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Posted by: | Posted on: November 18, 2020

WHO: Certain H1N1 cases may predict antiviral resistance

first_imgSep 25, 2009 (CIDRAP News) – While antiviral-resistant H1N1 influenza viruses remain rare, clinicians should watch for two particular kinds of H1N1 cases that seem more likely to give rise to viruses resistant to oseltamivir (Tamiflu), the World Health Organization (WHO) said today.So far, 28 oseltamivir-resistant viruses have been detected worldwide, the WHO said in today’s statement. Twelve of these were linked to use of the drug for postexposure prophylaxis, and 6 were in patients who had severe immunosuppression. Four more cases involved other patients being treated with the drug, and 2 patients were not on the drug.In view of the findings, the WHO urged clinicians to watch for resistance in:Patients with severely compromised or suppressed immune systems who have prolonged H1N1 illness and have received oseltamivir (especially if for a long time) but still have evidence of viral replicationPeople who receive preventive oseltamivir after exposure to another infected person but then get sick anyway”In both of these clinical situations, health care staff should respond with a high level of suspicion that oseltamivir resistance has developed,” the WHO said. “Laboratory investigation should be undertaken to determine whether resistant virus is present, and appropriate infection control measures should be implemented or reinforced to prevent spread of the resistant virus.”The agency also recommended conducting epidemiologic investigations in such situations to find out if a resistant virus has spread to anyone else.Person-to-person transmission of resistant H1N1 viruses has not yet been clearly shown, the WHO said. Local transmission may have occurred in some situations, but it didn’t lead to ongoing or wider transmission.The agency also said the resistant viruses do not seem to cause different or more severe symptoms. Except for immunocompromised patients, those infected with resistant viruses have had typical flu cases.The WHO does not generally recommend using oseltamivir to prevent H1N1 illness, today’s statement noted. For people who have been exposed and are at risk for a severe case, an alternative is close monitoring and early treatment if symptoms develop.In August the agency recommended against antiviral treatment for previously healthy people with uncomplicated H1N1 cases. It stressed prompt antiviral treatment for those with severe illness, pregnant women, and people with conditions such as asthma, obesity, or diabetes.See also: Sep 25 WHO statement on antivirals and resistancehttp://www.who.int/csr/disease/swineflu/notes/h1n1_antiviral_use_20090925/en/index.htmlAug 21 CIDRAP News story “WHO: In treating H1N1, save antivirals for high-risk cases”last_img read more

Posted by: | Posted on: September 26, 2020

Prosecution closes case in murder trial involving Soufriere family

first_img Tweet Sharing is caring! Share 52 Views   no discussions LocalNews Prosecution closes case in murder trial involving Soufriere family by: – March 7, 2012center_img Share At day three of the murder trial involving three members of a Soufriere family for the death of their brother the State through the Office of the Director of Public Prosecution has formally closed their case.Herbert XavierA nine member jury will determine whether Herbert Xavier, Lauretta Xavier and Manuella Williams murdered their brother Harrison Williams at Soufriere.It is the prosecution’s contention that on Friday 24th September, 2010 the defendants murdered their brother by beating him with a piece of wood on his head after an argument; an argument which started between Harrison and Herbert.The Court has heard evidence from Adis King the medical doctor who examined the lifeless body of Harrison Williams and pronounced him dead at the Princess Margaret Hospital. Her observations were that he had no respiratory movement, pale mucous membrane and a laceration to the forehead.Lauretta Xavier. Magistrate Candia Carette-George read the pathologist report of Iracele Maria Garcia Pineira which was admitted into evidence during the preliminary examination at the Magistrate Court. That report indicated that Harrison died as a result of “multiple trauma to the head and thorax resulting from internal and external bleeding”. According to the pathologist; “in her opinion, a sharp object with irregular edges could have caused the death of the Harrison Williams”.The wife of Harrison Williams, Jacklyn Williams and his daughter Hershema Williams testified that they both saw Herbert Williams strike Harrison on his head with a piece of wood. They also testified that they saw both Lauretta and Manuella Xavier strike Harrison on the night of 24th September, 2010.Among the other witnesses who testified for the prosecution was Delbert Xavier who is also a brother of the defendants and Harrison, Selwin Anatol, corporal of police Ashworth Gordon, Limron Bernard, investigating Officer Clifford Jno Baptiste and Sandra Henderson.Manuella Williams After lunch on Wednesday Justice Brian Cottle, members of the jury, the prosecution team led by Director of Public prosecutions Gene Pestaina, the Defendants and their attorneys visited the scene of the crime in Soufriere.Defence counsel Dawn Yearwood-Stewart represents Lauretta Xavier, Herbert Xavier is represented by Wayne Norde and Manuella Williams is represented by Ronald Charles.When the trial resumes on Thursday the Defence team will have an opportunity to present their side of the case.Dominica Vibes News Sharelast_img read more

Posted by: | Posted on: August 3, 2020

Shaw continues to shuffle deck chairs

first_imgBy Bruce Fuhr,The Nelson Daily SportsChris Shaw continues to shuffle the deck chairs on the Good Ship Leaf.The rookie coach and GM traded local Nelson Minor Hockey League product Adrian Moyls to the Kimberley Dynamiters in a Kootenay International Junior Hockey League trade between two Kootenay Conference teams.Also rumoured to be going to the Eddie Mountain squad, but not confirmed by Shaw, is the KIJHL rights to defenceman Bennett Hambrook.Hambrook, with a goal in 12 games, now plays for Prince George Spruce Kings of the B.C. Hockey League.Heading to the Heritage City is 6-foot, 184-pound Brennan Foreman.“We’ve added another player in Brennan Foreman who scored 20 goals last year,” Shaw said from his office in the NDCC Arena Wednesday. “He’s a two-way player whose a shutdown guy and proven offensive player.”Shaw said it was tough to trade the local player from the team. However, Moyls really didn’t produce for Nelson as a 20-year-old, scoring three goals for 11 points in 18 games.“This was a very tough decision,” Shaw confessed. “This was a situation where (Adrian) had never played away from home and Kimberley really wanted him.”“Brennan (Foreman) is also a local kid (from Marysville) so hopefully the change will be beneficial to both kids,” Shaw added.The deal comes on the heels of the Leafs acquiring rugged winger Joel Stewart from the Spokane Braves.Both players are expected to be in the lineup when Nelson travels to Grand Forks for the return visit of a home-and-home series.The Leafs fired the first serve, winning 5-2 Saturday in fight-filled contest.Nelson plays host to one of the hottest teams in the entire KIJHL, when the Kamloops Storm visits the Heritage City Saturday. Kamloops has reeled off nine wins in its last 10 games.Sunday Nelson hosts Columbia Valley Rockies in an afternoon affair.As for the shuffling of the deck chairs, Shaw hopes his wheeling and dealing is complete.“I hope so,” he said. “I’m not really looking to make any other deals but at the same time when you have a bulk of injuries you don’t really have any choice.”sports@thenelsondaily.comlast_img read more