Bacterial coinfections boosting child flu deaths

first_imgOct 7, 2008 (CIDRAP News) – The number of children who have died from a combination of influenza infection and bacterial pneumonia—in many cases due to the superbug methicillin-resistant Staphylococcus aureus (MRSA)—has risen sharply over the past few years, federal epidemiologists say in a new report that urges flu shots as a preventative.Overall, the researchers say, child deaths from influenza are relatively uncommon. There were 166 between autumn 2004 and spring 2007, according to a new national reporting system, only a few more than the 153 that occurred in the harsh 2003-04 flu season and prompted the reporting system’s founding. But child deaths from flu are rising, and serious complications from bacterial infections such as MRSA are playing a much larger role.Staph infection is difficult to prevent: The bacterium lives on the skin and in the nostrils and causes disease unpredictably. But “you can’t have this overwhelming catastrophic complication without also having the flu, so if you can prevent the flu, you can prevent the coinfection,” Lyn Finelli, DrPH, chief of influenza surveillance at the Centers for Disease Control and Prevention (CDC), said in an interview.Finelli is lead author of the report in the October issue of Pediatrics, which is co-authored by flu and MRSA researchers from two CDC divisions. The article analyzes reports of child deaths from flu filed by 39 states and two local health departments since the CDC made child death from flu a nationally reportable illness in 2004.Issue emerged 4 years agoThe rate at which children die because of flu is thinly researched; it emerged as an important health issue only after the 153 deaths in the 2003-04 season were tallied. Up to that point, modeling based on flu surveillance reports and death-certificate data had estimated that 28 to 92 children younger than 5 died of flu each year in the United States.The new surveillance system, which the authors acknowledge does not yet report all deaths, found 47 child deaths from flu in the 2004-05 season, 46 in 2005-06, and 73 in 2006-07, all relatively mild flu seasons. (Preliminary reports from 2007-08, not included in the paper, have identified 86 deaths.) The deaths were very rapid: 45% of the children died within 72 hours of their first symptoms and 75% died within a week, while 43% died either at home or in an emergency room.Bacterial infection superimposed on flu was not the only cause of death; children also died from seizures, encephalitis, and shock. But it played an important role: Coinfections were involved in 6%, 15%, and 34% in the three successive seasons, a fivefold increase. Almost all of that increase was due to S aureus: There were one staph infection in 2004-05, 3 in 2005-06, and 22 in 2006-07, and 64% of the staph infections were drug-resistant.(Oddly, very little illness was attributed to Streptococcus pneumoniae [pneumococcus] historically the No. 1 cause of pneumonia in children—a finding that may reflect the influence of new pneumococcal vaccines.)Staph pneumonia is not a new phenomenon; from 3% to 10% of pneumonias that begin outside hospitals have been attributed to staph, but those pneumonias tend to occur in the elderly and immune-impaired. And the severity of simultaneous staph and flu infections has been documented after each influenza pandemic, in which large numbers of deaths were attributed to bacterial pneumonia.But the staph pneumonias recorded by the new reporting system represent an apparently new development, because they occurred in previously healthy children infected with a seasonal flu virus that presumably does less damage to the lungs and immune response than a novel pandemic one. And they appear to be occurring at the same time as a rapid rise in MRSA colonization in the United States, which doubled between 2001 and 2004.Most victims weren’t vaccinatedA troubling aspect of the report is that most of the children who died had not been vaccinated against flu, which would have protected them from primary viral onslaughts such as encephalopathy, as well as from the lethal synergy of flu and bacterial infection. Ninety of the 166 had an underlying condition such as asthma or a seizure disorder, but only 18 of them had received even one of the two flu shots recommended for young children.But, on the other hand, flu-shot recommendations for young children have changed over the past few years; 76 of the children were in age-groups not specifically recommended to receive flu shots in the years they died.This flu season, for the first time, federal guidelines call for all children and teens up to 18 to receive flu shots. But motivating parents to get children vaccinated is proving challenging. A recent CDC report said that only about 21% of children 6 to 23 months old were fully vaccinated in the 2006-07 flu season, 2 years after guidelines recommended they be immunized, and a smaller study this year found only 16.5% of 2- to 5-year-olds were fully vaccinated.Given low levels of vaccine protection, physicians should consider giving influenza antiviral drugs when children are hospitalized with flu, because the drugs have been shown to reduce complications, the article says. And given how rapidly the reported deaths occurred, vancomycin or another antibiotic of last resort should be considered if MRSA is suspected and until it can be ruled out by lab tests.Finelli L, Fiore A, Dhara R, et al. Influenza-associated pediatric mortality in the United States: increase of Staphylococcus aureus coinfection. Pediatrics 2008;122:805-11 [Abstract]See also: Reports on the following topics:Estimates of children’s mortality from flu:Thompson WW, Shay DK, Weintraub E, et al. Mortality associated with influenza and respiratory syncytial virus in the United States. JAMA 2003;289:179-86 [Abstract]Influence of pneumococcal vaccines:Whitney CG, Farley MM, Hadler J, et al. Decline in invasive pneumococcal disease after the introduction of protein-polysaccharide conjugate vaccine. N Engl J Med 2003;348:1737-46 [Abstract]Incidence of community-acquired staph pneumonia:Fine MJ, Smith MA, Carson CA, et al. Prognosis and outcomes of patients with community-acquired pneumonia. A meta-analysis. JAMA 1996;275:134-41 [Abstract]Bacterial pneumonia and pandemic flu:Schwarzmann SW, Adler JL, Sullivan RJ, Jr., et al. Bacterial pneumonia during the Hong Kong influenza epidemic of 1968-1969. Arch Intern Med 1971;127:1037-411957:Louria DB, Blumenfeld HL, Ellis JT, et al. Studies on influenza in the pandemic of 1957-1958. II. Pulmonary complications of influenza. J Clin Invest 1959;38:213-65 [Full text]1918:Morens DM, Taubenberger JK, Fauci AS. Predominant role of bacterial pneumonia as a cause of death in pandemic influenza: implications for pandemic influenza preparedness. J Infect Dis 2008;198:962-70 [Full text]MRSA colonization statistics:Gorwitz RJ, Kruszon-Moran D, McAllister SK, et al. Changes in the prevalence of nasal colonization with Staphylococcus aureus in the United States, 2001-2004. J Infect Dis 2008;197:1226-34 [Full text]Flu immunization coverage in children:Sep 26 CIDRAP News story “Flu shots for small children slow to catch on”last_img read more

Breaking: U23 AFCON: Olympic Eagles keep hope alive, sink Zambia

first_imgRelatedPosts Awoniyi joins Union Berlin on loan Awoniyi regains consciousness in hospital Taiwo Awoniyi hospitalised over head injury Nigeria’s Olympic Eagles, otherwise known as national U23 team, returned to winning ways on Tuesday following a 3-1 win over Zambia at the ongoing 2019 U23 AFCON in Egypt. Goals from Orji Okonkwo, Kelechi Nwakali and Taiwo Awoniyi sealed victory for Nigeria. Nigeria came from behind to seal victory after Junior Chipolopolo’s Daka drew the first blood in 12th minute of the tie. Orji levelled scores in the 16th minute, while Nwakali, Huesca of Spain new buy, and Awoniyi sealed victory for the Junior Eagles. Nigeria will battle group leaders, South Africa, on Friday to cement their place in the semifinals. With three points from two games, the Olympic Eagles trail the South Africans by one point, having lost the group opener to Ivory Coast by alone goal. The west African neighbours currently trail Nigeria with inferior goal difference. Nigeria are the defending champions of the competition.Tags: Kelechi NwakaliOrji OkonkwoTaiwo Awoniyilast_img read more

Nigerian Internationals Dominate Leagues in Europe

first_imgSuper Eagles players have continued to hug the headlines for the right reasons as most leagues go on recess in Europe for international duties.Super Eagles central defender, William Troost-Ekong was named in the Serie A Team of the Week alongside Juventus superstar Cristiano Ronaldo and nine others.Ekong was rated 7.8 out of 10 when he featured for Udinese in the 2-1 loss at Empoli at the weekend. The Nigerian international was paired alongside Napoli and Senegal star defender, Kalilou Koulibaly. The no-nonsense Ekong has been consistent for Udinese since his summer switch from Bursaspor of Turkey. He has made 12 starts for the Italian club so far this season.In England, Super Eagles midfielder, Wilfred Ndidi, made it into the Premier League Team of the Week after shining in Leicester City’s goalless draw against Burnley at the King Power Stadium last Saturday.Ndidi was the only Foxes player selected in the top eleven outstanding players in each position by Whoscored.Ndidi lined up with Chelsea dazzler Eden Hazard, Bernardo Silva (Manchester City) and Manolo Gabbiadini (Southampton) in a four-man midfield, with the Nigerian deployed as a central midfield.The other central midfield spot was taken by Silva, Hazard played as a left midfielder while the Southampton man operated as a right midfielder.Against the Clarets, Ndidi was the top interceptor with three and made two tackles over the course of 90 minutes.The 21-year-old had a total of five shots with two on target which was a game-high, made two key passes and won an astonishing ten aerial duels, another game-high. The former Racing Genk starlet was awarded a rating of 8 out of ten.In Portugal, Mikel Agu was also named in the Team of the Week in after yet another superlative performance for Vitoria Setubal, the Portuguese club where late Rashidi Yekini remains a legend.The Super Eagles defensive midfielder made the of Team of the Week after he helped Vitoria Setubal beat Feirense 2-1.Agu earned the rating of 6.5 out of 10 in this Team of the Week alongside his teammate Andre in the midfield.Agu who is on a season-long loan from Portuguese giants FC Porto, has already arrived the Asaba training camp of the Super Eagles for Saturday’s clash with South Africa.Share this:FacebookRedditTwitterPrintPinterestEmailWhatsAppSkypeLinkedInTumblrPocketTelegramlast_img read more

Benitez set to appoint Zenden as assistant manager

first_imgBoudewijn Zenden will be appointed assistant to Rafael Benitez at Chelsea, the former Blues player’s father has said.Zenden spent three seasons at Stamford Bridge before joining Benitez at Liverpool in 2004.The former Netherlands international has no previous coaching experience but is well known to Benitez and could help the Spaniard win over sceptical Blues fans by appointing a former player.Zenden’s father Pierre told Voetball International that his son had been approached by Benitez and was on his way to London.“He was approached on Wednesday by Benitez and is now on a flight,” Zenden Sr said. ”Since yesterday, he phoned Benitez many times. ‘I assume that he will be on the pitch [on Thursday] afternoon, together with the manager.”Zenden, who played 42 league games for Chelsea between 2001 and 2004, returns to Stamford Bridge with much expectation to prove in what will be his first coaching appointment since he retired from playing last year.Benitez was appointed interim manager at Stamford Bridge on Wednesday following the departure of Roberto Di Matteo. He will be unveiled in a press conference at 5.30pm on Thursday. It has been revealed that Benitez’s six-month contract at Chelsea has the option for a one-year extension that could be activated next summer. There have also been reports that the club may retain his services even if he does not continue as first-team coach next season.Chelsea officials are believed to be keen to appoint an “experienced football figure” in a sporting director role, and Benitez could fit that bill in a restructured hierarchy at Stamford Bridge.last_img read more

Winter Storm Warning in effect for listening area overnight tonight to Wednesday evening

first_imgMitchell-Howard-Floyd-Wabasha-Dodge-Olmsted-Winona-Mower-Fillmore-Buffalo-Including the cities of Osage, Cresco, Charles City, Wabasha,Dodge Center, Rochester, Winona, Austin, Preston, and Alma335 AM CST Tue Feb 19 2019…WINTER STORM WARNING IN EFFECT FROM 3 AM TO 6 PM CSTWEDNESDAY…* WHAT…Heavy snow. Total snow accumulations of 5 to 7 inches expected.* WHERE…Portions of west central Wisconsin, north central and northeast Iowa and southeast Minnesota.* WHEN…From 3 AM to 6 PM CST Wednesday.* ADDITIONAL DETAILS…Travel could be very difficult at times. The hazardous conditions will impact the morning commute.PRECAUTIONARY/PREPAREDNESS ACTIONS…A Winter Storm Warning for snow means severe winter weatherconditions will make travel hazardous. If you must travel, keepan extra flashlight, food and water in your vehicle in case of anemergency.The latest road conditions for Iowa can be found on-line at511ia.org, in Minnesota at 511mn.org, and in Wisconsin at511wi.gov or by calling 5 1 1. .Another winter storm will impact much of Iowa late this afternooninto Wednesday. Beginning late this afternoon, snow will developover southwestern Iowa, and move northeast through the eveningand overnight. The snow will fall heavily at times through thenight before gradually tapering off and moving out Wednesdayafternoon. Although winds will remain fairly light, visibilitywill be significantly reduced during periods of intense snowfalland road conditions will rapidly deteriorate tonight.IAZ004>007-015>017-023>027-037-038-210000-/O.UPG.KDMX.WS.A.0003.190220T0600Z-190220T2100Z//O.NEW.KDMX.WS.W.0008.190220T0600Z-190221T0000Z/Emmet-Kossuth-Winnebago-Worth-Palo Alto-Hancock-Cerro Gordo-Pocahontas-Humboldt-Wright-Franklin-Butler-Hardin-Grundy-Including the cities of Estherville, Algona, Forest City,Lake Mills, Northwood, Manly, Emmetsburg, Garner, Britt, Kanawha,Mason City, Clear Lake, Pocahontas, Laurens, Rolfe, Fonda,Gilmore City, Humboldt, Eagle Grove, Clarion, Belmond, Hampton,Parkersburg, Clarksville, Shell Rock, Greene, Aplington, Allison,Dumont, Iowa Falls, Eldora, Ackley, Grundy Center, Reinbeck,Conrad, Dike, and Wellsburg329 AM CST Tue Feb 19 2019…WINTER STORM WARNING IN EFFECT FROM MIDNIGHT TONIGHT TO 6 PMCST WEDNESDAY…* WHAT…Heavy snow expected. Total snow accumulations of 5 to 8 inches expected.* WHERE…Northwestern to North-Central Iowa.* WHEN…From midnight tonight to 6 PM CST Wednesday.* ADDITIONAL DETAILS…Travel could be very difficult. The hazardous conditions could impact the Wednesday morning commute.PRECAUTIONARY/PREPAREDNESS ACTIONS…A Winter Storm Warning for snow means severe winter weatherconditions will make travel very hazardous or impossible. If youmust travel, keep an extra flashlight, food and water in yourvehicle in case of an emergency.The latest road conditions for the state you are calling from canbe obtained by calling 5 1 1. ========last_img read more

This Week’s Favorite Features – Drummer and Horses

first_imgThurstonTalk aims to be your source for positive information and events happening in Olympia.  If you have a suggestion for a story, send us a note at submit@thurstontalk.com.  For more events and to learn what’s happening in Olympia and the surrounding area, click here. Facebook12Tweet0Pin0 It’s Sunday – a day to recuperate, catch up on stacks of paperwork that built up over the week, tidy the house, finish homework, and prepare for Monday.  Sunday finds some families in a restful state and others busily tackling chores before the weekday grind resumes.  Whatever your Sunday task list may include, spend a few minutes with ThurstonTalk, catching up on our editor’s picks for favorite posts this week.Rhythm Comes Easily For Tenino’s Nicholas HoltThis article, about Tenino high school student Nicholas Holt, is a prime example of the stories that ThurstonTalk writers love to tell – the story about someone with a special gift and talent that we can share with our greater community.  The percussionist is mastering his drumming skills alongside UW Marching Band alumni Andrew Bowerly.  It’s a great read about a local kid with exceptional talent.Thurston County 4-H Horse Program: Letting Kids Follow Their Horse PassionThis story profiles another group of high school students, spread across the county, who are passionate about showing horses.  The deep-rooted 4-H program fosters growth through education and evaluation.  Read about a group of young women, recognized for their talents, showing their horses at the Puyallup Fair.HeartStrides Therapeutic Riding Providing Smiles Across Thurston CountyAfter you read about local 4-H super stars, take a minute to learn about HeartStrides.  Physical therapist, Cynthe Slaybaugh, and her team of volunteers are providing hippo-therapy – therapeutic and recreational horseback riding for adults and children with cognitive and physical disabilities.last_img read more

Layla Kainber Serves as Page in the State Senate

first_imgFacebook166Tweet0Pin0 Submitted by Washington State Senate DemocratsLayla Kainber and Washington State Senate. Sen. Steve Hobbs, D-Lake StevensDuring the week of March 2, Layla Kainber of Olympia served as a page in the Washington State Senate. Sen. Steve Hobbs, D-Lake Stevens, sponsored Kainber’s weeklong experience in the Legislature.“It was a pleasure to sponsor Layla this week,” said Hobbs.During the week, pages assist senators and staff, attend lectures with guest speakers and go to page school where they create their own bills in a mock committee setting. Kainber drafted a bill that would implement later start times in public schools. Schools would start an hour later than normal. “My group liked the idea, the bill seemed very different and I really liked explaining my beliefs to people,” Kainber said.Kainber’s dad works in Olympia, and Kainber applied to the page program because she was interested to see what her dad did every day, she said.“It was fun meeting new people, getting to know the other pages and feeling comfortable here. It only took me a few hours until I felt confident working here, I’ve always enjoyed reaching a new hurdle and pushing through,” Kainber said.Kainber knew Sen. Hobbs, but got to see him work while she was paging.“He’s so great. I have a lot of respect for him,” Kainber said. “It’s nice to see him stand up for what he believes in on the Senate floor.”Kainber reflected positively on her week at the Legislature.“It seems hard at first, but it becomes really fun after a few hours,” Kainber said. “Make sure to wear comfortable shoes.”Kainber 15, is a sophomore at Olympia High School.  She also enjoys rowing, reading and playing the viola.For more information about the Senate Page Program, contact SenatePageProgram@leg.wa.govlast_img read more

3rd Annual Tumwater Community Summit May 1, 2019

first_imgFacebook21Tweet0Pin0Submitted by City of TumwaterNow in its third year, this annual community-wide event brings together school, community, and business leaders to discuss topics impacting the health and future of youth and families in the greater Tumwater area. Tumwater Community Summit 2019 will focus on youth in our community who are experiencing homelessness.Tumwater City Administrator John Doan and Tumwater School Superintendent John Bash hope participants gain a better understanding of what youth homelessness looks like, how it impacts youth, and how to be part of the solution.“The Summit provides a venue for us to collaborate around the challenges young people who are experiencing homelessness face each day,” says Doan. “This is an opportunity to seek ideas and support to build a community network of support for youth and families living in poverty.”This free event includes dinner, provided by Tumwater School District, and features a panel discussion with community leaders, followed by breakout sessions on a variety of topics related to youth and homelessness.5:00 – 8:30 p.m.Wednesday, May 1, 2019Tumwater Middle School6335 Littlerock Rd SW, Tumwater, WA 98512Panel Discussion:  “What is the Community Doing about Youth Without Homes?”The panel discussion will take a dynamic look at what our community is doing about youth without homes. Panelists include Tumwater Police Department Commander Jay Mason; City Administrator John Doan; Community Youth Services CEO Derek Harris; and Family Support Center Executive Director Trish Gregory.Breakout Sessions:Homeless YouthMagnitude? What it means? What can be done? Lead by two practioners who have daily experience with homeless youth in the community, this session will review the magnitude of youth homelessness, what drives it, and look at ideas for ways to address it. The session will test support for different options to help youth in Tumwater.Avoiding HomelessnessHow does it happen? Prevalence? What we can do? Lots of preconceived notions apply to homelessness. This session will look at the many causes of homelessness and review ways that it can actually be prevented with community support and engagement.Hands-On: Building a Community Networkknowing there is need in our community which impacts all aspects of our City, what can we do to build a community safety net to help kids and families?Educators, students, families and community members are invited to be a part of this special evening.The event is free, registration is requested. To register, send an email to Hanna Miles, Executive Assistant/Deputy Clerk at the City of Tumwater, or call (360) 754-4120.More information at https://www.ci.tumwater.wa.us/our-community/community-summitCo-hosted by the City of Tumwater, Together and the Tumwater School District.last_img read more