pressure group Health Emergency said a number of hospitals in East Anglia were on black and red alert, meaning the NHS was struggling to cope as the outbreak worsened. Chairman Geoff Martin said the James Paget University Hospital in Great Yarmouth had declared a “black alert” yesterday – the most severe status level. He added that the Norfolk and Norwich University Hospital was on “red alert” – one step below black. He said: “We warned that hospitals would be forced on to black alert as the flu cases fill the available beds – now it’s happening and we do not believe that the chaos is restricted to East Anglia.

The above comments increase concerns that health care delivery in the UK is being taxed by the spike in severe H1N1 cases. The cases in East Anglia and the Greater Manchester area suggest that the H1N1 will soon significantly impact London, where reports cite a 25% occupancy rate of severe H1N1 cases in ICU beds.  (Snip) these high levels may be blunted by GP offices closed over the holiday week, and a re-opening (Snip)  coupled with a return to school may create additional problems next week, including a shortage of ECMO machines.

(Snip) severe cases has increased from 460 to 738, suggesting triple digits next week, compared to a peak of 180 last season. The current crisis is exacerbated by a rising number of Tamiflu resistant cases, as well as shortages of anti-virals and vaccines. The deteriorating situation may lead to more aggressive measures in the upcoming days.


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•  Egypt’s H1N1 Flu Cases Reach 2172 (Link)
•   H1N1 virus kills 24 in one week (Link)

•  Two people die of swine flu in western Germany (Link)

•  Natural treasures carry avian flu / Rare migratory birds harboring virus this winter pose problems (Link)

•  Swine flu cases up to 50 in Jordan (Link)

•  Fears now rise in Kenya over possible new swine flu epidemic (Link)

•  Sarawak mulling screening visitors from avian flu-hit South Korea (Link)

New Zealand
•  Swine flu vaccines all expired (Link)

•  Two H1N1 patients hospitalized in Norway (Link)

•  One dies of Swine Flu in Karachi (Link)

South Korea
•  Quarantine authorities: poultry nationwide exposed to bird flu (Link)

•  Sweden sees first swine flu death this season (Link)

•  Limited stock of the cold wave to the vaccine increased antibody (Link)

•  From flu complications died five Ukrainians (translated) (Link)

United Kingdom
•  Victim had been married only a week before  (Link)
•  Flu Hospitals At Crisis Point (Link)
•  Ireland: Swine flu rate rises as 34 in hospital (Link)
•  Hospital swamped with flu sufferers (Link)
•  738 flu patients in critical care (Link)
•  ‘Flu’ puts 738 in intensive (Link)
•  Wales: Warning as flu hits city (Link)
•   ‘Flu deaths are much lower than last year’ – health boss urges public not to panic (Link)
•   Southampton hospital warns over influx of flu patients (Link)
•  Swine flu leaves six in intensive care (Link)
•  Emergency operation to save Scots swine flu mum’s baby (Link)
•  Swine flu surge causes critical shortage in intensive care beds for children (Link)

•  Wales:  Flu ‘Is Set To Sweep Nation’ (Link)
•  Republic of Ireland swine flu cases more than treble (Link)
•  Swine Flu hits hard on Fylde (Link)
•  Fears of Flu Epidemic As Deaths from H1N1 Double In A Week (Link)
•  Swine flu kills animal trainer on Harry Potter films (Link)
•  Flu cases take beds meant for ill babies (Link)

•  Kids Set For New Flu Wave (Link)
•  UK schools on Swine Flu alert (Link)
•  Increasing Flu Admissions Adding To Pressure On Southampton’s Hospitals (Link)
•  Hospital visting times cut in bid to stop spread of flu (Link)
•  Second flu patient dies in Midlands (Link)
•  Emergency beds filling up with flu patients  (Link)
•  Man with swine flu dies in Hartlepool hospital (Link)
•  Isle of Wight: Two die in hospital from suspected swine flu (Link)

United States
•  Flu Season Intensifies; Flu Rampant in 5 States, CDC Says (Link)
•  AR: Birds fall from sky in Arkansas (Link)
•  AR: First Birds Fall, Now 100,000 Fish Dead in Arkansas (Link)
•  IA: Iowa health officials identify three influenza strains very early in the season (Link)

•  ‘Normal’ flu season packed with surprises (Link)
•  Perceived risk, anxiety, and behavioural responses of the general public during the early phase of the Influenza A (H1N1) pandemic in the Netherlands: results of three consecutive online surveys (Link)

•  Recombinomics: UK H1N1 Children’s Epidemic Predicted (Link)

•  Recombinomics: UK Vaccine Shortage Increases H1N1 Pandemic Concerns (Link)
•  Recombinomics: H1N1 Threatens Children’s Health Care Delivery In UK (Link)