Talk:Influenza

From Ganfyd

needs some more precision on dates durations amounts etc. Midgley 00:10, 28 November 2005 (CET)

RCGP monitoring

http://www.rcgp.org.uk/bru/ 73 Practices.

See also

Avian Flu updates

http://www.nathnac.org/pro/clinical_updates/avian_influenza_index.htm

Pandemics

1. 1918-19, "Spanish flu," [A (H1N1)]
2. 1957-58, "Asian flu," [A (H2N2)]
3. 1968-69, " Hong Kong flu," [A (H3N2)]

Influenza A (H1N1) viruses started circulating again in 1977. (reference?) Influenza A (H3N2) viruses still circulating.

Why do we get "waves, with a 15 week interval"? Is this described by a mathematical function or model? Midgley 21:51, 17 July 2009 (UTC)

It is certainly possible to describe as a function. Please see link to article in present sole reference in Spanish influenza 1918 if you want to pay cash or download at http://download.thelancet.com/flatcontentassets/H1N1-flu/prevention/prevention-1.pdf while the editors are being generous Mlj 22:02, 17 July 2009 (UTC)

References

GP-UK list: it's now clear (partly via Grauniad online) that there are several wiki like sites and blogs with information.

http://www.fluwikie.com/index.php?n=Main.HomePage

http://crofsblogs.typepad.com/h5n1/

http://effectmeasure.blogspot.com/2006/01/background-science-for-turkish.html

General influenza references

• Information on diagnosis of influenza from CDC here.
• Information on influenza from Health Protection Agency is available here.

Needs comment on the mechanisms of prompt death and delayed death from FLu.

Pandemic references

• Information on pandemic influenza from UK Department of Health here. The guide to pandemic flu is particularly good.
• Information on influenza from Health Protection Agency, including HPA pandemic plan, is available here.
• Information on avian and pandemic influenza from World Health Organisation here.

Deaths from Influenza

A characteristic of deaths in a Flu pandemic is that young people, who have had less chance to develop immunity to something slightly similar, are more likely to die than older ones.

In 1918 in Britain many young people would have been fit and well-nourished, that being what soldiers looked like even then.

In Boston and in Fort Riley Kansas, I see no reason to think that people were undernourished. http://www.pbs.org/wgbh/amex/influenza/sfeature/boston.html Just background stuff. Midgley 18:06, 10 February 2006 (CET)

tables as separate entities? l

TO avoid loss of concurrency we would need to include them by trasclusion,- not have a separate copy. I'm unsure if it is a good idea going there. Comments? Midgley 10:02, 16 September 2006 (BST)

As the jargon lost me Adrian I am not sure I have idea but think I do. Essentially the issue (which does not apply to just tables) seems to me to be that it is problematical including information that we know changes annually in text in any page. Accordingly I am absolutely clear that best practice would be to create a name space for such data and having a way of including it in the page in question, that is transparent to the viewer, but indicates the data has a sell by date. It strikes me that best way to do this would be to have it all done in php with a tag like <expirable>DoH annual influenza recommendation</expirable as templates do not always allow sub templates and php tags and can distort lists and other wiki functions due to bugs. Issues to solve in an ideal world would be ability to create a sell by date for each such article in the special expirable name space and automatic means to display next expiry date (trivial as we can create a template that defaults to one year after data entered) and an automatic cron job that checks said name space for articles past their sell by date. The additional server load would easily be justifiable. It seems an issue that might have arisen before in wikimedia implimentation. Not time at the moment to check for this. Mlj 14:07, 16 September 2006 (BST)

Let's have a look at this. {{Expire|ExpiryDate=20060919|ExpiredMessage={{WarningBox|This information is out of date.}}|UnexpiredMessage=}} The question is will this tick over if untouched? I suspect not but let's find out at User talk:Rupert/ExpiryTest. Rupert (Talk) 22:22, 19 September 2006 (BST)

It worked! Rupert (Talk) 00:18, 20 September 2006 (BST)

Pandemic: I always thought the definition of a pandemic was an epidemic affecting more than one country, not more than one continentApothecary 14:10, 30 March 2008 (BST)

Cytokine storm

It has been said that this is how Influenza kills, presumably when it does so promptly. Presumably it should be mentioned, perhaps with also a Cytokine storm article. Midgley 00:35, 10 May 2009 (UTC)

This is only one way influenza kills. Different strains tend to kill in different ways and with varying effectiveness depending upon the host so its hard to keep proportion ! You get literature distortion for example if a case series using all the current criteria with current flu strains shows no significant influenza myocarditis you then get claims that influenza does not cause myocarditis when the case reports establish to my mind it most certainly does. And arrhythmic deaths are hard to establish at PM especially when you find secondary pneumonia or diffuse tissue damage (? from cytokine storm) Mlj 14:40, 10 May 2009 (UTC)

• I've been talking to a friend recently and put something together to give a basis for improvement. It needs it. --Tom 14:47, 10 May 2009 (UTC)

References have gone awry

they look very odd now, after ref 21, which reads (I'm not sure how to make the fields not appear as fields, as they do in the page - there seems to be a nested reference... - ah <nowiki> works):

↑ Pandemic H1N1 vaccine uptake figures for England by SHA for healthcare workers. Similar guidance applies in other countries, such as the USA.<ref>[http://www.cdc.gov/mmwr/preview/mmwrhtml/rr55e209a1.htm Centers for Disease Control and Prevention. Influenza vaccination of health-care personnel: recommendations of the Healthcare Infection Control Practices Advisory Committee (HICPAC) and the Advisory Committee on Immunization Practices (ACIP). ''MMWR (RR)'' 2006;55(Early Release):[inclusive page numbers] ] [http://www.cdc.gov/mmwr/PDF/rr/rr55e209.pdf (or as a pdf]</li> <li id="cite_note-21">[[#cite_ref-21|↑]] [http://www.bmj.com/cgi/content/abstract/333/7581/1241 Hayward AC, Harling R, Wetten S, Johnson AM, Munro S, Smedley J, et al. Effectiveness of an influenza vaccine programme for care home staff to prevent death, morbidity, and health service use among residents: cluster randomised controlled trial. ''BMJ'' 2006;333(7581):1241- ] (may require subscription)</li> <li id="cite_note-22">[[#cite_ref-22|↑]] [http://www.thelancet.com/journals/laninf/article/PIIS1473309906704625/pdf Thomas RE, Jefferson TO, Demicheli V, Rivetti D. Influenza vaccination for health-care workers who work with elderly people in institutions: a systematic review. The Lancet Infectious Diseases 2006;6(5):273-279] (subscription may be required)</li> <li id="cite_note-23">[[#cite_ref-23|↑]] [http://www.advfn.com/p.php?pid=nmona&cb=1199372069&article=24006655&symbol=L%5EACM ''Positive Phase I and Pre-Clinical Data Suggest Acambis' M2e-Based Universal Influenza Vaccine, ACAM-FLU-A(TM), Could Tackle Infl.'' Last updated 03 January 2008 @ 09:11. Last viewed 03 January 2008.]</li> <li id="cite_note-24">[[#cite_ref-24|↑]] [http://www.dh.gov.uk/PublicationsAndStatistics/LettersAndCirculars/ProfessionalLetters/ChiefMedicalOfficerLetters/ChiefMedicalOfficerLettersArticle/fs/en?CONTENT_ID=4136811&chk=Zsq3oi Chief Medical Officer. ''The influenza immunisation programme 2006/2007 (PL/CMO/2006/3, PL/CNO/2006/3, PL/CPHO/2006/2).'' Department of Health 29 June 2006] with advice on influenza vaccination for the [[2006]]-[[2007]] season (or direct to [http://www.dh.gov.uk/assetRoot/04/13/68/16/04136816.pdf PDF version])</li> <li id="cite_note-25">[[#cite_ref-25|↑]] [http://www.advisorybodies.doh.gov.uk/jcvi/mins-flu-090306.htm Influenza Subgroup. Minutes of the Influenza Subgroup meeting, 9 March 2006.]</li> <li id="cite_note-26">[[#cite_ref-26|↑]] [http://www.advisorybodies.doh.gov.uk/jcvi/mins210706.htm Joint Committee on Vaccination and Immunisation. Draft minutes of the meeting held on Wednesday 21 June 2006.]</li></ol></ref>

--Penglish 12:18, 22 March 2010 (UTC)