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Biysk: Children hospitalized with undetermined infection, ARVI and polio both suspected

alert

Senior Moderator
All references to "SARS" should read "ARI".

http://www.promedmail.org/pls/apex/..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1090,84850

Russian to English translation
Issue Archive 20100916.121998
Publication date 16-Sep-2010
Subject PRO / RUS> Poliomyelitis (21 children, suspected) - Russia (Biisk)

Poliomyelitis (21 children, suspected) - Russia (Biisk)
************************************************** ***

Date: September 16, 2010

(1)
From: ProMED-mail Cor WM
Source: IA: bankfax.ru, September 16, 2010 [Mod.NR]
http://www.bankfax.ru/page.php?pg=70885

Rospotrebnadzor and prosecutors examine how children from Biysk orphanage were exposed
polio.
-------------------------------------------------- -------------------------------------------------- -----
As previously reported, in KGZU House child specialist, Biysk "children suspected
polio. Then the correspondent of IA "Bankfaks" the administration of the child and the staff of the Central
city hospital tried to convince to the contrary, claiming that the children contracted the virus SARS.

However, the chief epidemiologist Biisk Elena Savilova confirmed that the child occurred in the House of emergency and now
on the case under investigation, the newspaper Biysk worker.

"Several children are in Barnaul, in the infection department. And now it is too early to talk about their
the final diagnosis - their tests are investigated boundary specialists "- explained Elena Savilova.
According to the chief epidemiologist Biisk, the cause of infection was the violation of sanitary norms. She
words, the kids from the orphanage, had been in contact with those children who were vaccinated with live vaccine
poliomyelitis. But this contact did not happen in the House of the Child, and in the hospital - experts
Rospotrebnadzor now reveal the chain of infection.

The House version of the child nominated for outstanding vaccine.

Chief physician CRH Biisk Nicholas Vas'kin suggested that the children picked up enterovirus infection,
which may occur as well as contact vaktsinoassotsiirovanny polio. Chief physician not
specified newspaper Biysk working, how many children came to the infectious department of the orphanage.

Emergency interested and prosecutors Biisk, which took the case under special control, and now holds
in the House a comprehensive review of the child. "Yes, now we complete the verification in the House of the Child, which
Join with experts Rospotrebnadzor. We asked the infectious department BTF
data: how many children from the orphanage, visited the hospital since June. The figures put things on
some reflections. Now we determine all the circumstances. A few days will be ready to
conversation ", - said deputy prosecutor Olga Valuiskikh.

(2)
From: ProMED-mail Cor WM
Source: IA: bankfax.ru, September 9, 2010 [Mod.NR]
http://www.bankfax.ru/page.php?pg=70608

A group of children in the orphanage Biysk polio?
-------------------------------------------------- ------

In KGZU House child specialist, Biysk "children suspected polio. Told 7
September at a press conference in Barnaul, a former candidate for mayor of Biisk, a member of the Communist Party Andrew Nagaitsev,
which in the second round of elections gave the winning governor Anatoly Mosievskomu only 70
votes.

"From my sources, disclose that I will not, I know that 24 children from the orphanage in
Biisk is infectious department of the Central City Hospital. Information about what they
ill, every possible hiding. There are suspicions that children are infected with polio. There was information on
that the repairs that were carried out in the House of the Child, attended the working of the southern regions,
who just became a source of the disease "- told Nagaitsev.

The medical director orphanage Ludmila Buzunova in an interview IA Bankfaks "refuted this information, explaining
that some children became ill with SARS. "This is normal, children are always sick," - said Ms. Buzunova. It
also denied that that the repair work was involved migrant workers. She
view, "the spread of rumors related to policy, appointment" (In June it became known that
after the recent mayoral elections in the spring of Biisk team governor of the Altai Territory has decided to introduce the procedure
appointing the head of the city. Haste, where it all ready, cause the citizens a lot of questions -
ca. "BF")

Nevertheless, a number of deputies Biysk gordumy who did not want to disclose his name in the media,
claim that Ms. Buzunova "best efforts to hide this information." "I talked about this ourselves
employees who work there. They say that with polio are 28 children ", - said
MP. In "House of the Child N1" heard of two cases of children with polio, according to them, they
also learned about that from the specialized "orphanage".

According to the deputy head of the infectious department of the Central Hospital of Tatiana
Konysheva, on September 6 with a diagnosis of SARS is 21 children. "It was 31, but 6 of 10 left the hospital
people. Children from the orphanage, we are somewhere in July. Currently, the House declared the child
quarantine ", - said the doctor. However, the question of when a specialized children's home was put
quarantine, she did not want to answer and stated that "all tests passed in the Federal Service." This
office about such a There have not heard anything and promised to clarify everything shortly.

[Comment Cor. VM. Some time ago in a children's infectious disease clinic Biysk received 31
child diagnosed with SARS. On September 6 in the department of medical treatment is 21 children.
Local authorities and
health workers for a long time concealed this diagnosis of affected children, and only thanks
speech in the media of the former candidate for mayor of Biisk Andrew Nagaitseva was first made public that the children
are in hospital with a diagnosis of polio. According to Andrei Nagaitseva, it had the information about
that the repairs that were carried out in children's home, working part of the southern
regions, which just became a source of spread of the disease.

However, on September 15 Chief Epidemiologist Biisk Elena Savilova confirmed that the child occurred in the House
Emergency, some children get sick disease, which can be polio and now on this
the fact of an investigation, conducted additional laboratory studies.

Elena Savilova put forward a very bold assumption that the sick kids from the orphanage were
contact with those children who were vaccinated with live vaccine of polio. But this contact did not happen
in the House of the Child, and in the hospital - the specialists Rospotrebnadzor now reveal the chain of infection.

After analyzing the available information in 2 reports, one can conclude that, apart from Polio
sick children may be suspected enterovirus infection, which can also occur with sluggish
palsy. In any case, the chief medical officer of Russia Onishchenko should pay attention to
the case and take appropriate draw conclusions on an attempt to conceal outbreaks of dangerous infections
Yi.

If indeed the children confirmed polio, it was lost time for decision
of measures to prevent the spread of the infection, which might lead to
new cases of polio in the region. Also totally unacceptable to politicize medical
problems and use them in the election campaign, as it happens in Biysk.

News by topic: http://www.epidnews.org.ua/rusnews. - Cor VM]

[Moderator HF. According to the latest information of five children hospitalized in Biisk with suspected
polio immediately after the general vaccination. http://www.amic.ru/news/132798/. Mod NR]

See also:
05-SEP-1910 PRO / RUS> Poliomyelitis (3 new cases) - Russia (Chechnya)
20100905.121602
 
Re: Biysk: Children hospitalized with undetermined infection, ARVI and polio both suspected

http://translate.googleusercontent....le.com&usg=ALkJrhhlyNpBQQIqUAKTuLbQbPUBm8rLCg

Five children were hospitalized in Biisk with suspected polio immediately after the general vaccination

September 15, 2010 (17:30)

Biysk flooded disturbing rumors: Cats orphanage hospitalized in the infectious diseases hospital with suspected polio - more learned correspondents of the newspaper Biysk working ". .

The kids were infected with so-called "vaccine virus and are in serious condition: forecasts physicians disappointing. A staff of the orphanage, which are involved in the tragedy that threatens all-out dismissal.

This alarming information has been carefully hidden from public view, but our city does not metropolis, so this fact leaked to the people and became a headliner word of mouth.

- We have banned this - anonymously telling journalists "Biysk working" one of the officers orphanage. - It happened somewhere In mid-August ...

"According to my phone companion, five children were hospitalized in the infectious department of the Central Hospital with suspected for polio after the general vaccination, which was held in the House of the Child. Employees of the orphanage, to the attention which is not communicated the circumstances of this case, themselves are baffled: How could this happen? "One of their versions - the vaccine is overdue. Although the most likely to check this version does not stand for professional medical criticism," - wrote a correspondent "BR" Natalia Dmitrieva.

She further explains:

His journalistic investigation, we decided to start with the infectious department of the Central City Hospital: the right place, according to "national news", were placed the sick children who are without parents. But the head of the department of infectious body corporate BTF violate medical ethics did not: do not know anything, please contact the chief physician BTF Nicholas Vas'kin.

While we have tried to phone to Nikolai Fedorovich, check the following: since 2002 the Russian Federation as part of the European region was declared a territory free of polio - in our country there is no circulation of wild virus of this terrible disease. However, from time to time recorded cases of polio vaktsinoassotsiirovannogo [vaccine derived?]. What is it? Explains. There are two vaccines that inoculate children against polio - dead and alive. So, if a child immunized with live vaccine comes into contact with unvaccinated kids, thirty days of unvaccinated children can get vaccine virus. And so this does not happen in children's homes and orphanages, recommends that the chief sanitary doctor Gennady Onishchenko, you need to teach kids the complex or isolated from the unvaccinated vaccinated.

- The children really came to us the infectious department of the House child - says Nikolay Fedorovich. - Those who were in need of greater attention medics were isolated according to our standards. All children receive quality medical care and some have already begun to return to the orphanage.

Nikolai Fedorovich was not so categorical in his statement of the final diagnosis: that the children were infected with polio virus vaccine. And suggested that the children picked up enteroviral infection that can occur as well as contact vaktsinoassotsiirovanny polio. Chief doctor did not specify how many children came to the infectious department of the orphanage. But judging by the cautious statements of Nikolai Fedorovich, it became clear: not three, not four, and even - not five.

- The problem is that it abandoned children, whose immunity is weakened - sighs the chief physician. - If the child is home during the illness gets in strict isolation, these children are deprived of such opportunities. It starts a chain reaction of infection: a sneeze - the other picked up. But you should contact the chief epidemiologist of the city.

Chief Epidemiologist of the town of Elena Savilova hide nothing was: yes, in the House of emergency and the child occurred under investigation - how could it happen that the children were in a hospital bed?

- Several children are in Barnaul office, - says Elena E.. - And now it is too early to talk about their final diagnosis - their tests are investigated boundary specialists.

As described Elena E., kids from the orphanage, had been in contact with those children who were vaccinated with live vaccine of polio. But from the words of Helen Savilovoy, the contact occurred not in the House of the Child, and in the hospital - the specialists Rospotrebnadzor now reveal the chain of infection. But if remember directive chief sanitary doctor of the country, it becomes clear: get the contact polio could only unvaccinated children ...

. - Has been violated sanitary-epidemiological norms that caused the infection of children - continues Savilova. - Now we determine all the circumstances of this case and are willing to share with you as soon as the picture becomes clearer.

We found that the city prosecutor's office took the case to a special control and now in the House a comprehensive review of the child.

- Yes, now we complete the verification in the House of the Child, jointly with specialists of Rospotrebnadzor, - said deputy prosecutor Olga Valuiskikh .- We have requested the infectious disease clinic BTF data: how many children from the orphanage, visited the hospital since June. Figures fallen upon some reflection. Now we determine all the circumstances. A few days later we are ready to talk.

Indeed, in this situation, many white spots. how many children fell into the infectious department ZHC? Why do some children are in the edge of infectious hospital? Where unvaccinated children came into contact with those vaccinated with live vaccine? In the hospital? The House of the Child? We look forward to, as will be further developments - summarizes Natalia Dmitrieva.
 
Re: Biysk: Children hospitalized with undetermined infection, ARVI and polio both suspected

It is not fully clear what is going on here. It appears the children had some kind of contact with the polio vaccine, and became ill shortly thereafter. It is exceedingly unlikely that this outbreak is due to polio infection itself; only aobut 1 in 100-1000 cases is severe - you would not have 21 or so in the institution. It also looks like the connection between the vaccine and the children is weak at best; not all of the children were given the vaccine.

It is possible that the vaccine was contaminated with something, or it is possible that this is some othe pathogen unrelated to the vaccine. Non-polio enteroviruses and seasonal ARI have both also been suggested as etiologies in the ProMED Russian post, as has an environmental exposure due to construction on the building.

There is nothing even resembling a symptomatic description in any of the articles, but from the suspected diagnoses, one could imagine the illness involves fever and possibly respiratory symptoms.
 
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