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The Discovery of the 2009 A/H1N1 Pandemic - Mexico: April 17 New Respiratory Illnesses - Including Mexico City & Oaxaca
Re: Mexico: Respiratory Illnesses - Including Mexico City & Oaxaca
From post #95 "13 of the 20 deaths were in the Federal District, four in <st1:state w:st="on">San Luis Potosi</st1:state>, two in <st1:state w:st="on">Baja California</st1:state> and one in <st1:state w:st="on"><st1:place w:st="on">Oaxaca</st1:place></st1:state>."
Deaths from this infection are widely spread across Mexico. See map below.
Thanks, Florida. I wasn't sure on that. I was trying for optimism ... I have a pretty good Spanish vocabulary, but the word order sometimes gives me fits!
Re: Mexico: Respiratory Illnesses - Including Mexico City & Oaxaca
<H4 class=tguindo>23-Abril-2009 </H4>
Oficial: La Influenza ya es un brote epidémico
Jaime Contreras
(12:17 p.m.)
La alerta preventiva nacional se mantendrá el tiempo que sea necesario, consideró la SSA
Tras reconocer que la influenza ya se constituyó como un brote epidémico, pero no llega a categoría de pandemia, el secretario de Salud, José Ángel Córdova, admitió que aún no tiene los datos de muertes a nivel nacional, pero que esta enfermedad infecto-contagiosa apenas ha afectado a siete estados del país.
El funcionario se comprometió a mantener la alerta preventiva en todo México el tiempo que sea necesario hasta que el número de casos de influenza se atenúe diametralmente.
Ratificó que en menos de un mes perecieron 20 personas por este mal y desmintió los datos del IMSS sobre el particular, porque las 22 muertes detectadas el fin de semana fueron causadas por males respiratorios, pero no necesariamente por influenza.
Córdova Villalobos adelantó que ya se consiguieron medio millón de vacunas más contra esta afección destinadas a los trabajadores del sector salud; insistió en que la población no debe abanicarse, pero sí estar alerta ante eventuales contagios; y consignó que se estudia a fondo el por qué la enfermedad está atacando con fuerza a la población joven, entre 25 y 45 años de edad.
</SPAN>egc
Re: Mexico: Respiratory Illnesses - Including Mexico City & Oaxaca
Post 158 - Google translation
Official: The Influenza is an epidemic
Jaime Contreras
(12:17 p.m.)
The national early warning will remain as long as necessary, the SSA considered
Recognizing that the flu is already established as an outbreak, but does not reach level of a pandemic, Health Secretary Jose Angel Cordova, admitted to not yet have data on deaths at the national level, but infectious-contagious disease hardly affected seven states.
The official pledged to maintain preventive alert throughout Mexico as long as necessary until the number of cases of influenza were diametrically ease.
Confirmed that at least a month 20 people were killed by this evil and denied the IMSS data on this, because the 22 deaths identified during the weekend were caused by respiratory disease, but not necessarily for influenza.
Cordova Villalobos said he already got half a million more vaccines against this disease to health workers, insisted that people should not fan, but be alert to possible infection, and appropriated to be studied in depth why the disease is striking with force to the young population between 25 and 45 years of age.
EGC
Docs warned to look for ill tourists returning from Mexico
By THE CANADIAN PRESS
Last Updated: 23rd April 2009, 3:02pm
Public health units, quarantine officers and medical practitioners across the country have been warned to be on the lookout for illness in Canadians returning from Mexico.
The warning follows reports from that country of cases of severe respiratory illness, which in some cases has led to death.
Mexican authorities have insisted the outbreak is not an epidemic and that preventive measures are being taken to reduce the risk of transmission of disease. Mexican authorities have informed Canadian counterparts about the situation.
“We are aware of the reports and are looking into them,” said Andrew McDermott, a spokesperson for the Public Health Agency of Canada.
A spokesperson for the Pan American Health Organization — the World Health Organization’s Americas branch — said PAHO is also working with Mexican authorities to look into the reports.
“We’re co-operating with (Mexican) authorities on it,” Donna Eberwine-Villagran said from Washington.
“We have people in our field office in Mexico City and also in our border office working with Mexican authorities looking at the cases.”
The illnesses are said to have been occurring in south and central Mexico and involve mainly young, previously healthy adults. Some reports have suggested health-care workers have become ill.
Health authorities have been told some of the cases have tested positive for influenza, but some cases are influenza A and others are influenza B.
Dr. Arlene King, whose appointment as chief public health officer for Ontario was announced on Thursday, said an intensive epidemiological investigation is underway in Mexico to determine what, if anything, is going on there.
In the meantime, she said, Canada must be on the alert.
“We absolutely have to remain vigilant in the country around the situation in Mexico and globally,” said King, who is going to Ontario from the Public Health Agency of Canada, where she has been director general of the centre for immunization and respiratory infectious diseases.
“We need to be prepared for any emerging infectious disease threat that may occur outside of our borders. It’s absolutely fundamental,” she said.
King has been the federal agency’s point person on pandemic influenza planning.
An advisory from Toronto Public Health to health professionals said that given the severity of the illness, health care workers should be actively looking for cases of severe respiratory infection in people who have been in Mexico in the previous two weeks.
But the advisory stressed that there is no evidence the infections are caused by an unusual pathogen or a novel flu strain.
Mexican health officials held a news conference Wednesday to discuss the situation, putting the surge in illnesses down to end-of-season flu activity.
Mauricio Hernandez Avila, the undersecretary for health prevention and promotion, said the health department had initiated an active search for cases of serious pneumonia associated with the illness in the country, especially in the federal district that encompasses Mexico City.
A mysterious and "severe" respiratory illness has surfaced in parts of Mexico and may be affecting some Canadians who recently vacationed there.
Canadians who have recently returned from Mexico are being warned they should be on alert for flu-like symptoms that could be connected to the illness, says an advisory sent by the Public Health Agency of Canada to health services across Canada.
PHAC contacted health and quarantine services on April 17 to inform them that Mexican health authorities had advised Canada of possible infections. PHAC has told Canadian quarantine services to be on alert for travellers returning from Mexico showing signs of illness.
The mystery illness has infected hundreds in south and central areas of Mexico, according to Mexican health officials, killing some and leaving others on ventilators. The Mexican health secretary has issued a national alert, following reports of numerous influenza deaths in the first three weeks of April.
The flu-like condition has so far affected healthy young adults between the ages 25 and 44. The victims showed influenza-like symptoms that progressed to "severe respiratory distress" within five days. Some health care workers have been affected.
Health officials say some specimens collected from the patients have tested positive for influenzas A and B.
The illness appears to have infected hundreds in south and central areas of Mexico, but not the tourist areas on the coast. According to a report in a Spanish-language newspaper in Mexico, the regions affected include: the capital region; San Luis Potosí; Oaxaca; and Baja, California.
At this point, no cases have been confirmed outside of Mexico. The Pan American Health Organization, the Americas branch of the World Health Organization, says it is working with Mexican authorities to monitor the situation.
Anyone who has returned from Mexico within the last two weeks and is suffering the following symptoms should contact a physician:
* fever
* cough
* sore throat
* shortness of breath
* muscle and joint pain
Infectious disease specialist Dr. Neil Rau tells CTV Newsnet that it appears that the illnesses in Mexico are simply seasonal flu illnesses, though virological and epidemiological studies are being conducted.
"In a few days, we will have more information after more lab tests are done," he said.
"The outstanding question is whether this is a more severe form of the garden-variety flu. The word pandemic certainly isn't being used yet. And a 'new virus' is not coming into the vernacular yet either."
At a press conference Wednesday, the Mexican undersecretary for Health Prevention and Promotion, Mauricio Hernández Ávila said that while this year's flu season is stretching into April, the flu cases do not appear to indicate an epidemic. He noted that the cases appearing in young people may be a consequence of the fact that many of these people did not get the flu shot, which is typically given to children and the elderly, the highest risk groups.
Rau says he doesn't think this illness report should deter any Canadians from travelling to Mexico, but they should consult a travel health clinic at least six weeks before they travel.
"At this point, people going to Mexico should think about getting the flu shot, if they haven't had one already. But I don't think there is any preventative measure they can take unless Canada issues a travel alert saying not to go."
Local hospitals watching for Mexican flu-type illness
Local hospitals watching for Mexican flu-type illness
Local hospitals are keeping a lookout for a flu-type illness which has led to deaths in Mexico and the hospitalization of one Rouge Valley patient in Scarborough.Map data ©2009 Tele Atlas - Terms of UseMapSatelliteHybridTools
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One patient being monitored at Rouge Valley Centenary hospital in Scarborough
Apr 23, 2009 - 03:22 PM
By Reka Szekely
DURHAM -- Local hospitals are keeping a lookout for a flu-type illness which has led to deaths in Mexico and the hospitalization of one Rouge Valley patient in Scarborough.
Ministry of Health officials are asking hospitals to watch for severe respiratory illnesses in patients recently returned from Mexico and report incidences to the local medical officer of health. Patients who fit a list of criteria released by the MOH are to be isolated.
Dave Brazeau, a spokesman for Rouge Valley Health Systems, said a bulletin regarding the illness has gone out.
"We shared that with all of our staff at both of our campuses," he said.
There have been no cases at the Ajax site, though a patient is under watch at the Scarborough Centenary Hospital.
"At this point, this patient is being closely monitored related to that alert," said Mr. Brazeau.
Since SARS, hospitals have been screening patients with flu-type illnesses; they've now added Mexico to the list of places to look out for, said Helen Gibson, director of infection prevention and control for Lakeridge Health. There are no cases at the Lakeridge hospital.
Ms. Gibson said all staff were notified on Tuesday about the situation and signs have gone up around the hospital as well. All patients admitted are asked if they've recently been to Mexico, since the country's south and central areas are a hot pocket for the illness.
"Which is hugely problematic because it's a tourist area and we know lots of people from Durham Region travel down to Mexico for vacation."
The ministry said the Mexican cases involved flu-like symptoms which rapidly became severe respiratory distress in about five days with many patients requiring ventilation. Some have died and most cases have occurred in previously healthy young adults aged 25 to 44.
Some samples have tested positive for A and B flu viruses, but it's unknown whether they're linked or the cases represent isolated incidents. The ministry said there is no evidence to suggest infection with an unusual pathogen including a novel strain of flu.
Ms. Gibson stressed that since the illness reportedly acts very quickly, people shouldn't ignore symptoms.
"What we'd really want to encourage people to do, if they have the fever, the chills, the coughs, they really need to plan on getting health care as quickly as possible," she said.
Last edited by alert; April 23, 2009, 03:26 PM.
Reason: spelling
TORONTO — Public health units, quarantine officers and medical practitioners across the country have been warned to be on guard for cases of a mystery illness in Canadians returning from Mexico.
The warning follows reports from that country of cases of severe respiratory illness, which in some cases has led to death.
Mexican authorities have insisted the outbreak is not an epidemic and that preventive measures are being taken to reduce the risk of transmission of disease.
Mexican authorities informed Canadian counterparts about the situation on April 17, asking for help with their investigation. Scientists at the National Microbiology Laboratory in Winnipeg are assisting in efforts to determine the cause or causes of the illnesses.
"We are aware of the reports and are looking into them," said Andrew McDermott, a spokesperson for the Public Health Agency of Canada.
It's not clear if there is any link between these illnesses and the recent discovery of several human cases of swine flu infection in California.
Dr. Arlene King, who is the Public Health Agency of Canada's point person for pandemic influenza preparedness, said samples from Mexico will need to be studied to see if there is any link.
King, who was named Ontario's new chief public health officer on Thursday and takes on the job in mid-June, said it is important to be on the lookout for new infectious disease outbreaks.
"We absolutely have to remain vigilant in the country around the situation in Mexico and globally," said King, who is director general of the public health agency's centre for immunization and respiratory infectious diseases.
"We need to be prepared for any emerging infectious disease threat that may occur outside of our borders. It's absolutely fundamental."
A spokesperson for the Pan American Health Organization - the World Health Organization's Americas branch - said PAHO is also working with Mexican authorities to look into the reports.
"We're co-operating with (Mexican) authorities on it," Donna Eberwine-Villagran said from Washington.
"We have people in our field office in Mexico City and also in our border office working with Mexican authorities looking at the cases."
The illnesses are said to have been occurring in south and central Mexico and involve mainly young, previously healthy adults. Some reports have suggested health-care workers have become ill.
To date, two clusters of severe respiratory infections with death have been reported in April, one in Mexico City and one in San Luis Potosi. Mexico City has reported 120 cases including 13 deaths while San Luis Potosi, in central Mexico, has reported 14 cases including four deaths.
In addition there has been a death reported in Oaxaca, in southern Mexico and two deaths reported in Baja California Norte, which borders California.
Health authorities have been told some of the cases have tested positive for influenza, but some cases are influenza A and others are influenza B.
A leading infectious diseases expert said a number of pathogens could be the culprit or culprits.
"It could be anything," said Dr. Allison McGeer of Toronto's Mount Sinai Hospital. "Full range from new and unidentified virus to stuff that goes on every day and somebody just did a test."
She added, though that it was "improbable" that the illness was being caused by anything exotic and was most likely the work of influenza or an adenovirus.
An advisory from Toronto Public Health to health professionals said that given the severity of the illness, health care workers should be actively looking for cases of severe respiratory infection in people who have been in Mexico in the previous two weeks.
But the advisory stressed that there is no evidence the infections are caused by an unusual pathogen or a novel flu strain.
Mexican health officials held a news conference Wednesday to discuss the situation, putting the surge in illnesses down to end-of-season flu activity.
Mauricio Hernandez Avila, the undersecretary for health prevention and promotion, said the health department had initiated an active search for cases of serious pneumonia associated with the illness in the country, especially in the federal district that encompasses Mexico City.
Canadians told to be on alert for Mexico illness
Updated: Thu Apr. 23 2009 4:02:06 PM
CTV.ca News Staff
A mysterious and "severe" respiratory illness has surfaced in parts of Mexico and may be affecting some Canadians who recently vacationed there.
Canadians who have recently returned from Mexico are being warned they should be on alert for severe flu-like symptoms that could be connected to the illness, says an advisory sent by the Public Health Agency of Canada to health services across Canada.
While the chances that this is a new pandemic are "pretty low," health officials are still treating the outbreak seriously, said Alison McGeer, an infectious disease specialist at Toronto's Mount Sinai hospital.
"At the other end, is the possibility that this is a new virus that we haven't before described," she told CTV Newsnet Thursday.
"But one of the things we've committed to around the world is enhanced surveillance and being really sure that we don't miss these new viruses," she said.
Since respiratory illnesses have short incubation periods, travellers who get sick two weeks after returning from Mexico shouldn't worry, said McGeer.
However, if you've recently returned from Mexico and have a severe fever, cough and respiratory problems, you should let a doctor know of your travels so experts can map out different flu strains, added McGeer.
PHAC contacted health and quarantine services on April 17 to inform them that Mexican health authorities had advised Canada of possible infections. PHAC has told Canadian quarantine services to be on alert for travellers returning from Mexico showing signs of illness.
The mystery illness has infected hundreds in south and central areas of Mexico, according to Mexican health officials, killing some and leaving others on ventilators. The Mexican health secretary has issued a national alert, following reports of numerous influenza deaths in the first three weeks of April.
The flu-like condition has so far affected healthy young adults between the ages 25 and 44. The victims showed influenza-like symptoms that progressed to "severe respiratory distress" within five days. Some health care workers have been affected.
Health officials say some specimens collected from the patients have tested positive for influenzas A and B.
The illness appears to have infected hundreds in south and central areas of Mexico, but not the tourist areas on the coast. According to a report in a Spanish-language newspaper in Mexico, the regions affected include: the capital region; San Luis Potosí; Oaxaca; and Baja, California.
At this point, no cases have been confirmed outside of Mexico. The Pan American Health Organization, the Americas branch of the World Health Organization, says it is working with Mexican authorities to monitor the situation.
Anyone who has returned from Mexico within the last two weeks and is suffering the following symptoms should contact a physician:
fever
cough
sore throat
shortness of breath
muscle and joint pain
McGeer said that health officials have become increasingly vigilant over the past decade in tracking down new illnesses.
"SARS taught us that it can take a very little time to move a virus all around the globe," she said.
Infectious disease specialist Dr. Neil Rau told CTV Newsnet that it appears that the illnesses in Mexico are simply seasonal flu illnesses, though virological and epidemiological studies are being conducted.
"In a few days, we will have more information after more lab tests are done," he said.
"The outstanding question is whether this is a more severe form of the garden-variety flu. The word pandemic certainly isn't being used yet. And a 'new virus' is not coming into the vernacular yet either."
At a press conference Wednesday, the Mexican undersecretary for Health Prevention and Promotion, Mauricio Hernández Ávila said that while this year's flu season is stretching into April, the flu cases do not appear to indicate an epidemic.
He noted that the cases appearing in young people may be a consequence of the fact that many of these people did not get the flu shot, which is typically given to children and the elderly, the highest risk groups.
Rau said he doesn't think this illness report should deter any Canadians from travelling to Mexico, but they should consult a travel health clinic at least six weeks before they travel.
"At this point, people going to Mexico should think about getting the flu shot, if they haven't had one already. But I don't think there is any preventative measure they can take unless Canada issues a travel alert saying not to go."
Re: Mexico: Respiratory Illnesses - Including Mexico City & Oaxaca
And now a Mexican source. This article says 30% of those with this illness are in intensive care. This isn't seasonal flu. If you're feeling ambitious, read the comments at this link. The mexican people aren't buying the cover story.
There are 70 DF cases with symptoms of influenza
Armando Ahued, secretario de Salud capitalino, recomendó a la ciudadanía que ante casos de gripa intensa acudan al médico para descartar o confirmar los cuadros clínicos Armando Ahued, secretary of health capital, advised the public that in cases of intense cold go to a doctor to rule out or confirm the clinical
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Digg Digg Del.icio.us Del.icio.us Menéame Menéame Yahoo Yahoo Technorati Technorati Facebook Facebook ¿Qué es esto? What is this?
Sindicato garantiza vacunas para personal de Salud 13:25 Union reaction to personal health 13:25
Ssa llama a la calma ante brote de influenza 11:47 Ssa called for calm before the outbreak of influenza 11:47
Hay pocas vacunas y serán para médicos 11:47 There are a few shots and will be for doctors 11:47
“Pega” al país brote atípico de influenza 11:47 "Paste" to the country outbreak of atypical influenza 11:47
Vacunas contra influenza, sólo para personal médico 2009-04-22 Influenza vaccine, only to medical staff 2009-04-22
Gráfico Influenza Figure Influenza
Entérate ¿Qué es la influenza y cómo prevenirla? Find out What is influenza and how to prevent it?
La influenza : tipos de virus Influenza: virus types
La influenza : vacuna y contraindicaciones Influenza: vaccination and contraindications
La influenza : del estornudo a la muerte Influenza: the sneeze to death
Comenta la nota The note says Comentarios (4) Comments (4)
Edith Martínez Edith Martinez
El Universal El Universal
Ciudad de México Jueves 23 de abril de 2009 Mexico City Thursday April 23 2009
12:52 El secretario de Salud del Distrito Federal, informó que se tienen identificados 70 casos compatibles con los síntomas de la influenza, de los cuales 30% se encuentran en terapia intensiva de los hospitales de la ciudad de México. 12:52 The Health Secretary of the Federal District, reported that it had identified 70 cases with symptoms of influenza, of which 30% are in intensive care in hospitals in Mexico City.
Armando Ahued señaló que se realizan los estudios necesarios para determinar el número exacto de las personas enfermas con este virus. Armando Ahued noted that surveys are conducted to determine the exact number of people sick with the virus.
Sin embargo, descartó que la influenza sea una epidemia en el país e insistió en que se trata de un alargamiento "atípico" de la enfermedad. However, denied that an influenza epidemic in the country and stressed that this is a stretch "atypical" of the disease.
Recomendó a la población que ante casos de gripa intensa acudan al médico para descartar o confirmar los cuadros clínicos de influenza. Recommended to people in cases of intense cold go to a doctor to rule out or confirm the clinical influenza.
Reiteró que las vacunas se aplicarán sólo al personal médico y pidió a la ciudadanía extremar precauciones cobre todo en niños y adultos mayores, grupos con mayor vulnerabilidad ante esta enfermedad. He reiterated that vaccines will apply only to medical personnel and requested the public to exercise extreme precaution copper in children and the elderly groups most vulnerable to this disease.
Re: Mexico: Respiratory Illnesses - Including Mexico City & Oaxaca
Another Mexican source. This one attributes this outbreak to many different illnesses. That's a bad lie, as we have almost no known illness (excpet maybe SARS) that is clinically compatible with these illnesses.
City has 79 cases and 13 deaths related to influenza
Hoy 15:10 — Today 15:10 --
México, 23 Abr (Notimex).- El secretario de Salud del Distrito Federal, Armando Ahued, informó que en la ciudad de México existen 79 casos clínicamente compatibles con la influenza en 23 hospitales y se han registrado 13 decesos relacionados con esa enfermedad. Mexico, Apr 23 (EFE) .- The Secretary of Health of Mexico, Armando Ahued, reported that in Mexico City there are 79 cases clinically compatible with influenza in 23 hospitals and 13 deaths have been associated with the disease.
Entrevistado luego del acto en el que se celebró el segundo año de que entró en vigor la Ley de Interrupción del Embarazo, llamó a los capitalinos a acudir al médico en caso de tener alguna infección de vías respiratorias y alertó que la influenza es altamente contagiosa. Interviewed after the event which was held in the second year of the entry into force of the Interruption of Pregnancy Act, called the capital city to see a doctor if you have any respiratory tract infection and warned that the flu is highly contagious.
"Que vaya a nuestros centros de salud, los 28 hospitales del gobierno de la ciudad, o acuda al ISSSTE, el IMSS oa donde acostumbre ir, pero que de ninguna forma se automedique", puntualizó Ahued Ortega. "To go to our health centers, 28 hospitals of the city government or go to the ISSSTE, IMSS, or usually where to go, but in no way automedique," said Ortega Ahued.
Pidió también tomar medidas higiénico-dietéticas, como lavarse las manos y abstenerse de salir de sus casas o de asistir a la escuela si presenta síntomas del mal. Also requested to take action on diet and hygiene, including washing hands and refrain from leaving their homes or to attend school if you have symptoms of evil. "La influenza es altamente contagiosa, por lo que estornudar o toser puede ser el medio de contacto. "The flu is highly contagious, so they sneeze or cough can be the means of contact.
"Quien esté enfermo que no comparta alimentos, cucharas o bebidas con otras personas, no acuda a lugares públicos, ni salude de beso o de mano a nadie, que se cubra la boca y que, si se limpia con un papel, lo deposite en una bolsa de plástico. Tratamos de minimizar el riesgo de contagio", puntualizó. "Anyone who is sick who does not share food, drinks or spoons with other people, not go to public places, or health of a hand or kiss anyone, who is covering his mouth and, if cleaned with a paper, placed in a plastic bag. We try to minimize the risk of contagion, "he said.
Tras indicar que la Secretaría de Salud (SSA) coordina los esfuerzos en este tema, dio a conocer que ese organismo federal efectúa un monitoreo diario de todas instituciones públicas y privadas para llevar el seguimiento respectivo. Noting that the Health Secretariat (SSA) is coordinating efforts in this matter, announced that a federal agency conducts daily monitoring of all public and private institutions for follow-up.
El funcionario capitalino comentó que la Secretaría de Educación Pública, en coordinación con la SSA, tomó la decisión de mandar una alerta a los maestros, padres de familia y niños para que, quien se enferme, de inmediato asista al médico y evite sitios concurridos. The official said that the City Department of Education, in coordination with the SSA's decision to send a warning to teachers, parents and children to who gets sick, the doctor immediately and avoid attending crowded places.
Aclaró que no todas los casos son provocadas por la influenza. He clarified that not all cases are caused by influenza. Hay bacterias de otro tipo, "por eso es importante que no se automediquen ni tomen antibióticos hasta que el médico sea quien lo prescriba". There are other bacteria, so it is important not to take antibiotics automediquen or until the doctor who is prescribing. "
Señaló que no se trata de una epidemia. He noted that this is not an epidemic. "No es una epidemia, de ninguna manera; es un caso atípico y un alargamiento del periodo estacional de la influenza". "There is an epidemic in any way that is unusual and a lengthening of the period of seasonal influenza."
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