Paraguay MOH ILI reports 2012

[Ronan Kelly]

Re: Paraguay MOH ILI reports 2012

BOLETIN EPIDEMIOLOGICO
Edici?n N? 29 - Semana Epidemiol?gica 30 ? A?o 2012
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ILI and SARI surveillance
Situation Report:
Surveillance of Influenza-Like Illness (ILI) and Severe Acute Respiratory Infection (SARI)Week 1 to 30, 2012
1. Trend and intensity of the activity of influenza like illness (ILI) As recorded in Schedule Weekly Notifiable, ILI consultations accumulated to SE 30 (22 to 28 July, 2012) totaled 214,033 notifications, corresponding to this week, 13,089 ILI consultations, representing an incidence rate of 196.2 per 100,000 population across the country, all ages, representing a decrease of 10% compared to the SE 29.
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Regionally, only 2 regions; Design and Caaguaz?, recorded an increase in moderate intensity
(20 to 50%) and a low intensity (lower than 20%), Guair?, with respect to the previous week.
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2. - Consultation Monitoring ILI and SARI hospitalized in Hospitals Sentinel:
Data from the Sentinel Surveillance indicates that the proportion of consultations for ILI among all queries was 16%, with a similar situation last week.
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The proportion of Hospitalized for Severe Acute Respiratory Infection (SARI) at the Centers Sentinels remained in Epidemiological Week (EW) 30 in 11% (153/1.396). The proportion of income between SARI ICU admissions to ICU from all causes reached 75% this week (30/40) present the greatest proportion of the year. Those killed by SARI reported by the Sentinel to add 127 SE 30, with 20 partners to respiratory viruses identified and of these 13 to Influenza A H1N1 pdm 09..
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The data accumulated to demonstrate movement SE 30 respiratory viruses on the rise, being identified the Respiratory Syncytial Virus (RSV) 54%, the influenza A H1N1 pdm 09 (28%), the Influenza B (6%), the Adenovirus (5%), the Parainfluenza (5%) and H3 Influenza A (2%). (Figure 5)
Regarding virological surveillance at the Centers Sentinels of SARI, the percentage of positivity keeps growing, reaching in the last week 52% (n = 25), 44% for the Respiratory Syncytial Virus and 8% Influenza virus A H1N1 pdm 09. In the last week continue to dominate the positive samples syncytial virus.

[Ronan Kelly]

Re: Paraguay MOH ILI reports 2012

BOLETIN EPIDEMIOLOGICO
Edici?n N? 30 - Semana Epidemiol?gica 31 ? A?o 2012

ILI and SARI surveillance
Situation Report:
Surveillance of Influenza-Like Illness (ILI) and Severe Acute Respiratory Infection (SARI) Week 1 to 31, 2012
1. Universal Surveillance: Trends and intensity of activity of influenza like illness (ILI).
As recorded in Schedule Weekly Notifiable at the national level, the cumulative ILI consultations to EW 31 (July 29 to August 4, 2012) totaled 224,422, accounting for this week, 10,389 consultations for ILI, representing a decrease of 20% compared to the SE 30.
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At the regional level, six regions recorded an increase over the previous week, of moderate intensity (20 to 50%) had Caazap? ?eembuc?, Amambay and Alto Paraguay, and, of lower intensity (less than 20%) San Pedro and Canindey?.
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During EW 31, the proportion of Hospitalized for Severe Acute Respiratory Infection (SARI) in the sentinel sites was 8.3% (160/1.935), while the SE 30 was 11%.
The highest number of accumulated cases of SARI (2,932) are in the age group under 2 years, followed in smaller proportion by schoolchildren, teenagers and those over 60 years. (Figure 3)
As the proportion of income between SARI ICU admissions to ICU from all causes reached this week on 26% (23/88) which represents a decrease from 75% in the previous week. Those killed by SARI reported by the Sentinel to add 31 SE 149, being 24 the virus associated with respiratory and of these, 15 influenza A H1N1 pdm 09 and 7 to Respiratory Syncytial Virus.
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[Ronan Kelly]

Re: Paraguay MOH ILI reports 2012

BOLETIN EPIDEMIOLOGICO
Edici?n N? 31 - Semana Epidemiol?gica 32 ? A?o 2012

Surveillance of ILI and SARI
Situation Report:
Surveillance of influenza-like illness (ILI) and severe acute respiratory illness (SARI) Week 1-32, 2012
1. Universal Surveillance: Trend and intensity of the activity of influenza-like illness (ILI).
As recorded in Schedule Weekly notifiable nationally, ILI consultations SE accumulated to 32 (05 to 11 August, 2012) amounted to 234 602, corresponding to this week, 10 180 ILI consultations, representing a decrease of 2% compared to the SE 31.
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2. - Sentinel Surveillance: Monitoring of ILI consultations and hospitalized SARI:
In sentinel surveillance was a similar situation last week in regard to the proportion of ILI consultations, with a variation of less than 1%, representing el7, 5% of all searches.
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During EW 32, the proportion of hospitalized with severe acute respiratory illness (SARI) in sentinel sites was 8.1% (161/2000), similar to the SE 31 in which was 8.3%.
The highest number of cumulative cases of SARI (3160) are at the extremes of life, children under 2 years and over 60 years, followed in smaller proportion by schoolchildren and adolescents.
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The ratio of income between SARI ICU admissions to ICU from all causes reached this week for 32% (26/82) without major variations from that recorded in the previous week. The SARI deaths reported by the Sentinel Surveillance in EW 32 were 8. The cumulative total from 1 to 32 SE totaling 161, with 27 partners to respiratory virus and of these, 16 to Influenza A H1N1 pdm 09 and 8 to respiratory syncytial virus.
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[Ronan Kelly]

Re: Paraguay MOH ILI reports 2012

BOLETIN EPIDEMIOLOGICO
Edici?n N? 32 - Semana Epidemiol?gica 33 ? A?o 2012

Surveillance of ILI and SARI
Situation Report:
Surveillance of influenza-like illness (ILI) and severe acute respiratory illness (SARI) EW 1-33, 2012
1. Universal Surveillance: Trend and intensity of the activity of influenza-like illness (ILI).
As recorded in Schedule Weekly notifiable nationally, ILI consultations SE accumulated to 33 (12 to 18 August, 2012) amounted to 244 579, corresponding to this week, ILI consultations 9977, representing a decrease of 2% compared to the SE 32.
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2. - Sentinel Surveillance: Monitoring of ILI consultations and hospitalized SARI:
In sentinel surveillance was a similar situation last week in regard to the proportion of ILI consultations, with a variation of less than 1%, representing 8% of all searches.
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During EW 33, the proportion of hospitalized with severe acute respiratory illness (SARI) in sentinel sites was 7% (129/1840), with a variation of about 2% over 32 weeks in which was 8 , 9%.
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In terms of the proportion of income between SARI ICU admissions to ICU from all causes reached this week for 24.3% (17/70) with a decrease of more than 20% over the figure recorded in the previous week (47.3%). The SARI deaths reported by the Sentinel Surveillance SE 33 added to 168, with 27 associated with respiratory virus and of these, 16 to Influenza A H1N1 pdm 09 and 8 to respiratory syncytial virus.
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[Ronan Kelly]

Re: Paraguay MOH ILI reports 2012

BOLETIN EPIDEMIOLOGICO
Edici?n N? 33 - Semana Epidemiol?gica 34 ? A?o 2012

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Surveillance of ILI and SARI
Situation Report:
Surveillance of influenza-like illness (ILI) and severe acute respiratory illness (SARI) Week 1-34, 2012
1. Universal Surveillance: Trend and intensity of the activity of influenza-like illness (ILI).
As recorded in Schedule Weekly notifiable nationally, ILI consultations SE accumulated to 34 (19 to 25 August, 2012) amounted to 254 323, corresponding to this week, ILI consultations 9744, representing a decrease of 2.3% compared to the SE 33.
(Figure 1). Since the peak of queries registered in the SE 29 (14 568) and those reported in EW 34, there is a decrease of 33%.
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2. - Sentinel Surveillance: Monitoring of ILI consultations and hospitalized SARI:
In sentinel surveillance was a similar situation last week in regard to the proportion of ILI consultations, representing 8% of all searches.
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During EW 34, the proportion of hospitalized with severe acute respiratory illness (SARI) in sentinel sites was 7% (111/1.606), similar to week 33 (7%).
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In terms of the proportion of income between SARI ICU admissions to ICU from all causes reached this week for 41% (18/44). The SARI deaths reported by the Sentinel Surveillance to add 178 SE 34, 30 of those associated with respiratory viruses and of these, 18 to Influenza A H1N1 pdm 09 and 9 to respiratory syncytial virus.
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[Ronan Kelly]

Re: Paraguay MOH ILI reports 2012

BOLETIN EPIDEMIOLOGICO
Edici?n N? 34 - Semana Epidemiol?gica 35 ? A?o 2012
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Surveillance of ILI and SARI
Situation Report:
Surveillance of influenza-like illness (ILI) and severe acute respiratory illness (SARI) Week 1-35, 2012
1. Universal Surveillance: Trend and intensity of the activity of influenza-like illness (ILI).
As recorded in Schedule Weekly notifiable nationally, ILI consultations accumulated to SE 35 (August 26 to 01 seteimbre-2012) amounted to 262,968. In EW 35 were 8,645, representing a reduction of 11.3% with respect to the previous one. Since the peak presented in EW 29 (15 to 21 July), the decline was 41%, rising from 14,568 to 8645 consultations in the last week.
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2. - Sentinel Surveillance: Monitoring of ILI consultations and hospitalized SARI:
In sentinel surveillance was a similar situation last week in regard to the proportion of ILI consultations, representing 8% of all searches.
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In terms of the proportion of income between SARI ICU admissions to ICU from all causes reached this week for 16% (17/75). The SARI deaths reported by the Sentinel Surveillance to add 189 SE 35, 31 being the virus associated with respiratory and of these, 18 to Influenza A H1N1 pdm 09 and 10 to respiratory syncytial virus.
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[Ronan Kelly]

Re: Paraguay MOH ILI reports 2012

BOLETIN EPIDEMIOLOGICO
Edici?n N? 35 - Semana Epidemiol?gica 36 ? A?o 2012

Surveillance of ILI and SARI
Situation Report:
Surveillance of influenza-like illness (ILI) and severe acute respiratory illness (SARI) Week 1-36, 2012
1. Universal Surveillance: Trend and intensity of the activity of influenza-like illness (ILI).
As recorded in Schedule Weekly notifiable nationally, ILI consultations SE accumulated to 36 (02 to 08 seteimbre-2012) amounted to 272,860, representing a slight increase of 14.4% compared to the SE 35, according to the expected trend compared to previous years. Since the peak presented in EW 29 (15 to 21 July), the decline was greater than 40%, going from 14,568 to 9892 consultations in the last week.
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2. - Sentinel Surveillance: Monitoring of ILI consultations and hospitalized SARI:
In sentinel surveillance was a similar situation last week in regard to the proportion of ILI consultations, accounting for 7.6% of all searches.
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During EW 36, the proportion of hospitalized with severe acute respiratory illness (SARI) in sentinel sites was 5% (95/1.885) showing a decline from the previous week (5.8%).
The highest number of cumulative cases of SARI (3690) are at the extremes of life, children under 2 years and over 60 years, followed in smaller proportion by schoolchildren and adolescents.
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In terms of the proportion of income between SARI ICU admissions to ICU from all causes reached this week for 20.3% (13/64). The SARI deaths reported by the Sentinel Surveillance to add 197 SE 36, 31 being the virus associated with respiratory and of these, 18 to Influenza A H1N1 pdm 09 and 10 to respiratory syncytial virus.
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[Ronan Kelly]

Re: Paraguay MOH ILI reports 2012

BOLETIN EPIDEMIOLOGICO
N? 36 - Semana Epidemiol?gica 37 ? A?o 2012

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Surveillance of ILI and SARI
Situation Report:
Surveillance of influenza-like illness (ILI) and severe acute respiratory illness (SARI) Week 1-37, 2012
1. Universal Surveillance: Trend and intensity of the activity of influenza-like illness (ILI).
As recorded in Schedule Weekly notifiable nationally, ILI consultations SE accumulated to 36 (09 to 15 seteimbre-2012) amounted to 282,250, representing a decrease of 5.1% compared to the SE 36 , consistent with the expected trend compared to previous years. Since the peak presented in EW 29 (15 to 21 July), the decline was greater than 40%, going from 14,568 to 9390 consultations in the last week.
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2. - Sentinel Surveillance: Monitoring of ILI consultations and hospitalized SARI:
In sentinel surveillance showed a decrease compared to the previous week in regard to the proportion of ILI consultations, accounting for 6.3% of all searches.
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During EW 37, the proportion of hospitalized with severe acute respiratory illness (SARI) in sentinel sites was 4.8% (93/1.951), remaining steady in the past three weeks.
The highest number of cumulative cases of SARI (3846) are at the extremes of life, children under 2 years and over 60 years, followed in smaller proportion by schoolchildren and adolescents.
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In terms of the proportion of income between SARI ICU admissions to ICU from all causes reached this week for 25.4% (15/59). The SARI deaths reported by the Sentinel Surveillance to add 209 SE 37, 31 being the virus associated with respiratory and of these, 18 to Influenza A H1N1 pdm 09 and 10 to respiratory syncytial virus.
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[Ronan Kelly]

Re: Paraguay MOH ILI reports 2012

Epidemiological Bulletin
Issue No. 37 - Epidemiological Week 38 - Year 2012

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Surveillance of ILI and SARI
Situation Report:
Surveillance of influenza-like illness (ILI) and severe acute respiratory illness (SARI) Week 1-38, 2012
1. Universal Surveillance: Trend and intensity of the activity of influenza-like illness (ILI).
As recorded in Schedule Weekly notifiable nationally, ILI consultations SE accumulated to 38 (16 to 22 seteimbre-2012) amounted to 290,323, representing a decrease of 14% compared to EW 37, according to the expected trend compared to previous years. Since the peak presented in EW 29 (15 to 21 July), the decline was 44.5%, rising from 14,568 to 8073 consultations in the last week.
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2. - Sentinel Surveillance: Monitoring of ILI consultations and hospitalized SARI:
In sentinel surveillance was a similar situation last week in regard to the proportion of ILI consultations, representing 7% of all searches.
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During EW 38, the proportion of hospitalized with severe acute respiratory illness (SARI) in sentinel sites was 5.9% (88/1.504), remaining without major changes from the previous week (4.8%).
The highest number of cumulative cases of SARI (3914) are at the extremes of life, children under 2 years and over 60 years, followed in smaller proportion by schoolchildren and adolescents.
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In terms of the proportion of income between SARI ICU admissions to ICU from all causes this week reached 34.4% (11/32). The SARI deaths reported by the Sentinel Surveillance to add 221 SE 38, 31 being the virus associated with respiratory and of these, 18 to Influenza A H1N1 pdm 09 and 10 to respiratory syncytial virus.
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[Ronan Kelly]

Re: Paraguay MOH ILI reports 2012

BOLETIN EPIDEMIOLOGICO
Edici?n N? 39 - Semana Epidemiol?gica 40 ? A?o 2012

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Surveillance of ILI and SARI
Situation Report:
Surveillance of influenza-like illness (ILI) and severe acute respiratory illness (SARI) Week 1-40, 2012
1. Universal Surveillance: Trend and intensity of the activity of influenza-like illness (ILI).
As recorded in Schedule Weekly notifiable nationally, ILI consultations accumulated to SE 40 (September 30 to October 6 -2012) amounted to 305,844, reflecting a decrease in consultations 18% (6998) regarding the SE 39 (8523), in line with the expected trend compared to previous years. Since the peak presented in EW 29 (15 to 21 July), the decline was greater than 40%, going from 14,568 to 6,998 inquiries in the last week.
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2. - Sentinel Surveillance: Monitoring of ILI consultations and hospitalized SARI:
In sentinel surveillance, the proportion of ILI consultations in relation to all visits was 6% (291/5143), a situation similar to the previous week
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In terms of the proportion of income between SARI ICU admissions to ICU from all causes reached this week for 26.2% (17/65). The SARI deaths reported by the Sentinel Surveillance to add 241 SE 40, 33 being the virus associated with respiratory and of these, 18 to Influenza A H1N1 pdm 09 and 10 to respiratory syncytial virus.
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3. Viral circulation
The percentage of positive respiratory specimens at week 40 reached 27.8% (n = 5), where the influenza viruses identified B and Parainfluenza.

[Ronan Kelly]

Re: Paraguay MOH ILI reports 2012

BOLETIN EPIDEMIOLOGICO
Edici?n N? 40 - Semana Epidemiol?gica 41 ? A?o 2012

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Surveillance of ILI and SARI
Situation Report:
Surveillance of influenza-like illness (ILI) and severe acute respiratory illness (SARI) Week 1-41, 2012
1. Universal Surveillance: Trend and intensity of the activity of influenza-like illness (ILI).
As recorded in Schedule Weekly notifiable nationally, ILI consultations SE accumulated to 41 (07 to 13 October -2012) amounted to 312,436, representing a decrease of 6% compared to EW 40, according to the expected trend compared to previous years. Since the peak presented in EW 29 (15 to 21 July), the decline was 55%, rising from 14,568 to 6,592 inquiries in the last week.
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2. - Sentinel Surveillance: Monitoring of ILI consultations and hospitalized SARI:
In sentinel surveillance was a similar situation last week in regard to the proportion of ILI consultations, accounting for 6% (301/5.452) of all searches.
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In terms of the proportion of income between SARI ICU admissions to ICU from all causes reached this week for 12% (7/59). The SARI deaths reported by the Sentinel Surveillance to add 247 SE 41, 33 being the virus associated with respiratory and of these, 18 to Influenza A H1N1 pdm 09 and 10 to respiratory syncytial virus.

[Ronan Kelly]

Re: Paraguay MOH ILI reports 2012

BOLETIN EPIDEMIOLOGICO
Edici?n N? 41 - Semana Epidemiol?gica 42 ? A?o 2012

Surveillance of ILI and SARI
Situation Report:
Surveillance of influenza-like illness (ILI) and severe acute respiratory illness (SARI) Week 1-42, 2012
1. Universal Surveillance: Trend and intensity of the activity of influenza-like illness (ILI).
As recorded in Schedule Weekly notifiable nationally, ILI consultations SE accumulated to 42 (14 to 20 October -2012) amounted to 319,125, showing a similar situation regarding the SE 40 with a rate of 100.2 per 100,000 inhabitants. Since the peak presented in EW 29 (15 to 21 July), the decline was greater than 50%, going from 14,568 to 6689 consultations in the last week.
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2. - Sentinel Surveillance: Monitoring of ILI consultations and hospitalized SARI:
In sentinel surveillance was a similar situation last week in regard to the proportion of ILI consultations, representing 5% (249/5.240) of all searches.
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In terms of the proportion of income between SARI ICU admissions to ICU from all causes reached this week for 22% (11/50). The SARI deaths reported by the Sentinel Surveillance to add 248 SE 42, 33 being the virus associated with respiratory and of these, 18 to Influenza A H1N1 pdm 09 and 10 to respiratory syncytial virus.
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[Ronan Kelly]

Re: Paraguay MOH ILI reports 2012

BOLETIN EPIDEMIOLOGICO
N? 42 - Semana Epidemiol?gica 43 ? A?o 2012

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Surveillance of ILI and SARI
Situation Report:
Surveillance of influenza-like illness (ILI) and severe acute respiratory illness (SARI) Week 1-43, 2012
1. Universal Surveillance: Trend and intensity of the activity of influenza-like illness (ILI).
As recorded in Schedule Weekly notifiable nationally, ILI consultations SE accumulated to 43 (21 to 27 October -2012) amounted to 325,666, a decrease of 2% compared to the SE 42, from of 6,689 consultations in the week before the 6541 consultations in week 43, with a rate of 98 per 100,000. Since the peak presented in EW 29 (15 to 21 July), the decline was 55%.
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2. - Sentinel Surveillance: Monitoring of ILI consultations and hospitalized SARI:
In sentinel surveillance was a similar situation to the previous week (249/5.240) in regard to the proportion of ILI consultations, representing 5% (254/5.173) of all searches.
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In terms of the proportion of income between SARI ICU admissions to ICU from all causes reached this week for 18.2% (12/66). The SARI deaths reported by the Sentinel Surveillance to add 262 SE 43, 33 being the virus associated with respiratory and of these, 18 to Influenza A H1N1 pdm 09 and 10 to respiratory syncytial virus.
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[Ronan Kelly]

Re: Paraguay MOH ILI reports 2012

BOLETIN EPIDEMIOLOGICO
N? 43 - Semana Epidemiol?gica 44 ? A?o 2012
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Surveillance of ILI and SARI
Situation Report:
Surveillance of influenza-like illness (ILI) and severe acute respiratory illness (SARI) Week 1-44, 2012
1. Universal Surveillance: Trend and intensity of the activity of influenza-like illness (ILI).
As recorded in Schedule Weekly notifiable nationally, ILI consultations accumulated to SE 44 (October 28 to November 3 -2012) amounted to 331,449, a decrease of 11% compared to the SE 43 , from 6541 consultations in the week before the 5833 consultations in week 44, with a rate of 87.4 per 100,000 inhabitants. Since the peak presented in EW 29 (15 to 21 July), the decline was 60%.
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2. - Sentinel Surveillance: Monitoring of ILI consultations and hospitalized SARI:
In sentinel surveillance was a similar situation to the previous week (249/5.240) in regard to the proportion of ILI consultations, representing 4.5% (240/5.383) of all searches.
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During EW 44, the proportion of hospitalized with severe acute respiratory illness (SARI) in sentinel sites showed a decline from the previous week (65/1.861), being 3.1% (49/1.583).
The highest number of cumulative cases of SARI (4469) are at the extremes of life, children under 2 years and over 60 years, followed in smaller proportion by schoolchildren and adolescents.
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In terms of the proportion of income between SARI ICU admissions to ICU from all causes reached this week for 12.8% (6/47). The SARI deaths reported by the Sentinel Surveillance to SE 44 total 268, with 34 partners to respiratory viruses and of these, 18 to Influenza A H1N1 pdm 09 and 10 to respiratory syncytial virus.
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[Ronan Kelly]

Re: Paraguay MOH ILI reports 2012

BOLETIN EPIDEMIOLOGICO
N? 44 - Semana Epidemiol?gica 45 ? A?o 2012

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Surveillance of ILI and SARI
Situation Report:
Surveillance of influenza-like illness (ILI) and severe acute respiratory illness (SARI) Week 1-45, 2012
1. Universal Surveillance: Trend and intensity of the activity of influenza-like illness (ILI).
As recorded in Schedule Weekly notifiable nationally, ILI consultations accumulated to EW 45 (04 to 10 November -2012) amounted to 338,156, showing an increase of 14.1% compared to EW 44 , from 5833 consultations in the week before the 6657 consultations in week 45, with a rate of 99.8 per 100,000 inhabitants. Since the peak presented in EW 29 (15 to 21 July), the decline was 54%.
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2. - Sentinel Surveillance: Monitoring of ILI consultations and hospitalized SARI:
In this week's data are subject to change due to reporting delay of four sentinel.
In sentinel surveillance was a similar situation to the previous week (249/5.240) in regard to the proportion of ILI consultations, representing 7.4% (195/2.639) of all searches.
Figure 8: Proportion of ILI consultations among all consultations SE, Sentinel Surveillance, SE 1-45, Paraguay, 2012
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During EW 45, the proportion of hospitalized with severe acute respiratory illness (SARI) in sentinel sites showed a slight decline from the previous week (49/1.936), being 2.2% (42/1.907).
The highest number of cumulative cases of SARI (4518) are at the extremes of life, children under 2 years and over 60 years, followed in smaller proportion by schoolchildren and adolescents.
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In terms of the proportion of income between SARI ICU admissions to ICU from all causes reached this week for 15.8% (9/57). The SARI deaths reported by the Sentinel Surveillance total 270 to SE 45, 35 being the virus associated with respiratory and of these, 18 to Influenza A H1N1 pdm 09 and 11 to respiratory syncytial virus.
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