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Swine
Swine
It's the second time in a week that the World Health Organization
(WHO) has raised its pandemic alert level, which ranges from phase 1
(low risk of a pandemic) to phase 6 (a full-blown pandemic is under
way).
"The biggest question is, how severe will the pandemic be?" WHO
Director-General Margaret Chan said today in a news conference in
Geneva. "We do not have all the answers right now, but we will get
them."
Chan said the swine flu situation is changing rapidly and the swine flu
virus is still "poorly understood."
Earlier today, CDC Acting Director Richard Besser, MD, said that the
U.S. is at a "pre-pandemic" level and that it matters less what the
situation is called than what's being done about it, and that the U.S. is
taking "aggressive" action to limit swine flu's impact on human health.
Note that all of those phases are about how the virus is (or isn't)
spreading -- they're not about the severity of the disease.
91 Cases in U.S.
At least 91 people in 10 U.S. states have swine flu, and there has been
one death of a swine flu patient in the U.S., according to the CDC.
The patient who died was a 22-month-old boy from Mexico who died at
a hospital in the Houston area. He had several underlying health
problems, according to the Texas Department of State Health Services.
The CDC and the World Health Organization (WHO) only report lab-
confirmed cases -- not probable or suspected cases -- and they only do
it once a day. So there may be a lag time before cases confirmed at
the state or local level make it into the official tally.
The WHO today reported 114 lab-confirmed swine flu cases worldwide,
but that figure is based on yesterday's CDC numbers and doesn't
include three cases reported in Germany, one in Austria, and additional
cases in New Zealand.
"It is clear that the virus is spreading; we don't see any evidence that
it's slowing," Keiji Fukuda, MD, the WHO's assistant director-general for
health security and environment, said at a news conference in Geneva
earlier today.
"We're in full gear; the process is more speedy than [it's] ever been
before, " Kathleen Sebelius, the new Secretary of the Department of
Health and Human Services (HHS), said today at a joint news
conference with the HHS, CDC, FDA, and the National Institutes of
Health.
A swine flu vaccine may be created by early fall, but that doesn't mean
it will be ready for distribution by then, health officials noted at the
news conference.
Fauci predicted that clinical trials of a vaccine against the new flu virus
-- which he calls the H1N1 virus -- will "probably begin within a couple
of months" and take several months.
'Serious Virus'
The reason is that it's a new, unpredictable virus that "has pandemic
potential," Fauci replied. "It really is something different."
"You don't know if it's going to fizzle out in a couple weeks or become
more or less virulent or severe in the diseases it causes," Besser said.
"If we could see into the future, that would be wonderful. But that's not
the case. That's why we're being aggressive."