H1N1 FLU BREAKING NEWS: Ship outbreak, Tamiflu in the ICU, a preparedness expert's family ordeal

Report details outbreak on Navy ship
An article today in Morbidity and Mortality Weekly Report (MMWR) describes an outbreak of confirmed novel H1N1 that started aboard a Peruvian Navy ship last June and affected 78 of 355 crew members after the ship had docked in San Francisco. No serious complications or deaths occurred, and lower-ranking crew had a higher incidence. Six patients with preexisting conditions received antivirals. A surveillance program implemented before the ship departed from Peru permitted early detection.
Feb 19 MMWR report

Study: Tamiflu works well in very ill patients
A study determined that oseltamivir (Tamiflu) was well absorbed in critically ill intensive-carepatients with suspected or confirmed pandemicH1N1 flu. The study, of 41 patients who needed ventilator support, appeared in the Canadian Medical Association Journal (CMAJ). A standard dosage of 75 mg twice daily achieved bloodstreamlevels of the drug that were comparable to those in other patientsand were far in excess of concentrations required to be effective against the virus.
Feb 16 CMAJ study

Planner's ordeal highlights toll on kids
A pandemic preparedness expert's ordeal with novel H1N1 flu in her own kids highlights the pandemic's toll on children, according to USA Today. Her daughters' conditions—one has autism and epilepsy and one has asthma—increased treatment difficulty. And her expertise intensified her worry. "I knew what was happening medically. I've read the autopsy reports. Seeing those was scary," she says. The girl with asthma, who is 13, may take months to recover. The other girl, 10, has recovered.
Feb 17 USA Today story

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