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Re: Flu shoots
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Diane Smith
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Oct 29, 2009 17:15 PST
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Mine is Nov 13, soon, very soon and I will turn 62. I just say I am
scorpio.
Warmly
Diane
On Oct 29, 2009, at 1:51 PM, Vicki Jones wrote:
| | Diane -
What month is your birthday?
Mine is on Income Tax Day - April 15!
Vicki
**********
--- On Thu, 10/29/09, Diane <Dia-@pkdiet.com> wrote:
From: Diane <Dia-@pkdiet.com>
Subject: Re: PKD-PLD Flu shoots
To: pk-@topica.com
Date: Thursday, October 29, 2009, 4:12 PM
Vicki, we are the same age! Me too I am 62.
~Diane
On Oct 29, 2009, at 10:51 AM, Vicki Jones wrote:
| | I hate shots, too, Diane, but I'm too old (62) for the nasal spray
for the H1N1 vaccine.
Just as well. The shot is a killed virus, i.e. an inactivated
virus, so you can't get H1N1 from the shot. The nasal is supposed
to be safe, but I think it is a weakened live virus. Not sure.
Vicki
******
--- On Thu, 10/29/09, Diane <Dia-@pkdiet.com> wrote:
From: Diane <Dia-@pkdiet.com>
Subject: Re: PKD-PLD Flu shoots
To: pk-@topica.com
Date: Thursday, October 29, 2009, 1:28 PM
Great going Vicki. I guess I am too much of a chicken to get shots.
When I was little the docs had to chase me around the room to give
me a vaccination.
Let us know how this goes for you.
Let us know if you have any symptoms.
Warmly,
Diane
On Oct 28, 2009, at 1:40 PM, Vicki Jones wrote:
| | I opted for getting the H1N1 vaccination (shot) this past Monday,
because my primary care thought I should, since I have two kinds
of sleep apnea and am on a breathing machine (Auto BiPap SV, more
complicated than CPAP) at night.
Of course, I'm a little scared, but if I got H1N1 and got a lot of
congestion, I wouldn't be able to breathe using the face mask or
nasal mask with the machine and would go into tachycardia and
supraventricular tachycardia, i.e. heart arrhythmias, from the
sleep apnea. That can go into Atrial fibrillation and lead to a
heart attack.
So, my doctor felt the vaccination was the lesser of two evils.
Vicki in Illinois
*************
--- On Wed, 10/28/09, Diane <Dia-@pkdiet.com> wrote:
From: Diane <Dia-@pkdiet.com>
Subject: Re: PKD-PLD Flu shoots
To: pk-@topica.com
Date: Wednesday, October 28, 2009, 5:19 PM
Thanks Edward. This info is really helpful. It seems reasonable to
me to wait, as your docs have suggested.
~Diane
On Oct 28, 2009, at 7:09 AM, Edwards, Richard W wrote:
| | I contacted the UCLA transplant center and was instructed not to
get a flu shot until 6 months after my transplant. I had my
transplant in July so…..
From: aaaj1vkjp_mcqems8zh4w1z-@boing.topica.com
[mailto
:aaaj1vkjp_mcqems8zh4w1z-@boing.topica.com]
On Behalf Of jcro-@aol.com
Sent: Wednesday, October 28, 2009 6:36 AM
To: pk-@topica.com
Subject: Re: PKD-PLD Flu shoots
Dear Diane,
Thank you very much for the information. Is anyone here getting
the H1N1 vaccine? I am still on the fence on this one. My
transplant center and Nephrologist urged me to get it but I am
not rushing to do it just yet. I spoke with a co-worker of mine,
who is also a transplant recipient, and she is also undecided.
As ER nurses we are given both the flu and H1N1 for free. I
always get the flu vac but I am being more cautious about H1N1.
Although, it is manufactured by the same maker of the flu vaccine
and made new every year I still I get a little apprehensive
because of it being so "new" and due my post-transplant status.
Rgds,
JC
In a message dated 10/26/2009 12:11:32 P.M. Eastern Daylight
Time, Dia-@pkdiet.com writes:
Here is something about heart lung transplantees and to be
especially cautious:
H1N1 Flu Challenges Heart and Lung Transplants
By Michael Smith, North American Correspondent, MedPage Today
Published: October 23, 2009
Reviewed by Robert Jasmer, MD; Associate Clinical Professor of
Medicine, University of California , San Francisco and
Dorothy Caputo, MA, RN, BC-ADM, CDE, Nurse Planner
The pandemic H1N1 flu poses special problems for people getting
heart and lung transplants, according to an advisory from the
International Society for Heart and Lung Transplantation.
The pandemic virus "highlights unique aspects of transplant care
that will require heightened vigilance in coming months,"
according to Lara Danziger-Isakov, MD, of the Cleveland Clinic
Children's Hospital, and colleagues.
"Aggressive diagnosis and early treatment" will need to be paired
with active preventive measures to lessen the impact of the
pandemic on the transplant population, she and colleagues wrote
online in the Journal of Heart and Lung Transplantation.
Among the key elements:
Transplant patients should get both the seasonal trivalent
inactivated flu vaccine and the H1N1 vaccine as soon as possible.
Avoid using live, attenuated seasonal trivalent vaccine (FluMist
nasal spray) with transplant candidates and recipients, as well
as their care providers.
Both seasonal and flu vaccines can be given soon after
transplant, but caregivers should be aware that vaccination soon
after transplantation may only be partly protective.
Potential donors should have nasopharyngeal and throat swabs for
the H1N1 virus before the organs are harvested.
The preferred test for all flu infections, including the pandemic
virus, is real-time reverse transcriptase-polymerase chain
reaction (rRT-PCR).
A negative result on a rapid influenza detection assay does not
exclude diagnosis of pandemic flu infection.
The turnaround time for rRT-PCR is up to 48 hours, plus travel
time in some cases, the researchers said.
Especially when it comes to evaluating donors -- where time is of
the essence -- the long turnaround is "a concern" and highlights
the need for faster tests, they said.
Aside from vaccination, Danziger-Isakov and colleagues said,
caregivers can also consider postexposure prophylaxis and
prolonged seasonal prophylaxis, both with oseltamivir (Tamiflu).
In the case of prolonged prophylaxis, caregivers should be aware
that oseltamivir resistance in the H1N1 flu is rare, but cases
have been identified, many in immunocompromised patients.
If a potential donor dies of confirmed H1N1 flu, Danziger-Isakov
and colleagues said, neither the lungs nor heart should be used
for transplantation.
In some cases, a donor with confirmed H1N1 flu might die of
another cause, they said. In those cases, the lungs should not be
used, but the heart may be, at the discretion of the
transplanting medical team.
The same is true for potential donors with suspect cases of the
pandemic flu, they said.
On the other hand, both the lungs and heart of a donor with a
history of the H1N1 flu who received at least five days of
treatment can be used, they said.
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<html><head></head><body style="word-wrap: break-word; -webkit-nbsp-mode: space; -webkit-line-break: after-white-space; ">Mine is Nov 13, soon, very soon and I will turn 62. I just say I am scorpio.<div><br></div><div>Warmly</div><div>Diane</div><div><br><div><div>On Oct 29, 2009, at 1:51 PM, Vicki Jones wrote:</div><br class="Apple-interchange-newline"><blockquote type="cite"><table cellspacing="0" cellpadding="0" border="0"><tbody><tr><td valign="top" style="font: inherit;">Diane - <br>What month is your birthday? <br>Mine is on Income Tax Day - April 15! <br><br>Vicki <br><br>**********<br><br>--- On <b>Thu, 10/29/09, Diane <i><<a href="mailto:Dia-@pkdiet.com">Dia-@pkdiet.com</a>></i></b> wrote:<br><blockquote style="border-left: 2px solid rgb(16, 16, 255); margin-left: 5px; padding-left: 5px;"><br>From: Diane <<a href="mailto:Dia-@pkdiet.com">Dia-@pkdiet.com</a>><br>Subject: Re: PKD-PLD Flu shoots<br>To: <a href="mailto:pk-@topica.com">pk-@topica.com</a><br>Date: Thursday, October 29, 2009, 4:12 PM<br><br><div id="yiv1947252322">Vicki, we are the same age! Me too I am 62.<div><br></div><div>~Diane</div><div><br></div><div><br><div><div>On Oct 29, 2009, at 10:51 AM, Vicki Jones wrote:</div><br class="Apple-interchange-newline"><blockquote type="cite"><table border="0" cellpadding="0" cellspacing="0"><tbody><tr><td style="font-family: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; font-size:
inherit; line-height: inherit; font-size-adjust: inherit; font-stretch: inherit; -x-system-font: none;" valign="top">I hate shots, too, Diane, but I'm too old (62) for the nasal spray for the H1N1 vaccine. <br><br>Just as well. The shot is a killed virus, i.e. an inactivated virus, so you can't get H1N1 from the shot. The nasal is supposed to be safe, but I think it is a weakened live virus. Not sure. <br><br>Vicki <br><br>******<br><br>--- On <b>Thu, 10/29/09, Diane <i><<a rel="nofollow" ymailto="mailto:Dia-@pkdiet.com" target="_blank" href="x-msg://8/mc/compose?to=D-@pkdiet.com">Dia-@pkdiet.com</a>></i></b> wrote:<br><blockquote style="border-left: 2px solid rgb(16, 16, 255); margin-left: 5px; padding-left: 5px;"><br>From: Diane <<a rel="nofollow" ymailto="mailto:Dia-@pkdiet.com" target="_blank" href="x-msg://8/mc/compose?to=D-@pkdiet.com">Dia-@pkdiet.com</a>><br>Subject: Re: PKD-PLD Flu shoots<br>To: <a rel="nofollow" ymailto="mailto:pk-@topica.com" target="_blank" href="x-msg://8/mc/compose?to=-@topica.com">pk-@topica.com</a><br>Date: Thursday, October 29, 2009, 1:28 PM<br><br><div id="yiv454311824">Great going Vicki. I guess I am too much of a chicken to get shots. When I was little the docs had to chase me around the room to give me a vaccination.<div><br></div><div>Let us know how this goes for
you. </div><div><br></div><div>Let us know if you have any symptoms.</div><div><br></div><div>Warmly,</div><div>Diane<br><div><div>On Oct 28, 2009, at 1:40 PM, Vicki Jones wrote:</div><br class="Apple-interchange-newline"><blockquote type="cite"><table border="0" cellpadding="0" cellspacing="0"><tbody><tr><td style="font-family: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; font-size: inherit; line-height: inherit; font-size-adjust: inherit; font-stretch: inherit;" valign="top">I opted for getting the H1N1 vaccination (shot) this past Monday, because my primary care thought I should, since I have two kinds of sleep apnea and am on a breathing machine (Auto BiPap SV, more complicated than CPAP) at night. <br><br>Of course, I'm a little scared, but if I got H1N1 and got a lot of congestion, I wouldn't be able to breathe using the face mask or nasal mask with the machine and would go into tachycardia
and supraventricular tachycardia, i.e. heart arrhythmias, from the sleep apnea. That can go into Atrial fibrillation and lead to a heart attack. <br><br>So, my doctor felt the vaccination was the lesser of two evils. <br><br>Vicki in Illinois<br><br>*************<br><br>--- On <b>Wed, 10/28/09, Diane <i><<a rel="nofollow">Dia-@pkdiet.com</a>></i></b> wrote:<br><blockquote style="border-left: 2px solid rgb(16, 16, 255); margin-left: 5px; padding-left: 5px;"><br>From: Diane <<a rel="nofollow">Dia-@pkdiet.com</a>><br>Subject: Re: PKD-PLD Flu shoots<br>To: <a rel="nofollow">pk-@topica.com</a><br>Date: Wednesday, October 28, 2009, 5:19 PM<br><br><div id="yiv44109890">Thanks Edward. This
info is really helpful. It seems reasonable to me to wait, as your docs have suggested.<div><br></div><div>~Diane</div><div><br></div><div><br><div><div>On Oct 28, 2009, at 7:09 AM, Edwards, Richard W wrote:</div><br class="Apple-interchange-newline"><blockquote type="cite">
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<div class="Section1"><p class="MsoNormal"><font size="2" color="navy" face="Arial"><span style="font-size: 10pt; font-family: Arial; color: navy;">I contacted the UCLA transplant center and
was instructed not to get a flu shot until 6 months after my transplant. I had
my transplant in July so…..</span></font></p><div><font size="2" color="navy" face="Arial"><span style="font-size: 10pt; font-family: Arial; color: navy;"> </span></font><br class="webkit-block-placeholder"></div>
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<hr tabindex="-1" size="2" width="100%" align="center">
</span></font></div><p class="MsoNormal"><b><font size="2" face="Tahoma"><span style="font-size: 10pt; font-family: Tahoma; font-weight: bold;">From:</span></font></b><font size="2" face="Tahoma"><span style="font-size: 10pt; font-family: Tahoma;">
<a rel="nofollow">aaaj1vkjp_mcqems8zh4w1z-@boing.topica.com</a>
[mailto:aaaj1vkjp_mcqems8zh4w1z-@boing.topica.com] <b><span style="font-weight: bold;">On Behalf Of </span></b><a rel="nofollow">jcro-@aol.com</a><br>
<b><span style="font-weight: bold;">Sent:</span></b> Wednesday, October 28, 2009
6:36 AM<br>
<b><span style="font-weight: bold;">To:</span></b> <a rel="nofollow">pk-@topica.com</a><br>
<b><span style="font-weight: bold;">Subject:</span></b> Re: PKD-PLD Flu shoots</span></font></p>
</div><div><font size="3" face="Times New Roman"><span style="font-size: 12pt;"> </span></font><br class="webkit-block-placeholder"></div>
<div>
<div><p class="MsoNormal"><font size="2" color="black" face="Arial"><span style="font-size: 10pt; font-family: Arial; color: black;">Dear Diane,</span></font></p>
</div>
<div><div><font size="2" color="black" face="Arial"><span style="font-size: 10pt; font-family: Arial; color: black;"> </span></font><br class="webkit-block-placeholder"></div>
</div>
<div><p class="MsoNormal"><font size="2" color="black" face="Arial"><span style="font-size: 10pt; font-family: Arial; color: black;">Thank you very much for the
information. Is anyone here getting the H1N1 vaccine? I am still on
the fence on this one. My transplant center and Nephrologist urged me to
get it but I am not rushing to do it just yet. I spoke with a co-worker
of mine, who is also a transplant recipient, and she is also
undecided. As ER nurses we are given both the flu and H1N1 for
free. I always get the flu vac but I am being more cautious about
H1N1. Although, it is manufactured by the same maker of the flu vaccine
and made new every year I still I get a little apprehensive because of it being
so "new" and due my post-transplant status.</span></font></p>
</div>
<div><div><font size="2" color="black" face="Arial"><span style="font-size: 10pt; font-family: Arial; color: black;"> </span></font><br class="webkit-block-placeholder"></div>
</div>
<div><div><font size="2" color="black" face="Arial"><span style="font-size: 10pt; font-family: Arial; color: black;"> </span></font><br class="webkit-block-placeholder"></div>
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<div><p class="MsoNormal"><font size="2" color="black" face="Arial"><span style="font-size: 10pt; font-family: Arial; color: black;">Rgds,</span></font></p>
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<div><div><font size="2" color="black" face="Arial"><span style="font-size: 10pt; font-family: Arial; color: black;"> </span></font><br class="webkit-block-placeholder"></div>
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<div><p class="MsoNormal"><font size="2" color="black" face="Arial"><span style="font-size: 10pt; font-family: Arial; color: black;">JC</span></font></p>
</div>
<div><div><font size="2" color="black" face="Arial"><span style="font-size: 10pt; font-family: Arial; color: black;"> </span></font><br class="webkit-block-placeholder"></div>
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<div><div><font size="2" color="black" face="Arial"><span style="font-size: 10pt; font-family: Arial; color: black;"> </span></font><br class="webkit-block-placeholder"></div>
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<div><p class="MsoNormal"><font size="2" color="black" face="Arial"><span style="font-size: 10pt; font-family: Arial; color: black;">In a message dated 10/26/2009 12:11:32
P.M. Eastern Daylight Time, <a rel="nofollow">Dia-@pkdiet.com</a> writes:</span></font></p>
</div>
<blockquote style="border-style: none none none solid; border-color: blue; border-width: medium medium medium 1.5pt; padding: 0in 0in 0in 4pt; margin-left: 3.75pt; margin-top: 5pt; margin-bottom: 5pt;">
<div>
<div><p class="MsoNormal"><font size="2" color="black" face="Arial"><span style="font-size: 10pt; font-family: Arial; color: black;">Here is something about heart lung
transplantees and to be especially cautious:</span></font></p>
</div>
<div><div><font size="2" color="black" face="Arial"><span style="font-size: 10pt; font-family: Arial; color: black;"> </span></font><br class="webkit-block-placeholder"></div>
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<h1><b><font size="4" color="#003399" face="Georgia"><span style="font-size: 14.5pt; font-family: Georgia; color: rgb(0, 51, 153);">H1N1 Flu Challenges Heart and Lung
Transplants</span></font></b></h1>
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<td style="padding: 3.75pt 0in;"><p class="MsoNormal"><font size="1" color="black" face="Arial"><span style="font-size: 8.5pt; font-family: Arial; color: black;">By Michael
Smith, North American Correspondent, MedPage Today<br>
</span></font><font size="1" color="#666666" face="Arial"><span style="font-size: 8.5pt; font-family: Arial; color: rgb(102, 102, 102);">Published:
October 23, 2009</span></font><font size="1" color="black" face="Arial"><span style="font-size: 8.5pt; font-family: Arial; color: black;"><br>
Reviewed by <a rel="nofollow" target="_blank" href="http://www.medpagetoday.com/reviewer.cfm?reviewerid=55" title="http://www.medpagetoday.com/reviewer.cfm?reviewerid=55"><font size="1" color="#000099"><span style="font-size: 9pt; color: rgb(0, 0, 153); text-decoration: none;">Robert Jasmer, MD</span></font></a>; Associate
Clinical Professor of Medicine, University
of California , San Francisco and<br>
Dorothy Caputo, MA, RN, BC-ADM, CDE, Nurse Planner</span></font><font size="1"><span style="font-size: 8.5pt;"></span></font></p>
</td>
<td style="padding: 3.75pt 0.75pt 0.75pt;"><p class="MsoNormal" style="text-align: right;" align="right"><font size="1" face="Times New Roman"><span style="font-size: 8.5pt;"><a rel="nofollow" target="_blank" href="http://www.medpagetoday.com/posttest.cfm?testpage=16582&;TBID=16582&topicid=30" title="http://www.medpagetoday.com/posttest.cfm?testpage=16582&TBID=16582&topicid=30" style=""></a></span></font></p>
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<div><p class="MsoNormal" style="line-height: 11.25pt;"><font size="1" color="#151515" face="Arial"><span style="font-size: 9pt; font-family: Arial; color: rgb(21, 21, 21);">The
pandemic H1N1 flu poses special problems for people getting heart and lung
transplants, according to an advisory from the International Society for
Heart and Lung Transplantation. </span></font></p>
<div><div style="line-height: 11.25pt;"><font size="1" color="#151515" face="Arial"><span style="font-size: 9pt; font-family: Arial; color: rgb(21, 21, 21);"> </span></font><br class="webkit-block-placeholder"></div>
</div><p style="line-height: 11.25pt;"><font size="1" color="#151515" face="Arial"><span style="font-size: 9pt; font-family: Arial; color: rgb(21, 21, 21);">The pandemic virus
"highlights unique aspects of transplant care that will require
heightened vigilance in coming months," according to Lara
Danziger-Isakov, MD, of the Cleveland Clinic Children's Hospital, and
colleagues.</span></font></p><p style="line-height: 11.25pt;"><font size="1" color="#151515" face="Arial"><span style="font-size: 9pt; font-family: Arial; color: rgb(21, 21, 21);">"Aggressive
diagnosis and early treatment" will need to be paired with active
preventive measures to lessen the impact of the pandemic on the transplant
population, she and colleagues wrote online in the <em><i><font face="Arial"><span style="font-family: Arial;">Journal of Heart and Lung
Transplantation</span></font></i></em>.</span></font></p><p style="line-height: 11.25pt;"><font size="1" color="#151515" face="Arial"><span style="font-size: 9pt; font-family: Arial; color: rgb(21, 21, 21);">Among the key
elements:</span></font></p>
<ul type="disc">
<li class="MsoNormal" style="color: rgb(21, 21, 21); line-height: 11.25pt;"><font size="1" color="#151515" face="Arial"><span style="font-size: 9pt; font-family: Arial;">Transplant patients should get both the seasonal
trivalent inactivated flu vaccine and the H1N1 vaccine as soon as
possible. </span></font></li>
<li class="MsoNormal" style="color: rgb(21, 21, 21); line-height: 11.25pt;"><font size="1" color="#151515" face="Arial"><span style="font-size: 9pt; font-family: Arial;">Avoid using live, attenuated seasonal trivalent
vaccine (FluMist nasal spray) with transplant candidates and
recipients, as well as their care providers. </span></font></li>
<li class="MsoNormal" style="color: rgb(21, 21, 21); line-height: 11.25pt;"><font size="1" color="#151515" face="Arial"><span style="font-size: 9pt; font-family: Arial;">Both seasonal and flu vaccines can be given soon
after transplant, but caregivers should be aware that vaccination soon
after transplantation may only be partly protective. </span></font></li>
<li class="MsoNormal" style="color: rgb(21, 21, 21); line-height: 11.25pt;"><font size="1" color="#151515" face="Arial"><span style="font-size: 9pt; font-family: Arial;">Potential donors should have nasopharyngeal and
throat swabs for the H1N1 virus before the organs are harvested. </span></font></li>
<li class="MsoNormal" style="color: rgb(21, 21, 21); line-height: 11.25pt;"><font size="1" color="#151515" face="Arial"><span style="font-size: 9pt; font-family: Arial;">The preferred test for all flu infections, including
the pandemic virus, is real-time reverse transcriptase-polymerase
chain reaction (rRT-PCR). </span></font></li>
<li class="MsoNormal" style="color: rgb(21, 21, 21); line-height: 11.25pt;"><font size="1" color="#151515" face="Arial"><span style="font-size: 9pt; font-family: Arial;">A negative result on a rapid influenza detection
assay does not exclude diagnosis of pandemic flu infection.</span></font></li>
</ul>
<div><div style="line-height: 11.25pt;"><font size="1" color="#151515" face="Arial"><span style="font-size: 9pt; font-family: Arial; color: rgb(21, 21, 21);"> </span></font><br class="webkit-block-placeholder"></div>
</div><p style="line-height: 11.25pt;"><font size="1" color="#151515" face="Arial"><span style="font-size: 9pt; font-family: Arial; color: rgb(21, 21, 21);">The turnaround time
for rRT-PCR is up to 48 hours, plus travel time in some cases, the
researchers said.</span></font></p><p style="line-height: 11.25pt;"><font size="1" color="#151515" face="Arial"><span style="font-size: 9pt; font-family: Arial; color: rgb(21, 21, 21);">Especially when it
comes to evaluating donors -- where time is of the essence -- the long
turnaround is "a concern" and highlights the need for faster
tests, they said.</span></font></p><p style="line-height: 11.25pt;"><font size="1" color="#151515" face="Arial"><span style="font-size: 9pt; font-family: Arial; color: rgb(21, 21, 21);">Aside from
vaccination, Danziger-Isakov and colleagues said, caregivers can also
consider postexposure prophylaxis and prolonged seasonal prophylaxis, both
with oseltamivir (Tamiflu).</span></font></p><p style="line-height: 11.25pt;"><font size="1" color="#151515" face="Arial"><span style="font-size: 9pt; font-family: Arial; color: rgb(21, 21, 21);">In the case of
prolonged prophylaxis, caregivers should be aware that oseltamivir
resistance in the H1N1 flu is rare, but cases have been identified, many in
immunocompromised patients.</span></font></p><p style="line-height: 11.25pt;"><font size="1" color="#151515" face="Arial"><span style="font-size: 9pt; font-family: Arial; color: rgb(21, 21, 21);">If a potential
donor dies of confirmed H1N1 flu, Danziger-Isakov and colleagues said,
neither the lungs nor heart should be used for transplantation.</span></font></p><p style="line-height: 11.25pt;"><font size="1" color="#151515" face="Arial"><span style="font-size: 9pt; font-family: Arial; color: rgb(21, 21, 21);">In some cases, a
donor with confirmed H1N1 flu might die of another cause, they said. In
those cases, the lungs should not be used, but the heart may be, at the
discretion of the transplanting medical team.</span></font></p><p style="line-height: 11.25pt;"><font size="1" color="#151515" face="Arial"><span style="font-size: 9pt; font-family: Arial; color: rgb(21, 21, 21);">The same is true
for potential donors with suspect cases of the pandemic flu, they said.</span></font></p><p style="line-height: 11.25pt;"><font size="1" color="#151515" face="Arial"><span style="font-size: 9pt; font-family: Arial; color: rgb(21, 21, 21);">On the other hand,
both the lungs and heart of a donor with a history of the H1N1 flu who
received at least five days of treatment can be used, they said.</span></font></p>
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