The flood had caused many locals lost their houses. These peoples were settled in the local school. However as the school opened this week, the homeless were forced to shift to the local army base. They were relocated to the gathering hall. Such living environment is definitely not an healthy one. The H1N1 flu had worsen the health condition. A simple case of fever had caused havoc among the medical staff. Patients were sent over for rapid test to screen for influenza A/B. We were disturbed as most of the case did not fulfil the criteria. We however had to comply with them.
There were 2 medical depot in the army base near us. One is manned by a local teaching hospital and the other was the medical depot of the army. According to nurse from the civillian medical depot, the army medical personnel were reluctant to help out but very concerned about the fever cases. Well, our hospital was the 1st choice to run the civillian medical depot, unfortunately we did not have the man power. Doubling of patients had stressed us up. I had missed case 2 days ago....
Until today, 3 patients were tested positive. 1 army, 1 coast guard and the other child who I missed. It was my fault as the patient did not presented with typical sign of fatigue and bodyache. He was dsicharged with oral medication but returned hours later and requested for admission. I did not think twice and admitted him. I should have done a screening test. Later the attending pediatrician (also happen to be our hospital superintendent) was thinking of giving him a test as his fever was difficult to suppress with antipyretics. The test came back positive and he was referred to another hospital. My mistake....hopefully no outbreak would happen in the next few days....
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