JAMA studies push the need for H1N1 flu shot

JAMA studies push the need for H1N1 flu shot

Summary: Like the 1918 pandemic this bug seems to seek out the young and healthy. If you're sick enough to be hospitalized there's a fair chance you won't come out alive. Modern medicine is better than it was a century ago but we still haven't licked this thing.

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TOPICS: Health
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The Journal of the American Medical Association has put a number of studies concerning H1N1 "swine" flu on its public Web site, and they make for scary reading.

(What's the great comic W.C. Fields doing here? Stay tuned.)

Like the 1918 pandemic this bug seems to seek out the young and healthy. If you're sick enough to be hospitalized there's a fair chance you won't come out alive. Modern medicine is better than it was a century ago but we still haven't licked this thing.

Still want to avoid the H1N1 shot, assuming that it's offered to you? Really? Really.

OK, let's go through the research:

  • Health care workers get little protection from fancy masks. Workers given ordinary medical masks had a nearly 1 in 4 chance of getting the disease. The same for those given fancy N95 fitted masks. Many medical workers have been resisting getting the shot.
  • Hospitals must be prepared for extraordinary burdens in the face of H1N1. "Hospitals must develop explicit policies to equitably determine who will and will not receive life support should absolute scarcity occur." Short version, convene the death panels now.
  • Doctors in New Zealand and Australia tried a technique called ECMO (a heart-lung intervention usually used on premature infants) on 68 severely ill H1N1 patients. These young patients had a 21% mortality rate. The study's authors believed they did well. Six of the survivors were still in intensive care when the study was completed.
  • A study of early victims in Mexico found critical illness concentrated in the young, with 58 of 899 patients admitted to the hospital. Among these 58, hospital admission "was associated with severe acute respiratory distress syndrome and shock, and had a high case-fatality rate." If you were sick enough to go to the hospital you were sick enough to die.
  • A study in Canada of 168 patients admitted to intensive care, including kids, found a median age of 32, with nearly one-third of the patients children. A variety of techniques were tried but overall, about 18% of these patients died.

I have noted in comments here a blase attitude toward H1N1, and a definite resistance to get protection against it, for a variety of reasons.

W.C. Fields (above) famously called death the "fellow in the brite nightgown." A few years ago Donald Fagan turned this into a catchy song. To those unconcerned about H1N1 feel free to hum it on your way out the door, when said fellow gives you the victory hug.

Topic: Health

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  • Still fighting that war eh, Dana? :)

    Get over it man.
    CounterEthicsCommissioner-23034636492738337469105860790963
  • Interesting piece of information:

    Recent news in Canada:

    "Four Canadian studies involved about 2,000 people, health officials told CBC News. Researchers found people who had received the seasonal flu vaccine in the past were more likely to get sick with the H1N1 virus."

    So... way to go with those vaccines!

    Oops! Painful! Fact overload for Dana!
    CounterEthicsCommissioner-23034636492738337469105860790963
  • Swine flu vaccination may = Guillain-Barre Syndrome

    Everyone is concerned about the swine flu - including the UK Health Protection Agency. They warned senior neurologists that the vaccine may cause a deadly nerve disease in some to whom it is administered (http://www.dailymail.co.uk/news/article-1206807/Swine-flu-jab-link-killer-nerve-disease-Leaked-letter-reveals-concern-neurologists-25-deaths-America.html).

    The only thing we know for certain is that there are risks inherent in vaccination - the risks of this becoming a serious, deadly pandemic are only still the subject of speculation.

    I suspect that this time next year I'll still be around. And I have no intention of risking paralysis in order to allay unwarranted fears of a relatively mild flu.
    Auriels_Flame
    • Denial ain't just a river in Egypt

      You're not just risking your own life. You're
      putting at risk the lives of everyone you come
      into contact with once you're infected.

      Your spouse. Your kids. Your coworkers. All of
      them.

      This is a germ in deadly earnest. Say hi to the
      Fellow in the Brite Nightgown when you see him.
      DanaBlankenhorn
      • "Denial" is not a river

        You failed to respond to my assertion that this vaccine could be deadly even though a credible source has warned about this. You also failed to respond to my assertion that this virus was in fact not as deadly as you have claimed several times.

        Promoting a vaccine that contains several highly toxic substances and that could leave your spouse, your kids and your co-workers paralyzed or dead is irresponsible. This vaccine has not been properly tested, no peer reviewed studies demonstrating its efficacy or safety exist and this entire media exercise in fear mongering could very well cost a high number of innocent people their lives.

        Step back from your hysteria for a moment and think clearly. You normally post very good articles but lately you seem in the grip of a paranoia so deep and so baseless that it borders on caricature.
        Auriels_Flame
        • Dana has a battle to fight... the battle of rationalizing his Belief

          What happened that he got a bit too much opposition in the form of facts to stomach. Now, most persons would simply review the evidence and think about it, and likely change their opinions. Not so with Dana. He dug himself deep in his position, wanting from posters here on ZDNet to hear that was he did was right, y'know, injecting live viruses in your bloodstream with all kinds of toxins, and that based on hysteria an alarmist (commercially driven) fear campaigns. He Simply Doesn't Want to Hear Anything Else Thank You.

          It's of course NOT like he actually knows what he's talking about, or that he did any kind of research himself. Naaah. Let's go with the fear campaign leaflets.

          Actually I enjoy this. Gives me a chance to post some relevant links, and interesting information that other readers might find useful.
          CounterEthicsCommissioner-23034636492738337469105860790963
  • The research you refer to doesn't prove H1N1 will get many people very ill

    "* Health care workers get little protection from fancy masks. Workers given ordinary medical masks had a nearly 1 in 4 chance of getting the disease. The same for those given fancy N95 fitted masks. Many medical workers have been resisting getting the shot."

    --> Using this research to indicate that H1N1 is more dangerous than regular flu is silly. It simply doesn't say that. Fact is fewer people get H1N1 than normal flu, and that for the vast vast majority of infections, the person doesn't even get ill, and for the small percentage that does get ill, the illness is very mild. Even milder than for regular flu. Oops! Fact check!

    "* Hospitals must be prepared for extraordinary burdens in the face of H1N1. ?Hospitals must develop explicit policies to equitably determine who will and will not receive life support should absolute scarcity occur.? Short version, convene the death panels now."

    --> Using this research to indicate that H1N1 is more dangerous than regular flu is silly. It simply doesn't say that. Fact is fewer people get H1N1 than normal flu, and that for the vast vast majority of infections, the person doesn't even get ill, and for the small percentage that does get ill, the illness is very mild. Even milder than for regular flu. Oops! Fact check!

    "* Doctors in New Zealand and Australia tried a technique called ECMO (a heart-lung intervention usually used on premature infants) on 68 severely ill H1N1 patients. These young patients had a 21% mortality rate. The study?s authors believed they did well. Six of the survivors were still in intensive care when the study was completed."

    --> Using this research to indicate that H1N1 is more dangerous than regular flu is silly. It simply doesn't say that.

    "* A study of early victims in Mexico found critical illness concentrated in the young, with 58 of 899 patients admitted to the hospital. Among these 58, hospital admission ?was associated with severe acute respiratory distress syndrome and shock, and had a high case-fatality rate.? If you were sick enough to go to the hospital you were sick enough to die."

    --> Using this research to indicate that H1N1 is more dangerous than regular flu is silly. It simply doesn't say that.

    "* A study in Canada of 168 patients admitted to intensive care, including kids, found a median age of 32, with nearly one-third of the patients children. A variety of techniques were tried but overall, about 18% of these patients died."

    --> Using this research to indicate that H1N1 is more dangerous than regular flu is silly. It simply doesn't say that.



    So Dana, Google again and come up with research proving that H1N1 will get more people sick than regular flu and that those people will get more sick than having regular flu. All you came up with here was information about who were already critically ill.

    Oh, and when I ask you for 'research' I don't ask for political statements or soapboxing. Facts please.

    FACT is fewer people get H1N1 than normal flu, and that for the vast vast majority of infections, the person doesn't even get ill, and for the small percentage that does get ill, the illness is very mild. Even milder than for regular flu. Oops! Fact check!
    CounterEthicsCommissioner-23034636492738337469105860790963
  • Swine flu vaccin patented 1 year *before* 'outbreak'

    Weird eh? And yes, you can check it for yourself. And don't start whining 'conspiracy'; this is an interesting piece of information that you should have the courage to investigate and discuss. Typical liberal knee-jerk reactions (1st label the source, 2nd ignore) are childish.


    The patent:

    "Baxter Files Swine Flu Vaccine Patent a Year Ahead of Outbreak --US20090060950A1 to Baxter International filed 28th August 2008 By Lara 10 Jul 2009 Baxter Vaccine Patent Application US 2009/0060950 A1 --'In particular preferred embodiments the composition or vaccine comprises more than one antigen.....such as influenza A and influenza B in particular selected from of one or more of the human H1N1, H2N2, H3N2, H5N1, H7N7, H1N2, H9N2, H7N2, H7N3, H10N7 subtypes, of the pig flu H1N1, H1N2, H3N1 and H3N2 subtypes, of the dog or horse flu H7N7, H3N8 subtypes or of the avian H5N1, H7N2, H1N7, H7N3, H13N6, H5N9, H11N6, H3N8, H9N2, H5N2, H4N8, H10N7, H2N2, H8N4, H14N5, H6N5, H12N5 subtypes."



    Btw - unrelated question, why is this topic on ZDNet actually? I don't see any IT tech in it. Reminder for you Dana: ZDNet says of itself. "ZDNet: Tech News, Blogs and White Papers for IT Professionals
    Where Technology Means Business: ZDNet delivers the best tech news, and resources for IT hardware, software, networking and services."

    What's up with the soapboxing? Just curious.
    CounterEthicsCommissioner-23034636492738337469105860790963
    • Hey, they're <b>SPELLED</b> the same!

      [i]such as influenza A and influenza B in particular selected from of one or more of the human H1N1, H2N2, H3N2, H5N1, H7N7, H1N2, H9N2, H7N2, H7N3, H10N7 subtypes, of the pig flu H1N1, H1N2, H3N1 and H3N2 subtypes, of the dog or horse flu H7N7, H3N8 subtypes or of the avian H5N1, H7N2, H1N7, H7N3, H13N6, H5N9, H11N6, H3N8, H9N2, H5N2, H4N8, H10N7, H2N2, H8N4, H14N5, H6N5, H12N5 subtypes."[/i]

      Did it ever occur to you that the identifier "H1N1" was not original this year? Does the presence of H5N1, H7N2, etc. suggest that there's a system here?

      H1N1 is a category. It's not unique to the current "novel H1N1 influenza" aka "swine flu" aka "Influenza Mexico City 2009." H3N2 types have dominated the seasonal influenza strains for the last several decades, but they're all enough different to avoid immunity to previous H3N2 strains of the previous year.

      As for the current vaccine, it's the same as the seasonal vaccine, just made with different viruses. Grown in chicken eggs, processed the same, all that. It's offered separately because of the late start on production, else they'd have included it in the seasonal shot for this year.
      Yagotta B. Kidding
      • Sigh....

        Your logic is kind of silly. It's this kind of reasoning: "look! I know the alphabet, THEREFORE I want you to believe that I know Shakespear's McBeth'.

        Suuurh...

        Fact is that this vaccine was patented 1 year before the first outbreak.

        :)
        CounterEthicsCommissioner-23034636492738337469105860790963
  • Interesting article on CNN...

    http://www.cnn.com/2009/HEALTH/10/13/swine.flu.checkli
    st/index.html

    "So far this year, 28 pregnant women have died of
    H1N1, and 76 children died in the spring. "At least
    two-thirds of [the children] had underlying
    conditions, which we recognize as putting them at
    increased risk for complications," says Dr. Nathan
    Litman, the chief of pediatric infectious diseases at
    the Children's Hospital at Montefiore, in New York
    City."

    Interesting, no? So it really doesn't hit young people
    harder, it hits people with weakened immune systems
    harder. Like the seasonal flu.

    "That said, H1N1 will feel like seasonal flu for most
    people. "I'd say at the present time the swine flu
    looks no more serious than the routine seasonal
    influenza," says Litman."

    Interesting, no? So in spite of all the sensationalism
    and paranoia, it's still just the flu.

    "The CDC estimates that more than 1 million people
    have contracted swine flu, but that their cases
    weren't recorded because they didn't seek treatment."

    Interesting, no? So more than 1 in 300 people in the
    US have already had it, and the number exposed is
    likely even higher.
    aep528
    • And... again silence from our blogger...

      Simple reason, really. He doesn't like the facts, and in True Liberal Fashin, you ignore facts if you don't like m. Dana is afraid of discussion.
      CounterEthicsCommissioner-23034636492738337469105860790963
  • RE: JAMA studies push the need for H1N1 flu shot

    A friend?s son was recently in the hospital in DC with appendicitis, and asked the nurse how many cases of swine flu they had, and was shocked to hear ?none.? Over the next several days she asked the different nurses and each confirmed there had been none. We have heard repeatedly the past months about the raging epidemic and that it is more seriously affecting children. On her son?s last day at the hospital, the nurse seemed in a hurry to get them out of the room, and when asked why, the nurse said there were a lot of very sick children. When asked what they were sick with, the nurse replied ?asthma.?
    Two studies that were never written about in any major newspaper in the US, but which are very significant. One, ?Childhood asthma is reduced by half when the first dose of diphtheria, pertussis, and tetanus (DPT) is delayed by more than 2 months vs given during the recommended period, according to the results of a retrospective longitudinal study reported in the March issue of the Journal of Allergy & Clinical Immunology.? Second, from ?ScienceDaily: Children Who Get Flu Vaccine Have Three Times Risk Of Hospitalization For Flu, Study Suggests.? Reporters, let this be a call to you to end propaganda campaigns and report all the facts. Both studies paint a clear picture about the relationship between vaccination and chronic illness, and many other studies can be easily found with a few strokes of a keyboard.

    According to the Asthma and Allergy Foundation of America:
    * Asthma accounts for one-quarter of all emergency room visits in the U.S. each year, with 2 million emergency room visits. [7] (This epidemic dwarfs the swine flu epidemic)
    * Each year, asthma accounts for more than 10 million outpatient visits and 500,000 hospitalizations. [8]
    * The average length of stay (LOS) for asthma hospitalizations is 3 days. [9]
    * Nearly half (44%) of all asthma hospitalizations are for children. [10]
    * Asthma is the third-ranking cause of hospitalization children. [11]
    * Each day 11 Americans die from asthma. There are more than 4,000 deaths due to asthma each year.In addition, asthma is indicated as ?contributing factor? for nearly 7,000 other deaths each year. [14]
    * Since 1980 asthma death rates overall have increased more than 50% among all genders, age groups and ethnic groups. The death rate for children under 19 years old has increased by nearly 80% percent since 1980. [15] (22 doses of childhood vaccines recommended from birth to age 6 in 1983 ? 48 doses of childhood vaccines by the age of 6 recommended in 2009 ? not including swine flu vaccine)
    There is no action without an equal and opposite reaction. In the effort to prevent all experience with infectious disease, children are becoming immunologically and neurologically poisoned and have developed high rates of chronic illness and disability.

    novaccine4me
    • That's prejudice, not science

      I prefer science, and the scientific method.

      Those who believe that science has a prejudice
      against them, or life, or whatever, don't know
      anything about science or the scientific method.
      DanaBlankenhorn
      • Science is good. Unless of course you blind yourself.

        Which - I hate to say - seems to be the case with you Dana. But hey - we live in a free society. I'm free to point out the errors you're posting here, and you're free to subsequently label people like me - just to rationalize not having to face the facts that are obvious.

        But now that I'm at it. Yesterday you promoted 'end of life care'. I then asked the question what you meant by that. You responded by labeling me as something you perceive negative (essence: you dodged the question). After which I asked the same question, for a second time. To which you again failed to respond. Conclusion: you seem kinda weak (again, I might add).

        But just curious: is *this* perhaps what you refer to as being 'end of life [cough] care'?
        http://www.timesonline.co.uk/tol/life_and_style/health/article6869646.ece
        CounterEthicsCommissioner-23034636492738337469105860790963
    • Interesting facts (facts are not prejudice, Dana)

      Same where I live. In our district we have three hospitals:
      Hospital 1 number of h1n1 cases: zero
      Hospital 2 number of h1n1 cases: zero
      Hospital 3 number of h1n1 cases: zero

      Now Dana, don't call this 'prejudice'. If you do that you lose - well I was almost tempted to say 'credibility' but you lost that last week when you promoted INCREASING TAXES to CREATE WEALTH.

      :)

      On to your next embarrassing blog I'd say!
      CounterEthicsCommissioner-23034636492738337469105860790963
  • The Case Against Vaccines (informative article)

    (Dana - ignore it; too many facts!)

    http://vran.org/about-vaccines/general-issues/doctors-speak/the-case-against-immunizatons/

    :)
    CounterEthicsCommissioner-23034636492738337469105860790963
  • RE: JAMA studies push the need for H1N1 flu shot

    An interesting article full of emotive claims.

    The Aus/NZ study weighted cases at middle age... not young people. Also, if you look at their info you will not that of the 14 people who died, 70% (10/14) died from bleeding which is a well known adverse effect of the anti-clotting drugs they are given. As the editorial said, ECMO has not yet been shown to be beneficial.

    The death rate from this flu is about 1:25000 infections. The death rate in Australia and New Zealand over winter was about 1:125,000 people. The death rate was about 1:400,000 people if you weren't sick to start with. The death rate for dying in a car crash in a given year is about 1:10,000
    Ron Law
    • Oops Dana! Unwelcome Facts for you! What now?

      Are you going to call that 'prejudice' also?

      What are you going to do now? :)
      CounterEthicsCommissioner-23034636492738337469105860790963
  • Nice destruction of Dana's blog.

    Good job.
    CounterEthicsCommissioner-23034636492738337469105860790963