Federal Infection Watch

pollyvirus

Ameritous Professor Broughton-Delirium noted with pleasure the official announcement by the WHO this week that the influenza pandemic was officially over. In a moment of psephological lucidity, he realised that this may explain the steady waning of local interest in pollyvirus infections.

Fear and Vaccines in Western Australia

vaccination

A clinician’s view of the spate of adverse reactions to the flu vaccine in Western Australia that led to all vaccinations in those aged <5 years being ceased.

Masculus Influentia

With the winter season fast approaching it is vital that we reacquaint ourselves with one of the most important medical conditions known to man (masculus influentia). This condition is not to be taken lightly and should be treated with the respect it deserves.

The Patient is Ballooning Up…

Chest radiograph 1

A 36 year-old immunosuppressed male was infected with swine-origin influenza virus requiring mechanical ventilation. Overnight the inspiratory pressures needed to maintain his tidal volume had progressively increased and his face had become markedly swollen.

Radiological oddity #015

ECMO_bad_lungs3

A 32 year-old male with no previous medical problems, other than a history of smoking cigarettes, was infected by swine-origin influenza virus (SOIV) and developed severe ‘FLAAARDS’ (‘flu’-A associated acute respiratory distress syndrome) requiring treatment with ECMO (extra-corporeal membrane oxygenation). His chest and abdominal radiographs are shown. Q1. Describe the findings on the chest and [...]

Swine Flu in ICU

A timely follow up to ‘The Two Faces of Swine Flu’ is ‘Critical Care Services and 2009 H1N1 Influenza in Australia and New Zealand’. This ‘hot off the press’ paper by the ANZIC Influenza Investigators has just been published online in the NEJM.

The Two Faces of Swine Flu

The sun is making more frequent cameos in our part of the world, suggesting summer may be on its way. Another, but less obvious, indicator of the change in seasons is the gradual decline in patients with swine flu (H1N1 09 influenza) needing treatment in our intensive care units. The last  ‘Life in the Fast [...]

Lessons from 1918

I read a book called ‘The Coming Plague‘ when I was in medical school. It was fascinating. It formed a picture of the world in my mind as a bubbling soup of seething micro-organisms waiting for the right circumstances to break out, to come forth and multiply – at our expense. It also introduced me [...]

What do you mean pandemic?

WHO pandemic phases (2009)

Despite the cessation of ‘pig kissing frolicks’ it looks as though the WHO will eventually declare that 2009 H1N1 influenza A (‘swine flu’) has reached pandemic proportions (phase 6).