The flu comes strong to be the worst in nearly a decade

    Abdulaziz Sobh

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    The flu comes strong to be the worst in nearly a decade

    This flu season is on track to be the worst in nearly a decade

    With tens of thousands of patients streaming into hospitals and at least 37 children, this year's flu season is the worst in almost 10 years and is not over yet.

    While experts had hoped the new cases would begin to decline, federal health officials said on Friday that the number of patients looking for symptoms of vasculature continued to rise sharply.

    The Centers for Disease Control and Prevention said nearly 12,000 people had been admitted to hospitals due to confirmed flu cases, an increase of 3,000 in one week. The latest report for the week ending Jan. 20 shows that the average number of people seeking care is currently competing for a swine flu pandemic in 2009.

    In Florida, the Boca Medical Center in Boca Raton has seen an increase in the number of patients. "We think it could reach its peak," said Adam Lissie, head of the emergency room, but he knows what she will get in the next few weeks.

    Lesi said the hospital was sunk by the old snowbirds, who often deal with chronic conditions and are currently coughing and suffering from fever.

    In California, some hospitals have camped out of emergency rooms to counter the crush of patients; some of the facilities there have been transported by nurses from outside the state. Doctors have worked double and triple spells. In Chicago, the shortage of sick beds has left ambulances strained outside hospitals.
    In New York, state leaders this week issued an emergency order allowing pharmacists to give vaccines to children.

    The toll of children was particularly severe. CDC officials said the number of child deaths is likely to approach, if not exceed, 148 deaths reported during the particularly severe influenza season in 2014 and 2015. The season ended with 56,000 flu-related deaths, 710,000 people were hospitalized, and 16 million people sought care from a doctor or hospital.

    This year's intensity has prompted a very poor strain of the virus known as H3N2. Another strain has also begun to emerge, resulting in baby babies in particular, according to CDC officials on Friday, although the experts did not say exactly why.

    The CDC says the number of child deaths may be more than 37 because it often takes longer if hospitals die outside of hospitals. Officials said the real number could be high.

     "You hear people talking about how dangerous they are, but you never think about it," says Anne Lamontagne, 41, by telephone when her son in Minnesota sat down for children in Minneapolis.

    Within five days, Grant, 9 years old, went from having a sore throat to rushed to the hospital, with doctors struggling to force more oxygen into his lungs to keep him alive.

    The flu has caused pneumonia. Her son's lungs are full of mucus and prevent him from breathing. The doctors put the boy on the ventilator and held the probe down his throat to suction Finnic threads from the mucus from his lungs.

    But his condition worsened. Last week, Lamontagne and her husband looked with horror as the doctors inserted a large tube into the conscious gram neck and connected it to the lung bypass machine to give his body oxygen lungs can not.

    The viewer sent the fleeing couple to the hospital cafeteria. "We cried and tried to breathe and talk to each other through what was happening," she said.

    The treatment worked. Last Friday, her son recovered so much that doctors woke him up from anesthesia. "It all happened quickly," his mother said on Friday. "He's a healthy boy, he's swimming, he did not have any big illness."

    Daniel Jernigan, who heads the influenza department at the Centers for Disease Control, said there were two differences with the flu season this year: he had hit almost all states at the same time and remained at this high level nationally for three consecutive weeks. In the past years, influenza has emerged more commonly in different parts of the country at different times.

    Jernigan said the flu season started in October, but there was a rapid rise in January after direct holidays, possibly caused by children returning to school and spreading the virus. In Florida and Texas, entire school districts have been closed to curb the spread of the disease.

    The flu can kill tens of millions of people. In 1918, that's exactly what he did

    The flu has reached a major war in Europe, a conflict that will leave some 20 million people dead over four years.

    In 1918, the flu will kill more than double that number - perhaps five times - in just 15 months. Although most forgotten, it has been called "the largest medical holocaust in history".

    Experts believe that between 50 and 100 million people have died. More than two-thirds died in 10 weeks in the autumn of 1918.

    There was not much dead quickly from a single illness. In the United States alone, it killed about 675,000 in about a year - the same number who died of AIDS in nearly 40 years.

    While the country is suffering from a very bad flu season, caused by the Centers for Disease Control in the deaths of 24 children in the first three weeks of January and 37 children since the start of the flu season, the nightmare of 1918 serves as a reminder. If there is enough strain to reappear, the century of modern medicine may not save millions of death.

    "You're thinking about how bad it was in 1918, and you certainly believe that modern medical technology will provide us, but the flu is the worst nightmare in the Hollywood filmmaker," says Ann Schuchat, deputy director of the Center for Disease Control at a recent symposium on the 1918 pandemic. "We have many more tools than we have before, but they are incomplete tools."

    Carts full of dead
    A hundred years ago, one-third of the world's population came down with the so-called "Spanish flu". (I got her name when the king of Spain, Alfonso XIII, his prime minister and many ministers came with the disease).

    Flu brought life to a standstill, emptying city streets, closing churches, billiard halls, salons, and theaters. The casket makers were unable to keep pace with the demand, so mass graves were dug to bury the dead. Quird people behind closed doors for fear of being hit.

    In Philadelphia, news stories described the priests driving the vehicles on the streets, encouraging people to take the dead out so they could be buried.

    In New York, there were stories of people feeling quite well when they boarded the subway on Connie Island and were taken to death when they reached the Columbus Circle.

    Entire families surrendered.

    In Tyler County, West Virginia, John Linza, his wife and two of their sons died the same day. Two others died a few days ago. Another Linza, an infant, died the day after his parents.

    At the southwestern tip of Virginia, J.W. Trent, his wife, and two sons fell. She was preceded by death by all four daughters - Hattie, Mary, Ellen, and Robbie.

    In ten weeks, the flu killed 20,000 in New York City and produced 31,000 orphans.

    There is a debate among historians about where the flu first appeared - came from China or a British camp in northern France or in rural Kansas? But it has spread practically all over the world overnight.

    By the end of November, 50,000 people had died in South Africa, where a maximum of 600 people was killed every day. In Egypt, 41,000 deaths were reported in Cairo and Alexandria by January. In Tahiti, street trucks passed through Papeete to collect the dead, and large funeral funerals were burned day and night to burn bodies.

    Children who are most vulnerable to influenza are usually infants whose immune systems do not yet reach the test, and older people whose ability to fight the disease decreases as they age. In 1918, more than half of the people killed were at the top of their lives.

    Many died within hours, turning blue from lack of oxygen as coughing foam blood from their lungs and plaques from the nose, ears, and eyes.

    Spanish flu hit the upper respiratory tract and then pigeon deep into the lungs with viral or bacterial pneumonia. How to kill so many healthy young people? Their immune systems attacked the invaders with the flu force that killed them.

    One of the army doctors, who was quoted by John M. Barry, author of the best-selling book "The Great Flu," the scene at a basic hospital in Massachusetts:

    "When they progress to [the hospital] they develop very quickly the most ferocious type of pneumonia that has already been seen." Two hours after their entry they have mahogany spots on the cheekbones, and after a few hours, you can begin to see the Guinness stretching from their ears and spreading all over It 's just a few hours and then death comes ... It' s terrible.

    Quiring in their homes
    Then, the catchphrase was "a touch of influenza". The flu rolled in every winter, and people were enveloped in fog and fever that lasted a few days and lasted for a week or two. There was something to be tolerated, but not many people died of it.

    Thus began in 1918.

    To understand what came next - and why it is possible that the deadly strain of influenza can rise after 100 years to kill tens of millions - requires understanding the disease.

    The world's most successful vaccines against measles, polio, tetanus, and smallpox generally work in the same way. They introduce a small amount of disease so that if ever up in full form, the body will recognize and neutralize it with an immune attack.

    However, the flu does not give the immune system a stable target. Instead, it can turn itself into something that looks innocent to white blood cells and enzymes that are designed to wage war against it.

    That explains why an influenza vaccine is a lost or missing proposition, based on scientists' best guess about which influenza strains are likely to emerge six months later. The CDC estimates flu vaccines will be 30 percent effective.

    In 1918 there were no flu vaccines, and it would not matter anyway. After the "flu touch" that proved the killer only here and there during the spring, it seems the mutation of the flu to the killer.

    By early autumn the general face of America and the Western world was a gauze mask on it. People wore them to the church, and the army walked in their hearts. The police put pictures in them and the doctors wore them to visit the sick. In Seattle, anyone who tried to ride cars on the streets without a gauze mask was arrested.

    The masks served a little purpose. A good sniffing spray creates a cloud of more than half a million viral particles, and the virus can live for hours on any hard surface where it settles.

    Four women gathered to play the bridge in Albuquerque in November wisely wore six-layer canvas masks. Three of them were killed the next day.
    The spread of the dreaded disease led to the imposition of formal and self-imposed quarantine.

    Schools, theaters, bars and other places of assembly were closed. Mothers reported that their children should be confined to their yards. In New York, officials were afraid of moving to the crowded subway, ordering people to work on overlapping shifts.

    Quird people contact with anyone who may carry the disease. A doctor in Philadelphia talked about driving from hospital to his suburban home without seeing another person or car in the streets.

    Many of the victims of the flu died in their homes of famine, not disease because they were too weak to seek food and no one dared bring it to them.

    We are still at risk
    A century later, science revolutionized the medical profession, producing miracle drugs and surgical procedures that no one could imagine in 1918.

    But when Thomas Frieden resigned as head of the Center for Disease Control last year, he was asked in an interview what kept him awake at night.

    "We are always concerned about pandemic influenza because it may have the potential to kill many people," he said. "We stockpile antiretroviral drugs for emergencies, but much more is needed to better track influenza worldwide and develop a better flu vaccine."

    The "Flu Touch" kills as many as 646,000 people worldwide every year, sometimes up to 56,000 in the United States. Since 1918, there have been three flu pandemics. (A pandemic when the infectious disease spreads rapidly to many people. A pandemic is a global outbreak).

    "Obviously, we still do not have control over the virus," said Barry, who made the keynote speech in 2004 when national science academies met to discuss pandemic influenza. "In many ways, we can say we are at risk, or more vulnerable, to another pandemic as we were in 1918 because there is more economic interdependence."

    A comprehensive vaccine - a vaccine that protects against every possible flu strain - is not expected anytime soon.

    Anthony S., "One hundred years after the deadly flu in 1918, we are still at risk," said Fossi, director of the National Institute of Allergy and Infectious Diseases at the Smithsonian Symposium on the 1918 Pandemic. "Without a comprehensive vaccine, one virus would lead to a global catastrophe," he said.

    Can the 1918 scenario repeat itself?

    "Obviously, we have a much greater ability to respond, and we expect to respond more effectively to a virus like 1918, but it could be a more transient and more severe [strain] to prepare for a recent forum of the Council," said Daniel Sussen, deputy director of the CDC. Foreign affairs.

    One of the few safeguards against another epidemic is the global reporting system that tracks emerging breeds. If the 1918 flu was like to present itself, the system would, at least, al

    A universal vaccine one that will protect against every possible flu strain isn’t expected to emerge anytime soon.

    “One hundred years after the lethal 1918 flu we are still vulnerable,” warned Anthony S. Fauci, director of the National Institute of Allergy and Infectious Diseases (NIAID), at a Smithsonian seminar on the 1918 pandemic. “Without a universal vaccine, a single virus would result in a world catastrophe.”

    Could a 1918 scenario repeat itself?

    “It’s clear that we have a much greater capacity to respond, and we would expect to respond more effectively to a 1918-like virus, but we could have [a strain] more transmissible and more severe,” Daniel Sosin, the CDC’s deputy director for preparedness said at a recent Council on Foreign Relations forum.

    One of the scant protections against another pandemic is the global reporting system that tracks emerging strains. If a 1918-like flu were to present itself, the system would, at least, alert the rest of the world to its deadly potential.

    Jeffery K. Taubenberger and Ann Reid were the first researchers to sequence the genome of the influenza virus that caused the 1918 pandemic.

    “The most important thing to do is not just to understand 1918 as a historical phenomenon,” said Taubenberger, an NIAID virologist, “but as an example of what could happen in the future.”

    Experts stress that the burden of many cases on hospitals emphasizes the fragility of the health care system in the country. There are some hospitals that have already strained the capacity on a normal day and can overcome whether there is a pandemic.

     

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