Re: Brasil : 399 swine flu cases confirmed
Re: Brasil : 399 swine flu cases confirmed
About the 1st death and changes on the treatment.
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27/06/2009 - 14h45
Brazil confirms 69 new cases of swine flu, RS 1st victim may have fatal
From UOL News *
In a note published this Saturday (27), the Ministry of Health reports that were confirmed 69 new cases of infection with influenza A virus, known as swine flu, in the states of S?o Paulo (34), Rio de Janeiro (8), Rio Grande South (7), Paran? (7), Minas Gerais (4), Distrito Federal (2), Santa Catarina (2), Esp?rito Santo (2), Par? (1), Maranh?o (1) and Amazon (1).
With the new cases, the total of people confirmed with the disease in the country reaches 591.
Of the total confirmed cases, two patients from Rio Grande do Sul are hospitalized. The State Health Secretariat of Rio Grande do Sul, with support from the Ministry of Health, follows the evolution of the clinical picture of patients. The two cases were infected abroad. Until June 25, the Ministry of Health followed 477 suspected cases in the country. Other 782 cases were discarded.
Possible 1st fatal victim
This Friday the American
Michael Glenn Brannan, 58 years, died in the Hospital Unimed Vale do I fell in Montenegro, 60 km from Porto Alegre (RS) generate suspicion that the death was caused by swine flu. The case is under investigation and, as the State Department of Health and director of the hospital, to confirm the cause of death will be informed on Monday, will be ready when the results of the examinations. Death can be the first caused by the virus in Brazil.
Brannan, who showed signs of illness, was a mechanical engineer and was in Rio Grande do Sul on a business trip. He came to the State on June 21, Sunday, but on Wednesday last was in the hospital complaining of pain and fever. The patient went into coma the next day and subsequently died. Gerson Ant?nio da Silva Reis, president of the hospital, said that the man remained isolated during the hospitalization.
The State Department of Health note posted on its official website to communicate events on the morning of Saturday. To date, Rio Grande do Sul registered 59 cases of the disease. Other diagnoses are still only 95 as suspects and 37 were discarded. San Gabriel, located in the center of the state, counts 28 contaminated. The city suffers consequences arising from the already cold, and masked people walking the streets, suspended classes and events, shops and hotels empty. Porto Alegre, as the last survey, has infected 18.
Changes in treatment
During the afternoon press conference this Friday (26), the Health Minister Jose Gomes Tempor?o, announced changes in the treatment of patients who contracted the swine influenza (H1N1) in the country.
Receive medication only patients with suspected disease who present worsening of symptoms in 48 hours or that belong to the so-called high-risk group - children under two years old, elderly, pregnant women, people with immunosuppression (eg, cancer patients, undergoing treatment for AIDS or regular use of corticosteroids), and patients who have diabetes, heart disease, lung disease or chronic renal.
The measure was taken to prevent patients who do not have the disease are treated and allow the virus mutation and resistance to existing treatment. "The USA is more the product, the greater the likelihood that the new body to undergo a change and will provide resistance," said Tempor?o. The measure follows international protocols, said the government.
Patients who have only suspected of the disease and do not fit in the groups will be asked to follow voluntary quarantine, isolation and compulsory treatment.
Other changes
Two more measures were disclosed by the ministry. The process of confirmation of cases in a single institution such as schools and businesses, will be modified.
Simply confirmation of only one case of swine influenza in the laboratory for people who have maintained contact with the patient, and symptoms are diagnosed by epidemiological link.
The other measure announced is the sending of guidance to health authorities, municipal and state surveillance to ensure that establishments are closed unnecessarily.
"In companies, schools or universities, the suspension of activities shall be taken only upon recommendation of the public health." According to Tempor?o, the goal is to preserve security and avoid panic. "There was quite unnecessary measures. None of this would have to happen if that were taken with very clear criteria."
Recommendations for travelers
The minister reiterated that the Brazilians should continue to avoid travel to countries that have sustained transmission of the disease: Argentina, Chile, United States, Mexico, Canada and Australia. Tempor?o did not want to comment on the response of Chile to the recommendation that most Brazilians do not travel the country and said that the recommendations are clear. "It is only a recommendation, who want to travel, traveling," he said.
The minister said the number of cases increased significantly because the virus is new, so no one defense against him, the increase of travelers due to holidays and the beginning of winter in the southern hemisphere.
* With information from the State Agency
Source:
http://noticias.uol.com.br/cotidiano/2009/06/27/ult7403u123.jhtm
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Original
27/06/2009 - 14h45
Brasil confirma 69 novos casos de gripe su?na; RS pode ter 1? v?tima fatal
Do UOL Not?cias*
Em nota divulgada neste s?bado (27), o Minist?rio da Sa?de informa que foram confirmados 69 novos casos de infec??o pelo v?rus influenza A, conhecido como gripe su?na, nos estados de S?o Paulo (34), Rio de Janeiro (8), Rio Grande do Sul (7), Paran? (7), Minas Gerais (4), Distrito Federal (2), Santa Catarina (2), Esp?rito Santo (2), Par? (1), Maranh?o (1) e Amazonas (1).
Com os novos casos, o total de pessoas confirmadas com a doen?a no pa?s chega a 591.
Do total de casos confirmados, dois pacientes do Rio Grande do Sul est?o internados. A Secretaria Estadual de Sa?de do Rio Grande do Sul, com apoio do Minist?rio da Sa?de, acompanha a evolu??o do quadro cl?nico dos pacientes. Os dois casos foram infectados no exterior. At? 25 de junho, o Minist?rio da Sa?de acompanhava 477 casos suspeitos no pa?s. Outros 782 casos foram descartados.
Poss?vel 1? v?tima fatal
Nesta sexta-feira o norte-americano
Michael Glenn Brannan, de 58 anos, morreu no Hospital Unimed Vale do Ca?, em Montenegro, a 60 quil?metros de Porto Alegre (RS) gerando suspeitas de que o ?bito foi causado pela gripe su?na. O caso est? em investiga??o e, conforme a Secretaria Estadual da Sa?de e a dire??o do hospital, a confirma??o da causa da morte ser? informada na segunda-feira, quando estar?o prontos os resultados dos exames. A morte pode ser a primeira causada pelo v?rus no Brasil.
Brannan, que apresentou ind?cios da doen?a, era engenheiro mec?nico e estava no Rio Grande do Sul em viagem de trabalho. Ele chegou ao Estado em 21 de junho, domingo, por?m, na quarta-feira passada foi internado no queixando-se de dores e febre. O paciente entrou em coma no dia seguinte e, posteriormente, faleceu. Gerson Ant?nio Reis da Silva, presidente do hospital, ressaltou que o homem permaneceu isolado no per?odo da interna??o.
A Secretaria Estadual da Sa?de postou nota no seu site oficial para comunicar o caso na manh? deste s?bado. At? o momento, o Rio Grande do Sul registra 59 casos da doen?a. Outros 95 diagn?sticos continuam apenas como suspeitos e 37 j? foram descartados. S?o Gabriel, localizada no Centro do Estado, contabiliza 28 contaminados. A cidade j? sofre reflexos decorrentes da gripe, como pessoas caminhando de m?scaras pelas ruas, aulas e eventos suspensos, com?rcios e hot?is vazios. Porto Alegre, conforme o ?ltimo levantamento, possui 18 infectados.
Mudan?as no tratamento
Durante entrevista coletiva na tarde desta sexta-feira (26), o ministro da Sa?de, Jos? Gomes Tempor?o, anunciou mudan?as no tratamento dos pacientes que contra?ram a gripe su?na (H1N1) no pa?s.
Receber?o medicamentos apenas os pacientes com suspeita da doen?a que apresentarem agravamento do quadro cl?nico em 48 horas ou que pertencerem ao chamado grupo de risco - crian?as menores de dois anos de idade, idosos, gestantes, pessoas com imunodepress?o (por exemplo, pacientes com c?ncer, em tratamento para Aids ou em uso regular de corticoster?ides), al?m de pacientes que tenham diabetes, cardiopatia, doen?a pulmonar ou renal cr?nica.
A medida foi tomada para evitar que pacientes que n?o tenham a doen?a sejam medicados e possibilitem a muta??o do v?rus e a resist?ncia ao tratamento existente. "Quanto mais se usa o medicamento, maior a probabilidade que esse novo organismo possa sofrer uma muta??o e passe a apresentar resist?ncia", afirmou Tempor?o. A medida segue protocolos internacionais, ressaltou o governo.
Os pacientes que tiverem apenas suspeitas da doen?a e n?o se encaixarem nos grupos ser?o orientados a seguir quarentena volunt?ria, isolamento e tratamento compuls?rio.
Outras mudan?as
Mais duas medidas foram divulgadas pelo minist?rio. O processo de confirma??o de casos em uma mesma institui??o, como escolas e empresas, ser? modificado.
Bastar? a confirma??o de apenas um caso de gripe su?na em laborat?rio para que as pessoas que tenham mantido contato com o paciente, e tamb?m apresentem sintomas, sejam diagnosticadas por v?nculo epidemiol?gico.
A outra medida anunciada ? o envio de orienta??es ?s autoridades de vigil?ncias sanit?rias municipais e estaduais para evitar que estabelecimentos sejam fechados sem necessidade.
"Em empresas, escolas ou universidades, a suspens?o de atividades deve ser tomada apenas ap?s recomenda??o das autoridades de sa?de p?blica". De acordo com Tempor?o, o objetivo ? preservar a seguran?a e evitar p?nico. "Houve medidas totalmente desnecess?rias. Nada disso precisaria acontecer se isso fosse tomado com crit?rios bastante claros."
Recomenda??es a viajantes
O ministro reiterou que os brasileiros devem continuar evitando viajar a pa?ses que tenham transmiss?o sustentada da doen?a: Argentina, Chile, Estados Unidos, M?xico, Canad? e Austr?lia. Tempor?o n?o quis comentar a rea??o do Chile ? recomenda??o de que os brasileiros n?o viajassem mais ao pa?s e afirmou que as recomenda??es s?o claras. "? apenas uma recomenda??o, quem quiser viajar, viaja", disse.
O ministro afirmou que o n?mero de casos aumentou de forma significativa porque o v?rus ? novo, portanto ningu?m tem defesa contra ele, pelo aumento de viajantes devido a feriados e pelo in?cio do inverno no hemisf?rio sul.
*Com informa??es da Ag?ncia Estado
Fonte:
http://noticias.uol.com.br/cotidiano/2009/06/27/ult7403u123.jhtm
