September 17 Flu UpdateWhile WHO acknowledges that there may be some public fatigue on the bird flu issue, the threat of a pandemic remains "high." My comment: we live in an instant gratification society, and I think most people in the public have moved on....until something happens to make it hit home. Like any issue, it will require something greater than what happened prior to the fatigue setting in.
ProMed has a story we ran earlier that said that research in Vietnam showed that Tamiflu was needed very quick to stem the tide of H5N1, confirmed the cytokine storm, etc. Note the mod comment from CP:
To what extent, however, their observations are specific for H5N1 influenza is debatable. Their 2 groups of patients were not precisely comparable, the seasonal influenza patients being hospitalized at an earlier stage in the disease process and possibly from urban rather than rural communities. Of greater relevance may be the genetic constitution of their patients, since most humans are vulnerable to seasonal influenza, whereas few contract avian influenza.
Furthermore, detrimental chemokine and cytokine cascades can be an accompaniment of other respiratory virus infections, such as severe respiratory syncytial virus (RSV) infections in infancy.
Roche says it has a US based Tamiflu supply chain, including fermented shikimic acid.
Note: The World Bank also joined in the warnings.
A 30-year old Vietnemese has died, but tests say it is not bird flu.
Texas paper with first of three part series on bird flu.
Revere asks what will happen to those who are in US prisons if there is a pandemic.
Recombinomics says the genetic diversity of H5N1 is shifting more rapidly in Indonesia, increasing a pandemic threat.