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Argentina: unusual serious cases in young people

Re: Argentina: unusual serious cases in young people

(...)

There is one thing that makes me scared, when I think of my 2 children: the illness can develop so fast sometimes.
For example the young girl in Canada .
(...)

Dutchy ! That really makes me scared either.
But, as for the young Canadian girl, there is another fact that is worrisome.
This young Canadian girl had been seen by medical personell in the beginning of her influenza-illness. And there obviously had been more than one chance, to act in another way. Who knows what would have happend, if she had been hospitalised before or if she had been treated with antivirals at an earlier state ? And I remember that this was not the only case of the fatal influenza-cases, in which the patient first was send home by doctors or other medical personell, who sometimes even were playing down the symptoms as well as the possible threat.

Credits to: theforeigner
http://www.flutrackers.com/forum/showthread.php?t=112153
http://www.thestar.com/article/655062

H1N1 flu victim collapsed on way to hospital

Within minutes, six-year-old Rubjit Thindal went from happily chatting in the back seat of the car to collapsing and dying in her father's arms.(?) Rubjit was pronounced dead at hospital barely 24 hours after showing signs of a fever. Later, doctors told her parents she had the H1N1 influenza virus. She is believed to be the youngest person in Canada with the virus to have died. On the evening of June 14, Rubjit had a bit of a fever and complained that her legs and arms hurt. The next morning, Kuldip took her to a walk-in clinic and the doctor prescribed the pain reliever Advil. By the afternoon, the little girl's fever was gone but she was complaining of astomach ache. Kuldip again took her to the clinic at about 2 p.m. The doctor gave her pills and told the Grade 1 student at Roberta Bondar School in Brampton to take it easy. (?) In the evening, when Rubjit said her stomach was still hurting, Kuldip and her husband, Gurmukh, decided to take her immediately to the Georgetown Hospital.Kuldip was driving. It was about 8 p.m. and they were five minutes from the hospital. (?) A minute later, Rubjit suddenly put her hand on her chest and said it was hurting. The next minute, her body went limp and she stopped breathing. (?) It was about 8:05 p.m. when they arrived, Kuldip remembers. Two hours later, doctors confirmed their little girl was dead.(?) Rubjit's parents say they don't know where the little girl contracted the virus. The entire family has been tested and Kuldip said doctors have told them no one else has it. (?) "She was so lively, never sat still for a minute and was always laughing,'' said Kuldip, who admits she keeps wondering if Rubjit would still have been alive had she taken her directly to the hospital instead of the walk-in clinic.​





When I saw the jump in cases in Argentina I also thought it was a re-run of Mexico, but Australia has also seen a jump (7 deaths in the past week) and in both countries the flu season is just beginning, so I think it may be more than just late treatment/diagnosis.

Niman, that's for shure.
I wanted to point out some reasons that possibly worsened outcome (e.g. time delay in testing, searching for and finding the right diagnosis, and start treating without having definite test results).

Lab results are notoriously slow here in Argentina. With the certain increase in testing wouldn't it seem likely that the doctors had tested and were waiting for results before making the diagnosis? To give a personal example, I am still waiting for results of a routine biopsy that was performed 3 weeks ago.

Thanks, zimagail. :iagree:

Again..the use of the word unusual without much detail...
(...) A high rate of infection and possible serious cases in previously healthy young patients remain on alert to public health authorities. Right now it is necessary to agree on strategies to reduce medical morbidity and mortality of the epidemic. Consultation with health care in the first days of the onset of fever and the early diagnosis of potential respiratory complications is critical in this phase of the epidemic, "says Dr. Carlos Zala, infectologists Hospital Medical Center San Isidro" Dr. Angel Melchor Posse. "[/B]

Since the direction of hospital, Dr. Roberto Gonzalez with the Department of Infectious Diseases implemented a protocol of care to avoid these complications.

The protocol aims to identify and treat early respiratory events that might go unnoticed in a conventional examination. Once the patient with signs of complications, a treatment that includes antibiotics, antivirals and possibly a high dose anti-inflammatory, it started in immediately.

comment: Why not treat before complications occur ?


#55: " If you miss your chance in diagnosis and treatment at an early stage of the disease, then there will be a point of no return, no matter what you'll do on your ICU (ventilators, ECMO etc.).


So, isn't the answer an antiviral blanket to all in the infected areas an early answer - who got it last 2 days will be treated automaticaly in time.
(...)

tropical ! Yes, that is the question to be answered. Physicians have to make the decision for antiviral treatment or prophylaxis at a time, they don't know exactly, what they are doing. But given a relatively low rate of adverse drug reactions, an early intervention with antivirals might be the action of choice.

I started a thread, how to make decisions and change guidelines on these matter of uncertainty (WHY.. and WHY NOT ?):
http://www.flutrackers.com/forum/showthread.php?t=112187
And I must confess, these answers are difficult. Many countries are struggling with the costs of their health care services or they do not have enough Tamiflu to supply an "overall" use in these situations.


I want to add another quote that fits to the discussion:
Credits to: thebes

http://www.flutrackers.com/forum/showthread.php?t=113014
http://www.wkbw.com/news/local/49390677.html

Third Buffalo student hospitalized with swine flu
________________________________________
By Jenny Rizzo
Story Published: Jun 28, 2009 at 7:47 PM EDT

Story Updated: Jun 28, 2009 at 7:47 PM EDT

The family of the Buffalo girl that died of swine flu speaks to Eyewitness News about her final days. And another Buffalo parent is worried about her son who is in the hospital fighting this deadly flu strain.
(?)

That's something Yvonne Cloud-Parker knows all too well. Her 15-year-old son Xavier is also in the hospital, battling the swine flu. "Very very deadly disease, quick. It eats you up really quick," she said.

And its especially scary for Parker because Xavier has battled asthma all his life and this week he developed pnemonia from his swine flu infection.

"If we can just get him to breathe without that oxygen, he'll be ok. And long as the antibiotics work for his pnemonia, he'll be ok. Until then, we're going to keep there, better safe than sorry, I don't want to lose my baby," said Parker.
Parker met Harden in the hospital corridor this week and she feels for the pain he's going through now. And both parents, separately agonizing over their children, share the same message.

"Don't second guess yourself, don't say you're going to give them Tylenol, some cold medicine. No, that don't work. Take your children and get them checked," said Harden.​
 
Re: Argentina: unusual serious cases in young people

Two news reports from Argentina.

GW

H1N1 crisis 'The government doesn't even listen to itself', doctor
National Health Crisis Committee's consultant, doctor Jorge San Juan criticized the ruling party's attitude against the alerting raise of cases and fatal victims during a radio interview.
San Juan stated that even though Health Minister Graciela Oca?a advised top government's officials to annul the elections, "they never listened, not even to their own voices".
The doctor explained that massive audiences always represent an enormous threat of virus spread out, and added, "We advised what we considered best for the population but it's the political power the one who always has the final call", in a direct reference to Cabinet Chief Sergio Massa, also head of the Health Crisis Committee.
Reporter also asked San Juan whether was true that Health Minister Oca?a was to resign to his ministery after elections, "Well, all I can say is that those rumours come not only from the press but also are being passed among those who work in the medicine field".
"It would be a shame, but in case the minister takes the decision, we will support her for sure".
Link: http://www.buenosairesherald.com/BreakingNews/View/5086

Health Minister resigns amid worst H1N1 stage Dr. Julio Manzur picked as replacement
Argentina Health Minster Graciela Oca?a has resigned and already left her office at the Ministery after president Cristina Fern?ndez de Kirchner accepted the minister's resignation.
Lieutenant Governor of Tucum?n Doctor Juan Manzur will be appointed as the new Health Minister.
Oca?a had had many discrepancies with the Kirchnerite starting back in May when the minister dumped a testimonial candidacy for the mid term elections questioning its leagality. Things keep tighten up lately on how to fight the spread of H1N1 influenza, which has already taken the lives of 29 people.
Discrepancies with the Kirchnerite started back in May when the minister dumped a testimonial candidacy for the mid term elections questioning its leagality.
Things keep tighten up lately on how to fight the spread of H1N1 influenza, which has already taken the lives of 29 people.
Oca?a started to confirm the rumors about her leaving last week when Buenos Aires province Health Minister Claudio Zin showed certain resistance to support the extreme measures Oca?a advised to take to fight the swine flu such as closing shopping malls, cinema theatres, and the most controversial one: the annul of the June 28th elections.
Oca?a had taken office in 2007 after leaving the centre-left ARI party and its l?eader Elisa Carri?. Since day one, Oca?a faced bumps in the road mostly coming from the unions and the head of the CGT labour Confederation Hugo Moyano.
Oca?a had recently presented a report to President Cristina Fern?ndez de Kirchner in which she concluded that unions owe the government with ARG$220 million due to subsidies given to fight severe diseases (such as AIDS) but they never presented any of the correspondent receipts for the spending of those funds. This raised the fury on Moyano's lines who publicly claimed that the millionaire health funds controlled by the health ministery should be managed by the CGT.
Link: http://www.buenosairesherald.com/BreakingNews/View/5187


So it appears Sunday's election was one factor in the government's decision not to declare a national emergency on Saturday despite the urging of the public health community in Argentina.

GW
 
Re: Argentina: unusual serious cases in young people

What's the weather like in Argentina these days? How much sunlight?

J.
 
Re: Argentina: unusual serious cases in young people

wow, scroll out and it looks like that storm is covering all of Antartica...
 
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