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Flu expert sees signs of possible H1N1 resurgence

Flu cases stay above average in Southeast

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Though flu activity remains low elsewhere, it remains at a higher level in Georgia and South Carolina, a sign that more might be coming, an Augusta flu expert said.

Several clues point to what might be a third wave from the novel influenza A H1N1 virus, or what might turn out to be nothing, said flu expert James Wilde of Medical College of Georgia Hospital.

No state was reporting the highest level of flu activity, widespread, for the week ending Feb. 6, but six -- including Georgia and South Carolina -- were at the next-highest level, regional, according to the Centers for Disease Control and Prevention.

Most of the remaining flu activity is concentrated in the Southeast, noted Wilde, an associate professor of pediatric emergency medicine and a member of the MCG and statewide pandemic flu planning task forces.

If you look at the map of flu activity, "this looks a lot like the map did in August," he said. That's when a second wave of flu activity erupted out of the Southeast as children returned to school.

There are a few other troubling signs, Wilde said:

- The line charting flulike illness in Georgia "is not going down anymore," he said. "It's leveling or slightly going up."

- Georgia reported four deaths from flu for the week that ended Tuesday, after averaging one the previous two weeks and none for four weeks before that, according to the Georgia Division of Public Health.

- South Carolina saw a slight increase in flu activity, going from local to regional status, with the level of flulike illness going from 0.69 percent to 1.3 percent and the number of hospitalizations climbing from six to 10, according to the state Department of Health and Environmental Control.

- A number of pediatricians and primary care providers are reporting several positive rapid tests for flu in their offices in the past couple of weeks, Wilde said.

Wilde called all of these factors "suspicious."

What might mitigate the next wave is the number of people who have already been infected.

The CDC estimated that by Jan. 16 about 57 million people had come down with the new virus, with nearly 12,000 deaths. Many of the uninfected elderly appear to be less susceptible to it.

"Much of the fuel for this fire has already been consumed," Wilde said.

Add to that the number who have been vaccinated -- the CDC estimates it is about 70 million -- and the number of susceptible left is diminished.

"It's quite possible we may not have any more flu this season," Wilde said.

The next two weeks will likely tell, he said.

Free H1N1 vaccine clinics in the area

Health departments in the Augusta area are still offering free vaccine against the novel influenza A H1N1 virus.

- Thursday, 4-7 p.m., Martinez Elementary School, 213 Flowing Wells Road

- Feb. 22, 3-4:30 p.m., A Child's World day cares at 4689 Hardy McManus Road and 925 Stevens Creek Road

- Feb. 23, 3-4:30 p.m., A Child's World day cares at 728 North Belair Road, 3503 Windsor Spring Road and 2470 Wrightsboro Road

- Feb. 24, 3-4:30 p.m., A Child's World day cares at 4124 Madeline Drive and 325 Old Wrightsboro Road in Grovetown

- Feb. 25, 3-4:30 p.m., A Child's World day cares at 4204 Columbia Road in Martinez and 3114 Augusta Tech Drive

The East Central Health District will do on-site H1N1 flu shot clinics, preferably for a minimum of 10 people, for groups including schools, churches and nursing homes. For more information, call (706) 729-2190.

Comments

soldout

I was told by someone treating a lot of flu cases that there is an increase everytime more shots are given. This is because; as the insert that comes with the flu shot says; that the person getting the shot can infect others for a while after getting it. There is a warning about this but I haven't read the insert. Has anyone read it? They told me that in their town everytime there is a push or a clinc to give flu shots that there is an increase of cases for the next two weeks. They said if they would quit giving the shots the cases would die down. I am sure there is a lot more vaccine that the drug companies would like to see sold.

johnston.cliff

Could the extra long winter that's forcing so much more "inside time" be a contributing factor to the increase in flu like symptoms? Why aren't H1N1 stats and other flu stats separated? How many flu deaths were there last year? Is the number of unsold prepared shots relevant to the "potential" new wave of H1N1? This article very much comes across as something the AP would write.

Petey Aitchess

A change of one word could have given this article more credibility. If the lead sentence was changed from "Though flu activity remains low elsewhere, ..." to "Though flu activity remains low everywhere,..." it would have been more accurate. When it's necessary to resort to citing fractional increases of percentages (themselves a fraction), there isn't much of a case for alarm despite the efforts of the writer.

SheilaJ15

soldout: The H1N1 vaccine is is made from a inactivated virus that has been killed, so you can not get the H1N1 influenza from the vaccine. Also, as with most vaccines you have to have it on board for at least 2 weeks before you are protected. And even though you may have the vaccine, it does not guarantee that you won't get this flu if you are exposed--but what it will do if you happen to get this flu, the vaccine will lessen it so that you would only have a mild case of it. Most people though it does seem to protect and they never get the virus. Another scenario whereas someone might get the flu after receiving the shot is that instead of coming down with the H1N1 virus that instead they come down with the seasonal flu (hard to tell apart without lab work). The H1N1 vaccine does not protect against the seasonal flu and some people mistaken believe that if they have the H1N1 vaccine then they are protected against all flues. One of the really bad things about this H1N1 flu is that if not treated properly it can lead to lot worse health problems--especially respiratory diseases such as severe bronchitis and pneumonia. But the H1N1 vaccine does cause side effects in some people-but not all people get the side effects. These are the side effects: Soreness, redness, tenderness, or swelling where the shot was given--fainting (mainly adolescents)--headache, muscle aches, fever, nausea. These problems occur usually soon after the shot and last 1-2 days. I hope this gives you the information that you seek. I have been a nurse for 32 years and have had experiences with flues and vaccines.

Ushouldnthave

I guess we haven't been scared enough lately. Time for a new panic. It's also hard to believe that almost 1/4 of the US population was vaccinated when you had to be "high risk" to get the vaccine until flu season was coming to an end. Also, doctors stopped testing for H1N1 early in the "outbreak" due to the treatment being the same as for seasonal flu, so their numbers are always suspicious.

SheilaJ15

It's always better to play safe than sorry. It is better to have flu vaccinations (H1N1 & Seasonal) and not need it, than not have the vaccinations and need them. People who already have respiratory diseases (COPD diseases-Chronic Obstructive Lung Disease) such as chronic bronchitis, chronic asthma, and emphysema are considered high risks because their ability to breathe is already compromised and getting the flu or any disease for that matter that effects breathing, would make them more at risk for death. I suspect that I had H1N1 flu just before Christmas, but because it was the holidays and it was hard to get an appointment with a doctor and because of overcrowding at the emergency room, I did not seek treatment. Nurses are the worst patients so I just tried to treat the symptoms--one month later I was so much worse that I finally saw a doctor. By this time I had severe bronchitis--I was so sick I felt like I had to die to get better. With antibiotics and lots of rest, I finally got better. After getting well I got the H1N1 vaccination even though I suspected I had had the flu already. No matter weather the flu is waning or re-emerging, it would still be a good idea to get both flu vaccinations--no telling weather you will be one of the few who gets one of them or not. Oh, BTW, I have COPD and am lucky to be posting here. My carelessness in not getting the vaccination almost killed me.

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