WHO and CDC on Alert as Swine Flu Kills Dozens
in Mexico via Human-to-Human Transmission

Affiliated Physicians has been closely monitoring the developing Swine Flu outbreak in the United States and Mexico. After participating in a CDC conference call earlier today, please find the current facts surrounding the situation below:

• The Mexican government says a new strain of influenza has killed at least 45 people and infected hundreds of others

• There have been eight confirmed non-fatal cases of the same influenza virus in the United States. Six of these cases appeared in Southern California; Two of these cases appeared in Texas.

• The CDC confirmed that the virus is a never-before-seen mixture of swine, human and avian viruses that can be transmitted from human to human.

• Most of the cases have been reported near Mexico City in men aged 25 to 44 years of age.

• As well as ordering the closure of all schools in Mexico City, the ministry is advising the population to avoid crowded areas and not to shake hands or kiss one another.

• Like some human strains of influenza, this strain of virus is resistant to two older flu drugs, amantadine and rimantadine, but is not resistant to Tamiflu or Relenza.

This is a developing story and one that Affiliated Physicians will monitor closely.

The CDC plans to release revised Interim Guidance within the next 24 to 48 hours. Affiliated Physicians will send updates as necessary.

Andrew Shulman
Chief Operating Officer
Affiliated Physicians

(212) 935-8725 ext 102
ashulman@affiliatedphysicians.net
www.affiliatedphysicians.net