The number of people with flulike illness is increasing in the Southeast, particularly in Georgia, which is now at widespread status, the highest level of flulike activity.
The Georgia Division of Public Health noted that as of Wednesday there have been 192 people hospitalized and five deaths.
Of the 36 children who died, two-thirds had a serious underlying disability, such as cerebral palsy or muscular dystrophy, said CDC Director Thomas Frieden.
Seven of the 36 were less than five years old and five were less than two years old, according to data reported in the CDCs Morbidity and Mortality Weekly Report.
Six of the children were greater than age five, had no underlying health conditions and were hit by an invasive bacterial infection, which Dr. Frieden said should be a warning to clinicians if a child gets sick, gets better, then comes down with fever again. Nineteen of the children who died received antiviral treatment - mostly Tamiflu - but only four started treatment within the recommended 48 hours from when the illness began, the report noted.
If children have underlying conditions -- and two-thirds of the children in this report had conditions such as muscular dystrophy and cerebral palsy -- its very important that they be treated promptly, Dr. Frieden said.
The opposite may be true for healthy people who do not appear to have severe symptoms such as trouble breathing, he said.
The overwhelming majority of people with H1N1 influenza are going to do fine, they dont need testing, they dont need treatment, Dr. Frieden said. He urged people who are not having severe symptoms to refrain from using hospital Emergency Rooms or visiting the doctor to keep from overwhelming the system.
In past flu seasons, there have been pediatric deaths ranging from 156 in the 2003-04 flu season to 46 in the 2005-06 flu season, the CDC report notes. While the new virus appears to be more prone to strike younger people, evidence from the Southern hemisphere and data from the U.S. suggest it is not more deadly than seasonal flu, Dr. Frieden said.
So far, it is not more severe, he said. We dont know that its less severe. Clearly, the number of deaths now at more than 500 deaths in the country in all age groups emphasizes that influenza can be a very serious disease. Thats why its so important that we take every step at our disposal.
That includes proper handwashing, staying home if sick and getting vaccinated if in the high-risk groups when the novel H1N1 vaccine becomes available, which is expected to start in mid-October, Dr. Frieden said.