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Sydney - Increase in patients presenting to ER with unseasonal respiratory illness

Re: Australia - Virus in Sidney Hospital

Re: Australia - Virus in Sidney Hospital

This thread below (not on FT) was apparently started by someone in Sydney whose sister is critically ill with a undiagnosed lung condition. Not that this is necessarily related, but with the lack of information, I figured I'd post it.

Of note is that this person is reporting that the sick individual has had frequent contact with flying foxes, the bats known as the reservoirs of Nipah and Hendra viruses. I would think that those viruses, with CFR's of more than 40% are unlikely to be responsible for the larger outbreak. Also, there is very limited spread of those viruses, so you wouldn't be seeing large numbers of people ill.

There is no mention of whether this individual has been tested for H1N1, or any other seasonal respiratory pathogens for that matter. The link also indicates that the ill woman has been on prednisone for months to treat pre-existing lung conditions, and has also taken some homeopathic supplements that they suspect may have contained something toxic.

And upon closer reading, onset may have occurred over many weeks or even months, so this is likely not be related at all, and may not be infectious or toxic. Some of the more recent posts seem to indicate that this might be an autoimmune condition (and note that fever is specifically excluded as a symptom in this woman).

http://www.conductdisorders.com/forum/f10/my-sisters-dying-ideas-please-32606/index2.html
 
Re: Australia - Virus in Sidney Hospital

Re: Australia - Virus in Sidney Hospital

#21: ...


hmm :coffee:

this thread post #1 speaks whole diferently about it,
not an isolated animal related illness, but the opposite:
#1:
"Dr Gordian Fulde From: The Daily Telegraph March 15, 2010 12:00AM
SYDNEYSIDERS are being hit by a virus that is not only taking down people but also hospital staff.
It is an unseasonal virus, not the swine flu, that is really nasty and the emergency department has been flooded by people coming in sick with it
."


so, or it is a scoop of a little fire there,

or it is a realy "nasty prank" ... :rolleyes:
 
Re: Australia - Virus in Sidney Hospital

Re: Australia - Virus in Sidney Hospital

The single illness in post #21 apparently has nothing to do with the report in post #1. I just posted it because it sounded vaguely similar, but you're right, they're not related. The illness in post #21 is likely an autoimmune disorder. The illness reported in post #1 sounds a lot like the one in Ohio here:

http://www.flutrackers.com/forum/showthread.php?p=347333

both in the description as a nasty cold, the symptoms, the out of season timing, and the infection of HCW.

That's my guess - the good doctor is reporting an increase in rhinovirus.
 
Re: Australia - Virus in Sidney Hospital

Re: Australia - Virus in Sidney Hospital

#23: ... rhinovirus ...


could be that out there is another microbe with increased nasty characteristics, even that, as many others already gone changed


Personaly, the name and the shape of an bug is irelevant, if it starts changing and having severe characteristics,
so it could be a sniffle of cold once, now stranded (or reeng) to be with new serious or deadly outcomes.

If indeed Sydney this time experienced:
#1:
"It has caused some people, even young ones, to get pneumonia.

This is not the right time of the year but it is amazing how it is spreading. It seems to be attacking the head so people feel like they are getting the flu.


They will have a nasty cough and we are seeing a lot of sore throats and infections that are so severe we have to admit people.


Some patients have had throats so swollen they can't swallow or breath properly and even their neck is swollen.
"



- the above are enaugh serious and severe to raise a flag, be watched, and destroyed at the hotspot sites in the very begining.
 
Re: Australia - Virus in Sidney Hospital

Re: Australia - Virus in Sidney Hospital

#25: ... adeno. 7 ...


quite similar symptoms,
maybe they did the lab checks until now


hopefuly it is not the adeno.2X version ...
 
Re: Australia - Virus in Sidney Hospital

Re: Australia - Virus in Sidney Hospital

Here's an e-mail I got from Dr. Fulde. (Thanks for the response, Professor!:tiphat:);

Dear xxx,

I received a similar enquiry from another US source - a copy of their enquiry and response is below, thank you for your interest:

Dear yyy,

Thank you for your follow-up on the article. As you suggested, "virus" was generically used by the reporter. The New South Wales Department of Health have direct surveillance on Public Health via Emergency Department activity and duly inform our Public Health Units and relevant institutions and government authorities of any or significant changes to average presentations for any Emergency Department presentation. The particular flu-like illness was specifically not the H1N1 virus, but a local, unseasonal, flu-like illness. The Department of Health are aware of these presentations.

I hope this gives your more perspective.

Kind regards,


Prof Gordian Fulde
03/16/10 4:36 am
 
Re: Australia - Virus in Sidney Hospital

Re: Australia - Virus in Sidney Hospital

#27: ...


Thanks RoRo,

so the news is confirmed as supposed, to be real!
:applause:

The microorganism kind question is stil vaccant here,
but as the wroted info #27 said:
"The Department of Health are aware of these presentations."
 
Re: Australia - Virus in Sidney Hospital

Re: Australia - Virus in Sidney Hospital

Here's an e-mail I got from Dr. Fulde. (Thanks for the response, Professor!:tiphat:);

Dear xxx,

I received a similar enquiry from another US source - a copy of their enquiry and response is below, thank you for your interest:

Dear yyy,

Thank you for your follow-up on the article. As you suggested, "virus" was generically used by the reporter. The New South Wales Department of Health have direct surveillance on Public Health via Emergency Department activity and duly inform our Public Health Units and relevant institutions and government authorities of any or significant changes to average presentations for any Emergency Department presentation. The particular flu-like illness was specifically not the H1N1 virus, but a local, unseasonal, flu-like illness. The Department of Health are aware of these presentations.

I hope this gives your more perspective.

Kind regards,


Prof Gordian Fulde
03/16/10 4:36 am

We are able to publish this email because I specifically asked for a response to quote from Dr. Fulde.

Thanks Roro!
 
Re: Australia - Virus in Sidney Hospital

Re: Australia - Virus in Sidney Hospital

[New South Wales] Communicable Disease Report 8 to 14 March 2010

-snip-

Respiratory presentations

There was a small increase in the number of patients presenting to emergency departments with respiratory conditions (including asthma, cough, non-infectious and infectious respiratory illnesses) in the inner Sydney area compared to previous years (figure2).

NSW.gif
Figure 2 Comparison of weekly counts of Inner Sydney Emergency Department visits for respiratory diagnosis (includes cough) in March 2009 - March 2010 (black line) with each of the 5 previous years (coloured lines)

Influenza activity [update]
There is currently little evidence of influenza activity in NSW. The weekly number of patients presenting to emergency departments with influenza-like illness remains steady at near baseline levels


http://www.health.nsw.gov.au/publichealth/Infectious/reports/140310_weekly_report.asp
 
Re: Australia - Virus in Sidney Hospital

Re: Australia - Virus in Sidney Hospital

Has this matter now been resolved? Curious to know...
For future reference, Dominic Dwyer in Sydney http://www.medfac.usyd.edu.au/people/academics/profiles/ddwyer.php
is one of the top disease trackers in Australia -- a very credible source, and a very nice guy. He could probably have shed some insights.

Absolutely nothing has been resolved. There is no confirmation that Australians are being "taken down" in Sydney or anywhere else. There is no identification of any pathogen, much less a virus, much less an adenovirus. (I don't know where that came from.)

Nothing on this thread but an unconfirmed clinical event and gross speculation about the cause. Very weird.
 
Re: Australia - Virus in Sidney Hospital

Re: Australia - Virus in Sidney Hospital

well sometimes these things are nothing at all..other times, through perseverence we get a slim bit of news of something happening. I looked around there a couple days ago but nothing caught my eye. Better to look than to disregard as completly false. If it is something, it won't take too long to make itself known.. take china for instance, bet you did'nt know that they don't have h5n1 in their country at all..:D
 
Re: Australia - Virus in Sidney Hospital

Re: Australia - Virus in Sidney Hospital

No news of any unusual illness in Sydney from here in Auckland or any of my contacts in NSW.
 
Re: Australia - Virus in Sidney Hospital

Re: Australia - Virus in Sidney Hospital

maybe it became usual

having an em. head Dr. speaking nonsenses and deliver it after to the over structure also,
does not seem as a plausible interpretation,
no matter whatsoever is the truth ...


This commentary to his column story at the "Daily...",
indicate that an harder resp. illness exists there from before,
the pflu (similar), etc.

http://www.dailytelegraph.com.au/ne...y-people-down/comments-e6frezz0-1225840619803
...
"Primmy of Sydney Posted at 1:16 PM March 15, 2010<cite class="comment-info"></cite>
Had the virus in Jan/Feb. Could not breath, literally, kept coughing without being able to breath in. And it lasted for 4 weeks. Truly horrible. Get help, you will need it.
Comment 2 of 2"
 
Re: Australia - Virus in Sidney Hospital

Re: Australia - Virus in Sidney Hospital

The graph in #31 shows an elevation in respiratory illness by approximately 70-100 people per week from the middle of February until the middle of March. The NSW surveillance states that the increase was concentrated in Sydney, so Professor Fulde's ER could have been seeing an extra 10-15 people suffering from respiratory distress daily on top of their usual load. The surveillance graph indicates that this was going on for four weeks. By the time Prof Fulde's comments were posted, several hundred extra patients may have visited the ER with this unseasonal illness. The published comments amount to this: There's a nasty unseasonal virus that's making Sydney people sick, some with pneumonia. It spreads rapidly, and affects the upper airways.
Both Prof Fulde and the NSW surveillence agree that it's not influenza, but neither identify the specific pathogen.
 
Re: Australia - Virus in Sidney Hospital

Re: Australia - Virus in Sidney Hospital

RoRo: Both Prof Fulde and the NSW surveillence agree that it's not influenza, but neither identify the specific pathogen.

Why do you think that is, if it's been going on for weeks or months? If it was Papua New Guinea, maybe that wouldn't seem odd. But Australia is a modern country. Surely they have Dx labs.
 
Re: Australia - Virus in Sidney Hospital

Re: Australia - Virus in Sidney Hospital

Page 4 of this report shows an increase in ili activity: http://www.healthemergency.gov.au/internet/healthemergency/publishing.nsf/Content/ozflu2010.htm/$File/ozflu-no9-2010.pdf
 
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