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Updated: Swine flu cases rise to four

Updated: 8 p.m.

Another two cases of swine flu have been confirmed in Malta, bringing the total to four.

This evening's cases were in the same group of travellers who returned to Malta from Spain last Tuesday.

This morning, Parliamentary Secretary Mario Galea said that doctors were treating two men for H1N1. All four had travelled to Spain with a group of 24. They were staying in Salou. Another 11 members of the group who were showing symptoms tested negative.

The four cases involve four men. They are being treated at home and are not seriously ill. They, the suspected cases and their families, are under voluntary quarantine.

Malta had so far been the only EU country without a Swine Flu case, Mr Galea said.

"It was a matter of when, not if. There is no need for alarm, we are well prepared, life has to go on as normal," Mr Galea said.

Swine flu has spread across the world. More than 1 million people in the United States may have been infected with the new flu and a global pandemic alert has been activated.

The World Health Organisation has reported 81,700 confirmed cases and 343 deaths worldwide. However, the victims have often been found to have had underlying health problems.

Swine flu has shown itself to be responsive to both Tamiflu and Relenza, which are expected to be the first line of defence before a vaccine against the virus is available.

The Health Department in Malta last month mailed to all households a leaflet explaining elementery prevention measures to stop the spread of the disease. Mr Galea has headed government plans to tackle any possible outbreak including the provision of medicines and the allocation of a special section at Mater Dei Hospital.

The leaflet is part of a €3.5 million spending package that will also go towards antiviral supplies, antibiotics, protective gear for hospital workers and the stockpiling of alcohol-based hand rubs.

The cash injection is over and above the about €4.5 million invested in past years to combat a potential pandemic.

Apart from airborne droplets, influenza can be spread after a person touches a lift button, a phone, keyboard or door knob which had been touched by a sick person, and then touches his nose or mouth.

Frequent hand washing, regular cleaning of surfaces and covering one's mouth when coughing or sneezing can go some way to help stem the spread of disease.

Mr Galea said last month that Malta's antiviral supplies were being increased after the government ordered 10,000 courses of the antiviral Relenza.

When in 2005 there were fears that avian influenza would cause the next pandemic, the government had already bought 100,000 doses of Tamiflu, some doses of Relenza and a substantial amount of oseltamivir powder, which can be turned into capsules or syrup.

On June 11, Mr Galea said a Japanese boy who contracted swine flu after holidaying in Malta left the island before he started showing symptoms.

He said that the six-year-old boy could not have infected anyone while on the island as one needed to have symptoms to be infective. The boy was one of 30 confirmed cases of the H1N1 flu at a school in the western German city of Dusseldorf.

The flu originated in Mexico earlier this year and is completely different from avian influenza, which was until recently thought to cause the next influenza pandemic.

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Comments

Christian Briffa (on 4/7/09)
"It was a matter of when, not if. There is no need for alarm, we are well prepared, life has to go on as normal," Mr Galea said.

Can you please explain our country's preparations against the swine flu??? Every country seems to be alarmed.
Scerri (on 3/7/09)
i live in Gzira and we didnt recieve a leaflet
David Vassallo (on 3/7/09)
http://www.cdc.gov/h1n1flu/masks.htm Read this is better from the information our gov provided us.
Brian Hansford (on 3/7/09)
In yesterday's edition of Realta' the director of health Ray Busuttil along with Charmaine Gauchi an expert in the field and Dr Micheal farrugia did an excellent job in informing the public about the H1N1, during the said program we raised most concerns from your posts from the times blogs. I highly recommend that tonight about 23.30pm you watch the repeat of the program on One TV.
David Vassallo (on 3/7/09)
I made some research this morning and was told that no one at sannat had received the leaflet .I think that the best suggestion is to to supply some to the local council and people will collect it directly from there,and another suggestion is to trace all the people that were on that flight and do some tests,because they did pass almost 6hrs in a closed ambient with the infected persons. How they say prevention is better then cure,bye and thanks.
S. Camilleri (on 3/7/09)
@Gordon Pace

Given that prevention is better than cure and every precaution counts, will the Government be distributing proper face masks to the population as is being done in many other countries?

Thanks
N caruana (on 3/7/09)
What about the plane they boarded to Spain, was this cleaned and fumigated from this virus afterwards! I will go to Spain soon on a 3 hr flight in the same area as Mr Fountain, would it be possible to contract the virus from the same compressed air onboard the same plane?!
Stefania (on 3/7/09)
Dear Gordon,

May I also suggest that a copy of this leaflet is to be available as a pdf online. This way it is easier to access too.

Thanks.
G.Micallef (on 3/7/09)
Just a humble question to the Health Authorities? Have all the passengers on board the plane in question have been summoned for diagnosis?
marika mifsud (on 3/7/09)
Does anyone know if the administrators of Old People's Homes have been given any instructions on how to deal with their particular circumstances. Most of the residents spend their days in rooms with poor ventilation all in close contact with each other,.
It's useless expecting many of the elderly who have dementia to obey the recommended precautions.
At least the school holidays have begun so that should help control the spread of the disease.
Alex Spiteri (on 3/7/09)
Measures against the swine flu may cause more harm than the disease itself!

http://www.ronpaul.com/?s=swin+flu&submit=Go
Steve Evans (on 3/7/09)
Facemasks available through E-Bay.
Stephanie (on 3/7/09)
Dear Mr Gordon Pace, Whilst appreciating your continous efforts on the matter please believe that NO ONE in our family has received the leaflet. Two households in Paola, one in Zabbar, One in Gudja, one in Sta Venera, and one in Cospicua. So I am sure my household was not a rare ommision! Check your checkers.
Anyway, I downloaded a copy and distributed myself. It is unfair though since I assume the distributor was paid to do a simple job, properly! I wish my household was ommitted from all the junk mail we received in election time! Would have been lighter on our garbage boy!
thanks
David Vassallo (on 3/7/09)
I live in gozo,and I have not received the said informative leaflet!!!! and no one of my family
Martin Galea (on 3/7/09)
In addition to my previous post, regarding the people complaining about not receiving the leaflet, please, who are you trying to kid? If you have access to a computer to read and comment on this article, then use that computer and just type in the words 'World Health Organisation' or better yet, the website 'www.who.int', sit back, and get as much information as your hearts desire. Did you have to wait for the first cases to appear in Malta to get curious about H1N1? Words fail me!
Martin C Galea (on 3/7/09)
Personally, I don't undersstand what all the fuss is about. Certainly, people should take basic precautions, in particular as regards personal hygiene, however, the following is an extract from the WHO factsheet, which in short, states that annually, there are between 250,000 and 500,000 deaths from seaonal influenza. The shortcut is as follows:
http://www.who.int/mediacentre/factsheets/fs211/en/ . It means that there are many more people dying from seasonal influenza, than from H1NI, and yet, people don't panic about THAT. As a matter of fact, on WHO's 1st July update (shortcut: http://www.who.int/csr/don/2009_07_01a/en/index.html ), only 332 deaths are listed, so please, don't start stocking up on the emergency food supplies just yet. The sky is NOT about to fall down!

On another subject, enough of the bleeding heart sentimentalism. Chlamydia is a sexually transmitted disease, the infection from which is totally avoidable. If people are so ignorant as to not practice safe sex, then that is their problem, and I will not waste any time or pity on them. If you have it, get off your behind, and get yourself seen to, at your expense, and in future, wear protection, and be VERY selective about who you sleep with.
M Grima (on 3/7/09)
An obvious source of spreading these viruses is air travel. Are any precautions being taken to sanitize aircraft each and every time they are used,and is something being done about the A/c systems ,which would be an obvious carrier, and which I understand is being used only when necessary and then sparingly, due to the economic crisis?.

Perhaps someone from the Industry can reply.
W Galea (on 2/7/09)
Why aren't family doctors provided with Influenza A (H1N1) leaflets so they can give copies to patients who visit their practices?
Why do family doctors have to get to know news about Influenza A (H1N1) and many other similar important news from newspapers rather than being informed directly by the health authorities especially when there are dedicated news networks for medical professionals?
J Farrugia (on 2/7/09)
Dear Gordon,

I can confirm that as at to date I haven't received the booklet. We live in Qrendi....and none of my family members living in this village or in Attard received this flyer!!!
Not that we really need this information at this stage (or a month ago). This leaflet was crucial in April when the first outbreaks occured and the maltese population were left in the 'dark' amidst confusion and panic.
Adrian Said (on 2/7/09)
HEALTH AUTHORITIES PLEASE NOTE:

Whereas i give thumbs up for the promotion given to the prevention of swine flu, i'm very doubtful/worried about certain outlets. Unfortunately, you still find a good number of restaurants/cafeterias/bars without soap in the toilets, considering that at this point in time, one should wash hands regularly. Can the authorities send inspectors to check all this. And please take note as well on whether the cutlery is being washed properly or just being dipped in water and that's it.
Alfred Farrugia (on 2/7/09)

There is nothing to stop a virus from crossing borders. If what Mr. Joe Grima mentioned had been implemented, it would not have stopped the virus or prevented it from reaching Malta, it would simply have detected it on its arrival in Malta. There is a simpler but more expensive process known as thermal imaging, and I mentioned this on June 11, because I experienced it in the airport of Singapore a few years back, when Avian flu was spreading.

http://www.timesofmalta.com/articles/view/20090611/local/malta-linked-to-duesseldorf-cases-of-hin1-flu

The problem is that WHO has produced conflicting reports by different working groups that may or may not apply to geographically isolated infection-free islands, as may be noted from the following!

http://ecdc.europa.eu/en/Health_topics/Pandemic_Influenza/pdf/InPand_SevEpi_Annex.pdf

http://www.wpro.who.int/NR/rdonlyres/3B18284F-4443-47A8-8548-B630CF3FDA76/0/EID_2006_Nonpharmaceuticalinterventionsforpandemicfluinternationalmeasures.pdf

I still believe that thermal imaging is useful – to detect possible cases on arrival rather than wait for people to go to the doctor by which time more people would have been exposed to the virus. Thermal imaging for departing passengers could also contribute to reducing the possibility of exporting the virus to others, including plane loads of people. Other airports have adopted thermal screening.

http://www.ameinfo.com/195021.html

http://www.tempsensornews.com/thermal_imaging/system-for-swine-fluh1n1-detection-more/


Steven Brockwell (on 2/7/09)
wow now that is just great. my daughters boy friend was on that flight and he has now been set to quarantine??? my daughter spent the whole day with him yesterday and now she came back home ?? i went to work so did my wife and my other kids went to their friends house ??? so if he did get infected so0 have we and lots of other people ???? so where are all the measures as not to spread this virus in your heads or what thank a lot Malta control ????
Gordon Pace (on 2/7/09)
Dear All,

Kindly note that the Influenza A (H1N1) leaflet has been distributed to all households approximately a month ago. This was confirmed by various people in different localities, with whom we made random contact.

However, if for any reason whatsoever, one doesn’t have the Influenza leaflet and would like to receive one, kindly email me your address and it will be sent by post.

My email - gordon.pace@gov.mt

Best regards
Gordon Pace
Communications Coordinator
Parliamentary Secretariat for the Elderly and Community Care.
email - gordon.pace@gov.mt
M Bonello (on 2/7/09)
@Rowena Scicluna

All seasonal flu are potentially fatal, more so than the swine flu. The fact that it is pandemic doesn't mean that it is more virulent. Please get your facts right before starting to panic.

@Joe Grima
And yes why buy so much sofisticated equipment, use so much man power for nothing?? It is pandemic flu, it will spread like mad that is its feature. It happens every 30-40 years and it was due this time. Fortunately it does not have a high mortality, but it spreads very easily. I don't understand your thinking, why spend so much money on equipment and man power for nothing? It will still arrive and spread.

The only way that has been shown to reduce spread is basic hygene. None of the fancy stuff. I for one don't want my tax payer's money spend on useless things.

It will come and go. If all the population of malta get infected, with the current mortality rate, I dont expect anyone to die. Stop being alarmists
Stephen Farrugia (on 2/7/09)
Thankyou Rowena. I didn't say that in my previous post because It would have been sexist of me, but I DEFINITELY agree with you!!

Negligence is not an excuse. Clymithia is brought on by lack of contraceptive usage and lack of hygene, however, in the case of the swine flu, u cant go on every person covering their face with a wet alcohol wipe.
Edwin Abela (on 2/7/09)
Ma nistax nemmen il-meskinita' ta' dal-poplu. Imma propju KULHADD professur hawnhekk???? Sewwa kien jghid il-Perit... professuri tal-****!
Philip M. Bonello (on 2/7/09)
Don't panic. We'll have more cases soon. Just keep on washing your hands and stay away from crowded places. It will soon blow over.
Rowena Scicluna (on 2/7/09)
@tania borg: With Chlamydia there IS something you can do not to get it! If you play dangerous, you're likely to get hurt.
But one can hardly protect oneself from the flu! And this being a potentially fatal strain makes it more worrisome. And the bad thing is that often one gets any flu due to other people's negligence (lack of hygiene, etc).
Noel Enriquez (on 2/7/09)
"Mr Burnham said that cases of the H1N1 virus were doubling each week in Britain and could reach six figures by the end of August, if current trends continue."

http://www.timesonline.co.uk/tol/news/uk/health/article6623554.ece
Corinne Vella (on 2/7/09)
Roderick Schembri: Essentially, the leaflet advises you to wash your hands, cover your nose and mouth when you sneeze, and to stay home if you are unwell. It's all about common sense and good hygiene, really. I'm surprised that some people still feel the need to be told and no, I don't mean you personally.
Joe Grima (on 2/7/09)
@ J Cassar. I will reply for the comments made by J Borg since I was the one to make the original recommendation in these columns several weeks ago. That recommendation, which had to do with precautions taken by Japan vis a vis incoming travellers, was answered by the Health Authorities saying that the Japan experience had been ineffective. Japan had submitted all incoming travellers to a 5-second fever test by placing an instrument on the forehead of the traveller and reading the result. Anyone with a temperature higher than normal was taken into a room and examined by a doctor. Even if the scan was not completely effective, and I don't know that to be true, at least the Japanese did not wait like sitting ducks for the virus to come to their country as our Health Authorities chose to do.
Stephen Farrugia (on 2/7/09)
tania borg;

This is the news, it is subject to change on a daily basis....
regards

Someone who knows that news change everyday.
Mark Tabone (on 2/7/09)
Can confirm what Roderick Schembri said, that the leaflet in question hasn't reached my home and my parent's home either. We both live in Birzebbuga. Authorities kindly investigate why?
A Cassar (on 2/7/09)
Malta is not even listed in the WHO website :)
http://www.who.int/csr/don/2009_07_01a/en/index.html
Roderick Schembri (on 2/7/09)
Well unfortunately here in Birzebbuga we did not receive any leaflets. Maybe they were only mailed to certain adresses.
Karl Mercieca (on 2/7/09)
Hey I know 79,000 is a very small sample size, but with a 0.4% mortality rate so far, I'm not bothered.
G .Mangion (on 2/7/09)
This had to happen today or tomorrow ! Malta is on planet called Earth too. sad yes, We must unite with the authorities and Follow their Instructions, Panic brings No peace of mind. GOD's Will with every body's cooperation, Soon this Swine, or whatever it called will be in control.
M. Camilleri (on 2/7/09)
I think that all passengers and air hostesses/stewarts that where on the same flight as the infected men should be notified and have themselves checked, just to make sure, no cause of alarm, you know how us Maltese are, we make a big fuss and start inventing things.
Brian Hansford (on 2/7/09)
Tonight in Realta' we will discuss in a most mature way what happened and the way forward, my objective is to have an informative program. As a presenter i have an obligation to inform the people and not panic them . Now is the time to get informed and inform others on how to take precautions. We should be united not divided Realta' tonight on On TV 21.45pm Brian Hansford
C.caruana (on 2/7/09)
Over here in Kalkara up till today we haven't received any leaflet regarding the disease.Authorities please note.
bonello (on 2/7/09)
has the people aboard the plane with the infected people been called for check up?
j. Cassar (on 2/7/09)
m . borg please tell us how u plan to control everyone entering the Island?!! Or better, test everyone upon the first cough or sneeze!! please be sensible with your comments, this is not political .... and if you make it that it would be really Only in Malta. Please inform yourself and practice the guidelines given before and then shame your country and all those countries who got Swine Flu. I just cannot understand all this panic. And btw swine flu is also present in other EU countries!
tania borg (on 2/7/09)
Well well we finally got it here, i'm amazed at how subjects conveniently change here in tiny MALTA, yesterday it was petrol prices and today the subject of dicussion is the swine flu. This article has been the most read and emailed today, whereas there are very few comments about the silent disease chlamydia which is expected to rise.

http://www.timesofmalta.com/articles/view/20090702/local/chlamydia-cases-expected-to-rise

What do I miss here?
Anthony Said (on 2/7/09)
I sincerely hope that tonight's REALTA' discusses this topic vis-a-vis the good outcome to everybody. Let us not panic, nobody should take any advantage of such situations. EVERYBODY should be on board to give a helping hand.
Michael Attard (on 2/7/09)
all households? doesn't that mean every house through out Malta. neither me or other houses not only in Fgura but St'Paul's bay didn't receive this so called "leaflet".
M FOUNTAIN (on 2/7/09)
I WAS PART OF THE 25 PPL ABROAD. JUST FOR EVERYONES NFORMATION WE WERE NEVER ON BARCELONA BUT IN A TOWN 150 KM AWAY CALLED SALOU. WE WERE IN NO U2 CONCERTS OR ANYWERE CLOSE TO BARCELONA
Sean Camilleri (on 2/7/09)
Please all note that on the BBC they just said that the Swine Flu Vaccine has been produced in Europe and it will be in production by the end of August.It was produced by Novartis in Germany.So please pass on the message so every one will stop making a fuss about it.
M Eloff (on 2/7/09)
Thank goodness I didn't go on that tour! Get well soon boys!
Noel Enriquez (on 2/7/09)
The real solution is: Catch it, Bin it, Kill it!

http://www.dh.gov.uk/en/News/Media/DH_098663

Catch it, Bin it, Kill it!
Alfred Bugeja (on 2/7/09)
There is really no need to panic...

It's common knowledge that viruses do not thrive well at higher temperatures, so the risk of transmission is lower than one would think. The WHO is in fact concentrating its present efforts to combat the pandemic in the southern hemisphere due to the onset of winter there.

What is important is to practice the very basic measures of sanitisation mentioned by the Parliamentary Secretary such as frequent washing of hands, and teach them to our children, since these are considered to be super-spreaders when it comes to influenza.
D Vella (on 2/7/09)
@I Vella.

There is an obvious risk wherever crowds congregate. It would be well to avoid anywhere where you are likely to come across large amounts of people in one place,especially enclosed places for now. Personal Hygiene is always very important.
A. Muscat (on 2/7/09)


Is the swine flu a symptom of the credit crunch?

I mean, why all this fuss? There are thousands of peoples die every day because of normal flu, smoking, drugs ,alcohol related problem…etc.
In Africa for instance a child dies every 3 minutes not because of a swine flu but of hunger or water shortages. Thousands of peoples dies and the miserable list of causes of death goes unnoticed.
I sometime think, the whole thing about swine flu is a deliberately developed man-made virus just to revive the ‘almost bankrupted’ pharmaceutical companies.
Stephen Farrugia (on 2/7/09)
Just a small note about hand sanitizers. Be careful what you buy...we are dealing with a virus here so the hand sanitizer you buy, should also have virucidal effect not only bactericidial effect. I've seen a few in pharmacies and in supermarkets and they are only effective against bacteria. H1N1 is a subtype of Influenza A hence the hand sanitizers you buy should be also be effective agianst Influenza A VIRUS. Unfortunately, people are not well informed about the differences and they are given a false sense of security when they buy a hand sanitizers which is only effective against bacteria.
William Attard McCarthy (on 2/7/09)
@ I. Vella: If a pool is maintained and taken care of as should be (...but I am seriously in doubt how many pool owners adhere to HACCP guidelines...), swimming in a pool should pose no health risk at all. Of course, maintaining a pool requires monitoring of Chlorine and pH levels throughout the day and the owners should have a log showing daily monitoring levels and, if any, any precautions and measures taken in case of pool users accidentally defecating or throwing up in the pool. As said before, I am seriously in doubt how many pool owners actually adhere to this protocol.
Ronnie Gauci (on 2/7/09)
It's very alarming situation considering that half of Malta's youths were in Spain this weekend for the U2 concerts.
S Saliba (on 2/7/09)
il-gimgha l-ohra smajt lil Mario Galea jghid illi l-Gappun minkejja li nefqu miljuni fuq il-kontrolli fl-ajruporti xorta ma rnexxilomx jikkontrollaw il-firxa ta l-influwenza ghax il-kontrolli fl-airport mhumiex 100% reliable. L-importanti li bil-kura kwazi kulhadd qed ifieq. M'hemmx ghalfejn alarm zejjed.
Martin Bugelli (on 2/7/09)
@ N Cortis from Cospicua, plus anybody else who does not have the leaflet in hand.

It can be downloaded from the Department of Information website -

http://www.doi.gov.mt/EN/archive/swineflu/swine%20brochure.pdf

or else send an e-mail to info.doi@gov.mt and we will be only too happy to send a hard copy by mail.

Martin Bugelli
Director general (Information, Local Government and Public Consultation)
Ms P M Graham (on 2/7/09)
Hand sanitizer is not as readily available in Malta as it possibly should be.

It's so easy to use, it's discreet and each member of the family can carry their own. It even comes in a nifty little container that can clip to your belt, which appeals to the youngsters.
It never ceases to amaze me how many people come out of the restrooms without washing their hands and that's just the unsanitary conditions any bug likes.

" Five important measures to avoid getting, or passing on, the H1N1 (swine flu) virus:
- Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.
- Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand cleaners are also effective.
- Avoid touching your eyes, nose or mouth. Germs spread this way.
- Try to avoid close contact with sick people.
- Stay home if you are sick for seven days after your symptoms begin or until you have been symptom-free for 24 hours, whichever is longer. This is to keep from infecting others and spreading the virus further.
Gordon Pace (on 2/7/09)
Dear All,

kindly note that, as Parliamentary Secretary for the Elderly & Community Care Mario Galea mentioned during the press breifing, there is no need to panic.

Also, please note that a few simple precautions can avoid risks of influenza. These include, frequent washing of hands, remaining at home if sick, using a disposable tissue etc.

These precautions and relevant information can be obtained from the secretariats facebook group. Otherwise click on the following link:

http://www.health.gov.mt/dsu/Influenza%20A(H1N1)/swine_broch.pdf

There is also a helpline - 2132 4086 and an email - disease.surveillance@gov.mt which can be used in case you think you have the symptoms.

Feel free to email me should you need any other information.

Best regards
Gordon Pace
Communications Coordinator
Parliamentary Secretariat for the Elderly and Community Care
email - gordon.pace@gov.mt
Vincent Pisani (on 2/7/09)
What leaflet? I never received any leaflet from the health department!

And talking about it, is there any vaccine to be taken and prevent people from getting ill with this flu?
Joe Grima (on 2/7/09)
@M.Borg. I made your same comments weeks ago suggesting that, rather than wait for a pandemic to come upon us, now that our tourism is in high season, the health authorities should examine, at the airport, tourists and Maltese coming in from infected countries before they enter Malta, by simply doing a five second fever test. That suggestion was pooh pooed by the health authorites who issued a Press Release to tell us how clever they are and how well prepared they are to meet the disease when it arrives. Now we're right in it and still those responsible are showing callousness beyond belief. But then, isn't that the all-round trend in all areas where the ordinary, defenceless citizen is concerned? Ours has become an upstairs/downstairs society
M. Muscat (on 2/7/09)
@ M. Borg

What do you expect, the authorities turn the airport into a hospital to check all the arrivals if they have Swine Flu? I travelled this week and no country checks arrivals for whatever disease or flu that they might have. Most European airports are over crowded. In Italy they didn't even check my passport to confirm if I was the owner of my ticket. So come on, don't exagerate things and start blaming our system. We have one of the best airports in the world.
I Vella (on 2/7/09)
Is swimming in a public pool a risk???? Thanks for any reply
Yakof Agius (on 2/7/09)
It would be handy to know which flight we are talking about here ... if we are serious about prevention ... all the individuals on that flight should be checked ... better safe than sorry.
Brian Hansford (on 2/7/09)
This is the time we need to be united, lets not panic but start taking precautions .
Tonight Realta' will discuss the first cases in Malta on One TV 21.45pm.

Brian Hansford
Joanne Micallef (on 2/7/09)
Gosh it was bound to happen, especially since many go on holiday in the summer months. There is absolutely no reason to panic, the extra majority of all cases recover when given medication.
Anthony Magri (on 2/7/09)
Has the health authorities ordered a stock of vaccines that are being developed. This is mostly required before the cold season.
Not everybody that coughs or sneezes spread only this disease, they may spread more dangerous viruses. No need to mention them.
Ray Zerafa (on 2/7/09)
@ M. Zammit
Prosit tassew! hope every one reads & follow yr very useful comments/observations
Renato J. Costigan (on 2/7/09)

g farrugia

Don't try to use politics from under the table.

XXXXXX
m . borg (on 2/7/09)
I am truly NOT SURPRISED!!!! Just landed 2 wks ago . MIA officials were interested to check what was in the luggages thru an x -ray machine not the individual entering the country who '' might '' have swine flu symptoms !!!!!

is it 2009 ...

what is malta's (eu country) time line ?????????????????????

WHAT A SHAME MALTA!
C. Balzan (on 2/7/09)
@ G Farrugia - This liquid exists. I bought it last year and I think you can find it from most leading supermarkets not to mention pharmacies. Just ask for a hand sanitizer
M.Ferriggi (on 2/7/09)
Can someone please specify which flight number and from which airport in Spain did these cases arrive, since there are several inbound flights from Spain on Tuesday.
Isabelle agius (on 2/7/09)
@ g farrugia - This product is available in supermarkets in Malta and is very handy
MIKE DESIRA (on 2/7/09)
suggest all to read Stephen King's "THE STAND". It offers a comforting take on a flu pandemic and should go down well with the doom-sayers so rife on this small pebble we live upon.
A. Tabone (on 2/7/09)
Whilst I do not want to jump to any conclusions, or express any theories myself, I am not convinced that this flu is just a natural phenomenon. There are much theories on the internet that although they could amount to nothing, they do the have their share of facts which raises doubts.

One thing I know for sure, is that there is no way I am rushing to take a vaccine against it.
I. Gauci (on 2/7/09)
The Infectious Disease Prevention and Control Unit (Malta) have this site.

http://www.health.gov.mt/dsu/index.htm

It's worth reading and browsing through it.
M. Zammit (on 2/7/09)
May I pass a common sense comment. That applies always not now that swine flue is with us too.

Some manners please and we'll not have spreads and these are applicable always even for common influenza.

When you sneeze cover your nose and don't cough in my face. Don't go out and spread the flu unless you absolutely have to. My greatest fear is going to pharmacies waiting for a doctor as there it's a guarantee to catch whatever is going around.. Cough, cough, sneeze sneeze and no sorry if you please!

Keep kids at home and don't go to work, sick kids shouldn't be in school but taken care of by loving parents, the cure is speedier and less spread to other children! Same for the workplace especially where staff is dealing with the public. Sick persons shouldn't stay in queues!

Common sense is not so common is it. I've been dying to say this for years!

g farrugia (on 2/7/09)
just for everybody's information. i have not yet seen this product in malta but there is a kind of liqued which is used to wash hads and kill bacteria and use of water is not necessary. It came in very handy when i was in englad recently and actually leavs a refreshing feeling and smell. I do not remember the name.
V Battistino (on 2/7/09)
I think the media have a lot of responsibility to exercise control on any exaggerated reactions...being free to voice your opinion doesn't give one the right to foment unnecessary alarmism !

Precautions are being taken, assistance is available....let's all be extra careful and heed the advice !
Ramon Casha (on 2/7/09)
THE SKY IS FALLING DOWN!! THE SKY IS FALLING DOWN!!

According to the WHO, there have been 332 deaths WORLDWIDE, out of 77,201 infections (as at 1st July).

Let's get a sense of perspective, everyone. It wasn't the sky falling down, it was an acorn.

Source: http://www.who.int/csr/don/2009_07_01a/en/index.html
Renato J. Costigan (on 2/7/09)

If everybody pulls the same rope and obey orders issued by the

health department, then we can control the Swine Flu. BUT if

everybody decides the 'Ala Bibu' policy then we get the worst of it.

For sure the Health Department is doing his best for the good of the

maltese people.

THEN LET'S MAKE COURAGE AND UNITE AND FIGHT THIS
SWINE FEVER

For once no POLITICS, please. This involves everybody of
any colour. Thank you in advance.
Mark-Anthony Fenech (on 2/7/09)
One should not make it worse by making it seem the end of the world.. The way you're going about it makes it sound like the Black Death... It is serious but moaning about it won't make it less so..
Omar Galea (on 2/7/09)
Man we all knew it would come. why the panic its not that the million infected have died, and its not the worst of flu's iether. More people die from the normal flu than anyother infectious and deadly flu and viruses.
A. Mallia (on 2/7/09)
People should stop being dramatic.

What people really need to do is re-learn basic hygiene, assuming that they ever knew it in the first place. I have lost count of the number of times I have seen people in restaurant rest-rooms, wedding venues, etc not even attempting to rinse their hands after coming out of a toilet cubicle, let alone washing them with soap if there is any. I never cease to be amazed. Apart from obviously being the source of many a germ, are these people not disgusted themselves?









Jonathan Agius (on 2/7/09)
Don't begin to send in comments with "God help us all" etc etc. Just read the article there was in the health section on The Sunday Times.
Dr Francis Saliba (on 2/7/09)
For goodnes's sake keep a sense of balance! So far the pandemic has a very low mortality among healthy people and, if anything, it would be preferable to contract it now before the increased virulence that it may acquire during the winter months.

Money is one of the fomites most likely to spread the disease. Any suspect currency would be gratefully accepted by the undersigned for safe disposal.

And there is no proof that GonziPN has any responsibility apart from the very adequate precautionary measures already taken.
Joanne Muscat (on 2/7/09)
A shock!!! Especially being such a small country!
A. Mallia (on 2/7/09)
"a Japanese boy who contracted swine flu after holidaying in Malta left the island before he started showing symptoms."

- The incubation period is up to seven (7) days. I believe that news reports originally stated that the boy started showing symptoms more than seven days after leaving Malta, which is a different matter.
P. Bonello (on 2/7/09)
We've already already been through a couple of pandemics before and we are none the worse for it. No use panicking. Just keep to the few precautiions. Wash your hand frequently. Use tissues every time you sneeze or cough and throw the tissue away every time. That should go a long way to keep the disease in check.
A. Mallia (on 2/7/09)
"Frequent hand washing, regular cleaning of surfaces and covering one's mouth when coughing or sneezing can go some way to help stem the spread of disease."
- It must be stressed that "covering one's mouth" means doing so with a tissue and disposing of it appropriately, rather than re-using it. "Covering one's mouth" (and nose, for that matter) with one's hand, as is usually the case, only helps to spread germs, especially since not many people are in the habit of washing their hands immediately after doing so.





"Apart from airborne droplets, influenza can be spread after a person touches a lift button, a phone, keyboard or door knob which had been touched by a sick person, and then touches his nose or mouth."

- Touching the eyes could also be a source of infection.
N.Cortis (on 2/7/09)
I live in Cospicua,and I have not received the said informative leaflet!!!! Minister---please note!! Every household to me maens all houses!!!!

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