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Tamiflu (Oseltamivir) is effective in the treatment of the new H1N1 influenza virus, the so called Swine Flu. Canada and the United States have stockpiled this antiviral drug for it's population should the infection reach epidemic proportions. The dose is 75 mg twice daily for five days, must be started within 48 hours of onset of illnes. By prescription only. Public Health guidlines advise against the use of Tamiflu for 'low risk' cases. Treatment advised for high risk individuals with chronic health conditions (ie heart disease, COPD, diabetes), residents of nursing homes, those aged 65 years or older, healthy children 6-23 months. Running commentary: May 1, 2009, Canada has 51 confirmed cases. My province of Ontario has 12 cases, all mild, everyone recovering. All travelled recently to Mexico. Expecting many more cases. May 2, Canada reports first case of human to pig transmission of N1H1 virus. May 4, Canada's cases reach 140, one seriously infected child admitted to hospital. Twenty countries ban Canadian pork. May 5, Public Health officials in Canada predict 1 in 4 will get ill with Swine Flu. May 6, Canada's total 165, Ontario 36 confirmed cases. May 7, 171 total cases. It's behaving like a seasonal flu. May 8, 191 cases. Canada's first death attributable to Swine flu is reported. Tina l'Hirondelle, a 39 year old asthmatic died of posible flu complications, at High Prairie Alberta. She did not have a history of travel to Mexico. May 9, The national total is now 281 cases, 76 in Ontario. May 10, China reports it's first case. May 13, 389 cases nation wide. May 18, Worldwide, 8,829 cases, 76 fatal, mostly in Mexico.. There is a global unease as the virus seems to spread easily from person to person and country to country. May 19, Mexico reported total 3,734 cases, with 74 deaths, and advises that the epidemic "continues its tendency to decline". May 22, More than 12,000 worldwide cases, more than half in the USA, Canada up to 805. June 2, The numbers mount, 1,530 cases in Canada with 3 deaths, more than 19,000 worldwide. June 3, In the Province of Ontario, there are 969 lab confirmed cases, of these 525 cases were aquired in Ontario. Nearly all cases here considered mild. June 4, The Ontario Ministry of Health and Long Term Care advises that all influenza cases in the community should be assumed to be the novel H1N1 virus. Testing of routine cases no longer required. Treatment with Tamiflu is recommended within 48 hours of the onset of symptoms for those with: 1) Acute illness requiring hospitalization (pneumonia), and 2) Those at risk for complicated disease (ie Diabetes, COPD, etc.) June 9, Particularily hard hit are native aboriginals in Canada's North, not sure if this population is genetically predisposed or related to comorbid illnesses more common in natives (ie Diabetes). June 11 The World Health Organization raised the H1N1 flu virus pandemic alert level from Phase Five to Phase Six. In doing so the WHO underscored: The decision is based on the spread of the virus and not the severity of illness it causes. The virus has caused sustained community level outbreaks in more than three countries across two WHO regions; In general, the H1N1 flu virus continues to cause moderate illness globally with most people affected recovering at home without medical treatment. For instance in Canada most infections to date have been mild; and, That borders should remain open. June 16, Canada reports eleven deaths thus far, one, a male in his forties with no antecedant illness. June 19, Researchers theorise that high levels of arsenic contamination of well water in Mexico could have contributed to the high mortality of cases there. A study of mice exposed to arsenic indicated more severe disease with H1N1. These results suggest that chronic arsenic exposure particularily in Southeast Asia and Mexico may be a factor that could enhance the potential impact of a pandemic strain of influenza. June 21. It was reported that a six year old girl from Toronto died from H1N1, and there have been two casualties in Quebec. June 25. Public Health officials estimate that out of Canada's population of 32 million, there are 100,000 active N1H1 cases. There are 2,667 confirmed cases in Ontario alone, and 18 deaths. Typically, during a regular flu season, 500 deaths are expected to occur in the province of Ontario. June 29. For the first time, a case of Swine Flu has proven resistant to Tamiflu! The resistance was seen in a patient in Denmark, who has recovered. July 2. Public health officials in the UK predict 100,000 cases by the end of the summer.