When swine flu first broke out, the Minnesota Department of Health asked doctors to send specimens from any patients with flu-like illnesses to the state for testing. While the department will continue to do some limited surveillance at out-patient facilities, doctors are being asked to submit suspected swine flu specimens only for patients who have been hospitalized for flu-like symptoms.
So far, the state lab has received 462 specimens, with all but 19 processed. Three new probable cases, including the ones in Hugo and Minneapolis, were announced Tuesday to bring the state's total probables to nine. All of the cases await further testing, said Kris Ehresmann, an infectious disease specialist at the state Health Department.
Besides Ehresmann, the House and Senate health committees heard from several officials, including leaders in Stearns County, where Minnesota's only confirmed swine flu case was reported in Cold Spring.
John Linc Stine, an assistant Minnesota health commissioner, told the panel that the agency is studying the early response to the flu outbreak to shore up vulnerabilities.
"Whether or not we are ever fully prepared is the test of time," Stine said.
In addition to backing away from earlier recommendations to shut down schools where suspected cases have been reported, health officials say virus samples will be tested only in patients who have been hospitalized.
Fear over the flu spread has caused a surge of visits to emergency departments at children's hospitals, said Patricia Stinchfield, a registered nurse and infectious disease expert at Children's Hospitals and Clinics of Minnesota.
"A child sneezes, a parent worries. They hop in the car and come to the ED," Stinchfield said.
She noted that 80 percent of patients that her hospitals are seeing are from Spanish-speaking families, a figure that may be tied to the virus' suspected origin in Mexico.
Ehresmann said the Health Department has been giving extra attention to Hispanic communities in its outreach, visiting Cinco de Mayo festivities and airing ads on Spanish language radio.

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