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美国报告迄今H1N1病例数接近5,000万例

U.S. Reports Nearly 50 Million Cases of H1N1 So Far

By Miriam E. Tucker 2009-12-10 【发表评论】
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Elsevier Global Medical News
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Nearly 50 million Americans have been infected with 2009 pandemic influenza A(H1N1) as of Nov. 14, according to the latest estimates from the U.S. Centers for Disease Control and Prevention.

Since April, more than 200,000 have been hospitalized, and nearly 10,000 have died from the virus. Most of those affected have been children or young adults. Deaths have occurred in 1,100 children and 7,500 younger adults, CDC director Dr. Thomas R. Frieden said during a Dec. 10 telebriefing.

“The bottom line is, by Nov. 14, many more children and younger adults, unfortunately, had been hospitalized or killed by H1N1 influenza than what occurs during a usual flu season. ... This is a flu that’s much harder on younger people,” he said.

About 15% of the U.S. population – 1 in 6 people – has been infected with H1N1 influenza, leaving the majority still uninfected and therefore remaining susceptible. “It’s still a good window of opportunity to get vaccinated against H1N1 influenza,” Dr. Frieden said.

Another 12 million doses have been added to the United States’ supply in the past week, bringing the total available doses up to 85 million. Consistent with CDC recommendations, many states have increased eligibility for the vaccine to the general population, having met the demand in the five priority groups.

The number of H1N1 cases has been declining in recent weeks, but it’s still not clear what will happen when the seasonal flu hits, Dr. Frieden said. Influenza B, which is included in the seasonal flu vaccine, has begun to appear. Influenza season typically lasts through May. “We don’t know what the future will bring in terms of H1N1 influenza. ...The more people who are vaccinated, the fewer cases we will have, and the less likely we are to have a third wave or more cases in the weeks and months to come,” Dr. Frieden said.

Copyright (c) 2009 Elsevier Global Medical News. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.

据美国疾病预防控制中心(CDC)最新推测数据显示,到1114日,美国2009年度大流行性甲型(H1N1)流感感染例数接近5,000万例。

 

Thomas R. Frieden博士在1210的电话报告会上指出,自4月份以来,因感染此病毒已有逾20万人住院,近1万人死亡,其中大多数感染者为儿童或年轻人。儿童和年轻人的死亡例数分别为1,1007,500例。

 

他说,不幸的是,截止1114日, H1N1流感住院或死亡的儿童和年轻人的人数超过普通流感季节相应人数……,这种流感对年轻人更为凶猛。

 

Frieden博士说,大约有15%的美国人口(6人中有1)已感染H1N1流感,大多数仍未感染,因此还是易感人群。很明显,这是接种H1N1流感疫苗的大好时机。

 

上周美国疫苗供应量又增加1,200万剂,总量达8,500万剂。依照CDC的建议,许多州已提高了普通民众接种疫苗的资格,满足了5类优先接种人群的需要。

 

Frieden博士表示, H1N1流感病例数在最近几周有所减少,但对于季节性流感侵袭时会发生什么状况仍不清楚。乙型流感已经开始出现,季节性流感疫苗中也包括其相应的疫苗。流感季节通常持续至5月底。我们不知道H1N1流感将会导致什么情况……,接种疫苗的人越多,感染例数就会越少,我们在今后的数周或数月内面临又一次流感或有更多感染病例的可能性就会越小。

 

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Subjects:
general_primary, pulmonology, general_primary, womans_health, pediatrics, infectious, orl, allergy, Pediatrics
学科代码:
内科学, 呼吸病学, 全科医学, 妇产科学, 儿科学, 传染病学, 耳鼻喉科学, 变态反应、哮喘病与免疫学, 新生儿学

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病例分析 <span class="ModTitle_Intro_Right" id="EPMI_Home_MedicalCases_Intro_div" onclick="javascript:window.location='http://www.elseviermed.cn/tabid/127/Default.aspx'" onmouseover="javascript:document.getElementById('EPMI_Home_MedicalCases_Intro_div').style.cursor='pointer';document.getElementById('EPMI_Home_MedicalCases_Intro_div').style.textDecoration='underline';" onmouseout="javascript:document.getElementById('EPMI_Home_MedicalCases_Intro_div').style.textDecoration='none';">[栏目介绍]</span>  病例分析 [栏目介绍]

 王燕燕 王曙

上海交通大学附属瑞金医院内分泌科

患者,女,69岁。2009年1月无明显诱因下出现乏力,当时程度较轻,未予以重视。2009年3月患者乏力症状加重,尿色逐渐加深,大便习惯改变,颜色变淡。4月18日入我院感染科治疗,诉轻度头晕、心慌,体重减轻10kg。无肝区疼痛,无发热,无腹痛、腹泻、腹胀、里急后重,无恶性、呕吐等。入院半月前于外院就诊,查肝功能:ALT 601IU/L,AST 785IU/L,TBIL 97.7umol/L,白蛋白 41g/L,甲状腺功能:游离T3 30.6pmol/L,游离T4 51.9pmol/L,心电图示快速房颤。
 

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友情链接:中文版柳叶刀 | MD CONSULT | Journals CONSULT | Procedures CONSULT | eClips CONSULT | Imaging CONSULT | 论文吧 | 世界医学书库 医心网 | 前沿医学资讯网

公司简介 | 用户协议 | 条件与条款 | 隐私权政策 | 网站地图 | 联系我们

 互联网药品信息服务资格证书 | 卫生局审核意见通知书 | 药监局行政许可决定书 
电信与信息服务业务经营许可证 | 京ICP证070259号 | 京ICP备09068478号

Copyright © 2009 Elsevier.  All Rights Reserved.  爱思唯尔版权所有