Tuesday, June 16, 2009

Ignored by David Penberthy. Pffft!

Hi David

I don't know what Web3.0 (or 1.7 for that matter) means. But I can see with my own eyes that the tail of your piece today looks like

You can read Downer's piece at www.adelaidenow.com.au or by typing this tiny url into your browser: http://tinyurl.com/pf8lcj

In my browser (Firefox 3) both URLs are highlighted and can be clicked to go to the location. So the advice to 'type the tiny url' is not only redundant, it looks a bit silly.

There's an article in the Business section on Rupert Murdoch's visions (or nightmares) about digital news. RM is quoted as saying "You'll be able to get ... everything on your Blackberry, or Palm, or whatever ...". Can you see there is something missing, a glaring omission that makes me think RM has dissed Apple? Steve Jobs has 62m Google hits, cf RM's 2m, so I cannot believe RM has not been toiling away at a business model for news delivery that includes the iPhone. Young people lust for the Apple tool. Maybe if RM is thinking of concentrating his digital subscription model at the high end (where punters pay $3 for the AFR) then maybe he will give away his newspapers? Apple will have noticed.

Anyway, the Downer piece was very good. But I must disclose that one of our kids is pedalling across Central Asia http://www.steppebysteppe.com.au/ and their GPS tracker stopped signalling a week ago. Probably a technical fault, but ...

Monday, June 15, 2009

Adverse events in hospital care

http://www.aihw.gov.au/publications/hse/hse-71-10776/hse-71-10776-c04.pdf
p53

Adverse events are defined as incidents in which harm resulted to a person receiving health care. They include infections, falls resulting in injuries, and medication and medical device problems. Some of these adverse events may be preventable. Separations with adverse events are included within the Safety dimension of the revised National Health Performance Framework.

The separations data include ICD-10-AM diagnoses, places of occurrence, and external causes of injury and poisoning which indicate that an adverse event was treated and may have occurred during the hospitalisation.

However, other ICD-10-AM codes may also indicate that an adverse event occurred or was treated, and some adverse events are not identifiable using these codes. The data presented in Table 4.13 can therefore be interpreted as representing selected adverse events in health care that have resulted in, or have affected, hospital admissions, rather than all adverse events that occurred in hospitals.

In 2007–08, there were 382,000 separations with an ICD-10-AM code for an adverse event (4.8 per 100 separations) (Table 4.13). There were 268,000 separations with adverse events in the public sector (5.6 per 100 separations) and 115,000 separations in the private sector (3.7 per 100 separations). However, the data for public hospitals are not comparable with the data for private hospitals because their casemixes differ and recording practices may be different.

Influenza seroprevalence in pigs

http://www.medscape.com/viewarticle/574904

From Influenza and Other Respiratory Viruses
Seroprevalence of H1N1, H3N2 and H1N2 Influenza Viruses in Pigs in Seven European Countries in 2002-2003
Kristien Van Reeth; Ian H. Brown; Ralf Dürrwald; Emanuela Foni; Geoffrey Labarque; Patrick Lenihan; Jaime Maldonado; Iwona Markowska-Daniel; Maurice Pensaert; Zdenek Pospisil; Guus Koch

Authors and Disclosures

Published: 06/18/2008

Abstract and Introduction
Materials and Methods
Results
Discussion
References

Abstract
Objectives: Avian-like H1N1 and human-like H3N2 swine influenza viruses (SIV) have been considered widespread among pigs in Western Europe since the 1980s, and a novel H1N2 reassortant with a human-like H1 emerged in the mid 1990s. This study, which was part of the EC-funded 'European Surveillance Network for Influenza in Pigs 1', aimed to determine the seroprevalence of the H1N2 virus in different European regions and to compare the relative prevalences of each SIV between regions.
Design: Laboratories from Belgium, the Czech Republic, Germany, Italy, Ireland, Poland and Spain participated in an international serosurvey. A total of 4190 sow sera from 651 farms were collected in 2002-2003 and examined in haemagglutination inhibition tests against H1N1, H3N2 and H1N2.
Results: In Belgium, Germany, Italy and Spain seroprevalence rates to each of the three SIV subtypes were high (≥30% of the sows seropositive) to very high (≥50%), except for a lower H1N2 seroprevalence rate in Italy (13·8%). Most sows in these countries with high pig populations had antibodies to two or three subtypes. In Ireland, the Czech Republic and Poland, where swine farming is less intensive, H1N1 was the dominant subtype (8·0-11·7% seropositives) and H1N2 and H3N2 antibodies were rare (0-4·2% seropositives).
Conclusions: Thus, SIV of H1N1, H3N2 and H1N2 subtype are enzootic in swine producing regions of Western Europe. In Central Europe, SIV activity is low and the circulation of H3N2 and H1N2 remains to be confirmed. The evolution and epidemiology of SIV throughout Europe is being further monitored through a second 'European Surveillance Network for Influenza in Pigs'.

Introduction
The epidemiology of swine influenza (SI) has become increasingly complex over the last decade. Three influenza A virus subtypes - H1N1, H3N2 and H1N2 - are currently circulating in swine worldwide, but the origins and the antigenic and genetic characteristics of these swine influenza virus (SIV) subtypes differ in different continents or regions of the world.[1] The first significant outbreaks of SI on the European mainland occurred in the late 1970s after the transmission of an H1N1 virus from wild ducks to pigs.[2] This 'avian-like' H1N1 virus has become established in the European pig population and ultimately became the dominant H1N1 SIV strain.[3] Viruses of human origin, A/Hong Kong/68-like H3N2 formed a stable lineage in European pigs since the early 1970s, but reassortant H3N2 viruses with human haemagglutinin (HA) and neuraminidase (NA) genes and avian-like swine H1N1 internal protein genes have become dominant since the mid 1980s.[4,5] Finally, 'triple reassortant' H1N2 viruses have been isolated frequently from pigs throughout Europe since the mid 1990s.[6-10] These viruses contain an HA of human influenza virus origin, a NA of swine H3N2 virus origin and internal protein genes of avian-like swine H1N1 virus origin.[11] The HA of these H1N2 viruses shows low antigenic and genetic homology (70·4% amino acid identity in the HA1 region) with avian-like H1N1 viruses and there is no cross-reaction between H1N1 and H1N2 viruses in the HI test.[12] Though most SIV infections are clinically mild or subclinical, all three subtypes have been associated frequently with typical outbreaks of 'swine flu' and SIV may be responsible for up to 50% of acute respiratory disease outbreaks in pigs.[1]

Viruses of H1N1 and H3N2 SIV subtypes are considered widespread and endemic in pig populations in Austria, Belgium, Denmark, France, Germany, Great Britain, Italy, The Netherlands and Spain.[13] Occasional serological investigations of pigs sampled at slaughter have been performed in most of these countries in the 1980s and early 1990s and revealed seropositivity to H1N1 and H3N2 in >50% of the tested population. However, over the last few years H3N2 activity is believed to be low or absent in France (Brittany) and Great Britain (Brown I., Veterinary Laboratories Agency, Weybridge, UK, unpublished observations; Kuntz-Simon G., Agence Française de Sécurité Sanitaire des Aliments, Ploufragan, France, personal communication). Either or both subtypes have also been reported in Bulgaria, the former Czechoslovakia, Greece, Hungary, Ireland, Macedonia, Poland and Sweden.[13] As for the H1N2 virus, a limited serosurvey in sows in Belgium in 1999 has shown seropositivity in 69% of the 443 sera examined.[7] However, there is limited H1N2 seroprevalence data for other European countries and there is little information on the evolution of H1N1 or H3N2 seroprevalence rates in Europe.

The 'European Surveillance Network for Influenza in Pigs 1' (ESNIP1) was a concerted action in the 5th Framework Research Programme of the European Commission (QLK2-CT-2000-01636, 01-01-2001 until 31-12-2003) that involved 14 partners from 10 different European countries. This action was initiated through the need for standardisation of diagnostic techniques for SI and for a more organised surveillance. The present paper reports the results of a first international serosurvey undertaken by ESNIP1 partners from Belgium, the Czech Republic, France, Italy, Ireland and Poland and by voluntary participants from Germany and Spain. The study aimed to determine the seroprevalence of the novel H1N2 virus in different geographic regions of Europe, and to compare the relative prevalences of each SIV between countries and regions where possible.

Saturday, June 13, 2009

Medical response in chaos in swine flu pandemic

Articles in The Oz, SMH, etc expose IdM.
At one extreme, compliant household in self-imposed quarantine, but not ill, only marked as contacts, wait for days to get call back about meds and supplies. Eventually tests are negative.
At other extreme, sick person roams around, even interstate or o/s, while authorities try to contact him.
With a national IdM system, flags could be set to pick up card transactions, even mbl locations.

Wednesday, June 03, 2009

Extra soft and sorbent

Jimmy Carr is on Twitter. He's signed a letter to Guardian, along with Gordon Brown and a few other identities.

The "racism" topic is right there, because we are not an island. Another potent link into discussions of ethnicity in the white man's paradise is this article in Frontline (online magazine, India).

The origin of the "sea of refugees" from Pakistan was described in a British documentary on SBS, originally broadcast in the UK in March.

The sombre fact that Jacqui Smith has resigned over a couple of porn flics is germaine to the debate about the future of Af-Pak, in that powerful democracies can be unsettled by the actions of stupid people.
There are seven live web feeds from Parliament this morning. It'll be very disappointing if QT descends again into crude theatricals.

It's pleasing to note that Colbert has beaten out the "reverse racism" argument over Sonia Sotomayor, but, it's hard to believe, a local harijan has arrived days late to strumpet it as a "poor choice". It's no wonder the web had consigned print to the outhouse.