The International journal of risk & safety in medicine
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To examine the epidemiological association between sudden deterioration leading to death and Tamiflu use. ⋯ These data suggest Tamiflu use could induce sudden deterioration leading to death especially within 12 hours of prescription. These findings are consistent with sudden deaths observed in a series of animal toxicity studies, several reported case series and the results of prospective cohort studies. From "the precautionary principle" the potential harm of Tamiflu should be taken into account and further detailed studies should be conducted.
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Vaccination of health-care workers (HCWs) against seasonal influenza has been consistently recommended worldwide in order to prevent nosocomial transmission and ensure delivery of health-care services during outbreaks. Overall, immunization rates were low across all nation, including among HCWs. Little is known about the acceptability and compliance with seasonal influenza vaccine among HCWs after the A(H1N1) 2009 pandemic. ⋯ The post pandemic seasonal influenza vaccination coverage among the HCWs in our institution was very low. The role of media, specific attitudinal barriers and misconceptions about immunization in a global pandemic scenario is clear. The nearly constant media coverage of the A (H1N1) 2009 pandemic, reported with varying degrees of accuracy, and sometimes portraying dramatic scenarios caused some to question whether unnecessary alarm and public panic resulted. We suggest that international or national health authorities have a clear speech over looked media and to own these institutions, which will air fair and real time information about the disease.
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The present thesis, which is based on a review and 12 published articles, concerns clinical epidemiological methods [176-187]. The Nordic countries have for many years established numerous registries. The establishment in Denmark of the National Population Registry in 1924 and the personal registration number (the CPR number) in 1968 allowed person-identification of remarkable quality, and made it possible to gather information on the same person in several registries. ⋯ This allows for comparison with respect to the completeness and validity of the data. The use of discharge diagnoses from hospital registries involves considerable data quality problems, while data from the health service registries, and from the public health officers' surveillance system for strong analgesics and notifiable diseases are of satisfactory quality. Misclassification of data exists, however, in all data sources; this can only be revealed by comprehensive studies of the validity of the data quality.