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Jul 29
New Item CDC launches universal flu vaccination recommendation

New Item NEWS SCAN: WHO H5N1 confirmation, vaccine uptake dynamics, Legionnaires' cases

Pandemic 2009 H1N1 News Scan
Expert: Pandemic definition should exclude severity
Though many are calling for the World Health Organization (WHO) to incorporate severity into its pandemic alert phases, a renowned virologist is saying no. Malik Peiris of the University of Hong Kong said there was no doubt novel H1N1 was a pandemic, well before the WHO declaration. "We really don't have good assessments of severity," he told The Hindu. "So it would completely paralyze international public health policy, I think, if severity is linked to the definition of a pandemic." [Jul 29 The Hindu story]
Study shows rates of antibodies to H1N1 varied by country
A seroprevalence study of 7,962 people aged 1 to 60 years found that, from August to October 2009, people had these rates of antibodies to pandemic flu: Costa Rica (26.4%), the United States (22.5%), Switzerland (16.9%), Germany (12.6%), Belgium (10.1%), and Japan (5.9%). The authors write, "The low proportion of seropositive children in Europe and Japan suggests that little local viral transmission had occurred." They say the data show that public health steps in late 2009 were justified. [Jul 29 Eurosurveillance study]
City's 5-phase vaccine effort helped reach thousands
Today in Morbidity and Mortality Weekly Report, officials from Skokie, Ill.'s health department detail how they administered 40,000 doses using a five-phase H1N1 vaccination campaign. Highlights included school and day care clinics that reached a large number of staff and caregivers as well as children, targeting emergency medical services personnel, shifting unused vaccine from the school clinics to medical clinics, employing mass-vaccination clinics, and reaching out to the homebound. [Jul 30 MMWR report]

Jul 28
New Item FDA reports good results for new food safety portal

New Item NEWS SCAN: Pandemic, bioterror funds kept intact; H5N1 death; vectorborne disease funding

New Item FOOD SAFETY NEWS SCAN: Reptile food sickens humans, food safety perceptions

Pandemic 2009 H1N1 News Scan
Beijing study: Obesity, pregnancy not tied to serious H1N1
A study of 475 severe, 73 critical, and 69 fatal pandemic H1N1 cases in Beijing last year showed that heart disease, diabetes, and allergies increased the risk of serious disease, while obesity and pregnancy did not. Also, those aged 6 to 17 years had a lower risk of serious illness. The city had a case-fatality rate of 0.6%, and serious cases made up 5.7% of all H1N1 cases. About half the patients had no underlying condition (58% of severe, 53% of critical, and 41% of fatal cases). [Jul 27 J Infect abstract]
Antivirals protected against secondary infection
Japanese public health staff visited 124 homes of people infected with pandemic flu last year, educating household contacts about flu-avoidance steps and providing 88% of contacts with antiviral drugs (postexposure prophylaxis, or PEP). The secondary attack rate (SAR) in the households visited was 0.6% in contacts given PEP (2 of 331, including an antiviral-resistant case), compared with 26.1% in those with no PEP (12 of 46). The researchers estimated the protective efficacy of PEP to be 98%. [Jul 27 J Infect abstract]
Pandemic led to better hand hygiene
South Korean researchers who surveyed 942 college students last December found that 30% said they had increased their frequency of hand washing over the previous year. Female students, students who perceived hand washing to be effective, and those who perceived H1N1 illness to be more severe were more likely to wash hands frequently. The authors say their results suggest that public education campaigns are effective at changing behavior [Jul 28 BMC Infect Dis abstract]

Jul 27
New Item Federal advisors hope to build on H1N1 vaccine safety-monitoring lessons

New Item NEWS SCAN: Pandemics and health workers, spontaneous prions, polio vaccination

Pandemic 2009 H1N1 News Scan
India reports 38 new H1N1 deaths
India reported 548 pandemic flu cases and 38 deaths for the week ending Jul 25, up significantly from 332 cases and 21 deaths the week before, according to the country's Press Information Bureau (PIB) today. The southern states of Maharashtra (19), Kerala (8), and Andhra Pradesh (5) reported the most deaths. All of the newly infected patients contracted the disease within the country. [Jul 27 PIB release]
Gambia begins vaccination campaign
Gambia's Ministry of Health and Social Welfare announced yesterday that it has started its vaccination campaign against pandemic H1N1 flu in collaboration with the World Health Organization, according to the Daily Observer today. The program will last all week and aims to reach 170,000 people, with priority given to health workers, pregnant women, children, and those with underlying disease. [Jul 27 Daily Observer story]

Jul 26
New Item Egyptian woman hospitalized with H5N1 infection

New Item NEWS SCAN: Pertussis outside California, economics of emerging diseases

Pandemic 2009 H1N1 News Scan
CDC outlines steps for expired vaccine
The US Centers for Disease Control and Prevention (CDC) released a question-and-answer document explaining what providers should do with expired H1N1 vaccine. Because the federal government issued the vaccine, the process to return it differs from that for both seasonal flu vaccine and the Vaccine for Children program. The recovery program applies to unopened vaccine that expired Jun 30 (from CSL, Novartis, and MedImmune) but not to Sanofi's multidose vials, which expire in 2011. [Jul 23 CDC Q&A]
H1N1 hit organ-transplant patients hard
Of 237 cases of pandemic flu in those receiving organ transplants in 26 US, Canadian, and Dutch centers, 167 (71%) were hospitalized because of their infection. Of 230 patients for whom data were available, 73 (32%) had pneumonia, 37 (16%) were admitted to intensive care, and 10 (4%) died. The authors conclude, "Influenza A H1N1 caused substantial morbidity in recipients of solid-organ transplants during the 2009-10 pandemic" and that early antiviral therapy provided clinical benefit. [August Lancet Infect Dis abstract]
Diabetes raises risk of H1N1 hospitalizations, ICU
Having diabetes triples a person's risk of being hospitalized for pandemic H1N1, according to a new study. Of 162 patients with lab-confirmed novel H1N1, 22 (14%) had diabetes (9 with type 1 and 13 with type 2). This was three times the 7.1 cases expected, based on population demographics. Also, the diabetic H1N1 patients had quadruple the risk of requiring intensive care compared with other H1N1 patients. The authors conclude that their results corroborate other findings in those with diabetes. [July Diabetes Care abstract]
Tamiflu-resistant strain still virulent
In a study on mice and ferrets, researchers found that the oseltamivir (Tamiflu)-resistant pandemic flu strain was just as virulent as the oseltamivir-susceptible strain. The two strains differed only by a single change (H274Y mutation) in the neuraminidase protein. The authors state that "the H274Y pH1N1 mutant strain has the potential to disseminate in the population and to eventually replace the susceptible strain," a phenomenon that has already occurred in seasonal flu. [Jul 22 PLoS Pathog study]

Jul 23
New Item Experts say H5N1 picture not greatly improved since 2003

New Item NEWS SCAN: Polio in Tajikistan, CDC dengue alert, disease resources for Southeast Asia

Pandemic 2009 H1N1 News Scan
Tropics remain most active areas for H1N1
Pockets of West Africa, Central America, the Caribbean, and South and Southeast Asia continue to have the most active pandemic flu activity, while overall global flu activity remains low, the World Health Organization (WHO) said in its weekly update today. Australia and New Zealand have seen recent increases in respiratory disease, mostly pandemic flu. Influenza B and H3N2 are dominating South Africa's flu season. The areas with highest H1N1 activity in Asia are India, Cambodia, and Singapore. [Jul 23 WHO update]
Surveys provided quick assessment of H1N1 in NYC
Two telephone surveys in May and June 2009 enabled New York City health officials to quickly assess the prevalence and severity of pandemic flu, according to a study published in PLoS One. The polls indicated that the prevalence of flu-like illness in a 50-day period was 15.8%, and estimated case-fatality rates for H1N1 ranged from 0.054 to 0.086 per 1,000. The surveys indicated that the risk of severe illness was similar to that with seasonal flu, which influenced the city's pandemic response. [Jul 21 PLoS One report]

Jul 22
New Item ACIP report fine-tunes anthrax vaccine recommendations

New Item CDC says drumming-related anthrax risk is low

New Item NEWS SCAN: Dengue in Mexico & Puerto Rico, fungal disease in Pacific Northwest, H5N1 in Indonesia

Pandemic 2009 H1N1 News Scan
Asian nations call for pandemic phase change
Health ministers from the Association of Southeast Asian Nations (ASEAN) today during a retreat in Singapore called on the World Health Organization (WHO) to review its current pandemic alert level, Xinhua, China's state news agency, reported. They said flu activity has reached the post-pandemic phase and that future assessments should account for severity or virulence. The request comes a day after the WHO announced it was waiting on clearer signals from the Southern Hemisphere and other areas. [Jul 22 Xinhua story]
Google tool tracked well with European flu surveillance
Google Flu Trend (GFT) monitoring during the H1N1 pandemic in Europe correlated well with peaks in sentinel physician network surveillance in several countries, according to a report today. The authors suggested that GFT could be a useful adjunct to other systems because it provides a more rapid estimate that is most relevant in countries with large numbers of Internet users that perform regular Web searches. An earlier comparison of GFT and US flu data showed similar results. [Jul 22 Eurosurveillance report]
Swine, avian N1 strains found sensitive to Tamiflu
Researchers studying influenza viruses of the N1 neuraminidase subtype (eg, H1N1, H5N1) in birds and pigs found resistance to the common antiviral drug oseltamivir (Tamiflu) to be low. For example, of 91 isolates collected from ducks, shorebirds, and gulls, 7 (7.7%) had reduced susceptibility to the drug but were susceptible to related antivirals zanamivir (Relenza) and peramivir. N1 strains from swine, birds, and humans formed the novel H1N1 flu that caused the current pandemic. [Jul 21 J Virol abstract]

Jul 21
New Item WHO advisors still waiting for clear pandemic flu signals

New Item FDA gets bumper crop of comments on produce safety

New Item NEWS SCAN: Leftover H1N1 vaccine, tickborne infections

Jul 20
New Item Study finds no clear safety advantage for grass-fed beef

New Item NEWS SCAN: Funds for fighting Ebola, Marburg; pertussis in California; polio in Angola

Pandemic 2009 H1N1 News Scan
WHO committee may meet to decide to end pandemic
The Emergency Committee of the World Health Organization (WHO) may meet next week to review infection data from the Southern Hemisphere and recommend that the agency announce an end to the pandemic, sources "familiar with the matter" told Bloomberg News. WHO spokesman Gregory Hartl said that Director-General Margaret Chan will decide on whether to declare a post-pandemic phase guided by how the virus behaves, adding that the agency hasn't set a date for an announcement. [Jul 20 Bloomberg News story]
UK media reports aided public calm, prevention steps
UK public service ads and media coverage of the H1N1 pandemic helped alleviate public concern and improved protection measures like using hand sanitizer, according to a new study. Telephone surveys of more than 38,000 people between May 2009 and January 2010 found the levels of those who were very or fairly worried varied between 10% and 33%, with those exposed to media messages less likely to worry. Among protection steps, 33% reporting carrying tissues with them and 10% bought sanitizer. [Jul 20 Medical News Today release]
Tamiflu helped blunt household transmission
A study exploring the use of oseltamivir (Tamiflu) in preventing household transmission of pandemic H1N1 flu found that early treatment reduced the odds of secondary infection by 42%s. In the study of 362 Milwaukee households, 135 had information about oseltamivir use, 25 of which reported early use of the drug. The authors concluded that the findings may have implications for future pandemic flu control efforts. [Jul 20 BMC Infect Dis abstract]

Jul 19
New Item Future flu vaccine: skin patch with tiny, soluble needles?

New Item NEWS SCAN: H5N1 death in Indonesia, pertussis vaccine safe, questioning Key West dengue report

Pandemic 2009 H1N1 News Scan
Study says Ontario's vaccine campaign worth it
Even though it began late in the pandemic, Ontario's H1N1 vaccination efforts may have saved 50 lives, averted 1 million cases, and was well worth the cost, according to a new study. Using data on hospitalizations and deaths before the start of the campaign, Ontario health officials used a computer model to predict what would have happened without the vaccine. They estimated the vaccine prevented 420 hospitalizations, 28,000 emergency-department trips, and 100,000 visits to physicians' offices. [Jul 19 Postmedia News story]
Pandemic kills 21 more in India
India reported 332 pandemic flu cases and 21 deaths this past week, up a bit from 330 cases and 17 deaths the week before, according to the Press Trust of India (PTI) today. The southern states of Kerala and Maharashtra reported the most deaths, 8 and 11, respectively. Only 1 of the 332 patients contracted the disease outside India. [Jul 19 PTI article]
India mandates vaccine for health workers
With pandemic flu on the increase in the country and more than 60% of its vaccine still unused, India's health secretary has made flu vaccination of healthcare workers mandatory. Union Health and Family Welfare Secretary K. Sujatha Rao asked the state to make the vaccination "mandatory for all health workers without fail." Stressing urgency, she said, "The life of this vaccine is not very long and needs to be utilised well before its expiry date." [Jul 16 Deccan Herald story]
Experts criticize Egypt's pandemic response
Egyptian health experts are questioning their government's pandemic response, according to a report from the UN's Integrated Regional Information Networks (IRIN). They point to the nation's culling of all swine early on, which affected many people's livelihoods, as well as its cutting class sizes in half and being unable to vaccinate many people. "Egypt is probably the only country in the world that acted in such an insane way towards the virus," said Saed Aun, a former health ministry adviser. [Jul 19 IRIN report]

Jul 16
New Item IDSA urges mandatory flu shots for health workers

New Item NEWS SCAN: DHS preparedness grants, dengue study starts, 'malaria-proof' mosquito

Pandemic 2009 H1N1 News Scan
Global cases continue at low levels
In its weekly update, the WHO reported today that global pandemic flu activity remains low, with the most active areas in parts of South Asia, West Africa, and Central America. Flu activity remains low in the temperate Southern Hemisphere during the first half of winter except in South Africa, which has had increased detections of primarily seasonal flu (type B and A/H3N2). Pandemic flu activity in Asia remains low to sporadic, except in parts of India, Malaysia, and Singapore. [Jul 16 WHO update]
Pathology study finds alveolar damage, bacterial co-infection
A pathology study of 100 fatal H1N1 cases from last spring found the most prominent damage to tissue was diffuse alveolar lung damage, particularly to alveolar lining cells. Also, more than 25% of patients had bacterial co-infections. Viral pneumonia and localization of viral antigen to damaged alveoli were also prominent. The authors conclude, "Underlying medical conditions and bacterial co-infections contributed to the fatal outcome of this infection." [July Am J Pathol abstract]
One fifth of Pittsburgh patients had H1N1 antibodies
Researchers studied blood samples from Pittsburgh-area hospitals and clinics for 846 patients, roughly 100 samples for each decade of age (eg, 0 to 9) and found that seroprevalence for pandemic H1N1 flu averaged 21%. However, seroprevalence varied by age-group, with those age 10 to 19 years having the highest (45%), and patients age 70 to 79 the lowest (5%). This compares with a baseline seroprevalence of 6% among 18- to 24-year-olds for seasonal H1N1 influenza in 2008. [Jul 14 PLos ONE study]

Jul 15
New Item ICEID COVERAGE
CDC says common waterborne diseases may cost $539 million

New Item NEWS SCAN: DNA vaccine priming against multiple flu strains, FluMist approved in Canada

Pandemic 2009 H1N1 News Scan
School closure caused missed work in 22% of households
A study that looked at a week-long closing of a Pennsylvania elementary school because of H1N1 last May found that in 22% of households at least one parent had to miss work, often for multiple days. The overall economic impact, however, was not major. But of those who missed work, about 40% missed 5 days of work. Although home was the primary location that students spent their time off, more than two thirds reported visiting other locations like stores or restaurants. [Jul 14 HealthDay News report]
Study finds seasonal vaccine did not give H1N1 protection
Australian researchers found that the seasonal flu vaccine did not protect against pandemic H1N1 flu. Their study found that 15% of both seasonal flu?vaccinated people and their unvaccinated counterparts developed H1N1 flu in the week after a household member did. The authors list some caveats, including that the outcome sought was clinical flu-like illness and not lab-confirmed novel H1N1 (though a high percentage of those tested had pandemic flu) and that vaccination history was not verified. [Jul 15 Euro Surveill study]
Study: Kids shed H1N1 virus longer
Children under age 13 shed pandemic H1N1 viruses longer than do adolescents and adults, found a Taiwan study. The researchers, who studied 602 confirmed cases, found that the median duration of viral shedding for all ages was 9 days, longer than in other studies. But it was 11 days for children younger than 13, and 7 for the rest of the population. They also found that patients with pneumonia had significantly higher viral loads than those with upper respiratory tract infections or bronchitis. [Jul 14 MedPage Today article]
Report faults France's vaccine distribution
A parliamentary review has concluded that France's H1N1 vaccination efforts were a "failure," with millions of doses discarded or cancelled, according to a Connexion story. Less than 8.5% of the population was vaccinated. The parliament's report found that excluding local general practitioners from distribution efforts contributed to the low uptake, and that a number of doctors who helped with vaccinations have yet to be paid. It did not fault officials for taking the virus seriously. [Jul 15 Connexion story]
Saudi pilgrims won't need H1N1 vaccination
Saudi Arabia this year has waived the requirement that Hajj and Umrah pilgrims traveling to the country be vaccinated against pandemic H1N1 flu, according to the Press Trust of India (PTI) today. Last year the country's health ministry had recommended the vaccine for all pilgrims. The Hajj pilgrimage takes place in November, while Muslims can make an Umrah pilgrimage any time of year. [Jul 15 PTI story]

Jul 14
New Item ICEID COVERAGE
Research continues on shielding workers from airborne pathogens

New Item ICEID NEWS SCAN: School closures, pneumonia and flu deaths, raw milk demand, sprout outbreaks

New Item NEWS SCAN: Anthrax vaccine contract, mysterious illness in monkeys, dengue surge in Latin America

Pandemic 2009 H1N1 News Scan
WHO delays decision on pandemic phase
The expert committee advising the World Health Organization (WHO) on whether to lower the pandemic alert level from phase 6 might not meet till August, according to an Agence France-Presse (AFP) story today. It had originally planned to meet in mid July. WHO Director-General Margaret Chan said the committee will wait to see what happens in the Southern Hemisphere, which usually sees its peak influenza activity in August. "I expect the committee to meet at the end of July or in August," she said. [Jul 14 AFP report]
Northern Hemisphere nations saw substantial hospitalizations
Studies on the H1N1 pandemic in the Northern Hemisphere showed considerably high hospitalization, intensive care (ICU), and death rates, according to a meta-analysis in the European Journal of Clinical Microbiology & Infectious Diseases (EJCMID). Among evaluated cases in 35 studies, researchers found hospitalization rates as high as 93.8%, ICU admission as high as 36.4%, and fatality rates as great as 38.5%. They also found "substantial percentages" of the elderly among the severely ill. [Jul 13 EJCMID abstract]

Jul 13
New Item ICEID COVERAGE
Experts anticipate new flu-fighting tools

New Item ICEID NEWS SCAN: Thermal scanners, asymptomatic H1N1 in HCWs, pandemic vaccine wariness, dengue in Florida, foodborne disease patterns

New Item NEWS SCAN: New smallpox vaccine delivered, biodefense funding targeted

Pandemic 2009 H1N1 News Scan
Mumbai seeing widespread flu
Pandemic flu in Mumbai, India, this year has reached 150 cases and is no longer localized, prompting officials to alter their strategy. In last year's wave they could identify pockets of flu and focus efforts, but now they say the virus is "in the air," and they'll shift to informing the public on how best to prevent the disease. "We are getting swine flu patients from everywhere in the city," an official said. "We have to maintain vigilance all over." The city's slums have been hardest hit. [Jul 13 Express India story]
Most UK H1N1 fatalities had no underlying illness
UK researchers found that 55% of 631 hospitalized H1N1 patients and 59% of fatal cases were otherwise healthy. Racial minorities and pregnant women were overrepresented. Thirteen percent of patients were admitted to a "high dependency" or intensive care unit, and 5% died. Of 349 patients who had chest x-rays, 29% had evidence of pneumonia, which was associated with a severe outcome. Other risk factors for severity were obesity, certain pulmonary conditions, and raised C-reactive protein levels. [July Thorax study]
Maryland invites input on pandemic response
Maryland's health department is seeking people willing to take part in focus groups to provide feedback on the state's pandemic response, including why only 25% of citizens received the H1N1 vaccine, as well as their opinions on the pandemic in general. Officials would like to hear from those who did and did not get the vaccine and will finalize focus groups of 8 to 10 people by Jul 30. The department has hired facilitators who have experience conducting H1N1 focus groups. [Jul 12 WBALTV report]
Double-lung transplant gives patient H1N1
A 53-year-old Edmonton man who received a double-lung transplant last fall appears to be the first reported patient to have developed pandemic H1N1 flu from infected donor lungs, according to the Toronto-based Financial Post. The infection presented a major challenge to the treating physicians because of the immune-suppressing drugs that transplant patients receive. The patient, however, recovered fully. [Jul 12 Financial Post article]

Jul 12
New Item ICEID COVERAGE
Experts air H1N1 lessons, other disease challenges

New Item ICEID NEWS SCAN: Salsa and sickness, hand-hygiene gap, West Nile antibodies, 1918 pandemic

Pandemic 2009 H1N1 News Scan
India confirms 330 cases last week
For the week ending Jul 11, India confirmed 330 pandemic H1N1 flu cases, including 17 deaths, the country's Press Information Bureau (PIB) reported today. All of the cases are indigenous. The fatal cases occurred in three southern states that have been among the hardest hit: Kerala (8), Maharashtra (8), and Andhra Pradesh (1). [Jul 12 PIB chart]
Mauritius records its first H1N1 death of year
Mauritius, a small island nation east of Madagascar, has recorded its first pandemic H1N1 death of the year, according to China's Xinhua news service. A 51-year-old government official died Jul 10 after having lab-confirmed pandemic flu for about 15 days. The country has seen "several suspected cases of A/H1N1 virus" in both private and public medical centers. [Jul 12 Xinhua story]

Jul 9
New Item Rules to limit Salmonella in eggs take effect

New Item WHO: Flu activity builds slowly in the Southern Hemisphere

New Item NEWS SCAN: H1N1 in transplant patients, raw-milk outbreak, flu antibody, free flu shots in Nova Scotia

Jul 8
New Item HHS announces $390 million in grants for hospital preparedness

New Item NEWS SCAN: Flu-related pneumonia, new H5N1 vaccine virus, polio drop in Nigeria, malaria news

Pandemic 2009 H1N1 News Scan
WHO official rates global pandemic response
Public health officials generally responded well to H1N1 pandemic flu but can improve in several areas, according to the WHO's European regional director, Zsuzsanna Jakab. She said officials "contained" the pandemic through "intensive activity" but need to improve in three areas: flexibility to scale activity to pandemic severity, integrated communication, and better WHO coordination of antiviral and vaccine efforts. She also said the WHO may declare a post-pandemic phase this month. [Jul 8 EurActiv interview]
Study finds antivirals help reduce transmission
A recent study found that households using antiviral drugs for pandemic flu lowered overall transmission rates even though levels of adult-to-child transmission remained relatively high. Dutch researchers studied 47 households early in the pandemic whose index case (the first sick member) and all household contacts took oseltamivir within 24 hours after detection of the index case. Though they found a low secondary attack rate (0.075), the attack rate from an adult to a child under 12 was 0.35. [Jul 7 PLoS ONE study]
Flu continues to rise in New Zealand
Flu activity in New Zealand continues to increase but is at the level usually seen this time of year and is still below baseline, the country's Ministry of Health (MOH) reported today. Weekly general practice visits for flu-like illness were 27.5 patients per 100,000 population; baseline is 50. Of 17 viruses typed, 13 were pandemic H1N1, 3 influenza A not subtyped (likely pandemic H1N1), and 1 influenza B. The country has had 4 H1N1 patients treated in intensive care this year and 1 death. [Jul 8 New Zealand MOH report]

      
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Promising Practices: H1N1 and Higher Ed


CIDRAP recently hosted an online conference for the Big 10+2 universities to explore lessons learned in pandemic influenza response.

See and hear the webinar and view the slides. And watch for a summary report and collection of practices on CIDRAP's Promising Practices site.

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New on the Site  
 
New Item Prevention and control of influenza with vaccines: recommendations of the Advisory Committee on Immunization Practices (ACIP), 2010
From MMWR, published online Jul 29

 
New Item Regional influenza A (H1N1) 2009 monovalent vaccination campaign--Skokie, Illinois, October 16-December 31, 2009
 
New Item Regional and age-specific patterns of pandemic H1N1 influenza virus seroprevalence inferred from vaccine clinical trials, August-October 2009
 
New Item Asymptomatic deer excrete infectious prions in faeces
 
New Item Isolation of mixed subtypes of influenza A virus from a bald eagle (Haliaeetus leucocephalus)
 
New Item Correlation of pandemic (H1N1) 2009 viral load with disease severity and prolonged viral shedding in children
From Emerg Infect Dis, published online Jul 27

 
New Item Characterizing hospital workers' willingness to report to duty in an influenza pandemic through threat- and efficacy-based assessment
From BMC Public Health published Jul 26

 
New Item An alternative approach to pandemic influenza that clinicians everywhere could use
Editorial in CBN Report, published online Jul 23

 
New Item Use of anthrax vaccine in the United States: recommendations of the Advisory Committee on Immunization Practices (ACIP), 2009
 
New Item Gastrointestinal anthrax after an animal-hide drumming event -- New Hampshire and Massachusetts, 2009
 
New Item Monitoring influenza activity in Europe with Google flu trends: comparison with the findings of sentinel physician networks -- results for 2009-10
From Jul 22 Euro Surveill

 
New Item The influenza A(H5N1) epidemic at six and a half years: 500 notified human cases and more to come
From Jul 22 Euro Surveill

 
New Item Antiviral susceptibility of avian and swine influenza of the N1 neuraminidase subtype
From J Virol, published online Jul 21

 
New Item Oseltamivir for treatment and prevention of pandemic influenza A/H1N1 virus infection in households, Milwaukee, 2009
From BMC Infect Dis, published Jul 20

 
New Item Seasonal influenza vaccination campaigns for health personnel: systematic review
From CMAJ, published online Jul 19

 
New Item 2009 pandemic influenza A (H1N1): pathology and pathogenesis of 100 fatal cases in the United States
 
New Item Induction of broadly neutralizing H1N1 influenza antibodies by vaccination
From Science, published online Jul 15

 
New Item Household effects of school closure during pandemic (H1N1) 2009, Pennsylvania, USA
From Emerg Infect Dis, published online Jul 15

 
New Item Duck hunters' perceptions of risk for avian influenza, Georgia, USA
From Emerg Infect Dis, published online Jul 15

 
New Item Seroprevalence following the second wave of pandemic 2009 H1N1 influenza in Pittsburgh, PA, USA
 
New Item Epidemiological aspects of 2009 H1N1 influenza: the accumulating experience from the Northern Hemisphere
From Eur J Clin Microbiol Infect Dis, published online Jul 13

 
New Item Risk factors for hospitalisation and poor outcome with pandemic A/H1N1 influenza: United Kingdom first wave (May-September 2009)
 
New Item Immunogenicity and safety of a monovalent vaccine for the 2009 pandemic influenza virus A (H1N1) in children and adolescents
From Vaccine, published online Jul 13

 
New Item Contamination rates and antimicrobial resistance in bacteria isolated from "grass-fed" labeled beef products
From Foodborne Pathog Dis, published online Jul 10

 
New Item Notes from the field: Salmonella Newport infections associated with consumption of unpasteurized milk--Utah, April-June 2010
 
New Item Economics of employer-sponsored workplace vaccination to prevent pandemic and seasonal influenza
From Vaccine, published online Jul 8

 
New Item Transmission of novel influenza A(H1N1) in households with post-exposure antiviral prophylaxis
 
New Item The next pandemic
Commentary from World Policy J summer issue

 
New Item Opting in vs opting out of influenza vaccination
Research letter from Jul 7 JAMA

 
New Item Influenza-associated pneumonia in children hospitalized with laboratory-confirmed influenza, 2003-2008
From Jul Ped Infect Dis J

 
New Item West Nile virus activity--United States, 2009
 
New Item Biosurveillance: efforts to develop a national biosurveillance capability need a national strategy and a designated leader
GAO report released Jul 1

 
New Item Immunogenicity and safety of AS03-adjuvanted 2009 influenza A H1N1 vaccine in children 6-35 months
From Vaccine, published online Jun 29

 
New Item Rapid and sensitive detection of Yersinia pestis using amplification of plague diagnostic bacteriophages monitored by real-time PCR
From PLoS ONE, published Jun 28

 
New Item Monitoring of perceptions, anticipated behavioral, and psychological responses related to H5N1 influenza
From Infection, published online Jun 26

 
New Item The effect of different recall periods on estimates of acute gastroenteritis in the United States, Foodnet population survey 2006-2007
From Foodborne Pathog Dis, published online Jun 26

 
New Item Can preening contribute to influenza A virus in wild waterbirds?
From PLoS ONE, published Jun 25

 
New Item A novel anti-influenza copper oxide containing respiratory face mask
From PLoS ONE, published Jun 25

 
New Item New evidence suggests southern China as a common source of multiple clusters of highly pathogenic H5N1 avian influenza virus
From J Infect Dis, published online Jun 24

 
New Item Effect of clinical and virological parameters on the level of neutralizing antibody against pandemic influenza A virus H1N1 2009
From Clin Infect Dis, published online Jun 24

 
New Item A pandemic of hindsight?
Editorial from Jun 24 Nature

 
New Item Ebola hemorrhagic fever associated with novel virus strain, Uganda, 2007-2008
From Emerg Infect Dis, published online Jun 23

 
New Item Oseltamivir resistance in adult oncology and hematology patients infected with pandemic (H1N1) 2009 virus, Australia
From Emerg Infect Dis, published online Jun 23

 
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A collection of more than 210 practices from 30 states and 50 cities and counties to enhance public health response

Influenza
At-Risk Populations Project
From ASTHO, this CDC-funded national guidance was developed with assistance from CIDRAP and input from numerous key constituents. View the guidance and related materials here.

Influenza
Pandemic Influenza
Four articles by CIDRAP Director Michael Osterholm

Influenza
WHO Pandemic Influenza Page
Links to documents regarding current situation as well as new and background documents

What's Happening
What's Happening
at CIDRAP?
What's Happening CIDRAP launches project to gather H1N1 information from colleges and universities

What's Happening Michael Osterholm elected member of Council on Foreign Relations

What's Happening Osterholm reappointed to working group on terrorism and disaster preparedness