Veracruz, Tobasco and Nayarit- Flaccid Paralysis in the region of Orizaba, 42 sick, 2 dead - November & December 2010

[Tonka]

Re: Veracruz- Flaccid Paralysis in the region of Orizaba

http://www.prensa-latina.cu/index.php?option=com_content&task=view&id=246441&Itemid=1

Spanish to English translation

In Mexico confirmed outbreak of Guillain Barr?
Written by Nubia Piqueras Grosso
Monday, December 13, 2010

December 13, 2010, 7:22 Mexico, Dec 13 (Prensa Latina) The authorities of the Mexican state of Veracruz today confirmed an outbreak of Guillain-Barre syndrome, in diagnosing 30 cases, of whom two died.

The state secretary of Health, Pablo Anaya Rivera, said that patients are studied by specialists from the World Health Organization (WHO) laboratory analysis of the country, Atlanta, United States, the samples taken.

He said the dead had other illnesses that made them more susceptible to disease, while the rest, some of which are recovered in their homes and others are treated in hospitals of the Instituto Mexicano del Seguro Social de Orizaba Veracruz towns and Rio Blanco.

"There is no evidence to assess the causes of the syndrome, although low temperatures are supposed to respiratory ailments and no reaction after vaccination," the official said, adding that those affected are children from four months to adult over 70 years.

Guillain Barre Syndrome presents itself as a flaccid paralysis that begins on the extremities, with affection of the spinal cord, because it is the effect of the loss of the myelin covering of nerve centers.

Experts do not know what the exact cause of the disease and is believed to be caused by cells and antibodies that normally attack the peripheral nerves and spinal cord, say Spanish researchers.

In half the cases, the first symptoms appear as respiratory or gastrointestinal viral infection, but also reported infections and surgeries as propagators, says the Group of Guillain Barre Syndrome Support, based in Spain.

The institution Iberian states that another risk for developing the disease after receiving an immunization, and draws attention to rare cases occurred after vaccination against rabies and swine flu.

rc / npg
Last Updated (Monday, December 13, 2010)

[alert]

Re: Veracruz- Flaccid Paralysis in the region of Orizaba. Confirmed Guillain Barre

Guillain-Barre is a diagnosis of exclusion; there is no test that "confirms" Guillain-Barre, the case is declared Guillain-Barre when all other possible diagnoses have been excluded.

I would like to see poliovirus (both wild and vaccine-derived), other enterovirus, several other pathogens (including H1N1), and several toxins conclusively excluded by the CDC from the samples they have been sent in the next few days before I conclude this is a cluster of Guillain-Barre cases. And then, at that point, the hard work would begin to try to explain why. Keep in mind we still can't agree on whether and why the 1976 swine flu vaccine may have caused GBS.

[Tonka]

Re: Veracruz- Flaccid Paralysis in the region of Orizaba. Confirmed Guillain Barre

The article says children 4 months and up? Here are the vaccinations given to babies here in Mexico. May help to rule in or rule out....

TB at birth
Hep B: at birth, 2 mo., 6 mo.
DPaT/VPI/Hib-Diphtheria, Pertussis, Tetanus, Polio, and infeccions by H. Influenza B: 2mo, 4 mo., 6 mo. 18 mo.
(Reg. DPT at 4 yrs)
Rotavirus 2 mo. and 4 mo.
Pneumonia: 2 mo. and 4 mo.
Influenza: 6 mo. and 7 mo.

There are more, but these are just for babies.

Also from this link: http://www.flutrackers.com/forum/sho...d.php?t=155477
"According to the vaccination program are being applied only against seasonal influenza and pneumonia, the dose for the A-H1N1, has not been necessary because there have been no cases."

[Tonka]

Re: Veracruz- Flaccid Paralysis in the region of Orizaba. Confirmed Guillain Barre

http://www.oem.com.mx/elsoldecordoba/notas/n1889290.htm

Spanish to English translation
C?rdoba
In Cordoba, 2 G.Barr? syndrome cases
El Sol de Cordoba
December 14, 2010


Yolanda Reyes Apodaca

C?rdoba, Veracruz .- epidemiologic alert was lit in the Cordoba area, confirmed the Sanitary District No. 6, before the emergence of two suspected cases of Guillain-Barre syndrome in children, one of Cuitlahuac and other apparently Naranjal, , however, to request further information saved total secrecy, neither confirm, nor deny these new instances of the strange disease.

Elizabeth S?nchez Mart?nez, in charge of the Sanitary District No. 6, confirmed the epidemiological alert that was installed from the last week in the region of Cordoba, when a child born in Cuitl?huac presented symptoms of Guillain Barre syndrome, but the severity of symptoms was taken to Regional Hospital of Rio Blanco.

By requesting more detailed information, said later provide for being occupied at that time. Just added that the children at the Rio Blanco presented the diagnosis of "cerebellar attack."

Meanwhile, Ramon Delgado Mart?nez, director of the Hospital General de Zona IMSS No. 8, on Friday confirmed that a child was taken to the Hospital de Especialidades de Orizaba to present symptoms of Guillain Barre syndrome. He said the report was sent to the Sanitary District No. 6, being the lead agency in health.

Unofficially it was learned that two people of the municipality of Naranjal were referred to the Hospital of the IMSS in Orizaba by symptoms of Guillain Barre syndrome.

Although in Orizaba have filed more than 30 cases of Guillain Barre Syndrome and two alleged deaths, unknown causes of evil, so an investigation is ongoing and the federal Health Ministry and World Health Organization .It should be noted that the previous Saturday, the Health Secretary, Paul Anaya confirmed that Cuitl?huac is among the municipalities with cases of Guillain Barre syndrome, after last week health officials deny their existence.

[Tonka]

Re: Veracruz- Flaccid Paralysis in the region of Orizaba. Confirmed Guillain Barre

http://www.elmundodeorizaba.com/index.php?option=com_content&view=article&id=734095:3&catid=211:principal&Itemid=70

Spanish to English translation
Alert for the outbreak of acute flaccid paralysis
in Veracruz and Nayarit
Tuesday, December 14, 2010

Editors
ORIZABA WORLD

The General Directorate of Epidemiology of the Federal Government issued an epidemiological alert for outbreaks of acute flaccid paralysis in Nayarit and Orizaba (Veracruz) with seven and 23 cases respectively.
World DGE/2010/19/PFA had access to the office, dated December 7, addressed to all surveillance units in the health sector in the country, which states that at that time Veracruz reported an outbreak of 23 cases , Of which 15 are de Orizaba, 3 Ixtaczoquitlán, 2 Nogales, 1 Tenejapa San Andrés, 1 Carlos A. Carrillo and Cuitlahuac.
This Saturday, Health Secretary Dr. Paul Anaya, at a press conference at the Health District No. 7, confirmed the outbreak of 30 cases and two deaths.
Also revealed that intervened and World Health Organization and in coordination with the health sector rose samples are analyzed.
The main symptoms of patients prior to onset of paralysis were: prodrome (malaise that precedes disease) and respiratory tract, cough, sore throat, diarrhea, abdominal pain and vomiting.
Of the two deaths, the specific document is a 48 year old with a history of having been vaccinated against seasonal influenza on 1 November, although the paralysis began since 8 September, the death occurred 22 November, the second is a 56 year old male with hypertension eight years of evolution, began with paralysis on 19 September and died on November 23 with a diagnosis of Guillain-Barré syndrome.
LOCAL, PG. 2

[alert]

Re: Veracruz and Nayarit- Flaccid Paralysis in the region of Orizaba. Confirmed Guillain Barre

Unfortunately, the more likely cause for AFP with that prodome is an infection, not an autoimmune response. Enteroviruses are highly suspect, and polio needs to be excluded. There are also some toxins that could produce such a syndrome, but that seems less likely due to the wider geographical spread. Campylobacter infection should also be considered (see below).

Apparently, this has been going on since early September.

[alert]

Re: Veracruz and Nayarit- Flaccid Paralysis in the region of Orizaba. Confirmed Guillain Barre

http://www.promedmail.org/pls/apex/f?p=2400:1001:4426819029128484::NO::F2400_P1001_BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,86221

Archive Number 20101214.4434
Published Date 14-DEC-2010
Subject PRO/EDR> Guillain Barre syndrome - Mexico: (VE) RFI


GUILLAIN BARRE SYNDOME - MEXICO: (VERACRUZ), REQUEST FOR INFORMATION
************************************************** ******************
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 14 Dec 2010
Source: Google News Espanol [edited]
<http://healthmap.org/ln.php?603542&u3392>


The authorities of the Mexican state of Veracruz today [14 Dec 2010]
confirmed an outbreak of 30 cases of Guillain-Barre syndrome, with 2
deaths.

The state secretary of Health, Pablo Anaya Rivera, said that patients
are being studied by specialists from the World Health Organization
(WHO) and laboratory analysis is being performed by the CDC, Atlanta,
GA USA.

He said the dead had other illnesses that made them more susceptible
to disease, while the rest, some of whom have recovered in their
homes, are being treated in hospitals of the Instituto Mexicano del
Seguro Social de Orizaba Veracruz and Rio Blanco. "There are no data
to determine the cause of the syndrome," the official said, adding
that those affected are children from 4 months old to adults over 70
years.

Guillain Barre syndrome presents itself as a flaccid paralysis that
begins in the extremities and affects the spinal cord, causing loss of
the myelin sheaths of nerves in the spinal cord. Experts do not know
what the exact cause of the disease is, but it is believed to be
caused by the immune system's reaction to infections, say Spanish
researchers.

In half the cases, the 1st symptoms appear as a respiratory or
gastrointestinal viral infection, but there are also reported cases
with infections and surgeries as propagators, says the group Guillain
Barre Syndrome Support, based in Spain.

The institution "Iberian" states that another risk for developing the
disease is receiving an immunization, and it draws attention to rare
cases occurring after vaccination against rabies and swine flu.

--
Communicated by:
ProMED-mail <promed@promedmail.org>

[ProMED has reported a few clusters of Guillain Barre Syndome (GBS)
before (see below). GBS is thought to be an aberrant immune reaction
elicited by an infection or, in rare cases, immunizations. Previous
studies have linked GBS to infections with campylobacter, but a
cluster of 30 cases closely related in time and geographical area
would mean that many cases should be diagnosed with the infection, but
without GBS, and only upper respiratory tract symptoms are reported
here.

The risk of GBS after influenza vaccination is estimated to be 0.8 per
million doses administered after the pandemic H1N1 vaccine (see below)
and cannot explain this cluster of cases. ProMED will be happy to post
further information. - Mod.EP]

[Tonka]

Re: Veracruz and Nayarit- Flaccid Paralysis in the region of Orizaba. Confirmed Guillain Barre

Just a note as per post 20 above.
The title says Nayarit in Spanish and English, but perhaps an error by the author? They may mean Naranjal? As most of the cases accept 1 in Nogales appear to be in Veracruz? On the opposite side of Mexico...

http://www.elmundodeorizaba.com/inde...ipal&Itemid=70

Spanish to English translation
Alert for the outbreak of acute flaccid paralysis
in Veracruz and Nayarit
Tuesday, December 14, 2010

[Ronan Kelly]

Re: Veracruz and Nayarit- Flaccid Paralysis in the region of Orizaba. Confirmed Guillain Barre

Spanish to English translation
C?rdoba
High alert, there are 33 cases of flaccid paralysis
Health Secretary Veracruz, Paul Anaya, led in this city for an urgent meeting to discuss the 33 cases of acute flaccid paralysis reported in the Sun Orizaba.El Cordoba C?rdoba
December 15, 2010


Yolanda Reyes Apodaca, J. J. Enriquez, Daniel Serrano Guzm?n and Romero Rogelio Cruz

C?rdoba, Veracruz .- Given the possible association of the vaccine against influenza A (H1N1) with Guillain-Barre syndrome, the World Health Organization (WHO) made recommendations to the Epidemiological Surveillance System of Acute Flaccid Paralysis (AFP) to include all age groups, even to prevent resurgence of polio, which is why the epidemiological alert is at its highest level, ie at level 6 (6s1), surpassing the influenza A (H1N1) was found in the scale 5 last year.

And is that the epidemiological alert is at its highest level since the Guillain-Barre syndrome and poliomyelitis are considered the main diseases in the group of acute flaccid paralysis (AFP), which attack the nervous system and are no longer suffering included in the list of morbidity, even Mexico is certified free of polio.

Until December 3 this year, the Ministry of Health confirmed two cases in Veracruz in the area of C?rdoba: 1 and 1 Cuitl?huac Carlos A. Carrillo, adding to the 21 concerned in the region of Orizaba. The cases are known to the Sanitary District No. 6.

Official documents of the Ministry of Health to unveil epidemiological alert against the PFA is from 7 December, after the first outbreak in the town of Guadalupe Victoria, the municipality of San Blas, Nayarit, Sept. 26 . Including seven cases. Only one case of the outbreak progressed with influenza-like illness.

The second outbreak occurred in Orizaba with 23 cases identified between November 8 and December 3, ages range between 3 and 50 years of age. Of these only 1 in Carlos A. Carrillo, 3 Ixtaczoquitl?n, 2 in Nogales, 15 in Orizaba, 1 in San Andres and 1 Tenejapa Cuitlahuac.

Official sources confirmed last night that, in addition, another case was detected in Cuitlahuac and one in Cuichapa.

56% of the patients had respiratory distress (cough, runny nose, sore throat, 13 days before the onset of paralysis. The 39% gastrointestinal upset, diarrhea, abdominal pain, vomiting, myalgia, arthralgia, fever, respiratory distress and poor condition. As of 10 December 6 patients remained serious and two died.

Of the two deaths, one corresponded to a female person 48 years of age, with a history of seasonal influenza vaccination on 1 November and the second a 56-year-old with a history of hypertension, a who was diagnosed with Guillain-Barre syndrome.

The paralysis in this second outbreak has been presented with features distal, ascending, with a decrease or abolition of tendon reflexes, impairment of thoracic and pelvic in 83% of cases, involvement of cranial nerves in 8%, and involvement of respiratory muscles 21% of cases.

...
continues at; http://www.oem.com.mx/elsoldecordoba/notas/n1890751.htm

[Tonka]

Re: Veracruz and Nayarit- Flaccid Paralysis in the region of Orizaba. Confirmed Guillain Barre

San Blas, Nayarit. Thank you RoRo!

http://www.elmundodeorizaba.com/index.php?option=com_content&view=article&id=734006:OLP2N2Completa&catid=211:principal&Itemid=70

Spanish to English translation
Alert issued syndrome
In Orizaba report at least 23 cases of acute flaccid paralysis, so the SSA exercise the greatest vigilance.

In Nayarit and Orizaba

Tuesday, December 14, 2010

Editors
ORIZABA WORLD

The Department of Epidemiology issued an epidemiological alert for outbreaks of acute flaccid paralysis in Nayarit and Orizaba (Veracruz) with seven and 23 cases respectively.
El Mundo de Orizaba had access to the document identified as DGE/2010/19/PFA, dated December 7, addressed to all units of Epidemiological Surveillance of the country, indicates that at that time Veracruz reported an outbreak of 23 cases, the Orizaba which 15 correspond to three to Ixtaczoquitl?n, two Nogales, one in San Andr?s Tenejapa, another Carlos A. Carrillo and Cuitlahuac.
But on Saturday, Secretary of Health, Dr. Paul Anaya, at a press conference at the Health District No. 7 confirmed 30 cases and two deaths.
According to the epidemiological situation section explains that the first case began with paralysis on 8 November and most recently on December 3, 2010, 48% (10) are women and 52% (13) males. Twenty of the patients are older than 15 years.
Of the two deaths, the specific document is a 48 year old with a history of having been vaccinated against seasonal influenza on 1 November, although the paralysis began since 8 September, the death occurred 22 November, the second is a 56 year old male with hypertension eight years of evolution, he began with paralysis on 19 September and died on November 23, diagnosed with Guillain-Barr? syndrome.
Meanwhile, in the town of Guadalupe Victoria, the municipality of San Blas in Nayarit, occurred the first outbreak of acute flaccid paralysis in seven cases, between 26 and 28 September.
The patients were two aged 15 and five of six to 14 years of age, in any case had a history of vaccination against influenza A H1N1, or influenza box in the last year.
Six of the seven cases were linked by geographical proximity or kinship home. In four cases, health officials found infection type B influenza virus in a co-infection with dengue and influenza B and other dengue infection.
The document consists of two sheets, explained in the background section before the start of vaccination against influenza A/H1N1 and the possible biological association with Guillain-Barr? syndrome and recommended by the World Health Organization, there changes to the system of epidemiological surveillance of acute flaccid paralysis.
Among the changes is the opening of surveillance to all age groups and not just under 15 years, as has been happening.

[Tonka]

Re: Veracruz and Nayarit- Flaccid Paralysis in the region of Orizaba. Confirmed Guillain Barre

http://www.elmundodecordoba.com/index.php?option=com_content&view=article&id=970768:CR1N1SALUD&catid=200:otras-poblaciones&Itemid=76

Spanish to English translation

Health fence in Cuitlahuac
Health authorities are on alert for any detection.
Apply sampling and house to house survey to
detect symptoms associated with Guillain Barre Syndrome

Tuesday, December 14, 2010

From the editors
THE WORLD OF CORDOBA

Cuitlahuac .- Following the confirmation of cases of Guillain Barre Syndrome in the downtown area in Cuitl?huac health authorities implemented a health fence for symptoms in the population of this disease.
Official sources disclosed that the epidemiological health measures do not apply precisely the case announced by Health Secretary, Paul Anaya, but to rule out other viral-like illness that may be related to the condition of Gullain Barr?.
They explained that this disease attacks the nervous system, causing paralysis of the lower extremities, in ascending order.
Reported that in recent days were the siege epidemiology in the region of Cuitlahuac, with sampling and the census house to house, to dismiss cases involving Guillain Barr? syndrome.
While in this respect, the ruler of Health of fasting, said there are no reports on the outbreak in this county, although it was announced earlier this month by Secretary of Health.
Third Councilman Ruben Moreno Mart?nez, said: "have not contacted us Jurisdiction number 6, which is part of the Health Center to conduct Cuitl?huac any matter in relation to prevention."
Councilman municipal health manager, said they expect to secure information to implement a health program if needed.
In relation to the outbreak, Francisco Vazquez, director of the Center for Health Cuitlahuac, declined to give any formal statement on the situation of sanitation in the municipality, as the Court is located in Cordoba, where are these reports, because He reiterated that they are not authorized to make it known.
Even so that they do have knowledge of the syndrome within the sector, but did not detail the information

[Tonka]

Re: Veracruz and Nayarit- Flaccid Paralysis in the region of Orizaba. Confirmed Guillain Barre

http://www.informador.com.mx/entretenimiento/2010/251943/6/sabine-moussier-regresa-a-la-pantalla.htm

Spanish to English translation
Sabine Moussier returns to theTelevision

Telenovela | Sabine Moussier.
Speaking to the press, the artist said she is happy to return to work after having to overcome the Guillain-Barr? syndrome suffering.

EL UNIVERSAL
◦ The actress will portray Eleanor in''Neither you nor without you''
Is ready to participate in the new soap opera Mapat

MEXICO CITY (26/NOV/2010) .- After having overcome the Guillain-Barr? syndrome suffering, actress Sabine Moussier is ready to participate in the telenovela "Neither you nor without you", which will give life to mature lady who likes to seduce young people.

Speaking to the press, the artist said he is happy to return to work with a melodrama, to be produced by Mapat, with whom he had worked before...

[Tonka]

Re: Veracruz and Nayarit- Flaccid Paralysis in the region of Orizaba. Confirmed Guillain Barre

http://www.elmundodeorizaba.com/index.php?option=com_content&view=article&id=734797:olp8n2&catid=211:principal&Itemid=70

Spanish to English translation
Have not identified the source of infection
Hugo Ram?rez L?pez-Gatel


Wednesday, December 15, 2010

Julieta Zambrano
ORIZABA WORLD

Deputy Director of the Department of Epidemiology, Federal Health Ministry, Gatel Hugo L?pez-Ram?rez, have not identified the source that causes acute flaccid paralysis (AFP), it would be irresponsible to draw that any water or food is the cause of the disease.
Also ruled out due to an adverse reaction to influenza vaccine. "We do not think the case at this time, but all scenarios studied, the history of vaccination is low in patients, it makes us think there is no relationship between one thing and another."
The federal official stressed that vaccination against influenza during a pandemic it was and still is, is a very important instrument of control, and therefore recommends that all biological applied.
Across the country there are cases of acute flaccid paralysis (AFP) sporadic, but outbreaks only in Orizaba and Nayarit.
Following the epidemiological alert issued last week, other states began to report cases.He said the presence of the federal agency because there is no gravity, but is a measure of confidence, also found that the number of identified cases is not useful, given the amount of population.
- In addition to the Guillain-Barr? syndrome, what other diseases might be?
- "It's a very large repertoire, usually acute flaccid paralysis classify them into purely neurological and muscular problems and the list is really extensive," he said.
Meanwhile, the investigation proceeds to find out what is and what its source.
Ensured proper care and treatment for patients.
"We must remain open to the possibility of occurrence of more cases, we do not know if the outbreak is over and could present more people with this condition."
He stressed the importance of population conducted public health recommendations such as washing hands, eating foods rich in vitamin C, avoid contact with people suffering from flu, and general precautions.
Surveillance of acute flaccid paralysis, he said, has existed since the sixties and throughout the world were originally focused on infectious problems such as polio, polio does not exist here since 1994 and the system remains alert to detect early problems in a timely manner.

[Tonka]

Re: Veracruz and Nayarit- Flaccid Paralysis in the region of Orizaba. Confirmed Guillain Barre

http://www.elmundodeorizaba.com/index.php?option=com_content&view=article&id=734761:olp8n1&catid=211:principal&Itemid=70

Spanish to English translation

There are new cases of paralysis
In three days, the Ministry of Health identified three new
Patients with this condition is 2 adults and 1 child
Wednesday, December 15, 2010

Julieta Zambrano
ORIZABA WORLD

In the past three days, the Health Department identified three new cases of acute flaccid paralysis, two adults and an infant, with totaling 33 in the state, mostly in the Orizaba region. No new cases continue to appear dismissed.
The health secretary, John Anaya Rivera, asked the public to seek medical care immediately if you experience leg problems as tingling, muscle cramps or weakness, to be monitored and treated in time, but especially avoid self-medication.
"In Veracruz we are on alert, any case of paralysis is international reporting. We have specialists participating teams to integrate and investigate all this is to leave nothing to chance. "
Revealed that patients identified, 60% (19) and digestive diseases was 58% (17) breathing.
"They suffer from acute flaccid paralysis, has multiple causes, while not having the lab test, it would be irresponsible for us to say what causes the disease. For now only called acute flaccid paralysis is reversible, no specific treatment and support when suspected Guillain-Barre syndrome. "
Responsible for the health of Veracruz reported that 28 samples have tested negative to everything and only five with a respiratory problem, "so we are focusing on the airways without neglecting other aspects."
He said there are necessary and adequate medical services to treat the condition in the region of Orizaba, are prepared to meet any contingency.
Researchers and scientists said: "Do not make bold statements in the sense that it is post-vaccination, in this case is no adverse reaction. We ask people to be quiet, both federal and state governments are working to investigate, we will give all information to the public. "

[Tonka]

Re: Veracruz and Nayarit- Flaccid Paralysis in the region of Orizaba. Confirmed Guillain Barre

http://www.oem.com.mx/elsoldecordoba/notas/n1890751.htm

Spanish to English translation
C&#243;rdoba
High alert, there are 33 cases of flaccid paralysis
Health Secretary Veracruz, Paul Anaya, led in this city for an urgent meeting to discuss the 33 cases of acute flaccid paralysis reported in the Sun Orizaba.El Cordoba C&#243;rdoba
December 15, 2010


Yolanda Reyes Apodaca, J. J. Enriquez, Daniel Serrano Guzm&#225;n and Romero Rogelio Cruz

C&#243;rdoba, Veracruz .- Given the possible association of the vaccine against influenza A (H1N1) with Guillain-Barre syndrome, the World Health Organization (WHO) made recommendations to the Epidemiological Surveillance System of Acute Flaccid Paralysis (AFP) to include all age groups, even to prevent resurgence of polio, which is why the epidemiological alert is at its highest level, ie at level 6 (6s1), surpassing the influenza A (H1N1) was found in the scale 5 last year.

And is that the epidemiological alert is at its highest level since the Guillain-Barre syndrome and poliomyelitis are considered the main diseases in the group of acute flaccid paralysis (AFP), which attack the nervous system and are no longer suffering included in the list of morbidity, even Mexico is certified free of polio.

Until December 3 this year, the Ministry of Health confirmed two cases in Veracruz in the area of C&#243;rdoba: 1 and 1 Cuitl&#225;huac Carlos A. Carrillo, adding to the 21 concerned in the region of Orizaba. The cases are known to the Sanitary District No. 6.

Official documents of the Ministry of Health to unveil epidemiological alert against the PFA is from 7 December, after the first outbreak in the town of Guadalupe Victoria, the municipality of San Blas, Nayarit, Sept. 26 . Including seven cases. Only one case of the outbreak progressed with influenza-like illness.

The second outbreak occurred in Orizaba with 23 cases identified between November 8 and December 3, ages range between 3 and 50 years of age. Of these only 1 in Carlos A. Carrillo, 3 Ixtaczoquitl&#225;n, 2 in Nogales, 15 in Orizaba, 1 in San Andres and 1 Tenejapa Cuitlahuac.

Official sources confirmed last night that, in addition, another case was detected in Cuitlahuac and one in Cuichapa.

56&#37; of the patients had respiratory distress (cough, runny nose, sore throat, 13 days before the onset of paralysis. The 39% gastrointestinal upset, diarrhea, abdominal pain, vomiting, myalgia, arthralgia, fever, respiratory distress and poor condition. As of 10 December 6 patients remained serious and two died.
Of the two deaths, one corresponded to a female person 48 years of age, with a history of seasonal influenza vaccination on 1 November and the second a 56-year-old with a history of hypertension, a who was diagnosed with Guillain-Barre syndrome.

The paralysis in this second outbreak has been presented with features distal, ascending, with a decrease or abolition of tendon reflexes, impairment of thoracic and pelvic in 83% of cases, involvement of cranial nerves in 8%, and involvement of respiratory muscles 21% of cases.
In one of the sections of the documents referred to the possible association of Guillain-Barre syndrome with the vaccine against influenza A (H1N1) within 52 days prior to the onset of paralysis.

Directions are provided to doctors to refer patients if you have symptoms at referral hospitals, if any vaccination history in the 52 days before the onset of paralysis, seek information from: lot vaccine, vaccinated individuals with the same batch and the presence of more cases among vaccinated persons jointly by health personnel. For cases under 15 years of age also should make the prevention and control measures around the home for the event, with coordination with court staff epidemiology.

It should be noted that official information was given to all medical staff of Sanitary District No. 6 for information, is signed by the head of this office, Junco Minerva Gonz&#225;lez.

VERACRUZ, the largest number of Redlining

Veracruz state ranks first in cases of acute flaccid paralysis syndrome, and this disease has occurred in Chihuahua, Hidalgo, Aguascalientes...Much more at the link.