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Saturday, April 25, 2009

Swine flu hits Mexico

MEXICO CITY -- A unique strain of swine flu is the suspected killer of dozens of people in Mexico in an outbreak that has spurred concerns of a global epidemic.

The new virus -- which combines genetic material from pigs, birds and humans in a way researchers have not seen before -- also sickened at least eight people in Texas and California, though there have been no deaths in the U.S.

"We are very, very concerned," World Health Organization spokesman Thomas Abraham said. "We have what appears to be a novel virus and it has spread from human to human. . . . It's 'all hands on deck' at the moment."

Mexico's Health Secretary Jose Angel Cordoba said 68 people have died of flu and the new swine flu strain had been confirmed in 20 of those deaths. At least 1,004 people nationwide were sick from the suspected flu, he said.

Residents of the capital donned surgical masks, and authorities ordered a sweeping shutdown of public gathering places. President Felipe Calderon met with his Cabinet yesterday to coordinate Mexico's response.

The WHO was convening an expert panel to consider whether to raise the pandemic alert level or issue travel advisories.

It might already be too late to contain the outbreak, a prominent U.S. pandemic flu expert said late yesterday.

There are probably cases incubating around the world already, said Dr. Michael Osterholm at the University of Minnesota.

In Mexico City, "literally hundreds and thousands of travelers come in and out every day," Osterholm said. "You'd have to believe there's been more unrecognized transmission that's occurred."

At Mexico City's international airport, passengers were questioned to try to prevent anyone with flu symptoms from boarding airplanes.

There is no vaccine that specifically protects against swine flu, and it was unclear how much protection current human flu vaccines might offer. A "seed stock" genetically matched to the new swine flu virus has been created by the U.S. Centers for Disease Control, said Dr. Richard Besser, the agency's acting director. If the government decides vaccine production is necessary, manufacturers would need that stock to get started.

Epidemiologists are particularly concerned because the only fatalities so far were in young people and adults.

The geographical spread of the outbreaks also concerned the WHO -- while 13 of the 20 deaths were in Mexico City, the rest were spread across Mexico.

The CDC says two flu drugs, Tamiflu and Relenza, seem effective against the new strain. Roche, the maker of Tamiflu, said the company is prepared to immediately deploy a stockpile of the drug if requested.

Closing schools across Mexico's capital of 20 million kept 6.1 million students home, as well as thousands of university students. All state and city-run cultural activities were suspended, including libraries, state-run theaters, and at least 14 museums.

U.S. health officials said the outbreak is not yet a reason for alarm in the United States. The five people sickened in California and three in Texas have all recovered.

The most notorious flu pandemic is thought to have killed at least 40 million people worldwide in 1918-19. Two other, less deadly flu pandemics struck in 1957 and 1968.



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