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Brazil: 2021 Seasonal Flu

Source: https://www.catholictranscript.org/...-cases-increased-1380-in-salvador-in-14-days/

Influenza outbreak: H3N2 cases increased 1,380% in Salvador in 14 days
Yvonne Lipsey December 15, 2021 6 min read

Allied to COVID-19, influenza syndromes worry Salvador’s Municipal Health Ministry. And one more than the others: influenza caused by H3N2, a type of influenza A virus, which has increased 1380% in cases in the capital, in the last 14 days. On December 1, five patients were registered in the city. This Tuesday (14), there were already 74, according to SMS. In just the last 24 hours, there have been 21 diagnostic confirmations.

For this reason, Mayor Bruno Reyes (Democratic), I had to reopen Bao Miodo flu To reduce pressure on care at Barris’ Emergency Care Unit (UPA), the only flu service operating so far that has tripled in demand in the past week.

According to researcher Marcelo Gomez, Infogripe coordinator at Fiocruz, a group that monitors data for severe acute respiratory syndrome (SRAG) notifications in Brazil, the outbreak in El Salvador comes from a new H3N2 mutation that appeared in the northern hemisphere at the end of last year that arrived in Rio de Janeiro, In the second semester, it spread to other states, such as Bahia and Amazonas.

“Today, we already know that H3N2 predominates, even without genetic sequencing, because in addition to Rio de Janeiro with an epidemic scenario, it ends up spraying in the capitals and large centers of the country, because of our air network. We have, daily, passengers going up from Rio to the main cities In the country and vice versa.. Gomez says this causes a very high incidence of cases in Rio, which is certainly the same type...
 
Source: https://www.riotimesonline.com/braz...vaccines-in-other-states-to-contain-outbreak/

Rio de Janeiro looks for leftover flu vaccines in other states to contain outbreak
The Influenza epidemic has spread to cities in the Metropolitan Region. Beds in wards are opened to extend care.
By
The Rio Times -
December 16, 2021

RIO DE JANEIRO, BRAZIL - The flu epidemic that has spread in Rio de Janeiro city and state has forced the State Health Secretariat (SES) to search for vaccine leftovers in other locations in Brazil.

As there is a weekly shortage of the vaccine while the outbreak of Influenza A, subtype H3N2, is increasing, the SES has approached other secretaries to procure doses...
 
Source: https://www-dw-com.translate.goog/p...tr_sl=pt&_x_tr_tl=en&_x_tr_hl=en&_x_tr_pto=sc

"Brazil is experiencing a flu scenario predicted for fall 2022"
Bruno Lupion
4 hours ago4 hours ago

Vaccine applied this year does not protect against the Darwin strain of the H3N2 virus in circulation, and severity is similar to that of flu from previous years, says specialist. Anticipation of the outbreak caught the unprotected population.

Some regions in Brazil are facing an outbreak of influenza, the common flu, caused by a new strain of the H3N2 virus. The epicenter is the Metropolitan Region of Rio, where it was declared an epidemic state, but the number of new cases is also growing in other places, such as in the states of São Paulo, Minas Gerais, Espírito Santo and Bahia.

Last Tuesday (12/14), the municipal health secretary of São Paulo, Edson Aparecido, acknowledged that there was an "outbreak" of flu in the city. Accurate monitoring of new cases, however, is hampered by instability in federal registration systems.

The new strain was named Darwin, the name of the city in Australia where it was first identified this year. It will be considered in the formulation of the 2022 flu vaccine, which should begin to be distributed in Brazil in February or March.

Physician Isabella Ballalai, vice president of the Brazilian Society of Immunizations (SBIm), tells DW Brazil that the flu cycle began very early this year and that the country is, in practice, experiencing the scenario "predicted for our autumn -winter 2022".

Ballalai explains that the flu vaccine given in the first half of the year does not protect against this strain, and that the symptoms of influenza caused by the current outbreak are no more serious than the flu from previous years, but they do require care...

...DW Brazil: Why is the flu outbreak happening in the summer this year?

Isabella Ballalai: It's a question that doesn't want to be silenced. We don't have scientific evidence to say exactly why this is happening, but there are some suspicions and considerations. First, the influenza virus circulates year-round in Brazil, not just during seasonal months. In most parts of the country this happens in the fall and winter months. But in Northern Brazil the seasonality is anticipated, in December and January is when it starts there.

It's the first time we've seen such anticipation. It already happened in 2016, when the influenza outbreak in Brazil began in January and February. It was a year of a lot of circulation of the virus and a lot of chaos, as the anticipation caught everyone unprepared, since the vaccine in Brazil arrives in February and March.

Another factor is the use of a mask, which greatly reduces the transmission of influenza. So we have a population that was not exposed to the virus, even though it was circulating among us. People were locked in the house or going out little, and wearing masks and hand hygiene care and so on. These barriers increase the number of susceptible people, who are people who have had no or little contact with the virus.

And this year we had one of the worst vaccine coverage for influenza in Brazil. Everyone was in the middle of the covid-19 campaign, much more concerned about getting vaccinated against covid-19 than against influenza. It is likely that the sum of all this led to this anticipation. The prevalent strain circulating among us is H3N2 Darwin, which was announced by the World Health Organization as one of those that will be part of the vaccine for 2022. So today we are living the scenario predicted for our fall-winter 2022...
 
Source: https://www.brytfmonline.com/h3n2-f...states-and-lights-up-on-alert-in-the-country/

H3N2 flu is present in at least 11 states and lights up on alert in the country
Andrea Hargraves December 18, 2021 5 min read

In recent weeks, with cases and deaths from Covid-19 declining, a Another disease outbreak To be noticed. Patients with influenza A, more specifically the H3N2 strain, They called health services to deal with the symptoms of influenza.

The virus that has already caused an epidemic in Rio de Janeiro, in at least 10 other states, including the Federal District, According to the survey capital Cities Held with ministers of state. With symptoms similar to Covid – coughing, nasal congestion, fever and muscle aches – it is easy to confuse the two diseases and a PCR test is needed to confirm which virus is responsible for the infection.

Federal District, Rio de Janeiro, Sao Paulo, Espiritu Santo, BahiaParaná, Rio Grande do Sul, Amazonas, Rio Grande do Norte, Maranhão and Ceará have already recorded cases of influenza. Goias has not yet had confirmation, but she is monitoring nine suspected cases of H3N2. Some federal units are warning that deleting SUS data makes it difficult to notify patients of the virus, and the numbers may be higher than those disclosed so far.

The Amazonas Department of Health reported that, from the beginning of November through Friday (17/12), the state recorded 494 positive cases of influenza, 262 of which were in the past week alone. However, this is the seasonal period of the disease in the north where the federal unit is located.

In Rio, about 21,000 people were diagnosed with the flu in the last three weeks of November. Earlier this week, Sao Paulo’s municipal health minister, Edson Aparecido, told CNN that the capital of São Paulo is also experiencing an outbreak.

Increased viral circulation...
 
Source: https://afnoticias.com.br/estado/no...ausa-mortes-em-pelo-menos-4-estados-no-brasil


New H3N2 variant of the flu virus causes deaths in at least 4 states in Brazil
The H3N2 virus is easily spread from person to person.

The influenza virus Influenza A H3N2 continues to spread rapidly throughout Brazil. Last Thursday (23), the state of Rio Grande do Sul confirmed the first death by the variant, in the city of São Francisco de Paula. In Bahia, there are already five deaths and the capital Salvador is on alert for an outbreak. In Pernambuco, the State Health Department recorded two more deaths this week.

In Rio de Janeiro, there are already seven deaths caused by the H3N2 subtype, according to the Municipal Health Department of the City of Rio. The state can be considered the gateway to the new mutation in Brazil, according to researcher Marcelo Gomes, coordinator of InfoGripe Fiocruz, due to the great movement in the capital's airports.

“In this type of situation, the most vulnerable people are those at the extreme of the age group, that is, children and the elderly, in addition to immunosuppressed people, people who already have a history of respiratory problems and heart failure. We normalized the flu, but it is an important cause in hospital admissions and can lead to death, yes”, declares Marcelo.

The states of São Paulo, Pará, Amazonas, Rondônia and Goiás are on alert due to the high number of cases, despite not having registered deaths related to the H3N2 subtype yet...
 
Source: https://www.lodivalleynews.com/coastal-and-inland-regions-of-sp-recording-influenza-outbreaks/

Coastal and inland regions of SP recording influenza outbreaks
Willa Ruiz December 25, 2021 3 min read

At the height of the COVID-19 pandemic, patients with flu symptoms are crowding hospitals and healthcare facilities in many cities in the state of São Paulo. Some municipalities are already preparing for the return of tents to deal with influenza cases. The outbreak spread across the interior and Baixada Santista, and was exacerbated by the further spread of H3N2 virus variant, which the vaccine has not yet combated. Municipalities designate health units for the exclusive care of patients with influenza-like symptoms.

Santos Health Minister Adriano Catapreta used social networks to announce the installation of tents in front of the Eastern and Central Emergency Care Units (UPAs). A multi-sport gym will be used as a triage center for influenza patients. The site will serve to screen patients with flu-like symptoms who seek care at UPA in the Northwest, located nearby.

He recommended, “The increase in the number of patients seeking a city health network showing flu-like symptoms is significant. If symptoms appear, stay home, and if they worsen, seek medical attention.” He pointed out that hospitalizations have not increased yet, as they are mostly mild cases. The municipality demanded an increase of 70,000 doses of vaccine for the state.

In São Jose do Rio Preto, Health Minister Aldenis Purim said the city was experiencing an outbreak of the flu and children’s hospitals were full. Residents were asked to use an alcohol mask and gel and to avoid clumps. “We have practically run out of vacancies (in hospitals), we generally need the cooperation of the population so that we do not have problems with the lack of beds.”

Last weekend, the state-run Rio Preto Children’s and Maternity Hospital recorded a maximum capacity of 30 ICU beds and a dispensary due to cases of pneumonia. The day before yesterday, the occupation in the intensive care unit decreased to 90% and the dispensary to 60%.

Jundiaí has ​​recorded a 70% increase in care for people with flu symptoms in the past three days. While last week’s average was 400 people a day, between December 20 and 22, the average was more than 700 people.

The Municipal Health Department of Rio de Janeiro has opened the third Influenza Care Center in the Municipality of Rio de Janeiro...
 
Source: https://www.metro1.com.br/noticias/...e-h3n2-na-bahia-sao-de-residentes-em-salvador

Bahia has eight deaths registered by the disease. Until the last second (27), 673 cases of Flu Syndrome (GS) were identified as a result of the virus
More than 70% of the cases of H3N2 in Bahia are in Salvador residents
By: Metro1 on December 28, 2021 at 11:34 am

The State Department of Health (Sesab) released this Tuesday (28) the epidemiological situation of cases of Influenza A H3N2 in Bahia. Until the last Monday (27), 673 cases of Flu Syndrome (GS) as a result of the virus were identified in the LACEN/BA information system. Of these, 493, that is, 73.3% of residents in Salvador.

The capital of Bahia also concentrates the record of deaths from H3N2. Across the state, eight people died, seven residents in Salvador and one in Laje.

Most deaths occurred in the age group above 80 years, totaling six deaths. The others were also elderly, over 60 years old.

Sesab emphasizes that due to instabilities in the Ministry of Health's information systems, access to case notification data has been inconsistent and discontinuous, making the information subject to review.
 
Source: https://www.cnnbrasil.com.br/saude/...iro-soma-56-mortes-causadas-pela-influenza-a/

State of Rio de Janeiro has 56 deaths caused by the Influenza A virus
The most recent death was confirmed this Monday (27) in the region of Volta Redonda - the city has seen a "significant increase" in cases of flu syndrome
Beatriz Puenteda CNN
Rio de Janeiro
12/27/2021 at 15:34 | Updated 12/27/2021 at 21:52


The state of Rio de Janeiro has 56 deaths caused by Influenza A since the beginning of the epidemic in the state in November. The most recent death was confirmed this Monday (27) by the Municipal Health Department of Volta Redonda, in the South Fluminense region. The city had not yet recorded any deaths from the virus. Another suspicious death is under investigation.

In a statement, the folder highlighted a "significant increase" in cases of flu syndrome in the region.

According to the Municipal Health Department of Volta Redonda, the confirmed death by Influenza A is of a 35-year-old woman, a public employee of the municipal health network. Her exam was collected on the 22nd of the month and confirmation arrived at the municipality last Saturday (25th). The case under investigation is that of a 38-year-old man.

In all, until the last 25th, the State Health Department of Rio de Janeiro had registered 36 deaths from the disease and just 394 people diagnosed with flu, which includes H1N1, H3N2, Type A not subtyped and Influenza B.

In the city of Rio de Janeiro, currently Influenza kills more than Covid-19, when it comes to comparing absolute numbers. In December, 17 people died from Acute Respiratory Syndrome (SRAG) caused by the coronavirus, while almost double, 33 deaths, were due to the flu, according to data from the Health Information System of the City of Rio de Janeiro.

In the bulletin released by the Oswaldo Cruz Foundation (Fiocruz), the survey pointed out the significant presence of the influenza A virus, both in children and in the adult population, among the cases of SARS in the city of Rio de Janeiro, referring to epidemiological weeks 47 and 48 ( from the 21st to the 28th of November and from the 28th to the 4th of December).
 
Hospitalizations due to flu rise by 500% in the city of São Paulo in 10 days
Published December 30, 2021


According to the Municipal Health Department, in the month of December until this Tuesday (28), there were 251,589 visits to people with respiratory problems. Of those, 115,235 were suspected of Covid.
The number of hospitalizations with flu already reaches 24.5% of the total of those caused by flu syndromes in the public network, according to data from the Covid-19 Panel of the Municipal Health Department for the last epidemiological week (from 19 to 25 December).
In the same period, admissions for Covid-19 were down about 15% compared to the previous week (December 12-18): there are now 16 cases of Covid among the 363 hospitalized for Srg (4.4%), compared to 37 in the previous week of a total of 973 cases (or 3.8%).

Read more: https://panoramafarmaceutico-com-br...ias/?_x_tr_sl=auto&_x_tr_tl=en&_x_tr_hl=en-US
 
Source: https://www.folhape.com.br/noticias/...-casos/211300/


H3N2 epidemic: number of deaths in Pernambuco rises to 30; cases exceed 5.2 thousand
Of the 30 deaths, 13 were male and 17 female.
By Portal Folha de Pernambuco
01/04/22 at 17:55 updated on 01/05/22 at 09:18


The number of deaths in Pernambuco due to influenza A H3N2 rose to 30, according to a report from the State Health Department (SES-PE) this Tuesday (4). The data are from records made until Monday (3). Total notifications increased to 5,253 confirmed cases.

In this new round of analyzes carried out by the Central Laboratory of Public Health of Pernambuco (Lacen-PE), 2,787 positive laboratory samples were obtained, with 19 new deaths.

Of the 30 deaths, 13 were male and 17 female. All were confirmed for influenza A H3N2.

The patients were residents of Recife (17), Palmares (3), Ipojuca (2), Jaboatão dos Guararapes (2), São Lourenço da Mata (2), Goiana (1), Olinda (1), Sirinhaém (1), Tracunhaém (1).

Patients' ages range from 1 to 92 years. Age groups are: 1 to 9 (1), 10 to 19 (1), 20 to 29 (1), 30 to 39 (3), 40 to 49 (2), 50 to 59 (4) and 60 and over (18). Patients had comorbidities and had risk factors for complications from influenza such as diabetes, cardiovascular disease, chronic kidney disease, cardiovascular diseases, arterial hypertension and overweight.

Of the 5,253 cases, 5,226 are influenza A H3N2 and 27 influenza A are not subtyped. Of the total records, so far, 371 (7.1%) had Severe Acute Respiratory Syndrome (Srag).

++++++++++++++++++++++++++++++++++++++++


Source: https://g1.globo.com/pe/pernambuco/...m-sistema-de-saude-e-265-e-pacientes-esperam- beds-combatamos-hemorrhage-with-band-aid-diz-infectólogo.ghtml

Flu and Covid saturate the health system and 265 patients wait for beds: 'we fight bleeding with a band-aid', says infectious disease specialist
This Tuesday's information (4) is in a panel with data from the public network. There are 143 active ICU requests and 122 ward requests. State infectious disease specialists and the Physicians Union report drama.
By Pedro Alves and Ricardo Novelino, g1 PE
04/01/2022 20:16 Updated 4 hours ago

The flu epidemic associated with the Covid-19 pandemic is causing saturation in Pernambuco's public health network. According to data from Monday (3) released this Tuesday (4), there were 265 people with serious respiratory diseases waiting for ICU and ward vacancies (see video above).

The information is on a public panel that presents data from beds in the public network for Severe Acute Respiratory Syndrome (Srag) in the state.

According to data from this Tuesday's panel, the number of active requests for ICU beds in Pernambuco was 143, with 138 adults and five children. There were also 122 requests for vacancies in wards, 115 for adults and seven for children.

According to the infectologist, the active request for beds means that a vacancy was requested, but the patient had not been covered by the bed until the registration.

The lack of vacancies became greater at the end of December 2021. On the 30th, the number of active requests for ICU beds for severe respiratory diseases stood at 160.

Infectologist Felipe Prohaska, from the team at the Oswaldo Cruz University Hospital (Huoc), in Recife, reported that a patient who was admitted to the João Murilo Hospital, in Vitória de Santo Antão, in the Zona da Mata, received from the bed regulation center, in the second (3), the card number 162.

The challenge for health professionals and authorities is getting worse every day. Also on December 30, 2021, the state secretary of health, André Longo, stated that the state was experiencing an “H3N2 epidemic within the Covid-19 pandemic”.

On Monday, the government changed the care protocol and said that anyone who has a negative test for Covid-19 is advised to seek a doctor and spend seven days at home.

Until the second, according to the State Health Department (SES), 5,253 cases of influenza had been recorded, with 30 deaths.
 
Pará investigates whether deaths from hemorrhage are related to H3N2
Luciana Cavalcante
Collaboration for UOL, in Belém
01/05/2022 17:48

The Pará Health Department is investigating the deaths of eight people from hemorrhage who also had flu-like symptoms, which occurred in December 2021, at the Regional Hospital of Cametá, a city in the northeast region of the state. The folder seeks to know if there is any relationship between the deaths and the H3N2 outbreak that affects the municipality.

Samples of patients, aged between 18 and 35 years, are being analyzed at Lacen (Central Laboratory) and at the Instituto Evandro Chagas, linked to the state government, in Belém. Sespa (Secretariat of Health of Pará) did not inform the deadline for dissemination of exam results.
 
Source: https://correiodecarajas.com.br/par...-mil-internacoes-por-sindromes-respiratorias/

Pará has 154 confirmed cases of H3N2 and almost a thousand hospitalizations for respiratory syndromes
Writing by Writing
- January 6, 2022

In 2021, the state had recorded 248 deaths from Severe Acute Respiratory Syndrome. Period until March is considered seasonal for flu cases.

Pará has 154 confirmed cases of H3N2 so far, according to information from the State Department of Health (Sespa) released this Thursday (6). The agency explains that the analysis of cases is done on a sample basis, not a diagnosis, but an assessment of the weekly epidemiological scenario. Also according to Sespa, no cases of H1N1 were registered in 2021 and in the first days of 2022.

The Municipal Health Department of Belém gave the first alert about an outbreak of flu in the capital on December 15, 2021, when it found that the health units were overcrowded.

Sespa later confirmed the H3N2 outbreak, as there was no record of the virus circulating in the state, and with the occurrence of a single case, according to the Epidemiological Surveillance, it became considered an outbreak.

After the first record of double infection by the flu and Covid-19 viruses in Brazil, attention in Pará was redoubled, since the period from November to March are considered seasonal for cases of flu. According to Sespa, for the time being there are no records of double infection in Pará.

Respiratory syndrome cases and deaths

Between November and December 2021 alone, approximately one thousand hospitalizations related to severe acute respiratory syndromes were observed in Pará.

In 2021, Pará recorded 248 deaths from Severe Acute Respiratory Syndrome (SARS), with three deaths in November and December.

In the city of Cametá, northeast of Pará, there are cases being investigated, but the Health Department did not say how many, only that so far there are four suspected cases of febrile hemorrhagic disease that are under laboratory and epidemiological investigation. There is no confirmation that it is H3N2 or Covid-19.

Pharmacy chains run out of flu drugs

The Regional Pharmacy Council (CRF-PA) confirmed that the supply of some items related to the treatment of flu and colds, such as anti-flu, syrups, vitamins and supplements, “is intermittent, with sporadic shortages in some pharmacy chains and other health establishments. , both in Belém and in other cities”. The problem was discovered in December.

The director of the CRF, Simone Sena, says that it is a worrying scenario, but that there are other alternatives in the absence of a particular drug.

“There are alternatives and different brands of the same active ingredient, so sometimes the lack of a specific brand does not directly interfere with the lack of a compound that helps in the treatment”, she says.

She does not believe that there will be a shortage of medicine on the market. “Precisely because of the variety of pharmaceutical manufacturers that produce the same type of drug, including the option of generics”.

Simone also warns about self-medication care, seeking information from a doctor or pharmacist:

“It is essential that the population, when looking for a drug in pharmacies, talk to the pharmacist, who is the health professional trained to provide all information about treatments for flu, colds and other mild-symptom diseases, as well as advise on treatments. alternatives in the absence of any specific medication. It is the pharmacist who will guide the patient about the conscious use of this medicine, avoiding unbridled and irrational use”.

Pará awaits arrival of new flu vaccines


This week, the City Hall of Belém reported that, after the high demand for flu vaccines, the stock of immunizations is “practically zero”.

Both the capital and the State requested more immunizations from the Ministry of Health, but there is still no forecast of the arrival of new vaccines. Vaccination against Covid-19 follows normally.

In 2021, Pará received 2,660,833 doses of immunizing agent against Influenza, within the annual campaign against influenza, which has priority groups for vaccination.

According to Sespa, with the low demand for the vaccine, it was recommended to offer it to the population outside the target audience until stocks last. In Belém, more than 500 thousand people were vaccinated, according to data from the Municipal Health Department.

(Source: G1)
 
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