Italy - Influenza A/H1N1 - Situation Update at 21 November 2009 - Updated at 17.00 CEST (Min Health, edited) - Cases. ILI (Cum.) 2,306,000, Hospitalized 489, in ICU 241, Deaths (Cum.) 70
Influenza A/H1N1 - Situation Update at 21 November 2009 - Updated at 17.00 CEST (Min Health, edited)
[RTF Document Was: LINK. Edited. Warning: Google Machine Translation.]
Press No 523 to 21 November 2009 - Ministry of Labor, Health and Social Policies - PRESS OFFICE
Updates
- About 333,366 people have been vaccinated to 20 November
- Delivered about 750,000 doses of vaccine last week. In total almost 4 million doses of vaccine delivered.
- Percentage of victims in relation to the total of people with new influenza A: 0.003 percent - Total casualties related to the new influenza A: 70
- Cases requiring respiratory assistance: 241
- Percentage of cases that require respiratory assistance in relation to the total of patients: 0.01
Epidemic surveillance
Cases and incidence
According to data Influnet of 46 weeks (9-15 November) cases of influenza are estimated to be about a week 752.000, which added to the cases reported weekly from the start of surveillance (October 19) give a total of 2,306,000 cases.
The regions where there is the wider spread of the virus are the gears with an incidence of 2.9 per cent followed by Emilia Romagna (1.8), Lazio (1.7), Abruzzo (1.6) and Campania (1 , 6).
Those most affected are children and adolescents from birth to 14 years, with an incidence of 3.6 percent (2.6 in children from birth to 4 years and 4.2 percent from 5 to 14). Among youth and adults ages 15 to 64 years the incidence of influenza is 0.7 percent while among people aged 65 or over and 0.1 per cent.
Cases that require respiratory assistance
The regions have reported so far at the Ministry of 489 hospital admissions for complications, including 241 that require highly specialized care and respiratory assistance: a stake of 0.01 percent of the estimated total of persons who have contracted the new influenza A .
Victims related to influenza A
The percentage of victims related to influenza A is the 0.003 per cent of patients, compared with 0.2 per cent of victims related to the normal influenza. Must be considered that the percentage of victims being calculated considering the clinical cases reported to the surveillance system, because these are most likely underestimated, the value might be even lower than the estimate above.
At 17.00 hours on 21 November, the victims are related to the new influenza A 70. This number includes cases for which the regional health authorities have confirmed the finding of infection by the new A/H1N1. All subjects but three had severe illnesses of previous years.
News of a larger number of cases relating to dead patients for whom place is suspected of having had this infection, but the results of laboratory tests for confirmation are still ongoing.
Situation in Italy
Total 70 victims
- Region
- Calabria 4
- Campania 25
- Emilia Romagna 7
- Lazio 6
- Lombardia 7
- Marches 1
- Molise 2
- Piedmont 4
- Puglia 2
- Sicily 3
- Tuscany 2
- Umbria 5
- Veneto 1
- Bolzano Autonomous Province 1
Situation in Europe (source ECDC)
Total casualties 636
in
- Great Britain 215
- Spain 115
- France 76
World situation (source ECDC)
Total victims 7431
of which:
- Brazil 1368
- United States of America 1123
- Argentina 600
Vaccination of the population
Vaccinated
Based on partial data received by the Superior Institute of Health have been vaccinated at 20 November about 333,366 people, based on the planning of the campaign provided for each region.
In particular, the region was urged to vaccinate as rapidly as women in the second and third trimesters of pregnancy and those aged 6 months to 64 years belonging to those at risk for pre-existing conditions, with priority for children belonging to these categories.
Vaccine distribution
The fifth distribution of pandemic vaccine to the Regions, which began on Thursday 19 November, has already been carried out in 11 between the Regions and Autonomous Provinces, and the delivery until Monday 23 November.
At the end of the fifth distribution will be delivered 749,900 doses of vaccine in packs multidisciplinary. Overall, the doses of pandemic vaccine will be delivered to Regions 3,891,951.
By the end of December 2009 are expected to total over 10 million doses.
The State-Regions Conference November 5 has reached an agreement whereby the end of November will be delivered 5 million doses of vaccine in various types of packaging. This allows the programming of active offer by the Regions, the pandemic vaccine to all those at risk identified by ministerial order.
Government Actions
Updates
- 20 November 2009: it was disseminated to the Regions and Autonomous Provinces Ministerial Circular "Distribution antiviral drugs to assist Territorial reaffirming the guidance for the administration of antiviral drugs and methods of distribution on the territory of the competent local firms .
- 20 November 2009: it was disseminated to the Regions and Autonomous Provinces the ministerial circular "Supervision of hospitalizations, the serious and complicated and deaths of New ... influenza virus A (H1N1) viruses and detection of vaccine coverage for the pandemic vaccine," updating the reporting form and procedures for its transmission.
Background
The World Health Organization on 11 June 2009 has declared a state of pandemic influenza with the transition to the phase of maximum alert.
The infection is caused by a new influenza virus H1N1 that has spread from Mexico in March 2009 from around the world.
The government immediately took all measures to counter the spread of new influenza A and protect the health of citizens.
The Ministry has set April 24 a special Crisis Unit headed by Deputy Ferruccio Fazio. Here are the main actions:
Control and containment stage
In the first phase of the spread of the disease were applied to all measures of infection control and containment measures to limit the spread of the virus. This avoided in our country a first wave of summer 2009 epidemic first hand that occurred in other European countries. Among the preventive measures more effective, please note the early identification of cases in travelers from affected areas, prophylaxis of their close contacts, promotion of hygiene rules and protective equipment such as hand washing.
Vaccination of the population
The Government has set up a vaccination strategy to cope with the new wave of epidemic influenza A (H1N1) in place in the 2009-2010 influenza season and eradicate the epidemic of new virus A (H1N1) in our country. E 'planned vaccination of 40% of the Italian population from the employees of essential services like health care personnel, and groups at risk of complications (children and adults with chronic diseases in the age group 6 months to 64 years, women pregnancy in the second and third quarter). E 'active monitoring of the vaccination campaign.
Stocks antivirals
The Ministry has forty million doses of antiviral drugs, including three in the form of the active powder which, as they have gradually become encapsulated Military Chemical Pharmaceutical Institute in Florence, are distributed to the regions. The Ministry has also issued specific recommendations for proper use of antivirals.
Severe cases Management
The Ministry has provided a first guide to operators in the management of serious and complicated by new influenza virus A (H1N1) and promoted by the regions and autonomous provinces to identify the centers that make for prospective patients suffering from acute respiratory failure. It also defines the criteria for the management of patients, particularly regarding access to the ICU and the next location within the intensive care centers that make up regional networks.
Epidemic surveillance
Starting from 19 October 2009, the influenza surveillance system is based on Influnet, which collects the cases of the network of sentinel physicians reported among its clients as well as data on viruses circulating the network of accredited laboratories. The ISS also conducts random confirmation of clinical cases of serious and deepening virologic to monitor the possible emergence of resistance to antiviral drugs and record any changes in the pandemic virus.
The Ministry also conducts monitoring of hospitalized cases, of serious and deaths.
Sentinel surveillance of access to Emergency
The Ministry of Higher Health Institute have launched in collaboration with the Regional Monitoring of accesses to a specific emergency room. The data will be transmitted on a weekly basis.
Pharmacovigilance
Part of action coordinated by the crisis, the Italian Drug Agency (AIFA) has prepared a National Plan of Pharmacovigilance for monitoring the safety of pandemic vaccines and antivirals. The system has been running since October.
International Epidemiological updates
The World Health Organization November 20 reported that in Norway there was a mutation of the virus in some samples of the new AH1N1 influenza virus isolated in three patients, of whom two died. The mutation was not found in other subjects positive for AH1N1 and has no relapse efficacy of pandemic vaccine.
Read more
All information on government, the questions and answers, the name and documentation for operators on www.ministerosalute.it, games and interactive tests to understand and better combat the virus A/H1N1al site www.fermailvirus . com.
Information also via phone by calling the call center 1500 of the Ministry, available every day of the week, from 8.00 to 18.00.
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Influenza A/H1N1 - Situation Update at 21 November 2009 - Updated at 17.00 CEST (Min Health, edited)
[RTF Document Was: LINK. Edited. Warning: Google Machine Translation.]
Press No 523 to 21 November 2009 - Ministry of Labor, Health and Social Policies - PRESS OFFICE
Updates
- About 333,366 people have been vaccinated to 20 November
- Delivered about 750,000 doses of vaccine last week. In total almost 4 million doses of vaccine delivered.
- Percentage of victims in relation to the total of people with new influenza A: 0.003 percent - Total casualties related to the new influenza A: 70
- Cases requiring respiratory assistance: 241
- Percentage of cases that require respiratory assistance in relation to the total of patients: 0.01
Epidemic surveillance
Cases and incidence
According to data Influnet of 46 weeks (9-15 November) cases of influenza are estimated to be about a week 752.000, which added to the cases reported weekly from the start of surveillance (October 19) give a total of 2,306,000 cases.
The regions where there is the wider spread of the virus are the gears with an incidence of 2.9 per cent followed by Emilia Romagna (1.8), Lazio (1.7), Abruzzo (1.6) and Campania (1 , 6).
Those most affected are children and adolescents from birth to 14 years, with an incidence of 3.6 percent (2.6 in children from birth to 4 years and 4.2 percent from 5 to 14). Among youth and adults ages 15 to 64 years the incidence of influenza is 0.7 percent while among people aged 65 or over and 0.1 per cent.
Cases that require respiratory assistance
The regions have reported so far at the Ministry of 489 hospital admissions for complications, including 241 that require highly specialized care and respiratory assistance: a stake of 0.01 percent of the estimated total of persons who have contracted the new influenza A .
Victims related to influenza A
The percentage of victims related to influenza A is the 0.003 per cent of patients, compared with 0.2 per cent of victims related to the normal influenza. Must be considered that the percentage of victims being calculated considering the clinical cases reported to the surveillance system, because these are most likely underestimated, the value might be even lower than the estimate above.
At 17.00 hours on 21 November, the victims are related to the new influenza A 70. This number includes cases for which the regional health authorities have confirmed the finding of infection by the new A/H1N1. All subjects but three had severe illnesses of previous years.
News of a larger number of cases relating to dead patients for whom place is suspected of having had this infection, but the results of laboratory tests for confirmation are still ongoing.
Situation in Italy
Total 70 victims
- Region
- Calabria 4
- Campania 25
- Emilia Romagna 7
- Lazio 6
- Lombardia 7
- Marches 1
- Molise 2
- Piedmont 4
- Puglia 2
- Sicily 3
- Tuscany 2
- Umbria 5
- Veneto 1
- Bolzano Autonomous Province 1
Situation in Europe (source ECDC)
Total casualties 636
in
- Great Britain 215
- Spain 115
- France 76
World situation (source ECDC)
Total victims 7431
of which:
- Brazil 1368
- United States of America 1123
- Argentina 600
Vaccination of the population
Vaccinated
Based on partial data received by the Superior Institute of Health have been vaccinated at 20 November about 333,366 people, based on the planning of the campaign provided for each region.
In particular, the region was urged to vaccinate as rapidly as women in the second and third trimesters of pregnancy and those aged 6 months to 64 years belonging to those at risk for pre-existing conditions, with priority for children belonging to these categories.
Vaccine distribution
The fifth distribution of pandemic vaccine to the Regions, which began on Thursday 19 November, has already been carried out in 11 between the Regions and Autonomous Provinces, and the delivery until Monday 23 November.
At the end of the fifth distribution will be delivered 749,900 doses of vaccine in packs multidisciplinary. Overall, the doses of pandemic vaccine will be delivered to Regions 3,891,951.
By the end of December 2009 are expected to total over 10 million doses.
The State-Regions Conference November 5 has reached an agreement whereby the end of November will be delivered 5 million doses of vaccine in various types of packaging. This allows the programming of active offer by the Regions, the pandemic vaccine to all those at risk identified by ministerial order.
Government Actions
Updates
- 20 November 2009: it was disseminated to the Regions and Autonomous Provinces Ministerial Circular "Distribution antiviral drugs to assist Territorial reaffirming the guidance for the administration of antiviral drugs and methods of distribution on the territory of the competent local firms .
- 20 November 2009: it was disseminated to the Regions and Autonomous Provinces the ministerial circular "Supervision of hospitalizations, the serious and complicated and deaths of New ... influenza virus A (H1N1) viruses and detection of vaccine coverage for the pandemic vaccine," updating the reporting form and procedures for its transmission.
Background
The World Health Organization on 11 June 2009 has declared a state of pandemic influenza with the transition to the phase of maximum alert.
The infection is caused by a new influenza virus H1N1 that has spread from Mexico in March 2009 from around the world.
The government immediately took all measures to counter the spread of new influenza A and protect the health of citizens.
The Ministry has set April 24 a special Crisis Unit headed by Deputy Ferruccio Fazio. Here are the main actions:
Control and containment stage
In the first phase of the spread of the disease were applied to all measures of infection control and containment measures to limit the spread of the virus. This avoided in our country a first wave of summer 2009 epidemic first hand that occurred in other European countries. Among the preventive measures more effective, please note the early identification of cases in travelers from affected areas, prophylaxis of their close contacts, promotion of hygiene rules and protective equipment such as hand washing.
Vaccination of the population
The Government has set up a vaccination strategy to cope with the new wave of epidemic influenza A (H1N1) in place in the 2009-2010 influenza season and eradicate the epidemic of new virus A (H1N1) in our country. E 'planned vaccination of 40% of the Italian population from the employees of essential services like health care personnel, and groups at risk of complications (children and adults with chronic diseases in the age group 6 months to 64 years, women pregnancy in the second and third quarter). E 'active monitoring of the vaccination campaign.
Stocks antivirals
The Ministry has forty million doses of antiviral drugs, including three in the form of the active powder which, as they have gradually become encapsulated Military Chemical Pharmaceutical Institute in Florence, are distributed to the regions. The Ministry has also issued specific recommendations for proper use of antivirals.
Severe cases Management
The Ministry has provided a first guide to operators in the management of serious and complicated by new influenza virus A (H1N1) and promoted by the regions and autonomous provinces to identify the centers that make for prospective patients suffering from acute respiratory failure. It also defines the criteria for the management of patients, particularly regarding access to the ICU and the next location within the intensive care centers that make up regional networks.
Epidemic surveillance
Starting from 19 October 2009, the influenza surveillance system is based on Influnet, which collects the cases of the network of sentinel physicians reported among its clients as well as data on viruses circulating the network of accredited laboratories. The ISS also conducts random confirmation of clinical cases of serious and deepening virologic to monitor the possible emergence of resistance to antiviral drugs and record any changes in the pandemic virus.
The Ministry also conducts monitoring of hospitalized cases, of serious and deaths.
Sentinel surveillance of access to Emergency
The Ministry of Higher Health Institute have launched in collaboration with the Regional Monitoring of accesses to a specific emergency room. The data will be transmitted on a weekly basis.
Pharmacovigilance
Part of action coordinated by the crisis, the Italian Drug Agency (AIFA) has prepared a National Plan of Pharmacovigilance for monitoring the safety of pandemic vaccines and antivirals. The system has been running since October.
International Epidemiological updates
The World Health Organization November 20 reported that in Norway there was a mutation of the virus in some samples of the new AH1N1 influenza virus isolated in three patients, of whom two died. The mutation was not found in other subjects positive for AH1N1 and has no relapse efficacy of pandemic vaccine.
Read more
All information on government, the questions and answers, the name and documentation for operators on www.ministerosalute.it, games and interactive tests to understand and better combat the virus A/H1N1al site www.fermailvirus . com.
Information also via phone by calling the call center 1500 of the Ministry, available every day of the week, from 8.00 to 18.00.
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