Sunday, May 31, 2009

Khaw says communal spread of H1N1 likely to happen soon

By Satish Cheney, Channel NewsAsia | Posted: 31 May 2009 2220 hrs

Temperature screening at Singapore hospital with first confirmed H1N1 case

SINGAPORE: Singapore has confirmed its fifth case of the Influenza A (H1N1) flu virus.

The patient is a 22-year-old Singaporean woman who had travelled to the US from May 13 to 28.

Some 20 contacts, including five family members and 15 flight passengers, have been identified for home quarantine via contact tracing.

But the Health Ministry has so far managed to contact only four of the 15 passengers.

The Ministry has alerted the World Health Organisation (WHO) on all the close contacts who are out of the country. In addition, all available information on connecting flights has been given to WHO's relevant authority for follow up action. Contact particulars have also been provided to Singapore's Immigration and Checkpoints Authority to notify the Ministry should they turn up at the border checkpoints.

Five other passengers are known to be outside Singapore.

Meanwhile Health Minister Khaw Boon Wan has said that while the H1N1 strain remains relatively mild, the communal spread of the virus is likely to happen soon.

Expect more H1N1 cases, says Mr Khaw. It is just a matter of time before the communal spread of the virus will take place, as patients would have had contact with numerous people in the community.

Mr Khaw said: "As some experts in WHO put it, one-third of mankind will be infected over the next two years. One-third of mankind in Singapore means one million people will be down with it."

But authorities said this is not a numbers game and the bigger worry is if the strain becomes more virulent.

H1N1 carriers without symptoms are also a worry.

At the moment, Singapore scientists are keeping tabs on the virus to check if it evolves and mutates into something more dangerous.

Another concern is the availability of hospital beds.

Mr Khaw said: "If every H1N1 patient is to be hospitalised as a rule when it is not necessary, then you will be (taking) up a lot of hospital beds, when I have to look after cancer patients, heart patients...and so on.

"At the moment, when the numbers are small we can afford to go all out and hunt every contact, but it is a matter of time when there are many more cases, then we no longer can play this, the way we have been doing the last few days.

"So, the important part of health care becomes looking for people who are high risk - pregnant, those who have asthma and other illnesses."

Mr Khaw added that the alert level will not be raised to Orange based on the number of cases alone, but on factors such as changes to the virulence and evolution of the virus.

As of Sunday, the Ministry has served 82 Home Quarantine Orders (HQOs) to close contacts of the five confirmed cases. 68 others who have been in close contact with the affected patients are already out of the country. The Ministry has also lined up other facilities for quarantine purposes, if needed.

And as the school holidays have already started, many would be planning vacations overseas. Mr Khaw said Singaporeans should really try and avoid going to North America, if they can do so.

Meanwhile, all five H1N1 patients remain stable. Three have been discharged but the first H1N1 case is still undergoing treatment in hospital. - CNA/ms

From ChannelNewsAsia.com; see the source article here.

Three of five confirmed H1N1 cases discharged from CDC

By Cheryl Lim, Channel NewsAsia | Posted: 31 May 2009 1909 hrs

Communicable Diseases Centre at Tan Tock Seng hospital in Singapore

SINGAPORE: Three of Singapore's five confirmed Influenza A (H1N1) flu cases were discharged from the Communicable Disease Centre (CDC) on Sunday.

Meanwhile, Singapore's first case - the 22-year-old Singapore Management University student - is into her fifth day of Tamiflu treatment at the CDC.

The Health Ministry said she is well and in stable condition.

As of Sunday, the Ministry has served 82 Home Quarantine Orders (HQOs) to close contacts of the five confirmed cases.

68 others who have been in close contact with the affected patients are already out of the country.

The Ministry is currently tracing the contacts of the fifth case, a 22-year-old Singaporean woman who had travelled to the US from May 13-28.

Some 20 contacts, including five family members and 15 flight passengers, have been identified.

Her family members are currently well and have been placed under HQO until June 6.

The Ministry has so far managed to contact only four of the 15 flight passengers, and HQOs will be served to them.

Five other passengers are known to be outside Singapore.

The Ministry has alerted the World Health Organisation (WHO) on all the close contacts who are out of country.

In addition, all available information on connecting flights has been given to WHO's relevant authority for follow up action.

Contact particulars have also been provided to the Immigration and Checkpoints Authority to notify the Ministry should they turn up at the border checkpoints.

The Ministry said it is monitoring the situation closely and will update the public on any new developments. - CNA/ms

From ChannelNewsAsia.com; see the source article here.

Vietnam records first H1N1 flu case

Posted: 31 May 2009 1400 hrs

Children wear protective masks while riding a jeepney in downtown Manila.

HANOI : Vietnam has recorded its first case of Influenza A (H1N1) flu after a man tested positive for the virus, the health ministry said on Sunday.

"It is the first patient of the virus A(H1N1) in Vietnam," ministry spokesman Nguyen Huy Nga told AFP, adding that the case was "confirmed officially by our ministry this morning".

An initial test at the tropical diseases hospital in southern Ho Chi Minh City was positive, and two follow-up tests at the city's Pasteur Institute confirmed the diagnosis, Phan Van Tu, a doctor with the Institute, told AFP.

The patient, a 23-year-old man, was in a stable condition with a slight fever, Tu added.

State television reported that the patient returned home early last week from the United States via Hong Kong.

The World Health Organisation (WHO) said it had been formally notified of the case.

It said the patient sought medical attention after noticing flu symptoms a day after returning from the United States. Five members of his family have been given medication and placed in isolation, while passengers on the same flight as the man are being tracked down, the WHO said.

Emergence of the virus in Vietnam was "highly likely" given the country's international travel links, Shelaye Boothey, a WHO spokeswoman, told AFP.

Vietnam has been monitoring the health of passengers arriving at its airports in a bid to detect H1N1 flu.

The virus was first detected last month in the United States and Mexico.

In its latest update, the WHO said 53 countries had reported 15,510 cases of H1N1 flu, including 99 deaths. - AFP/yb/ms

From ChannelNewsAsia.com; see the source article here.

Health Ministry confirms fifth case of H1N1 in Singapore

By Cheryl Lim, Channel NewsAsia | Posted: 31 May 2009 1149 hrs

Temperature screening at Singapore hospital with first confirmed H1N1 case

SINGAPORE: Singapore on Sunday confirmed its fifth case of the H1N1 virus.

The patient is a 22- year-old Singaporean who had travelled to the United States from May 13 to 28.

The Health Ministry (MOH) said she is currently being treated at the Communicable Disease Centre at Tan Tock Seng Hospital and is in a stable condition.

She returned from New York via Tokyo at about 11.30pm on Friday, on All Nippon Airways NH901 flight, seated at Row 36.

She had no fever and passed the thermal scanners at the airport.

She was met by her family who took her home in the family car.

She subsequently developed a fever at around 8am on Saturday.

Her mother drove her to the hospital's emergency department and she was admitted to the Communicable Disease Centre for further testing.

Laboratory results confirmed her infection at 8.05pm on the same day.

The Ministry said her symptoms are mild.

It has initiated tracing of her close contacts, who will be quarantined and provided with antiviral prophylaxis.

Passengers within rows 34 to 38 on All Nippon Airways NH901 on May 29, who have not been contacted by the Ministry, should call the MOH hotline at 1800-333 9999.

- CNA/yb

From ChannelNewsAsia.com; see the source article here.

Saturday, May 30, 2009

Lebanon confirms first 3 cases of swine flu in airport passengers

05/30/2009 | 05:06 PM

BEIRUT — Lebanon's health minister has confirmed the country's first three cases of swine flu, found in passengers arriving at the airport.

Mohammed Jawad Khalife told reporters Saturday that a Lebanese man, a Canadian woman and her infant son were diagnosed with the virus a week ago and are now recovering.

The minister insisted that the virus does not exist locally in Lebanon.

Authorities have taken a series of measures recently to combat the flu, including screening suspect passengers, banning imports of pig livestock and products.

Swine flu has sickened more than 13,000 people in 48 countries and been linked to more than a 100 deaths. – AP

From GMANews.tv; see the source article here.

Study links lung cancer death to menopause hormones

Time is GMT + 8 hours

Posted: 31-May-2009 05:47 hrs

Hormonal therapy for menopause, already linked to an increase in breast cancer and strokes, also strongly increases the risk of death among women who develop lung cancer, said research released at the 45th annual meeting of the American Society of Clinical Oncology (ASCO) Saturday.

Hormonal therapy for menopause, already linked to an increase in breast cancer and strokes, also strongly increases the risk of death among women who develop lung cancer, said research released Saturday.

The findings are based on secondary analyses of a study of 16,608 menopausal women in good health by the US government known as the Women's Health Initiative.

Researchers sought to evaluate the effects of Prempro, a combination of estrogen and progestin (a synthetic form of progesterone), sold by the US pharmaceutical Wyeth.

The analysis focused on the incidence of the most common form of lung cancer and its mortality rate over a period of nearly 5.5 years comparing women who followed the hormonal treatment and another group that took placebos.

There was no significant difference between the two groups in the rate of lung cancer, but the mortality rate after the diagnosis was two times higher among the women that were following hormonal therapy.

But menopausal woman who got lung cancer and followed hormonal treatment had a 61 percent higher chance of dying from the disease than the other women in the study.

Researchers headed by Rowan Chlebowski, an oncologist at the Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, presented the findings here at the 45th annual meeting of the American Society of Clinical Oncology (ASCO), the biggest global cancer conference.

While breast cancer is the most common cancer in US women, lung cancer is the leading cause of cancer death among US women.

"We already know that combined hormone therapy has more risks than benefits," said the study's lead author Chlebowski.

The increase of risk of death among women who smoke and then follow hormone therapy "raises particular concerns," added Chlebowski. — AFP

From TODAYOnline.com; see the source article here.

Drug combo helps slow lung cancer: study

Time is GMT + 8 hours

Posted: 31-May-2009 03:43 hrs

Doctors inspect a lung X-ray. The combination of two anti-cancer treatments following standard chemotherapy can slow advanced non-small cell lung cancer, according to a study unveiled Saturday.

The combination of two anti-cancer treatments following standard chemotherapy can slow advanced non-small cell lung cancer, according to a study unveiled Saturday.

Patients treated with a combination of Tarceva, sold by the Swiss drugmaker Roche, and Avastin, a drug by Roche's Genentech unit, saw their cancer growth slow more than a control group treated with Avastin.

More than 750 patients were randomized to receive Avastin and a placebo, or Avastin and Tarceva. Those in the Tarceva group survived an average of 4.8 months before the cancer started growing again, compared to 3.7 months for the control group, said Vincent Miller, the study's main author.

The numbers translated to a 29 percent reduced risk of disease progression for patients who took a combination of Tarceva and Avastin.

All of the patients in the double-blind, Phase 3 trial received four cycles of chemotherapy and Avastin as initial treatment.

Miller, of the Memorial Sloan-Ketterin Cancer Center in New York, presented his findings at the 45th annual meeting of the American Society of Clinical Oncology (ASCO) in Orlando, Florida this weekend, the biggest global cancer conference.

Non-small cell lung cancer, often linked to smoking, is the most common lung cancer and the most prevalent cancer, accounting for 14 percent of all cases in the United States.

It is also the deadliest, accounting for 23.3 percent of US cancer deaths, well ahead of colorectal (8.9 percent) and breast (7.2 percent) cancer.

"This is the first study to show that adding erlotinib (Tarceva) to maintenance therapy with bevacizumab (Avastin) delays disease progression in patients who have already received bevacizumab as part of their initial chemotherapy," said Miller.

"We've shown here we can delay progression with the addition of a targeted agent, erlotinib (Tarceva). Critical future work will try to determine which patients will get the greatest benefit from this combination, based in large part on the identification of genetic biomarkers." — AFP

From TODAYOnline.com; see the source article here.

Singapore has no new cases of H1N1 virus, says Health Ministry

Channel NewsAsia - Sunday, May 31SINGAPORE: The Health Ministry said there are no new suspect cases of the H1N1 virus in Singapore.

Of the 56 cases investigated so far, only the four recent cases have tested positive for the Influenza (A) H1N1 virus.

42 cases tested negative for Influenza A and 10 tested positive for the usual seasonal flu strains.

As for the four positive H1N1 cases, the ministry said they are doing well and will recover soon. — CNA/vm

From Yahoo! News; see the source article here.

19 home quarantine orders served in relation to H1N1 virus

By Zhang Tingjun, Channel NewsAsia | Posted: 30 May 2009 2306 hrs

Temperature checks at ferry terminal

SINGAPORE: To date, 119 H1N1 related home quarantine orders (HQO) have been issued by the Health Ministry.

The ministry said a total of 38 HQOs were served before the first confirmed H1N1 case.

And of these 38, six people are still being quarantined at home.

The ministry said 25 HQOs have been served in relation to the first confirmed case. 10 are Singaporeans and the other 15 are foreigners.

One of the Singaporeans and 14 foreigners are serving their HQOs at the Aloha resort.

All of them are well and their HQOs will expire on Tuesday.

In relation to second, third and fourth confirmed cases,12 HQOs have been served while 44 others are currently being served.

Of those served orders, four are Singaporeans and eight are foreigners.

All are quarantined at home and are well.

Their HQOs will expire between Sunday and Wednesday.

Of those currently being served orders, 17 are Singaporeans and 27 foreigners. - CNA/vm

From ChannelNewsAsia.com; see the source article here.

Friday, May 29, 2009

DOH reports 2 more A(H1N1) cases; RP tally rises to 16

05/30/2009 | 01:17 PM

MANILA, Philippines - The number of confirmed cases of Influenza A(H1N1) in the Philippines has risen to 16, the Department of Health reported Saturday.

In a press briefing Saturday noon, Health Secretary H Francisco Duque III said the two included a 51-year-old female and a 21-year-old male, both of whom arrived in Manila on May 26.

“Both had a history of travel to the United States and arrived in Manila last May 26. Both are Filipinos," he said, but did not give further details about the two.

He also said there were 29 new cases under observation as of Saturday.

Duque said that since May 1, the Department of Health has monitored 240 cases under observation. Of these, 16 were found positive for the virus, 19 have pending laboratory results, and 205 tested negative and have been discharged.

Virus alert system

Meanwhile, Duque elaborated on a four-level response system for the public, especially with the new school year set to start on June 1.

He said only a Level 3 or 4 situation can warrant suspension of classes by the principal, school superintendent or local government unit concerned.

As of now, he said the country has not reached that level.

Duque also reiterated his call to school officials to clean schools and ensure a steady supply of waste disinfectant, water, and soap, and to intensify information, education and communication campaign.

The World Health Organization, meanwhile, reported there are 2, 120 new cases and 4 deaths all over the world – most notably in Canada, Mexico, and the United States.

As of May 29, there have been 15, 510 cases of A(H1N1) and 99 deaths as reported by 53 countries. Of the number of fatalities, 97 were in Mexico and two in the United States.

The new countries with just confirmed of having cases of the virus include the Czech Republic, Dominican Republic, Czechoslovakia, and Uruguay. - GMANews.TV

From GMANews.tv; see the source article here.

WHO backs gruesome picture warnings on cigarette packs

Time is GMT + 8 hours

Posted: 30-May-2009 02:53 hrs

A handout photo released on the website of the European Commission of a health warning label on a fake cigarette box. Pictures of rotting lungs, miscarried foetuses and bleeding brains should be put on all tobacco packages as they are effective in preventing tobacco use, the World Health Organisation said Friday.

Pictures of rotting lungs, miscarried foetuses and bleeding brains should be put on all tobacco packages as they are effective in preventing tobacco use, the World Health Organisation said Friday.

"Today, WHO urged governments to require that all tobacco packages include pictorial warnings to show the sickness and suffering caused by tobacco use," said the UN health agency in a statement.

Graphic warnings showing illnesses caused by tobacco have been put on cigarette packagings in countries such as Brazil, Canada, Singapore and Thailand.

Studies have indicated that they help smokers to quit, according to the UN health agency, which launched its own explicit poster campaign for World No Tobacco Day on May 31.

"Effective health warnings, especially those that include pictures, have been proven to motivate users to quit and to reduce the appeal of tobacco for those who are not yet addicted," said the WHO.

However, the WHO noted that nine out of 10 people in the world have no access to such warnings.

"This represents a tragic underuse of a simple, cost-effective strategy that can vastly reduce tobacco use and save lives," said Marc Danzon, WHO Regional Director for Europe.

The WHO estimates that tobacco kills more than five million people every year.

"In order to survive, the tobacco industry needs to divert attention from the deadly effects of its products," said Douglas Bettcher, Director of WHO's Tobacco Free Initiative.

"Health warnings on tobacco packages can be a powerful tool to illuminate the stark reality of tobacco use," he added. — AFP

From TODAYOnline.com; see the source article here.

Global swine flu death toll mounts - 2

Time is GMT + 8 hours

Posted: 30-May-2009 03:30 hrs

A security officer wears a mask inside the Sismanoglio hospital in Athens. Health authorities around the world battled Friday to stop the spread of swine flu with schools in Europe closed, while the death toll mounted in Mexico.

"Eleven people who were in close contact with her were given preventive treatment last night and confined to their hotel rooms for 24 hours," said Christian Leyrit, the state representative in the Normandy region.

Leyrit insisted there would be no impact on the D-Day commemorations involving Obama and French President Nicolas Sarkozy on June 6.

Earlier Friday, China's health ministry confirmed the first case of swine flu involving a person infected inside the country.

The ministry said a 24-year-old woman in the southern province of Guangdong had been infected after contact with a virus carrier: a 28-year-old Chinese-American man employed at a hospital in New York.

He had flown to Guangzhou on Sunday.

The woman works as a make-up artist at a photo studio in Guangzhou, capital of Guangdong, and came into contact with the sufferer who was having wedding photos taken at the studio, it said. — AFP

From TODAYOnline.com; see the source article here.

Global swine flu death toll mounts

Time is GMT + 8 hours

Posted: 30-May-2009 03:30 hrs

Health authorities around the world battled Friday to stop the spread of swine flu with schools in Europe closed, while the death toll mounted in Mexico.

Even US President Barack Obama's visit to France next week was touched by the epidemic when a US official preparing a visit to the Normandy beaches was stricken by the virus and put in isolation. China reported its first case of domestic infection.

Belgian health authorities closed a primary school in a Brussels suburb on Friday after a 10-year boy was found to have the A(H1N1) virus after a trip to the United States.

All pupils in the boy's class and their teachers received treatment, a statement by the government's flu committee said. "All families have been asked to remain at home and monitor the state of their children."

The Belgian action came only a day after the elite Eton private school in Britain, which has educated generations of British prime ministers and royals, was ordered to close for a week after a 13-year-old pupil was confirmed as a swine flu carrier.

Seventeen other new cases were confirmed in Britain, where a total of 203 people have now been infected.

The virus has now killed more than 110 people around the world, according to individual governments. The World Health Organisation said 13,398 people in 48 countries were now infected with hundreds of new cases reported each day.

Mexico's death toll rose by six to 95 on Thursday, while the number of infected cases rose to 4,879, the health ministry said. Venezuela and Paraguay were the latest countries to report cases.

China's health ministry confirmed the first case of swine flu involving a person infected inside the country.

The ministry said a 24-year-old woman in the southern province of Guangdong had been infected after contact with a virus carrier.

The woman works as a make-up artist at a photo studio in Guangzhou, capital of Guangdong, and came into contact with the sufferer who was having wedding photos taken at the studio, it said.

The health ministry said the virus carrier was a 28-year-old Chinese-American man employed at a hospital in New York, who had flown to Guangzhou on Sunday.

An American woman sent to France to prepare the US president's visit to D-Day landing beaches next week has been hospitalised with swine flu, French officials said Friday.

Leyrit insisted there would be no impact on the D-Day commemorations involving Obama and French President Nicolas Sarkozy on June 6. — AFP

From TODAYOnline.com; see the source article here.

Mexico reports 2 more swine flu deaths; toll at 97

05/30/2009 | 09:59 AM

MEXICO CITY — Mexico is reporting two more deaths from swine flu, bringing the country's toll to 97.

The Health Department says that 5,029 people have been sickened nationwide. That number includes the 97 deaths.

Almost three quarters of the people who died had other complications, such as diabetes, heart disease or respiratory problems, health officials said Friday.

The virus that has sickened more than 13,000 people in 48 countries and been linked to more than a 100 deaths worldwide has largely subsided in Mexico, where it was first identified in late April.

But Mexican officials have said the confirmed toll has been rising as scientists test a backlog of samples from patients. – AP

From GMANews.tv; see the source article here.

2 Greek students catch swine flu in UK

05/29/2009 | 08:19 PM

Release Date: 29 May 2009 12:13:21 GMT
AP

LONDON – Two Greek students caught swine flu in Scotland last week, proof that the virus is circulating more widely than European authorities admit.

The two men, students in Edinburgh, were diagnosed with swine flu when they returned to Greece last week. Neither reported any known contact with a confirmed swine flu case or any history of travel beyond Scotland in the last 15 days.

"This is definitely an indicator the virus is spreading in the community," said John Oxford, a professor of virology at St. Bart's and Royal London Hospital. "Most of the time, this virus is like an iceberg. You can only see the tip but there is a big iceberg below the surface."

The two students went to several parties last week and fell ill about the same time, meaning they probably did not infect each other. Their cases were described in an article published online Thursday in Eurosurveillance, a publication of the European Centre for Disease Prevention and Control.

The researchers wrote there was a possibility that widespread transmission of swine flu exists in Edinburgh, which led to the two men being infected. The researchers added it was the first time swine flu had spread from one European country to another.

Britain's Health Protection Agency, which is coordinating the United Kingdom's response to swine flu, denied that the virus was circulating in the general public.

"We have no evidence to suggest that the virus is spreading in the community," a spokesman said on condition of anonymity, in line with agency policy.

Britain has 203 confirmed cases of swine flu, the highest tally in Europe. The World Health Organization reported Friday that its global tally of swine flu cases rose to 15,510, in 53 countries around the world. It says 99 deaths have been linked to swine flu, mostly in Mexico, but the US has the most confirmed cases worldwide.

If there were community spread of swine flu in Britain, that would theoretically satisfy the World Health Organization's criteria for declaring a pandemic – a global epidemic.

At the moment, the virus appears only to be causing big outbreaks in North America. But once swine flu is proven to be spreading easily in another world region, the agency's pandemic criteria will be fulfilled.

WHO, however, says it is convening an expert panel to determine new criteria for announcing a global outbreak. The agency caved to pressure from member countries, including Britain, who urged the UN heath agency not to declare a pandemic.

Oxford said several of the confirmed British and Scottish swine flu cases have no known connection to confirmed cases or travel history. These sporadic cases – where there is no clear chain of transmission – are considered to be evidence a virus is widespread.

WHO spokesman Gregory Hartl said the agency was working with national authorities to see if swine flu is spreading more widely in Europe. At the moment, most European countries are only testing for swine flu in people with fevers or coughs or have a travel history to North America.

Scientists say that means authorities could be missing big outbreaks since they are not testing for the virus' spread in the general community.

"Based on WHO's current definitions, we are in a pandemic," said Michael Osterholm, a flu expert at the University of Minnesota. "To say it is not entrenched in Europe is like denying that the sun rises." - AP

From GMANews.tv; see the source article here.

WHO tally on A(H1N1): 15,510 cases, 99 deaths

05/29/2009 | 05:47 PM

GENEVA — The World Health Organization says its global tally of swine flu cases has increased to 15,510.

WHO says the disease has now been reported in 53 countries around the world.

The global body says there have been 99 deaths linked to swine flu.

The figures provided to reporters in Geneva on Friday contained no country-by-country breakdown. In WHO's previous update, the United States had the most confirmed cases but most of the deaths from swine flu had been in Mexico. - AP

From GMANews.tv; see the source article here.

Healthy Me - At Home and Away

Amazon Holiday Deals

Sunday, May 31, 2009

Khaw says communal spread of H1N1 likely to happen soon

Three of five confirmed H1N1 cases discharged from CDC

Vietnam records first H1N1 flu case

Health Ministry confirms fifth case of H1N1 in Singapore

Saturday, May 30, 2009

Lebanon confirms first 3 cases of swine flu in airport passengers

Study links lung cancer death to menopause hormones

Drug combo helps slow lung cancer: study

Singapore has no new cases of H1N1 virus, says Health Ministry

19 home quarantine orders served in relation to H1N1 virus

Friday, May 29, 2009

DOH reports 2 more A(H1N1) cases; RP tally rises to 16

WHO backs gruesome picture warnings on cigarette packs

Global swine flu death toll mounts - 2

Global swine flu death toll mounts

Mexico reports 2 more swine flu deaths; toll at 97

2 Greek students catch swine flu in UK

05/29/2009 | 08:19 PM

WHO tally on A(H1N1): 15,510 cases, 99 deaths

05/29/2009 | 05:47 PM

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