Announcement

**Shiloh** · July 10, 2009, 01:22 PM

Re: First 2 A/H1N1 deaths reported in Ecuador

Source: http://www.elcomercio.com/noticiaEC....1&id_seccion=8

Minister of Health confirmed two dead AH1N1
12:31 | A couple of Azuay and Tungurahua a patient are the first deaths due to influenza virus AH1N1 in the country. Health Minister, Caroline Chang, confirmed the death yesterday during a press conference at the Ministry of Litoral in Guayaquil.

Drafting Guayaquil

A couple of Azuay and Tungurahua a patient are the first deaths due to influenza virus AH1N1 in the country. Health Minister, Caroline Chang, confirmed the death yesterday during a press conference at the Ministry of Litoral in Guayaquil.

According to their report, the patient presented symptoms Azuay last June 23 and was attended by a physician. At home, located in rural areas received medication with analgesics and antibiotics.

On June 29 he entered a private clinic with the diagnosis of pneumonia. This case was notified on July 3 last to the Provincial Health Azuay. A day later, he took a sample to the National Institute of Hygiene in Guayaquil analyze the case. The couple, aged 28, died last Tuesday.

The patient was treated in Riobamba Tungurahua, also a physician. On July 4, its box flu worsened as he was transferred to hospital in the Ecuadorian Social Security Institute of Ambato. He entered with a diagnosis of pneumonia complicated and was admitted to the Intensive Care Unit. There he died on Monday, 36 hours after admission.

For now, the Ministry of Health identified the contacts in both epidemiological and maintains fences. The control was also applied in clinics and medical centers where they were cared for the deceased.

Until now, the country recorded 230 cases of influenza. The latter is a student of 20 years at the School of Medical Technology, University of Guayaquil. The boy remains in isolation in his house located in Guangzhou Dur?n. This case was detected last Tuesday.

**Shiloh** · July 10, 2009, 02:00 PM

Re: First 2 A/H1N1 deaths reported in Ecuador

Source: http://www.aldiatx.com/sharedcontent...D99BO2V81.html

Ecuador: two confirmed deaths from swine flu

07/10/2009

Associated Press

Two adults were the first deaths in Ecuador by swine flu, reported on Friday the Minister of Health, Caroline Chang.

At a news conference in the city of Guayaquil, said that "Ecuador unfortunately we have had two cases of deaths (by the influenza A H1N1 virus) is a woman of 28 years (in the south) .. . and a man in central Andes, which were initially treated by private physicians.

He said that the first death occurred on July 6 in the Andean population of Riobamba, the next day the woman died in a rural community near the city of Cuenca, in the south. Not provided the identity of the victims.

Said, "has been established for the immediate implementation of epidemiological fences" between family members and close contacts of the deceased to prevent the spread of the epidemic.

Chang noted that "despite the fact that many countries report a high number of cases and deaths from influenza A H1N1 in Ecuador ... controlled the epidemic remains in a low incidence."

Calling for public protection measures to save, not to self medicate and immediately go to health units as they have flu symptoms.

The country recorded 218 cases of swine flu, which first discovered the contagion was May 10.

**Shiloh** · July 10, 2009, 03:03 PM

Re: First 2 A/H1N1 deaths reported in Ecuador

Source: http://www.soitu.es/soitu/2009/07/10...23_731896.html

Minister confirms two deaths from the virus of influenza A in Ecuador

EFE
Updated 10-07-2009 21:53 CET

Quito .- Ecuador's Minister of Health, Caroline Chang, today confirmed the death of two people due to influenza A in the country, informed the Chair.

"This is a patient of 28 years who became ill in a rural community in Cuenca Canton (Azuay) and one patient in the province of Tungurahua, said on its website.

In statements to reporters, Chang said that the two deceased were attended at first by private health clinics.

The woman was admitted to one of these centers on June 29 and was diagnosed with pneumonia.

"Just the July 3 (clinic) notifies the Department of Health suspected influenza, when the patient was in a box of severe acute respiratory failure where required including intensive care," said the minister.

"Unfortunately it was not possible and move it to a public hospital because they died" on July 7, according to official information.

Moreover, the second died, a man of 30 years, according to a source confirmed to Efe, Ministry of Health, Accessed July 4 at a Social Security hospital in the city of Ambato (in the Andean province of Tungurahua) with pneumonia complicated "and was" transferred to the intensive care unit, "said Chang.

The man died on July 6, 36 hours after being admitted, he added, explaining that he had also been addressed in the first phase of the disease by a physician.

For its part, the Director of Health of Azuay, Julio Molino, a province where the woman died, said that the environment of the patient "apparently" there were no epidemiological links.

He also appealed to private clinics on the need and the speed with which it must notify the health authorities suspected cases of the virus AH1N1.

The Ministry of Health established the immediate execution of fences and maintains epidemiological warning and mitigation strategy in the wake of the declaration of Phase 6 by the World Health Organization (WHO).

This strategy includes the pursuit and care of patients more vulnerable to viruses AH1N1 as those with chronic diseases, said the Chair.

Just today, the Ministry of Health reported that decided to step up surveillance at entry points into the country to prevent the spread of influenza A, of which 218 were confirmed cases in the country.

Chang called on people to maintain calm, however, insisted that we must not lower our guard in the performance of prevention measures, the President added.

Guayas province, whose capital is Guayaquil, is the most affected by the virus AH1N1 with more than a hundred cases, but have also been confirmed sick with the evil in the provinces of Pichincha, El Oro, Manabi Azuay, Canar, Chimborazo, Tungurahua, Pastaza, Carchi, Esmeraldas and Loja.

**Shiloh** · July 10, 2009, 11:09 PM

Re: First 2 A/H1N1 deaths reported in Ecuador

Source: http://www.telegrafo.com.ec/actualid...us-tipo-A.aspx

Taken from the print edition of July 11 2009

Health authorities stressed that hospitals and public health efforts to control the double virus type A. Sought to calm the citizens.

A little less than three months to the first confirmed case of influenza A/H1N1 in the country, Health Minister, Caroline Chang, announced the death of two people due to the virus.

Chang said that the deaths were confirmed after a review of verification of type A virus at the National Institute of Hygiene and Tropical Medicine, Leopoldo P?rez Izquieta.

One of the deceased is from the parish of Parcaloma in Cuenca, who presented the symptoms on June 23. Six days later, the patient was admitted to a private clinic diagnosed with pneumonia and only until July 3 the case was submitted to the Provincial Directorate of Health in Azuay.
After that, he started treatment with Tamiflu, but the patient died on July 7.

While the second infected from Tungurahua, showed similar conditions. Riobamba was attended by a doctor in particular had a severe flu, in late June. Only until July 4 was taken to hospital in the IESS, Ambato, when he presented a diagnosis of pneumonia. 36 hours after he died.

Chang added that while Ecuador sum two deaths, that does not mean that preventive health measures have failed.

According to the Minister, is quite the contrary, since at the start of the warning issued by the 6 World Health Organization (WHO), the authorities increased efforts to detect infected.

"The country does not regret more cases of deceased patients as in other countries in the region because we followed the fence epidemiological," said Secretary of State, in a press conference in Guayaquil.

In Argentina, for example, reported 82 deaths from the virus type A and is the fourth worst affected country in the world, according to WHO.

In the Americas, United States reported 127 deaths, 116 Mexico, 12 Chile, Costa Rica, Colombia, Dominican Republic and Guatemala with two, and Brazil, Honduras and Uruguay with a.

Eduardo Verdesoto, provincial director of Health, said the deaths were the result of a failure in private clinics, which are not reported to the Health Ministry in advance about the cases.

According Verdesoto, laboratories and private medical facilities are required to report daily whether they have a suspected case of influenza A or patients who have symptoms associated with the virus.

In addition, he mentioned that the Ministry handed treatments of Tamiflu to private hospitals, "to the hospital Lorenzo Ponce received the drug. And depends on the management in each province. "

Has ruled on whether or not the control virus, William Wagner, a former health minister and surgeon, it added that the authorities were prepared to face the emergency. "What happens is that a virus is completely new and unpredictable."

Indicated that the public should not panic because the virus does not have the same lethality as the human or avian influenza.

Wagner added that the Ministry should continue with the alleviation of disease, "to strengthen public health centers and take Tamiflu at hand because everything indicates that the virus will be with us for a long time"

**Shiloh** · July 11, 2009, 10:37 AM

Re: First 2 A/H1N1 deaths reported in Ecuador

Source: http://www.eltiempo.com.ec/noticias-...r-gripe-ah1n1/

Chang: Ecuador recorded two victims Flu AH1N1

A woman of 28 years and a man of 30 were the first two fatalities per AH1N1 flu reported in Ecuador, reported yesterday the Health Minister Caroline Chang. The Director of Health Azuay, Julio Molina, confirmed the case and announced a reunion with the private health institutions.

The body of the first victim in Azuay.

Health Minister, Caroline Chang, reported yesterday, via the website of the Presidency, that the deaths occurred in the cities of Cuenca and Ambato. "The woman died on July 7 and 6 men. In both cases the patients attending private clinics, "the official
The death of the Mar?a Soledad Lojane cuencana was confirmed yesterday at a press conference by the Director of Health of Azuay, Julio Molina, who emphasized that "it is a call for reflection and responsibility for all. People have to abide by the provision of appeal to the health authorities if they have symptoms. "

The patient is from the parish Tarqui, Parcoloma community. According to Molina, "here the population is fully dispersed, making it easier to make the fence. The patient had contact with 38 people but it is totally controlled. "

Cases
In the case of women who died in Cuenca, his family reported that she "went to the Metropolitan Surgical Center June 29 and July 3 as recently as the case was notified to the Ministry of Health. 4 The day started taking Tamiflu and died three days later. She was complicated in that the clinic not well attended, "said the victim's mother Julia Lojane.

"He really sick, we were told he had pneumonia which was not swine flu, whether she died at 12:25 this afternoon and the body was withdrawn after 17:00. In addition, the state of cleanliness of the facilities of the clinic leaves much to be desired, "said Lojane.

The medical staff attending the pacientese refused to give official statements to this newspaper. The patient was admitted with a diagnosis of pneumonia and was provided with the medicines to treat this disease.

"We had no reason to suspect that this was a case of influenza A. Even started to use masks only from the day we reported the case to the ministry of health, "said a nurse who asked not to reveal his identity.

So far the owners of the clinic and the doctors of the deceased patient have not ruled on the death.

Mar?a Soledad Lojane, who earned his living as a seamstress, married and mother of two children.

The patient was treated first in Tungurahua Riobamba by a physician. On July 4 he was transferred to IEES Ambato, with severe pneumonia and was transferred to the Intensive Care Unit. At 36 hours of admission, died on Monday, July 6. After his death was sent a sample for diagnosis of influenza, which was positive.

218 infected with the disease in the country

Over a hundred has been infected in Guayas. Have also been confirmed cases in the provinces of Canar, Pichincha, El Oro, Manabi, Chimborazo, Tungurahua, Pastaza, Carchi, Esmeraldas and Loja. In total the country had 218 patients.

In Azuay, 17 laboratory-confirmed cases, eight cases under treatment is symptomatic and link people who started treatment. 24 people with high and a person is treated immediately.

Of the 2,000 doses of Tamiflu, at the Provincial Directorate of Health have 1950 doses.

Molina said he did not do follow up all patients suspected influenza but all patients with severe pneumonia, as was the case with the deceased patient, who was admitted to the clinic with pneumonia and was AH1N1 virus.

At the time there were three patients in critical condition with pneumonia. Of these three patients, two of whom are with influenza negative review. The other patient is Ca?ar City and is in a private health center.
> swap

**Shiloh** · July 11, 2009, 03:24 PM

Re: First 2 A/H1N1 deaths reported in Ecuador

Source: http://www.elheraldo.com.ec/heraldo/...3686&Itemid=21

One killed by influenza A H1 N1 in Ambato
Written by The Daily Herald
Saturday, July 11, 2009

Emergency-Foto. and appropriate disease management are factors that must be considered by both patients and physicians by public and private partners to prevent deaths.

The first death from influenza in Tungurahua AH1 N1 was confirmed at the Hospital of the IESS. This is a couple of 30 years which began with apparent symptoms of seasonal influenza infection and then unleashed in the service that required intensive care, where he stayed 36 hours.

The patient was admitted with respiratory symptoms of pneumonia on the fourth day of July Hospital IESS and six died. Four days later (yesterday) by the death officialize Influenza AH1 N1, sheltered by the results of the Institute "Izquieta Smith" as the director of health, Maria de Lourdes Freire.

The deceased worked as a salesman and therefore frequently travel to Riobamba. According to the family of the deceased was treated in a particular office in that city last month where she was diagnosed with flu. But the case was not reported to public health system as it is the duty of the doctor.

The shots were sent to the laboratory and Perez Izquieta Thursday afternoon revealed nine positive results. With that added eight cases in the province.

The measure was to have the fence that is to review the epidemiological status of all members of the family, with no symptoms, the official confirmed without specifying the date on which it met the test.

In Ambato Hospital patient remains an isolated one and up until yesterday at 16:00 was not confirmed his diagnosis. Similarly, another case in the health area, 1 was sent to Hospital for analysis.

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First 2 A/H1N1 deaths reported in Ecuador

First 2 A/H1N1 deaths reported in Ecuador

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