Correct the Typo or Change the Story—Alberta and H1N1

posted @ Monday, November 09, 2009 1:42 PM

 

I’m puzzling over the status of H1N1 here in Alberta. We’re clearly in the “second wave” here, with sharp rises in hospitalizations, ICU admissions and deaths in the past 2 weeks or so. The current lab-confirmed stats for Alberta say there have been 25 H1N1 deaths here (as of November 9):

http://www.health.alberta.ca/health-info/influenza-H1N1-cases.html

On the one hand, given the many media sources saying “Canada has 2000-4000 deaths from seasonal flu annually” (or 2000-8000, or 4000-8000, or….I’ve seen several different estimates, but all in this range), and given that Alberta has about 10% of Canada’s population, I’d expect 200-800 deaths from seasonal flu here on average.  So 25 seems low, even factoring in that we are early on in the flu season. On the other hand, in a report from Alberta Health Services themselves—click the blue “Pandemic (H1N1) 2009 Response Plan” button to open the report as a pdf file—at the end of the second paragraph on page 7 it states:

“Seasonal influenza usually results in about 17 deaths annually in Alberta…”

So could we either correct the typo (should 17 deaths be 170?), or change the story? I do not see how we can keep saying H1N1 is a “milder than usual flu” if this 17 number is correct. Yes, since more people are expected to catch H1N1 than seasonal flu, you could say it’s less virulent—it’ll kill a lower percentage of those it infects than seasonal flu does—but in assessing risk to yourself and your family, you need to consider BOTH how likely it is to develop serious complications, and how likely you are to catch the illness in the first place.

Really hoping for some clarification on this soon. My personal opinion is that the 17 number is a typo, but I’d love to know for sure. And you’d think Alberta Health Services folks would be a bit more careful in terms of double-checking their numbers before releasing documents to the public. But given the misguided way they handled the initial vaccine roll out here, perhaps not.

Comments
Risa - 11/9/2009 9:00 PM
# re: Correct the Typo or Change the Story—Alberta and H1N1
According to a reporter (Elise Stolte) who was at a news conference today, the number of deaths in a "normal" flu year ranges from 11 to 90. See Elise Stoltle's comment here:

www.edmontonjournal.com/.../story.html

in which she says:

I just got back from the news conference where they addressed that question. I had been wondering, too. Dr. Andre Corriveau said in a normal flu season the number of deaths ranges from 11 to 90. So it looks like we still just have to wait and see when this second wave will peak, what effect the vaccination drive will have, and what happens during the third wave. He said: "People need to remember, our flu season goes until April."

So does anyone actually have hard data on the real number?--If so, the public would love a webpage or other reference! Or are medical folks just making "best guesses" on this? Given "11 to 90" as norms for deaths from seasonal flu in AB, our current total of 25 deaths is anywhere from more than double normal to just over 1/4 of normal. Rather unhelpful for putting H1N1 in context. Confused and frustrated. :-(
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