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

Obama calls Trump’s virus response a ‘chaotic disaster’

first_imgThis Dec. 13, 2019 file photo shows former President Barack Obama speaking at the Gathering of Rising Leaders in the Asia Pacific in Kuala Lumpur, Malaysia. AP More than 78,400 people with COVID-19 have died in the United States and more than 1.3 million people have tested positive, according to the latest estimates from the Center for Systems Science and Engineering at Johns Hopkins University. (AP) Obama also reacted to the Justice Department dropping its criminal case against Trump’s first national security adviser, Michael Flynn, saying he worried that the “basic understanding of rule of law is at risk.”center_img WASHINGTON – Former President Barack Obama harshly criticized President Donald Trump’s handling of the coronavirus pandemic as an “absolute chaotic disaster” during a conversation with ex-members of his administration, according to a recording obtained by Yahoo News.last_img read more

Raymond Lee Peters

first_imgMr. Raymond Lee Peters, age 73, of Vevay, Indiana, entered this life on August 7, 1942, in Florence, Indiana, to Dale Arnold and Ida Margaret (Riley) Peters. He was raised near Florence, Indiana and was a 1996 graduate of the Switzerland County High School. Raymond was inducted into the United States Army on July 1, 1964, in Louisville, Kentucky, serving during the Vietnam War. He earned the Vietnam Service Medal and the National Defense Service Medal. Raymond spent 11 months and 23 days in Vietnam. Raymond was honorably discharged with the rank of Private First Class on June 23, 1966 in Oakland, California. Raymond was united in marriage on September 15, 1964, at the Ruter Chapel United Methodist Church in Vevay, Indiana, to Crystal Mae Voris and to this union arrived two sons, Allen and Christopher to bless their home. Raymond and Crystal shared nearly 52 loving years of marriage together until his death. Raymond was employed for Randall’s Textron in Vevay, Indiana for 29 1/2 years. Raymond was later employed for Steel Technology in Ghent, Kentucky for 16 years until his health could no longer permit. He was a member of the Spring Branch Baptist Church and the Vevay American Legion Post #185. Raymond enjoyed working and keeping a meticulous lawn. Raymond passed away at 5:00 am, Tuesday, July 5, 2016, at his residence in Vevay, Indiana.Raymond will be dearly missed by his loving wife of nearly 52 years: Crystal Mae (Voris) Peters of Vevay, IN; his sons: Allen Peters of Vevay, IN and Christopher Peters of Greensburg, IN; his grandchildren: Christopher Dale Peters, Leeann Peters, Brigitte Peters and Sara Lenville; his brothers: Larry Peters of Pleasant, IN, Bobby Jo Peters of Florence, IN and Dale Peters of Patriot, IN; his sisters: Patricia Brandon of Aurora, IN and Carolyn Morgan of Vevay, IN and his several nieces and nephews.He was preceded in death by his parents: Dale Arnold and Ida Margaret (Riley) Peters; his niece: Cheryl Cunningham and his special friends: Tim Hunter and Bob Taylor.Graveside Services and Interment will be conducted Thursday, July 7, 2016, at 2:00 pm, by Rev. Howard Wade at the Indiana Veterans Memorial Cemetery, Madison, Indiana.Friends may call 11:00 am – 1:00 pm, Thursday, July 7, 2016, at the Haskell & Morrison Funeral Home 208 Ferry Street Vevay, Indiana 47043.Memorial contributions may be made to the American Cancer Society or to the Spring Branch Baptist Church. Cards are available at the funeral home.last_img read more

Guyana complete ‘sweep’ of Grenada

first_imgTHE Junior Hercules-coached Guyana National Basketball team defeated Grenada 97 – 73 on Sunday last at the Cliff Anderson Sports Hall, to end their three-game Goodwill Basketball Series undefeated. It was the most competitive of the three games played between the two countries, since Guyana won the first encounter 90 – 73 and the second 97 – 75.In the final game watched by a small but appreciative crowd at the country’s premier indoor facility, Guyana led 21 – 17 at the end of the first quarter and 56 – 30 at half time. Heading into the final period, Guyana held an 82 – 55 advantage. Ray Victor once again led all scorers with a well-rounded 17 points, while Nikkoli Smith and Travis Belgrave finished the night with 16 and 15 points respectively.For Grenada, G. St John and J Williams both netted 16 points. At the presentation of prizes, where Guyana collected the series trophy, which was sponsored by Trophy Stall, president of the Guyana Amateur Basketball Federation (GABF), Michael Singh, thanked both teams for putting on a nightly show for the fans, especially the home side.According to Singh, the series is the first of many to come for Guyana, the reigning regional champions, as they begin preparation for the 2021 Caribbean Basketball Confederation (CBC) qualifiers. (Rawle Toney)last_img read more