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Guatemala - Notification of cluster of acute neurological disease of unknown cause (PAHO, January 29, 2024) - Guillain-Barré identified, cause still unknown

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  • Guatemala - Notification of cluster of acute neurological disease of unknown cause (PAHO, January 29, 2024) - Guillain-Barré identified, cause still unknown

    Translation Google

    The Ministry of Health maintains active surveillance of cases of acute neurological disease

    MINISTRY OF PUBLIC HEALTH AND SOCIAL ASSISTANCE -MSPAS-

    Release

    January 28, 2024

    The Ministry of Public Health and Social Assistance -MSPAS- maintains active epidemiological surveillance of 39 cases of acute neurological disease, detected by the hospital of the Guatemalan Institute of Social Security -IGGS - of Suchitepéquez and the National Hospital of Mazatenango. They are patients from 3 departments: Suchitepéquez with 35 cases, Retalhuleu 3 and Huehuetenango 1.

    The first cases were reported by the IGSS of Suchitepéquez on December 17, 2023 , coming from the department of Suchitepéquez and 3 from the department of Retalhuleu. To date, 39 cases have been reported, in which 83% of patients are between 30 and 64 years of age and 76% are men.

    According to the preliminary diagnosis, it is an acute neurological disease, characterized by weakness in muscle strength, compatible with Guillain Barre syndrome.

    It is important to mention that the origin of these cases is being investigated; Furthermore, to date no deaths have been recorded and 73% of the patients have been discharged from hospital services in satisfactory condition, with outpatient follow-up for full recovery.

    Given this situation, the MSPAS reiterates that it maintains active investigation and monitoring of the cases, for which samples have been taken from the patients and are being analyzed by the National Health Laboratory Directorate.

    Joint activities are coordinated between the Departmental Directorates of Integrated Health Services Networks (DDRISS) of the departments where the cases reside , between the Directorate of Epidemiology and Risk Management, the Directorate of the National Health Laboratory and the Guatemalan Security Institute Social (IGSS)

    A meeting was held with members of the National Commission for the Certification of Poliomyelitis Elimination (CNCEP) and the Pan American Health Organization/World Health Organization, which supports the investigation of the cases, was notified .

    The MSPAS and the IGSS, aware that the cases, so far registered, of acute neurological disease, have formed a work team with representatives from their different areas related to the investigation of this disease, who work as a priority with the patients, which allows progress in your recovery.​


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    Informative Note: Notification of cluster of acute neurological disease of unknown cause Guatemala January 29, 2024


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    (268.29KB)
    On January 25, 2024, the National Liaison Center (CNE) for the International Health Regulations (IHR) of Guatemala notified the Pan American Health Organization / World Health Organization (PAHO / WHO) of the occurrence of 39 cases of acute neurological disease in 3 departments: Suchitepéquez (35), Retalhuleu (3) and Huehuetenango (1).
    https://www.paho.org/es/documentos/n...ca-aguda-causa


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    Ministerio de Salud Pública
    @MinSaludGuate
    📣 El Viceministro de Regulación, Vigilancia y Control del MSPAS nos informa sobre la alerta epidemiológica de enfermedad neurológica. Mantengamos la calma, estemos atentos a las fuentes oficiales para información veraz y actuemos responsablemente por nuestra salud. 🤝🩺

    Translated from Spanish by Google
    📣 The Vice Minister of Regulation, Surveillance and Control of the MSPAS informs us about the epidemiological alert of neurological disease. Let's stay calm, pay attention to official sources for accurate information and act responsibly for our health. 🤝🩺

    (Video)
    5:30 PM · Jan 29, 2024

    "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
    -Nelson Mandela

  • #2
    Translation Google

    Red alert in Guatemala: two deaths suspected by Guillain Barré are reported and an emergency is declared due to neurological disease

    While two deaths are associated with Guillain Barré syndrome, the authorities decided to activate a red alert in Suchitepéquez and a yellow alert in nearby departments due to the acute neurological disease in Guatemala.

    By Sandy Pineda And Mynor Toc
    Published onJanuary 31, 2024 at 2:01 p.m.

    The director of the Western Regional Hospital, Robert López, has confirmed that as of January 31, two patients died from cases that could be associated with Guillain Barré syndrome.

    A 20-year-old patient , originally from Cuyotenango, Suchitepéquez , died on January 29, while another 43-year-old patient , from Retalhuleu , died on January 27.

    López explained that in the case of the 20-year-old patient, she initially consulted in a pharmacy for several weeks before being referred to the Western Regional Hospital. Despite her medical efforts, her condition worsened and she died on January 29, being considered a suspected case of Guillain Barré.

    “She consulted a pharmacy for several weeks and when she did not improve, they decided to refer her here to this hospital center. Unfortunately, then, she is already in poor general condition. She entered at the end of last year, and she passed away on Monday, January 29,” López explained.

    The second patient, 43 years old, was referred from the Mazatenango hospital. Although Guillain Barré syndrome had resolved, he developed complications, including gastrointestinal problems and nosocomial pneumonia, which eventually led to his death.

    The cases were confirmed amid the activation of a red alert in Suchitepéquez by the Health authorities, and a yellow alert in nearby departments such as Quetzaltenango, Retalhuleu and the southern coast, possibly including Escuintla due to the outbreak.

    On the occasion of the Carnival in Mazatenango, it was announced that inspections will be carried out in various establishments to verify possession of the food handling card.

    Dr. López also confirmed that there are currently three cases hospitalized at the Western Regional Hospital , including a 15-year-old patient in critical condition in the intensive care unit, being treated by Guillain Barré.

    The acute neurological disease is not contagious and is considered a sequel to previous diseases, such as gastrointestinal or respiratory, that occur weeks before symptoms appear, he noted.

    López also recalled that the Ministry of Public Health and Social Assistance (MSPAS) is taking preventive measures to reassure the population and calls on those who experience generalized weakness to seek immediate medical attention.

    Regarding response capacity, the Western Regional Hospital is adapting its facilities to adequately care for patients with Guillain Barré, including the availability of mechanical ventilators and intensive monitoring.

    The diagnosis of Guillain Barré syndrome is mainly clinical, but additional studies can be performed if in doubt.

    Regarding the treatment, López explained that it consists of the administration of immunoglobulins for at least five days, waiting for a satisfactory recovery in most cases, although the rehabilitation process can take months.

    The hospital emphasized that they maintain a supply of immunoglobulin and can make the necessary diagnoses.

    López recommended that the population follow preventive measures such as hand washing, social distancing and immediate medical consultation if any symptoms of muscle weakness occur.

    Despite the increase in cases, the hospital will not change its internal operations or restrict visits to patients. The doctor urged the population to remain calm and follow public health recommendations to prevent the spread of diseases.

    Surveillance against the possibility of new cases

    Gustavo López, director of the Quetzaltenango Health Area, explained that there are currently 10 cases under surveillance, distributed in different regions.

    It has been observed that approximately 75% of patients with acute neurological disease, specifically in Mazatenango and Quetzaltenango, have recovered without serious complications.

    “This disease has similarities with Guillain Barré syndrome, characterized by the destruction of the myelin sheath that covers the nerves, affecting the transmission of nervous signals to the muscles,” López explained.

    Affected patients have experienced high fever, catarrhal symptoms and diarrhea two weeks before developing the disease, suggesting possible contamination in food or water.


    To detect and prevent the spread of the disease, epidemiological investigations are carried out, including interviews with patients and relatives, as well as taking water samples from various sources, the doctor specified.

    Likewise, he said that it is crucial that the population take precautionary measures, such as hand washing and drinking safe water.

    The Ministry of Health supervises the distribution and sale of food, guaranteeing its proper handling in markets and establishments. Although the exact cause of the disease is still unknown, emphasis is placed on the prevention of diarrheal and respiratory diseases.

    An important aspect that the Health authorities highlight is that 75% of the affected patients have not received any dose of vaccine against covid-19, but no relationship with the vaccination has been established.

    In addition, no cases of diseases such as dengue, chikungunya or Zika have been recorded in affected patients, focusing mainly on gastrointestinal symptoms.


    "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
    -Nelson Mandela

    Comment


    • #3
      Translation Google

      Ministry of Health declares institutional red alert in Suchitepéquez and yellow alert in departments of the southern region due to cases of Acute Neurological Disease


      MINISTRY OF PUBLIC HEALTH AND SOCIAL ASSISTANCE -MSPAS-
      SUCHITEPEQUEZ


      January 31, 2024

      To safeguard the lives of patients who have been affected by Acute Neurological Disease, with symptoms suspected of Guillain Barré, and expedite response actions in all health services, the Ministry of Public Health and Social Assistance (MSPAS) issued a red alert institutional in Suchitepéquez and yellow alert in other departments of the region.

      Dr. Ericka Gaitán, from the Directorate of Epidemiology and Risk Management of the MSPAS, confirmed that a multidisciplinary team is already working in this department where the majority of cases have been registered.

      The professional indicated that this team is made up of several PAHO/WHO experts who “are accompanying us at the central level, and the CDC is also going to support us,” said the epidemiologist, who was accompanied at the press conference by authorities from the Directorate. Department of Integrated Health Services Networks (DDRISS), the National Hospital and the IGSS of Mazatenango.

      “They are cases that have some epidemiological relationship or link, which has allowed us to draw a line of study for which we were appointed. There is a team that is addressing the entire hospital research part and another that is in the field,” she added.

      According to the line of research, Dr. Gaitán explained that they conduct interviews with those affected to try to identify some common factor that allows all the supplements to be guided to carry out a study, “meaning water, food, any toxins, heavy metals, arbovirosis and thereby determine what is the triggering cause of the condition in these patients.”

      It is important to mention that to date the number of 39 cases remains and the death of two people is under investigation.

      While regarding the nearby festivities for the Mazatenango Carnival, professionals urged the population to remain calm, since this disease is not spread from person to person.

      However, they ask to take basic prevention measures such as washing hands before and after going to the bathroom and before eating, avoiding eating raw food, food must be well cooked, disinfecting kitchen instruments and after preparing food, and drink at least 8 glasses of water a day.




      "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
      -Nelson Mandela

      Comment


      • #4
        Translation Google

        In order to protect the health of the population, the Ministry of Health declares an epidemiological and population alert in Suchitepéquez, Escuintla, Coatepeque in Quetzaltenango and Retalhuleu.

        MINISTRY OF PUBLIC HEALTH AND SOCIAL ASSISTANCE -MSPAS-


        February 1, 2024

        Due to the unusual increase in patients with weakness and loss of strength in the muscles of the feet, legs, arms and face, the Ministry of Public Health and Social Assistance -MSPAS- declares Population Alert / Epidemiological Alert in the departments of Suchitepéquez, Escuintla, Coatepeque in Quetzaltenango and Retalhuleu.

        As of January 31, the Directorate of Epidemiology and Risk Management registers 49 cases of Acute Neurological Disease, suspected of Guillain Barré. 40 cases are from Suchitepéquez, 5 from Retalhuleu, 2 from Huehuetenango and 2 from Quetzaltenango.

        The death of two people who suffered from the symptoms of the acute neurological disease, with suspicion of Guillain Barré, is confirmed. They are a 43-year-old man and a 20-year-old woman, who entered the Quetzaltenango Regional Hospital.

        As part of the implemented actions, a multidisciplinary team was deployed to search, collect and analyze data in the Departmental Directorate of Integrated Health Services Networks, the National Hospital of Mazatenango, in Suchitepéquez and the Hospital of the Guatemalan Institute of Social Security in Suchitepéquez. .

        This commission carries out home visits of discharged patients, collects samples, analyzes information, and actively participates in the departmental COE of Suchitepéquez. It also coordinates with authorities from the Departmental Directorate of Comprehensive Health Services Networks, the National Hospital of Suchitepéquez and the Hospital of the Guatemalan Institute of Social Security in that department to obtain clinical information on the patients treated and referred. As another team dedicated to communication, it works on the generation of local information campaigns.

        The population is reiterated to continue with preventive actions such as consuming safe water (filtered, boiled, chlorinated among others), preparing food adequately and hygienically, washing hands before and after preparing food, avoiding contact with raw foods. with cooked foods, both in preparation and when storing them and when preparing poultry meat, make sure to cook it well, consume pasteurized milk.

        It is important to reiterate that early detection is crucial for recovery and reducing the risk of complications for patients, so when presenting the first symptoms such as weakness of the muscles of the face, a tingling sensation or numbness in the arms, hands and weakness progressive in the legs, seek medical help immediately and avoid self-medication.

        It is worth mentioning that although it has been shown that transmission is not from person to person, the scientific research collected at the moment requires a broader analysis to identify possible bacterial or viral agents, among others, that are the cause of recent previous infections that trigger this disease. illness in some people, so the MSPAS recommends the suspension of mass events in places where the population alert has been declared, until the investigation is concluded.





        "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
        -Nelson Mandela

        Comment


        • #5
          bump this

          Comment


          • #6
            Translation Google

            Guatemala: Classes suspended due to neurological outbreak in Suchitepéquez

            Guatemala City, Feb 2 (Prensa Latina) The Minister of Education of Guatemala, Anabella Giracca, indicated today to suspend in-person classes in the municipalities of Cuyotenango and Mazatenango, Suchitepéquez, due to an outbreak of acute neurological disease of unknown causes.

            February 2, 2024
            CST11:12 (GMT) -0500

            The decision, explained the head of the portfolio, will be maintained until further notice and responds to the recommendation of her Health and Social Assistance counterpart, Óscar Cordón, in order to reduce the risks due to the illness in those localities.

            Until January 31, the health agency registered 49 cases of this neurological disease, 40 of which come precisely from Suchitepéquez, five from Retalhuleu, two from Huehuetenango and two from Quetzaltenango.

            Likewise, it confirmed the death of two people who presented discomfort that would correspond to this syndrome, a 43-year-old man and a 20-year-old woman, who were admitted to the Regional Hospital of the last district.

            Local media outlets warned of dismay over the death of the young Luisa Daniela Vásquez, Queen of the Cuyotenango Floral Games, diagnosed in December 2023 with a strange neurological condition.

            ...

            Ciudad de Guatemala, 2 feb (Prensa Latina) La ministra de Educación de Guatemala, Anabella Giracca, indicó hoy suspender las clases presenciales en los municipios de Cuyotenango y Mazatenango, Suchitepéquez, ante un brote de enfermedad neurológica aguda de causas desconocidas.


            ----------------------------------------------

            Third death due to neurological syndrome investigated in Guatemala

            By El Urbano Editorial
            February 2, 2024

            The authorities of the Guatemalan Ministry of Health confirmed the investigation of the death of a third patient diagnosed with an unusual neurological syndrome, which according to suspicions, could be Guillain Barré syndrome. As of February 2, 49 cases under investigation have been registered, with three deaths.

            Dr. Lorena Gobern, head of the Directorate of Epidemiology and Risk Management, pointed out that 9 patients are hospitalized and 37 are in the process of recovery, therefore, next week the second stage of actions would be carried out to determine the causes of this sickness.

            In turn, the authorities maintain an epidemiological alert in certain departments, investigating the possible spread of the infection through the consumption of contaminated food. Given this, street food businesses have been closed with the aim of controlling food in the affected areas.



            ---------------------------------------------
            Ministry of Health updates cases of acute neurological disease suspected of Guillain Barré

            RELEASE
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            February 3, 2024

            Health care is vital and maintaining hygiene measures is essential to prevent diseases. Given this, authorities from the Ministry of Public Health and Social Assistance –MSPAS-, together with the Guatemalan Institute of Social Security –IGSS-, updated the cases of acute neurological disease suspected of Guillain Barré syndrome.
            According to Dr. Lorena Gobern, head of the Directorate of Epidemiology and Risk Management, to date there have been 49 cases, of which there are 9 hospitalized patients, 37 in the process of recovery and discharged. In addition, 14 additional cases are under investigation to establish if they are related to this disease.

            Likewise, it was reported about the report of two deaths, a 43-year-old man at the Western Regional Hospital, which occurred on January 27, as well as a 20-year-old woman registered on January 29.

            Suchitepéquez continues to be the department with the highest number of cases with 40, the municipalities where patients have been treated are: Cuyotenango (13), Samayac (7), San Bernardino (5), Mazatenango (5), Chicacao (5), San Francisco Zapotitlán (2), San Pablo Jocopilas (2), Santo Tomás La Unión (1), San Lorenzo (1) and Pueblo Nuevo (1).

            In Retalhuleu there are five cases, of which four are in San Andrés Villa Seca and one in Nuevo San Carlos. Huehuetenango reports two cases, one in Colomba Costa Cuca, Quetzaltenango and one more in the Quetzaltecan departmental capital.

            The Health portfolio continues to carry out actions with the multidisciplinary team to better understand the outbreak or unusual increase in cases, which is established in the epidemiological and population alert in Suchitepéquez, Escuintla, Coatepeque in Quetzaltenango and Retalhuleu. Likewise, it is reiterated that there is a supply of medicines for patient care.

            The call is reiterated to the population to maintain hygiene measures that counteract diseases, with correct hand washing being essential before eating, before and after going to the toilet or changing diapers. When consuming food outside the home, make sure it is well cooked and ask the seller to show you their health license and food handling card. Also, prevent gastrointestinal illnesses by consuming boiled or chlorinated water, if you drink milk that is pasteurized.

            The Health portfolio reiterates that the multidisciplinary team continues the search, collection and analysis of information. Coordination meetings are held with authorities from the Departmental Directorate of Integrated Health Services Networks -DDRISS-, National Hospital of Suchitepéquez and IGSS Hospital in this department.

            Other actions carried out are participation in the departmental Emergency Operations Center, the formation of the inter-institutional communication table to increase prevention measures at the local level, as well as the promotion of information campaigns about the disease, symptoms and prevention measures. locally.


            https://prensa.gob.gt/comunicado/min...sospechosos-de

            ----------------------------------------------

            Epidemiologist, Edwin Asturias, explains possible origin of acute neurological disease

            By Marysabel Aldana-February 3, 2024

            On January 28, the authorities of the Ministry of Public Health and Social Assistance (MSPAS) announced that in the southwest of the country, cases of an unknown condition were being recorded, which they called acute neurological disease. Edwin Asturias, former director of the Presidential Commission for Emergency Response to COVID-19 (Coprecovid), assured that this condition could be caused by a bacteria known as campylobacter, which causes an intestinal infection.

            Initially, health authorities warned of more than 30 cases in people aged from 2 years to 70.

            The Directorate of Epidemiology and Risk Management of the Ministry of Health announced that it notified the Pan American Health Organization (PAHO) about this condition.

            The cases that have been presented are similar to Guillain-Barré disease and were treated with that same information.

            EXPERT ANALYSIS

            Asturias, a well-known epidemiologist, indicated that one of the possible scenarios for the spread of the acute neurological disease is that somewhere where chickens were raised in the region could have been contaminated, which caused the outbreak of said bacteria.

            «The normal thing for this disease is that there are between 60 to 100 cases a year. But these cases are during the 12 months, so it is unusual that in less than two months 47 cases have already been reported. The only cause of contamination could be from food or drinks ," he highlighted.

            Asturias indicated that the outbreak of the disease is specific to the southwest region, and urged Health authorities to implement plans to stop the crisis.

            The epidemiologist also pointed out that it was not logical for the authorities to suspend classes, because this disease is not spread from person to person, but rather through food intake.

            In addition, he stated that another scenario has to do with the consumption of contaminated water, because the bacteria develops in those conditions.

            He added that one of the security measures that should be implemented by the municipalities where the outbreak appeared is the sanitation of water sources.

            The two scenarios we have are that the contamination comes from the chickens and is consumed with the bacteria, or that it develops in the water, Asturias said.

            The health professional gave a series of recommendations to address the health emergency.

            These include:

            Establish the source of contamination to take action against the bacteria.

            Education campaign for hand washing, so that people maintain hygiene protocols.

            Better cooking food, to the point that the chicken does not have blood when cut, and boiling the water before eating it.

            That the municipalities have a water sanitation plan in the municipalities and that the spread can be stopped.

            The authorities of the Ministry of Health declared themselves on alert on January 31, in order to avoid more cases of the disease. Now, the Ministry of Education announced the suspension of private sector classes in Mazatenango and Cuyotenango, Suchitepéquez, due to the increase in sick people; and, finally, instructed that the mechanism of distance academic activities be privileged.

            El pasado 28 de enero, las autoridades del Ministerio de Salud Pública y Asistencia Social (MSPAS) dieron a conocer que en el suroccidente del país se estaban contabilizando casos de un padecimiento desconocido, al cual le dieron el nombre de enfermedad neurológica aguda. Edwin Asturias, exdirector de la Comisión Presidencial de Atención a la Emergencia COVID-19 (Coprecovid), aseguró que este padecimiento podría originarse por una bacteria conocida como campylobacter, la cual causa una infección intestinal.
            "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
            -Nelson Mandela

            Comment


            • #7
              Translation Google

              Neurological disease: First case in the department of Guatemala

              In addition, the Ministry of Health confirmed that the number of deaths from acute neurological disease in the country increased to three.

              February 5, 2024 7:17 am
              Nancy Alvarez

              The Ministry of Public Health and Social Assistance (MSPAS) updated this Monday, February 5, the data related to the situation of acute neurological disease with suspicion of Guillain Barré. In these it stands out that the first case has already been reported in the department of Guatemala.
              According to the portfolio report, until yesterday there were 51 cases of patients with symptoms related to this condition, which are distributed in the following departments:
              • Suchitepéquez – 40 cases.
              • Retalhuleu – 6.
              • Huehuetenango – 2.
              • Quetzaltenango – 2.
              • Guatemala – 1.
              Regarding the evolution of the disease and the situation of the different patients, the health authorities shared that:
              • 39 are in the process of recovery.
              • 9 remain hospitalized.
              • 3 died.
              ...
              El Ministerio de Salud actualizó este lunes 5 de febrero los datos relacionados con la situación de enfermedad neurológica aguda.



              ---------------------------------------

              Ministry of Public Health
              @MinSaludGuate

              ⚠️ #ENAUpdate | The Ministry of Public Health and Social Assistance #MSPAS updates the data on cases of Acute Neurological Disease with suspicion of Guillain Barré. ⚠️
              ...
              On February 4, 51 cases were reported in the departments of: Suchitepéquez 40 cases, Retalhuleu 6, Huehuetenango 2, Quetzaltenango 2 and Guatemala 1.
              39 are in the recovery process
              9 hospitalized
              3 dead

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              Attached Files
              "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
              -Nelson Mandela

              Comment


              • #8
                Translation Google

                Acute neurological disease: Technicians send samples to the US to determine what is triggering the condition

                Since January 30, a multidisciplinary team has been working in Suchitepéquez, where the majority of cases have been registered, reported Salud.

                By Andrea Dominguez

                Published on February 4, 2024 at 5:02 p.m.
                ...
                Doctor Ericka Gaitán, from the Directorate of Epidemiology and Risk Management of the Ministry of Health, confirmed that since January 30, 2024, a multidisciplinary team has already been working in Suchitepéquez where the majority of cases have been registered.

                This team is made up of several experts from the Pan American Health Organization (PAHO) and the World Health Organization (WHO), as well as the Centers for Disease Control and Prevention (CDC, in English), also integrated by doctors from the United States.

                For now, both Health, PAHO and the CDC are trying to determine if these are cases that have some epidemiological relationship or link, which has made it possible to draw a line of study.

                There is a team that is addressing the entire hospital research part and another that is in the field.

                In accordance with the line of research, Gaitán explained that they carry out interviews with those affected to try to identify some common factor that allows all the supplements to be guided to carry out a study, "meaning water, food, any toxins, heavy metals, arboviruses" and with This will determine what is the triggering cause of the condition in these patients. Water and food samples must be sent to the National Health Laboratory (LNS).

                However, the CDC's role is much more specific since they are not only collecting samples like those described, but they have also performed molecular and routine tests on patients.

                But the presence of the Center's specialists goes further, as they have performed lumbar punctures, a test that is specifically used to determine medical conditions.

                Lumbar puncture seeks to extract samples of cerebrospinal fluid, which is a substance that covers the brain and runs through the spinal cord; This cushions and nourishes the nervous system.

                With this they seek a more specific diagnosis of diseases of the nervous system or infections that have directly affected it.

                The Ministry of Health has also indicated that the main objective will be to determine or rule out cases of polio. These results could be available for up to a month as they are shipped to Atlanta, USA.

                In advance, between December 31 and January 6, the sending of 10 samples for the surveillance of Acute Flaccid Paralysis (AFP) to the National Health Laboratory was reported, which are sent to the CDC laboratories in Atlanta.

                For now, the National Laboratory has confirmed that Health has located several viruses in patients that preliminarily determine that the cases have been triggered after suffering from a gastrointestinal infection.

                Lorena Gobern, head of the Epidemiology area of ​​the portfolio, told Prensa Libre and Noticiero Guatevisión that for now this hypothesis is derived from the first results obtained from the field tests, since positive samples have been found among the patients. .

                “From the patient samples that we have, although the environmental ones are not yet available because we are still working on them, we can infer that the patients are having enteropathogens; That is, viruses or bacteria that affect the gastrointestinal tract that are present in feces and that can be dispersed in the environment, untreated water or even properly prepared foods, particularly chicken, which is related to these diseases,” Gobern highlighted.

                For now, among the bacteria located and confirmed by the LNS are Shigella, Escherichia Coli (E. Coli), Campylobacter Jejuni and norovirus, which are pathogens.

                According to Gobern, these “are directly associated with the appearance after this infection tends to develop Guillain Barré syndrome in some people, although not all people who are infected by these bacteria will develop the syndrome. It is a mystery why some develop it and others do not go further.”
                ...
                Timeline of cases

                The first reported case has a hospital admission date of November 29, 2023, but whose symptoms were reported on the 24th.

                On December 27, 2023, the Guatemalan Social Security Institute notified the Directorate of Epidemiology and Risk Management of the Ministry of Health of an unusual increase in its Suchitepéquez hospital unit of patients with: weakness and loss of muscle strength, with diagnoses Guillain Barré Syndrome (GBS) differential.

                Between December 31, 2023 and January 6, 2024, they notify the entry of 15 cases, all adults, 10 cases originating from Cuyotenango, one case from San Lorenzo, one case from Pueblo Nuevo, all from Suchitepéquez, and three from San Andrés Villaseca , Retalhuleu.

                In the same week, the sending of 10 samples for surveillance of Acute Flaccid Paralysis (AFP) to the National Health Laboratory was reported, which are sent to the CDC laboratories in Atlanta, and 12 samples for arboviruses, which were negative.

                In the week of January 14 to 20, five new cases were reported, accumulating 20 cases.

                During the week of January 21 to 27, five more cases were reported, with one patient from the municipality of Samayac and four from the municipality of San Bernardino entering the IGSS of Suchitepéquez.

                As of February 2, 49 cases have been reported, of which two deaths have been confirmed and one is under investigation.

                The date with the highest number of hospitalizations for suspected GBS corresponds to December 21, 2023 and January 22, 2024.

                Of the 49 patients, it has been noted that 29% are housewives, merchants, agricultural workers, teachers and pilots make up 14% each.

                Health has indicated that the call to the population is to maintain hygiene measures that allow us to counteract diseases, with correct hand washing being essential before eating, before and after going to the toilet or changing diapers.

                When consuming food outside the home, ensure that it is well cooked and require the seller to show their health license and food handling card.

                Also to prevent gastrointestinal diseases, boiled or chlorinated water should be consumed.

                If you drink milk, let it be pasteurized.



                ------------------------------------

                Confirmed cases of the acute neurological disease rise to 51, the first in the department of Guatemala, and three deaths

                Guatemala already registers three deaths from the acute neurological disease, according to an update from the Ministry of Health.

                By Andrea Domínguez, Ana Lucía Ola And William Oliva
                Published onFebruary 4, 2024 at 9:02 p.m.

                The Ministry of Health confirmed to Prensa Libre and Noticiero Guatevisión that the cases of the acute neurological disease , with symptoms suspicious of Guillain Barré, rose to 51 in the country.

                In addition, there are three deaths from this cause and one more suspicious death.

                According to the agency, the last confirmed death is a 44-year-old man from Coatepeque, Quetzaltenango, who died on January 31.

                This case is added to the report of the other two deaths, a 43-year-old man at the Western Regional Hospital, which occurred on January 27, as well as a 20-year-old woman registered on January 29.

                Now there are still 12 suspected cases still pending confirmation
                ...

                "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                -Nelson Mandela

                Comment


                • #9
                  Translation Google

                  Acute neurological disease: Salud explains how it detected the first case in the department of Guatemala

                  The Ministry of Health confirmed the first case of a patient with the acute neurological disease in the department of Guatemala, as part of an outbreak that affects the southwest of the country.

                  By Sandy Pineda

                  Published on February 5, 2024 at 11:02 a.m.
                  ...
                  The Health Ministry indicated that the confirmed patient in the department of Guatemala is linked to the acute neurological outbreak, suspected of Guillain-Barré.

                  As documented in this case, it has been confirmed that the patient traveled to Suchitepéquez before symptoms appeared.

                  For this reason, Health emphasized that the origin of the outbreak is in that region , where the majority of cases have been detected.
                  It was also reaffirmed that it is not a disease that is transmitted from person to person and is more associated with the consumption of contaminated water or food.

                  It was reported that this patient initially had symptoms of diarrhea, before developing neurological symptoms. This coincides with what was observed in several of the patients, who presented symptoms of diarrhea before developing muscle weakness due to the neurological condition.

                  Currently, the patient has a worsening condition of the disease and is being treated in intensive care.

                  While in the capital, the patient began to experience numbness in his legs, so he was transferred to receive medical attention. Once the Health services evaluated the patient, it was found that it was acute neurological syndrome, suspected of Guillian Barré.
                  ...
                  What is the origin of the outbreak?

                  To date, the exact origin of the outbreak of acute neurological disease, suspected of Guillain-Barré, which has affected several departments in the southwest of the country, remains unknown. However, the Ministry of Health has confirmed the presence of the Campylobacter jejuni bacteria in 16 of the reported cases, which raises a possible relationship with the outbreak.

                  Infectologist Nancy Sandoval, from the Guatemalan Association of Infectious Diseases (AGEI), explained to Prensa Libre that Guillain-Barré syndrome can be associated with this bacteria, as well as with toxins, and usually manifests itself after a bacterial or viral infection.



                  --------------------------------------

                  Details of the first case of neurological disease in the capital come to light

                  by César Chávez | 5 Feb 2024
                  ...
                  The head of the MSPAS Epidemiology Directorate, Lorena Gobern, revealed that the first case detected in Guatemala City corresponds to a 4-year-old child with a history of having spent two weeks in Coatepeque. The patient is being treated at the Guatemalan Social Security Institute (IGSS). Gobern stressed that, although it is not suspected that the contagion occurred from person to person, there is a possibility that the minor may have been exposed to poorly cooked food or water not suitable for consumption.
                  ...
                  https://centranews.com.gt/nacionales/detalles-del-primer-caso-de-enfermedad-neurologica-en-la-capital-salen-a-la-luz/?doing_wp_cron=1707224104.3947930335998535156250​
                  "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                  -Nelson Mandela

                  Comment


                  • #10
                    Translation Google

                    Health sends samples to the US to follow up on cases of neurological disease

                    The Health portfolio is also advancing in water analysis and managing the taking of samples from domestic birds in search of triggering factors for this condition.

                    February 6, 2024 9:42 am
                    Nancy Alvarez

                    The Minister of Public Health and Social Assistance, Oscar Cordón, announced this Tuesday, February 6, that a series of samples were sent to the United States to monitor the possible causes of the cases of acute neurological disease, suspected of Guillain Barré, which appear in Guatemala.

                    “What was sent to the CDC in Atlanta are stool tests to determine if the polio virus was present in these patients, because it is one of the first causes that must be ruled out. The results could be available at the end of this week,” he explained.

                    His statements were given during an interview on the program A Primera Hora, on Emisoras Unidas, in which he referred to the follow-up given to the outbreak that originated in Suchitepéquez and which includes patients affected in four other departments.

                    The official updated that, to date, there are 61 patients with this condition, of which 40 are men and 21 women. Three of the citizens died and another 10 of them are currently hospitalized.

                    The rest had an average stay of six days in healthcare centers and were discharged, although, in the case of those who had more serious symptoms, they have had to receive therapy after hospitalization because their muscles have not yet recovered.

                    Other factors under analysis for neurological disease outbreak

                    Regarding the triggering factors of this condition, which concentrates the majority of cases in the department of Suchitepéquez, the Health Ministry has been able to verify that the symptoms appear approximately two weeks after infections have occurred, mostly gastrointestinal. However, we seek to delve deeper into the factors of origin.

                    “We are still carrying out water samples, we also began to coordinate with the National Association of Poultry Farmers to be able to take samples of domestic birds, which is where this bacteria is found. (We talk) about Campylobacter, mainly, but we have also found Shigella, Escherichia coli, which are enteropathogenic bacilli, meaning that they are present in fecal material,” said the minister.

                    He added that, for the moment, this is the route to follow taking into account what has been reflected in the analyzes carried out, but other possibilities cannot be ruled out because it is part of the protocol. In that sense, he indicated that it could also be due to exposure to heavy metals or pesticides, although there are no results yet, but research on these will be exhausted.

                    Finally, the official called on the population to maintain preventive measures, including ensuring proper cooking and hygiene of food, covering pots and containers to prevent flies from approaching and, above all, carrying out a correct and constant hand washing.


                    La escala de Kinsey fue creada por el biólogo Alfred Kinsey, y establece siete diferentes grados de comportamientos sexuales, o lo que sería lo mismo “siete orientaciones sexuales”.   El llamado informe Kinsey, dividido en los libros  Comportamiento sexual del hombre (1948) y Comportamiento sexual de la mujer (1953), arrojaban datos que en aquél momento cuestionaban lo que se sabía sobre […]
                    "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                    -Nelson Mandela

                    Comment


                    • #11
                      Translation Google

                      NATIONAL
                      Interview: Minister of Health confirms more cases of acute neurological disease

                      Published 10 hours ago
                      February 6, 2024
                      By Anaite Alvarez

                      During the broadcast of Evening Facts, the Minister of Health, Oscar Cordón and the representative of the Pan American Health Organization (PAHO) in Guatemala, Gerardo Alfaro, released more details about the cases of acute neurological disease suspected of Guillain Barré.

                      The person in charge of the Ministry of Health confirmed 61 cases detected by this disorder, 21 women and 40 men, as well as 4 deceased people.

                      He explained that they are in an investigation process where some tests are being developed that must be concluded, so they have issued some recommendations such as avoiding crowds of people, since until the investigations are completed they do not want to expose the population to the outbreak that is being analyzed.



                      -------------------------------------

                      Health confirms death of child due to acute neurological disease

                      There are four deaths as a result of this disease, suspected of Guillain Barré.

                      February 6, 2024 1:47 pm
                      Nancy Alvarez

                      The Ministry of Public Health and Social Assistance (MSPAS) confirmed this Tuesday, February 6, the death of an eight-year-old child as a result of the acute neurological disease , which generates symptoms suspicious of Guillain Barré syndrome. The patient is originally from the municipality of Mazatenango, Suchitepéquez.

                      According to the ministry, the minor was hospitalized at the Guatemalan Social Security Institute (IGSS) in the aforementioned town and appeared in the registry of 61 people affected by this condition that is being handled officially.

                      When referring to the situation of the outbreak, the head of Health, Oscar Cordón, confirmed that the focus continues to be Cuyotenango, Suchitepéquez, and in that place 13 of 16 samples gave a preliminary result of the presence of Campylobacter bacteria.

                      The official indicated that, for the moment, the route being followed regarding the possible trigger of the disease is this type of microorganisms that are present in fecal matter and also in backyard birds, but other possibilities cannot be ruled out.

                      Regarding the medicine that is supplied to patients, he indicated that there is a supply in 16 hospitals, and there is availability for one month.
                      ...

                      El Ministerio de Salud confirmó este martes 6 de febrero el fallecimiento de un niño de ocho años por enfermedad neurológica aguda.
                      "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                      -Nelson Mandela

                      Comment


                      • #12
                        Translation Google

                        MSPAS Updates data on registered cases of Acute Neurological Disease suspected of Guillain Barré

                        RELEASE

                        MINISTRY OF PUBLIC HEALTH AND SOCIAL ASSISTANCE -MSPAS-


                        Click image for larger version  Name:	image.png Views:	4 Size:	156.6 KB ID:	985434

                        February 7, 2024

                        The Ministry of Public Health and Social Assistance -MSPAS-, through the Directorate of Epidemiology and Risk Management, highlights that as of February 6, 2024, there are 61 cases of Acute Neurological Disease suspected of Guillain Barré, with the Department of Suchitepéquez with the highest accumulated amount with 46 cases.

                        Of this total, 46 admitted patients are in the process of recovery, 11 are receiving hospital care and four have died. 64% of the patients belong to the group between 30 and 64 years old.

                        The group of cases residing in other departments outside of Suchitepéquez have a history of visiting, transiting or consuming products from this department, between one or two weeks prior to the onset of symptoms.

                        The municipalities of this department where cases are reported are:

                        • Cuyotenango 13

                        • San Bernardino 8

                        • Samayac 7

                        • Mazatenango 5

                        • Chicacao 4

                        • Saint Paul Jocopilas 3

                        • San Francisco Zapotitlán 2

                        • Santo Tomás La Unión 1

                        • San Lorenzo 1

                        • San Antonio 1

                        • New Town 1

                        In addition, in Retalhuleu there are eight cases in the municipalities of San Andrés Villa Seca (6), Retalhuleu (1) and Nuevo San Carlos (1). In Huehuetenango there are two cases, as well as in Quetzaltenango in its municipal seat (1) and Colomba Costa Cuca (1). The department of Guatemala reports two cases in the capital (1) and Villa Nueva (1), as well as one in Nahualá, Sololá.

                        Diagnostic tests

                        26 samples were used to carry out other studies for rotavirus, norovirus, adenovirus and astrovirus, obtaining results from only one norovirus sample. Studies were carried out on hapatitis viruses A and B, with negative results. In addition, Metagenomics was performed on 19 of 26 samples, of which 14 had results for campylobacter (4 jejuni), among other studies.

                        Work

                        The multidisciplinary team continues to work together to intensify prevention measures with food merchants and the families of Suchitepéquez, taking into account that personal hygiene with hand washing, proper food handling and safe water is vital. consumption.

                        Daily visits to businesses and homes allow people to expand their knowledge of health care. These actions are used to take samples of the food that is sold and water, which allows progress in the development of more studies to understand and address this outbreak or unusual increase in cases.

                        Do not be alarmed and consult

                        By following prevention measures, each person reduces the risks of diseases. If you present symptoms of diarrhea, fever, respiratory problems, weakness in the muscles of the face, a sensation of numbness or tingling in the arms and hands, or progressive weakness in the legs, it is essential to visit the Health services for prompt and timely care. since these are similar symptoms of Guillain Barré syndrome.

                        The Ministry of Public Health and Social Assistance -MSPAS- continues to intensify joint work that allows progress in addressing this emergency, taking into account that the prevention measures put into practice by the population contribute to these efforts.


                        "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                        -Nelson Mandela

                        Comment


                        • #13

                          bump this

                          Comment


                          • #14
                            Translation Google

                            Health confirms cases of acute neurological disease in six departments

                            The number of patients affected by this disease, with symptoms suspicious of Guillain Barré syndrome, increased to 67.

                            February 9, 2024 10:59 am
                            Nancy Alvarez

                            The Ministry of Public Health and Social Assistance (MSPAS) updated this Friday, February 9, the information related to the acute neurological disease, with symptoms suspicious of Guillain Barré syndrome, and detailed that the number of cases rose to 67. Meanwhile, the number of deaths remains at four.

                            The report from the Directorate of Epidemiology and Risk Management of the aforementioned portfolio details that, until yesterday, the following figures were recorded by department with respect to patients affected by this condition:

                            Suchitepéquez (77.6%) – 52
                            Retalhuleu (11.9%) – 8
                            Huehuetenango (3%) – 2
                            Quetzaltenango (3%) – 2
                            Guatemala (3%) – 2
                            Sololá (1.5%) – 1​


                            El Ministerio de Salud actualizó este viernes 9 de febrero la información relacionada con la enfermedad neurológica aguda.
                            "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                            -Nelson Mandela

                            Comment


                            • #15
                              Translation Google

                              MSPAS updates data on registered cases of Acute Neurological Disease suspected of Guillain Barré

                              RELEASE

                              MINISTRY OF PUBLIC HEALTH AND SOCIAL ASSISTANCE -MSPAS-


                              Click image for larger version

Name:	image.png
Views:	635
Size:	156.3 KB
ID:	985582

                              February 9, 2024

                              The Ministry of Public Health and Social Assistance -MSPAS-, through the Directorate of Epidemiology and Risk Management, highlights that as of February 8, 2024, there are 67 cases of Acute Neurological Disease suspected of Guillain Barré, with the Department of Suchitepéquez with the highest accumulated amount with 52 cases.

                              Of this total, 4 receive hospital care and four people have died. 64% of the patients belong to the group between 30 and 64 years old.

                              The group of cases residing in other departments outside of Suchitepéquez have a history of visiting, transiting or consuming products from this department, between one or two weeks prior to the onset of symptoms.

                              The municipalities of this department where cases are reported are:

                              • Cuyotenango 15
                              • San Bernardino 7
                              • Samayac 8
                              • Mazatenango 6
                              • Chicacao 4
                              • San Pablo Jocopilas 4
                              • San Francisco Zapotitlán 2
                              • Santo Tomás La Unión 2
                              • San Lorenzo 1
                              • San Antonio 2
                              • Pueblo Nuevo 1

                              In addition, in Retalhuleu there are eight cases in the municipalities of San Andrés Villa Seca (6), Retalhuleu (1) and Nuevo San Carlos (1). In Huehuetenango there are two cases, as well as in Quetzaltenango in its municipal seat (1) and Colomba Costa Cuca (1). The department of Guatemala reports two cases in the capital (1) and Villa Nueva (1), as well as one in Nahualá, Sololá.

                              Work

                              The multidisciplinary team continues to work together to intensify prevention measures with food merchants and the families of Suchitepéquez, taking into account that personal hygiene with hand washing, proper food handling and safe water is vital. consumption.

                              Daily visits to businesses and homes allow people to expand their knowledge of health care. These actions are used to take samples of the food that is sold and water, which allows progress in the development of more studies to understand and address this outbreak or unusual increase in cases.

                              Do not be alarmed and consult

                              By following prevention measures, each person reduces the risks of diseases. If you present symptoms of diarrhea, fever, respiratory problems, weakness in the muscles of the face, a sensation of numbness or tingling in the arms and hands, or progressive weakness in the legs, it is essential to visit the Health services for prompt and timely care. since these are similar symptoms of Guillain Barré syndrome.

                              The Ministry of Public Health and Social Assistance -MSPAS- continues to intensify joint work that allows progress in addressing this emergency, taking into account that the prevention measures put into practice by the population contribute to these efforts.


                              "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                              -Nelson Mandela

                              Comment

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