first_imgMay 12, 2009 (CIDRAP News) – Pregnant women who have confirmed, probable, or suspected novel influenza H1N1 infections should receive antiviral treatment for 5 days, the US Centers for Disease Control and Prevention (CDC) said today in a detailed report on three pregnant women who had the disease, one of whom died.In its surveillance of the novel influenza outbreak, the CDC has been gathering information on infections in pregnant women. As of May 10, 20 cases have been reported, including 15 confirmed and 5 probable cases. The CDC published its findings on the three cases in a Morbidity and Mortality Weekly Report (MMWR) Dispatch.Anne Schuchat, MD, interim deputy director CDC’s science and public health program, said at a media briefing today that the CDC is singling out the cases to remind healthcare providers and the public that pregnant women are at higher risk for flu complications such as pneumonia and dehydration and that the agency is seeing some severe complications in pregnant women who have novel H1N1 infections.”We want to get the word out about prompt antiviral treatment,” she said.The first of three case reports in today’s MMWR Dispatch appears to describe the Texas woman who was recorded as the nation’s second novel H1N1 flu death. The 33-year-old woman was 35 weeks pregnant and had a 1-day history of myalgia, dry cough, and low-grade fever when she was seen on Apr 15 by her obstetrician. She had a history of psoriasis and mild asthma, but was not taking medication for the conditions.Four days later she went to the emergency department with worsening shortness of breath, fever, and cough. During the visit the woman had severe respiratory distress. Chest radiographs showed bilateral nodular infiltrates, and the woman was intubated and placed on mechanical ventilation. Her doctors performed a cesarean delivery, and the healthy baby girl was later discharged home.On Apr 21 the woman experienced acute respiratory distress syndrome. One week later, she began receiving oseltamivir (Tamiflu) and broad-spectrum antibiotics, but she died on May 4.During the woman’s hospitalization San Antonio health officials detected an untypable influenza A strain in the woman’s nasopharyngeal specimen and sent it to the CDC, which on Apr 30 confirmed the novel H1N1 virus.In the second case report, a previously health 35-year-old woman who was 32 weeks pregnant sought treatment at the emergency department on Apr 20 with a 1-day history of shortness of breath, fever, cough, diarrhea, headache, myalgia, sore throat, and inspiratory chest pain. Chest radiographs were normal and the rapid influenza test was negative. She received parenteral nonsteroidal anti-inflammatory medication, acetaminophen, and an albuterol inhaler, and was sent home.The next day her obstetrician obtained a nasopharyngeal sample and sent it for testing. She recovered fully and her pregnancy is progressing normally following her treatment with antibiotics, antinausea medication, and an inhaled corticosteroid. Influenza testing revealed an untypable influenza A strain, which was forwarded to the CDC and confirmed as novel H1N1.She had visited Mexico 3 days before she was seen in the emergency department, and several of her family members on both sides of the border had recently been sick with flu-like illnesses.The third patient, a 29-year-old woman who was 23 weeks pregnant, visited her family doctor for a 1-day history of cough, sore throat, chills, and subjective fever. She had a history of asthma but was not on medication. Her 7-year-old son was also sick and was also seen during the appointment. Another son, age 10, had been sick with similar symptoms the previous week. The family had not traveled to Mexico recently.The woman’s doctor was 13 weeks pregnant and began oseltamivir prophylaxis and did not get sick.The woman’s rapid influenza test was positive. Her doctor prescribed oseltamivir, her symptoms resolved, and the pregnancy is proceeding normally. The Washington State Public Health Laboratory identified the woman’s virus sample as untypable influenza A, and the CDC later confirmed it as novel H1N1.CDC experts note in the report that research has shown a higher risk for complications in pregnant women during seasonal flu outbreaks and previous pandemics. Cardiovascular, respiratory, and immune system changes during pregnancy are thought to contribute to the higher risk, and health officials have recommended that pregnant women receive annual flu vaccines.Though little information is available on antiviral use during pregnancy, the CDC says the benefits of treatment for the novel virus outweigh the potential risk to the fetus.Alongside its recommendation for 5-day antiviral treatment for pregnant women, the CDC recommends that pregnant women who are in close contact with a confirmed, probable, or suspected case-patient receive a 10-day prophylactic course of antivirals.Though both of the neuraminidase inhibitors can be used to treat or prevent the new virus, the CDC said oseltamivir is the preferred treatment, because its systemic absorption may provide better protection against mother-to-child transmission.”Beginning treatment as early as possible is critical,” the CDC states, adding that treating fevers with acetaminophen is important for preventing maternal hyperthermia, which can lead to adverse pregnancy outcomes.CDC. Novel influenza A (H1N1) virus infections in three pregnant women, United States, April-May 2009. MMWR Dispatch 2009 May 12;58 [Full text]last_img read more

first_img The judge said the decision was to “preserve the security of the population,” noting that thousands of people regularly went to the venues for concerts or exhibitions. Rio’s mayor’s office appealed the ruling, and an appeal court ruled on Tuesday that the sites should be re-opened provisionally pending an examination of the case. read also:Former Rio governor paid $2 million bribe to host 2016 Olympics The Rio Olympic Park at Barra de Tijuca hosted the Rock in Rio festival in September, which welcomed 700,000 visitors over a week of concerts. FacebookTwitterWhatsAppEmail分享 The Olympic swimming pool will be “opened to the public on Sunday,” said local authorities. Public prosecutor Leandro Mitidieri had petitioned a judge to close the facilities because they had never obtained proper safety certificates. Loading… A Brazilian court has ordered a host of 2016 Rio Olympic Games facilities closed two weeks ago over safety concerns be re-opened, Rio de Janiero’s mayor’s office told AFP.center_img The facilities were closed on January 16 following a request from the Rio prosecutor’s office, which complained it had not seen safety certificates for the venues. “The Olympic park at Barra da Tijuca and the one at Deodoro were re-opened on Tuesday,” the mayor’s office told AFP late on Wednesday night. The Rio Games – the first to be held in South America – were heavily criticized for their extreme costs, estimated around $12.5 billion, and corruption scandals thatsurrounded the construction sites. Brazil’s canoe team has resumed training at the Deodoro site, around 40 kilometers (25 miles) north of the world famous Copacabana beach. Promoted ContentThe Best Cars Of All TimeThe Funniest Prankster Grandma And Her Grandson10 Risky Jobs Some Women Do6 Interesting Ways To Make Money With A Drone8 Amazing Facts About Ancient EgyptThe Very Last Bitcoin Will Be Mined Around 2140. Read MoreWhich Country Is The Most Romantic In The World?9 Facts You Should Know Before Getting A TattooA Soviet Shot Put Thrower’s Record Hasn’t Been Beaten To This Day7 Ways To Understand Your Girlfriend Better10 Awesome TV Series That Got Cancelled Way Too SoonIt Might Be Quentin Tarantino’s Last Movielast_img read more

first_imgRowing, Canoeing and Sailing Sports Coaches drawn from across the country are currently in the classrooms where they spent the Christmas holidays receiving tutorials for the second face of the Nigeria Rowing, Canoeing and sailing Federation’s NOC/IOC Solidarity Coaching course holding at the Naval Sailing Club, Ojo, Lagos.The programme began on 23, December 2016 and will last till December 30, 2016 and was packaged by the Nigeria Olympic Committee (NOC) in conjunction with the International Olympic(IOC), the course which is being conducted by Rachel Davis, an expert from Canada is a follow up to the first phase held in April this year as facilitated by Sallie Malt from the United Kingdom who was accompanied by two other UK water experts to scout out conducive places for the development of Nigeria water sports. Commenting on the initiative, President NOC, Habu Gumel, who was represented by the Secretary General, Babatunde Popoola said the ongoing course is part of the NOC’s pre-arranged “Train the Trainers programme aimed at repositioning Nigerian sports for good.Adding that the present administration of the NOC under the leadership of Gumel is determined to take Nigeria’s sports to greater heights, hence the quick follow up of the Rowing, Canoeing and Sailing Sports coaching Course.Drawn from across the country, the 10 beneficiaries who are attending having passed the first course include, Olagunju Adebola Sunday, Egbele Babajide Omoh, Oshikolu Oreoluwa, Aweh Dennis Simon, Showetan Olalekan, Taibu Adebayo Ahmed, College Emmanuel, Ajao Ayo Adeyinka, Ogunbiyi Ayo Olaide and Momodu Ayo who is attending as an observer completes the list if attendees.Share this:FacebookRedditTwitterPrintPinterestEmailWhatsAppSkypeLinkedInTumblrPocketTelegramlast_img read more