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  • Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 70 deaths

    Originally posted by hawkeye View Post
    A week of silence!?
    As Simon & Gar. poeticaly said:

    "The Sound of Silence".


    About possibilities that in Ukraine they are at third world quality services and that's the reason of all these events,
    why give to every new hotspot of illness, in the early begining, a dismissal possibility of new bug changes?

    It is much more bio-safe and secure to gave it the possibility of the "maybe a big one", and to us, the right of "reasonable doubt", at least until things will clear up, in the worst or in the best way.

    For that is necessary a week, or better 2, but not of silence, of frentic verifying international research and open infos to prepare elsewhere, if necessary.

    Comment


    • Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 70 deaths

      It seems it should be read as 80 total cases.

      Comment


      • Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 70 deaths

        Thanks Hawkeye!

        received via email -

        Not offered for the truth but to show the mess that is ongoing.


        Rival: PM using flue scare for politics
        Journal Staff Report

        KIEV, Nov. 2 – The government overreacted to an outbreak of the swine flu in Ukraine to give competitive advantage to Prime Minister Yulia Tymoshenko at the next presidential election, a Tymoshenko rival charged Monday.

        The panic triggered by the government’s decision to declare the outbreak a major threat, has served to overshadow recent scandals involving Tymoshenko loyalists, Arseniy Yatseniuk, the No. 3 most popular presidential candidate, said.

        “This is in fact part of the political campaign,” Yatseniuk said in an interview with ICTV. “The main thing is to get the presidential office. All efforts and resources have been thrown for this.”

        At least 71 people, in western regions of Ukraine, were killed by the swine flu over the past three weeks, but the death toll figure has been apparently hovering around levels usually caused by seasonal flu.

        Oleksandr Bilovol, a deputy healthcare minister, said Monday the outbreak has been essentially contained in 11 out of 25 Ukrainian regions, with the number of people only 15% exceeding figures reported in previous years.

        “Figures in other the regions are in line with 2007 and 2008,” Bilovol said.

        The Tymoshenko government on Friday declared the outbreak as the threat of the third level – the highest possible – to unlock spending of up to 3 billion hryvnias to combat the swine flu.

        Other measures included shutting down schools and public gatherings for three weeks across Ukraine, with the government also considering introducing restrictions on movement of people between the regions.

        The measures, some of the sternest in the world, come in sharp contrast with other Eastern European countries that face similar challenges, analysts said.

        Margaret Chan, the director general of the World Health Organization, which tracks the swine flu internationally, sees the pandemic as “moderate” in severity with the overwhelming majority of patients experiencing only mild symptoms and a full recovery, often in the absence of any medical treatment.

        Yatseniuk said the ban on public gatherings spreads fear and panic helping Tymoshenko to promote herself on television, while hindering other presidential candidates to campaign.

        Yatseniuk is Tymoshenko’s biggest rival as both compete for votes in western regions of Ukraine. He is perhaps the only candidate that may challenge Tymoshenko in the first round of vote on January 17, 2010 to enter the runoff with opposition leader Viktor Yanukovych.

        Yatseniuk’s rating has been showing negative growth over the past several months, suggesting that Tymoshenko has been winning over voters in the western regions.

        “Why did the outbreak take place in four western regions? Because there are four battleground regions for the electorate,” Yatseniuk said.

        He said the panic spread by the government helps to put aside issues that are politically damaging to Tymoshenko, including the pedophile and the murder scandals involving Tymoshenko lawmakers, and Ukraine’s dismal economic performance caused by mismanagement.

        “Now, look what happened,” Yatseniuk said. “Does anybody talk about the pedophile scandal? No. Maybe somebody talks about Lozynskiy [a Tymoshenko lawmaker accused of shooting a person to death]? No. Maybe somebody talks about wages? No. Maybe somebody talks about four million unemployed? No. Maybe somebody talks about unpaid natural gas bills? No.”

        “People that are in fear, that are poor, are easier to be manipulated,” Yatseniuk said. “This is what the state apparatus is aimed at – manipulating the people.” (tl/ez)

        http://www.ukrainianjournal.com/inde...rticle&id=9367

        Comment


        • Re: Ukraine - H1N1 outbreak - Outline, summaries, official news

          Epidemic: the Ministry of Health of Ukraine has confirmed 71 cases of death


          Ministry of Health as of 22:00 on November 2 confirms 71 cases of death from influenza and SARS (ILI, ed)in the Lviv, Ternopil, Ivano-Frankivsk, Chernivtsi, Volyn, Khmelnitsky, Transcarpathian, Vinnitsa and Rivne regions.

          As reported today, the Ministry of Health, in particular, of the 71 deaths of 30 cases recorded in the Lviv region, 16 - in Ternopil, 12 - Ivano-Frankivsk, 5 - in Chernivtsi, 2 - in the Volyn, Transcarpathian and Rivne regions, 1 - to Khmelnytsky and 1 - in the Vinnitsa region.

          In general, influenza and acute respiratory ill 255 thousand 516 people, of which 121 thousand 407 - children and 991 pregnant women. In the hospital is 15,810 people, of whom 7737 - children, 7804 adults, 373 pregnant women. 235 people are in the ICU, including 171 adults, 60 children and 13 pregnant women.

          As reported, today, 3 November, Prime Minister Yulia Tymoshenko in Verkhovna Rada also informed that, as at night on November 2, recorded 71 cases of death from influenza and SARS. At the same time, she said on the stabilization of the epidemic in the eight western areas.

          In addition, 3 November Cabinet introduced to the Rada a draft law on amendments to the state budget, which proposes to allocate additional funds to combat the epidemic of influenza.

          In particular, the Government offered to send 1 billion hryvnia to the reserve fund of the Cabinet to allocate appropriate funds to fight the flu epidemic or other unforeseen events.

          http://korrespondent.net/ukraine/events/1014488
          ?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
          Richard Horton, Editor-in-Chief The Lancet

          ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

          Comment


          • Re: Ukraine - H1N1 outbreak - Outline, summaries, official news

            WHO

            Pandemic (H1N1) 2009, Ukraine - update 1

            3 November 2009 -- According to the Ministry of Health of Ukraine, the country has now recorded more than 250 000 cases of influenza-like illness, with 235 patients requiring intensive care. As of 2 November, 70 deaths from acute respiratory illness have been reported.

            Regions in western Ukraine continue to show the highest rates of acute respiratory illness/influenza-like illness. The level of activity in the Kyiv area is also increasing rapidly.

            Laboratory testing in Ukraine has confirmed pandemic H1N1 influenza virus in samples taken from patients in two of the most affected regions. As the pandemic virus has rapidly become the dominant influenza strain worldwide, it can be assumed that most cases of influenza in Ukraine are caused by the H1N1 virus.

            As elsewhere, WHO strongly recommends early treatment with the antiviral drugs, oseltamivir or zanamivir, for patients who meet treatment criteria, even in the absence of a positive laboratory test confirming H1N1 infection.

            At the request of the government, a multi-disciplinary team of nine experts has been deployed by WHO and arrived in Kyiv yesterday evening. Discussions with the Minister of Health were held this morning to brief the team.

            Team members will now begin field investigations to characterize the clinical and epidemiological features of the outbreak. Work will initially begin in Lviv region, where reported numbers of cases showing severe manifestations of acute respiratory illness have been especially high.

            Two virologists on the team have started working at the National Influenza Centre and the laboratories of the Central Sanitary and Epidemiological Station in Kyiv to provide diagnostic support.

            Samples sent by the Ministry of Health were received today by the WHO Collaborating Centre for Reference and Research on Influenza, Mill Hill in London, UK. The laboratory will conduct confirmatory tests and further characterize the virus.

            Many questions remain to be answered. The outbreak in Ukraine may be indicative of how the virus can behave in the northern hemisphere during the winter season, particularly in health care settings typically found in Eastern Europe.

            Given the potential significance of this outbreak as an early warning signal, WHO commends the government of Ukraine for its transparent reporting and open sharing of samples.

            WHO continues to recommend no closing of borders and no restrictions on international travel, including to Ukraine. Experience shows that such measures will not stop further spread of the virus.

            http://www.who.int/csr/don/2009_11_03/en/index.html
            ?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
            Richard Horton, Editor-in-Chief The Lancet

            ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

            Comment


            • Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 70 deaths

              The main issue with these kind of scenario is - for my point of view - to put into correct perspective the ''enviroment'' at the background of the scene.

              Often, the entire issue of population wealth and health status is overlooked.

              This is a wrong way to evaluate a national crisis.

              As I reiterated earlier, I cannot figure Ukraine without its troubles, economy, society, political turmoil, international strategic issues, decades of cuts on essential services funding, at more other.

              One should also care of the real ''terrain'' situation: how many coal mines hase been abandoned and related waste not disposed at all, with the subsequent fall-out on the health of local communities?

              How many chemical industrial complexes and sites have received an upgrade or maintenance, and for those dismissed, if the ''relics'' were treated accordingly.

              What's the annual individual income?

              It's enough to cope with the prices of food, the education of children, health care?

              The USSR heritage is clearly not only limited to ''vintage'' Lenin_Marx_Engels statues and momuments.

              But the heritage is a disastered environment, a decade long deep recession, only recently overcomed with the ''help'' of multinational corporations interested in the rich soil of Ukraine: agro-bussiness.

              What's the impact on human health for millions of people of these relics?

              I suggested some explanations, such as epidemics of HIV and tubercolosis, malnourishment, toxic chemicals level in blood, etc.

              The virus or viruses are circulating in these regions may be actually more pathogenic or virulent.

              But - even in the case - are we sure that this is the only viable explanation?

              Because South Africa experience has clearly indicated HIV and tubercolosis as a factor for bad H1N1 2009 virus infection outcome.

              Obviously, nobody care of Tchernobyl heritage, radionuclides and the level of contamination in human bodies.

              Simply, ''virus has mutated''.

              This is quite possible.

              I am a bit frustrated.

              Because it is so easy to left twenty years of fomer USSR states behind, as the painful experiences of these populations.

              I hope that at least for an instant the attention of reader and contributors will go on all these people.

              Comment


              • Re: Ukraine - H1N1 outbreak - Outline, summaries, official news

                EU must help Ukraine to fight flu - Poland

                03 Nov 2009 20:02:39 GMT

                Source: Reuters

                * Warsaw wants EU to help Ukraine fight swine, seasonal flu

                * Poland ups its H1N1 cases to 185, no deaths so far


                (Adds Poland's health minister comments)

                WARSAW, Nov 3 (Reuters) - Polish Prime Minister Donald Tusk has called on the European Union to help neighbouring Ukraine fight a flu epidemic and a growing number of H1N1 cases, saying its further spread is threatening the wider bloc.

                Ukraine shut schools, banned public meetings and restricted travel earlier this month in an attempt to combat the H1N1 flu epidemic, which has also caused public concern in Poland.

                "The character of this threat demands that rapid action be undertaken at the European Union level," Tusk wrote in a letter to European Commission President Jose Manuel Barroso and Swedish Prime Minister Fredrik Reinfeldt, who holds the rotating EU presidency.

                "This will serve both the interests of Ukraine, and the EU itself," he said in the letter, a copy of which was obtained by Reuters on Tuesday.

                Tusk urged Brussels to hold an extraordinary meeting of the EU's health council to identify Ukraine's needs and discuss availability of vaccines.

                Poland's Health Minister Ewa Kopacz said there had so far been 185 cases of swine flu and around 41,000 of seasonal flu diagnosed in the biggest ex-communist EU member. There have been no deaths.

                "I don't understand why we are all so worried about a rare flu that has a much more gentle course than the regular one. I don't understand why people do not take vaccines for seasonal flu," she told a Polish television channel.

                But news broadcasts showed Poles lining up at pharmacies to get sanitary masks which were quickly sold out in a sign of growing public concern.

                Deputy Foreign Minister Andrzej Kremer told Reuters that Warsaw was awaiting a reply from Brussels, and said he feared the epidemic could spread rapidly in eastern Europe.

                "Poland has already organised quite reasonable help for Ukraine, but in a split second we will see swine flu in Belarus, we are already hearing something about Romania," he said.

                Shipments of medicine and medical equipment have been leaving Poland for Ukraine in recent days. A growing number of swine flu cases have also been reported in Germany and Slovakia, which likewise share borders with Poland.

                http://www.alertnet.org/thenews/newsdesk/L3717686.htm
                ?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
                Richard Horton, Editor-in-Chief The Lancet

                ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

                Comment


                • Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 70 deaths

                  All is possible, stil.

                  The hard fact will be the one about if there is now an epidemic of hemorhagic pneumonia, or it is not.

                  Maybe some flutracker member from Ukraina hot zones directly,
                  could enlighten us further, independently than the gov or the WHO public releases.

                  As said, another now biological, coverted fallout as was the nuclear cloud throughout EU at the time, is not welcomed.

                  Comment


                  • Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 70 deaths

                    We are getting messages from someone in Kyiv, Ukraine and they do not describe a desperate situation but they did say everyone is wearing masks. The tv is swine flu 24/7. I will ask more tomorrow. It is late there now.

                    Comment


                    • Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 70 deaths

                      hat tip friend of FT -
                      Recently, Ukraine will start procurement of Tamiflu and antibiotics in India

                      proUA / 03.11.2009 17:58
                      proUA / 03.11.2009 17:58
                      Украина ведет переговоры с индийскими компаниями-производителями ?Тамифлю? и антибиотиков по закупке этой продукции.



                      Ukraine is in talks with Indian companies producing Tamiflu and antibiotics for the purchase of this product.


                      Об этом сегодня в Ивано-Франковске на совещании по вопросам борьбы с гриппом сказала премьер-министр Украины Юлия Тимошенко, передает УНИАН .



                      This today in Ivano-Frankivsk at a meeting on the fight against avian influenza said the Prime Minister of Ukraine Yulia Tymoshenko, reports UNIAN.

                      ?Я уверена, что завтра-послезавтра мы выйдем на масштабные поставки из Индии не только ?Тамифлю?, а и полного спектра антибиотиков широкого действия?, - сказала Тимошенко.



                      "I am confident that tomorrow or the day after tomorrow we will go to large-scale supplies from India, not only" Tamiflu ", and a full spectrum of antibiotics wide action", - said Tymoshenko.


                      Напомним, ночью 2 ноября в международный аэропорт ?Борисполь? из Швейцарии прибыл самолет АН-12 с грузом противовирусного препарата ?Тамифлю? в количестве 300 тыс. упаковок.



                      Recall the night of 2 November at the international airport "Borispol" from Switzerland, arrived aircraft AN-12 loaded with an antiviral drug Tamiflu in the amount of 300 thousand packages.


                      Правительство намерено в ближайшие три недели закупить еще 700 тыс. упаковок препарата против гриппа ?Тамифлю?.



                      The Government intends in the next three weeks to buy another 700 thousand packages against influenza drug Tamiflu.


                      По информации пресс-службы Президента Украины, 4 ноября в Украину прибудет очередная партия препарата ?Тамифлю? - 200 тыс. упаковок.



                      According to the press service of the President of Ukraine, November 4, the Ukraine will arrive the next consignment of the drug "Tamiflu" - 200 thousand packages.


                      http://proua.com/news/2009/11/03/175849.html

                      Comment


                      • Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 70 deaths

                        from a Chinese reporter stationed in Ukraine -

                        Wear a mask Ukrainian people's transportation needs of local outbreaks of unknown infectious diseases
                        Source: Legal Daily | Date: November 3, 2009

                        Legal Network reporter stationed in Kiev, Zhu Dong-Chuan


                        "....Ukrainian Ministry of Health that although the prevalence of severe infectious diseases were the cause of death is not yet clear, but that death is the direct cause of acute viral pneumonia. Rapid test results from the present perspective, such incentives are not fatal pneumonia caused by influenza viruses, but another is not yet known viruses. Age of the deceased are mainly young adults less than 45 years of age.

                        14-year-old pre-school children the incidence rate is relatively high.

                        Ukrainian Minister of Health Wakeniya Knežević clear that the rapid test results showed that the cause of death in these patients is not currently recognized due to Influenza A H1N1 influenza.
                        But for the time being still unable to think this is a variation of influenza A H1N1 influenza. Preliminary findings, the cause of death may be viral pneumonia, but the real cause of death induced by what is unclear and needs further laboratory analysis, laboratory samples have been sent to London....."


                        http://news.china.com.cn/chinanet/07...4.92&port=6666

                        Comment


                        • Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 70 deaths

                          ProMed post #3.

                          http://www.promedmail.org/pls/otn/f?..._ID:1000,79929

                          Archive Number 20091103.3799
                          Published Date 03-NOV-2009
                          Subject PRO/AH/EDR> Influenza pandemic (H1N1) 2009 (87): Ukraine, WHO


                          INFLUENZA PANDEMIC (H1N1) 2009 (87): UKRAINE, WHO
                          *************************************************
                          A ProMED-mail post
                          <http://www.promedmail.org>
                          ProMED-mail is a program of the
                          International Society for Infectious Diseases
                          <http://www.isid.org>

                          Date: Tue 3 Nov 2009
                          Source: World Health Organization (WHO), CSR, Disease outbreak news [edited]
                          <http://www.who.int/csr/don/2009_11_03/en/index.html>

                          Pandemic (H1N1) 2009, Ukraine -- WHO update 1
                          ---------------------------------------------
                          As of 3 Nov 2009, according to the Ministry of Health of Ukraine, the
                          country has now recorded more than 250 000 cases of influenza-like illness,
                          with 235 patients requiring intensive care. As of 2 Nov 2009, 70 deaths
                          from acute respiratory illness have been reported. Regions in western
                          Ukraine continue to show the highest rates of acute respiratory
                          illness/influenza-like illness. The level of activity in the Kyiv area is
                          also increasing rapidly.

                          Laboratory testing in Ukraine has confirmed pandemic H1N1 influenza virus
                          in samples taken from patients in 2 of the most affected regions. As the
                          pandemic virus has rapidly become the dominant influenza strain worldwide,
                          it can be assumed that most cases of influenza in Ukraine are caused by the
                          [pandemic 2009] H1N1 virus. As elsewhere, WHO strongly recommends early
                          treatment with the antiviral drugs, oseltamivir or zanamivir, for patients
                          who meet treatment criteria, even in the absence of a positive laboratory
                          test confirming H1N1 infection.

                          At the request of the government, a multidisciplinary team of 9 experts has
                          been deployed by WHO and arrived in Kyiv yesterday evening [2 Nov 2009].
                          Discussions with the minister of health were held this morning to brief the
                          team. Team members will now begin field investigations to characterize the
                          clinical and epidemiological features of the outbreak. Work will initially
                          begin in Lviv region, where reported numbers of cases showing severe
                          manifestations of acute respiratory illness have been especially high. Two
                          virologists on the team have started working at the National Influenza
                          Centre and the laboratories of the Central Sanitary and Epidemiological
                          Station in Kyiv to provide diagnostic support. Samples sent by the Ministry
                          of Health were received today by the WHO Collaborating Centre for Reference
                          and Research on Influenza, Mill Hill in London, UK. The laboratory will
                          conduct confirmatory tests and further characterize the virus.

                          Many questions remain to be answered. The outbreak in Ukraine may be
                          indicative of how the virus can behave in the northern hemisphere during
                          the winter season, particularly in health care settings typically found in
                          Eastern Europe. Given the potential significance of this outbreak as an
                          early warning signal, the WHO commends the government of Ukraine for its
                          transparent reporting and open sharing of samples.

                          WHO continues to recommend no closing of borders and no restrictions on
                          international travel, including to Ukraine. Experience shows that such
                          measures will not stop further spread of the virus.

                          --
                          communicated by:
                          ProMED-mail rapporteur Marianne Hopp

                          [This outbreak is being accorded particular attention by WHO because it may
                          be indicative of how the virus can behave in the northern hemisphere during
                          the winter season, particularly in health care settings such as found in
                          Eastern Europe.


                          The HealthMap/ProMED-mail interactive map of Ukraine can be accessed at
                          <http://healthmap.org/r/00Xn>. - Mod.CP]

                          [see also:
                          Influenza pandemic (H1N1) 2009 (85): India (MH) 20091103.3796
                          Influenza pandemic (H1N1) 2009 (85): China 20091103.3787
                          Influenza pandemic (H1N1) 2009 (84): Ukraine, WHO 20091102.3781
                          Influenza pandemic (H1N1) 2009 (83): Iraq, schools 20091102.3780
                          Influenza pandemic (H1N1) 2009 (82): Egypt, quarantine alert 20091101.3776
                          Influenza pandemic (H1N1) 2009 (81): Ukraine, conf. 20091101.3771
                          Influenza pandemic (H1N1) 2009 (80): Ukraine susp. RFI 20091031.3764
                          Influenza pandemic (H1N1) 2009 (70): Nepal 20091016.3563
                          Influenza pandemic (H1N1) 2009 (60): bacterial coinfection 20090930.3410
                          Influenza pandemic (H1N1) 2009 (50): oseltamivir-resistance 20090917.3260
                          Influenza pandemic (H1N1) 2009 (40): global update 20090906.3138
                          Influenza pandemic (H1N1) 2009 (30): assumptions 20090813.2879
                          Influenza pandemic (H1N1) 2009 (20): Peru, 33 percent asymptomatic
                          20090730.2668
                          Influenza pandemic (H1N1) 2009 (10): vaccine 20090720.2577
                          Influenza pandemic (H1N1) 2009 - Viet Nam: patient data 20090708.2450]

                          .................cp/ejp/sh

                          Comment


                          • Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases &amp; 70 deaths

                            A statement from the Ukrainian MOH.

                            03 листопада 2009, the Supreme Council of Ukraine considered the issue of poverty in the state of the epidemic of influenza A (H1N1). Враховуючи те, що Міністр охорони здоров'я України Василь Князевич не мав нагоди поінформувати парламент про ситуацію в медичній сфері, та, враховуючи велику кількість гострих питань, відповіді на які очікує суспільство, прес-служба МОЗ України надає текст доповіді міністра, підготовлений до виступу на засіданні Верховної Ради України 03.11.09. Given that the Minister of Health of Ukraine Vasyl Knyazevich not had occasion to inform the parliament about the situation in the medical field, and, given the large number of pressing issues, the answers to what society expects, the press service of Ukraine Ministry of Health provides the text of the report of the Minister, prepared speech the Supreme Council of Ukraine 03.11.09.



                            Вельмишановний Володимире Михайловичу, Dear Vladimir,
                            Шановні народні депутати! Dear people deputies!
                            Перед тим, як розпочати свій виступ, хотів би нагадати: закони епідеміології не мають нічого спільного з законами політики, вірусам байдуже яка політична сила при владі, а хвороби не лікуються критикою опозиції. Before starting his speech, would recall: epidemiology laws have nothing to do with the laws of politics, viruses do not care which political party in power, but the disease is not treated the opposition criticism.

                            Сподіваюсь, що сьогодні ми будемо говорити не про політику, а дамо суспільству чіткі сигнали про те, що держава здатна протистояти таким викликам, як епідемія. I hope that today we will talk not about politics, society and give clear signals that the state is able to confront challenges such as epidemic.


                            Тепер безпосередньо щодо ситуації з захворюваністю на грип А (H1N1) Now the situation directly with the incidence of influenza A (H1N1)

                            Нагадаю, 11 червня 2009 року ВООЗ оголосила 6-ту фазу пандемії грипу А (H1N1). Recalled June 11, 2009 WHO announced 6 th phase of a pandemic influenza A (H1N1). Це означає, що вірус викликав тривалі спалахи грипу серед населення щонайменше в двох країнах одного регіону ВООЗ та одній країні іншого регіону. This means that the virus has caused outbreaks of influenza in long-term population of at least two countries in a WHO region and one country in the world.

                            На сьогодні в світі зареєстровано більше 440 тис. лабораторно підтверджених випадків на грип А/H1N1 Каліфорнія , з них майже 5,5 тисяч закінчились смертю пацієнтів. In today's world, more than 440 thousand of laboratory-confirmed cases of influenza А/H1N1 California, including nearly 5.5 thousand cases ended by death. Звертаю вашу увагу на той факт, що підтверджені лабораторно випадки не є 100%-ою перевіркою всіх хворих, а є лише вибіркою, яка застосовується в епідеміології як метод . I draw your attention to the fact that the laboratory confirmed cases are not 100% married to screen all patients, but a sample that is used in epidemiology as a method.

                            Більше ніж у 90 країнах зареєстровано смертельні випадки, найбільша кількість смертельних випадків, станом на жовтень 2009 р. зареєстровано у Бразилії - 899, США - 593, Аргентині - 538, Індії - 315, Мексиці - 231. More than 90 countries recorded deaths, the largest number of deaths, as of October 2009, recorded in Brazil - 899, USA - 593 Argentina - 538, India - 315, Mexico - 231.

                            Станом на 22 годину 2 листопада в Україні на грип та ГРВІ зареєстровано 255 тис 516 хворих, 71 особа померла, з них дорослих - 66, 3 дітей, 2 вагітних. As at 22 June 2 November in Ukraine influenza and ARI recorded 255 thousand 516 patients, 71 died on the person, including adults - 66, 3 children, 2 pregnant women. Найбільш складна ситуація залишається в Львівській, Івано-Франківській, Тернопільській областях. The most difficult situation is in Lviv, Ivano-Frankivsk, Ternopil region.


                            Чим грип A (H1N1) відрізняється від інших типів грипу? Наголошую - за клінічними ознаками нічим не відрізняється. What is influenza A (H1N1) differs from other types of influenza? Notes - with clinical features is no different. Їх симптоми однакові і схожі на будь-яку застуду, ГРВІ. Their symptoms are similar and identical to any food poisoning, ozone depleting substances. За своєю сутністю відрізняється тим, що ні в кого немає до нього імунітету, оскільки вірус абсолютно новий, до кінця не вивчений, ніхто не знає за рахунок чого погіршується клініка, і як з цим боротися. By essentially different in that no one no immunity to it, because the virus is completely new, not fully understood, no one knows thereby worsening clinical picture, and how this fight.

                            Хочу звернути увагу, що незвичний він і тим, що лікувати його почали влітку, важких форм захворювання було мало. I would like to note that it is unusual and that treating it began in the summer, severe disease was small. Відтак досвіду в лікуванні таких хворих у світі теж недостатньо. Therefore experience in treating such patients in the world is also not enough.

                            Характерною ознакою захворювання є стрімкий розвиток важких випадків, які проявляються у вигляді миттєвої пневмонії, коли люди помирають до п'ятої доби, або коли люди помирають на 7-8 добу від пневмонії з нашаруванням бактеріальної інфекції. A characteristic feature of the disease is rapid development of severe cases that manifested as pneumonia instant when people die before the fifth day, or when people die at 7-8 day from pneumonia stratification of bacterial infection.

                            Чи є ситуація в Україні виняткова? Is there a unique situation in Ukraine? Підкреслюю - Ні! Глобальна статистика свідчить, що у світі одна третина припадає на смерті від пневмоній, ускладнених бактеріальною інфекцією, та дві третини - на смерті від вірусних пневмоній. I emphasize that - No! Global statistics show that in the world accounted for one third of deaths from pneumonia, complicated bacterial infections, and two-thirds - to death from viral pneumonia. Такі хворі дуже важко піддаються реанімації, їм складно вибрати режим штучної вентиляції легенів, вони потребують багато уваги в реанімаційному відділенні як від лікарів, так і від медсестер. Such patients are very difficult to resuscitation, it is difficult to choose the mode of artificial ventilation, they require a lot of attention in the intensive care department from both the doctors and of nurses.

                            Дуже часто мене запитують: як може простий дільничний лікар визначити - чи це звичайна застуда, чи каліфорнійський грип? Very often I ask: How can a simple sector doctor to determine - whether it is the common cold, flu or California?

                            Наголошую - лікар і не повинен це робити . Notes - a doctor and should not do it. В державі чітко визначена епідситуація, вірус A/H1N1 циркулює по території України, і не потрібно щоразу підтверджувати це знову і знову. In the state clearly defined epidsytuatsiya, A/H1N1 virus circulating in the territory of Ukraine, and do not need to prove it every time again and again. Цієї осені традиційно присутні кілька вірусів, але фіксується переважно два типи - звичайний сезонний тип А та каліфорнійський A/H1N1. This fall, traditionally attended by several viruses, but is fixed mainly two types - normal seasonal type A and California A/H1N1. Кожен з цих типів може викликати досить важкі ускладнення. Тому лікар не повинен намагатися їх розрізняти, він повинен орієнтуватися за чіткими клінічними проявами у хворого. Each of these types can cause very serious complications. Therefore, the doctor should not try to distinguish between them, it must be guided by clear clinical manifestations of the patient. Якщо хворий не має важких симптомів, він лікується вдома та застосовує стандартні препарати, як при застуді. If the patient has severe symptoms, it is treated at home and uses the standard drugs, as with colds. Якщо важкий (дуже висока температура, біль у грудях, задишка) - терміново госпіталізується. If severe (very high fever, chest pain, shortness of breath) - urgently hospitalizuyetsya.


                            З досвіду, який ми вже сьогодні маємо, лікарі звертають увагу, що захворювання вражає, передусім, молоде працездатне населення. From experience, we already have today, doctors emphasize that the disease affects primarily young working-age population. Вік більшості померлих становить від 20 до 45 років. Age most of the dead is from 20 to 45 years. На жаль, навіть при тому, що сьогодні люди більш активно звертаються у лікарні по допомогу, смертність є досить високою, ситуація залишається складною. Пояснень цьому немає, у тому числі і у міжнародних фахівців, оскільки немає, як зазначалося раніше, досвіду в медичній практиці. Unfortunately, even the fact that today people are more actively seeking help in hospital, mortality is very high, the situation remains difficult.'s No explanation, including in international experts, because there is, as noted earlier, experience in medical practice .

                            Характерним є і те, що перебіг захворювань ускладнюється у разі наявності у пацієнта ожиріння, цукрового діабету, захворювань органів дихання, інших важких хронічних захворювань. Characteristic is the fact that the course of disease is complicated in the case of a patient obesity, diabetes, respiratory diseases, other severe chronic diseases.

                            На жаль, маємо на сьогодні і випадки ураження вагітних, що призвело до загибелі плоду, а у 2-х випадках - і матері. Unfortunately, we have today and the cases of destruction of pregnant women, killing the fetus and in 2 cases - the mother.


                            Як вже зазначалося, вірус швидко розповсюджується територією України. As already indicated, the virus quickly spreads through Ukraine. Випадки реєструються у Вінницькій, Хмельницькій, Закарпатській, Рівненській областях. Cases recorded in Vinnytsia, Khmelnytsky, Transcarpathian, Rivne. Карантин запроваджено у 9 областях. Quarantine implemented in 9 provinces.


                            Порівняльний аналіз епідситуації в Україні за минулий та 2009 рік свідчить: Comparative analysis epidsytuatsiyi in Ukraine in the past and in 2009 shows:


                            На 42-ому тижні 2008 року, а це 12-19 жовтня - кількість хворих по Україні становила 45 517 осіб. At the 42nd week in 2008 and is 12-19 in October - the number of patients in Ukraine amounted to 45 517 people. За цей же період 2009 р. - 45 тисяч 177 осіб. For the same period in 2009 - 45 thousand 177 persons.

                            На 43-ому тижні 2008 року, тобто 20-26 жовтня 2008 року - кількість хворих була 42 тис 713 осіб, а минулого тижня цього року - 48 тисяч 909 осіб. At the 43rd week in 2008, ie, 20-26 October 2008 - the number of patients was 42 thousand 713 persons, and last week this year - 48 thousand 909 persons.

                            Як бачимо, проблема сьогодні - не стільки у кількісному зростанні вірусних захворювань, скільки у тому, що медики мають справу з новим вірусом, від якого помирають люди і медицина тут поки що безсила. As we see, the problem today - not only in quantitative growth of viral diseases, but that doctors are dealing with a new virus from which people are dying and medicine is so helpless.

                            Ще раз хочу підкреслити, панове депутати: ситуація дійсно складна, але настрої, які нагнітаються, лише погіршують її . I would like to emphasize, ladies and gentlemen deputies: the situation is really complicated, but the mood that nahnitayutsya only worsen it.


                            Тепер щодо дій Міністерства . Now for the actions of the Ministry. Я свідомий того, що незалежно від сказаного мною, це піддаватиметься критиці. I am aware that no matter what I say is piddavatymetsya criticism.

                            Разом з тим, наполягаю: However, insists:

                            Перше. Все, що робилося і робиться Урядом, Міністерством охорони здоров'я - спрямоване на утримання ситуації під контролем. First. All that was done, and done by the Government, the Ministry of Health - aimed at keeping the situation under control.

                            Друге. Міністерство працювало в тісному контакті з міжнародними організаціями, нами виконувались і виконуються всі міжнародні рекомендації. Second. The Ministry worked closely with international organizations, we have performed and fulfilled all the international recommendations.

                            Третє. Проблеми, з якими зіштовхнулась Україна, не є унікальними, вони є в інших країнах. Third. The problems that faced Ukraine is not unique, they are in other countries.


                            Якщо узагальнити все зроблене, то хочу зазначити, що на виконання розпорядження Кабінету Міністрів України (від 28 квітня 2009 № 446-р "Про затвердження плану заходів щодо запобігання виникненню серед населення захворювання на свинячий грип") Міністерством охорони здоров'я були розроблені та сьогодні реалізуються відповідні нормативні акти, якими регламентується робота всієї медичної служби. If the sum is made, it would indicate that the performance of the Cabinet of Ministers of Ukraine (on April 28, 2009 № 446-r "On approval of a plan to prevent disease among the population of swine flu"), the Ministry of Health has been developed and today implemented by the relevant regulations, which governed the work of all medical services. На виділені державою кошти було закуплено обладнання, медикаменти, деззасоби тощо. At the state allocated funds had purchased equipment, pharmaceuticals, boilers, etc..


                            Все, що сьогодні виконується, всі протоколи, які створюються чи змінюються, не є якимсь ноу-хау України. Everything today is, all records that are created or changed, not some know-how of Ukraine. Думаю, всім зрозуміло, що існують стандарти епідслужб, правила життєдіяльності в час епідемій, стандарти лікування, багато іншого, що роками застосовується в медичній практиці. I think everybody understood that there epidsluzhb standards, rules of life in time of epidemics, treatment standards, etc., which for years used in medical practice. Є виклики, на які ми вимушені реагувати в режимі он-лайн, залучати міжнародних колег. There are challenges to which we are forced to respond to online, to attract international colleagues. І це є нормальна робота. This is normal operation.


                            В Міністерстві є конкретний перелік заходів, що вживалися з моменту створення штабу навесні, та перелік роботи, яка зроблена з моменту ускладнення ситуації. The Ministry is a specific list of measures that were taken since the establishment of headquarters in the spring, and a list of which is made from the complication of the situation. Кого цікавить, будь ласка, приходьте до МОЗ, ми надамо добірку матеріалів. Who are interested, please come to the Ministry of Health, we provide a selection of materials. Зараз просто не хочу витрачати на це час. We just do not want to spend this time.


                            Разом з тим, Міністерство постійно втягують в дискусії, примушуючи виправдовуватись, щось спростувати. However, the Ministry continuously involve in the discussion, forcing justify something to refute. Це є політика. This is politics. Але сьогодні ми не можемо собі дозволити витрачати час на такі речі. But today we can not afford to waste time on such things.


                            Звертаюся до вас, панове депутати, з проханням: відтермінуйте обвинувальну риторику хоча б на пару тижнів, дайте лікарям спокій для роботи, а потім - ласкаво просимо всі правоохоронні органи на перевірку до міністерства. I am writing to you, ladies and gentlemen MPs, asking: vidterminuyte accusatory rhetoric at least a couple of weeks, let the doctors work for peace, and then - welcome to all law enforcement agencies for review to the ministry.


                            Разом з тим, хотів би відповісти на питання, які найбільше цікавлять суспільство. However, I would like to answer questions that are most interesting society.


                            Перше. First. Наявність ліків та марлевих пов'язок в аптеках. Сьогодні ситуація доведена до абсурду. Availability of gauze bandages and medicines in pharmacies. Today the situation has been brought to the absurd. Хочу нагадати: аптечна мережа не тримала і не триматиме у себе резерву марлевих пов'язок , які використовуються лише сезонно та у випадку надзвичайних ситуацій, як сьогодні. I recall: pharmacy network is not held and not keep a reserve in gauze bandages that are used only seasonally and in case of emergency, as it is today. Тому слід свідомо поставитись до того, що можливі збої у поставках при такому ажіотажі. So be conscious attitude to what is possible disruptions in supply to this boom. Держава задовольнить найближчим часом цей попит. State meet this demand in the near future. Адже паніка призвела до того, що люди упаковками скуповували навіть марлеві (а не одноразові) пов'язки. It led to panic, people bought even gauze packing (not disposable) bandages.

                            Щодо препаратів, ситуація схожа. Regarding drugs, the situation is similar. Стандартний перелік ліків, яким ми користуємось з року в рік, громадяни почали масово скуповувати одночасно по всій країні. За день скуповувалось стільки, скільки в минулі роки продавали місяцями. Standard list of drugs that we use year after year, people began to buy up massively across the country simultaneously. The day skupovuvalos as much as in past years sold months. Зрозуміло, що ніяка логістика тут не допоможе. Clearly, there is no logistic help. Знову ж таки, хочу заспокоїти громадян: якщо не знайшли препаратів сьогодні, вони з'являться за день-два. Again, I want to reassure citizens: if you do not find drugs today, they will appear in a day or two. Не повірю, щоб у українців не було вдома мінімального запасу ліків, або щоб вам не допомогли сусіди у разі крайньої потреби. Not believe that in the Ukrainian was not at home a minimum supply of drugs, or that you have not helped neighbors in case of extreme need.


                            Друге. Second. Ціни на ліки. Prices for medicines.

                            Звинувачення безпосередньо Міністерства охорони здоров'я у неконтрольованості цін, є абсолютно безпідставними. Charges directly Ministry of Health in nekontrolovanosti prices are totally unfounded. Згідно чинного законодавства таких повноважень у міністерства немає. Under current law such authority in the ministry there. Ми можемо лише моніторити ціни на ліки та інформувати громадськість про те, як вони змінилися. We can only monitor prices of drugs and to inform the public about how they have changed. Тож, всі запитання - до контролюючих органів. Therefore, all questions - to the regulatory agencies. До речі, хотів би нагадати, що загалом в Україні налічується більше 23 тисяч аптек, аптечних кіосків та пунктів. By the way, I would like to recall that in general in Ukraine has more than 23 thousands of pharmacies, pharmacy kiosks and points. З них, лише більше 4 тисяч є аптеками державної та комунальної власності. Of these, just over 4 thousand pharmacies are state and municipal property. То про який вплив держави на аптечний бізнес взагалі сьогодні можна говорити? So the impact on the state of pharmacy business in general today, you say? Думаю, це тема для розмірковування законотворців. I think it is a topic for reflection zakonotvortsev.


                            Третє. Що відбувається з тест системами в державі, чи їх вистачає, чи вони нам взагалі потрібні, якщо і так підтверджено наявність вірусу? Third. What happens to the test systems in the country, or their lack, or they need us at all, and if so confirmed by a virus?

                            Хочу заспокоїти і вас, панове депутати, і громадян. I want calm and you, ladies and gentlemen deputies, and citizens. Трирівнева лабораторна діагностика працює в державі, як і раніше, як би її не поливали сьогодні брудом. Tiered laboratory diagnostic work in the country, still, as though it is not sprayed mud today. До речі, мені дуже шкода, що праця багатьох лаборантів, які сумлінно виконують свою роботу у важких умовах, останнім часом незаслужено паплюжиться окремими політиками. By the way, I'm sorry that the work of many laboratory assistants who conscientiously do their work in difficult conditions recently wrongly paplyuzhytsya individual politicians.

                            Тест-системи в регіонах використовуються (десь краще, десь гірше) і показують нам результати. The test system used in the regions (somewhere better, some worse) and show us the results. Проте ще раз хочу наголосити, адже багато йде інсинуацій навколо цієї теми: ці тест-системи не призначені для того, аби робити аналіз всім без винятку, хто поскаржився на погане самопочуття чи навіть захворів. However, I would like to emphasize, as much is insynuatsiy around this theme: These test kits are not intended to make analysis of all, without exception, who complained of poor health or even disease. Аналіз робиться вибірково. The analysis is done selectively.

                            Але тест-системи обов'язково потрібні, тому що медики мають конролювати циркуляцію вірусу по території України. But the test system necessarily needed, because doctors have konrolyuvaty virus circulation in the territory of Ukraine. Вони повинні відслідковувати від чого помирають люди, від чого потрапляють в реанімацію. They must keep track of what dying people, why get in resuscitation. Проте, робити всім і кожному аналіз ПЦР на грип A/H1N1 - недоцільно. However, to do all and each PCR analysis of influenza A/H1N1 - impractical. Оскільки це дорого та необґрунтовано. As this is expensive and unreasonable. Для лікування це не має значення, а для спостереження достатньо за протоколом зробити модуль, по якому буде забиратися певна кількість матеріалу. To treat it does not matter, but rather to observe the protocol to make the module, which will clear out some of the material.


                            Четверте. Fourth. Забезпеченість хворих препаратом Таміфлю. Provision of patients with drug Tamiflu.

                            Шановні панове депутати, хочу наголосити, що, дійсно, ніякі препарати, крім осельтамивіра та заномивіра не довели свою ефективність в лікуванні грипу A/H1N1, але застерігаю всіх ні в якому разі не проводити профілактики препаратами Таміфлю та Реленза, оскільки їх бездумне вживання призведе до резистентності вірусу і лікувати буде просто нічим. Панове політики, будь ласка, припиніть лякати хворих, що держава не забезпечила їх таміфлю. Ladies and gentlemen deputies want to stress that, indeed, no drugs, except oseltamyvira and zanomyvira not proved effective in the treatment of influenza A/H1N1, but warn all in any case not to carry out preventive drugs Tamiflu and Relenza, because they thoughtlessly use will resistance of the virus and cure will be just nothing. Gentlemen policy, please stop threatening patients that the state failed to provide their Tamiflu. Ви спонукаєте людей бігти до аптеки і купувати препарат в той час, як вживати його можна лише за призначенням лікаря. You encourage people to flee to the pharmacy and buy medicine at a time as you use it only for the doctor. Запевняю, що в лікарнях препарат є. Assure that hospitals have the drug. Там, де він закінчується чи потрібні додаткові обсяги, Уряд це забезпечить. Where it ends, or need additional volumes, the Government will provide it. Якщо десь його не вистачає, то, будь-ласка, повідомляйте нам. If somewhere it is not enough, then please tell us. У кожного з вас є свій округ, тож допоможіть Міністерству і проконтролюйте, щоб місцева влада вчасно подавала інформацію, щоб слідкувала за кількістю препаратів і працювала на випередження. Each of you has a constituency, so help the Ministry and will control to local authorities on time showed the information to keep track of the number of products and worked to advance.


                            П'яте. Fifth. Сьогодні всіх цікавить куди міністерством витрачені 50 мільйонів, куди будуть витрачатися інші кошти, які зараз виділяються? Today, all interested in where the ministry spent 50 million, which will be spent other funds that are allocated?

                            Великі це кошти, чи малі - питання спірне, враховуючи суми, які інші країни світу виділяли на подолання епідемії. Big money is, or small - the question moot, given the amount that other countries were isolated on the epidemic. Наприклад, США виділили своїй системі охорони здоров'я 1,5 млрд. доларів , Євросоюз - 1 млрд. євро, Бразилія - 66,5 млн.доларів, Росія - 6 млрд.рублів. For example, the United States highlighted its health system 1.5 billion, the European Union - EUR 1 billion, Brazil - 66.5 million dollars, Russia - 6 mlrd.rubliv.

                            Думаю, ні в кого немає сумніву, що українська система охорони здоров'я працює, на жаль, дещо в інших реаліях. I think no one is no doubt that the Ukrainian health care system is, unfortunately, some in other realities. Тому, шановні панове, є великим лукавством перекладати на Міністерство охорони здоров'я, особливо сьогодні, відповідальність за жебрацький стан, в якому держава тримає вітчизняну систему охорони здоров'я багато років. So, gentlemen, is a big deceit translate the Ministry of Health, especially today, the responsibility for beggarly condition in which the state holds the national health system for many years.

                            Нами вже підготовлені всі кроки по реформуванню галузі, є розуміння і бачення що і як треба міняти. We have already prepared all the steps on reform, is understanding and vision of what and how to change. Однак, виклики часу не дають можливості рухатись швидко. However, the challenges of the time did not allow to move quickly.

                            На завершення, можливо повторюся, але хочу сказати: кого цікавлять так звані фінансові зловживання у МОЗ, запрошую перевірити це після подолання епідемії. In conclusion, may I repeat, I would say: those interested in the so-called financial abuse in MH, I invite to check it after the epidemic. До речі, нагадаю громадськості, що розподіл коштів міністерство не проводило одноосібно, а робило за участі інших державних органів, у тому числі й правоохоронних. By the way, remind the public that the distribution of funds held by the Ministry is not alone, as did the participation of other government agencies, including law enforcement.


                            Шосте. Sixth. І останнє. Шановні депутати, хочу вас запевнити : Міністерство охорони здоров'я ніколи не приховувало і не буде приховувати відомостей про ситуацію в державі. Finally. Dear members, I assure you: the Ministry of Health has never hidden and will not conceal information about the situation in the country. Всі звинувачення про замовчування випадків смерті - наклеп. All allegations of concealment of deaths - libel.

                            На відміну від політиків, робота лікарів ґрунтуються на засадах доказовості, тож, до отримання результатів лабораторних аналізів ми не мали ні юридичного, ні морального права оголошувати про епідемію в країні. Unlike politicians, doctors work based on the principles of Evidence, therefore, the results of laboratory tests, we had no legal or moral right to declare the epidemic in the country. Культури вірусів не можна виростити швидко за бажанням тієї чи іншої політичної сили. Fruit and viruses can not grow quickly at the request of one or another political force. Тому закінчу доповідь словами, якими й починав: закони епідеміології не мають нічого спільного з законами політики, вірусам байдуже яка політична сила при владі, а хвороби не лікуються критикою опозиції. So to finish the report, which also started: epidemiology laws have nothing to do with the laws of politics, viruses do not care which political party in power, but the disease is not treated the opposition criticism.

                            Дякую за увагу. Thank you.


                            Прес-служба МОЗ України Press Service of the Ministry of Health of Ukraine

                            Comment


                            • Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases &amp; 70 deaths

                              And CIDRAP strikes again. This thread is now larger than the one from Oaxaca that started this Pandemic.

                              With respect to the death count, I believe the increase from 71 to 80 overall is the result of the increase from 30 to 39 in Lviv since the last release, not a report of 151 fatalities total.

                              http://www.cidrap.umn.edu/cidrap/con...09ukraine.html

                              WHO team arrives to assist with Ukraine flu probe
                              Lisa Schnirring Staff Writer


                              Nov 3, 2009 (CIDRAP News) ? The World Health Organization (WHO) said its team arrived in the Ukraine last night and met with the country's health ministry today to discuss a dramatic spike in flulike illnesses and deaths, particularly in the western part of the country.

                              The Ukrainian health ministry has recorded more than 250,000 flulike illnesses, of which 235 patients needed treatment in intensive care units, the WHO said in a statement today. As of yesterday, 70 deaths had been reported.

                              The high level of illnesses activity and severe cases, combined with reports of hemorrhagic pneumonia cases, have raised some speculation that the virus might be behaving differently in the Ukraine, but further testing is just getting under way.

                              Laboratory testing at labs in the Ukraine have confirmed the pandemic H1N1 virus in samples taken from patients in two regions, the WHO said, adding that because the pandemic virus has become dominant throughout the world, most of the Ukrainian respiratory illnesses are probably caused by the novel H1N1 strain.

                              Though the highest illness rates have been seen in the western part of the country, illness activity is increasing rapidly in Kiev, the WHO reported.

                              The WHO's field investigation team will start in the Lviv region, where the number of cases of severe respiratory illness has been especially high. Virologists from the WHO have started working with Ukrainian scientists at the National Influenza Centre and the Central Sanitary and Epidemiological Station, both in Kiev.

                              Ukraine's health ministry has sent viral samples to the WHO collaborating center in London, where laboratory experts will conduct confirmatory tests and further characterize the virus.

                              The outbreak raises several questions and may provide clues about how the virus will circulate in the Northern Hemisphere during the winter months, particularly in areas such as Eastern Europe that have healthcare challenges.

                              The WHO commended Ukrainian officials for their transparent reporting and open sharing of viral samples. It also said border closures and international travel restrictions are not warranted.

                              Lawmakers in the Ukraine today approved legislation freeing up $1 billion UAH (about $131 million) in reserve funds for flu response actions, according to a report from UNIAN, the country's independent news agency.

                              The country's head sanitary inspector today, in a television interview, denied that the country was experiencing an outbreak of pandemic flu and said only 14 cases had been confirmed, including three deaths, according to another UNIAN report today.

                              Meanwhile, two of Ukraine's top leaders, who are opponents in a January presidential election, scrambled to respond to the flu outbreak, UNIAN reported. President Victor Yuschenko instructed the military to prepare portable military hospitals, and Prime Minister Yulia Tymoshenko promised to provide all of the country's residents with masks to reduce their flu exposure.

                              An official from the Ukraine's flu and respiratory disease center, Oleksandr Hrynevych, today projected that pandemic H1N1 vaccination could begin in a month or two after regulators approve two vaccines that are undergoing testing, according to a report from the National Radio Company of Ukraine (NRCU). He said the vaccine supply will come from the WHO and from individual country donations.

                              A warden message posted on the US State Department's Ukrainian embassy Web site said US officials are aware of the outbreak and are monitoring the situation. Though the country has imposed several social-distancing measures, such as a 3-week school closure, Ukrainian officials have told the State Department that no general quarantine is in effect.

                              The US embassy said that, because of legal restrictions and lack of resources, it is not able to provide private citizens with pandemic supplies, medication, medical treatment, or medical advice.

                              See also:

                              Nov 3 WHO pandemic update on pandemic flu in the Ukraine

                              UNIAN Web site
                              http://unian.net/eng/

                              Nov 3 NRCU report

                              US Embassy warden message
                              http://kiev.usembassy.gov/amcit_wardenmsg_0405_eng.html

                              Comment


                              • Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases &amp; 70 deaths

                                Here is a source for confusion: There is a city named Lviv in an oblast named Lviv (just like Oaxaca in Oaxaca - ooh!). The counts in this article are lower because they likely only count the city, not the whole oblast.

                                http://www.kyivpost.com/news/nation/detail/51824/

                                Viral pneumonia rate growing in Lviv
                                Yesterday at 16:54 | Interfax-Ukraine Lviv ? The number of people with viral pneumonia is rapidly growing in Lviv, the city's top health official Volodymyr Zub has said.

                                "A total of 323 people have been diagnosed with pneumonia in Lviv, whereas the day before yesterday the number was 232," he said at a press conference on Tuesday.

                                As of 1100 on Tuesday, 27, 273 people with flu and acute respiratory infections have been registered in Lviv, including 11, 000 children. Twelve people, including one in a critical state, are currently in intensive care. Ten people in the city have died of flu and acute respiratory infections.

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