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GENEVA - Tamiflu resistance in some H1N1 patients with severe impaired immune system does not seem to reflect a major change in the virus' sensitivity to front-line drugs, the WHO said Thursday.
Nine people in the United Kingdom and the United States developed a Tamiflu-resistant form of swine flu at the same time being treated in hospitals mainly for blood cancer, "said WHO flu expert Keiji Fukuda.
"We do not know the answer. But it is more likely that we will not see a change, a major shift in the epidemiology or the characteristics of these viruses for oseltamivir resistance, he said a weekly press briefing.
He said Tamiflu, known generally as oseltamivir and made by Switzerland's Roche (ROG.VX), was effective when used correctly and early.
About 75 cases of oseltamivir-resistant viruses have been reported worldwide in recent months, most isolated incidents that have occurred since that preventive treatment with the drug, "he says.
"Right now we do not see any sign of a great power in immunocompromised persons with milder forms, and we can not see a big effect on HIV-infected population," he says.
Flu to continue for several weeks
Swine influenza is expected to infect more people in the northern hemisphere in the coming weeks before there is a decline, but is less common in the southern hemisphere, "said Fukuda.
"... It is still too early to say whether we are witnessing to the top of the activity on the northern hemisphere. Again we see the difference between a country at a time," he says.
H1N1 has killed at least 6,770 people, according to WHO. Most people suffer mild symptoms and recover without specific treatment.
Some serious side effects occurred after vaccination, but for the most part "we have seen that serious incidents are not related to pandemic vaccine," said Fukuda.
In Canada, six people had serious allergic reactions after vaccination, but all recovered. Canadian provinces have stopped using a particular group with GlaxoSmithKline Plc (GSK.L) vaccine.
"As we understand that none of this vaccine was distributed outside of Canada," said Fukuda. "Have all unused doses of vaccine on hold, they are not used at this point, while the investigation continues."
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Mecca, Saudi Arabia - A teenager and three elderly people in Saudi Arabia for the Hajj pilgrimage have died of H1N1 flu virus, said the Saudi Ministry of Health.
Victims of the virus was a 17-year-old Nigerian woman and a Sudanese man, an Indian man and a Moroccan woman, each was 75 years old.
"These cases were discovered too late," said Dr. Khaled Al-Marghalani, ministry spokesman. "Some were old, and the others had pre-existing chronic conditions."
Al-Marghalani said the Sudanese man first went to a doctor who treated him, but not H1N1.
"So when the doctor sent him to the hospital, and he was treated for H1N1, it was too late," he said.
The annual pilgrimage to Mecca, Saudi Arabia, required of Muslims at least once in their lives, and millions of people throughout the world makes trek to participate. This year, the Hajj begins Wednesday, and many pilgrims have been arriving for days and weeks before the event, which coincides with the flu season.
When the Arab Health met in Cairo, Egypt, a few months back, it was more groups may also be excluded from this year's event because of flu. They were children under 12 years old, adults over 65 years, pregnant women and people with chronic diseases.
The Saudis do not exclude anyone from coming and left the responsibility for the pilgrims' countries of origin. In practice, officials issued guidelines only for people in danger.
Two days ago, Saudi Arabia Minister of Health, met Dr. Abdullah Al-Rabeeah representatives to discuss measures to detect disease.
"It would be nice to have more time to prepare [the possibility of H1N1 spreading in Saudi Arabia] in front of Hajj, but I am very satisfied with all the measures and have great confidence," he said before the meeting.
Al-Marghalani said "safe gun" for this kind of H1N1 cases resulted in death is Tamiflu, the drug used to fight influenza.
"If we lose Tamiflu, we will lose the war. But Tamiflu is only effective in the first 48 hours after symptoms," he says.
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CNN / Opinion Research Corporation poll Wednesday showing that the number of adults who have tried to get the vaccine, but was rejected is higher than the number of adults who received a swine flu shot.
According to the poll, 55 percent of adults will not get the swine flu vaccine, and has no plans to get a shot. Another one in five say they want to be inoculated, but has not taken steps to do, 14 percent want a shot, and tried to get it, but have been unsuccessful. Only 7 percent were inoculated for H1N1.
Why is more than half of all Americans shun the vaccine?
"The perception that the vaccine has dangerous side effects is the ultimate cause," said CNN polling director Keating Holland. "About half of those who do not want a swine flu shot say that the possibility of side effects is one of the reasons that they have no plans to get vaccine. This represents 28 percent of the adult population, has no plans to get inoculated because the risk of dangerous side effects.
So far, officials from the National Institutes of Health say they have seen no serious side effects in clinical trials and to examine patients who have been vaccinated have created a good response.
Centers for Disease Control and Prevention recommends the vaccine for certain high-priority groups, because they are more likely to have serious complications if they develop swine flu. These groups include: pregnant women, relatives and household contacts of children younger than 6 months, all aged between 6 months and 24 years, and people aged 25 to 64 with existing.
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A small number of people have died after being inoculated against H1N1 pandemic influenza, but studies have demonstrated that deaths not caused by vaccines, one senior official in the World Health Organization said."No new security vulnerability has been identified on the basis of reports issued to date ... Reporting to date confirms that a pandemic influenza vaccine is as safe as the seasonal flu vaccine," WHO vaccine expert Marie-Paule Kieny told a conference call.Governments have previously reported that 65 million vaccines have been administered against H1N1, known as swine flu, but the real figure is probably higher, "she said.
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Runny nose, fever, cough, even pneumonia - symptoms sound like swine flu, but the children admitted to an American hospital in fact had a Rhino virus, better known as a common cold virus, doctors said.Hundreds of children treated at Children's Hospital of Philadelphia had a Rhino virus, and federal health investigators are trying to determine if there was another charge, and if this happens elsewhere in the country."It started to happen in early September, we began to see more children coming to our emergency department with significant respiratory disease, said Dr. Susan Coffin, medical director for control and prevention of infections in hospitals.Doctors and parents assumed it was the new pandemic influenza H1N1 swine, expected to resurface as the schools began in September. But it was not, Coffin said in a telephone interview.The hospital, in contrast to most hospitals in the United States, runs a test that can diagnose 10 different respiratory viruses, including influenza, but also rhinoviruses, para influenza virus and other germs that make their children sick."The data showed us it was not H1N1, but instead was the Rhino virus infection" Coffin said.Normally rhinoviruses cause an annoying but benign disease, which looks very like the flu, but with more runny nose and fever, usually less. One was causing severe symptoms, and even pneumonia."Some of these kids had really bad wheezing, Coffin said - so bad that they had to be hospitalized and treated with a Nebulizer to deliver medication into the lungs to keep oxygen in the blood."We have not very often have a large number of children tested positive for it," said Coffin.CDC EXPLORATIONBut she estimates that 500 were hospitalized in September and October, with no deaths, she knows. Begins in mid-October began H1N1 swine influenza to appear also.The U.S. Centers for Disease Control and Prevention is investigating, said CDC spokesman Dave Daigle."While the Rhino virus outbreaks are common in autumn, the eruption that took place this year was unusually high, and resulted in numerous hospitalizations, including many children who required intensive care," Daigle said."We're still testing the strains from the outbreak, but from what we've seen so far, it appears that there is one dominant tribe.The CDC says that while the swine flu epidemic is over the level, only 30 percent of cases of so-called flu-like illness that has been tested in fact turns out to be H1N1.Coffin and CDC officials said it's important for people to not assume if they or their children have flu-like symptoms that it was swine flu, and they do not need to be vaccinated.H1N1 has infected an estimated 22 million people were killed and 3900 in the United States alone. It continues to spread globally and governments are only the beginning of efforts to vaccinate people against the virus.There is no vaccine against Rhino virus, and no good treatment. For seriously ill patients, the hospital tries to keep the blood oxygen level up and keep the patient hydrated, often with intravenous lines, if they are coughing or wheezing too hard to eat or drink.
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Criminal gangs make millions of dollars out of the H1N1 flu pandemic by selling fake flu medicine over the Internet, a Web security firm said.Sophos, a British security software company said it had captured hundreds of millions of counterfeit medicines spam ads and Web sites this year, many of them trying to sell fake anti-viral drugs such as Tamiflu to concerned customers.Tamiflu, an antiviral marketed by the Swiss Roche Holding and known generally as oseltamivir is the front line drug recommended by WHO to treat and slow the progression of influenza symptoms. GlaxoSmithKline makes another anti-virus for influenza, known as Relenza.Sophos said many of the gangs behind places was based in Russia and the five best places to buy counterfeit Tamiflu and other drugs on the internet was in the U.S., Germany, United Kingdom, Canada and France.Sophos spokesman Graham Cluley said the "disturbing trend" toward saving Tamiflu had already been seen in Britain - Europe's worst affected country in the H1N1 pandemic so far."As more and more cases of swine flu .... come to light, it is important that we all panic-induced resist the temptation to buy Tamiflu online," he says."The criminal gangs who work behind the scenes of fake internet pharmacies put their customers' health, personal information and credit card information at risk."Geneva-based WHO, which declared H1N1 swine influenza, a pandemic in June, updated its guidance to doctors last week to say that antiviral drugs should be administered before the test to conclude that a risk group of patients has pandemic virus.Sophos says criminal gangs operated, medical websites marked "Canadian Pharmacy" to try to get real.It said its research showed that on a network driven out of Russia, called Glavmed, it was possible to earn an average of $ 16,000 per day marketing pharmaceutical sites.But the criminals can be a member of more than one affiliate network, and some have boasted of earning more than $ 100,000 per day, said in a statement.The pandemic influenza H1N1 virus has now spread to 206 countries since it was first discovered in March. There have been more than 6250 deaths so far, mainly in the Americas region, according to the latest WHO toll.
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ATLANTA, USA - Recent government figures show swine flu will spread around the country and increase in almost every state. It occurs when death is at least 95 children since April.Center for Disease Control and Prevention has issued new morning Friday.Forty-six states is the spread of flu. States, especially flu has spread Connecticut, Hawaii, New Jersey and South Carolina.With at least two different types of influenza causing illness is now. About 5,000 patients tested by nearly every case that a flu swine flu.7 killed more children in addition to the 95 laboratory confirmed as influenza virus subtype, but the flu is not considered by CDC.
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How do I know if I have the flu?You may have the flu if you have some or all of these symptoms:- fever - cough- sore throat- runny or stuffy nose- body aches- headache- chills- fatigue- sometimes diarrhea and vomitingIt’s important to note that not everyone with flu will have a fever.What should I do if I get sick?You should stay home and avoid contact with other people except to get medical care. Most people with 2009 H1N1 have had mild illness and have not needed medical care or antiviral drugs and the same is true of seasonal flu.However, some people are more likely to get flu complications and they should talk to a health care provider about whether they need to be examined if they get flu symptoms this season. They are:People at High Risk for Developing Flu-Related Complications- Children younger than 5, but especially children younger than 2 years old- Adults 65 years of age and older- Pregnant womenPeople who have:- Asthma- Neurological and neurodevelopmental conditions [including disorders of the brain, spinal cord, peripheral nerve, and muscle such as cerebral palsy, epilepsy (seizure disorders), stroke, intellectual disability (mental retardation), moderate to severe developmental delay, muscular dystrophy, or spinal cord injury].- Chronic lung disease (such as chronic obstructive pulmonary disease [COPD] and cystic fibrosis)- Heart disease (such as congenital heart disease, congestive heart failure and coronary artery disease)- Blood disorders (such as sickle cell disease)- Endocrine disorders (such as diabetes mellitus)- Kidney disorders- Liver disorders- Metabolic disorders (such as inherited metabolic disorders and mitochondrial disorders)- Weakened immune system due to disease or medication (such as people with HIV or AIDS, or cancer, or those on chronic steroids)- People younger than 19 years of age who are receiving long-term aspirin therapyThe Advisory Committee on Immunization Practices (ACIP) has issued separate recommendations on Who Should Get Vaccinated Against Seasonal Flu.Also, it’s possible for healthy people to develop severe illness from the flu so anyone concerned about their illness should consult a health care provider.There are emergency warning signs. Anyone who has them should get medical care right away.What are the emergency warning signs?In children- Fast breathing or trouble breathing- Bluish skin color- Not drinking enough fluids- Not waking up or not interacting- Being so irritable that the child does not want to be held- Flu-like symptoms improve but then return with fever and worse cough- Fever with a rashIn adults- Difficulty breathing or shortness of breath- Pain or pressure in the chest or abdomen- Sudden dizziness- Confusion- Severe or persistent vomitingDo I need to go the emergency room if I am only a little sick?No. The emergency room should be used for people who are very sick. You should not go to the emergency room if you are only mildly ill. If you have the emergency warning signs of flu sickness, you should go to the emergency room. If you get sick with flu symptoms and are at high risk of flu complications or you are concerned about your illness, call your health care provider for advice. If you go to the emergency room and you are not sick with the flu, you may catch it from people who do have itAre there medicines to treat 2009 H1N1?Yes. There are drugs your doctor may prescribe for treating both seasonal and 2009 H1N1 called “antiviral drugs.” These drugs can make you better faster and may also prevent serious complications. This flu season, antiviral drugs are being used mainly to treat people who are very sick, such as people who need to be hospitalized, and to treat sick people who are more likely to get serious flu complications. Your health care provider will decide whether antiviral drugs are needed to treat your illness. Remember, most people with 2009 H1N1 have had mild illness and have not needed medical care or antiviral drugs and the same is true of seasonal flu.How long should I stay home if I’m sick?CDC recommends that you stay home for at least 24 hours after your fever is gone except to get medical care or for other things you have to do and no one else can do for you. (Your fever should be gone without the use of a fever-reducing medicine, such as Tylenol®.) You should stay home from work, school, travel, shopping, social events, and public gatherings.What should I do while I’m sick?Stay away from others as much as possible to keep from making them sick. If you must leave home, for example to get medical care, wear a facemask if you have one, or cover coughs and sneezes with a tissue. And wash your hands often to keep from spreading flu to others. CDC has information on “Taking Care of a Sick Person in Your Home” on its website at http://www.cdc.gov/h1n1flu/guidance_homecare.htm
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Preliminary reports suggest that respirators N95 - Older equipment mouth and nose filter - prevention of swine flu better surgical face masks do not seem to be open to researchers during the meeting of the Infectious Disease Society of America (IDSA).In fact, surgical face masks, which are inexpensive and easy to wear as well as could respirators N95. At least, researchers can not prove better than others. Is the latest wrinkle in a debate. continued over the protection of health care workers from the H1N1 virus, known as swine flu.Raina MacIntyre, Ph.D., professor of epidemiology of infectious diseases and head of the University of New South Wales Faculty of Public Health and Community Medicine in Sydney, Australia, said research team did not match the resolve."We will analyze the same data different for the final paper," she explains.The new analysis, researchers remove the control group of nearly 500 health care workers and other statistical adjustments made. In the different infection rates between the mask and respirator use is not statistically significant."[The study] will continue to show better than the N95s with half the rate of infection compared with surgical masks" MacIntyre said. "But the study is underpowered may be statistically significant when we remove the control group."Of course I will wear N95 respirator if exposed to infected patients," she added.
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Search for local pandemic influenza.Spent in monitoring the work of local flu in online versions of your local newspaper (remember those?) Or Health Department or check the website such as Google Trends flu (but note that this map is based on search trends. and can be skewed if people catch health search). FluTrends addition to that produced by Rhiza Labs and includes a case history and current operation or to Center of Disease Control and Prevention (CDC) update flu week.If your city or state bit hot spot you may want to highlight some of these to score faster than others. The good news is that some areas hardest hit in the spring - such as New York - do not seem to have H1N1 in many cases. now. (experts estimate that no more than 1 million New Yorkers may have H1N1 in the spring, which will prevent infection later.).Do not panic.For most people infected with H1N1 generally mild and can disappear with time remaining beds, and species. Viruses are serious, but - especially for those in high-risk groups. Until this year, 28 pregnant women die of H1N1, and 76. Child mortality in the spring. "at least two-thirds of the [children] are basic conditions that we know a place they have increased risk for complications," Dr. Nathan Litman, chief of infectious diseases at Children's Hospital. Children's Hospital at Montefiore in New York said that city. high-risk people, whether adults or children often have chronic heart or lung conditions (including asthma), weakened immune system due to disease or diabetes or chemotherapy treatment.That the H1N1 flu season will feel like for most people. "Swine flu when I speak in no way serious than regular seasonal flu" Litman said.Stay at homeYou right now or not the patients that have flu-like symptoms such as fever, aches, stuffy nose and chills? Sorry, but it's quite possible you have a swine flu. Experts say that the work of higher flu - usually this time of year and because nearly all H1N1. If you (or your child) are not in high-risk groups. , is the best place.If the child is 2 or more "and have no risk factors for complications and fever, runny nose or steam, which is the best thing to being home," Litman said. Rich "category, Tylenol, Motrin or Advil and disease. use of their course.If the child has difficulty breathing, can not type or less from responding or appearing to recover from the disease after developing fever and start again then I see a doctor.If you are pregnant and have a fever it may be best to call your doctor first to see him or her, Litman said."They may want to set a separate location, or to see the same patients to see patients," he said. "You do not want pregnant women with the disease to steam and sneezing into a room with a pregnant women and good. just get regular prenatal care.Understand the risks.The symptoms of H1N1 may not differ from seasonal influenza are some important differences. H1N1 may be easier to catch flu than usual and less people may increase the likelihood that it will be down by more than older people."From what I see, I actually believe that more contact will" Litman said. Tend to be seasonal flu circulating, the percentage of the population is immune to some. H1N1 seems to most people - other than the elderly - is immune. impossible, and that may cause infectious disease in the show, he said.People older than 60 may be a swine influenza virus in the past as far, making them the edge with this pandemic. Not that they are not sick, but "most of them appear to be immune from infection. Before a virus similar or cross-react with viruses similar to protect them from the swine flu "Litman said.Was comfortable shooting season. Photo regular seasonal flu, it is now appropriate "book" (the Brits say). While most cases of flu occur in this time caused by the H1N1 "in two months or three months may be. normal seasonal influenza, and we should be prepared to "Litman said." Because the vaccine is currently available, I recommend that everyone be considered as risk groups for seasonal flu vaccine.'s flu was as dangerous as H1N1; About 36,000 people including about 80 children die of seasonal flu each year.Receive pneumonia vaccines.What brother? For other vaccines, it may look like pinpricks are too. But the pneumonia vaccine shot can help prevent illnesses caused by certain bacteria, including pneumococcus meningitis and ear which may be a good idea too.CDC has analyzed the H1N1-related mortality and found many people who are dead, including some dual infected with pneumococcus. The good news is if you go up the latest in their child's vaccine may have it. Was approved in 2001 and called Prevnar is the child regularly.Another vaccine, Pneumovax, for adults and is recommended for the elderly and those with high-risk installation.Wash hands.Just about every expert singing "Wash your hands, holy." In fact, washing hands with soap and water or alcohol use color to help. But when it comes to the flu that just hand washing may fall in "and not hurt. might help "category. Because of the flu virus can hitch a ride on the water droplets can absorb airborne viruses and illnesses even if you wear gloves or wipe-in 24-7, such as the brain surgeon. but again, flu viruses can. on the surface up to 48 hours. that yes, cleaning up. with good hygiene can protect you from other germs, such as pneumococcus, which simplifies much worse case of flu when added as a mixture.Will not share in face masks, or Tamiflu.If you are the type who hoarded canned soup and bottled water in 1999 when the world ends in 2000 is to attract to win the box surgical masks "in the case. CDC and most experts do not recommend or say how. proven to prevent infection, but some studies suggest that they are useful in the home with a flu-infected family members or when labor in the hospital respirator N95.And while that may seem complete inventory virus will not harm the drug. If Tamiflu is gathering dust in your medicine cabinet, then people may indeed have found pharmacies to live out. And surest route to antiviral drugs is a flu. people take it "in case" or the symptoms will disappear themselves.Swine flu vaccine was - really.Or at least seriously consider it. Many people do not generally mad vaccine and one-third of parents said they are over their children, according to poll for AP. Understanding. To something that might result. side when you are (or your child feel) healthy full strength. but if you think that waiting until the swine flu in full force in your community may be too late. It may take several weeks after vaccination. before your immune system ramps up to full protection mode.If you or your child, you can get full strength nasal spray version, which has weakened but not killed virus. But if you were in high-risk groups, you may have to wait a bit for the model virus, which killed one of the formats. brother. who should be in the mid to late October.While mulling over your options, try to not think that federal agencies have large giants faceless as you try to set the vaccine. In fact, the agency staffed by scientists and doctors who try to protect the public."Each year, approximately 30 percent to 40 percent of children between 5 and 19 years flu that not only help them out of school a few days, but the outbreak epicenter - it will spread to household contacts over. schools and other high-risk people in the community such as elderly people - grandparents of "Litman said." to their advantage and for the benefit of others should receive the vaccine for seasonal flu and swine flu vaccine.Do not let the past haunt you. While the 2009 virus has been tagged with the unfortunate moniker of swine influenza (as 1976 models) is a world of difference between the two. For they are the virus. And if you live in 1976. You might dig bicentennial groovy pants and platform shoes, but opportunities in the swine flu center is very beautiful. (is roughly 200 cases in Fort Dix, New Jersey and the virus is not spread.).Fast forward 2009, the actual pandemic - has more than 340,000 cases worldwide and nearly 44,000 confirmed cases and should be confirmed in the United States only. (CDC estimates that more than 1 million contract, but the case of swine flu, they are not saved. Because not seek treatment.) and the '76 version has problems with side effects, including Guillain-Barré disease (GBS) in a rare condition that attacks the nervous system, immune weakness and paralysis have (but most people. most nights).However, the vaccine production used in the 1970s now looks as outdated as your striped bell-bottoms and rockin' sideburns."Last year with many improvements in the vaccine," Dr. Claudia Vellozzi, assistant director of CDC's Office said the cause survival security. "Exact role in showing the safety of vaccines, better now compared with 1976. From 30 to 40 million people vaccinated for swine flu in 1976 was approximately 1 in 100,000 develop GBS. But now research to suggest less risk associated with GBS vaccine for seasonal flu."There are one or two studies that found that if it is very small, about one in 1,000,000 or more GBS cases are attributable to flu vaccines - but most studies do not support any association," she said. (Has 2,000. 3,000 cases of GBS in the United States every year is not related to vaccination, Vellozzi said. cause is unknown but can be called by..)"In terms of our current vaccine is expected to form the same security as our seasonal influenza vaccine with good track records," she said.Be prepared.If you want to get flu shot is best for H1N1 patients. It may take weeks before everyone who wants one can get it. In the meantime, think about what you do if you or a family member is sick."Get immunized, washing your hands, cover your mouth and nose, sneezing, or if your ID, if you were home sick, and if the warning signs - breathing difficulty responding normally can not type or after a day or two. the fever came down with fever and more and I again - doctors "Litman said.
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The H1N1 virus is now the dominant influenza virus worldwide, with high levels and increased activity in many regions, the World Health Organization said.
I update weekly, the WHO's point person on the H1N1 virus, Dr. Keiji Fukuda, also cautioned the public not to deal with the influenza virus similar to one another.
Like the seasonal influenza, H1N1 is more active in winter than during the summer, and the majority of infected people get better on their own, Fukuda said. H1N1 also as an infectious and transmissible as the seasonal flu, he said.
But unusually for flu, Fukuda said, H1N1 remains at high levels over the summer months, and many of the serious illnesses and deaths focused on people younger than 65.
Seven months into the Pandemic, the virus commonly known as swine flu still at high levels and continues to increase in North America, said Fukuda. Mexico, for example, has seen more cases from September to November than they saw in the previous month since April, when the virus, he said.
The virus is also becoming increasingly active in Europe and in Central and West Asia, that Fukuda.
Health officials this week report on outbreak of cases in Ukraine, which now has more than 250,000 cases of influenza-like illness, with 235 patients requiring intensive care, the WHO said.
Activity is picking up in Eastern Asia, Fukuda said. Mongolia reported "several" cases over the last week, he said.
"East Asia is one of those parts of the world where seasonal flu viruses in circulation have remained relatively high," said Fukuda. "But even in that part of the world, the virus being dominant Pandemic."
More cases being reported from a number of Caribbean countries as Cuba and Haiti, he said.
In Central America and the Southern Hemisphere, however, activity levels as those regions fell into the summer season, Fukuda said.
"There are different regions around the world - North America, Europe, North and Central Asia - where we have clearly seen an increase in activity Pandemic flu," he said, but "there is no one place throughout the world where focused on. "
Disease activity is difficult to predict, Fukuda said.
"We are not going to know what the future is going to give, and that the main focus of our effort here is ... what steps are necessary to ensure countries are prepared as possible to deal with disease levels, "he said.
H1N1 creates different challenges in different countries, but it seems not affecting indigenous groups more significantly than nonindigenous groups, he said.
In Australia, for example, "aboriginal groups are disproportionately represented in persons end up in hospital from diseases related to the Pandemic," Fukuda said.
The WHO does not always know whether the effects on indigenous groups because of the Pandemic itself or because of fundamental factors.
Because most people infected with swine influenza tend to recover on their own and do not suffer severe problems afterwards, by some people that are tempted to dismiss the idea of infection and it is not serious. But Fukuda said that dangerous intention to lay down.
"Ag has, we are still concerned enough about the patterns we are seeing, especially because some people sizable development difficulties [to come to death]," he said. "We see that the serious difficulties centered on the younger age group than the older age groups."
While the difficulties most often seen in people with chronic, underlying health conditions and pregnant women, they can also develop in people "who are currently healthy and young."
But contrary to some reports, said Fukuda, the WHO is not seen major mutations in the virus since it first. He said viruses being isolated now "generally similar" to the isolation over the past several months, indicating that they are not changing much.
WHO is also no evidence of widespread resistance to antiviral medicines, Fukuda said. There have been sporadic cases of oseltamivir against - the general name for Tamiflu, one of the most used drugs against influenza - but such cases are still "isolated and infrequent," he said.
"Antivirals are useful to all borne well against," he said.
Fukuda suggested as "innovative" the decision by Norway to distribute antiviral medication over the counter for a limited period of time. The transfer can help to highlight the primary health system and enable patients to get the medicine more quickly, he said.
There are other useful defenses against H1N1 vaccines, which the WHO recommends that Pandemic against infections, Fukuda said.
"Vaccines are now used in a significant number of countries ... and based on this experience, in which millions of people who received the vaccine now, we actually see that the vaccines are very safe," a he said.
The only side effects swelling and pain at the injection site, but "these are occurring at the rate expected and usually seen with seasonal flu vaccine," said Fukuda.
'By, believes as well as other public health authorities, the vaccines are very useful against infections Pandemic and [we] do support their use, "he said.
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