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Epidemic of influenza in Russia, nobody knows
All doctors put one diagnosis - ARI
06.11.09 16:41
Moscow, November 06 (New Region, Vitaly Akimov) - On Monday, the Russians will begin to mass vaccinate against swine flu. The vaccine developed in a matter of urgency, at least a month ahead of schedule.
Officials urged "not to sow panic" and argue that the situation is under control.
Meanwhile, doctors ordered all district clinics ill put one and the same diagnosis - acute viral respiratory infection (ARI), and in any case not the flu.
Therefore, the real extent of the epidemic today, nobody knows. In a situation understood correspondent "New Region".
New antigrippoznuyu vaccine is planned to run until December, but the situation forced epidemeologicheskaya accelerate - no one expected the virus in the fall. The developers claim that, despite the rush (and the general panic), the drug did better than foreign ones, only cheaper.
"Usually, even the replacement of seasonal strains take longer than the development of the vaccine - says senior fellow at the laboratory testing of new means of protection against influenza virus infections Institute of Medical Sciences, Igor Nikonorov. - But clinical trials were as carefully as usual. Just less time spent on all sorts of bureaucratic approval. The vaccine was prepared as should have been.
The reason for such haste is understandable: in the Far East - an epidemic across the country, people sweep with pharmacy counters in suppressing anti drugs, neighbors Ukraine massive deaths from infectious contagion. And even in the glaring capital of Russia, every second was wearing a medical mask - means things are not the best way.
However, according to Igor Nikanorov, it's just used to it.
"Fever Pitch was always, every epidemic. In recent years, epidemics, and people were out of the habit. In my time was epidemic, when removed from the students to study the medical institute and schools - they went on the challenges and helping people ", - says Senior Researcher Institute of Influenza RAMS.
Determine the extent of the epidemic is not taken one. Even those who do it professionally.
"Over the past three weeks is the rapid growth of the incidence of swine influenza. In particular this applies to the Far East and Siberia regions. The same can be said of Moscow and St. Petersburg. How widely spread epidemic, I do not suppose I can ", - said the head of the Laboratory of Epidemiology Institute of influenza RAS Ivan Marinich.
Back in September there was a row - Russia's leading virologist, director of the Institute of Virology RAMS Dmitry Lvov, accused officials of the Ministry of Health is that they greatly understate the number of infected influenza A (H1N1). One of the most respected physicians of the country said "tens of thousands" of infected swine influenza, against four of the hundreds of official statistics.
But in order to understand what statistics to put it mildly, disingenuous, do not need to be a leading virologist. Just sick.
Here is what wrote in his diary network known writer, blogger, "thousands," Oleg-kozyrev: "From friends ill children. One of them keeps the temperature above 39 more than two days. Practitioner does not come, despite the challenges, the refusal to receive the level of registration call. Here comes to the aid of the Internet (to the question of whether to make an electronic fixation call physicians).
My friends write request to a higher authority, just a short time, calling the head of the polyclinic and apologizes. Half an hour later the house is already a doctor. He wrote diagnosed SARS. Friends asked: "And this is not the flu?". He says that yes, of course influenza.
A SARS write because if the flu, you need hospitalization, must come to the laboratory to determine the type of influenza, etc. In other words, doctors do not determine the type of disease, but hide it from the patient and from higher authorities.
Why - I do not know.
In one school, students squinted disease. Doctors all set en masse ARI. One family brought a paid lab (1900 rubles worth a call). Laboratory has identified the girl swine flu. If it were not for this disease would be written off in the statistics on SARS.
It is clear that such cases are not isolated but a mass phenomenon. No wonder that in these circumstances, people complained as head of the Ministry of Health and Social Development Tatyana Golikova having "unnecessary and unwarranted fears.
"When the epidemic, no one physically in any country is unable to 100% of people to explore and identify who, what sick, flu or some other viral infection.
Therefore doctors diagnose on the basis of clinical symptoms ", - explains senior researcher laboratory testing of new means of protection against influenza virus infections Institute of Medical Sciences, Igor Nikonorov.
"How many patients like swine influenza can not know in the United States and in any other country - continues scientist. -
For example, in a collective ten people. One does not go to work - put him in the hospital, identified swine flu. Another two persons at the same time became ill, but they have treated the house an outpatient basis. And three people went to work - well, they head a little pobolela, sneezed a few times and everything. In fact, they all could perebolet swine influenza, but found that only one who was lying in the hospital.
There are many disease occurs without symptoms or mild, when a person does not appeal to physicians, believes that "the legs" will bring. And transfers. But at the same time infect their colleagues. And the statistics will only include those who had come to the doctor. The number of cases, reported in the summaries, it is those who have swine flu laboratory confirmed.
As scientists say, is now under analysis in the laboratories, the same pandemic influenza virus H1N1 is detected more frequently than all other viruses. Head of the Health Ministry says Tatiana Golikova Russians that the prevalence of the disease "moderate" and fears that the events will develop a negative scenario, the government does not. Ivan Marinich, which monitors influenza epidemics for 40 years, the projections more cautious.
"In my opinion, the epidemic is now slightly above a moderate level. But we must still look to check. It has not yet reached the maximum level until the early to say. No one can say - these hundred influenza patients, and these five hundred - other ARI. Because it can only be determined in the laboratory ", - said the head of the Laboratory of Epidemiology Institute of influenza Sciences.
Information:
At present, Russia 3122 clinically confirmed cases of influenza A/H1N1, sick of 1200. 1908 people recovered, 21 people died.
Epidemic of influenza in Russia, nobody knows
All doctors put one diagnosis - ARI
06.11.09 16:41
Moscow, November 06 (New Region, Vitaly Akimov) - On Monday, the Russians will begin to mass vaccinate against swine flu. The vaccine developed in a matter of urgency, at least a month ahead of schedule.
Officials urged "not to sow panic" and argue that the situation is under control.
Meanwhile, doctors ordered all district clinics ill put one and the same diagnosis - acute viral respiratory infection (ARI), and in any case not the flu.
Therefore, the real extent of the epidemic today, nobody knows. In a situation understood correspondent "New Region".
New antigrippoznuyu vaccine is planned to run until December, but the situation forced epidemeologicheskaya accelerate - no one expected the virus in the fall. The developers claim that, despite the rush (and the general panic), the drug did better than foreign ones, only cheaper.
"Usually, even the replacement of seasonal strains take longer than the development of the vaccine - says senior fellow at the laboratory testing of new means of protection against influenza virus infections Institute of Medical Sciences, Igor Nikonorov. - But clinical trials were as carefully as usual. Just less time spent on all sorts of bureaucratic approval. The vaccine was prepared as should have been.
The reason for such haste is understandable: in the Far East - an epidemic across the country, people sweep with pharmacy counters in suppressing anti drugs, neighbors Ukraine massive deaths from infectious contagion. And even in the glaring capital of Russia, every second was wearing a medical mask - means things are not the best way.
However, according to Igor Nikanorov, it's just used to it.
"Fever Pitch was always, every epidemic. In recent years, epidemics, and people were out of the habit. In my time was epidemic, when removed from the students to study the medical institute and schools - they went on the challenges and helping people ", - says Senior Researcher Institute of Influenza RAMS.
Determine the extent of the epidemic is not taken one. Even those who do it professionally.
"Over the past three weeks is the rapid growth of the incidence of swine influenza. In particular this applies to the Far East and Siberia regions. The same can be said of Moscow and St. Petersburg. How widely spread epidemic, I do not suppose I can ", - said the head of the Laboratory of Epidemiology Institute of influenza RAS Ivan Marinich.
Back in September there was a row - Russia's leading virologist, director of the Institute of Virology RAMS Dmitry Lvov, accused officials of the Ministry of Health is that they greatly understate the number of infected influenza A (H1N1). One of the most respected physicians of the country said "tens of thousands" of infected swine influenza, against four of the hundreds of official statistics.
But in order to understand what statistics to put it mildly, disingenuous, do not need to be a leading virologist. Just sick.
Here is what wrote in his diary network known writer, blogger, "thousands," Oleg-kozyrev: "From friends ill children. One of them keeps the temperature above 39 more than two days. Practitioner does not come, despite the challenges, the refusal to receive the level of registration call. Here comes to the aid of the Internet (to the question of whether to make an electronic fixation call physicians).
My friends write request to a higher authority, just a short time, calling the head of the polyclinic and apologizes. Half an hour later the house is already a doctor. He wrote diagnosed SARS. Friends asked: "And this is not the flu?". He says that yes, of course influenza.
A SARS write because if the flu, you need hospitalization, must come to the laboratory to determine the type of influenza, etc. In other words, doctors do not determine the type of disease, but hide it from the patient and from higher authorities.
Why - I do not know.
In one school, students squinted disease. Doctors all set en masse ARI. One family brought a paid lab (1900 rubles worth a call). Laboratory has identified the girl swine flu. If it were not for this disease would be written off in the statistics on SARS.
It is clear that such cases are not isolated but a mass phenomenon. No wonder that in these circumstances, people complained as head of the Ministry of Health and Social Development Tatyana Golikova having "unnecessary and unwarranted fears.
"When the epidemic, no one physically in any country is unable to 100% of people to explore and identify who, what sick, flu or some other viral infection.
Therefore doctors diagnose on the basis of clinical symptoms ", - explains senior researcher laboratory testing of new means of protection against influenza virus infections Institute of Medical Sciences, Igor Nikonorov.
"How many patients like swine influenza can not know in the United States and in any other country - continues scientist. -
For example, in a collective ten people. One does not go to work - put him in the hospital, identified swine flu. Another two persons at the same time became ill, but they have treated the house an outpatient basis. And three people went to work - well, they head a little pobolela, sneezed a few times and everything. In fact, they all could perebolet swine influenza, but found that only one who was lying in the hospital.
There are many disease occurs without symptoms or mild, when a person does not appeal to physicians, believes that "the legs" will bring. And transfers. But at the same time infect their colleagues. And the statistics will only include those who had come to the doctor. The number of cases, reported in the summaries, it is those who have swine flu laboratory confirmed.
As scientists say, is now under analysis in the laboratories, the same pandemic influenza virus H1N1 is detected more frequently than all other viruses. Head of the Health Ministry says Tatiana Golikova Russians that the prevalence of the disease "moderate" and fears that the events will develop a negative scenario, the government does not. Ivan Marinich, which monitors influenza epidemics for 40 years, the projections more cautious.
"In my opinion, the epidemic is now slightly above a moderate level. But we must still look to check. It has not yet reached the maximum level until the early to say. No one can say - these hundred influenza patients, and these five hundred - other ARI. Because it can only be determined in the laboratory ", - said the head of the Laboratory of Epidemiology Institute of influenza Sciences.
Information:
At present, Russia 3122 clinically confirmed cases of influenza A/H1N1, sick of 1200. 1908 people recovered, 21 people died.
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