"As of 17 October 2009, worldwide there have been more than 414,000 laboratory confirmed cases of pandemic influenza H1N1 2009 and nearly 5000 deaths reported to WHO."
WHO has excellent maps indicating its progress as a pandemic.
Geographic spread of influenza activityMap timeline
Trend of respiratory diseases activity compared to the previous weekMap timeline
Intensity of acute respiratory diseases in the populationMap timeline
Impact on health care servicesMap timeline
Laboratory-confirmed cases of pandemic (H1N1) 2009 as officially reported to WHO by States Parties to the IHR (2005) as of 18 October 2009Map of affected countries and deaths
Now that we (Canada) have the vaccines, they are targeting those under age 65. But the bioethics intrigue me.
The supplementary criteria the triage teams may use to prioritize patients were defined after extensive review of the ethical framework embedded in Ontario's provincial plan, the bioethics literature, and feedback from stakeholders. These criteria include: (1) Does the patient belong to a profession that could help save/care for others? (2) Is it likely the patient became exposed to influenza through their professional duties? (3) Is the patient pregnant or a caregiver for dependents (children under 18, disabled adults or elders)? (4) Is there any evidence the patient is significantly more likely to survive than others? and (5) Is the patient significantly younger than others, thus at risk of losing more years of life?
Here's how the Hamilton Health Sciences protocol will work. The first step will be to triage patients according to the Ontario Ministry of Health and Long-Term Care's clinical guidelines: Does the patient need critical care? Does the patient have underlying illnesses that predict a poor outcome? Is more than one organ system affected? Does the patient improve with critical care? The goal of this triage process is to ensure that everyone who receives critical care survives.
Triage - Globe & Mail
Essential service workers, people exposed to influenza through professional duties, caregivers of dependents, and younger patients will be given priority access.
As of today, Oct. 23, 2009, CBC reports in the Greater Toronto Area (GTA) 439 hospitalizations to date. As of Oct. 21, 38. Deaths to date: 28, Average age of death: 57, average age of illness: 18.
Working to keep the flu out of the pews Thursday, Sep. 24, 2009 07:16PM EDT
H1N1 pandemic: Ontario delays fall flu shots over H1N1 threat Thursday, Sep. 24, 2009 10:34AM EDT
Kids will require two H1N1 shots Monday, Sep. 21, 2009 08:01PM EDT
"In Canada, the median age of those who have become ill with laboratory-confirmed swine flu is 21, and the median age of those who died is 51, Dr. David Butler-Jones, Canada's chief public health officer said. Last week, about half of the people who died of the flu in the U.S. were teenagers."