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  • #16
    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.

    --
    ------

    Comment


    • #17
      Italy - Influenza A/H1N1 - Situation Update at 22 November 2009 - Updated at 17.00 CEST (Min Health, edited) - Cases: ILI (Cum.) 2,306,000, Hospitalized 489, in ICU 241, Deaths (Cum.) 71

      Influenza A/H1N1 - Situation Update at 22 November 2009 - Updated at 17.00 CEST (Min Health, edited)

      [Source RTF Document: LINK. EDITED. Warning: Google Machine Translation. ]
      Press No 524 to 22 November 2009 - Ministry of Labor, Health and Social Policies - PRESS OFFICE


      Updates

      - About 333,366 individuals 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 number of fatal cases related to the new influenza A: 71
      - 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 weeks 46 (9-15 November) cases of influenza are estimated to be approximately 752,000 per week, 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 22 November, the victims are related to the new influenza A 71. 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 71 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 2
      - 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 companies premises.

      - 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 Avian influenza virus A (H1N1) viruses and detection of vaccine coverage for the pandemic vaccine" , which updates 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 influenza virus isolates AH1N1 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.

      --
      ------

      Comment


      • #18
        Italy - Influenza A/H1N1 - Situation Update at 23 November 2009 - Updated at 17.00 CEST (Min Health, edited) - Cases: ILI (Cum.) 2,306,000, Hospitalized 496, in ICU 248, Deaths (Cum.) 76

        Influenza A/H1N1 - Situation Update at 23 November 2009 - Updated at 17.00 CEST (Min Health, edited)

        [Source Full RTF Document: LINK. Edited. Warning: Google Machine Translation. ]
        Press No 526 to 23 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 number of fatal cases related to the new influenza A: 76
        - Cases requiring respiratory assistance: 248
        - 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, on week 46 (9-15 November) cases of influenza are estimated to be approximately 752,000 per week, 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 496 hospital admissions for complications, of which 248 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 23 November, the victims are related to the new influenza A 76. 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 76 victims

        - Region
        - Calabria 4
        - Campania 25
        - Emilia Romagna 7
        - Lazio 7
        - Liguria 1
        - Lombardia 7
        - Marches 1
        - Molise 3
        - Piedmont 4
        - Puglia 2
        - Sicily 3
        - Tuscany 3
        - Umbria 5
        - Veneto 3
        - Bolzano Autonomous Province 1


        Situation in Europe (source ECDC)

        Total casualties 670
        in

        - Great Britain 216
        - Spain 115
        - France 84


        World situation (source ECDC)

        Total victims 7632
        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

        Today, Monday, November 23, ended the fifth distribution of pandemic vaccine to the Regions and Autonomous Provinces, by delivery of 749,000 doses of vaccine in multi-dose vials, the amount of vaccine delivered to the Regions and Autonomous Provinces has reached 3,891,951 .

        Halfway through the current week will begin distributing additional 1,138,900 in multi-dose vials, thereby enabling an agreed goal in the State-Region Conference on 5 November for the delivery of a total of 5 million doses in various packaging by the end of November 2009 to enable a proper planning of active offer of pandemic vaccine to all those at risk identified by ministerial order.

        By the end of December is expected to deliver a total of 10 million doses of pandemic vaccine.


        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 Avian 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.

        --
        -----

        Comment


        • #19
          Italy - Influenza A/H1N1 - Situation Update on 24 November 2009 - Updated at 17.00 CEST (Min Health, edited) - Cases: ILI (Cum.) 2,306,000, Hospitalized 519, in ICU 269, Deaths (Cum.) 82

          Influenza A/H1N1 - Situation Update on 24 November 2009 - Updated at 17.00 CEST (Min Health, edited)

          [Source RTF Document: LINK. Edited. Warning: Google Machine Translation.]


          Press No 528 to 24 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 patients with new influenza A: 0.0034 percent - Total number of fatal cases related to the new influenza A: 82
          - Cases requiring respiratory assistance: 269
          - Percentage of cases that require respiratory assistance in relation to the total of patients: 0.011


          Epidemic surveillance

          Cases and incidence

          According to data Influnet of 46 weeks (9-15 November) cases of influenza are estimated to be approximately 752,000 per week, 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 519 hospital admissions for complications, including 269 that require highly specialized care and respiratory assistance: a fee equal to 0.011 percent of the estimated total of people who contract the new flu A.


          Victims related to influenza A

          The percentage of victims related to influenza A is the 0.0034 percent of patients, compared with 0.2 percent 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 24 November, the victims are related to the new influenza A 82. 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 82 victims

          - Region
          - Calabria 7
          - Campania 25
          - Emilia Romagna 7
          - Lazio 7
          - Liguria 1
          - Lombardia 7
          - Marches 1
          - Molise 3
          - Piedmont 5
          - Puglia 2
          - Sicily 5
          - Tuscany 3
          - Umbria 5
          - Veneto 3
          - Bolzano Autonomous Province 1


          Situation in Europe (source ECDC)

          Total casualties 690
          in

          - Great Britain 216
          - Spain 115
          - France 84


          World situation (source ECDC)

          Total victims 7860
          of which:

          - Brazil 1368
          - United States of America 1265
          - Argentina 600


          Access to emergency

          The network of sentinel emergency rooms reported that in 46 weeks (9-15 November), 10% of all persons who have turned to the emergency room was visited by acute respiratory syndrome. Of these, 19% were hospitalized. Compared to the 45 th week (2-8 November), is decreasing the number of accesses for acute respiratory syndrome (from 12% to 10%).

          The analysis, based on data from 49 of the 54 who joined the emergency room surveillance, while reflecting the different modes of access to the emergency room can be readily detected increased access to respiratory syndrome, an indirect indicator of increased activity of influenza viruses.


          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

          By the fifth distribution of pandemic vaccine, which ended yesterday, 23 November, were distributed to the Regions and Autonomous Provinces 3,891,951 doses of vaccine in various types of packaging.

          This week (the 48th year) will begin distribution to the Regions and Autonomous Provinces of 1,138,900 additional multi dose vials.

          This will achieve the target agreed in State-Region Conference on 5 November, the delivery by the end of November 2009 of a total of 5 million doses in various types of packaging, to ensure proper planning of active offer of pandemic vaccine to all those at risk identified by ministerial order.

          By the end of December is expected to deliver a total of 10 million doses of pandemic vaccine.


          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 Avian 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.


          Management of severe cases

          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, rules and documentation for operators on www.ministerosalute.it, games and interactive tests to understand and better combat the H1N1 virus to the website www. fermailvirus.it.

          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.

          --
          ------

          Comment


          • #20
            Italy - Influenza A/H1N1 - Situation Update as for 25 November 2009 - Updated at 17.00 CEST (Min Health, edited) - Cases: ILI (Cum.) 2,306,000, Hospitalized 526, in ICU 276, Deaths (Cum.) 85

            Influenza A/H1N1 - Situation Update as for 25 November 2009 - Updated at 17.00 CEST (Min Health, edited)

            [Source RTF Document: LINK. Edited. Warning: Google Machine Translation. ]
            Press No 531 to 25 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 patients with new influenza A: 0.0037 percent - Total casualties related to the new influenza A: 85
            - Cases requiring respiratory assistance: 276
            - Percentage of cases that require respiratory assistance in relation to the total of patients: 0.012


            Epidemic surveillance

            Cases and incidence

            According to data Influnet of 46 weeks (9-15 November) cases of influenza are estimated to be approximately 752,000 per week, 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 526 hospital admissions for complications, of which 276 that require highly specialized care and respiratory assistance: a quota of 0,012 percent of the estimated total of people who contract the new flu A.


            Victims related to influenza A

            The percentage of victims related to influenza A is the 0.0037 percent of patients, compared with 0.2 percent 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 25 November, the victims are related to the new influenza A 85. 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 85 victims

            - Region
            - Calabria 8
            - Campania 25
            - Emilia Romagna 7
            - Lazio 7
            - Liguria 2
            - Lombardia 7
            - Marches 1
            - Molise 3
            - Piedmont 5
            - Puglia 2
            - Sicily 5
            - Tuscany 3
            - Umbria 5
            - Veneto 4
            - Bolzano Autonomous Province 1


            Situation in Europe (source ECDC)

            Total casualties 714
            in

            - Great Britain 216
            - Spain 115
            - France 85


            World situation (source ECDC)

            Total victims 7909
            of which:

            - Brazil 1368
            - United States of America 1265
            - Argentina 600


            Access to emergency

            The network of sentinel emergency rooms reported that in 46 weeks (9-15 November), 10% of all persons who have turned to the emergency room was visited by acute respiratory syndrome. Of these, 19% were hospitalized.

            Compared to the 45 th week (2-8 November), is decreasing the number of accesses for acute respiratory syndrome (from 12% to 10%).

            The analysis, based on data from 49 of the 54 who joined the emergency room surveillance, while reflecting the different modes of access to the emergency room can be readily detected increased access to respiratory syndrome, an indirect indicator of increased activity of influenza viruses.


            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

            By the fifth distribution of pandemic vaccine, which ended November 23, have been distributed to the Regions and Autonomous Provinces 3,891,951 doses of vaccine in various types of packaging.

            This week (the 48th year) will begin distribution to the Regions and Autonomous Provinces of 1,138,900 additional multi dose vials.

            This will achieve the target agreed in State-Region Conference on 5 November, the delivery by the end of November 2009 of a total of 5 million doses in various types of packaging, to ensure proper planning of active offer of pandemic vaccine to all those at risk identified by ministerial order.

            By the end of December is expected to deliver a total of 10 million doses of pandemic vaccine.


            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 Avian 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.


            Management of severe cases

            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.

            --
            ------

            Comment


            • #21
              Italy - Influenza A/H1N1 - Situation Update as for 26 November 2009 - Updated at 17.00 CEST (Min Health, edited) - Cases: ILI (Cum.) 3,064,933, Hospitalized 572, in ICU 303, Deaths (Cum.) 91

              Influenza A/H1N1 - Situation Update as for 26 November 2009 - Updated at 17.00 CEST (Min Health, edited)

              [Source RTF Document: LINK. Edited. Warning: Google Machine Translation. ]
              Press No 540 to 26 November 2009 - Ministry of Labor, Health and Social Policies - PRESS OFFICE


              Updates

              - About 494,915 people have been vaccinated to 22 November

              - Delivered about 750,000 doses of vaccine last week. In total almost 4 million doses of vaccine distributed.

              - Total estimated cases of influenza since the beginning of the pandemic to 22 November: 3,064,933

              - Total deaths related to influenza A new: 91

              Percentage of victims in relation to the total of patients with new influenza A: 0.0030 percent

              - Cases which have needed respiratory assistance: 303

              - Percentage of cases that require respiratory assistance in relation to the total patients: 0.010



              Epidemic surveillance

              Cases and incidence

              Today it is published the weekly update Influnet to 47 weeks (16-22 November). The weekly influenza cases are estimated to be approximately 680,000, which added to the cases reported weekly from the start of surveillance (October 19) give a total of 3,047,000 cases. For a total count since last May, these should be added about 17,000 cases reported previously by other surveillance systems for a total of 3,064,933 cases.

              The regions where in week 47 has the highest number of cases in the population under observation are the brands with an incidence of 3.7 per cent, followed by Abruzzo (2.3) Emilia Romagna (1.9), Sardinia and Basilicata (1.5).

              Also in week 47 of the most affected are children and adolescents from birth to 14 years, with an incidence of 3.3 percent (2.7 in children from birth to 4 years and 3.6 percent from 5 to 14). Among youth and adults ages 15 to 64 years the incidence of influenza has been 0.7 percent while among people aged 65 or over is equal to 0.1 percent.



              Cases that require respiratory assistance

              The regions have reported so far at the Ministry of 572 hospital admissions for severe cases of influenza, of which 303 have required ventilatory support: a fee equal to 0.010 percent of the estimated total of people who contract the new flu A.



              Victims related to influenza A

              The percentage of victims related to influenza A has been updated compared to the total number of cases estimated by Influnet and is equal to 0.0030 percent of patients, compared with 0.2 percent of the victims related to the normal flu. 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 on November 26, the victims are related to the new influenza A 91.

              This number includes cases for which the regional health authorities have confirmed the finding of infection by the new A/H1N1.



              Situation in Italy

              Total 91 victims

              - Region

              - Calabria 8

              - Campania 26

              - Emilia Romagna 7

              - Lazio 10

              - Liguria 3

              - Lombardia 7

              - Marches 1

              - Molise 3

              - Piedmont 5

              - Puglia 2

              - Sicily 5

              - Tuscany 4

              - Umbria 5

              - Veneto 4

              - P.a. Bolzano 1



              Situation in Europe (source ECDC)

              Total casualties 734

              in

              - Great Britain 219

              - Spain 115

              - France 85



              World situation (source ECDC)

              Total victims 8233

              of which:

              - Brazil 1528

              - United States of America 1265

              - Argentina 600



              Access to emergency

              The network of sentinel emergency rooms reported that in 47 weeks (16-22 November), 7% of all persons who have turned to the emergency room was visited by acute respiratory syndrome. Of these, 23% were hospitalized. Compared to 46 weeks, is decreasing the number of accesses for acute respiratory syndrome (from 10% to 7%). The analysis, based on data from 49 of the 56 who joined the emergency room surveillance, while reflecting the different modes of access to the emergency room can be readily detected increased access to respiratory syndrome, an indirect indicator of increased activity of influenza viruses.



              Vaccination of the population

              In 47 weeks (16-22 November) were administered 161,549 doses. Start of the vaccination campaign, were administered a total for the categories as priorities for the first phase of vaccination, 494,915 doses

              health care workers, social and health that have been vaccinated 131,055, or 13% of the total estimated

              women in the second and third trimester of pregnancy were administered 14,943 doses

              Currently, each region was asked 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

              Tomorrow, November 27 will begin distribution to the Regions and Autonomous Provinces of 1,138,900 additional doses of pandemic vaccine, in packaging multidisciplinary (vials of 10 doses each). The sixth deployment, which began as scheduled in week 48, will bring the overall delivery to the regions and PA of about 5 million doses of vaccine, thus achieving the target agreed in State-Regions Conference on 5 November. By the end of December 2009 is expected to deliver a total of 10 million doses of pandemic vaccine in various types of packaging.



              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 Avian 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.



              Management of severe cases

              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, rules 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.

              --

              -------

              Comment


              • #22
                Italy - Influenza A/H1N1 - Situation Update as for November 27, 2009 - Updated 17.00 hours CEST (Min Health, edited) - Cases: ILI (Cum.) 3,064,933, Hospitalized 600, in ICU 315, Deaths (Cum.) 93

                Influenza A/H1N1 - Situation Update as for November 27, 2009 - Updated 17.00 hours CEST (Min Health, edited)

                [Source RTF Document: LINK. Edited. Warning: Google Machine Translation.]


                Press No 544 to 27 November 2009 - Ministry of Labor, Health and Social Policies - PRESS OFFICE


                Updates

                - About 494,915 people have been vaccinated to 22 November
                - Delivered about 750,000 doses of vaccine last week. In total almost 4 million doses of vaccine distributed.
                - Total estimated cases of influenza since the beginning of the pandemic to 22 November: 3,064,933
                - Total deaths related to influenza A/H1N1 2009: 93
                - Percentage of victims in relation to the total of patients with new influenza A: 0.0030 percent
                - Cases which have necessitated ventilatory support: 315
                - Percentage of cases that require respiratory assistance in relation to the total patients: 0.010



                Epidemic surveillance

                Cases and incidence

                Today it is published the weekly update Influnet to 47 weeks (16-22 November).

                The weekly influenza cases are estimated to be approximately 680,000, which added to the cases reported weekly from the start of surveillance (October 19) give a total of 3,047,000 cases. For a total count since last May, these should be added about 17,000 cases reported previously by other surveillance systems for a total of 3,064,933 cases.

                The regions where in week 47 has the highest number of cases in the population under observation are the brands with an incidence of 3.7 per cent, followed by Abruzzo (2.3) Emilia Romagna (1.9), Sardinia and Basilicata (1.5).

                Also in week 47 of the most affected are children and adolescents from birth to 14 years, with an incidence of 3.3 percent (2.7 in children from birth to 4 years and 3.6 percent from 5 to 14). Among youth and adults ages 15 to 64 years the incidence of influenza has been 0.7 percent while among people aged 65 or over is equal to 0.1 percent.


                Cases that require respiratory assistance

                The regions have reported so far at the Ministry of 600 hospital admissions for severe cases of influenza, of which 303 have required ventilatory support: a fee equal to 0.010 percent of the estimated total of people who contract the new flu A.


                Victims related to influenza A

                The percentage of victims related to influenza A has been updated compared to the total number of cases estimated by Influnet and is equal to 0.0030 percent of patients, compared with 0.2 percent of the victims related to the normal flu. 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 27 November, the victims are related to the new influenza A 9 3. This number includes cases for which the regional health authorities have confirmed the finding of infection by the new A/H1N1.


                Situation in Italy

                Total 93 victims

                - Region
                - Basilicata 1
                - Calabria 8
                - Campania 27
                - Emilia Romagna 7
                - Lazio 10
                - Liguria 3
                - Lombardia 7
                - Marches 1
                - Molise 3
                - Piedmont 5
                - Puglia 2
                - Sicily 5
                - Tuscany 4
                - Umbria 5
                - Veneto 4
                - P.a. Bolzano 1


                Situation in Europe (source ECDC)

                Total casualties 825
                in

                - Great Britain 245
                - Spain 135
                - France 96


                World situation (source ECDC)

                Total victims 8452
                of which:

                - Brazil 1528
                - United States of America 1265
                - Argentina 610


                Access to emergency

                The network of sentinel emergency rooms reported that in 47 weeks (16-22 November), 7% of all persons who have turned to the emergency room was visited by acute respiratory syndrome. Of these, 23% were hospitalized. Compared to 46 weeks, is decreasing the number of accesses for acute respiratory syndrome (from 10% to 7%).

                The analysis, based on data from 49 of the 56 who joined the emergency room surveillance, while reflecting the different modes of access to the emergency room can be readily detected increased access to respiratory syndrome, an indirect indicator of increased activity of influenza viruses.


                Vaccination of the population

                In 47 weeks (16-22 November) were administered 161,549 doses. Start of the vaccination campaign, were administered a total for the categories as priorities for the first phase of vaccination, 494,915 doses

                health care workers, social and health that have been vaccinated 131,055, or 13% of the total estimated
                women in the second and third trimester of pregnancy were administered 14,943 doses

                Currently, each region was asked 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

                Tomorrow, November 27 will begin distribution to the Regions and Autonomous Provinces of 1,138,900 additional doses of pandemic vaccine, in packaging multidisciplinary (vials of 10 doses each).

                The sixth deployment, which began as scheduled in week 48, will bring the overall delivery to the regions and PA of about 5 million doses of vaccine, thus achieving the target agreed in State-Regions Conference on 5 November.
                By the end of December 2009 is expected to deliver a total of 10 million doses of pandemic vaccine in various types of packaging.


                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 Avian 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.


                Management of severe cases

                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, rules 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.


                --
                ------

                Comment


                • #23
                  Italy - Influenza A/H1N1 - Situation Update as for 28 November 2009 - Updated at 17.00 Hours CEST (Min Health, edited) - CASES: ILI (Cum.) 3,064,933, Hospitalized 600, in ICU 315, Deaths (Cum.) 95

                  Influenza A/H1N1 - Situation Update as for 28 November 2009 - Updated at 17.00 Hours CEST (Min Health, edited)

                  [Source RTF Document: LINK. Edited. Warning: Google Machine Translation. ]


                  Press No 545 to 28 November 2009 - Ministry of Labor, Health and Social Policies - PRESS OFFICE


                  Updates

                  - About 494,915 people have been vaccinated as for 22 November
                  - Delivered about 750,000 doses of vaccine last week. In total almost 4 million doses of vaccine distributed.
                  - Total estimated cases of influenza since the beginning of the pandemic to 22 November: 3,064,933
                  - Total deaths related to influenza A new: 95
                  - Percentage of victims in relation to the total of patients with new influenza A: 0.0030 percent
                  - Cases which have needed respiratory assistance: 315
                  - Percentage of cases that require respiratory assistance in relation to the total patients: 0.010


                  Epidemic surveillance

                  Cases and incidence

                  Today it is published the weekly update Influnet to 47 weeks (16-22 November).

                  The weekly influenza cases are estimated to be approximately 680,000, which added to the cases reported weekly from the start of surveillance (October 19) give a total of 3,047,000 cases. For a total count since last May, these should be added about 17,000 cases reported previously by other surveillance systems for a total of 3,064,933 cases.

                  The regions where in week 47 has the highest number of cases in the population under observation are the brands with an incidence of 3.7 per cent, followed by Abruzzo (2.3) Emilia Romagna (1.9), Sardinia and Basilicata (1.5).

                  Also in week 47 of the most affected are children and adolescents from birth to 14 years, with an incidence of 3.3 percent (2.7 in children from birth to 4 years and 3.6 percent from 5 to 14). Among youth and adults ages 15 to 64 years the incidence of influenza has been 0.7 percent while among people aged 65 or over is equal to 0.1 percent.


                  Cases that require respiratory assistance

                  The regions have reported so far at the Ministry of 600 hospital admissions for severe cases of influenza, of which 303 have required ventilatory support: a fee equal to 0.010 percent of the estimated total of people who contract the new flu A.


                  Victims related to influenza A

                  The percentage of victims related to influenza A has been updated compared to the total number of cases estimated by Influnet and is equal to 0.0030 percent of patients, compared with 0.2 percent of the victims related to the normal flu. 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 28 November, the victims are related to the new influenza A 95. This number includes cases for which the regional health authorities have confirmed the finding of infection by the new A/H1N1.


                  Situation in Italy

                  Total 95 victims

                  - Region
                  - Basilicata 1
                  - Calabria 8
                  - Campania 27
                  - Emilia Romagna 7
                  - Lazio 10
                  - Liguria 3
                  - Lombardia 7
                  - Marches 1
                  - Molise 3
                  - Piedmont 5
                  - Puglia 2
                  - Sicily 5
                  - Tuscany 4
                  - Umbria 5
                  - Veneto 6
                  - P.a. Bolzano 1


                  Situation in Europe (source ECDC)

                  Total casualties 825
                  in

                  - Great Britain 245
                  - Spain 135
                  - France 96


                  World situation (source ECDC)

                  Total victims 8452
                  of which:

                  - Brazil 1528
                  - United States of America 1265
                  - Argentina 610


                  Access to emergency

                  The network of sentinel emergency rooms reported that in 47 weeks (16-22 November), 7% of all persons who have turned to the emergency room was visited by acute respiratory syndrome. Of these, 23% were hospitalized.

                  Compared to 46 weeks, is decreasing the number of accesses for acute respiratory syndrome (from 10% to 7%).

                  The analysis, based on data from 49 of the 56 who joined the emergency room surveillance, while reflecting the different modes of access to the emergency room can be readily detected increased access to respiratory syndrome, an indirect indicator of increased activity of influenza viruses.


                  Vaccination of the population

                  In 47 weeks (16-22 November) were administered 161,549 doses. Start of the vaccination campaign, were administered a total for the categories as priorities for the first phase of vaccination, 494,915 doses
                  health care workers, social and health that have been vaccinated 131,055, or 13% of the total estimated
                  women in the second and third trimester of pregnancy were administered 14,943 doses

                  Currently, each region was asked 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

                  November 27 began the distribution to the Regions and Autonomous Provinces of 1,138,900 additional doses of pandemic vaccine in preparation multidisciplinary (vials of 10 doses each).

                  The sixth deployment, which began as scheduled in week 48, will bring the overall delivery to the regions and PA of about 5 million doses of vaccine, thus achieving the target agreed in State-Regions Conference on 5 November.

                  By the end of December 2009 is expected to deliver a total of 10 million doses of pandemic vaccine in various types of packaging.


                  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 Avian 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.


                  Management of severe cases

                  The Ministry has provided a first guide 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 AH1N1 positive and has no relapse efficacy of pandemic vaccine.


                  Read more

                  All information on government, the questions and answers, rules 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.
                  --
                  ------

                  Comment


                  • #24
                    Italy - Influenza A/H1N1 - Situation Update as for 29 November 2009 - Updated at 17.00 Hours CEST (Min. of Health, edited) - CASES: ILI (Cum.) 3,064,933, Hospitalized 600, in ICU 315, Deaths (Cum.) 95

                    Influenza A/H1N1 - Situation Update as for 29 November 2009 - Updated at 17.00 Hours CEST (Min. of Health, edited)

                    [Source RTF Document: LINK. Edited. Warning: Google Machine Translation.]


                    Press No 546 to 29 November 2009 - Ministry of Labor, Health and Social Policies - PRESS OFFICE


                    Updates

                    - About 494,915 people have been vaccinated to 22 November
                    - Delivered about 750,000 doses of vaccine last week. In total almost 4 million doses of vaccine distributed.
                    - Total estimated cases of influenza since the beginning of the pandemic to 22 November: 3,064,933
                    - Total deaths related to influenza A new: 95
                    - Percentage of victims in relation to the total of patients with new influenza A: 0.0030 percent
                    - Cases which have needed respiratory assistance: 315
                    - Percentage of cases that require respiratory assistance in relation to the total patients: 0.010


                    Epidemic surveillance

                    Cases and incidence

                    Today it is published the weekly update Influnet to 47 weeks (16-22 November).

                    The weekly influenza cases are estimated to be approximately 680,000, which added to the cases reported weekly from the start of surveillance (October 19) give a total of 3,047,000 cases. For a total count since last May, these should be added about 17,000 cases reported previously by other surveillance systems for a total of 3,064,933 cases.

                    The regions where in week 47 has the highest number of cases in the population under observation are the brands with an incidence of 3.7 per cent, followed by Abruzzo (2.3) Emilia Romagna (1.9), Sardinia and Basilicata (1.5).

                    Also in week 47 of the most affected are children and adolescents from birth to 14 years, with an incidence of 3.3 percent (2.7 in children from birth to 4 years and 3.6 percent from 5 to 14). Among youth and adults ages 15 to 64 years the incidence of influenza has been 0.7 percent while among people aged 65 or over is equal to 0.1 percent.


                    Cases that require respiratory assistance

                    The regions have reported so far at the Ministry of 600 hospital admissions for severe cases of influenza, of which 303 have required ventilatory support: a fee equal to 0.010 percent of the estimated total of people who contract the new flu A.


                    Victims related to influenza A

                    The percentage of victims related to influenza A has been updated compared to the total number of cases estimated by Influnet and is equal to 0.0030 percent of patients, compared with 0.2 percent of the victims related to the normal flu. 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 29 November, the victims are related to the new influenza A 95. This number includes cases for which the regional health authorities have confirmed the finding of infection by the new A/H1N1.


                    Situation in Italy

                    Total 95 victims

                    - Region
                    - Basilicata 1
                    - Calabria 8
                    - Campania 27
                    - Emilia Romagna 7
                    - Lazio 10
                    - Liguria 3
                    - Lombardia 7
                    - Marches 1
                    - Molise 3
                    - Piedmont 5
                    - Puglia 2
                    - Sicily 5
                    - Tuscany 4
                    - Umbria 5
                    - Veneto 6
                    - P.a. Bolzano 1


                    Situation in Europe (source ECDC)

                    Total casualties 825
                    in

                    - Great Britain 245
                    - Spain 135
                    - France 96


                    World situation (source ECDC)

                    Total victims 8452
                    of which:

                    - Brazil 1528
                    - United States of America 1265
                    - Argentina 610


                    Access to emergency

                    The network of sentinel emergency rooms reported that in 47 weeks (16-22 November), 7% of all persons who have turned to the emergency room was visited by acute respiratory syndrome. Of these, 23% were hospitalized.

                    Compared to 46 weeks, is decreasing the number of accesses for acute respiratory syndrome (from 10% to 7%).

                    The analysis, based on data from 49 of the 56 who joined the emergency room surveillance, while reflecting the different modes of access to the emergency room can be readily detected increased access to respiratory syndrome, an indirect indicator of increased activity of influenza viruses.


                    Vaccination of the population

                    In 47 weeks (16-22 November) were administered 161,549 doses. Start of the vaccination campaign, were administered a total for the categories as priorities for the first phase of vaccination, 494,915 doses
                    health care workers, social and health that have been vaccinated 131,055, or 13% of the total estimated
                    women in the second and third trimester of pregnancy were administered 14,943 doses

                    Currently, each region was asked 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

                    November 27 began the distribution to the Regions and Autonomous Provinces of 1,138,900 additional doses of pandemic vaccine in preparation multidisciplinary (vials of 10 doses each).

                    The sixth deployment, which began as scheduled in week 48, will bring the overall delivery to the regions and PA of about 5 million doses of vaccine, thus achieving the target agreed in State-Regions Conference on 5 November.

                    By the end of December 2009 is expected to deliver a total of 10 million doses of pandemic vaccine in various types of packaging.


                    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 Avian 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 of 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.


                    Management of severe cases

                    The Ministry has provided a first guide 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, rules 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.
                    --
                    ------

                    Comment


                    • #25
                      Italy - Influenza A/H1N1 - Situation Update as for 30 November 2009 - Updated at 17.00 Hours CEST (Min Health, edited) - CASES: ILI (Cum.) 3,064,933, Hospitalized 633, in ICU 333, Deaths (Cum.) 97

                      Influenza A/H1N1 - Situation Update as for 30 November 2009 - Updated at 17.00 Hours CEST (Min Health, edited)

                      [Source RTF Document: LINK. Edited. Warning: Google Machine Translation.]
                      Press No 550 - 30 November 2009 - Ministry of Labor, Health and Social Policies - PRESS OFFICE


                      Updates
                      - It has been found a mutations in the H1N1 virus hemagglutinin in one Italian patient
                      - About 494,915 people have been vaccinated to 22 November
                      - Delivered about 750,000 doses of vaccine last week. In total almost 4 million doses of vaccine distributed.
                      - Total estimated cases of influenza since the beginning of the pandemic to 22 November: 3,064,933
                      - Total deaths related to influenza A new 30 November: 97
                      - Percentage of victims in relation to the total of patients with new influenza A: 0.0032 percent
                      - Cases which have necessitated ventilatory support to 30 November: 333
                      - Percentage of cases that require respiratory assistance in relation to the total of patients: 0.011

                      First case of mutation of the H1N1 virus in Italy

                      The National Institute of Health has reassessed the sequences of more than 100 strains identified by as many patients diagnosed in recent months in various Italian regions. The test results showed the mutation of the virus in one patient, a severe form of pneumonia resolved following treatment with ECMO performed in intensive care. None of the other patients examined, including those with serious or life-threatening events, showed that mutation. The Italian data confirmed that the mutation in question is not to be currently predominant in cases of serious or deadly new flu in addition, the same mutation has a sporadic and does not seem at this stage in the process of diffusion.

                      Epidemic surveillance

                      Cases and incidence

                      Every Thursday we published the weekly update Influnet. The last update was released on the 47 th week (16-22 November).

                      The estimated weekly influenza cases in week 47 are approximately 680,000, which added to the cases reported weekly from the start of surveillance (October 19) give a total of 3,047,000 cases. For a total count since last May, these should be added about 17,000 cases reported previously by other surveillance systems for a total of 3,064,933 cases.

                      The regions where in week 47 has the highest number of cases in the population under observation are the brands with an incidence of 3.7 per cent, followed by Abruzzo (2.3) Emilia Romagna (1.9), Sardinia and Basilicata (1.5).

                      Also in week 47 of the most affected are children and adolescents from birth to 14 years, with an incidence of 3.3 percent (2.7 in children from birth to 4 years and 3.6 percent from 5 to 14). Among youth and adults ages 15 to 64 years the incidence of influenza has been 0.7 percent while among people aged 65 or over is equal to 0.1 percent.


                      Cases that require respiratory assistance

                      The regions have reported so far at the Ministry of 633 hospital admissions for severe cases of influenza, of which 333 have required ventilatory support: a fee equal to 0.011 percent of the estimated total of people who contract the new flu A.


                      Victims related to influenza A

                      The percentage of victims related to influenza A has been updated compared to the total number of cases estimated by Influnet and is equal to 0.0032 percent of patients, compared with 0.2 percent of the victims related to the normal flu. 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 30 November, the victims are related to the new influenza A 97. This number includes cases for which the regional health authorities have confirmed the finding of infection by the new A/H1N1.


                      Situation in Italy

                      Total 97 victims

                      - Region
                      - Basilicata 1
                      - Calabria 8
                      - Campania 27
                      - Emilia Romagna 7
                      - Lazio 11
                      - Liguria 3
                      - Lombardia 7
                      - Marches 1
                      - Molise 3
                      - Piedmont 5
                      - Puglia 2
                      - Sicily 5
                      - Tuscany 4
                      - Umbria 5
                      - Veneto 7
                      - P.a. Bolzano 1


                      Situation in Europe (source ECDC)

                      Total casualties 858
                      in

                      - Great Britain 246
                      - Spain 135
                      - France 104


                      World situation (source ECDC)

                      Total victims 8568
                      of which:

                      - Brazil 1528
                      - United States of America 1265
                      - Argentina 613


                      Access to emergency

                      Every Thursday we published the weekly update of sentinel surveillance of access to the emergency room. The last update was released on the 47 th week (16-22 November.)

                      The network of sentinel emergency rooms reported that in 47 weeks (16-22 November), 7% of all persons who have turned to the emergency room was visited by acute respiratory syndrome. Of these, 23% were hospitalized.

                      Compared to 46 weeks, is decreasing the number of accesses for acute respiratory syndrome (from 10% to 7%).

                      The analysis, based on data from 49 of the 56 who joined the emergency room surveillance, while reflecting the different modes of access to the emergency room can be readily detected increased access to respiratory syndrome, an indirect indicator of increased activity of influenza viruses.


                      Vaccination of the population

                      Every Thursday we published the weekly update of vaccinations. The last update was released on the 47 th week (16-22 November).

                      In the 47 weeks were administered 161,549 doses. Start of the vaccination campaign, were administered a total for the categories as priorities for the first phase of vaccination, 494,915 doses
                      health care workers, social and health that have been vaccinated 131,055, or 13% of the total estimated
                      women in the second and third trimester of pregnancy were administered 14,943 doses

                      Currently, each region was asked 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

                      November 27 began the distribution to the Regions and Autonomous Provinces of 1,138,900 additional doses of pandemic vaccine, in packaging multidisciplinary (vials of 10 doses each).

                      The sixth deployment, which began as scheduled in week 48, will bring the overall delivery to the regions and PA of about 5 million doses of vaccine, thus achieving the target agreed in State-Regions Conference on 5 November.

                      By the end of December 2009 is expected to deliver a total of 10 million doses of pandemic vaccine in various types of packaging.


                      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 Avian 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 of 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.


                      Management of severe cases

                      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 is charged with the hemagglutinin (viral protein surface) of the new influenza virus A/H1N1, and causes the substitution of a single amino acid (a glycine instead of aspartic acid). The same mutation was observed in sporadic cases, since last April, in several countries around the world both in patients with severe pneumonia and patients with benign course of disease. Following these reports, the National Institute of Health has reassessed the sequences of more than 100 strains identified by as many patients diagnosed in recent months in various Italian regions. The mutation has been found so far in only one patient suffering from a severe form of pneumonia resolved following treatment with ECMO performed in intensive care. None of the other patients examined, including those with serious or life-threatening events, showed that mutation. The Italian data confirmed that the mutation in question is not to be currently predominant in cases of serious or deadly new flu in addition, the same mutation has a sporadic and does not seem at this stage in the process of diffusion.
                      Read more

                      All information on government, the questions and answers, rules 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.

                      --
                      ------

                      Comment


                      • #26
                        Italy - Influenza A/H1N1 2009 - Ministry of Health Situation Updates - November 2009 Archive.

                        This thread contains Ministry of Health Situation Update Bulletins for November 2009.

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