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1 confirmed; 3 suspected A/H1N1 deaths in Luj?n

Shiloh

Editor, Senior Moderator
Source: http://www.elcivismo.com.ar/nota.php?nota=1298
(This is in Buenos Aries Province)

Google translation:

There are already four deaths, two confirmed cases and two suspects
Health emergency to curb Influenza A in Luj?n

Ed.Impresa / / The Mayor declared the measure due to the development of influenza in this party and the emergence of new cases. Since last Thursday and 96 hours, establishments where people stay for a long time to be closed. The measure could be extended until the end of the emergency.
The decree states that closed the business in which people remain long.
Following the development of epidemic influenza in the district of Luj?n and the suggestions on this topic by the Province, the mayor Graciela Rosso declared health emergency, which was adopted unanimously by the City Council. This measure entered into from 0 hours last Thursday and will last for 96 hours, with the possibility to continue until the end of the emergency. "We believe that the situation of Luj?n, the number of people killed and the number of new cases that we had in the last 48 hours, we take these actions justified," said community leader. He added: "The situation in our town is being developed with great appearance of new cases. They have not all been serious, but we should not expect that they are serious in making this determination."
At the press conference given by the mayor and some members of the Crisis Committee was announced in Lujan and four people died from influenza, but only one of them, the young pregnant woman who died last week-is confirmation of this disease. Health Secretary Hector Ruffinelli explained that due to the large transmissibility of the H1N1 influenza because "we're in a phase of a pandemic, patients who have a severe bilateral pneumonia and died, we consider now as part of this disease, even without the confirmation of the laboratory. " Similarly, Rosso said that these tests were sent but not yet received the results.
In addition, Ruffinelli reported that the latest death occurred last Wednesday morning. According to the Health Secretary, was a man of 30 years who was placed in the Municipal Hospital and, after a bad outcome on Sunday, was transferred to intensive care and died.
Rosso, meanwhile, said that another of those who died because of this evil was a young man who worked at the Bingo and reportedly died of a severe pneumonia.
The Health Secretary said that there are two cases in which swabs were performed and the results have confirmed that influenza A, "a little boy that he was in hospital with bronchiolitis and the sister of the woman who died last week, but both have a good outcome and were discharged. He said: "We have two other cases are suspected, with a high index of suspicion."
"Do not panic, a number of people, however minimal, is having a bad outcome, so we take steps to cut the spread of the virus," said Ruffinelli.
Once you pass the four days of emergency decree signed by Health Rosso, will re-examine the situation together with the Crisis Committee to see if there is a need to continue this. "This is what we say at this time. If there was an incidence of new cases more rapidly in the population if there were other determination of the Ministry of Health of the Nation or the Province, the determination that would otherwise take. Taking decisions has to do with the dynamics of the epidemic has, according to the decisions that are being taken. Today this happens, but tomorrow it could improve, because in 96 hours if the incidence of cases is lower, we will return to previous instances. And if we see things more complicated, we will take further decisions that have to take, "explained the mayor.
In addition, Rosso commented that there would be no risk of further deterioration if after the time of emergency, it becomes a "previous instances, because the increase of influenza is expected in the coming days and if these measures manage to avoid this peak, then the epidemic behaves as expected, the cases will decrease. " "This is what we expect and that's what happens with other diseases," he reassured the community leader. Also recognized that the absence of a vaccine for this influenza is not possible to make a "blockade" of the disease to prevent infection. However, he explained that can be done "isolation" to prevent transmission. "We do not have the vaccine, but we have ways to prevent disease in crowded places," he said.

DETAILS OF THE DECREE
The decree signed by Rosso, also declared health emergency, ordered "the closure and cessation of activities of different public spaces in which people stay focused for a long time. The areas listed in the document handed to the press are: children's canteens, kindergartens and child-maternal municipal and private-and municipal workshops. Also included the closure of the Institute Fermin Mignone, clubs and sports associations, community centers and recreation centers with regular attendance of the public, including bingo halls, cinemas, bars, and cybers players. Additionally, it is recommended that the education sector "accompanying measures" since the enactment of these measures.
The decree also states that "we have the closure of those establishments which do not comply with the order and requesting the cooperation of various security forces to monitor this situation.
"We want to avoid is what we encounter in public places, closed, lots of people, because it promotes the spread of the disease. We have been talking with authorities to implement this is to be understood that we do not want to deprive individual freedoms, "said the mayor. For their part, businesses and agencies that provide services are not included among those to be closed, "because these are places of transit, and people do not remain in these facilities long enough to transmit the disease. Similarly, from the town requested that, in these locations, employees who are in touch with people using chinstrap "to protect their health and to protect also attended the scene." In addition, Rosso stated that it considered important to find a "fast dynamics" to the public in those places where it can generate an accumulation of people, such as banks or supermarkets. In the same way that for this type of business, the decree provides that "all municipal offices that serve the public should use chinstrap" and that it shall "as mandatory declared" the use of these elements in the churches and places of worship.
Ruffinelli reminded that the dynamics of infection is related to the distance between people and the amount of time you are exposed. "More than four hours together in less than two meters favors infection. It is no casual contacts that a disease is transmitted," he explained.
Also, the decree signed by Rosso also recommend that people avoid Luj?n agglomerations of people in general, especially in places of mass gathering, or confined spaces with little air circulation. "This is an emergency health situation and therefore we have liabilities that we have to meet. This has to be voluntary, but we ask everyone's responsibility. We call for reflection and ask that they understand: we have no interest in cutting off the party anyone, "said community leader.
Finally, in one of the articles of the decree is sought to be accorded "compulsory license to benefit from assets" to pregnant women until further notice. " Rosso says that this decision has already been established at the municipal level, but not in the private sector, which requires that "free pregnant women having to come to work, because they are a population of more risk and comply with this measure would be "a form of social contribution to this epidemic." "We can not sort, but we can suggest," the mayor said.
Finally, the community leader reported that, although not in the decree, the decision was made to suspend the scheduled surgery in the Municipal Hospital. He also announced that a theater would be available for emergencies and in the rest of these spaces would be installed the equipment for the new intensive therapy for adults.

LEGAL TOOLS
The document signed by Rosso shows a series of legal arguments to be taken into account to declare health emergencies and the closure of certain sites. In addition to invoking the rights of individuals to health and to remember that access to this must be guaranteed in various aspects by the Province for local schemes, appointing two articles of the Organic Law of Municipalities. In one of these texts is that in the event of an epidemic (among others) "the Executive Department may make expenditures even though the concept of them not covered in the General Budget or exceed the amount of authorized parties and clarifies that "within fifteen days after the execution of expenditure by the Department Executive shall promote appropriate amendment of the budget." The other article mentioned in this law states that measures to prevent breaches of the Executive Department is duty and it is empowered, among other actions, if not close establishments comply with the provisions.
"Rather than individual rights and collective rights are economic, especially when put people's health at stake," said Rosso. He added: "We are not violating individual rights, what we are doing is protecting the individual rights of all people and collective rights."


More orders for Lujanian
The mayor returned to perform this week, some orders to the inhabitants of Luj?n. In addition to reiterating to people to keep calm, he asked that all those with flu-like states should remain in their homes for not spread any disease and asked to "consult doctors because they are giving attention to it." He also clarified that health professionals have the skills needed to distinguish one disease from another, and that medical patients who need it.
Another orders Rosso was directed especially to young people: "Suspend the classes does not mean that they meet in homes or in other public spaces, but they are each in their homes and with due regard to prevention we have. We are in a health emergency, we're not on vacation, "he explained.
Finally, the boss asked the community who are "responsible" and not automediquen, because this is the worst thing we can do in these cases. The self is going to cover tables and doctors have to see patients beginning to know what is going on. "


Risk groups
Despite that last week as both Ruffinelli Rosso reported that the risk groups who may experience greater difficulty with influenza A were the elderly, children and those with certain chronic diseases, the press conference last Wednesday, the Secretary of Health reported that "according to the consensus that there is a level of the province, although it may affect children of school age, that influenza primarily affects young adults up to 45 or 50 years." He also added that the most serious cases are occurring in these patients with or without associated risk factors "and in pregnant women. For this reason, the mayor said, the decree is aimed at preventing people from these age groups remain too long in enclosed and crowded.
For his part, Fernandez, director of Preventive Medicine and Primary Care, there was only rescued a suspected case of school-age children "it is something that in these troubled days." He also commented that, although we still do not have confirmation of the disease, this patient is now receiving proper treatment.

Reunion with Scioli
Governor Daniel Scioli had a meeting with mayors of the first and third section of the province of Buenos Aires, to assess, among other issues, the subject of influenza A. Rosso, who participated in this event, noted that during this morning: "It has been determined that it is vital access to medication for patients who are detected and that the treatment will begin with the cases but has not yet determination lab ' . He also commented that in those places where there is more difficulty with regard to influenza, as Lujan, are taking other measures that are related to the closure of some sites. "
Finally, he explained that after this meeting it was agreed with all the people intendants recommend the "self" at home, because "we are in a stage of the disease and this is what will determine who has less serious cases. "
 
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