Swine flu claims the life of a child
14-year-old, state's first young casualty with no underlying problems, dies a week before vaccine program is set to start
James Parker talks of his daughter, Destinee, as his wife, Deirdre Parker, listens. Camille Bell, the Montebello principal, says the Parkers were model parents who showed up at every school event. (Baltimore Sun photo by Jed Kirschbaum / September 30, 2009)
She became the state's first youth with no apparent underlying medical condition to succumb to the virus. The death comes a week before the state expects to begin vaccinating students and other people at high risk of contracting the H1N1 virus.
"She was a wonderful child, always smiling, always cracking jokes," said her stepmother, Deirdre Parker, who spoke yesterday as her husband, James Parker, sat next to her, hiding his tears behind sunglasses and at times holding his wife's hand for support.
Destinee, she said, was part of a big, close-knit family, the sixth in a family of eight girls who range in age from 7 years old to 29.
As she began eighth grade this fall, Destinee was beginning to think about what direction her life would take. She had always loved animals, so her father arranged for her to visit a veterinary clinic. But she loved art, too, and had long been happy drawing pictures, particularly black-and-white pencil drawings of cartoons. Finally, this fall she settled on the idea of trying to get into the Baltimore School for the Arts for high school, the Parkers said. Destinee had already started producing the drawings she needed for a portfolio she would submit next year in hopes of gaining admission.
In elementary school, Destinee had been a different child, though -- shy, timid and uncertain, both Montebello's principal and her stepmother said. But when circumstances in her life changed, she began sixth grade at Montebello, where her younger half sisters were already enrolled. She became close to several teachers and began to thrive. It was then, her stepmother said, that she went on "finding her voice, finding her place, finding her footing. She just blossomed."
Her death is the ninth in the state this year from swine flu. One other was a child, a Baltimore-area youth who had another medical condition. Nearly 200 people have been hospitalized in Maryland. Across the country, about 1,000 have died and more than 10,000 have been hospitalized. The majority of them had underlying health problems, according to the federal Centers for Disease Control and Prevention.
Camille Bell, the Montebello principal, had a big cardboard poster in her office Wednesday, with farewell letters to Destinee attached. She said the Parkers were model parents who showed up at every parent-teacher conference and every school event. The sisters were very close and loving, she said.
The Parkers said that Destinee had spent the weekend before she became ill with her mother and that on Monday, Sept. 21, she was a little more lethargic than normal, but she did not appear to be sick.
After Destinee climbed up two long flights of steps into Montebello that morning, the principal heard her wheezing and immediately called her father who had dropped her off at school. Bell said she called the nurse and they decided to call an ambulance because the girl's breathing wasn't getting better. Her father arrived at the same time as the ambulance and said he would drive Destinee to Mercy Medical Center, where their doctor had agreed to meet them.
When they arrived, her doctor was surprised, James Parker said, to find that Destinee was having trouble breathing because she didn't have asthma. Doctors then determined that she had pneumonia and decided to transfer her to the intensive care unit of the University of Maryland Medical Center.
In the meantime, James Parker said, he left the hospital and raced to pick up Destinee's mother so that she could join Deirdre Parker and him at the hospital. Before the 14-year-old girl was transferred to University, he said, she was getting worse.
The girl continued to deteriorate, the Parkers said, but it was not clear what the underlying cause of her illness was until the night of Sept. 23, when doctors told them she had a confirmed case of H1N1. Bell received confirmation of the diagnosis and released a statement to parents the next afternoon.
The school was thoroughly cleaned the night of Sept. 24 and the morning of Sept. 25, when by coincidence, the school was closed for a faculty meeting.
Bell fielded calls Friday from parents and had a parent meeting Monday morning as well as a Tuesday meeting that included health officials. School attendance has been down this week, she said, and she expects that to continue for the remainder of the week because parents are nervous. She said there has not been an outbreak of the flu at the school to her knowledge, although one parent called to say his child was sick with a fever. The child has since recovered.
Bell has talked to individual classes and groups of students to explain to them what has happened to Destinee. Social workers came to the school Wednesday morning to counsel children who were upset.
State officials continue to investigate, though they have officially attributed the death to swine flu, said Frances Phillips, the state's deputy secretary for public health services. She couldn't speak directly about Destinee for privacy reasons but said the virus normally is not fatal in healthy people.
No one has died of seasonal flu so far this year, although it caused three deaths among youths and about 1,000 among adults in the state last year. It normally kills about 100 children nationally.
"This is tragic and really hits home when it's your school and your community," Phillips said. "But it doesn't mean the virus is any more virulent there than anywhere else. The message is that flu is not to be taken lightly. It will infect more children than the regular flu, and ultimately some children will die."