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H1N1 Virus: Cases in Wisconsin

UPDATED Monday, July 20, 2009 --- 1:50 p.m.

(AP) -- A sixth Wisconsin resident has died of the swine flu.

Portage County Health Officer Faye Tetzloff says a county resident with an underlying condition has died at Saint Joseph's Hospital in Marshfield. The department is releasing few details, including gender, age or exact place of residence in accordance with state guidelines.

Two adults and two adolescents in Milwaukee had already died from the virus as well as a 12-year-old Wausau girl.

Data from the Centers for Disease Control and Prevention show Wisconsin has had more than 6,000 cases -- the most in the nation.

State officials have attributed the high number to an early aggressive testing policy and the state having four laboratories to do the work.

Copyright 2009 by The Associated Press. All Rights Reserved.

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UPDATED Tuesday, July 14, 2009 --- 3:51 p.m.

MILWAUKEE (AP) -- A Milwaukee adolescent has become the fifth person to die of swine flu in Wisconsin.

The city's health department said Tuesday the victim was an adolescent who had a common underlying medical condition.

So far, two adults and one adolescent in Milwaukee have died from the virus as well as a 12-year-old Wausau girl.

The most recent numbers from the Centers for Disease Control show Wisconsin has more than 6,000 cases -- the most in the nation.

State officials have attributed the high number to an aggressive testing policy early in the outbreak and the state having four laboratories to do the work.

Research by a University of Wisconsin flu expert released Monday shows the swine flu virus is more severe than ordinary winter flu.

Copyright 2009 by The Associated Press. All Rights Reserved.

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UPDATED Thursday, June 18, 2009 --- 1:57 p.m.

Madison WI – June 18, 2009 – There have been approximately 300 confirmed cases of H1N1 “Swine” influenza reported in Dane County to date, although the true number of infections is probably several thousand.

H1N1 may continue to be present in our community throughout the summer months even though schools are out. It is likely that almost everyone has been or will be exposed at some point although not all exposed persons develop noticeable illness.

The good news is that, for most people, this illness has been relatively mild, no worse than wintertime “flu.” Diagnostic testing and specific treatment is NOT routinely needed.

Rather, those with symptoms of influenza (fever, cough and/or sore throat, body aches and fatigue) should stay home, rest, drink plenty of fluids, take acetaminophen (Tylenol®) or ibuprophen (Motrin®, Advil®) and return to normal activities when these symptoms are no longer present.

However, in some cases, influenza can be serious, even life threatening. At-risk individuals (including those with underlying lung and heart disease, immune deficiencies, pregnant women, infants and toddlers) should seek medical care if they develop symptoms of influenza. There have been seven H1N1 hospitalizations in Dane County.

The World Health Organization has declared that H1N1 influenza is now officially a global “pandemic.” As Dr. Thomas Frieden, Director of the US Centers for Disease Control says, “this comes as no surprise.” Local, national and world public health has been managing the outbreak as a pandemic for several weeks.

There is the expectation that currently, we are in the first phase of the pandemic and that H1N1 may return to the Northern Hemisphere this winter when cold, dry weather will allow it spread more widely.

An even greater concern is that the virus may mutate into a more deadly form. Thus, we as a community must remain vigilant day-to-day and also prepare for what may come.

There hopefully will be a H1N1 specific vaccine ready for mass distribution this fall. Public Health Madison Dane County has begun to plan for how we will distribute the vaccine as widely as possible in cooperation with local health care providers and systems.

We must effectively educate the public about the need to be vaccinated and think through the logistics of vaccinating many more thousands of people than normally get vaccinated for seasonal flu.

You may continue to monitor influenza communications on the PHMDC website at - www.publichealthmdc.com. Further updates will be posted as warranted.

For detailed information about H1N1 influenza, check the CDC’s website at - www.cdc.gov/swineflu.

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UPDATED Wednesday, June 17, 2009 --- 5:44 p.m.

WAUSAU, Wis. (AP) -- A school-age child from Wausau is the fourth person to die of swine flu in Wisconsin.

Marathon County Health Officer Julie Willems Van Dijk said the child died Wednesday at St. Joseph's Children's Hospital in Marshfield after being hospitalized since Saturday.

She said the child had an underlying medical problem that made the child a higher risk to die from the virus but no other details are being released because of patient confidentiality laws.

The other three deaths from swine flu -- two adults and a child -- occurred in Milwaukee.

Van Dijk said Marathon County has 51 confirmed cases of swine flu.

State health officials say there are nearly 3,500 confirmed and probable cases in Wisconsin.

The swine flu virus -- also called H1N1 -- is similar to viruses that cause seasonal influenza.

Copyright 2009 by The Associated Press. All Rights Reserved.

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UPDATED Tuesday, June 16, 2009 --- 5:10 p.m.

MILWAUKEE (AP) -- An adolescent in Milwaukee has become the third person to die of swine flu in Wisconsin.

The city of Milwaukee health department previously reported two adult deaths from the virus. One had a common underlying medical condition that typically makes people more at risk of influenza complications and one did not.

The department said Tuesday the adolescent did not have any of the common underlying conditions. Those include being 65 or older or under age 5, pregnancy, diabetes, lung problems, certain heart conditions and kidney disease.

There are more than 2,000 confirmed cases reported in Milwaukee and 3,407 confirmed and probable cases in Wisconsin.

The Milwaukee health department recommends staying home if you're ill to prevent exposing high-risk individuals.

Copyright 2009 by The Associated Press. All Rights Reserved.

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UPDATED Tuesday, June 9, 2009 --- 3:50 p.m.

From the Sun Prairie School District:

There have been several developments regarding the H1N1 within our schools in the past week:

1. There has been a confirmed case of H1N1 Influenza A (Swine flu) at Patrick Marsh Middle School. We were notified of the confirmed case as our District Nurse was preparing notifications regarding the high absentee rate at that school.

2. Patrick Marsh Middle School has reached a 10% absentee rate with students out ill or sent home with influenza-like illness (fever and cough and/or sore throat.) This is the first school that has reached this absentee rate and we want parents and community members to be aware of this development.

3. There has been a confirmed case of H1N1 Influenza A (Swine flu) at Sun Prairie High School.

Since this week is Semester Exams at the high school, we want to clarify what to do if your student is ill with influenza-like illness.

• If your student is a graduating senior who is ill, you may contact his/her Assistant Principal to discuss options to ensure your student graduates on Friday.

• If your student is a freshmen, sophomore, or junior who is ill, you may contact the main office at the high school to make arrangements for your student to make up the exam(s).

With regard to Patrick Marsh Middle School, we have been in contact with Public Health Madison Dane County about the absentee rate. We have been closely monitoring attendance and reporting it to the health department. There is no recommendation to close school at this time.

The most important thing to do for all students is to have your child stay home if they have influenza-like illness. Many children do not want to miss out on the fun activities, field trips, and celebrations these last few days of school, but it is important to stay home if they have a fever, cough and/or sore throat. Any students with symptoms of influenza-like illness will be sent home.

We all need to monitor our families for any symptoms of influenza-like illness. If you or your child has influenza-like-illness symptoms, you or your child should stay home and not go out into the community except for medical care. Call your doctor, especially if you have any underlying health conditions that might put you at higher risk of complications from the influenza illness.

In the event that there are other confirmed cases at other schools in the district, we will post the updated information on the district website at www.sunprairie.k12.wi.us

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UPDATED Thursday, June 4, 2009 --- 12:16 p.m.

MILWAUKEE (AP) -- Milwaukee officials say an adult in the city is the first in Wisconsin to die from swine flu.

City Health Commissioner Bevan Baker said Thursday that the resident died from complications of the H1N1 virus, though the person also had underlying health problems that were not specified.

The federal Centers for Disease Control's latest update counted 17 H1N1 deaths in the U.S., which did not include the Wisconsin case.

(Copyright 2009 by The Associated Press. All Rights Reserved.)

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UPDATED Sunday, May 31, 2009 --- 6:00 a.m.

MADISON, Wis. (AP) — Wisconsin has more confirmed cases of the swine flu than any other state.

The U.S. Centers for Disease Control and Prevention on Friday reported 1,430 confirmed cases.

Wisconsin officials say the number of cases here is nothing to worry about. They say the number largely reflects the state's efficiency in testing suspected cases.

Department of Health Services spokesman Seth Boffeli says the Wisconsin cases have been relatively mild.

Nationally, the CDC has reported 8,975 cases of swine flu. Texas is second with 1,403 cases.

Illinois also has widespread testing and is third with 1,002 cases.

Copyright 2009 The Associated Press.

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UPDATED Thursday, May 14, 2009 --- 3:40 p.m.

Final daily update from the State of Wisconsin:
613 confirmed cases in Wisconsin.
2 in Columbia County.
49 in Dane County.
1 in Dodge County.
1 in Green County.
1 in Jefferson County.
8 in Rock County.

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UPDATED Wednesday, May 13, 2009 --- 4:55 p.m.

MADISON, Wis. (AP) -- Wisconsin has 508 confirmed cases of the swine flu.

The state Department of Health Services said Tuesday that most of those are in Milwaukee County, which now has 394 confirmed cases.

The state's number has jumped by 12 since Monday. There are no longer any probable cases.

The state says the ages of those infected range from 3-months-old to 79-years-old, but 75 percent of the patients are under the age of 20.

The Centers for Disease Control and Prevention reports more than 3,300 cases of swine flu have been confirmed nationwide, with three deaths.

Only Illinois has more confirmed cases than Wisconsin.

Copyright 2009 by The Associated Press. All Rights Reserved.

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UPDATED Wednesday, May 13, 2009 --- 4:20 p.m.

From the State of Wisconsin:
508 confirmed cases of H1N1 in Wisconsin.
2 in Columbia
34 in Dane
1 in Dodge
1 in Green
1 in Jefferson

*Note: Two confirmed case reported to DPH as Dane County residents were found to be residents of Columbia County.

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UPDATED Wednesday, May 13, 2009 --- 12:00 p.m.

From school administrators in DeForest:

It has been confirmed on Tuesday afternoon by Dane County Public Health that we have two confirmed cases of the swine flu at the middle school.

Both students will be staying home until next Monday (May 18).

Neither of the students have siblings in other DASD schools.

The H1N1 Influenza is no longer considered something that would cause schools to close.

A letter is being sent home with students on Wednesday, May 13. It outlines preventative measures as well as the symptoms of the influenza.

Click HERE for a link to the letter

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UPDATED Tuesday, May 12, 2009 --- 4:30 p.m.

From the State of Wisconsin:
496 confirmed cases in Wisconsin.
36 in Dane County
1 in Dodge County
1 in Green County
1 in Jefferson County
6 in Rock County.

MADISON, Wis. (AP) -- Wisconsin has nearly 500 confirmed cases of the swine flu.

That's according to the state Department of Health Services. It reported 496 confirmed cases Tuesday, up from 414 the day before.

The state no longer has any probable cases after 34 cases from Milwaukee County and one from Waukesha County were reclassified Tuesday to confirmed.

The Centers for Disease Control and Prevention reports more than 3,000 cases of swine flu have been confirmed nationwide, with three deaths.

Only Illinois has more confirmed cases than Wisconsin.

Copyright 2009 by The Associated Press. All Rights Reserved.

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UPDATED Monday, May 11, 2009 --- 5:20 p.m.

MADISON, Wis. (AP) -- The number of confirmed swine flu cases in Wisconsin keeps increasing.

Health officials say there are now 414 confirmed and 35 probable cases.

That's up from 298 confirmed and 36 probable cases on Friday, when state officials last released an update.

The state Department of Health Services says Milwaukee County, the state's most populous, has the most cases -- 231 confirmed and 34 probable.

The Centers for Disease Control and Prevention reports 2,532 confirmed cases and three deaths nationwide. Cases have been confirmed in 44 states.

Copyright 2009 by The Associated Press. All Rights Reserved.

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UPDATED Monday, May 11, 2009 --- 4:05 p.m.

414 confirmed cases of H1N1 in Wisconsin.

22 in Dane.
1 in Green.
1 in Jefferson.
106 cases no county given.

The World Health Organization maintains its pandemic alert at Level 5, its second-highest level. Level 6 indicates a full scale pandemic. Level 5 means all countries should be activating their pandemic preparedness plans. CDC maintains its advisory on travel to Mexico-- recommends postponement of nonessential travel.

Case Status
CDC today reported 2,600 laboratory-confirmed cases in the U.S. in 44 states.
Three H1N1-related deaths in the U.S. have been reported; two occurred in Texas, and 1 in Washington State.

Wisconsin Case Summary:
- Median age is 12 years (range 0 – 79)
- 74% of case patients are under the age of 20; only 1% of case patients are over the age of 60.
- 51% of case patients are female.
- 5 (1.5%) of 401 probable and confirmed cases were hospitalized.

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UPDATED Friday, May 8, 2009 --- 4:30 p.m.

MADISON, Wis. (AP) -- Health officials say there are now 298 confirmed and 36 probable cases of swine flu in Wisconsin.

That's up from 233 confirmed and 35 probable cases Thursday.

The state Department of Health Services says Milwaukee County, the state's most populous, has the most cases -- 159 confirmed and 36 probable.

Officials continue recommending anyone with flu-like symptoms stay home from work or school to slow the spread of disease.

The Centers for Disease Control and Prevention reports 1,639 confirmed cases and two deaths nationwide. Cases have been confirmed in 43 states.

Copyright 2009 by The Associated Press. All Rights Reserved.

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UPDATED Friday, May 8, 2009 --- 4:00 p.m.

Update from the State of Wisconsin:

298 confirmed cases of H1N1.

The increase in confirmed cases from May 6th to May 8th reflects new testing capability in Wisconsin. Beginning this week the State Laboratory of Hygiene, the Milwaukee Health Department Laboratory, and the Midwest Respiratory Virus Program in Milwaukee have been approved to report confirmed novel H1N1 (Swine) influenza A. This eliminates the need to send specimens to CDC for confirmation. Therefore, a large number of test results that were previously reported as probable have rapidly been reclassified as confirmed. This enhanced testing capability will improve our ability to track novel H1N1 (Swine) influenza A in Wisconsin.

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UPDATED Thursday, May 7, 2009 --- 4:10 p.m.

MADISON, Wis. (AP) -- Wisconsin health officials say there are now 233 confirmed and 35 probable cases of swine flu.

Its a change from 26 confirmed and 176 probable cases the day before.

That's because the Wisconsin State Laboratory of Hygiene has started confirming swine flu cases instead of sending samples to the Centers for Disease Control. Officials can now verify the virus more quickly.

As of Thursday, the state Department of Health Services says Milwaukee County, the state's most populous, has 120 confirmed cases and 35 probable cases.

Officials continue recommending anyone with flu-like symptoms stay home from work or school to slow the spread of disease.

So far, the swine flu virus has spread to 24 countries, with around 2,100 cases.

Copyright 2009 by The Associated Press. All Rights Reserved.

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UPDATED Thursday, May 7, 2009 --- 3:55 p.m.

From State of Wisconsin:

233 confirmed cases of H1N1 in Wisconsin:
7 in Dane
1 in Green
1 in Jefferson
5 in Rock

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UPDATED Thursday, May 7, 2009 --- 3:35 p.m.

From Public Health Madison & Dane County:

Madison WI – May 7, 2009 - Public Health-Madison and Dane County (PHMDC) has been informed of two additional confirmed cases of novel Influenza A (H1N1) Virus or “Swine Flu”. This brings the total number of confirmed cases in Dane County to 7. All confirmed cases are preschool or school-age children enrolled in the following schools in Dane County: Westside Elementary in Sun Prairie; Holy Cross Lutheran School, St. Dennis School, Cherokee Middle School and La Follette High School in Madison. All children are at home recovering and Public Health is monitoring each case.

Schools will remain open as usual. According to the current Centers for Disease Control and Prevention (CDC) recommendations, school closure is not advised. “New information on disease severity warrants revisions of the (previous) school closure guidance. Most US cases have not been severe and are comparable in severity to seasonal influenza.” The primary means to reduce the spread of influenza in schools is to focus on the early identification of ill students and staff and have them stay home for 7 days after the onset of symptoms or until 24 hours after their symptoms have disappeared, whichever is longest.

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UPDATED Thursday, May 7, 2009 -- 3:15 p.m.

From NBC15's Barclay Pollak:

There is now 1 probable and 7 confirmed cases of the H1N1 virus in Dane County.

All of the cases are children between the ages of four and 16.

The schools they attend:
- Westside Elementary in Sun Prairie
- Holy Cross Lutheran School, St. Dennis School, Cherokee Middle School and La Follette High School in Madison.

The two latest cases occurred at Cherokee and La Follette.

According to Dr. Thomas Schlenker all of the children are at home recovering.

Classes will continue at these schools as usual.

They are still encouraging people to stay at home who have flu like symptoms.

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UPDATED Thursday, May 7, 2009 --- 7:45 a.m.

Letter from school administrators in Sun Prairie:

We were informed after school was released on Wednesday that there has been a confirmed case of H1N1 Influenza (swine flu) at Westside Elementary School. Sending this information via email is the best way we had to get information to you as quickly as possible.

*Westside will remain open, as usual. After-school activities will go on as scheduled.* It is important for all of us to continue with business as usual so our children have the comfort of routine and continue learning. We have been informed by staff at Public Health – Madison & Dane County that it now appears that this influenza is not as dangerous as was once feared. It is not a cause for undo alarm.

Still, people with H1N1 are often uncomfortably sick. Also, people with other health problems may get sicker with this influenza, just as they would with the annual, seasonal influenza. Initially in this outbreak, the Centers for Disease Control and Prevention (CDC) recommended that when H1N1 influenza was diagnosed in a child or school staff, that the school be closed. They now know that closing schools does not prevent spread of the disease.

This child has not attended school this week and has been instructed to stay home for 7 days or until 24 hours after their symptoms have disappeared, whichever is longest. This is being done to help prevent the spread of disease to others. However, this influenza might spread before anyone knows that they are ill, so more cases might occur.

Here’s what you can do to help prevent further spread of this disease:

* Wash your hands and make sure your children are washing their hands even more frequently than usual

* If you are coughing, cover your mouth – preferably by coughing into your sleeve

* If anyone in your family develops symptoms of influenza, they should stay home and not have visitors. Call your doctor. If you do not have health insurance, call Public Health – Madison and Dane County at 266-4821.

* A sick person should stay home for 7 days or until 24 hours after their symptoms have disappeared, whichever is longest.

The safety and well being of our students and staff is our greatest priority. We know this is an anxious time and appreciate your cooperation as we all work to protect our community. We are working closely with health officials and will keep parents updated with any important information.

Thank you for your cooperation and understanding.

Dr. Tim Culver
District Administrator

Thomas L. Schlenker, Director
Public Health Madison & Dane County

Deb Brown, R.N.
District Nurse, Sun Prairie Area School District

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UPDATED Wednesday, May 6, 2009 --- 4:20 p.m.

There are now 26 confirmed cases of H1N1 in Wisconsin, including 5 in Dane County and 3 in Rock County.

MADISON, Wis. (AP) -- Wisconsin health officials reported 26 confirmed and 176 probable cases of swine flu Wednesday.

The state Department of Health Services says Milwaukee County, the state's most populous, has nine confirmed cases and 122 probable cases.

The Wisconsin State Laboratory of Hygiene has started confirming swine flu cases now instead of sending samples to the Centers for Disease Control, allowing officials to more quickly verify the virus.

Officials continue recommending anyone with flu-like symptoms stay home from work or school to slow the spread of disease.

Swine flu has sickened more than 600 people in the United States and nearly 1,900 people worldwide.

Copyright 2009 by The Associated Press. All Rights Reserved.

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UPDATED Wednesday, May 6, 2009 --- 4:05 p.m.

Press Release from Public Health - Madison & Dane County:

Madison WI – May 5, 2009 – Public Health-Madison and Dane County (PHMDC) has been informed of five confirmed cases of novel influenza A (H1N1) or “swine flu.” Four of these cases are children of the same family living in Madison and one is a child living in Sun Prairie. PHMDC is currently in the process of investigating all cases, making contact with the families, health care providers and schools involved. More detailed information will be available tomorrow. There is no expectation that school closures will occur.

Based on findings that most cases in the U.S. to date have not been severe, new guidelines issued May 5 from the Centers for Disease Control, no longer recommend school closures for probable or confirmed cases of novel influenza A (H1N1) virus. The CDC now recommends that the primary means to reduce the spread of influenza are to focus on the early identification of ill students; make sure that affected students and staff stay home when ill; and practice good respiratory hygiene/cough etiquette and hand washing.

To find out more information regarding schools and child care centers and to get the current CDC guidelines, refer to “School and Daycare Information” on our website at www.publichealthmdc.com/H1N1News

According to updated recommendations from the State Department of Health Services, there are no longer isolation restrictions for family members of probable or confirmed cases. As long as the contacts of these ill patients remain without influenza like illness symptoms, they are allowed to engage in activities as usual but should continue to monitor their health.

As of 2:30PM, May 6th, there have been 79 tested cases in Dane County, 62 tested negative, 5 are confirmed, and 11 are pending. In addition, one case previously considered probable based on clinical history and preliminary lab results has been reclassified as “under investigation.” However, this case continues to be managed, in all respects, as a probable case. Public Health continues to be informed of cases as test results come in and our website will continue to post daily updates as information becomes available.


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