Children’s flu cases turn deadly after bacterial infection

first_imgJul 11, 2007 (CIDRAP News) – Health officials in Perth, Australia, last week advised parents to seek medical care quickly for young children with respiratory symptoms, after three children under age 5 died of pneumonia as a complication of “mild” influenza A infections.Paul Van Buynder, director of communicable disease control for Western Australia’s health department, said in a Jul 6 press release that officials were surprised by how quickly the illness developed in the children. “While we do not want to create unnecessary panic, it is important for parents to be aware that the disease can cause serious illness within 24 hours,” he said.The children who died had a streptococcal pneumonia infection, but health officials have not announced what type, according to a recent report from Australian Broadcasting Corporation News.The cases started out as “mild influenza A infection,” Van Buynder told the Australian Associated Press. He said the health department found no links between the children’s cases. Australia is at the peak of its flu season, and the report said hospitals in the Perth area were inundated by anxious parents bringing children with flu symptoms.News of the Australian cases comes as infectious disease and public health experts are worrying about the threat of a flu pandemic associated with H5N1 avian flu. In past flu pandemics, bacterial coinfections have contributed substantially to deaths.The Australian report also is a reminder of recent worries US health officials have had about rising numbers of young flu patients who have suffered coinfections with the sometimes-fatal Staphylococcus aureus pneumonia, in some cases involving drug-resistant strains.S aureus can cause a severe, necrotizing pneumonia that has a relatively high case-fatality rate—33% during the 1968-69 flu pandemic, the CDC said in an Apr 13 Morbidity and Mortality Weekly Report article that detailed some of the recent fatal cases.Evidence points to a synergistic relationship between S aureus and influenza, according to an article in the June 2006 issue of Emerging Infectious Diseases. Flu viruses appear to increase S aureus adhesion in the respiratory tract, and S aureus-specific enzymes (proteases) appear to increase flu virus replication. Also, influenza A virus strains appear to decrease destruction of S aureus by immune cells called phagocytes, making patients more susceptible to bacterial coinfection.In May the US Centers for Disease Control and Prevention (CDC) issued an alert after noticing an increase in the number of S aureus infections in children with flu. The CDC said that from October 2006 through early May, 55 influenza deaths in children had been reported. Twenty of the children (out of 51 for whom relevant data were available) had bacterial infections, and 16 of these were infected with S aureus.Though the number of pediatric flu deaths this past flu season was similar to the two previous years, the CDC said the 16 deaths from S aureus pneumonia or bacteremia recorded so far reflected a sharp increase over those years. Only one S aureus coinfection was identified during the 2004-05 season, followed by three in 2005-06.Further, of the 16 children who had S aureus infections, 11 had methicillin-resistant (MRSA) strains that are typically associated with MRSA skin infection outbreaks, the CDC advisory said.The CDC also noted that the children who had S aureus infections had been in good health before they got sick, but progressed rapidly to serious illness.Anthony Fiore, MD, a medical epidemiologist with the CDC, told CIDRAP News that because childhood flu deaths have been nationally notifiable only since 2004, it’s difficult to make definitive statements about pneumonia death patterns. “It is concerning, and there is a surge in awareness, particularly with the antibiotic resistant strains of Staphylococcus,” he said.The CDC has other ways to track pneumonia trends in children with influenza, he said. For example, the Emerging Infections Program and the New Vaccine Surveillance Network are two systems that can capture clusters of severe infections in children that lead to hospitalization.Edward Septimus, MD, an infectious disease expert who is medical director of clinical integration at Methodist Hospital in Houston, told CIDRAP News that the clinical picture of the Australian cases possibly suggests a Group A Streptococcus organism. “It’s a severe clinical picture and it can act a lot like MRSA. The necrotizing effects are very similar,” he said. Jim Henson, the creator of the Muppets, died of a Group A streptococcal pneumonia, Septimus added.He said that without more information, it’s difficult to predict whether the Australian cases point to any troubling trends. Sometimes, he commented, patients are simply unlucky: Their risk of developing a serious pneumonia rises if they are colonized with a bacterial organism such as MRSA or Streptococcus when influenza viruses are circulating.See also:Western Australia Department of Health news releasehttp://www.health.wa.gov.au/press/view_press.cfm?id=711May 9 CDC health advisoryCDC. Severe methicillin-resistant Staphylococcus aureus community-acquired pneumonia associated with influenza—Louisiana and Georgia, December 2006-January 2007. MMWR 2007;56(14):325-29 [Full text]Hageman JC, Uyeki TM, Francis JS, et al. Severe community-acquired pneumonia due to Staphyococcus aureus, 2003-04 influenza season. Emerg Infect Dis 2006 Jun;12(6):894-99 [Full text]last_img read more

Wellington Fire/EMS weekly run report: June 13 – June 19, 2016

first_img13-Jun3:07 AMMedical Emergency2000 block N. Madison Sumner Newscow report — The weekly log report for the Wellington Fire/EMS Department for June 13 to June 19, 2016 is as follows: 17-Jun5:19 PMMedical TraumaOxford Follow us on Facebook.Follow us on Twitter. 13-Jun10:45 AMVehicle in Water120th North and West 18-Jun6:12 PMMedical Emergency800 block E. 90th South 13-Jun3:24 PMMedical Emergency900 block E. 7th 13-Jun11:04 PMTransfer to Wichita 19-Jun4:50 PMMedical Emergency800 block N. Woodlawn 17-Jun6:39 PMMedical EmergencyOxford Close Forgot password? Please put in your email: Send me my password! Close message Login This blog post All blog posts Subscribe to this blog post’s comments through… RSS Feed Subscribe via email Subscribe Subscribe to this blog’s comments through… RSS Feed Subscribe via email Subscribe Follow the discussion Comments Logging you in… Close Login to IntenseDebate Or create an account Username or Email: Password: Forgot login? Cancel Login Close WordPress.com Username or Email: Password: Lost your password? Cancel Login Dashboard | Edit profile | Logout Logged in as Admin Options Disable comments for this page Save Settings You are about to flag this comment as being inappropriate. Please explain why you are flagging this comment in the text box below and submit your report. The blog admin will be notified. Thank you for your input. There are no comments posted yet. Be the first one! Post a new comment Enter text right here! Comment as a Guest, or login: Login to IntenseDebate Login to WordPress.com Login to Twitter Go back Tweet this comment Connected as (Logout) Email (optional) Not displayed publicly. Name Email Website (optional) Displayed next to your comments. Not displayed publicly. If you have a website, link to it here. Posting anonymously. Tweet this comment Submit Comment Subscribe to None Replies All new comments Comments by IntenseDebate Enter text right here! Reply as a Guest, or login: Login to IntenseDebate Login to WordPress.com Login to Twitter Go back Tweet this comment Connected as (Logout) Email (optional) Not displayed publicly. Name Email Website (optional) Displayed next to your comments. Not displayed publicly. If you have a website, link to it here. Posting anonymously. Tweet this comment Cancel Submit Comment Subscribe to None Replies All new comments 18-Jun11:00 PMTransfer to Wichita 13-Jun1:15 AMMedical Trauma500 block N. Plum 18-Jun3:45 PMLines DownA & 13th 18-Jun6:40 PMVehicle AccidentJefferson & Harvey 14-Jun7:30 PMMedical Emergency1600 block W. 8th 17-Jun11:46 PMMedical Emergency100 block N. Washington Wellington Fire and EMS Weekly Run Log 14-Jun5:44 PMMedical Emergency1000 block College 17-Jun12:39 AMMedical EmergencyMayfield 13-Jun1:14 PMTransfer to Wichita 19-Jun7:48 AMInjury Accident20th Street South & Seneca 14-Jun11:57 AMGrass FireKansas Turnpike 16-Jun2:32 PMMedical Emergency1200 block South C 17-Jun8:23 PMTransfer to Wichitalast_img read more

“Jovic has told me that he only wants to succeed in Madrid”

first_imgBojan Custic (Germany, 1994) is part of the staff Luka Jovic (22 years old) since the beginning of 2020. Of great importance to complement the physical preparation of the striker at Real Madrid, he has become vital during his confinement in Serbia. Through video calls and audiovisual material, everything, including food, is under control. And he talks about it in this interview with Diario AS. 18 Is it weighed daily, as in Valdebebas?Yes, every morning we do weight control and measurements of legs, hips, chest, arms …Have you lost kilos, have you gained them, is it the same …?He looks very good. I would say that it even weighs less than before the coronavirus.Are you in contact with the Madrid specialists?Not for the moment. Is it possible for a footballer to keep fit in this situation?It is possible that they maintain their physique, but they miss training sessions, the ball, being on the grass with their teammates… but, well, it is possible.How difficult is it to motivate a player who doesn’t even know when the competition will return?When the footballer you are with is a professional, there is no problem. Luka is very focused on our workouts, regardless of whether he is looking forward to going back to his teammates.Do you also control your diet?Yes. We make a meal plan and it has its restrictions, but it is not something new for him.What does it consist of?Makes three main meals plus two fruit intakes between them. Their diet, in general, includes many fruits and vegetables. “Jovic wants the Bernabéu to create his name. And he hopes to get it” Luka has not had an easy adaptation to Spanish football. Does this also cover the psychological part?There are a lot of people on his team talking to him to try to help him and he is doing great. You will demonstrate your true potential, you just need to be patient.What does it tell you about your future?He told me that he only wants to succeed at Real Madrid, have a great career and that the Bernabéu creates his name. And you are confident that you can do it. When did you start working with Luka Jovic?Two months ago.What was your routine like with him then?We focused on strength work, stretching, agility and speed for recovery after efforts.And now, with the quarantine?Luka works three hours a day at home. Every morning we have a routine of one hour and in the afternoon, two hours of high intensity, maximum demand.Does it give you days off?He doesn’t have days off to use because he has recovery every day, so he never “gets free” at all.Was I prepared for this?In his apartment he has a treadmill, an exercise bike and other equipment, so we use it for our workouts. We are doing very specific sessions for soccer players, thinking about the needs for their movements. Every 14 days we update your training and your physical condition.How would you define Luka physically?He is in top shape and feels good in everything.cust_fit & nbsp; (Instagram) ‘); return false; “class =” item-multimedia “>Luka Jovic, exercising during his confinement in Serbia.cust_fit (Instagram)last_img read more