The Preparedness Report Supplement

Volume 7, Issue 10S
May 21, 2009
Novel H1N1
H1N1 It has been approximately six weeks since the world first noted a new strain of Influenza A, currently labeled as Novel H1N1 influenza. From escalating numbers of illnesses and fatalities first observed in Mexico, this illness has spread to 40 countries with over 10,000 confirmed cases. There have been eighty deaths reported, six of these occurring in the United States, according to the World Health Organization. In the United States, over 5,400 cases have been documented, according to the Centers for Disease Control and Prevention. Dr. Anne Schuchat, CDC's Interim Deputy Director for Science and Public Health described these cases as "the tip of the iceberg" and said that as many as 100,000 individuals may be infected in the United States. 

Initially, most cases and fatalities were individuals who traveled to Mexico or had association with someone who had. Increasing numbers of individuals, however, are contracting this illness with no identifiable source. Currently, the level of transmission in the United States is primarily community-based with the majority of cases having no history relevant to travel in Mexico or interaction with those that have. The range of age is from five to fifty-five years of age.
 
In many instances, fatalities have occurred in either previously ill individuals or those with significant chronic illness, although many of the Mexican fatalities were young and otherwise healthy individuals who died from pneumonia after contracting the flu.

The current
round of infection is thought to be the first wave of this illness. We may see additional waves of this strain in the fall which have the potential to be more virulent.

 YNH-CEPDR
Novel H1N1 Links
We are providing an updated list of internet links to assist you in staying accurately informed and up-to date on this dynamic event. We hope you will find these useful:
Please also visit the Yale New Haven Health Influenza - Novel H1N1 Resource page at:
http://ynhhs.org/emergency/
influenza/index.html
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