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Veracruz, Tobasco and Nayarit- Flaccid Paralysis in the region of Orizaba, 42 sick, 2 dead - November & December 2010
En Excélsior las noticias de hoy en México y el mundo. Toda la información de última hora de política, espectáculos, deportes, virales y opinión.
Spanish to English translation
SSA denies link with vaccine and H1N1 outbreak
The deputy director of epidemiology says there is no evidence that flaccid paralysis is caused by the vaccine and Guillain-Barré syndrome
Georgina Olson
Related Notes
• Strange outbreak sparks alert at Veracruz, and there are two dead
• Suman 33 patients with syndrome 'Guillain-Barre'
MEXICO CITY, Dec. 18 .- Of the 42 cases of acute flaccid paralysis have been presented in Veracruz and Nayarit none have been caused by the application of the vaccine against influenza A H1N1 or which is used to attack the influenza Seasonal also still have no evidence to prove that the disease is Guillain-Barré syndrome, said in an interview with Excelsior Dr. Hugo López-Gatell, deputy general director of epidemiology at the Health Secretariat (SSA).
"No, there is no evidence linking the vaccine against influenza A virus H1N1 or other influenza season, with the occurrence of these cases of acute flaccid paralysis," the official said.
The epidemiologist said that 35 cases of acute flaccid paralysis, only two received the vaccine against seasonal influenza, one of whom was a woman, 48, who died on November 1, and in that case said: "The evidence outbreak study available does not suggest in any way that may have association between paralysis and the vaccine was put to this woman. "
He explained that the concern that the flaccid paralysis may be related to influenza vaccine dates back to 1976, the year in Texas, United States, experienced an outbreak of acute flaccid paralysis, after the population had been applied vaccine against influenza A H1N1.
One of the most robust findings of the investigations were made on the 1976 outbreak is that the vaccine used at that time could have caused acute flaccid paralysis, "he said.
López-Gatell recalled that the influenza virus A H1N1 was first introduced in 1918 and 1919 worldwide, and in 1976 in Texas, and the virus that appeared in Mexico in 2009 "was a recombination of gene segments of different viruses, but expressed antigens and antigen N1 H1. "
Thus, the virus (which appeared in Mexico in 2009) was very similar but not identical to the 1918 nor 1976, he said.
He explained that in Mexico, in 2009, "just in anticipation of this historical background, the World Health Organization (WHO) recommended that the 192 member states, including Mexico, which were mounted surveillance systems for acute flaccid paralysis, in particular Guillain-Barre syndrome, in order to timely detect whether or not such a vaccine would result. "
He said that in Mexico, the National Epidemiological Surveillance made some changes to their procedures to "have greater ability to detect acute flaccid paralysis."
This system was implemented in December 2009, just before they start implementing the first vaccine against the H1N1 virus, explained that "the results of such monitoring is very reassuring in the sense that we did not have excess cases of acute flaccid paralysis or Guillain-Barré syndrome. "
The average number of cases of acute flaccid paralysis that occur in Mexico each year is one case per million population, meaning that each year there are between 100 and 120 cases, a figure that, according to López-Gatell, no increased following the application of vaccines against seasonal influenza and H1N1.
On the causes might be behind this outbreak of paralysis in Veracruz and Nayarit replied: "I still do not know." Specified that cases that have appeared in Nayarit not seem related to each other epidemiologically not seem related to the case of Veracruz.
"There is no connection between the two groups, there is no family relationship and know each other, or have traveled from one place to another, it seems not be the same clinical phenomenon," he said.
The official explained that has not been proven that the paralysis is caused by Guillain-Barre syndrome, said that the scenarios suggest that the paralysis could be caused by a very wide range of diseases. "The list of diseases that could cause this evil is about 190 possibilities, usually takes some time to identify the disease that causes paralysis," he said.
Dan discharged 20 patients with poor
XALAPA .- The Ministry of Health of Veracruz reported that 20 of the 33 patients with the Guillain-Barré syndrome already been discharged and the remainder is still in treatment. Meanwhile, Javier Duarte governor reiterated that the outbreak of the disease, which paralyzes the muscles and can lead to death, is completely controlled.
In the region of Orizaba, which registered 23 cases of acute flaccid paralysis and surrounding municipalities, qualified personnel continues to raise environmental samples, among others. The intention, he settled in a statement, is "finding the cause of paralysis." Of the patients who had symptoms of this disease, the agency reported that 20 had been discharged and were in their houses, the rest remains in treatment.The disease was detected in late November in the area of Orizaba, where two patients died as a result. The number of people with symptoms increased to 23 in early December and between 7 and 14 of the same month reached 33.
Javier Duarte Governor requested the support of the media to report that this disease is not contagious. "
2010-12-18 03:58:00
Last edited by Tonka; December 18, 2010, 10:02 AM.
Reason: Bold case count #42
Flaccid paralysis is being reduced; Health does not yet know its causes
Roberto Carrillo
Veracruz, Friday, December 17, 2010 - 15:31 hrs
Ministry of Health of the State of Veracruz is still not determine the root causes of the outbreak of acute flaccid paralysis that occurred in the central area of the State, which has affected 35 people and killed two people.
Today at a press conference, Health Secretary Paul Anaya Rivera, accompanied by the director of the White River Regional Hospital, said that evil is controlled, which entered the phase of decline.
At present, he said, are taking environmental sample, meat products and even water consumed by residents of this area, which can be determined what causes the disease.
Not so, said that there were some isolated cases as the disease is still present but in control.
He said the 35 people served have been discharged about 23 patients, reflecting that if the disease is detected early, is curable.
Again, the health secretary denied that the human influenza vaccine is the cause of this condition, saying that of all patients only two had been vaccinated against H1N1 influenza.
"We're trying to investigate all cases and we will not remain quiet to decipher the common cause in patients, which to date are respiratory and digestive tracts, "he said.
Anaya Rivera said that both the Mexican Social Security Institute (IMSS) and ISSSTE staff works closely with the Health Services of Veracruz and a desire to deliver good accounts.
Therefore, asked those who present the symptoms to come to the doctor immediately to receive attention, it is free
Only 10 patients of acute flaccid paralysis are hospitalized, the rest were discharged.
Published on Saturday, 18 December 2010No Castro is comentarios.Laura
Orizaba, Veracruz - "The outbreak of" acute flaccid paralysis "that affects several municipalities in Veracruz is controlled, since only 35 cases 10 are hospitalized, "he announced at a press conference the Secretary of Health in the State, Paul Anaya Rivera .
The state official said he personally visited the people who are hospitalized in the Regional Hospital of Rio Blanco and the Mexican Social Security Institute, where he found the internal developments, specifically referred to a patient 70 years old who is hospitalized in intensive care at the IMSS, is evolving very well said.
He said people who have "flaccid paralysis" had health problems and other respiratory infections by both digestive and recommended hand washing in addition to, that doctor's suggestion, they can provide some vitamin products.
He noted that this health problem is not unique to Orizaba, because there have been cases in the region of Cosamaloapan well as the port of Veracruz.
Anaya Rivera said to the media that a group of specialists, including epidemiologists from Puebla and La Raza have joined research to detect from where the virus is affecting Veracruz
Performed first water sample
Staff of the Department of Health investigates the factors that can trigger paralysis, to make them known to the public and can be prevented.
SSA staff picked it up yesterday in the colony to identify Rafael Alvarado
factors for acute flaccid paralysis reported by the Secretary of Health
Friday, December 17, 2010
Juliet H. Zambrano
ORIZABA WORLD
Staff of the Ministry of Health made the first sampling of drinking water in the colony Rafael Alvarado, with the aim of identifying factors that have triggered the outbreak is not contagious acute flaccid paralysis.
For today include other areas of Orizaba, in order to obtain more information. Expect to be ready in a week the first results.
Yesterday, the Health Secretary, Paul Anaya Rivera participated in a workshop at the Health District, where he reported the progress of work.
"There are teams working, we are evaluating what the teams named. Since Wednesday night and here I am in Orizaba continue to follow the instructions of the governor, Javier Duarte. "
He recalled that arose in patients with stool samples, throat swabs, cerebrospinal fluid, among others.
Barrio Nuevo in the colonies and Rafael Alvarado, which accounts for 40% of cases (13), will be taking water samples, food, environment and "all that is, one can not rule out a cause, the team laboratory environment and it works. "
- Do you talk about looking for things like lead, lithium, clenbuterol?
- These factors should be investigated from the point of view of health risks, and is the Cofepris and the Department of State Health Risks. All the meat on the grill is placed here to care and benefit of Veracruz.
- Sampling and results conclude when when?
- A week could give results of the sampling, laboratory tests will take three weeks or a month.
He appreciated the cooperation of the population for epidemiological studies.
"We are working, there is a good health system in the region," said the official, who will spend two days in the region of Orizaba.
Flaccid paralysis reported outbreak in Veracruz
Reported 35 cases and two deaths in the state, the first was recorded in the first week of November
SYNDROME palsy is a syndrome that develops in a lot of people, the most alarming is polio. (Photo: Archivo / EL UNIVERSAL)
Dr. Hugo L?pez Gastel, deputy general director of epidemiology at the Federal Health Ministry reported that in the state of Veracruz reported 35 cases and two deaths from acute flaccid paralysis, which shows the decrease in strength in the extremities.
The first case occurred in the first week of November.
In an interview with Carlos Loret de Mola on Radio Formula, the doctor reported that flaccid paralysis is a syndrome that develops in general a lot of people, the most alarming is poliomyelitis (caused by a virus that does not exist in Latin America since 1994).
However, Lopez Gastel confirmed that in this case is not polio.
The experts acknowledged that already has ruled that the syndrome may be related to the implementation of medical vaccines, although still research to identify the main causes of this outbreak, which could eventually cause paralysis of respiratory muscles, causing death by suffocation if not addressed.
The disease is not contagious and is treatable if treated in time, ending
18.12.2010 | 22:46
Analyze cases of paralysis in Veracruz
Agency (Reform) Pablo Anaya Rivera, Secretary of Health of Veracruz, acknowledged that the entity recorded an outbreak to occur more than two cases in a given area
Written by Margarita Vega Mendoza
MEXICO, DF 18-Dec .- Health Services of Veracruz have confirmed the detection of 34 cases of flaccid paralysis in the state that might be linked to Guillain Barre syndrome.
Pablo Anaya Rivera, Secretary of Health of Veracruz, acknowledged that the entity recorded an outbreak to occur more than two cases in a given area.
The symptoms, said in a radio interview, are similar to those of Guillain Barre syndrome, characterized by a disorder that causes severe acute flaccid paralysis and in extreme cases death.
Although the syndrome is associated, among other things, with the implementation of the influenza vaccine, the local official rejected any link between the immunity applies in the state and the outbreak, as only two of the 34 affected the had received it.
"These are bold claims. It has carefully studied all the cases to state and federal level and in only two cases had agreed that vaccination," said"This disease is not contagious. Just extreme measures in people with respiratory or digestive problems in people who have symptoms described so they can go to a clinical care unit."
Of those affected, he said, 60 percent has been discharged.
For his part, Undersecretary of Prevention and Health Promotion of the Federal Ministry of Health, Mauricio Hern?ndez, said that while cases of paralysis in Veracruz are being studied, it is most likely not related to Guillain Barre syndrome.
"We're investigating, but seems not to be Guillain Barr? because the symptoms are not related to what is normally associated with the syndrome, and type of bacteria that produces, or influenza vaccine. [B]We are still investigating," he said in an interview.[/B
]"Not a typical paralysis of Guillain Barre syndrome, which is down, but a simultaneous paralysis in upper and lower extremities, so it's probably not Guillain Barre syndrome," he said.
Guillain Barr? syndrome occurs when, after being infected by bacteria or viruses, a person's immune system starts attacking the body instead of protecting him.
If not addressed early, the syndrome can incapacitate the sufferer, or even lead to death.
Symptoms are described as difficulty walking or moving parts of the body, loss of muscle strength up to and including the paralysis of the affected members, including the muscles that allow breathing
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Nayarit free of Paraylsis
2010-12-18
Suspected cases of Flaccid Paralysis or chronic muscle detected in Banderas Bay and San Blas is a mere confusion, said the Minister of Health in Nayarit, Jorge Sanchez Ibarra
By Oscar Gil
Tepic, Nayarit News- Do not panic, confirms the Secretary of Health, Nayarit, that the alleged cases of chronic muscle flaccidity detected in Bahia De Banderas Vallarta and San Blas is merely a misunderstanding. These cases are concentrated in Orizaba Veracruz, 1200 km from Nayarit.
Cases appeared 1000 km. from here. There are many diseases of muscle flaccidity, the best known is called Guillain Barre, which is a viral problem but there is no direct human infection or persons and have mentioned two different versions by the Ministry of Health Veracruz who mentioned 30 cases and epidemiology 33 in any of both situations we are talking about a disease not yet clarified.
The Health Secretary in Nayarit detailed the confusion recorded in our institution and raised in San Blas which was thought it was flaccid paralysis or even Polio.
We mentioned here in San Blas in the month of Sept. there were 7 cases with a picture of myositis or muscle pain that began with flu symptoms and underwent a series of signs showing that it was a type of influenza. Influenza Type B was detected inn 4 of 7 patients gives us the idea that 7 of them had the same problem because the clinical picture was similar but was very mild. Only one was hospitalized and the others are well.
We have very wide coverage for Influenza vaccination. We are almost to 100,000 shots.
LOCAL
IP calls to SSA to clarify outbreak
Complaints of long silence
Monday, December 20, 2010
Juliet H. Zambrano
ORIZABA WORLD
Clustered into Canacintra employers are asking health authorities do not hide any information on cases and causes an outbreak of acute flaccid paralysis, only people knowing the truth will take the appropriate precautions.
The chairman of the body corporate, Jos? Manuel Estrada Trejo, criticized the attitude of health authorities remain silent, although earlier cases have been confirmed and kept secret for weeks, despite the insistence of the media.
"In recent weeks there was concealment activities, first denied information, merely saying 'no comment, no comment' or 'we are awaiting the results' when in reality there were more than 30 confirmed."
The employer requested that before any illness should inform the authorities immediately, precisely so that people do not panic or be in psychosis, as happened with the cases of acute flaccid paralysis, which were initially called Guillain-Barre syndrome.
"It is not generating widespread alarm, but to air the information as it should be for everyone to take precautions and stay aware of what to do and what not," he said.
No reported cases of flaccid paralysis in Mendoza
It is important for citizens to use the hand sanitizer to protect the health of the virus.
Intensify prevention
Monday, December 20, 2010
ANABEL F. SALAZAR
El Mundo de Orizaba
So far in the municipality have not detected any cases of Guillain Barre Syndrome or acute flaccid paralysis, despite that filters installed in schools health and recommend that children take security measures to prevent respiratory or gastrointestinal diseases.
According to data provided by the health sector, Mendoza is free of any cases of the disease but not set aside the idea of implementing information campaigns and care among the inhabitants, taking into account that the condition can occur in any age.
In this regard, the director of the Health Center, Hermelinda Rodr?guez Escalera, urged residents to go to the medical unit if you have symptoms of gastrointestinal and respiratory diseases, and recommended that self-medicating for any reason, since they could cause major problems their health. "We ask people who are responsible for their health, to inform themselves of the measures to be followed for their care and thus will be healthy, "he said.
For its part, the supervisor of Elementary Schools in the Area 023, Odilon Martinez Edgardo Vazquez said in regard to the college, will be an obligation for every health director install filters on the inputs.
"While we're on vacation all schools will be cleaned and fumigated, so that in January that way we can get the students into healthy buildings and no threat to physical integrity, " said the official.
Nayarit free of Paraylsis
2010-12-18
Suspected cases of Flaccid Paralysis or chronic muscle detected in Banderas Bay and San Blas is a mere confusion, said the Minister of Health in Nayarit, Jorge Sanchez Ibarra
By Oscar Gil
Tepic, Nayarit News- Do not panic, confirms the Secretary of Health, Nayarit, that the alleged cases of chronic muscle flaccidity detected in Bahia De Banderas Vallarta and San Blas is merely a misunderstanding. These cases are concentrated in Orizaba Veracruz, 1200 km from Nayarit.
Cases appeared 1000 km. from here. There are many diseases of muscle flaccidity, the best known is called Guillain Barre, which is a viral problem but there is no direct human infection or persons and have mentioned two different versions by the Ministry of Health Veracruz who mentioned 30 cases and epidemiology 33 in any of both situations we are talking about a disease not yet clarified.
The Health Secretary in Nayarit detailed the confusion recorded in our institution and raised in San Blas which was thought it was flaccid paralysis or even Polio.
We mentioned here in San Blas in the month of Sept. there were 7 cases with a picture of myositis or muscle pain that began with flu symptoms and underwent a series of signs showing that it was a type of influenza. Influenza Type B was detected inn 4 of 7 patients gives us the idea that 7 of them had the same problem because the clinical picture was similar but was very mild. Only one was hospitalized and the others are well.
We have very wide coverage for Influenza vaccination. We are almost to 100,000 shots.
So the seven cases from September from Nayarit are not related to whatever is happening in Orizaba, and instead were an unrelated influenza B outbreak? Odd. It seems strange to be able to mistake a "mild" flu B outbreak for AFP.
So the overall case count appears to just be 35, and the start of this "outbreak" moves up to mid-November.
Re: Veracruz and Nayarit- Flaccid Paralysis in the region of Orizaba, 42 sick, 2 dead
35 in Orizaba, I believe. Though post 49 says 42 cases reported in Orizaba and Nayarit. Nayarit now denies. There apparently have been cases in other states reported. All preliminary, as they are still putting the numbers together. It's all quite confusing at this time.
Spanish to English translation
No report more cases of paralysis
Eva Campos Solano, head of the Sanitary District.
Eva ensures
Tuesday, December 21, 2010
Julieta Zambrano
ORIZABA WORLD
Eva Campos Solano, head of the Orizaba Health Jurisdiction, said the area is calm after an outbreak of acute flaccid paralysis (AFP), including health centers there have been no more suspected cases.
He insisted the population to remain vigilant and continue with preventive measures against acute respiratory infections and diarrheal diseases, such as washing hands frequently, use hand sanitizer, covering your mouth when you sneeze with your arm and seek medical advice immediately.
"The situation is stable, so far no further cases were detected, but it is important that we all care about our health. Do not forget the installation of filters for health. "
Although not specified, to ensure that it is information that only the owner of the Health Services of Veracruz, Paul Anaya, can give, if he said that hospitalized patients are in considerable improvement, and some have already been discharged.
Solano Campos recalled that all service units of both the IMSS, ISSSTE and SSA receive patients who have symptoms such as cramps, weakness and "tingling" in the legs.
He recalled that the Ministry of Health rescheduled the press conference for tomorrow at noon yesterday, and so is this the General Director of Epidemiology at the Federal Health Ministry, who will advance research on the outbreak of PFA was registered.
As recommended to the general public to take extra preventive measures and hygiene, eating food in safe places and the slightest sign of suffering come to the clinics of the IMSS, ISSSTE and health centers to seek appropriate medical care.
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IMSS confirms death by flaccid paralysis in Orizaba in November Roberto Carrillo
Veracruz, Tuesday, December 21, 2010 - 14:31 hrs
The delegation Southern Veracruz Mexican Social Security Institute (IMSS), admitted the death of a person as a result of the outbreak of acute flaccid paralysis reported in Orizaba in mid-November.
The owner of the area, Samuel Orrico Efren Torres, reported that it is part of the two lowest recorded by SSA staff both the State of Veracruz and the Federal Government taken so far as official figures.
In the case of death, the doctor confided that it was a complication of the disease, since patients had no underlying disease as well as flaccid paralysis.
Orrico Torres refused to disclose the number of cases treated at the specialty hospital Orizaba, saying that the only one authorized to give such statements is the health secretary, Paul Anaya Rivera.
Internees in the IMSS de Orizaba, he added that the vast majority of them have developed very well and that some will be able to be discharged in the coming days.
The delegate of the IMSS in Veracruz said flaccid paralysis is related to common patterns of respiratory infections and diarrhea, so they asked the population seek medical attention immediately to those symptoms.
It should be mentioned that the SSA statistics quote that there are 35 patients with flaccid paralysis, of which most have been discharged.
Last edited by Tonka; January 17, 2011, 08:57 AM.
Reason: Case count
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and San Blas is merely a misunderstanding. These cases are concentrated in Orizaba Veracruz, 1200 km from Nayarit.
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