Monday, April 27, 2009

WHO is in Denial?

Below is today's World Health Organization (WHO) update on the Mexican Swine Flu outbreak:


The current situation regarding the outbreak of swine influenza A(H1N1) is evolving rapidly. As of 27 April 2009, the United States Government has reported 40 laboratory confirmed human cases of swine influenza A(H1N1), with no deaths. Mexico has reported 26 confirmed human cases of infection with the same virus, including seven deaths. Canada has reported six cases, with no deaths, while Spain has reported one case, with no deaths.
Further information on the situation will be available on the WHO website on a regular basis.
WHO advises no restriction of regular travel or closure of borders. It is considered prudent for people who are ill to delay international travel and for people developing symptoms following international travel to seek medical attention, in line with guidance from national authorities.
There is also no risk of infection from this virus from consumption of well-cooked pork and pork products. Individuals are advised to wash hands thoroughly with soap and water on a regular basis and should seek medical attention if they develop any symptoms of influenza-like illness (emphasis added, WHO, April 27, 2009).



WHO's report of seven confirmed deaths due to H1N1 in Mexico belies the total of 103 suspected deaths, reported today by the Associated Press, most of which were apparently not laboratory confirmed. It is understandable that WHO might wish to avoid the kind of international panic that might come as a result of reporting the 1,600 suspected cases of Mexican swine flu, but as can be seen from the above update, WHO has failed to report that a greater danger may exist at all. Suspending travel, while economically devastating during the current downturn, would at least prevent the potential for the disease to spread further than it already has.
Rumors exist that the Mexican Government knew of the swine flu, and didn't report on it because of the threat to tourist revenues from spring break. Whether true or not, the hard line taken by WHO, insisting on only reporting confirmed cases and confirmed deaths is one thing; it is quite another to advise "no restriction of regular travel," and it smacks of putting business interests ahead of general health. With the global economy reeling, it is, perhaps, a drastic step to urge people to stay put as the tourist season begins. But if we're caught between a potentially lethal global pandemic and a temporary worsening of the economy, isn't the choice academic?

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