Four kids in ICU with H1N1
Hospitals, doctors' offices swamped with flu patients
October 30, 2009
Joanna Frketich
The Hamilton Spectator
http://www.thespec.com/News/Local/article/663360
Four kids with H1N1 are in intensive care at McMaster Children's Hospital.
That means flu is taking up half of the pediatric ICU beds in the city.
"We're definitely seeing a wave of healthy children who have been infected," said Dr. Cynthia Cupido, medical director of the pediatric ICU.
More than 50 per cent of public schools now have outbreaks. In total, 74 public and Catholic schools in Hamilton have been hit by H1N1.
Staggering numbers of students are staying home from school -- ranging from 7 to 20 per cent. About 300 teachers, or 10 per cent of school staff, aren't at work.
Cupido said McMaster's pediatric ICU is one of the harder hit in the province by H1N1.
"Our resources are stretched," she said.
Hamilton's adult intensive care units are feeling a similar strain, with the number of H1N1 patients doubling in one week to seven confirmed and one possible case.
"We're probably seeing at least double what we'd expect to see for this time of year in the ICU," said Dr. Peter Kraus, chief of critical care at Hamilton Health Sciences.
Wait times for flu shots continued to be hours long yesterday as Hamiltonians lined up for the only protection from H1N1 that public health can offer. Waits were about five hours at the clinic on the West Mountain, with 1,000 people in line. The Dundas clinic wasn't much better, with 700 waiting for a shot.
"I do appreciate that people are waiting a long time in line to get immunized and I'm asking everyone who is not in the priority groups to please be patient," said Health Minister Deb Matthews. "There will be enough vaccine in Ontario for everyone who wants and needs a vaccine. But we do need to make sure that those who need the vaccine the most, get it first."
However, Health Canada has informed provinces and territories it expects the supply of H1N1 vaccine being shipped across Canada to be lower next week because of a bottleneck in the production line.
Hamilton is expanding its flu shot clinics next week to four and opening two flu assessment clinics starting tomorrow for those who have influenza symptoms but can't get in to see their family doctors.
The clinics, which will not give out vaccinations, will be open from 11 a.m. to 6 p.m. on the weekend and 3 p.m. to 10 p.m. during the week at the West End Clinic at 690 Main St. W. and the St. Joseph's East End Ambulatory Care Centre at 2757 King St. E.
The province has put a self-assessment tool on its website at health.gov.on.ca to help people determine what they should do if they think they have the flu.
The assessment clinics and website are expected to take the pressure off overwhelmed doctors' offices and emergency rooms.
Dr. Richard Tytus, family physician and president of the Hamilton Academy of Medicine, said doctors' offices are getting four to five times more calls than usual.
"We're swamped," he said.
Emergency rooms have also felt the strain. Nearly 50 per cent of emergency room visits at Joseph Brant Memorial Hospital in Burlington on Wednesday were from people with flu symptoms. Both McMaster Children's Hospital and Joseph Brant have set up flu clinics outside of the emergency room to deal with the increased number of patients.
So far, Hamilton and Burlington hospitals have been able to cope with the influx. The children's hospital is prepared to open up four more intensive care unit beds, if needed, on top of its usual eight.
Hamilton has had eight children in intensive care since H1N1 emerged in April, with seven of those during the second wave that started this month.
The majority of them were previously healthy with no other medical conditions.
A number of them have had to be put on ventilators, including one right now. There have been no child deaths in Hamilton from H1N1, although there have been three in Ontario. Hamilton has had four adults with H1N1 die. The virus contributed to or caused three of those deaths.