Serious H1N1 cases in Canadian Inuits raise concern

first_imgEditor’s note: CIDRAP News learned on Jun 10 that some of the Canadian indigenous groups that have been hit by serious cases of H1N1 influenza are not Inuit, but rather are among the groups known in Canada as First Nations or aboriginals. In particular, a Canwest News Service report referred to hundreds of cases and 20 hospitalizations at St. Theresa Point, a First Nation in northern Manitoba. Jun 9, 2009 (CIDRAP News) – An official from the World Health Organization (WHO) said today that health experts are closely monitoring novel H1N1 influenza infections in Canada’s Inuit populations, following reports that the communities are seeing more than their share of severe cases.Keiji Fukuda, MD, told reporters at a press briefing, “We can say now that we know a larger number than expected of young Inuit people developed serious illnesses and had to get hospitalized.”He added that the WHO doesn’t know if the trend is linked to socioeconomic factors, genetic factors, or chronic underlying diseases, and commented that Inuit groups were hit hard in some earlier pandemics. Fukuda is the WHO’s assistant director-general for health security and the environment.Yesterday, Joel Kettner, MD, Manitoba’s chief medical officer, told reporters that 26 people were being treated in intensive care units for suspected novel influenza infections, which is unusual for an influenza outbreak, the Canadian Broadcasting Corporation (CBC) reported. He said more than half of the patients are of aboriginal descent, with an average age of 35.Manitoba’s health department said in a statement yesterday that 15 extra ventilators have arrived at the province’s ICUs and that the Winnipeg Regional Health Authority is helping the departments prioritize patients and was considering deferring non-urgent surgical procedures that would normally require use of the units.As of yesterday, Manitoba said it had confirmed 40 novel flu cases in 6 of its 11 health regions.Meanwhile, health officials in Canada’s Nunavut territory today said the number of confirmed novel flu cases has jumped from 25 to 53, with six patients in the hospital, the CBC reported. Nunavut’s population is primarily Inuit.Donald R. Olson, MPH, research director for the International Society for Disease Surveillance, based in New York City, told CIDRAP News that the severe cases in Canada’s Inuit populations are puzzling. However, he added that among remote populations, the 1918 pandemic influenza was more severe and didn’t follow the age patterns seen in the rest of the world.”Inuit groups didn’t show the same apparent sparing of the elderly, so possibly the older proportion of the population had not been exposed” to previous viruses related to the pandemic strain, he said.The medical literature tells of “flu orphans” from remote Alaskan villages who survived the 1918-19 pandemic, though their parents and grandparents died, presumably because they had not been exposed to earlier H1-like viruses.In 2006 at a state summit in Alaska, former US Health and Human Services Secretary Mike Leavitt described the impact of the 1918 pandemic virus on Alaska’s native populations. “The Alaska native population in Nome was decimated—176 of the 300 Alaska Natives in the region died,” he said in comments posted on the HHS pandemic flu Web site. “The pandemic swept through communities, killing whole villages.”Preexisting health conditions may also have contributed to the severity of the 1918 pandemic in Inuit populations, which also had high tuberculosis rates in the early 20th century, Olson said.Officials don’t know if higher rates of chronic illnesses in today’s Inuit populations are playing a role in the high number of severe cases. However, Health Canada reports that when compared to the rest of the nation, First Nations and Inuit people have 1.5 times the rate of heart disease, 3 to 5 times the rate of type 2 diabetes, and 8 to 10 times the rate of tuberculosis infection.Yesterday, an Australian health expert from Darwin warned that the country’s indigenous populations might be at greater risk for novel H1N1 infections.Besides citing lack of exposure to similar virus and underlying conditions as possible risk factors, experts have also theorized that remote populations might have a genetic predisposition that makes them more susceptible to the virus, Olson said. But he expressed doubt that the factor is playing a role in Canada’s current outbreak.The signals coming out of Canada are worrying, he said. “The less developed world may have a terrible experience with this, though there is a lot of coughing and sneezing in the rest of the world,” Olson said.Danuta Skowronski, MD, a physician and epidemiologist at the University of British Columbia, told CIDRAP News that over the past few years, circulation of seasonal H1N1 viruses in North America has been patchy, and people in remote communities are likely to have had less exposure to the viruses than have people living in urban settings.There’s still much that researchers don’t know about possible cross-protection against the novel H1N1 virus from exposure to previous H1N1 strains, she said. Though researchers have identified antibody markers and determined that seasonal vaccination offers little protection, they still haven’t gauged the cell-mediated response—which can offer protection during severe infections—afforded by exposure to previous H1N1 strains, Skowronski added.Public health officials will also be looking for environmental factors that might be contributing to the infections in the First Nations and Inuit groups, she said. For example, large numbers of people living in one household may have greater exposure to the virus. “This all needs to be assessed, because we’re picking up possible signals of concern,” Skowronski said.See also:Jun 8 Manitoba press releaseHealth Canada disease and health condition statisticsAhmed R, Oldstone MBA, Palese P. Protective immunity and susceptibility to infectious diseases: lessons from the 1918 influenza pandemic. Nature Immunol 2007 Nov;18(11):1188-93 [Abstract]last_img read more

Cricket News Faf du Plessis introduces something unique to cricketing world – ‘Coin Tosser’

first_imgNew Delhi: South African skipper Faf du Plessis has introduced something new and unique to the cricketing world by employing cricket’s first ‘specialist coin tosser’ by sending in JP Duminy for the toss. This could be termed as superstition, however, Faf said that the was just having fun, especially when it was a T20 game.Du Plessis had last won a coin toss against South Africa in a Test match against Australia in March and since then he has not got a single opportunity to decide what his team would be doing first.The span since which du Plessis has not won a toss stretches to two Tests and three ODIs, where he called it wrong every time.During the time, when du Plessis was out of the side, JP Duminy had lead the team and won the toss in a one-off T20 against Sri Lanka and two ODIs against Zimbabwe.ALSO READ: Hit by #MeToo storm, BCCI CEO Johri forced to skip ICC meetingHence, du Plessis decided to send Duminy for the coin toss against Zimbabwe in the T20 match, even when the all-rounder was not selected in the playing XI.”They say the strength of a captain is to know his weaknesses, so I brought in JP Duminy as a specialist coin tosser,” du Plessis said after opting to bat in a match his side won comfortably. For all the Latest Sports News News, Cricket News News, Download News Nation Android and iOS Mobile Apps. “I love what I do, important to have some fun along the way as well, especially in t20 cricket!! Might have started something here…,” du Plessis wrote later on social media.Record: du Plessis has won 39 tosses till now in his career, including the one he roped Duminy for, and lost 40. last_img read more

Zinedine Zidane: Nothing has changed with Gareth Bale despite rescuing Real Madrid

first_imgZinedine Zidane praised Gareth Bale’s goalscoring performance against Arsenal but insisted nothing had changed with the Real Madrid outcast.Bale came off the bench to rescue Madrid, who trailed 2-0 at halftime before the Wales star scored to inspire a 2-2 draw at the International Champions Cup, where Zidane’s men prevailed 3-2 on penalties. “He is with us and we will continue working. We play well 10 against 11 and better 10 against 10. I don’t know what will happen. He wanted to play and the other day no.”I haven’t talked to him. He has trained normally and that’s why he played. Nothing has changed, you know what the situation is like.” FT: @RealMadrid 2-2 @Arsenal (3-2 pens) @GarethBale11 56′, @marcoasensio10 59′; Lacazette 10′ (p), Aubameyang 24’#Emirates | #RealMadridIsHere pic.twitter.com/Gu0KP4YqoV— Real Madrid C.F. (@realmadriden) July 24, 2019Bale stole the show in the second half at FedEx Field, where Marco Asensio also impressed before he left the field on a stretcher. Gareth Bale’s agent slams ‘disgrace’ Zinedine Zidane after Madrid transfer revelation Substitute Asensio equalized three minutes after Bale reduced the deficit in the 56th minute against Arsenal, who had Sokratis Papastathopoulos sent off for a second yellow card prior to the interval.However, Asensio’s game was abruptly cut short by an apparent knee injury and Zidane revealed he is very concerned.”It’s worrisome,” Zidane said. “Hopefully not, but he’s gone directly to the hospital to test. It looks bad.” Tipped to leave Madrid, Bale sat out last week’s loss to Bayern Munich, but he was surprisingly involved in Maryland after Zidane claimed the 30-year-old was close to departing the Santiago Bernabeu.Asked about Bale’s performance on Tuesday, head coach Zidane — who saw Nacho Fernandez sent off in the ninth minute for a handball — told reporters: “He has played a good game and I am happy for him. As for everyone. Related Newslast_img read more

UPDATED: BANK HOLIDAY TRAGEDY AS WOMAN KILLED IN DONEGAL ROAD CRASH

first_imgUPDATED: A woman has been killed following a serious road traffic accident in Newtowncunningham this afternoon.The accident happened just after 3.30pm on the main Letterkenny to Newowncunningham Road at the townland of Ardee.Gardai have confirmed that one person, a woman in her 30s, has been killed in the accident. They also confirmed that three children in the car were injured and were taken to Altnagelvin Hospital in Derry.The woman’s car was in collision with a Bus Eireann bus.There are serious traffic delays in the area at the moment.The road has been closed and traffic diversions are in place. The accident comes the day after the head of the Garda Traffic Corps in Donegal, Inspector Michael Harrison, appealed to motorists to take care on Donegal’s roads over the bank holiday weekend.Tonight a Garda spokesman appealed for witnesses to the 3.30pm crash.He said: “At approximately 3.30pm a female aged in her 30s was fatally injured when the car she was driving collided with a bus on the N13 between Letterkenny and Derry near Newtowncunningham. She was pronounced dead at the scene.“Her body was removed to Letterkenny General Hospital for a post-mortem examination. Three children travelling in the car at the time were taken by ambulance to Altnagelvin Hospital in Derry. The driver of the bus was uninjured.“The road is currently closed to traffic and diversions are in place. Garda forensic collision investigators are examining the scene. “Anyone with information is asked to contact Letterkenny Garda Station 074-9167100 or the Garda Confidential Line 1800 666 111.”UPDATED: BANK HOLIDAY TRAGEDY AS WOMAN KILLED IN DONEGAL ROAD CRASH was last modified: May 4th, 2014 by StephenShare this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to share on Pocket (Opens in new window)Click to share on Telegram (Opens in new window)Click to share on WhatsApp (Opens in new window)Click to share on Skype (Opens in new window)Click to print (Opens in new window)last_img read more