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Flu Season Still Getting Worse; Now as Bad as 2009 Swine Flu

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From Friday's NY Times.

 

Flu Season Still Getting Worse; Now as Bad as 2009 Swine Flu

 

By THE ASSOCIATED PRESSFEB. 9, 2018, 4:24 P.M. E.S.T.

NEW YORK — The flu has further tightened its grip on the U.S. This season is now as bad as the swine flu epidemic nine years ago.

 

A government report out Friday shows 1 of every 13 visits to the doctor last week was for fever, cough and other symptoms of the flu. That ties the highest level seen in the U.S. during swine flu in 2009.

 

And it surpasses every winter flu season since 2003, when the government changed the way it measures flu.

 

"I wish that there were better news this week, but almost everything we're looking at is bad news," said Dr. Anne Schuchat, acting director of the Centers for Disease Control and Prevention.

 

Flu season usually takes off in late December and peaks around February. This season started early and was widespread in many states by December. Early last month, it hit what seemed like peak levels — but then continued to surge.

 

The season has been driven by a nasty type of flu that tends to put more people in the hospital and cause more deaths than other more common flu bugs.

 

Still, its long-lasting intensity has surprised experts, who are still sorting out why it's been so bad. One possibility is that the vaccine is doing an unusually poor job; U.S. data on effectiveness is expected next week.

 

Some doctors say this is the worst flu season they've seen in decades. Some patients are saying that, too.

 

Veda Albertson, a 70-year-old retiree in Tampa, was sick for three weeks with high fever and fluid in her lungs. She said she hadn't been this sick from the flu since the 1960s, when she was a young mother who couldn't get out of bed to go to the crib of her crying baby.

 

"It was like 'Wham!' It was bad. It was awful," she said of the illness that hit her on Christmas Day.

 

Heather Jossi, a 40-year-old Denver police officer and avid runner, said her illness last month was the worst flu she's experienced.

 

"I don't remember aches this bad. Not for four days," said Jossi. "It took me out."

 

Albertson said she got a flu shot, Jossi did not.

 

Last week, 43 states had high patient traffic for the flu, up from 42, the CDC reported. Flu remained widespread in every state except Hawaii and Oregon and hospitalizations continued to climb.

 

"It's beginning to feel like a marathon," said Dr. Anthony Marchetti, emergency department medical director at Upson Regional Medical Center, a 115-bed hospital in rural Georgia. A quarter of the hospital's emergency department visits are patients with flu, and the hospital has added nursing staff and placed beds in halls to accommodate the increase, he said.

 

"It just means we have to keep on keeping on. We're getting used to it," Marchetti said.

 

So far, it has not been a remarkably bad year for flu deaths. Flu and flu-related pneumonia deaths have lagged a little behind some recent bad seasons. The CDC counts flu deaths in children and there have been 63 so far. They have gone as high as about 170 in a season. Overall, there are estimated to be as many as 56,000 deaths linked to the flu during a bad year.

 

But reports of deaths — some in otherwise healthy children and young adults — have caused growing fear and concern, health officials acknowledge.

 

On Friday, Delisah Revell brought her 10-month-old daughter to the Upson Regional emergency room. "I heard how bad it is and I didn't want to take any chances," said Revell, who drove 30 minutes to get to the hospital in Thomaston.

 

The CDC said the amount of suspected flu cases at doctor's offices and hospital emergency rooms last week matched that seen in 2009, when a new swine flu pandemic swept the world. Swine flu, also called pandemic H1N1, was a new strain that hadn't been seen before. It first hit that spring, at the tail end of the winter season, but doctor visits hit their height in late October during a second wave.

 

This flu season, hospitalization rates have surpassed the nasty season of the winter of 2014-2015, when the vaccine was a poor match to the main bug.

 

Health officials have said this year's vaccine targets the flu viruses that are currently making people sick, including the swine flu virus that has become a regular winter threat. However, preliminary studies out of Australia and Canada have found the shot was only 10 to 20 percent effective in those countries against the H3N2 strain that's causing the most suffering this winter.

 

Doctors say they're a bit bewildered as to why this season is so intense.

 

"It is surprising," said Dr. James Steinberg, chief medical officer at Emory University Hospital Midtown in Atlanta. "It's not a hugely new strain. So why is it so severe? I don't think we know."

___

AP photographer David Goldman contributed to this report from in Thomaston, Georgia.

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Honestly, this flu season is kicking my ass.  It is non-stop busy from the moment the doors open and sometimes before they open until well after closing time.  Averaging 110-130 per four day work week.  Just exhausting and some of them are really, really sick.  

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Just wait till it mutates into something really bad that we have not seen before.

 

Flu shots picked the wrong strains and missed the mark this year.

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2 hours ago, Gotcow? said:

Just wait till it mutates into something really bad that we have not seen before.

 

Flu shots picked the wrong strains and missed the mark this year.

no they didnt

 

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I had it twice in a month,both times after jury duty.The second bout just about did me in,I had to sit in a chair at night for 4 days so I could breath.They called me for JD again,I refused,I suspect someone will try to make an example of me for defying the imperious masters.

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Posted (edited)

Vaccine effectiveness at preventing illness was estimated to be 34% against A (H3N2) and 56% against influenza B viruses.1There has been no analysis of the relative effectiveness of different vaccines and vaccine types. 

Edited by ScottO

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1 min ago, ScottO said:

Vaccine effectiveness at preventing illness was estimated to be 34% against A (H3N2) and 56% against influenza B viruses.1There has been no analysis of the relative effectiveness of different vaccines and vaccine types. 

No analysis doesn't explain # of flu cases or severity. Would H3N2 or Influenza B be the same flu that everyone is catching?

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by comparison.. seat belts reduce serious injury and death by about 50%....hmmmmm

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28 mins ago, Jetty Jumper said:

I had it twice in a month,both times after jury duty.The second bout just about did me in,I had to sit in a chair at night for 4 days so I could breath.They called me for JD again,I refused,I suspect someone will try to make an example of me for defying the imperious masters.

I had a flu the last time I had JD. It sucked. I had a business trip to atlanta the next week and that sucked as well.

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1 min ago, ScottO said:

by comparison.. seat belts reduce serious injury and death by about 50%....hmmmmm

So your saying; Seat belts are more effective than a flu vaccine against this completely random flu epidemic?

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Just now, Dave588 said:

No analysis doesn't explain # of flu cases or severity. Would H3N2 or Influenza B be the same flu that everyone is catching?

yes, there seems to be a bit of shift in my community.  Early on it was nearly only the H3N2 Influenza A, I am seeing a tad less of that and I am getting more Influenza B's lately.  It does cycle during the season so would not rule out the return or worsening of a Flu A this season.  I am currently doing, in our practice, about 40 flu swabs a day.  RSV has been brutal this year.  I am 6/7 for kids ending up admitted with RSV.  Also diagnosed it in a 64 yo guy.  Amazing year for infectious disease.  But is brutal.  So far, fingers crossed, I haven't lost anyone.  

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1 min ago, Dave588 said:

So your saying; Seat belts are more effective than a flu vaccine against this completely random flu epidemic?

no, you are saying that.  

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