Last week the World Health Organization (WHO) raised the pandemic alert level to Phase 5, its second-highest level, the level just before a full-blown pandemic phase. Today, just before posting to this blog, there are 226 U.S. human cases of H1N1 flu infection, according to the Center for Disease Control and Prevention (CDC).
As the CDC reports, since January of this year, 13,000 people in the U.S. have died from the regular flu - while, as of this writing, only one person in the U.S. has died of swine flu.
Why did the health experts jump to Phase 5 on swine flu? The answer is that these experts - who are charged with keeping the rest of us safe - have a system, and they’re trying to follow it. Here’s the official definition of Phase 5, from the WHO. Phase 5 is “characterized by human-to-human spread of the virus into at least two countries in one WHO region. While most countries will not be affected at this stage, the declaration of Phase 5 is a strong signal that a pandemic is imminent and that the time to finalize the organization, communication, and implementation of the planned mitigation measures is short.”
And here’s a statement by WHO Director-General, Dr Margaret Chan, issued on April 29. Among many other things, Chan said, “Let me remind you. New diseases are, by definition, poorly understood. Influenza viruses are notorious for their rapid mutation and unpredictable behavior.”
Viruses mutate. Conditions can change quickly. Is a pandemic imminent, as the Phase 5 alert level suggests? At this writing, the WHO has not lowered the alert level. No one knows what will happen.
Marsha Canright, director of media relations at the University of Texas Medical Branch at Galveston explained other factors that set off the current concern about the H1N1 virus. Swine flu, she said, “has that ‘red flag’ characteristic of attacking young, strong people unlike a more typical flu which is … more likely to cause death in the very old and very young.” Attacking able-bodied young people was a characteristic of the Spanish Flu - caused by a particularly deadly and virulent strain of the H1N1 virus - in 1918. The Spanish Flu caused the last major pandemic, which began in March of 1918 and raged around the globe for about two years, killing as many as 100 million - or more than twice the number of people killed in World War I.
Canright also said, “Concerns about this new swine flu (at least from scientists here) are that people lack any real immunity from the strain so we don’t get the pleasant benefits of herd immunity or protection from past vaccines, as far as we know … Scientists are starting to look at the molecular makeup of this flu and hope to find similarities with existing vaccines. It takes time to grow a vaccine and they need to get on it …”
Health experts say a serious and deadly pandemic is inevitable, but this particular strain of swine flu has not been very deadly so far. Again, as of today, 226 have been affected in the U.S., with only one death. If this flu does not cause a deadly pandemic, then are steps being taken by the WHO and CDC a waste of time? Are they just trying to scare us? Is it a left-winged government plot? Or could it be a dress rehearsal for the real pandemic?
Last week, health experts in the U.S. began using new media platforms such as Twitter to convey information to health care professionals as well as to the public. Over the past week, CDCEmergency on Twitter grew from have just over 10,000 followers last Sunday to more than 86,000 followers today. Here are just a few of the CDC’s tweets over the past week.
3:03 PM Apr 24th from mobile web
8 confirmed human cases of swine flu in U.S. Many cases in Mexico.
7:38 PM Apr 24th from mobile web
Latest scientific details from CDC about specific swine flu cases in CA & TX: http://bit.ly/DgmWe
12:12 AM Apr 25th from mobile web
New CDC video podcast on swine flu helps you learn signs/symptoms & how to protect yourself: http://bit.ly/19zsjQ
8:22 AM Apr 25th from web
Wash Your Hands! It’s the single most important thing you can do to keep from getting sick. Video at http://bit.ly/vhNpe
8:31 PM Apr 25th from web
11 swine flu cases confirmed by CDC in U.S.: 7 in CA, 2 in TX, 2 in KS: http://bit.ly/1133Zz
9:50 PM Apr 25th from web
Learn NOW how to take care of someone sick with swine flu in your home. New CDC guidance: http://bit.ly/17dsMr
7:07 PM Apr 26th from web
20 confirmed cases of swine flu in U.S. 1 hospitalized. All have fully recovered. http://bit.ly/uycgL
12:07 PM Apr 27th from web
Swine flu - 40 confirmed cases. New York count now at 28. http://bit.ly/KO5pA
12:47 PM Apr 27th from web
CDC Swine Flu Update - Conference Call for Clinicians - 2-3PM ET NOW! http://bit.ly/y9g7Z
9:24 PM Apr 28th from web
# CDC reminds you that you can NOT get swine flu from eating pork. http://bit.ly/16YpY1
1:37 PM Apr 28th from web
# Interim Guidance—Pregnant Women and Swine Influenza: Considerations for Clinicians http://bit.ly/5uJfG
1:34 PM Apr 28th from web
# Swine Flu case count in U.S. - NY 45, CA 10, TX 6, KS 2, OH 1. Total 64 http://bit.ly/funJH
11:15 AM Apr 29th from web
# SwineFlu case count in U.S.-AZ 1, CA 14, IN 1, KS 2, MA 2, MI 2, NV 1, NY 51, OH 1, TX 16 & 1 death. Total 91 http://bit.ly/EzRgq
12:35 PM Apr 30th from web
UPDATED - 2009 H1N1 case count in U.S.-AZ 1, CA 14, IN 1, KS 2, MA 2, MI 1, NV 1, NY 50, OH 1, SC 10, TX 26. http://bit.ly/19fDC8
2:28 PM Apr 30th from web
Guidance for Clinicians & Public Health Professionals. http://bit.ly/16JewF
2:27 PM Apr 30th from web
# Guidance on Specimen Collection, Processing, and Testing for Patients with Suspected (H1N1) Virus Infection. http://bit.ly/13PbJC
12:50 PM Apr 30th from web
# Guidance - HIV-Infected Adults & Adolescents: Considerations for Clinicians Regarding 2009 H1N1 A Virus. http://bit.ly/dY7oE
8:31 AM May 1st from web
Guidelines: Tissue Specimen Submission for Pathologic Evaluation of Influenza Infections. http://bit.ly/3v7ND
#swineflu8:34 AM May 1st from web
H1N1 Influenza Virus Biosafety Guidelines for Laboratory Workers. http://bit.ly/icx3Y
9:37 AM May 2nd from web
CDC has isolated the new H1N1 virus and is working to make a vaccine.
Personally, I’m grateful to the WHO and CDC - and to governments around the world - who are working hard. From where I sit - from this editor’s chair - it looks to me as if they’re doing their best to prevent a pandemic.
Here’s a picture of the swine flu virus, just released today:






