I recently made rounds in the adult and pediatric ICUs of one of the university hospitals in
Physicians from both ICUs described screening patients with no other symptoms than rhinorrhea (runny nose), that turned out to have confirmed cases of H1N1.
The lesson here is that the clinical expression of H1N1 is extremely broad. Screening only the patients who exhibit a high fever will result in many overlooked cases. Further, when counting infected patients, if fever is part of the case definition, the denominator will be greatly underestimated.
It is surprising to see how differently H1N1 is being managed throughout Latin America, especially between