‘If you are sick, you need to stay home:’ Flu bug biting with a vengeance

http://www.chicagotribune.com/suburbs/naperville-sun/news/ct-nvs-flu-outbreak-st-0110-20180109-story.html

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To avoid spreading germs, Justin Karubas opted to phone in his comments and votes during Monday’s Indian Prairie District 204 meeting — a courtesy his fellow board members likely appreciated.

Karubas, of Naperville, is among the many who are experiencing the misery of one of the worst flu seasons in years, now widespread across 46 states, including Illinois, according to the Centers for Disease Control and Prevention.

When over-the-counter remedies no longer help, folks are flocking to the doctor to seek relief.

Mary Anderson, manager of Infection Control at Edward Hospital in Naperville, said the health system is seeing high volumes of patients arriving in the emergency room, walk-in clinics and doctors’ offices with flu-like symptoms.

The time of year and the recent spate of cold weather both play into the increase in influenza cases. “Over the holidays, there are lots of opportunities for transmission,” Anderson said.

While a rise in the flu cases might not be out of the ordinary, what is different is the severity of the symptoms.

“A higher number (of patients) than usual are requiring hospital admission,” Anderson said. “Over the last two weeks, 80 people were admitted with confirmed cases of influenza.”

Even at the height of a typical flu season, Anderson said the hospital might admit 35 people in a given week.

The influenza A strain known as H3N2 is the behind many of the cases. “It hits particularly hard the very old and the very young,” Anderson said.

According to DuPage County weekly influenza surveillance reports, 17 people were admitted to the intensive care units of county hospitals during the last two weeks of December, bringing the total number of admissions to 28 since Oct. 1.

That’s more than four times higher compared to the same period last year, when there had been only had six ICU admissions as of Dec. 31, 2016.

Kane County also experienced an explosion in flu numbers during the last two weeks of December.

Of the 916 confirmed cases of influenza reported in Kane County from Oct. 1 to Dec. 30, 70 percent, or 634 cases, were diagnosed between Dec. 17 and 30.

Last year, 162 incidents of the flu were reported in Kane County during the last three months of 2016.

Kane County Health Department spokesman Tom Schlueter said the last time nearly 10 percent of Kane hospital visits were for flu-like symptoms was during an outbreak in the 2014-15 influenza season.

If the trend continues, the area could experience a few more weeks of severe flu cases before the numbers begin to drop off.

So far this flu season, 86 percent of the Kane diagnoses involve influenza A. Schlueter said that’s not surprising since influenza A generally peaks before other strains, such as influenza B and influenza AB.

He warned the number flu cases could climb again in late January and February, when influenza B generally hits and after students — from preschool through college — are back in school.

Alpesh Patel, an epidemiologist with the Will County Health Department, said most adults can infect other people beginning one day before symptoms develop and up to five to seven days after becoming sick; children may pass the virus for longer than seven days.

“This means that you may be able to pass on the flu to someone else before you are sick, as well as while you are sick. In addition, some people can be infected with the flu virus, have no symptoms and still spread the virus to others,” Patel said in a statement.

Will County figures show hospital emergency rooms treated 860 patients with flu-like symptoms from Dec. 25 to 31, compared to 391 during the same week the previous year. Of those 860, nearly half — 384 — tested positive for influenza.

“There is a lot of illness out there. We need to increase our prevention efforts and minimize human interaction where we can,” Patel said in the statement.

“If you are sick, you need to stay home and not be around other people, loved ones or co-workers. Hand hygiene has to be extremely important, along with covering when we cough and sneeze.”

Health professionals also advise it’s not too late to get vaccinated.

“A flu shot anytime during flu season is appropriate, but remember it takes two weeks to be effective,” Anderson said.

Last season’s shot, which contains the same mix as this year, was 43 percent effective against the H3N2 virus and 48 percent effective overall, according to the CDC. In Australia, the vaccine was found to be only 10 percent effective against the H3N2 flu strain.

While it might not prevent a person from getting the flu, the CDC reports the risk of hospitalization decreases with people who are vaccinated, Anderson said.

http://www.latimes.com/local/california/la-me-ln-flu-peak-20180109-story.html

https://www.dallasnews.com/news/dallas-county/2018/01/09/dallas-county-flu-fatalities-jump-11-18-four-days

 

 

 

4 in 10 healthcare professionals work when they’re sick, risking patients

http://www.healthcarefinancenews.com/news/4-10-healthcare-professionals-work-when-theyre-sick-risking-patients?mkt_tok=eyJpIjoiWVdWa1lXTTBORFJpWTJSayIsInQiOiJndXNTdWM2czNvZzR6dDlRVXA4N3ZZWUhiV29FTzZ4VndOT3VGeUkzSGtGcms1QnlhSnNRTTlQbGRmcmY5UEpEY2VuWWg1UHIwTXVQUkg1ZklLZGN6SGYxMmpwc3lmZGJtK1pBcTNDNnZZZ0FmYzQ3Q2R2YWloNjVJSlorWStcL3QifQ%3D%3D

 

Patients who are exposed to a sick healthcare worker are five times more likely to get a healthcare-associated infection.

A new study suggests that healthcare professionals should heed their own advice: Stay home when sick.

Some four in 10 healthcare professionals work while experiencing influenza-like illness, according to findings published in the November issue of the American Journal of Infection Control, the journal of the Association for Professionals in Infection Control and Epidemiology.

As in all workplaces, contagious employees risk infecting others when they turn up for work. But with higher concentrations of older patients and individuals with immunosuppression or severe chronic diseases in healthcare facilities, flu-like transmission by healthcare workers naturally presents a public health hazard.

The research pointed to an earlier study showing that patients who are exposed to a sick healthcare worker are five times more likely to get a healthcare-associated infection.

The annual study, conducted via a national online survey, collected data from from 1,914 professionals during the 2014-2015 flu season. Respondents self-reported influenza-like illness, defined as the combination of a fever and cough or sore throat, and listed factors that prompted them to turn up for work.

The survey assessed a variety of health occupations across multiple institutions: physicians; nurse practitioners and physician assistants; nurses; pharmacists; assistants/aides; other clinical pros; nonclinical pros; and students. Four types of work settings were assessed: hospitals, ambulatory care or physician offices, long-term care facilities and other clinical settings.

Of the 1,914 professionals surveyed, 414 reported flu-like illness. Of these, 183 — or 41.4 percent — reported working for a median duration of three days while experiencing flu-like symptoms.

Hospital-based healthcare professionals had the highest frequency of working with flu-like illnesses (49.3 percent), compared to those at long-term care facilities (28.5 percent). Clinical professional healthcare workers were the most likely to work with the flu (44.3 percent), with pharmacists (67.2 percent) and physicians (63.2 percent) among those with the highest frequency.

The survey found that assistants and aides (40.8 percent), nonclinical workers (40.4 percent), nurse practitioners/physician assistants (37.9 percent), and other clinical workers (32.1 percent) worked while sick.

The most common reasons for healthcare professionals to opt from taking sick leave included feeling that they could still perform their job duties; not feeling “bad enough” to stay home; feeling as if they were not contagious; sensing a professional obligation to be present for coworkers; and difficulty finding a coworker to cover for them. Among the workers who felt they could still perform their job duties, 39 percent sought medical attention for their symptoms, as did 54 percent of those who didn’t think they were contagious. Almost 50 percent of workers in long-term care settings who reported for work when sick reported doing so because they couldn’t afford to lose the pay.

Healthcare professionals with self-reported flu symptoms missed a median number of two work days. Of those, 57.3 percent visited a medical provider for symptom relief; 25.2 percent were told they had influenza. The Centers for Disease Control and Prevention recommends that anyone with such symptoms wait 24-hours after a fever breaks before returning to work.

Previously published results from the survey showed that only 77.3 percent of respondents reported getting a flu shot.

Datagraphic: Top Causes of Death

Health Affairs July 2017 DataGraphic

Life expectancy in the US has decreased. That’s troubling

http://www.healthcaredive.com/news/life-expectancy-in-the-us-has-decreased-thats-troubling/431984/

Dive Insight:

Recent data show that a human’s lifespan is “fixed and subject to natural constraints” and that the limit of the “world’s oldest person” has not increased since the 1990s, when French woman Jeanne Calment died at age 122.

Still, the CDC’s findings paint a poor picture of the health of the U.S. population, as it shows an increase in “virtually every cause of death,” David Weir from the Institute for Social Research at the University of Michigan was quoted in The Washington Post. In fact, the rate of deaths related to eight of the 10 leading causes of death increased from 2014 to 2015. Only one decreased. The rate for heart disease increased 0.9% while the rate for cancer decreased by 1.7% from 2014 to 2015.

For American males, life expectancy changed from 76.5 years in 2014 to 76.3 years in 2015 and American females saw a decrease from 81.3 years in 2014 to 81.2 years in 2015. Earlier this year, CDC released data that showed more Americans died in 2014 from heart disease than any other cause with 74% of American deaths attributed to the same 10 common causes of death.

Worldwide, a recent study found in 2010, nearly a third of adults had hypertension.

“We’re seeing the ramifications of the increase in obesity,” said Tom Frieden, director of the Centers for Disease Control and Prevention, was quoted in The Washington Post.