21 students hospitalized Esguarnac-Expect laboratory tests for definitive diagnosis

[Tonka]

http://www.lanacion.com.ve/noticias.php?IdArticulo=168437
Spanish to Eng. translation

Expect laboratory tests for definitive diagnosis
21 students hospitalized Esguarnac

Dr. Noel Calderon, regional epidemiologist. (Photo: Tulia Buritic?)
(Nancy Porras)

Health authorities in T?chira apply all the necessary tests to students in the School of National Guard Cordero (Esguarnac), who are hospitalized, after analyzing the case of 21 year old died on Sunday night .

According to Dr. Noel Calderon, regional epidemiologist, the late 21 year old samples were collected from the tissues, which will be sent to Caracas for study at the National Institute of Hygiene.

Specified in the Military Hospital hospitalized twelve students of the Esguarnac, and another five are being held in Hall Central Military Hospital, while four remain in Medical Services School of Lamb, and all have performed satisfactorily.

--- They have respiratory problems. That is why practicing the test is ordered to determine if it is the H1N1 influenza virus, and also perform other tests, at the regional public health laboratory, "he said.

He also said that serum samples sent to National Institute of Hygiene, in order to subject them to further studies to rule out any problem of a viral or bacterial, the epidemiologist said.

--- What possible diagnoses are handled in this case?
--- The symptoms are varied. Patterns are not typical of what would be expected in cases that have been handled up to this date and therefore, it is considered that as expected the results of Caracas, is also waiting for some tests that are processed Lab at Military Hospital, said.

Calderon said that the Ministry of Health said the implementation of prophylactic treatment for H1N1 to contacts, besides being in constant communication with the authorities, both the School and the Military Hospital to channel adequate and timely cases that may present the date.

"Contacts include students and staff working in the military institution. This Monday was in another group of doctors Esguarnac both Corposalud as the Military Hospital, just to inspect the area and suggest, if it is necessary, relevant recommendations from the environmental standpoint, "he said.

--- A patient hospitalized for a fortnight in the Central military flag, also an alumnus of the Esguarnac, with a diagnosis of bronchopneumonia, may be linked to these cases?
The investigation --- handle cases of patients who have several days in detention at the Military Hospital: some since early February, and some have been derived by improving the military flag of the Central Hospital to continue with the respective treatments, these patients have doing well, the Military Hospital where they are also stable, he said.

Referring to the deceased patient, the doctor said Calderon was in poor condition at the Military Hospital, the course was relatively short, from admission to death.

In another source, all credit worthy, it was known that negative results to all tests conducted at the Military Hospital, which up to now there is the agent and should await the results of samples sent to Caracas, considering that can arrive on Friday.

Supposedly, patients are well, all we applied the anti-H1N1, there have been no more cases and visits were prohibited.

 

[Tonka]

Re: 21 students hospitalized Esguarnac-Expect laboratory tests for definitive diagnosis

http://diariodelosandes.com/content/view/146572/105841/
Spanish to Eng translation

Authorities confirmed 21 students hospitalized for respiratory illness Esguarnac
written by Jhoana Suarez / DLA T?chira
Wednesday, February 23, 2011
Although not handle a diagnosis, the Military Hospital and Central Hospital are taking 21 students from the Esguarnac with respiratory problems, which are being studied

Within hours of Tuesday morning, authorities finally Corposalud officially reported the situation that is showing up in the National Guard School Cordero, where at least 21 people are hospitalized at the Military Hospital and Central Hospital Following a respiratory type symptoms, which led to one of them to death Sunday night.

Dr. Noel Calderon, chief of the Division of Epidemiology, Regional Health Corporation, said that cases are being studied, it still do not know what virus it is, so they've already taken all the samples to rule out some diseases respiratory rate. He also mentioned that the young man had died just 21 years old and was in very poor conditions at the Military Hospital where he remained for 3 hours in the ICU and then die.

Calderon said the case is under study, and it took tissue samples and sent to the National Institute of Hygiene for the corresponding study. Similarly, since samples were collected at 12 cases are being held at the Military Hospital, the 5 found in Pavilion Central Military Hospital and the 4 currently being treated at the Medical Services Esguarnac all have developed satisfactorily and can say that are stable.

Tests

Referring to the symptoms, the epidemiologist said that people had respiratory symptoms. "In addition to Virocul samplers are doing more tests to rule out other pathologies, not only be considered in the Lab regional but national level to determine what we mean, because we want to avoid any danger of viral or bacterial type ".

He added that the symptoms presented vary widely, even to talk about the H1N1 virus, symptoms are not typical patterns than would be expected in cases that have been handled up to this date. "We await the results of Caracas and we'll be reviewing some tests that are being processed at the laboratory of the Military Hospital."

Dr. Calderon said that in any case have already addressed to the contacts of these people and are giving prophylaxis to all of them and have tried to stay in constant communication with the school authorities and the Military Hospital to channel cases adequately and timely that may arise from this date. "On Monday afternoon we address to the contacts found on the School and on Tuesday another medical team is in place precisely to inspect the area and suggest if necessary, the recommendations from the point of view environment. We assume the responsibility for implementing treatment to all the contacts and of course everyone is taking sample. "

Hospitalization

The expert stated that in the case of the barracks, nursing homes and hostels, events may occur, respiratory, precisely because of the condition in which personnel are located, could present risk factors. Still, in conversation with the school authorities, they said they had previously implemented some corrective measures in this regard.

He also mentioned that the presence of young people with these symptoms in military school emerges in early February, so you can say that these hospitals have been receiving attention for several days. "There are cases that are hospitalized from the first days of February at the Military Hospital and now have increased the number of cases and others have gone through improvements to the pavilion Central Military Hospital."

Suspects

The 21 cases are currently under study, are considered to be suspicious of a respiratory ailment that has not yet been defined, so that some day may be taking the result of what has affected the students of the School of National Guard found in Cordero. Dr. Calder?n reiterated that until now can not make any diagnosis, they do not have results in hand, and the symptoms are very atypical.

 

[alert]

Re: 21 students hospitalized Esguarnac-Expect laboratory tests for definitive diagnosis

It is really unclear what this could be. Pneumonia plus gastrointestinal symptoms plus bleeding = ???

http://www.lanacion.com.ve/noticias.php?IdArticulo=168375

Spanish to English translation
A young man died Sunday and another 17 are hospitalized while doctors ruled out pneumonia or other infection H1N1
Strange infection attacks the Esguarnac students
Regional Health Authorities are studying the case of sudden death of a student at National Guard Lamb Esguarnac, which took place this Sunday at eight thirty in the evening.

According to reliable sources, it was learned that the young man entered the Military Hospital of San Cristobal at half past five p.m. and was immediately detained in the Intensive Care Unit, where he received the attention required according to their clinical .

The student entered the Esguarnac with diarrhea and vomiting. However, only kept alive for three hours, a fact that apparently worried the Military Hospital medical staff.

The patient would die a nonspecific viral infection process, complicated by a bacterial respiratory infection that triggered cardiac arrest. Apparently, he also bleeding to intestinal mucosa.

The boy died underwent autopsy in the respective Pathology Unit of Central Hospital, a study that would give a preliminary assessment of the possible cause of death of student from Esguarnac.

Just as it was known that in recent days would have received more than 19 children with pneumonia at the Military Hospital, all students of the Esguarnac, a fact that drew the attention of epidemiologists and infectious disease in the state.

Until yesterday, in the morning, it was understood that 17 students remained hospitalized, however, unofficially it is understood that five cases were admitted in the afternoon.

Credit from other sources it was known that the chances are minimal that it is a clinical picture of meningitis, as it did the first tests the cerebrospinal fluid were negative for this disease.

However, do not rule out that it is a case of H1N1, to suspect the student is deceased received the proper treatment for the respiratory virus that acts aggressively and samples were taken and sent to a National Institute of Hygiene in Caracas.

For its part, the authorities Corposalud, on Monday morning had no knowledge of the situation presented in the Military Hospital said they could not provide information until they knew the case and they would have to meet with Military Hospital authorities.

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[Tonka]

Re: 21 students hospitalized Esguarnac-Expect laboratory tests for definitive diagnosis

http://www.el-informe.com/periodicodigital/?view=11497&cat=2
Spanish to Eng. translation

Investigate causes of death of student ESGUARNAC
elinforme.com.ve> Events
February 22, 2011

Health authorities of Tachira, investigate the causes of death of the student at National Guard ESGUARNAC Cordero, 21 years old, and respiratory problems that have 21 students in that military.

The student of the National Guard entered the Military Hospital last domino at 5:30 and died three hours later by a disease that has not been described so far.

Dr. Noel Calderon, an epidemiologist at Health Corporation in Tachira state, reported that students have respiratory problems, which is why he moved a team of doctors to ESGUARNAC and in conjunction with the physicians of this institution are taking samples to be evaluated for both the Regional Public Health Laboratory, Military Hospital and National Institute of Hygiene in Caracas.

The regional epidemiologist, said the 21 cases found so far have performed satisfactorily and are distributed as follows: twelve in the Military Hospital, five in the military flag of the Central Hospital and four medical facilities in the School of National Guardsmen.

"The symptoms are varied, ie, are not the typical patterns one expects therefore addressed the contacts were administered prophylaxis against H1N1 influenza, regardless of treatment showing doctors at the Military Hospital. We are in communication with the authorities of the School of Guards and the Military Hospital for an adequate and timely channel cases that may arise from this date, "said Dr. Calder?n

Regional Epidemiologist explained that in the barracks and nursing homes may occur, respiratory events at one time given to risk factors, however, in discussions with the authorities of the ESGUARNAC they previously had implemented some corrective measures, however, on Monday when he received notification contacts were addressed students and staff working there and today (yesterday) is another group of physicians both as the Military Hospital Corposalud surveying the area and suggesting recommendations for environmental type.

He reminded the doctor that the investigation there are cases that have several days in the hospital since the early days of February at the Military Hospital, but also have been other cases that have been referred to the military flag of the Central Hospital, which will continue with treatment until they are in better condition. The results are expected in Caracas as well as being processed at the Military Hospital and the information will be disclosed.

 

[sharon sanders]

Re: 21 students hospitalized Esguarnac-Expect laboratory tests for definitive diagnosis

Sent to ProMED.

 

[alert]

Re: 21 students hospitalized Esguarnac-Expect laboratory tests for definitive diagnosis

Sent to ProMED.

Thank you Sharon, as always. This one could be very interesting...

 

[alert]

Re: 21 students hospitalized Esguarnac-Expect laboratory tests for definitive diagnosis - H1N1 suspected?

Re: 21 students hospitalized Esguarnac-Expect laboratory tests for definitive diagnosis - H1N1 suspected?

Seems a bit odd, in light of the symptoms, timing, and severity, but H1N1 is now suspected....

We don't know the total number of students ill (or even exposed), but 20-25 individuals hospitalized for several weeks is a bit odd.

http://www.lanacion.com.ve/noticias.php?IdArticulo=168648

Spanish to English translation
The outbreak is controlled, according to the president of Corposalud
Students respond to the treatment Esguarnac H1N1


Dr. Gerson Diaz, president of Corposalud (Nancy Porras)

"Students admitted to the School of National Guard Cordero (Esguarnac) are responding satisfactorily to treatment for H1N1. All are stable, which itself seems to suggest that this was an acute respiratory disease"

Dr. Gerson Diaz, president of the Health Corporation, also said that there have been no more cases and that the outbreak is controlled at the state level.

The official said that in view of the symptoms, as to the rapid onset of the case, is thinking that they can be clinical cases of H1N1 influenza.

Fortunately, said the supreme authority of Corposalud, patients respond satisfactorily, have been transferred from the Military Hospital and the flag of the Central Hospital ninth floor, his progress is satisfactory.

--- Is it true that two patients are confined in the ICU of HC?
--- No. They are on the ninth floor, receiving treatment.

--- Have you ever been discharged some of the students?
--- No. I believe that next week could leave the hospital some patients detained --- said.

At the same time, said Gerson Diaz, became an effective work Esguarnac headquarters, on Monday, led by epidemiologist Noel Calder?n, where they inspected the site until one o'clock.

"The authorities opened the doors Esguarnac and that same night, by order of Health Minister Eugenia Sader, was applied to the whole platoon treatment against H1N1," he said.

He indicated that he received effective support from the central level authorities, who sent emergency treatment to San Cristobal, ie, it was a team effort and could prevent the outbreak from spreading.

Also stated that he used the visit to the headquarters of the Esguarnac, to guide the authorities of the military institution and students on preventive measures that are required, which are falling short.

"They did break up a group of people because there was overcrowding, and those young people who had symptoms were isolated within the same institution, with the implementation of treatment, did not reach the end of the hospital," he said.

Diaz explained that the results of the autopsy speaks of endotoxic shock, which can be understood as a combination of blood by the proliferation of toxins, which caused a cardiopulmonary effect on the patient died.

Tissue samples were taken from the dead student said, "with the intention of specifying what kind of pathology basically could be present within some organs, and got an injury in the liver, stomach, and upper respiratory tract.

Specified that the majority of students hospitalized patients had cough, fever, malaise, for which imaging studies were ordered, ie, chest radiographs, that showed a pulmonary condensations gave in the first instance, symptoms of pneumonia, later Sputum samples were taken and mounted some crops, and so far is pointing out the presence of H1N1, so receiving preventive treatment for this disease.

He estimated that from Monday it will have the results of the National Institute of Hygiene, to complete, then it does give a definitive diagnosis of this case.

 

[alert]

Re: 21 students hospitalized Esguarnac-Expect laboratory tests for definitive diagnosis - Seasonal flu, dengue confirmed

Re: 21 students hospitalized Esguarnac-Expect laboratory tests for definitive diagnosis - Seasonal flu, dengue confirmed

A large outbreak of seasonal flu (H3N2?) and two cases of dengue. I would suspect based on symptoms, but it does not indicate, that one of the two dengue cases was the fatality.

http://www.el-informe.com/periodicodigital/?view=11571&cat=2

March 1, 2011



Based on the results of the National Hygiene Institute (NHI) of People's Power Ministry for Health and Clinical taking into account the patients who had the National Guard School Cordero in Tachira state, from the moment they boarded the situation, based on some interviews, investigations, preparation of specifications and samples are oriented towards severe case of seasonal respiratory rate.

The information was given by Noel Calderon, Regional Epidemiologist, Health Corporation, who stated that the reported results from the National Institute of Hygiene confirm that this is a seasonal flu outbreak, however, the clinical manifestations were atypical, ie characteristic was not expected in such cases, although there are some symptoms that are predominant and guided us to this diagnosis.

"The lab results show up to this date eight confirmed cases of seasonal influenza virus and the samples processed at the level of regional public health laboratory as positive two patients gave a picture of dengue, which for the demonstrations that had the conclude that dengue fever was because there were no hemorrhagic symptoms, "said Calderon.

Regional epidemiologist said that laboratory tests processed at the regional level any confirmed the presence of other bacteria and no picture has been tagged as meningitis from the viewpoint of clinical, laboratory and epidemiological, which is completely ruled out.

The number of cases has dropped considerably to the point that according to communications held with the health team Esguarnac both the Hospital and the Central Military Hospital, the number of cases in the last week has been twice that of greatest severity so far, they were instructed to take the sample mainly influenza laboratory and blood samples for laboratory, which will be processed in the laboratory both regionally and at the National Institute of Hygiene.

Controlled outbreak

Corposalud epidemiologist said the outbreak was brought under control with the approach that was made and the implementation of prophylaxis to all enlisted personnel, students, officers and civilians from the School of National Guards, which were given oseltamivir to treat all, coupled with other measures such as isolation of respiratory symptoms, preventing the movement of healthy patients with sick patients and vaccination of over 500 people who were without any respiratory event with the support of outpatient Lamb.

He reminded the doctor that seasonal influenza is a viral disease caused by agents of the influenza virus, which is nothing new since the first major epidemic occurred in 1918 with the famous Spanish flu. Influenza is a virus that circulates every year and are produced mainly by the changes of cold and rainy weather.

Last year we had a mutation of the influenza A virus, which was a component of avian-human pig recombination and began to transmit from human to human so we have maintained surveillance despite recommendations the World Health Organization because we believe that there may still be outstanding and in this case, studies have confirmed oriented and seasonal influenza, it is not H1N1, but it's seasonal flu which affected a group of students overcrowded conditions that persist in these institutions.

"We always watch the crowd closed institutions where significant numbers of people such as barracks, nursing homes and preschool educational institution level, where there is good ventilation in the rooms, as coughing and sneezing if no measures are taken self-care transmission can be fast, "said Calderon.

Although the patients were hospitalized from February 2 this year, reported and receive notification on 21 with 21 hospitalized, the measures had an immediate effect, with the support together with the Medical Service and the Military Hospital Esguarnac . In the case of pre-registration activities were suspended infants were sent home, so far no reports of respiratory disease and that is far more accurate.

The epidemiologist regret that a student has died, however at this moment the situation is controlled, surveillance was maintained, and gave instructions and recommendations to the school authorities and at the same medical personnel for all infectious diseases respiratory symptom that is within school facilities should perform a pharyngeal swab, because they have supplied equipment necessary to send them to regional epidemiology and then be sent to Caracas.