Update: Infections With a Swine-Origin Influenza A (H1N1) Virus --- United States and Other Countries, April 28, 2009
On April 28, this report was posted as an MMWR Dispatch on the MMWR website (http://www.cdc.gov/mmwr).
Since April 21, 2009, CDC has reported cases of respiratory infection with a swine-origin influenza A (H1N1) virus (S-OIV) transmitted through human-to-human contact (1,2). This report updates cases identified in U.S. states and highlights certain control measures taken by CDC. As of April 28, the total number of confirmed cases of S-OIV infection in the United States had increased to 64, with cases in California (10 cases), Kansas (two), New York (45), Ohio (one), and Texas (six). CDC and state and local health departments are investigating all reported U.S. cases to ascertain the clinical features and epidemiologic characteristics. On April 27, CDC distributed an updated case definition for infection with S-OIV (Box).
Of the 47 patients reported to CDC with known ages, the median age was 16 years (range: 3--81 years), and 38 (81%) were aged <18 years; 51% of cases were in males. Of the 25 cases with known dates of illness onset, onset ranged from March 28 to April 25 (Figure). To date, no deaths have been reported among U.S. cases, but five patients are known to have been hospitalized. Of 14 patients with known travel histories, three had traveled to Mexico; 40 of 47 patients (85%) have not been linked to travel or to another confirmed case. Information is being compiled regarding vaccination status of infected patients, but is not yet available. According to the World Health Organization (WHO), as of April 27, a total of 26 confirmed cases of S-OIV infection had been reported by Mexican authorities. Canada has reported six cases and Spain has reported one case.*
Emergency Use Authorizations
If an emerging public health threat is identified for which no licensed or approved product exists, the Project BioShield Act of 2004 authorizes the Food and Drug Administration (FDA) commissioner to issue an Emergency Use Authorization (EUA) so that promising countermeasures can be disseminated quickly for the protection and safety of the U.S. population (3).
In response to the current public health emergency involving swine-origin influenza, FDA issued four EUAs on April 27 to allow emergency use of
• oseltamivir (Tamiflu) and zanamivir (Relenza) for the treatment and prophylaxis of influenza (two EUAs),
• disposable N95 respirators for use by the general public, and
• the rRT-PCR Swine Flu Panel for diagnosis.
Oseltamivir is FDA-approved for treatment and prevention of influenza in adults and children aged ≥1 year. Zanamivir is FDA-approved for treatment of influenza in adults and children aged ≥7 years who have been symptomatic for <2 days, and for prevention of influenza in adults and children aged ≥5 years. The EUA allows the use of oseltamivir for treatment of influenza in children aged <1 year and prevention of influenza in children aged 3 months--1 year. Additionally, traditional prescribing and dispensing requirements might not be met. Under the scope and conditions of current EUAs, mass dispensing of both antiviral medications will be allowed per state and/or local public health authority.
FDA has authorized use of certain N95 respirators to help reduce wearer exposure to pathogenic biological airborne particulates during a public health emergency involving S-OIV. On April 27, CDC published guidelines for the use of N95 respirators. For example, respirators should be considered for use by persons for whom close contact with an infectious person is unavoidable. This can include selected individuals who must care for a sick person (e.g., family member with a respiratory infection) at home. Additional information is available at http://www.cdc.gov/swineflu/masks.htm.
Currently, no FDA-cleared tests specifically for the S-OIV strain exist in the United States or elsewhere. For this purpose and to meet the significant increase in demand for influenza testing throughout the country, CDC has developed the rRT-PCR Swine Flu Panel to expand and maintain the operational capabilities of public health or other qualified laboratories by providing a detection tool for the presumptive presence of S-OIV.
Control Measures at Ports of Entry and Travel Warning for Mexico
CDC, in collaboration with industry and federal partners, is continuing to conduct routine illness detection at ports of entry with heightened awareness for travelers who might be infected with S-OIV. During April 19--27, 15 cases of illness in travelers entering the United States from Mexico that were clinically consistent with S-OIV infection were detected. Of these 15 cases, two were laboratory confirmed as swine-origin influenza A (H1N1). Nine travelers remain in isolation pending completion of evaluation, and four travelers were released to complete travel after influenza virus infection was ruled out.
WHO has declared a Public Health Emergency of International Concern. As part of its responsibilities under the International Health Regulations, CDC is prepared to implement additional screening measures for international flights, if deemed necessary, to prevent exportation of S-OIV. In addition, CDC in collaboration with the U.S. Department of Homeland Security, is distributing travelers health alert notices to all persons traveling to countries with confirmed cases of S-OIV infection.
CDC has recommended that U.S. travelers avoid nonessential travel to Mexico (http://wwwn.cdc.gov/travel/contentswineflumexico.aspx). However, CDC might revise its travel guidance as the outbreak in Mexico evolves and is characterized more completely. Travelers who cannot delay travel to Mexico should visit http://www.cdc.gov/travel and follow the posted recommendations to reduce their risk for infection.
Nonpharmaceutical Community Mitigation
CDC has issued interim guidance for nonpharmaceutical community mitigation efforts in response to human infections with S-OIV (http://www.cdc.gov/swineflu/mitigation.htm). Current recommendations for isolation of patients with cases of S-OIV, household contacts, school dismissal, and other social distancing interventions also are available at http://www.cdc.gov/swineflu/mitigation.htm and will be updated as the situation evolves.
Reported by: Strategic Science and Program Unit, Coordinating Center for Infectious Diseases; Div of Global Migration and Quarantine, National Center for Preparedness, Detection, and Control of Infectious Diseases; Influenza Div, National Center for Immunization and Respiratory Diseases, CDC Influenza Emergency Response Team, CDC.
References
1. CDC. Swine influenza A (H1N1) infection in two children---southern California, March--April 2009. MMWR 2009;58:400--2.
2. CDC. Update: swine influenza A (H1N1) infections---California and Texas, April 2009. MMWR;58:435--7.
3. Nightingale SL, Prasher JM, Simonson S. Emergency Use Authorization (EUA) to enable use of needed products in civilian and military emergencies, United States. Emerg Infect Dis 2007;13:1046--51.
* Additional information is available at http://www.who.int/en.
BOX. CDC interim guidance on case definitions for investigations of human swine-origin influenza A (H1N1) cases
The following case definitions are for the purposes of investigations of suspected, probable, and confirmed cases of swine-origin influenza A (H1N1) infection.
Case Definitions for Infection with Swine-Origin Influenza A (H1N1) Virus
A confirmed case of swine-origin influenza A (H1N1) virus infection is defined as an acute febrile respiratory illness in a person and laboratory-confirmed swine-origin influenza A (H1N1) virus infection at CDC by either of the following tests:
1) real-time reverse transcrition--polymerase chain
reaction (rRT-PCR), or
2) viral culture.
A probable case of swine-origin influenza A (H1N1) virus infection is defined as acute febrile respiratory illness in a person who is
• positive for influenza A, but negative for H1 and H3 by influenza rRT-PCR.
A suspected case of swine-origin influenza A (H1N1) virus infection is defined as acute febrile respiratory illness in a person
• with onset within 7 days of close contact with a person who has a confirmed case of swine-origin influenza A (H1N1) virus infection, or
• with onset within 7 days of travel to a community, either within the United States or internationally, which has one or more confirmed swine-origin influenza A (H1N1) cases, or
• who resides in a community in which one or more confirmed swine-origin influenza cases have occurred.
FIGURE. Confirmed human cases of swine-origin influenza A (H1N1) infection with known dates of illness onset* --- United States, April 27, 2009
* Onset dates available for 25 of 64 cases.
The above figure shows the number of confirmed human cases of swine-origin influenza A (H1N1) infection with known dates of illness onset in the United States as of April 27, 2009. Onset dates were available for 25 of the 64 confirmed cases.
One case each had onset on March 28 and 30, April 4, 5, 6 and 11. Two cases had onset on April 12. One case had onset on April 15, 19, 20, and 21. Five cases had onset on April 22. Four cases had onset on April 23. Three cases had onset on April 24, and one case had onset on April 25.
the origin of the Catholic Church
What is the origin of the Catholic Church?
Question: "What is the origin of the Catholic Church?"
Answer: The Roman Catholic Church contends that its origin is the death, resurrection, and ascension of Jesus Christ in approximately 30 A.D. The Catholic Church proclaims itself to be the Church that Jesus Christ died for, the Church that was established and built by the Apostles. Is that the true origin of the Catholic Church? On the contrary. Even a cursory reading of the New Testament will reveal that the Catholic Church does not have its origin in the teachings of Jesus, or His apostles. In the New Testament, there is no mention of the papacy, worship / adoration of Mary (or the immaculate conception of Mary, the perpetual virginity of Mary, the assumption of Mary, or Mary as co-redemptrix and mediatrix), petitioning saints in Heaven for their prayers, apostolic succession, the ordinances of the church functioning as sacraments, infant baptism, confession of sin to a priest, purgatory, indulgences, or the equal authority of church tradition and Scripture. So, if the origin of the Catholic Church is not in the teachings of Jesus and His apostles, as recorded in the New Testament, what is the true origin of the Catholic Church?
For the first 280 years of Christian history, Christianity was banned by the Roman empire, and Christians were terribly persecuted. This changed after the “conversion” of the Roman Emperor Constantine. Constantine “legalized” Christianity at the Edict of Milan in A.D. 313. Later, in A.D. 325, Constantine called together the Council of Nicea, in an attempt to unify Christianity. Constantine envisioned Christianity as a religion that could unite the Roman Empire, which at that time was beginning to fragment and divide. While this may have seemed to be a positive development for the Christian church, the results were anything but positive. Just as Constantine refused to fully embrace the Christian faith, but continued many of his pagan beliefs and practices, so the Christian church that Constantine promoted was a mixture of true Christianity and Roman paganism.
Constantine found that with the Roman Empire being so vast, expansive, and diverse – not everyone would agree to forsake their religious beliefs and instead embrace Christianity. So, Constantine allowed, and even promoted, the “Christianization” of pagan beliefs. Completely pagan and utterly unbiblical beliefs were given new “Christian” identities. Some clear examples of this are as follows:
(1) The Cult of Isis, an Egyptian mother-goddess religion, was absorbed into Christianity by replacing Isis with Mary. Many of the titles that were used for Isis, such as “Queen of Heaven,” “Mother of God,” and “theotokos” (God-bearer) were attached to Mary. Mary was given an exalted role in the Christian faith, far beyond what the Bible ascribes to her, in order to attract Isis worshippers to a faith they would not otherwise embrace. Many temples to Isis were, in fact, converted into temples dedicated to Mary. The first clear hints of Catholic Mariology occur in the writings of Origen, who lived in Alexandria, Egypt, which happened to be the focal point of Isis worship.
(2) Mithraism was a religion in the Roman Empire in the 1st through 5th centuries A.D. It was very popular among the Romans, especially among Roman soldiers, and was possibly the religion of several Roman emperors. While Mithraism was never given “official” status in the Roman empire, it was the de-facto official religion until Constantine and succeeding Roman emperors replaced Mithraism with Christianity. One of the key features of Mithraism was a sacrificial meal, which involved eating the flesh and drinking the blood of a bull. Mithras, the god of Mithraism, was “present” in the flesh and blood of the bull, and when consumed, granted salvation to those who partook of the sacrificial meal (theophagy, the eating of one’s god). Mithraism also had seven “sacraments,” making the similarities between Mithraism and Roman Catholicism too many to ignore. Constantine and his successors found an easy substitute for the sacrificial meal of Mithraism in concept of the Lord’s Supper / Christian Communion. Sadly, some early Christians had already begun to attach mysticism to the Lord’s Supper, rejecting the Biblical concept of a simple and worshipful remembrance of Christ’s death and shed blood. The Romanization of the Lord’s Supper made the transition to a sacrificial consumption of Jesus Christ, now known as the Catholic Mass / Eucharist, complete.
(3) Most Roman emperors (and citizens) were henotheists. A henotheist is one who believes in the existence of many gods, but focuses primary on one particular god, or considers one particular god supreme over the other gods. For example, the Roman god Jupiter was supreme over the Roman pantheon of gods. Roman sailors were often worshippers of Neptune, the god of the oceans. When the Catholic Church absorbed Roman paganism, it simply replaced the pantheon of gods with the saints. Just as the Roman pantheon of gods had a god of love, a god of peace, a god of war, a god of strength, a god of wisdom, etc., so the Catholic Church has a saint who is “in charge” over each of these, and many other categories. Just as many Roman cities had a god specific to the city, so the Catholic Church provided “patron saints” for the cities.
(4) The supremacy of the Roman bishop (the papacy) was created with the support of the Roman emperors. With the city of Rome being the center of government for the Roman empire, and with the Roman emperors living in Rome, the city of Rome rose to prominence in all facets of life. Constantine, and his successors, gave their support to the bishop of Rome as the supreme ruler of the church. Of course it is best for the unity of the Roman empire that the government and state religion be centered in the same location. While most other bishops (and Christians) resisted the idea of the Roman bishop being supreme, the Roman bishop eventually rose to supremacy, due to the power and influence of the Roman emperors. When the Roman empire collapsed, the popes took on the title that had previously belonged to the Roman emperors – Pontificus Maximus.
Many more examples could be given. These four should suffice in demonstrating the true origin of the Catholic Church. Of course the Roman Catholic Church denies the pagan origin of its beliefs and practices. The Catholic Church disguises its pagan beliefs under layers of complicated theology. The Catholic Church excuses and denies its pagan origin beneath the mask of “church tradition.” Recognizing that many of its beliefs and practices are utterly foreign to Scripture, the Catholic Church is forced to deny the authority and sufficiency of Scripture.
The origin of the Catholic Church is the tragic compromise of Christianity with the pagan religions that surrounded it. Instead of proclaiming the Gospel and converting the pagans, the Catholic Church “Christianized” the pagan religions, and “paganized” Christianity. By blurring the differences and erasing the distinctions, yes, the Catholic Church made itself attractive to the people of the Roman empire. One result was the Catholic Church becoming the supreme religion in the “Roman world” for centuries. However, another result was the most dominant form of Christianity apostatizing from the true Gospel of Jesus Christ and the true proclamation of God’s Word.
2 Timothy 4:3-4 declares, “For the time will come when men will not put up with sound doctrine. Instead, to suit their own desires, they will gather around them a great number of teachers to say what their itching ears want to hear. They will turn their ears away from the truth and turn aside to myths.”
Question: "What is the origin of the Catholic Church?"
Answer: The Roman Catholic Church contends that its origin is the death, resurrection, and ascension of Jesus Christ in approximately 30 A.D. The Catholic Church proclaims itself to be the Church that Jesus Christ died for, the Church that was established and built by the Apostles. Is that the true origin of the Catholic Church? On the contrary. Even a cursory reading of the New Testament will reveal that the Catholic Church does not have its origin in the teachings of Jesus, or His apostles. In the New Testament, there is no mention of the papacy, worship / adoration of Mary (or the immaculate conception of Mary, the perpetual virginity of Mary, the assumption of Mary, or Mary as co-redemptrix and mediatrix), petitioning saints in Heaven for their prayers, apostolic succession, the ordinances of the church functioning as sacraments, infant baptism, confession of sin to a priest, purgatory, indulgences, or the equal authority of church tradition and Scripture. So, if the origin of the Catholic Church is not in the teachings of Jesus and His apostles, as recorded in the New Testament, what is the true origin of the Catholic Church?
For the first 280 years of Christian history, Christianity was banned by the Roman empire, and Christians were terribly persecuted. This changed after the “conversion” of the Roman Emperor Constantine. Constantine “legalized” Christianity at the Edict of Milan in A.D. 313. Later, in A.D. 325, Constantine called together the Council of Nicea, in an attempt to unify Christianity. Constantine envisioned Christianity as a religion that could unite the Roman Empire, which at that time was beginning to fragment and divide. While this may have seemed to be a positive development for the Christian church, the results were anything but positive. Just as Constantine refused to fully embrace the Christian faith, but continued many of his pagan beliefs and practices, so the Christian church that Constantine promoted was a mixture of true Christianity and Roman paganism.
Constantine found that with the Roman Empire being so vast, expansive, and diverse – not everyone would agree to forsake their religious beliefs and instead embrace Christianity. So, Constantine allowed, and even promoted, the “Christianization” of pagan beliefs. Completely pagan and utterly unbiblical beliefs were given new “Christian” identities. Some clear examples of this are as follows:
(1) The Cult of Isis, an Egyptian mother-goddess religion, was absorbed into Christianity by replacing Isis with Mary. Many of the titles that were used for Isis, such as “Queen of Heaven,” “Mother of God,” and “theotokos” (God-bearer) were attached to Mary. Mary was given an exalted role in the Christian faith, far beyond what the Bible ascribes to her, in order to attract Isis worshippers to a faith they would not otherwise embrace. Many temples to Isis were, in fact, converted into temples dedicated to Mary. The first clear hints of Catholic Mariology occur in the writings of Origen, who lived in Alexandria, Egypt, which happened to be the focal point of Isis worship.
(2) Mithraism was a religion in the Roman Empire in the 1st through 5th centuries A.D. It was very popular among the Romans, especially among Roman soldiers, and was possibly the religion of several Roman emperors. While Mithraism was never given “official” status in the Roman empire, it was the de-facto official religion until Constantine and succeeding Roman emperors replaced Mithraism with Christianity. One of the key features of Mithraism was a sacrificial meal, which involved eating the flesh and drinking the blood of a bull. Mithras, the god of Mithraism, was “present” in the flesh and blood of the bull, and when consumed, granted salvation to those who partook of the sacrificial meal (theophagy, the eating of one’s god). Mithraism also had seven “sacraments,” making the similarities between Mithraism and Roman Catholicism too many to ignore. Constantine and his successors found an easy substitute for the sacrificial meal of Mithraism in concept of the Lord’s Supper / Christian Communion. Sadly, some early Christians had already begun to attach mysticism to the Lord’s Supper, rejecting the Biblical concept of a simple and worshipful remembrance of Christ’s death and shed blood. The Romanization of the Lord’s Supper made the transition to a sacrificial consumption of Jesus Christ, now known as the Catholic Mass / Eucharist, complete.
(3) Most Roman emperors (and citizens) were henotheists. A henotheist is one who believes in the existence of many gods, but focuses primary on one particular god, or considers one particular god supreme over the other gods. For example, the Roman god Jupiter was supreme over the Roman pantheon of gods. Roman sailors were often worshippers of Neptune, the god of the oceans. When the Catholic Church absorbed Roman paganism, it simply replaced the pantheon of gods with the saints. Just as the Roman pantheon of gods had a god of love, a god of peace, a god of war, a god of strength, a god of wisdom, etc., so the Catholic Church has a saint who is “in charge” over each of these, and many other categories. Just as many Roman cities had a god specific to the city, so the Catholic Church provided “patron saints” for the cities.
(4) The supremacy of the Roman bishop (the papacy) was created with the support of the Roman emperors. With the city of Rome being the center of government for the Roman empire, and with the Roman emperors living in Rome, the city of Rome rose to prominence in all facets of life. Constantine, and his successors, gave their support to the bishop of Rome as the supreme ruler of the church. Of course it is best for the unity of the Roman empire that the government and state religion be centered in the same location. While most other bishops (and Christians) resisted the idea of the Roman bishop being supreme, the Roman bishop eventually rose to supremacy, due to the power and influence of the Roman emperors. When the Roman empire collapsed, the popes took on the title that had previously belonged to the Roman emperors – Pontificus Maximus.
Many more examples could be given. These four should suffice in demonstrating the true origin of the Catholic Church. Of course the Roman Catholic Church denies the pagan origin of its beliefs and practices. The Catholic Church disguises its pagan beliefs under layers of complicated theology. The Catholic Church excuses and denies its pagan origin beneath the mask of “church tradition.” Recognizing that many of its beliefs and practices are utterly foreign to Scripture, the Catholic Church is forced to deny the authority and sufficiency of Scripture.
The origin of the Catholic Church is the tragic compromise of Christianity with the pagan religions that surrounded it. Instead of proclaiming the Gospel and converting the pagans, the Catholic Church “Christianized” the pagan religions, and “paganized” Christianity. By blurring the differences and erasing the distinctions, yes, the Catholic Church made itself attractive to the people of the Roman empire. One result was the Catholic Church becoming the supreme religion in the “Roman world” for centuries. However, another result was the most dominant form of Christianity apostatizing from the true Gospel of Jesus Christ and the true proclamation of God’s Word.
2 Timothy 4:3-4 declares, “For the time will come when men will not put up with sound doctrine. Instead, to suit their own desires, they will gather around them a great number of teachers to say what their itching ears want to hear. They will turn their ears away from the truth and turn aside to myths.”
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