Eric Toner

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History suggests that we are likely to experience a much bigger, second wave of H1N1 influenza pandemic in the fall. Four experts discuss different areas that will play a role in the public health response.

1.- E.R.'s May Be the First Victims. By Eric Toner, a specialist in emergency medicine and a senior associate with the Center for Biosecurity at the University of Pittsburgh Medical Center.

We must plan now to prepare emergency rooms to meet the challenge, and educate patients with mild symptoms to seek alternative care.

2.- Fly the Germ-Free Skies. By Mark Gendreau, the vice chairman of emergency medicine at Lahey Clinic and an assistant professor of emergency medicine at Tufts University.…  Seguir leyendo »

Rates of infection with H1N1 influenza in the United States are down from their peak in April but still running well ahead of what is normal for this time of year; many summer camps, for instance, are reporting flu outbreaks. And history suggests that we are likely to experience a much bigger, second wave of the pandemic early in the fall, perhaps before a vaccine is widely available. Argentina, Australia, Chile and New Zealand, where the winter flu season has just begun, are all experiencing major outbreaks.

Fortunately, so far, most people infected with the H1N1 virus have had relatively mild symptoms, like those you get with ordinary seasonal flu.…  Seguir leyendo »