keown makes Pierre-Emerick Aubameyang prediction after Arsenal’s FA Cup final victory over ChelseaMORE: Arsene Wenger picks his two favourites to win this year’s Champions League Nicolas Pepe with a promise on Friday ahead of the FA Cup final: “Tomorrow we qualify for the Europa League. I don’t want to hear about Chelsea, Olivier Giroud – tomorrow, it’s Aubameyang. Pepe.” 👀😂 #afc pic.twitter.com/5EQ8axjSm7— afcstuff (@afcstuff) August 2, 2020 Advertisementlast_img read more

ICC World Cup ICC Cricket World Cup 2019: Clinical New Zealand decimate Afghanistan by seven wickets

first_imghighlights New Zealand won their third straight game in ICC Cricket World Cup 2019.James Neesham took his maiden five-wicket haul in ODIs.Kane Williamson scored his 38th ODI fifty. For all the Latest Sports News News, ICC World Cup News, Download News Nation Android and iOS Mobile Apps. New Delhi: The Cooper Associates County Ground in Taunton is best remembered for Sourav Ganguly’s 183 and Rahul Dravid’s 145 in the 1999 World Cup encounter which resulted in a then-world record stand of 318 runs. That was the last international match at the venue. 20 years later, the ground witnessed a clinical performance by New Zealand against Afghanistan. James Neesham tore through the Afghanistan batting with 5/31 and was well-backed up by Lockie Ferguson’s fiery four wicket haul. Skipper Kane Williamson led from the front with a brilliant 79* and New Zealand secured a convincing seven-wicket win against Afghanistan to stay on top of the group. Barring Hashmatullah Shahidi’s fifty and a solid contribution from the openers, the Afghanistan batting were found wanting against the bounce generated by Neeshan and the pace of Ferguson. New Zealand inserted Afghanistan in and Hazratullah Zazai struck three boundaries off Matt Henry in the first over. Zazai looked to take the attack to the New Zealand pacers and he survived two attempted catches. In the seventh over bowled by Trent Boult, Zazai was dropped by Ross Taylor and the batsman followed it up with a six and a four off Henry, who was having an off day. It seemed it would be Afghanistan’s day.However, the introduction of Neesham and Ferguson changed the complexion of the innings. Neesham accounted for Zazai (34) to end the 66-run opening stand while Noor Ali Zadran (31) was sent back by Ferguson. When Neesham sent back Rahmat Shah (0) and Gulbadin Naib (4), the Afghanistan innings was in freefall. A rain break for 15 minutes only added to the woes as Afghanistan looked for momentum. Shahidi was in fine form but the second rain-break totally swung the game New Zealand’s way. Mohammad Nabi (9) and Najibullah Zadran (0) fell to Neesham as he took his first five-wicket haul. Shahidi held the lower order together and Ikram Alikhil was dropped again by Taylor. However, the batsman could not capitalise on his chance and Colin de Grandhomme took his wicket. However, Ferguson dealt Afghanistan a body blow. A pacy bouncer hit Rashid Khan and the ball trickled back onto the stumps. Rashid received treatment for a concussion Shahidi reached his fifty and got Afghanistan past 150 but Ferguson took the last wicket to bowl Afghanistan out for 172 in just the 42nd over. In response, Martin Guptill fell first ball to Aftab Alam but Colin Munro got going with a couple of boundaries. When news emerged, that Rashid had failed a concussion test and could not bowl in the innings, Afghanistan’s morale dipped. Williamson and Munro kept the scoreboard ticking but Alam struck again by removing Munro for 22. Taylor joined Williamson and the duo went about scoring the runs in an efficient manner. Taylor launched Nabi for a six while Williamson notched up his 38th fifty. Alam broke the 89-run stand when Taylor (48) missed a full toss but Williamson guided New Zealand over the line to ensure they sustain their great start to the tournament.last_img read more

Confident Sunshine Girls leave for World Cup today

first_imgAfter months of intense preparation, Jamaica’s senior netball team, the Sunshine Girls, left the island this morning for Australia, where they will take part in the 2015 Netball World Cup in Sydney from August 6-16.The delegation includes coaches Minneth Reynolds, assistant coach Annett Daley, manager Lydia Wilks and the 12 squad members led by captain Nicole Aiken-Pinnock.The others players are Paula Thompson, Romelda Aiken, Shanice Beckford, Kadie-Ann Dehaney, Nicole Dixon, Stacian Facey, Jhaniele Fowler-Reid, Ann Kaye Griffiths, Sasher Gaye Henry, Khadijah Williams and Vangalee Williams. Technical Director Jill McIntosh left the Island early on Tuesday.According to captain Aiken-Pinnock, preparation was thorough, team chemistry and camaraderie are excellent, and the team has only one thing on its mind: winning the gold medal.”The ladies are well prepared. We have done all the work. We just have to stay focused and get on court, listen to the coaches’ instructions, and execute. The ladies are very excited and I must commend them for their discipline. They are really focused and they understand that we are not just going there for any medal; we are focusing on the gold,” she told The Gleaner.”One of the main things we have as a unit is that whole camaraderie that you need in a team. We have each others’ backs, no matter what. We are really together and we really support each other. We try to do things as a team and I believe that is a positive thing going forward,” she continued.WC experienceWith two world championships already under her belt, Aiken-Pinnock knows her experience and the experience of other stalwarts such as Romelda Aiken and Jhaneile Fowler-Reid will be crucial as there are five World Cup debutants in the squad, though she insists it’s all for one, and one for all.”I am not the only person in the team going to a third World Championship. I can’t do anything by myself, so I have to feed off the energy of the ladies, just like how they feed off my energy,” she stated.She also added, “All I need from Jamaica is their support and that they continue to pray for us. We are very focused, and whatever the result, we will be very proud because I know the ladies will give of their best. But we have only one aim in mind, and it’s to get the gold.”last_img read more