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zoom RSS 新型インフルエンザで妊婦28人が死亡 100人がICU治療/米国 新型H1N1インフルエンザ

<<   作成日時 : 2009/10/03 20:08   >>

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CDCによる妊娠女性のH1N1インフルエンザ感染についての最新報告。
100人がICU治療を必要とし、今までに28人が死亡したという。
http://www.youtube.com/watch?v=GKK2QwgwT3E
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ブタインフルエンザウイルスは持続的に呼吸器を攻撃/新型インフルエンザ
http://kurie.at.webry.info/200908/article_25.html
ブタインフルエンザによる妊婦のリスク/新型インフルエンザ CDC
http://kurie.at.webry.info/200907/article_40.html
肥満が新型インフルエンザの重症化に関係/米国医療事情 豚インフルエンザ
http://kurie.at.webry.info/200905/article_39.html
小児の新型インフルエンザ重症例
http://kurie.at.webry.info/200908/article_26.html
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Press Briefing Transcripts
Weekly 2009 H1N1 Flu Media Briefing
http://www.cdc.gov/media/transcripts/2009/t091001.htm
October 01, 2009, 12:00 p.m.

画像Anne Schuchat: Thanks for joining us for today's press conference. I want to talk about three main things today. Where are we with flu, where are we with the antivirals, and where are we with the vaccines, particularly the H1N1 vaccines.

In terms of the disease activity right now, we expect tomorrow in our weekly update of FluView that we'll be reporting substantial flu illness in most of the country, significant flu activity in virtually all states. Most states do have quite a lot of disease right now, and that's unusual for this time of year. We're able to give a little bit of an update about the H1N1 influenza disease in pregnant women. I know that's been an interest to a lot of people. We've updated our numbers, and through late august, we can report that about 100 pregnant women in the United States have required intensive care unit hospitalization for H1N1 flu. Sadly, 28 pregnant women in the U.S. have died so far from the H1N1 influenza. These are really upsetting numbers, I know. And I just want to remind women and doctors and nurse midwives that antiviral medicine can be a very important treatment for pregnant women who have respiratory illness.

Stay tuned, the vaccine is an important way to protect yourself from seasonal flu or from the H1N1 flu. And as vaccine becomes available in appropriate formulations, we hope pregnant women and their caregivers will be taking advantage of it, and vaccinate pregnant women or take them to a place where they can be vaccinated.

I want to mention briefly an MMWR report issued a couple of days ago, it's on fatalities from the H1N1 influenza, and the important role bacteria have in some of these fatal cases. Our scientists reviewed autopsy material from 77 fatal H1N1 influenza patients and found that bacteria were present in terms of bacterial pneumonia in about a third of those fatalities. The good news is the leading bacteria was streptococcus pneumonia, and we have a vaccine for that. Adults are recommended to receive the pneumococcal vaccine if they have chronic medical conditions, like asthma, diabetes, chronic heart disease, chronic lung disease, immunodepression and so forth. Sadly, only about one in five non-elderly adults take advantage of that vaccine. So when people are going in for their seasonal flu vaccines right now, those very same people, we urge them to consider the pneumococcal vaccine which is available right now.

I want to catch people up with the antiviral situation. That's been something we've been hearing a lot about recently. Secretary Sebelius released about 300,000 courses of liquid Tamiflu for children to be made available to the states who may need this. So far, basically each state that needs their proportion of that supply will receive this Tamiflu over the next week. Based on requests we've already received. Texas and Colorado received their proportions today. The amounts, there are about 22,000 pediatric liquid Tamiflu courses for Texas, and about 4,600 of those courses for Colorado. Now, some of the liquid formulations of Tamiflu will have an expiration date that may have passed, but we want people to know that the FDA has extended the expiration date of those courses, after careful testing. Everything that is being released has gone through that sort of testing. I do want to remind people about our guidance on antiviral medicine used. Because this is such an important tool we have to reduce illness complications of influenza, whether it's the H1N1or regular flu. People who have severe illness, who are hospitalized or who have other warning signs can greatly benefit from antiviral medicine. People who have the influenza-like symptoms and have conditions that make it possible they would have a worse time with flu should also receive antiviral medicine. That includes pregnant women, people with asthma, diabetes, immunosuppression, and the very old and the very young. There are important warning signs that people should know about, in particular parents. These include fast breathing, or difficulty breathing, trouble taking fluids, difficulty being woken up or if our child looking a little blue or a little gray. And importantly, getting better and then getting worse. Those are warning signs that really it's time to seek care. And we know that parents are concerned about the flu, and we want them to know about those signs.

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新型インフル感染の妊婦、無事出産…大阪
http://www.yomiuri.co.jp/national/news/20091003-OYT1T00602.htm
 大阪府泉佐野市の市立泉佐野病院で8月、新型インフルエンザに感染した妊婦(39)が、妊娠8か月の早産ながら、無事に女児を出産した。
 大流行が危惧(きぐ)される中、安全な出産と感染防止を両立させたモデルケースとなりそうだ。
 妊婦は8月17日午後7時頃、貝塚市内のかかりつけ産科医に電話で、「発熱し、おなかが張って出血した」と連絡してきた。医師は、妊婦の長男(3)が新型インフルエンザを発症していたと事前に連絡を受けており、早産のリスクも高いことから、到着した妊婦にタミフルを投与し、高度医療を担う泉佐野病院に搬送した。
 同病院は、産科救急の搬送受け入れを一時停止。分娩(ぶんべん)室にすでに入っていた妊婦2人を別室に移し、付き添っていた家族も帰宅させた。妊婦は同9時過ぎ、1984グラムの未熟児だったが、無事に女児を出産。出産後はすぐに個室に移し、入院中は常時、マスクを着用させた。すでに母子ともに元気で退院している。
 担当した荻田和秀医師は、「妊婦さんは発熱やせきの症状があれば、感染を疑い、まず電話で病院に連絡を取って」と呼びかけた。
(2009年10月3日15時21分 読売新聞)

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新型インフルエンザで妊婦28人が死亡 100人がICU治療/米国 新型H1N1インフルエンザ 医師の一分/BIGLOBEウェブリブログ
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