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The Discovery of the 2009 A/H1N1 Pandemic - Mexico: April 17 New Respiratory Illnesses - Including Mexico City & Oaxaca

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  • #61
    Re: Mexico: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

    Oaxaca recorded 216 thousand cases of Acute Respiratory Infections
    Most are caused by viruses: SSO

    Yadira SOSA
    20/04/2009, 06:04:46 AM

    Oaxaca is in the place of the 22 national board of Acute Respiratory Infections (ARI) with 215 thousand 815 cases so far this year. For the position in the country, considering the number of inhabitants.

    "Most of the IRA are caused by viruses. In the state recorded more than 800 thousand cases, of which 5 thousand are complicated with pneumonia, such as occurred in the Hospital Valdivieso, recently, "he said in an interview Miguel ?ngel L?pez Nakamura, director of Prevention and Promotion Health in the state.

    In the warning issued by the Ministry of Health at the national level, said that cases of seasonal influenza in the country has tripled, said that in Oaxaca the number of cases did not represent any warning, as it is within the framework of what expected.

    In addition, he said, "Oaxaca is participating in the international monitoring system for epidemiological surveillance of influenza virus, there are two centers in the city that will send samples to the National Institute of Epidemiological Diagnosis and Reference, because the World Health Organization ago monitoring in all countries, to produce the vaccine that is used from October to December. "

    He explained that seasonal influenza is a benign disease as the "common cold", but has the characteristic that "the pattern is more severe." The classic symptoms are pain headache, high fever, pain in muscles and joints, and sometimes bleeding from the nose.

    "It can also complicate an infection that can lead to aggregate patient a picture of pneumonia serious and can lead to death. But under normal conditions of care, with the general care given, the table is kind of influenza, "said.

    Of cases of influenza in the state, Nakamura noted that Lopez was detected cases of acute respiratory infection, but no diagnosis. "Wanted in the etiology of acute respiratory infection, in the case of pneumonia," he said.


    Noticias de Oaxaca, el imparcial de Oaxaca, México y el mundo; Noticias de Oaxaca, Costa, Istmo de Tehuantepec, Cañada de Último minuto

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    • #62
      Re: Mexico: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

      from April 15th -


      Suspected outbreak of atypical pneumonia in civilian hospitals in Oaxaca
      Written by The Editor
      Wednesday, April 15, 2009 19:39



      While circulating rumors of an outbreak of human coronavirus that could spread among patients in the hospital Civil Aurelio Valdivieso of Oaxaca, the authorities of the state Health Department say that there was the existence of an atypical pneumonia and its laboratory samples were sent to Mexico City for analysis.

      Authorities of the Health Services Oaxaca digital told this newspaper next week will be taken when the results of such studies, but for the time being have increased preventive measures to avoid possible contagion from spreading.



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      • #63
        Re: Mexico: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

        Ok, that's a source we didn't post there, but that came before the tests at the INRE. The mention of "human coronavirus" is because of the preliminary local lab's findings - although technically, SARS is an animal coronavirus, human coronaviruses only cause common colds.

        In fact, a human coronavirus could be a contaminant in the sample either from the lab (researcher had a cold), or a co-infection in the patient. If the diarrhea is unrelated to the pneumonia, we would have two infections in the patient, plus untreated diabetes. A common cold as well wouldn't be surprising.

        In fact, this wouldn't be the first SARS false alarm caused by a human coronavrius. The only problem here is the patient died and HCW might be severely ill.

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        • #64
          Re: Mexico: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

          What I really want to see is the death certificate of the 35 year old man. Diario said on the 16th that they published it.

          I really suspect his timing is going to blow this case wide open.

          Comment


          • #65
            Re: Mexico: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

            Can someone please contact the paper and find out this information?

            Comment


            • #66
              Re: Mexico: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

              We are a participatory site. Since you said you speak Spanish, the post of the phone call to the paper will be very interesting! Let us know what they say.

              Comment


              • #67
                Re: Mexico: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

                I can't make that phone call - its international long distance, and while I speak Spanish well enough to read these articles, I don't know if I could handle that kind of call. Not to mention that at this point, I don't know how well I trust that paper at all. It's time for the professionals to get involved. Iam not a professional.

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                • #68
                  Re: Mexico: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

                  I've dug as deep as I can for information - I have hit the wall. I feel the clue to crack this case lies in the death certificate, but I can't get that information. I will continue to post any information I find, especially the new diario articles every morning (those 2 HCW with pneumonia scare me, and they are no longer mentioning that the national lab found no coronavirus), but I need all of your help to crack this case.

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                  • #69
                    Re: Mexico: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital



                    This article appears in this morning's diario, and actually has the same listed author as the one mentioning 2 HCW with pneumonia. I will let you translate it for yourselves, as Google's translation contains several errors (the worst one misses a "not" and quotes someone as saying the woman is positive for bird flu).

                    The point of posting this article is that the article itself interchangably uses SARS and bird flu, and makes several other fundamental errors.

                    The point of this article is that I really don't think the people in Oaxaca (both in the hospital and in this source) understand what is going on, and why it is so important that people like you professional get involved.

                    Comment


                    • #70
                      Re: Mexico: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

                      Well....it appears some governments have taken notice!

                      Source: http://www.calgaryherald.com/Health/...180/story.html

                      Canada on alert after respiratory illnesses reported in Mexico
                      Canwest News ServiceApril 22, 2009 2:02 PM

                      OTTAWA ? The Public Health Agency of Canada has told quarantine services to be on alert for travellers returning from Mexico after a number of severe respiratory illnesses (SRI) were reported in some regions of the country.

                      Mexican health authorities contacted PHAC last Friday to inform them of the respiratory conditions, which were reported in the south and central areas of Mexico. The cases elevated from flu-like symptoms to severe respiratory conditions in about five days, with "a high proportion" of cases requiring assisted ventilation.

                      PHAC, in an April 20 report, said Mexican officials informed the Canadian health agency that the "case-fatality rate was relatively high" and that most cases involved healthy adults between the ages of 25 and 44. A number of health-care workers were also affected.

                      Although no cause has been confirmed, some samples were positive for influenza A and B.

                      PHAC said the concern for Canadians travelling from Mexico serves as a "reminder of the importance of the SRI hospital-based surveillance established after the SARS outbreak in Canada."

                      Comment


                      • #71
                        Re: Mexico: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

                        The Canadian notice does it for me. I have moved this thread from the Discussion forum back into Current News.

                        Link to Canadian notice thread:

                        Comment


                        • #72
                          Re: Mexico: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

                          Originally posted by Florida1 View Post
                          The Canadian notice does it for me. I have moved this thread from the Discussion forum back into Current News.

                          Link to Canadian notice thread:

                          http://www.flutrackers.com/forum/showthread.php?t=99911
                          Thank you. This is getting a bit too close for comfort.
                          Absence of evidence is not evidence of absence

                          Comment


                          • #73
                            Re: Mexico: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

                            I am changing the name of the thread to include a wide range of potential respiratory illnesses.


                            Health Authorities Alerted for the Mexico City area -


                            22/04/2009 | Terra MEXICO .- .- The respiratory illness for influenza have alerted the health authorities of the country and the Federal District.

                            El pasado fin de semana, las autoridades de salud del gobierno federal realizaron un recorrido por los hospitales públicos y privados de la capital y contabilizaron 5 personas fallecidas por influenza y 120 internadas con "un cuadro clínico compatible" con la enfermedad.

                            Last weekend, the health authorities of the federal government conducted a tour of public and private hospitals in the capital and counted 5 people killed by influenza and 120 inmates with a clinical picture compatible with the disease.

                            Y, para agravar más la situación, la autoridad sanitaria reportó que las vacunas del sector salud se agotaron y que se encuentra en la búsqueda de nuevas dosis.

                            And to further aggravate the situation, the health authority reported that the vaccines were sold out of the health sector and is in search of new dosage.

                            "El problema está muy concentrado en el Distrito Federal (...) Ha crecido el doble (que en 2008) en términos de casos probables a lo largo del año", indicó ayer en entrevista Miguel Ángel Lezana, director del Centro Nacional de Vigilancia Epidemiológica y Control de Enfermedades (Cenavece).

                            "The problem is highly concentrated in the Federal District (...) It has grown twice (in 2008) in terms of probable cases in the year," he said in an interview yesterday Michelangelo Lezana, director of the National Monitoring Center Epidemiology and Disease Control (Cenavece).

                            Entre el 1 de enero y el 11 de abril de este año, se confirmaron 313 casos en el país, de los cuales 218 correspondieron al DF.

                            Between January 1 and April 11 this year, 313 cases were confirmed in the country, of which 218 were in the City.
                            En el mismo periodo de 2008 se reportaron 98 casos a nivel nacional y 53 en la Ciudad.
                            In the same period in 2008 reported 98 cases nationwide and 53 in the City.


                            Lezana informó que personal de la Secretaría de Salud realizó un recorrido por 23 hospitales capitalinos y que al centenar de pacientes internados se le practicó pruebas de laboratorio para confirmar el diagnóstico; mientras se procesan los exámenes, se aisló a las personas para evitar una posible propagación del virus.

                            Lezana reported that staff of the Ministry of Health conducted a tour of the capital and 23 hospitals that the hundreds of patients was performed laboratory tests to confirm the diagnosis, while the tests are processed, was isolated individuals to prevent a possible spread virus.

                            El director del Cenavece informó que, según un reporte, dos personas fallecieron en el Hospital de la Secretaría de Salud del DF en Iztapalapa; dos, en el Instituto Nacional de Enfermedades Respiratorias (INER), y uno, en el hospital Ángeles del Pedregal.

                            The director of Cenavece reported that, according to one report, two people died at the Hospital of the Ministry of Health of Mexico City in Iztapalapa, two in the National Institute of Respiratory Diseases (INER), and one in the Angeles del Pedregal Hospital.
                            La influenza es una enfermedad respiratoria que se presenta normalmente durante la temporada invernal de fin de año, pero en este 2009 registró un crecimiento inusual en febrero y marzo.

                            Influenza is a respiratory illness that occurs normally during the winter season the end of the year, but in this unusual 2009 grew in February and March.

                            La población más vulnerable con respecto a la influenza son los menores de 5 años y los adultos mayores de 65.

                            The most vulnerable population with regard to influenza are children under 5 years and adults older than 65.


                            No obstante, la enfermedad puede afectar a personas de todas las edades.

                            However, the disease can affect people of all ages.

                            Directores de hospitales públicos de la ciudad se reunieron ayer con autoridades de Epidemiología de la Ssa para analizar la situación de la enfermedad en la capital.
                            Directors of public hospitals in the city met yesterday with officials of the Epidemiology of Ssa to analyze the disease situation in the capital.

                            Hasta el momento, indicó Lezana, se ha descartado desplegar una alerta en aeropuertos y fronteras del país, pues, insistió, la enfermedad se encuentra concentrada en el DF.

                            So far, he said Lezana has been ruled out deploying an alert at airports and borders, because, he insisted, the disease is concentrated within the DF.

                            El funcionario indicó que el sector salud ya agotó las 18 millones de dosis de vacunas que compró el año pasado para prevenir la influenza.

                            The official indicated that the health sector already exhausted the 18 million doses of vaccines purchased last year to prevent influenza.

                            El especialista Pablo Kuri, presidente de la Sociedad Mexicana de Salud Pública, coincidió en que el número de casos registrados este año en el DF es inusual, pero remarcó que no se puede hablar todavía de una situación alarmante ni, mucho menos, de pandemia.

                            The specialist Pablo Kuri, president of the Mexican Society of Public Health, agreed that the number of registered cases in Mexico City this year is unusual, but noted that one can not talk yet of an alarming situation, let alone a pandemic.

                            "Si buscaron en veintitantos hospitales y nada más encontraron 120 casos, no es un asunto alarmante porque fue búsqueda", dijo.

                            "If you looked at twenty hospitals and found only 120 cases, is not alarming because it was a matter search," he said.

                            Alerta sanitaria
                            Health Alert

                            El sector salud declaró una alerta por el incremento de casos de influenza estacional registrado en las últimas semanas.

                            The health sector declared an alert for increasing cases of seasonal influenza in recent weeks.

                            1 La influenza estacional es una enfermedad viral aguda y muy contagiosa.
                            1 The seasonal flu is an acute viral disease highly contagious.

                            2 Los síntomas son fiebre alta, tos, dolor de cabeza, dolor muscular y de articulaciones, cansancio, ardor y/o dolor de garganta y congestión nasal.
                            2
                            The symptoms are high fever, cough, headache, aching muscles and joints, fatigue, heartburn and / or sore throat and nasal congestion.

                            3 En la mayoría de los casos, los afectados tardan en recuperarse de 3 a 7 días, pero los adultos mayores y las personas con enfermedades crónico-degenerativas pueden presentar complicaciones graves como neumonía.
                            3

                            In most cases, those affected are slow to recover from 3 to 7 days, but older adults and people with chronic degenerative diseases may present serious complications such as pneumonia.

                            4 Los virus de la influenza estacional se diseminan cuando un enfermo tose, estornuda o habla.
                            4

                            The seasonal influenza virus spreads when a sick person coughs, sneezes or speaks.

                            5 Se recomienda lavarse las manos con frecuencia, en especial después de tener contacto con enfermos.
                            5

                            It is recommended to wash hands frequently, especially after having contact with patients.

                            Con información de Grupo Reforma
                            Grupo Reforma information


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                            • #74
                              Re: Mexico: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

                              We now need to be careful as to what is going on. The woman in Oaxaca did not have influenza A or B. But it now looks like there are a large number of these cases, and the mess is not confined to one hospital and has even been spread out of the country. My worst fears seem to be confirmed...

                              This is a news story that mentions deaths in Mexico City:

                              Comment


                              • #75
                                Re: Mexico: Respiratory Phenomena - including Mexico City and Oaxaca

                                It's time to change this topic name again. Oh wait I see you did.

                                It's also time for ProMed to post something, and time to notify the WHO.

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