Recombinomics Commentary 20:08
December 29, 2009
3,669,751 Influenza / ARI

207,013 Hospitalized

675 Dead

The above figures are from the Ukraine Ministry of Health and represent a spike of 42 fatalities in the past 48 hours. Oblast reporting 5 or more fatalities in the past 2 days includes Donetsk (7 to 80), Kharkiv (6 to 29), Dnipropetrovsk (5 to 32), Cherkasy (5 to 25) and Crimea (5 to 13).  The increases to 20 fatalities per day are close to the levels when the outbreak was first reported in late October (see map).

Samples collected from the fatal cases had two receptor binding domain changes, D225G and D225N, which have also been associated with fatality rates of 100% in Brazil, Mexico, and France.  However, the results from the first 6 cases in Ukraine represents the largest number from any country and additional examples are expected since the six cases were from at least two Oblast and were in individuals who were not contacts of each other.


Recombinomics: Fatal D225G / D225N H1N1 Co-Infections Raise Concerns

Recombinomics: Fatal H1N1 Tamiflu Resistance in New Brunswick Canada

•  Household Responses to Pandemic (H1N1) 2009-related School Closures, Perth, Western Australia (Link)

•  H5N1 in Cambodian poultry (Link)

•  N.B. man dead after contracting antiviral-resistant H1N1 (Link)

•  CIDRAP: Chile reports 3 H1N1 reinfections (Link) (Link)

•  Germany Aims to Cancel 50% of Swine Flu Shots, Ministry Says (Link)

•  2,000 dead birds set off (H5N1) flu fears in Bengal (Link)
•  2 more swine flu deaths in Chandigarh, 3 new cases (Link)
•  H1N1 flu: 1 dies, 62 fresh cases (Link)
•  Indian Govt reviews swine flu situation in rural areas (Link)
•  4-yr-old succumbs to H1N1 (Link)

•  Indonesia reports 20 H5N1 cases, 19 deaths for 2009 (Link and link)

•  Nepal sounds alarm as H1N1 cases treble (Link)
•  Hospitals asked not to disclose swine flu deaths (Link)

North Korea
•  North Korea Seen Battling Wave of Flu (Link)

•  Surveillance on high alert (Link)

Saudi Arabia
•  Saudi swine flu deaths hit 124 (Link)

South Korea
•  Low pathogenic H5N2 in ducks (Link)

United States
•  MA: Severe H1N1 cases and asthma are linke (Link)
•  OR: Another batch of H1N1 vaccines is recalled  (Link)
•  PA: (1) New Death on PA DOH Website 12.28.09-BeaverCo (Link)

•  Novel diagnostic tool to speed up flu testing (Link)
•  5 reasons H1N1 is actually good for us (Link)
•  Q-Fever Outbreak (Link)
•  Severity of H1N1 Influenza Linked to Presence of Streptococcus Pneumoniae (Link)
•  WHO: A/H1N1 pandemic death toll rises to 12,220 (Link)
•  WHO chief yet to be vaccinated against swine flu (Link)