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Swine flu death of ‘healthy’ person

A hospital patient from Essex has become the first person without underlying health problems to die after contracting swine flu, it was announced today.

The patient died today at Basildon and Thurrock University Hospitals NHS Foundation Trust, NHS East of England said.

The patient’s family has asked that no details of their relative are released.

The trust said in a statement it “would like to extend their deepest sympathies to the family affected as they come to terms with their loss”.

News of the death comes as the number of people who had died while infected with the H1N1 virus has doubled in the last week.

It is thought that fifteen people with swine flu have now died since the virus was first identified in the UK in March.

Today’s death marks a new point in the outbreak as all of the previous victims were believed to have serious underlying health problems.

Yesterday Sir Liam Donaldson, the chief medical officer said that on top of the deaths, another 43 people were critically ill with the bug and a further 335 were being treated in hospital.

London and the West Midlands are on the verge of being classed as having epidemics because of the rate at which the virus is spreading.

There are 9,718 confirmed cases of swine flu in the UK but officials fear the real figure could be 10 times higher.

The US has the biggest outbreak, with 33,902 confirmed cases, followed by Mexico, with 10,262, and the UK third.

The World Health Organisation has said there have been 429 deaths from the virus worldwide and nearly 95,000 infections since it was first reported in Mexico.

Earlier today, the government said plans to deal with the pandemic could allow anyone infected with swine flu to stay off work for 14 days without a doctor’s note.

Employees can currently be off for seven days, including weekends and bank holidays, without needing a sick note from their GP.

A spokesman for the Department for Work and Pensions said: “The government is rightly considering possible measures to minimise the risk of further spread of swine-flu and protect public health.

“We don’t want people to feel obliged to leave the home or return to work when they are still unwell or put an unnecessary burden on GPs in a pandemic. Contingency plans therefore include the possibility of extending self-certification to 14 days for a limited period.”

He said the measures would “only be implemented if absolutely needed”, and the decision would be taken by the government’s civil contingencies committee.

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Swine flu tally: 37

37 cases of the H1N1 virus, otherwise known as swine flu, have been registered in Serbia to date. 28 cases arrived in Serbia from a country where the outbreak had already been registered.

Three more die as UK swine flu cases pass 7,500

• Two children are among the latest fatalities
• All victims had serious underlying health issues

Three more people have died of swine flu it was announced today, taking the death toll in the UK to seven.

All three victims, two of them children, had serious underlying health problems, according to NHS officials. One of the children, a nine-year-old from south London, died at the weekend. The family asked for their privacy to be respected.

The other two were Abdullah Patel, in his 40s, and a nine-year-old girl, Asmaa Hussain, both from Dewsbury, West Yorkshire. Asmaa, who suffered from epilepsy and attended a special school, died on Thursday. Patel, a teacher who was said to have worked at the Institute of Islamic Education in Savile Town, Dewsbury, died on Sunday.

Three children have now died. The first, Sameerah Ahmad in Birmingham, was six and had a rare, life-threatening disease that impaired her immune system. Only one victim has been elderly – a 73-year-old man in Scotland. The others were a 19-year-old man and a woman, aged 38. All had serious underlying health problems.

The virus is more likely to affect younger people than older. The chief medical officer, Sir Liam Donaldson, has said that the flu strain is part animal, part bird and part human, and that the human element had been in circulation in the past, with the result that the immune systems of older people may offer protection.

So far more than 7,500 people have been diagnosed with swine flu in the UK, although the numbers are now rising so rapidly that the Health Protection Agency is no longer providing them on a daily basis. London, the West Midlands and Scotland have been worst hit.

World Health Organisation figures show there have been 94,512 cases and 429 deaths. Many more people will have been infected but will not have been listed, because they did not see a doctor.

The vulnerability of younger people could mean they will be prioritised when a vaccine becomes available in August. The government has made provision for enough doses for the entire population, but they will arrive in batches. “We will have to debate what would be a sensible vaccine programme according to the delivery schedule,” Donaldson has said .

When the order was placed, it was assumed two doses of vaccine would be needed for each person. If it turns out that one dose is enough, it will go further. The first priority is likely to be people with underlying diseases or compromised immune systems, such as those undergoing cancer treatment. “Firstly it will be at-risk groups, then possibly age groups,” said Donaldson.

Most cases of swine flu have been and continue to be mild, except in those children and adults with existing serious health problems. However, there have been cases of severe illness involving hospitalisation, and even death, in some apparently previously healthy people in other countries. For that reason, everybody who is diagnosed with the virus in the UK will continue to be given antiviral drugs, the government said last week.

As of last week, however, when the authorities abandoned their containment strategy, people who fall ill are urged not to go to their doctor or to hospital, but to check their symptoms online at nhs.uk, or call the swine flu information line, on 0800 1 513 513. If they need drugs, a prescription will be issued for a healthy friend to collect.

Last week, the health secretary, Andy Burnham, said contingency planners had estimated the number of new cases could hit 100,000 a day by the end of August. The public health strategy is now to treat those affected rather than attempt to stop the spread. Schools, for instance, will only be closed if too many teachers are off sick to keep classes going, or if they cater for children who are particularly vulnerable.

The disease seems to be spreading faster in the UK than elsewhere. Donaldson said this was possibly because of the traditionally strong travel links between the UK and the US, where the virus has been spreading unchecked for some time.

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Man is fourth in UK to die from swine flu

A 19-year-old man has become the fourth person in the UK to die of swine flu and the first in London.

The teenager, from south London, who has not been identified, had serious underlying health problems, as had all those who have died in the UK so far. He tested positive for the H1N1 virus after his death at Lewisham hospital on Wednesday.

So far there have been four deaths among the nearly 7,500 lab-confirmed cases. On Thursday the health secretary Andy Burnham said projections showed that if cases continued to rise at the current rate there would be 100,000 new cases a day by the end of August.

The number of deaths will inevitably also rise, but extrapolation from the four deaths so far would not be statistically valid because the numbers are too few. A Department of Health spokesman said suggestions that there could be 40 deaths a day by the end of the summer were wrong.

“Scientific and clinical experts can use sophisticated modelling techniques to help us understand how the virus may behave, but that is all they can do – be a guide, not a prediction,” he said.

Those whose immune systems are compromised, for instance through cancer treatment, or who have breathing problems, like asthmatics, or who are otherwise frail are at greatest risk from the virus. The south London teenager is the second youngest victim, after nine year-old Sameerah Ahmad, who was born with a rare life-threatening disease. The first victim was 38-year-old Jacqui Fleming, who died in hospital in Glasgow where she had been in intensive care since giving birth three months prematurely. The baby also later died, but not from swine flu.

The Department of Health said that it was possible to catch swine flu in hospital, where many people might be at risk because of their poor state of health. “Like any other place where there are lots of people, you could get it in hospital,” said a spokesman. “But we’re making sure that people with swine flu are isolated away from other patients and staff are very meticulous in their cleanliness.”

Another death is likely to add to the alarm created by the soaring numbers of cases, but chief medical officer Sir Liam Donaldson warned that people should not attempt to buy antiviral drugs such as Tamiflu over the internet.

Donaldson pointed out that the UK has one of the biggest stockpiles of the drug in the world and certainly enough to treat all cases of the disease here. He warned on Thursday against buying antiviral drugs on the internet.

All those who fall ill will receive Tamiflu, even though some experts think treatment is warranted only for those with other health problems. However, some of those who have become seriously ill and at least one who died elsewhere were apparently healthy before their infection.

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Swine flu ‘can no longer be contained’

More than 100,000 people could be diagnosed with swine flu every day by the end of August, the government said, announcing that the disease can no longer be contained in the UK.

A Commons statement by the health secretary, Andy Burnham, marks a watershed in the spread of the flu. No more schools will be closed, unless forced to by the lack of staff or if the pupils are especially vulnerable. Families and people in contact with those with flu will not be given preventative antiviral drugs.

The new policy of treatment for those with diagnosed illness, rather than containment, has already begun in the hotspots – chiefly London, Birmingham and Scotland.

The change of tactic is the predicted response to the swelling number of people infected. There are now 7,447 diagnosed cases in the UK, but the number is doubling every week. If they continue in this way, said Burnham in his statement, “we could see over 100,000 cases per day by the end of August”. He later stressed that the figure “is a projection. It is not a fact. This is how the disease could develop and we don’t know.”

Those sorts of numbers would put a heavy burden on the NHS, which is already feeling the strain in some areas. The new strategy will help keep those with possible symptoms out of GP surgeries.

People who think they may have flu are now being advised to go online and check their symptoms on the NHS website or call the swine flu information line, on 0800 1 513 513. Anyone still concerned after that should phone their GP, who can provide a diagnosis over the phone. If swine flu is confirmed, they will be issued with an authorisation voucher, which a “flu friend” can take to an antiviral drug collection point, which may be a pharmacy or a health centre.

But health officials in Scotland doubt the virus will spread dramatically across the UK, as it seems to have peaked in Scotland, which saw the first big outbreaks, and the first two deaths in Europe.

The rapid spread of the virus has slowed down in Paisley, which suffered the second largest outbreak, and it has disappeared in Dunoon, where a coachload of football fans were infected. In Glasgow, until recently the worst affected area of the UK, infection rates have stabilised. After infection rates peaked at 111 confirmed cases on 25 June, the rate in Scotland has remained steady at an average of about 60 new cases a day over the last week. There is no evidence that infection rates in Scotland, where the virus first arrived in late April, were doubling.

Dr Harry Burns, Scotland’s chief medical officer, said he was “now optimistic that sometime over the next few weeks, the rate of transmission will begin to slow down” [in Scotland].

It was entirely possible, he added, that the outbreaks elsewhere in the UK would also slow down in a matter of weeks.

The fatality rate also appears to be low. In the UK, only three people – all with significant underlying health problems – have died out of 7,447 confirmed cases. Health experts believe more people have caught swine flu but shown no symptoms.

In the United States, the official figures show 27,725 Americans have contracted H1N1, with 127 deaths. The Centres for Disease Control and Prevention, in Atlanta, estimates that a million Americans may have caught swine flu but not been to a doctor, suggesting that fatality rates are as low as 0.012%, Burns said.

The European Centre for Disease Prevention and Control reported on Thursday that of 69,177 cases which had been detected worldwide, only 328 people had died – a fatality rate of 0.47%.

However, Sir Liam Donaldson, the chief medical officer, said that it was not yet possible to work out the death rate from the virus, “given the unreliability of the data”, but that it would become clearer in the coming months.

The first batches of vaccine will arrive in August.

Although the UK has ordered enough for the entire population, it will arrive in batches. At-risk groups would get it first, said Donaldson: those especially vulnerable because of diseases which have compromised their immune systems or affect their breathing, such as asthma.

New flu strains cannot be eradicated. They simply become part of the seasonal flu mix. Donaldson said that swine flu could continue to cause extra deaths for five years. “We will need the vaccine in years to come,” he said.

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Swine flu ‘can no longer be contained’

More than 100,000 people could be diagnosed with swine flu every day by the end of August, the government said, announcing that the disease can no longer be contained in the UK.

A Commons statement by the health secretary, Andy Burnham, marks a watershed in the spread of the flu. No more schools will be closed, unless forced to by the lack of staff or if the pupils are especially vulnerable. Families and people in contact with those with flu will not be given preventative antiviral drugs.

The new policy of treatment for those with diagnosed illness, rather than containment, has already begun in the hotspots – chiefly London, Birmingham and Scotland.

The change of tactic is the predicted response to the swelling number of people infected. There are now 7,447 diagnosed cases in the UK, but the number is doubling every week. If they continue in this way, said Burnham in his statement, “we could see over 100,000 cases per day by the end of August”. He later stressed that the figure “is a projection. It is not a fact. This is how the disease could develop and we don’t know.”

Those sorts of numbers would put a heavy burden on the NHS, which is already feeling the strain in some areas. The new strategy will help keep those with possible symptoms out of GP surgeries.

People who think they may have flu are now being advised to go online and check their symptoms on the NHS website or call the swine flu information line, on 0800 1 513 513. Anyone still concerned after that should phone their GP, who can provide a diagnosis over the phone. If swine flu is confirmed, they will be issued with an authorisation voucher, which a “flu friend” can take to an antiviral drug collection point, which may be a pharmacy or a health centre.

But health officials in Scotland doubt the virus will spread dramatically across the UK, as it seems to have peaked in Scotland, which saw the first big outbreaks, and the first two deaths in Europe.

The rapid spread of the virus has slowed down in Paisley, which suffered the second largest outbreak, and it has disappeared in Dunoon, where a coachload of football fans were infected. In Glasgow, until recently the worst affected area of the UK, infection rates have stabilised. After infection rates peaked at 111 confirmed cases on 25 June, the rate in Scotland has remained steady at an average of about 60 new cases a day over the last week. There is no evidence that infection rates in Scotland, where the virus first arrived in late April, were doubling.

Dr Harry Burns, Scotland’s chief medical officer, said he was “now optimistic that sometime over the next few weeks, the rate of transmission will begin to slow down” [in Scotland].

It was entirely possible, he added, that the outbreaks elsewhere in the UK would also slow down in a matter of weeks.

The fatality rate also appears to be low. In the UK, only three people – all with significant underlying health problems – have died out of 7,447 confirmed cases. Health experts believe more people have caught swine flu but shown no symptoms.

In the United States, the official figures show 27,725 Americans have contracted H1N1, with 127 deaths. The Centres for Disease Control and Prevention, in Atlanta, estimates that a million Americans may have caught swine flu but not been to a doctor, suggesting that fatality rates are as low as 0.012%, Burns said.

The European Centre for Disease Prevention and Control reported on Thursday that of 69,177 cases which had been detected worldwide, only 328 people had died – a fatality rate of 0.47%.

However, Sir Liam Donaldson, the chief medical officer, said that it was not yet possible to work out the death rate from the virus, “given the unreliability of the data”, but that it would become clearer in the coming months.

The first batches of vaccine will arrive in August.

Although the UK has ordered enough for the entire population, it will arrive in batches. At-risk groups would get it first, said Donaldson: those especially vulnerable because of diseases which have compromised their immune systems or affect their breathing, such as asthma.

New flu strains cannot be eradicated. They simply become part of the seasonal flu mix. Donaldson said that swine flu could continue to cause extra deaths for five years. “We will need the vaccine in years to come,” he said.

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Swine flu ‘can no longer be contained’

Government moves to ‘treatment phase’ as health secretary says infection rate could reach 100,000 a day by end of August

Swine flu is spreading so rapidly across Britain that there could be 100,000 new cases a day by the end of next month, the health secretary, Andy Burnham, said today.

The UK would immediately move to the “treatment phase” of its plan to combat swine flu, meaning doctors would no longer test for the H1N1 virus and urge anyone with symptoms to stay at home, Burnham told the House of Commons.

The first swine flu vaccine would be made available from August, with 60m doses available by the end of the year, he added.

“We have reached the next stage in management of the disease,” Burnham said. “The national focus will be on treating the increasing numbers affected by swine flu. We will move to this treatment phase across the UK with immediate effect.”

The move does not mean the H1N1 virus, which was declared a pandemic by the World Health Organisation last month, is becoming more deadly, just that it can no longer be contained.

Burnham said there was a “considerable rise” in swine flu cases last week.

“We have always known it would be impossible to contain the virus indefinitely and at some point we would need to move away from containment to treatment.

“Cases are doubling every week and on this trend we could see over 100,000 cases per day by the end of August.

“The pressure on the system is such that it is the right time to take this step. Scientists can expect to see rapid rises in the number of cases.”

Burnham added that the public should be reassured by the steps being taken to tackle the virus. He said: “We are the only country in the world to be able to offer anti-virals to everyone as well as those at greater risk.”

The government’s chief medical officer, Professor Sir Liam Donaldson, said the production of a vaccine was “at an advanced stage” and denied that the outbreak was out of control.

Speaking at a special briefing at the Department of Health, he said: “We are continuing to take a very firm grip on this situation. We have a big stockpile of anti-virals, the biggest probably in the world. We have vaccine at an advance stage of production.”

Donaldson added that despite its rapid spread, the virus outbreak was “following a predictable path”.

The Health Protection Agency said a further 458 patients in England had been confirmed with swine flu, while the figure for the UK as a whole rose to 7,447.

Efforts to trace people who had been in contact with swine flu cases would now stop and schools no longer needed to close when hit by the virus, unless particular circumstances made it necessary.

The government has said that not everybody with swine flu would receive anti-viral drugs, which may be reserved for at-risk groups.

The daily collation of swine flu cases would also end because it was proving time-consuming. Instead, “more general” estimates of numbers would be given. Other affected countries already update their swine flu numbers less frequently, such as weekly or every other day.

The Scottish health secretary, Nicola Sturgeon, announced a similar shift in swine flu policy at a simultaneous briefing in Edinburgh.

She said: “We’ve always said it would be impossible to limit the spread of what is a contagious virus indefinitely.

“We’ve always said that, when it did start to spread more widely within communities, we would require to make a judgment about when to shift efforts from intense containment to treatment, or mitigation.”

Sturgeon, who is also the deputy first minister of Scotland, said “high-risk” groups such as children under five, pregnant women and the elderly would get priority access to medication.

Scotland’s chief medical officer, Harry Burns, said the country could expect to have a tenth of the UK cases of swine flu. He predicted there would be about 10,000 new cases a day in Scotland by August.

He said: “It could be a bit less, it could be a bit more. It also presupposes that there isn’t a downturn, if it continues to rise at this rate, and it’s doubling approximately every week, you can do the sums yourself.”

However, Scottish health officials said the swine flu infection rate may have already peaked, as the number of new cases in three hotspots in the greater Glasgow area appears to be in decline.

After infection rates peaked at 111 confirmed cases on 25 June, with Scotland experiencing the first two swine flu deaths in Europe, the rate has remained steady at about 60 new cases a day over the last week.

The rapid spread in two of the major hotspots – Dunoon in Argyll and Paisley south of Glasgow – now appears to have stopped and cases have begun to decline sharply.

The official statistics on the virus were likely to underestimate the true scale of infection in the UK because now only a sample of patients in the hotspots had a diagnosis of swine flu confirmed by lab tests. Many people were thought to have such mild symptoms that they were not bothering to contact their doctors while others were being treated in surgeries without being regarded as suspected swine flu cases.

In swine flu hotspots such as London, the West Midlands and parts of Scotland diagnosis of the virus was already being done by doctors rather than laboratory testing, and tracing the contacts of people with swine flu and the use of preventative anti-viral drugs had stopped. Anti-viral drugs were still being offered to all people with symptoms.

Although a bout of swine flu was currently causing less serious illness than traditional seasonal flu, three people with other serious health conditions in the UK have died after catching the virus and there are concerns it could mutate into a more virulent form.

The chief medical officer, Sir Liam Donaldson, has warned that there may be tens of thousands of cases each week this autumn, because the virus is more likely to thrive in a colder climate.

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Scottish man dies from swine flu

73-year-old man from Glasgow, who had been in intensive care for 15 days, is second Briton to die from swine flu virus

An elderly man from the Glasgow area has become the second Briton to die from swine flu.

The 73-year-old, who had other very serious underlying health problems and has not yet been named, died at the Royal Alexandra hospital in Paisley late on Saturday night. He had been in intensive care for 15 days, health officials said.

Nicola Sturgeon, the Scottish health secretary, said: “Our thoughts are with the family and friends of the patient at this tragic and very sad time. The family have asked for the patient’s identity to be kept private.

“Although it is concerning that the patient had swine flu, we are aware that the patient had very serious underlying health issues.”

A family spokesman said: “Our beloved relative was private in life and we would ask that his privacy continues to be respected as we try to come to terms with our loss.”

The first Briton to succumb to the H1N1 virus, Jacqui Fleming, also died at the Royal Alexandra after giving birth prematurely to her third child. She was the first person outside the Americas to die with the virus.

Fleming also had significant underlying health problems, and had been critically ill for several weeks before she died. Her baby, named Jack by her partner, William McCann, died the following day.

Health officials have repeatedly stressed that the virus appears to be relatively mild, despite its rapid transmission around the world.

The latest official figures show that 4,322 Britons have so far contracted the virus, with significant outbreaks now in Birmingham, London and the Glasgow area, but health experts believe the real figure will be much higher.

In the United States, specialists at the Centers for Disease Control in Atlanta estimate that at least one million Americans may have had swine flu and not been diagnosed, although the official figures on Friday put confirmed US cases at 27,717, with 127 deaths.

However, the virus is now spreading quickly in the southern hemisphere, where it is winter – the traditional season for flu epidemics.

In Australia, where confirmed cases stood at 3,280, four people have now died, all with underlying health problems. There have been 21 deaths reported by the World Health Organisation in Argentina and seven in Chile. The last WHO update put total cases at 59,814 with 263 deaths.

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