IOM president Harvey Fineberg writes in Science that the 1976 Fort Dix response, a mass vaccination followed by more than 500 Guillain-Barre cases and 30 deaths, shows decision makers must ask what added information would change their course, and ask it while an epidemic unfolds.
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Swine Flu
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Disease
Swine flu: What you need to know
A question-and-answer primer on the 2009 H1N1 virus: where it was first detected, why it was called swine flu, how its quadruple reassortant genes differ from viruses circulating in North American pigs, and which symptoms it shares with seasonal flu.
Disease
Update: Swine flu cases on the rise
WHO counted 3,440 confirmed H1N1 cases across 29 countries, with Mexico at 1,364 cases and 45 deaths and the United States at 1,639 cases and two deaths in Texas; CDC later cited 2,254 US cases. WHO urges no travel restrictions but says ill travelers should delay trips.
Disease
Swine flu targets the young
The CDC reported 896 confirmed H1N1 cases across 41 states and two US deaths, with 58 percent of confirmed cases in people under 18. Acting director Richard Besser said the infection is less severe than first feared and cut recommended school closures from 14 days to seven.
Disease
Underlying diseases worsen swine flu prognosis
With more than 2,500 laboratory-confirmed H1N1 cases in 25 countries, reports indicate asthma, diabetes, heart disease and tuberculosis raise the risk of hospitalization or death. The CDC counted 1,639 US cases in 42 states; about 3.5 percent of cases required hospitalization.
Miscellaneous
Schools reopen as U.S. reports first swine flu death
US health officials dropped the advice that schools close for two weeks over a single swine flu case, telling sick students to stay home instead, as most US cases proved mild. The country reported its first native death, a 33-year-old Texas teacher.
Disease
Swine flu: case reports on the rise
As of May 1 the CDC counted 141 swine flu cases and one death, in Texas, across 19 states, with New York reporting 50. WHO listed 615 cases in 15 countries on May 2, including 397 cases and 16 deaths in Mexico, and advised against travel restrictions or border closures.
Disease
Swine influenza: What you need to know
A CDC question-and-answer sheet from April 2009: swine flu is a respiratory disease of pigs caused by type A influenza viruses, 11 human cases had been reported in California, Texas and Kansas, and CDC had determined the virus was spreading from person to person.
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