Brazil - Flu-like outbreak causes the death of a crew member of the cruise ship MSC Armonia - 18 cases confirmed influenza B including fatality

[tetano]

After the death of a 30-year-old waitress, crew member of a cross of the MSC, in the dawn of Saturday (18), more ten persons were interned in the Hospital Ana Costa, in Saints, in the coast of Sao Paulo, with respiratory sharp symptoms, like flu, cough and fever.

According to the advisory body of the hospital, it is seven crew members and three passengers who were in the cross MSC Armonia and they were interned soon after the landing, in the Saturday afternoon, in Santos's Oporto. Among the crew members, there is a man of Cheerful Oporto and three foreigners - an Indian and two Thais.

The ship MSC Armonia was inspected by the health surveillance before the disembarking passengers and had authorization from health surveillance to operate again, according to the Press Office of the company. A new cruise departed on Saturday (18) 5:0 pm to Mar del Plata, Argentina, with 2 thousand persons on board. The cruise lasts 8 nights and did not say if there were any withdrawals MSC after the death of the crew.

the press Department of the captaincy reported that received a report of health surveillance that there was no risk to passengers and the ship could continue to operate.

Fabiana dos Santos worked as a waitress and landed on Wednesday (15) in Ilhabela, on the North Coast, with fever and cough. On the same day she was admitted to hospital in Santos. The Health Board has evolved into an infectious process that led her to death on Friday.

the G1 tries since Saturday with national health surveillance agency (Anvisa), but did not get to the update of this report. The Ministry of health informed by phone that had not received any information about the case.



http://g1.globo.com/sao-paulo/notic...0-internados-e-tripulante-morta-de-navio.html

 

[tetano]

Re: Hospital asks test of H1N1 for 10 hosptalized and the death of a crew member of the cruise ship MSC Armonia

Re: Hospital asks test of H1N1 for 10 hosptalized and the death of a crew member of the cruise ship MSC Armonia

Ten passengers of ship are hospitalized in Santos

Ten persons, being three crew members and seven passengers of the ship MSC Armonia, which moored in this Saturday (19) in Santos's Oporto (SP), are interned in the Hospital Ana Costa, according to report spread in this Sunday (20).
According to the hospital, clinical exams were taken, between which it of the virus of the avian flu, H1N1, and when Adolfo Lutz, who is in recess in this Carnival brought back to the work only in Wednesday (22) was directed to the Institute.
Ten persons were hospitalized in the Saturday afternoon, soon after the landing, with the same symptoms of the crew member Fabiana Pasquareli of the 30-year-old Saints, who submitted in the hospital last Wednesday (15), with cough and fever. She died in the night of Friday (18), after complications in the picture of health, according to the hospital.

Between the interned passengers a woman and two children are, a 11-year-old boy and a 12-year-old girl, residents of Santos's city, which they announced of the mini cross of three nights, which passed by Ilhabela, Big Island and returned to Saints. Among seven interned crew members, there is three women, a man of Cheerful Oporto and three foreigners, being an Indian and two Thais. The patients, who were interned by a more weak level between the symptoms presented by Wound, pass well and they still have not foresight of rise.


http://www.bemparana.com.br/index.php?n=206282&t=dez-passageiros-de-navio-estao-internados-em-santos

 

[tetano]

Re: Hospital asks test of H1N1 for 10 hospitalized and for the death of a crew member of the cruise ship MSC Armonia

Re: Hospital asks test of H1N1 for 10 hospitalized and for the death of a crew member of the cruise ship MSC Armonia

The crew member 30-year-old Fabiana Pasquarelli, waitress of the ship of crosses MSC Armonia, who was interned in serious state in the Hospital Ana Costa, died in the dawn of this Saturday. The ship, what was travelling Ilhabela Santos ilhabela Isolates Big, it moored in Santos's Oporto in the last Wednesday and returned to the region in this Saturday.

After to present symptoms of a disease viral, the official of the ship was hospitalized by respiratory insufficiency. The picture of health evolved into an infectious generalized process.




' Examinations were carried out and, at the first moment, the virus of the dengue was discarded. New tests will be carried out so that a diagnosis has been ', it informed the chief of the post of Santos da Ag?ncia Nacional of Sanitary Vigilance (Anvisa), the doctor Acary de Oliveira.

http://worldcruises1.blogspot.com/2012/02/tripulante-do-armonia-morre-e-navio-e.html

 

[alert]

Re: Hospital asks test of H1N1 for 10 hospitalized and for the death of a crew member of the cruise ship MSC Armonia

Re: Hospital asks test of H1N1 for 10 hospitalized and for the death of a crew member of the cruise ship MSC Armonia

http://ultimosegundo.ig.com.br/bras...guem-internados-em-santos/n1597641482695.html

Ten Armonia cruise passengers admitted to follow Santos
They were hospitalized on Saturday afternoon with the same symptoms of the crew Pasquereli Fabiana, 30 years. She died on Friday
AE | 02/19/2012 11:25
PM makes previous news repossession in building student housing in USPPr?xima News Ten Armonia cruise passengers admitted to SantosTexto following:
seal
Ten people, including crew and passengers of the MSC Armonia, MSC Cruises company, which arrived Saturday (18) in the Port of Santos in Sao Paulo, remain in the Hospital Ana Costa.

They were hospitalized yesterday afternoon, soon after landing, with the same symptoms of the crew Pasquareli Fabiana dos Santos, 30, who was admitted to hospital last Wednesday (15/02), with cough and fever. She died on Friday night, after complications in the context of health, according to the hospital.

Understand the case: cruise ship crew member dies in hospital Santos

Among the passengers are admitted to a woman and two children, a 11 year old boy and a girl of 12 years, residents of the city of Santos, who attended the three-night mini cruise, which went through Ilhabela Ilha Grande and returned to Santos yesterday . Among the seven crew members admitted, there are three women, a man of Porto Alegre and three foreigners, one Indian and two Thais.

Patients who were admitted with a weakest among the symptoms presented by Fabiana, are still not well and are expected to rise. According to the hospital, clinical examinations were made, including the bird flu virus, H1N1, and sent to the Adolfo Lutz Institute, which is in recess this carnival, returned to work only on Wednesday (22/02).

The MSC ship docked at the Port of Santos on Saturday at around 5:30 and officials of the National Agency of Sanitary Surveillance (ANVISA) inspected the vessel. The nearly two thousand passengers were only allowed to land at the end of yesterday morning, after being instructed to take MMR vaccine before disembarking.

 

[alert]

Re: Hospital asks test of H1N1 for 10 hospitalized and for the death of a crew member of the cruise ship MSC Armonia

Re: Hospital asks test of H1N1 for 10 hospitalized and for the death of a crew member of the cruise ship MSC Armonia

The rapid discharge of 7 of the 10 (11?) cases likely rules out H5N1, despite the travel from Asia. H1N1 may still be possible.

http://noticias.terra.com.br/brasil...+cruzeiro+recebem+alta+seguem+internados.html

News »Brazil» Brazil
SP: 7 cruise passengers are discharged, 3 hospitalized following
February 19, 2012 • 12h41
ReduzirNormalAumentarImprimirNotícia



-------------------------------------------------- ------------------------------
Comment Seven occupants of the cruise ship MSC Armonia who were admitted to the Hospital Ana Costa, Santos (SP) with acute respiratory problems were discharged on Sunday. According to the hospital, three others - all aboard the ship - remain in hospital, under observation. At dawn yesterday, the crew Fabiana Pasquarelli, 30, died showing the same symptoms. We still do not know the cause of death.

Fabiana was admitted to hospital last Wednesday complaining of severe coughing and fever, with suspected pneumonia. According to the hospital on Friday five other ship's crew were hospitalized with similar symptoms. The next day, when the vessel docked at the port of Santos again, another five people were taken to hospital.

Before landing, the ship was inspected by the National Sanitary Surveillance Agency (ANVISA). According to MSC Cruises, which owns the vessel, agents Anvisa offered the MMR vaccine - measles, mumps and rubella - passengers and crew, in a preventive way.

The hospital is awaiting the results of the necropsy of Fabiana to determine the causes of death. According to the hospital, the samples were sent to Instituto Adolfo Lutz, who pledged to treat the case with "utmost urgency"

 

[tetano]

Re: Hospital asks test of H1N1 for 10 hospitalized and for the death of a crew member of the cruise ship MSC Armonia

Re: Hospital asks test of H1N1 for 10 hospitalized and for the death of a crew member of the cruise ship MSC Armonia

The decision of the necropsia must be ready in up to 20 days in the body of Wound of the Saints, crew member of the transatlantic liner MSC Armonia who died in the Saturday dawn, three days after presenting pulmonary problems, being unloaded of the ship and led to the Hospital Ana Costa, in Saints. Seven persons who also work in the vessel, including a colleague of accommodation of Wound, were taken to the same thing in the hospital, with symptoms of respiratory diseases, but they are well.

http://jovempan.uol.com.br/noticias/2012/02/morte-de-tripulante-assusta-passageiros-de-navio.html

 

[tetano]

Re: Hospital asks test of H1N1 for 10 hospitalized and for the death of a crew member of the cruise ship MSC Armonia

Re: Hospital asks test of H1N1 for 10 hospitalized and for the death of a crew member of the cruise ship MSC Armonia

It continues the controversy wrapping to death of Wound of the Saints, which was 30 years old, Armonia was working in the MSC and it passed badly in Wednesday, when Ana Costa interned in the Hospital, in Saints, with picture of pulmonary problems, which finished evolving up to his death, in the Saturday dawn. Others 10 persons, between passengers and crew members, also were interned, but seven received rise in the morning of this Sunday.

Izilda Alves and Paul Pontes talked with the infectologista Juv?ncio Furtado, ex-president of the Brazilian Society of Infectologia, who said to have received some phone calls, specially of persons who were in Santos's Oporto in the landing of the ship, with questions on the risk of epidemic, something to that, he pointed, does not exist at the moment, except in case of contact with Wound, though the cause of the death is revealed only in around twenty days.

http://jovempan.uol.com.br/noticias/2012/02/infectologista-nega-risco-de-epidemia-em-santos.html

 

[alert]

Re: Brazil - Hospital asks test of H1N1 for 10 persons - 3 still hospitalized and for the death of a crew member of the cruise ship MSC Armonia

Re: Brazil - Hospital asks test of H1N1 for 10 persons - 3 still hospitalized and for the death of a crew member of the cruise ship MSC Armonia

http://www.promedmail.org/pt

Date Published: 18/02/2012 21:19:18
Subject: PRO / PORT> Cruise Ship - Brazil (SP), death, outbreak (?)
Archive Number: 20120218.1045951

CRUISE SHIP - BRAZIL (Santos, SP), DEATH, OUTBREAK (?)
************************************************** **********
A message / Una mensaje / of ProMED-PORT
http://www.promedmail.org
ProMED-mail and a program of / es un program de la
International Society for Infectious Diseases
http://www.isid.org

Date: Saturday / Saturday, 18 February / Febrero 2012
Source: According to Last [02/18/2012] [Edited]


Cruise ship crew member dies in hospital Santos
-------------------------------------------------- ----------
Other five crew members are wrong [with which clinical? - Mod rna]. With a suspected outbreak, Anvisa vaccinated [immunized against what? - Mod rna] whole crew before releasing the 2,000 passengers.

The crew FPS, 30, employee of a cruise ship company MSC, died in the early hours of Saturday [18/fevereiro/2012] Hospital Ana Costa, Santos, in S?o Paulo coast. According to MSC, the crew was hospitalized last Wednesday [15/fevereiro/2012] with cough and fever, with an initial diagnosis of pneumonia.

Since admission, the frame F. was considered serious. She was breathing with the aid of equipment. The diagnosis is confirmed after a series of laboratory tests. The body was taken to the Death Verification Service, which operates the Hospital Guilherme ?lvaro, in Santos.

Other five crew members of the same vessel were also hospitalized [with the same clinical picture? - Mod rna]. Due to the death and suspected a possible outbreak, the MSC Armonia was held at the pier for the National Health Surveillance Agency (ANVISA) take the necessary steps [which measures? - Mod rna].

The whole crew was vaccinated [again, vaccinated against what? - Mod rna] and had no authorization to leave the ship. It took more than six hours so that passengers coming from a cruise to Isla Grande, in Rio de Janeiro and Ilhabela (SP), could leave the vessel, after release of ANVISA. There were more than 2,000 passengers.

The health status of the five crew members admitted is stable and they are in the room [in isolation? - Mod rna].

In a statement, MSC Cruises regretted the incident and said it is providing every assistance to family and friends. "The company is overseeing the work of authorities and is awaiting the final reports," says the MSC. "The company strengthens further that ANVISA inspected the ship and the landing is taking place normally. Once you finish this procedure, will start boarding for the next cruise," says MSC Cruises.

-
Mod jw word sent by []

-
Reported by:
Promed-Port
promed-port@promedmail.org

[The information, at least for now, are very preliminary and inaccurate.

About death: There were other clinical (sputum, skin manifestations, for example) The time evolution? She had underlying disease? There was contact with similar cases?

Anyway, no chance here, right now, would be mere speculation. Anyway, serious bacterial pneumonias are most often caused by pneumococcus, staphylococcus, _Mycoplasma_, _Streptococcus pyogenes_ ... _Legionella_. Among the viral infections, influenza, RSV ... chickenpox, measles. Again, mere speculation, based on other (additional) information could eventually be included as possible causes other viruses and bacteria and even fungi.

What is the clinical condition of the other five crew members? The similarity of the fatal case, all had respiratory disease? What is the reason for hospitalization: clinical severity? Need for isolation?

Vaccination of the crew? Vaccination lock? Against what? Chickenpox? Meningococcus? Measles? (!?)

We will track results of laboratory investigations and possible developments.

To find Santos (Sao Paulo, Brazil) HealthMap, go to:
; Http://healthmap.org/r/1HAR

- Mod rna]

 

[alert]

Re: Brazil - Hospital asks test of H1N1 for 10 persons - 3 still hospitalized and for the death of a crew member of the cruise ship MSC Armonia

Re: Brazil - Hospital asks test of H1N1 for 10 persons - 3 still hospitalized and for the death of a crew member of the cruise ship MSC Armonia

A truly unusual source:

http://www.cruiselawnews.com/
http://www.cruiselawnews.com/2012/0...member-dies-passengers-hospitalized/#comments

MSC Armonia Crewmember Dies, Passengers Hospitalized
Posted on February 18, 2012 by Jim Walker
A reader of Cruise Law News in Brazil has informed us that a crewmember of the Armonia cruise ship, operated by MSC Cruises, died yesterday after being admitted to the hospital in serious condition.

A newspaper in Brazil (G1 in Sao Paulo) reports that a local woman, Fabiana Pasquarelli, age 30, was taken from the MSC cruise ship and admitted to the intensive care unit of Hospital Ana Costa.

The deceased crewmember worked as a waitress and was taken to the hospital on Wednesday with a fever and cough and was apparently diagnosed with pneumonia.

There is also speculation that she may have died of swine flu.

Five other crewmembers are also sick and have been under observation in the hospital since Friday.

The cruise line said that passengers are disembarking the cruise ship today and new passengers will board.

If you have information about this incident, please leave a message below.

February 18, 2012 Update: Passengers from the cruise ship have also been hospitalized in serious condition.

Another Brazilian newspaper, A Tribuna, has an account and reports that the diagnosis is unclear although it is the result of an infectious process.

Ms. Pasquarelli died of an acute respiratory failure.

February 19, 2012 Update:

A newspaper in Brazil states that seven people of the ten passengers and crew from the cruise ship were released from the hospital. Three remain hospitalized. The hospital ran tests to determine the type of infection that caused the sickness.

Five crewmembers have contacted us, wishing to remain anonymous, complaining that Ms. Pasquarelli's medical treatment was delayed. Read comments below.

-------

And in the comments section:

MSC Armonia Crewmembers - February 19, 2012 2:33 PM
We are crew members from Armonia, please don´t tell our names.

We would like to inform you that our friend Fabiana Pasquarelli is died because of our boss Eugenio Manfredi.
Our bar manager and hospital wanted to give her 1 week at home to solve her sickness (at home) and after embark again, but EUGENIO MANFREDI (boss of our boss) didn´t give her, and menacing her if she desembark she didn´t come back again. She was affraid to desembark that why she become more sick.

Crew member - February 19, 2012 7:48 PM
Fabiana went to the doctor but he was too busy reading a magazine. The doctor told her: "Come again in crew time, I am busy now!". After si went to bar manager and said: "Boss, I cannot work, I have fever!" and bar manager told her: "Maybe you need a supositorium. May I offer you one?". Fabiana went again to the doctor, he made her an injection and a serious allergia exploded after on her body. The third day, when she was disembarked, she was vomiting blood. They disembarked her like a dog, her tray, her pool cap and the bottle opener were threw on the coridor, like "this one is not good for work anymore". Her luggages were left in the port and the person in charge of us, the crew purser did not even announced the familly and he did not knew to wich hospital she was send. Can you imagine that such a thing is possible in 2012? Yes, unfortunatelly it is. Our friend died efectivelly in her cabin, without nobody to care. This is the life onboard for the crew members. We are almost forced to smile to the passengers by the F&B manager, Eugenio Manfredi, but nobody knows what is in our souls. Pain, anger, tiredness, hours of stress and the idea, the permanent idea that here you are just a number that as long as is good for work...can stay onboard!

 

[alert]

Re: Brazil - Hospital asks test of H1N1 for 10 persons - 3 still hospitalized and for the death of a crew member of the cruise ship MSC Armonia

Re: Brazil - Hospital asks test of H1N1 for 10 persons - 3 still hospitalized and for the death of a crew member of the cruise ship MSC Armonia

Assuming the above report is accurate, rash should be added to the list of symptoms, and might indicate why MMR vaccine was administered. I wonder if the reference to "vomitting blood" above should have been to "coughing up blood" instead.

 

[tetano]

Re: Brazil - Hospital asks test of H1N1 for 10 persons - 3 still hospitalized and for the death of a crew member of the cruise ship MSC Armonia

Re: Brazil - Hospital asks test of H1N1 for 10 persons - 3 still hospitalized and for the death of a crew member of the cruise ship MSC Armonia

The result of the examination will have to go out at most up to this Tuesday, when one will know already if the infection is resultant of H1N1 (pig flu), according to the infectologista Luiza Terezinha Souza, director-substitute of Adolfo Lutz. The samples, which were in Adolfo Lutz in Saints, were received in Sao Paulo in the end of the Sunday afternoon. These examinations will allow to an infectologista Evaldo Stanislau Affonso de Ara?jo, chief of the Service of Infectologia of the Hospital Ana Costa, to orientate the presence to the infected persons who are still in Ana Costa. Second Evaldo, four of seven crew members who were in the same cross of Wound presented improvements and were released in this Sunday. Other three are still interned. One still has fever. Three passengers, being two of them mother and daughter, continue in observation. The third case is a 11-year-old boy, with problems gastrointestinais. With the exception of him, all the interned ones presented similar symptoms to that of Wound Pasquarelli: cough and fever.

http://www.atribuna.com.br/noticias.asp?idnoticia=137088&idDepartamento=10&idCategoria=0

 

[tetano]

Re: Brazil - Hospital asks test of H1N1 for 10 persons - 3 still hospitalized and for the death of a crew member of the cruise ship MSC Armonia

Re: Brazil - Hospital asks test of H1N1 for 10 persons - 3 still hospitalized and for the death of a crew member of the cruise ship MSC Armonia

Examination in dead crew member of ship reveals virus influenza B, says hospital

The Hospital Ana Costa, in Saints, informed in the afternoon of this Monday (20) that the preliminary result of the examination of the respiratory secretion carried out in the waitress Fabiana of Santos Pasquarelli, crew member of the ship MSC Armonia, killed in Friday (17), had how the virus influenza isolated B. In this Monday they had rise the last four of ten patients interned in the same hospital from Saturday with respiratory problems.
' It the question is a virus of less impact to cause pandemias and, so, we would like pointing out that the population should be felt calm, since the risk of infection by this virus is circumscribed to a physical limited space. With the exception of Wound, which cause of the death will be still elucidated in a necrological examination in preparation, all other attended patients had a favorable evolution ', it informed the medical team of the hospital.
The advisory body of the hospital will wait when Adolfo Lutz resulted from the examinations carried out by the Institute to know the cause of the death of the official and of the symptoms of the passengers. The hospital asked to the Institute Adolfo Lutz examinations that can confirm which disease was reached by the interned ones and the crew member who died.


http://g1.globo.com/sao-paulo/notic...ta-revela-virus-influenza-b-diz-hospital.html

 

[alert]

Re: Brazil - Hospital asks test of H1N1 for 10 persons - 3 still hospitalized and for the death of a crew member of the cruise ship MSC Armonia - confirmed influenza B

Re: Brazil - Hospital asks test of H1N1 for 10 persons - 3 still hospitalized and for the death of a crew member of the cruise ship MSC Armonia - confirmed influenza B

http://www.promedmail.org/pt

Date Published: 21/02/2012 00:30:27
Subject: PRO / PORT> Cruise Ship - Brazil (SP) (02), death, outbreak, influenza B (?)
Archive Number: 20120221.1047604

CRUISE SHIP - BRAZIL (Santos, SP) (02), DEATH, OUTBREAK, influenza B (?)
************************************************** ****************************
A message / Una mensaje / of ProMED-PORT
http://www.promedmail.org
ProMED-mail and a program of / es un program de la
International Society for Infectious Diseases
http://www.isid.org

Date: Monday / Lunes, 20 February / Febrero 2012

(1)
Source: CNN News [19/02/2012] [Edited]


Seven hospitalized cruise discharged in Santos
-------------------------------------------------- -
Seven of the 10 persons hospitalized since yesterday [18/fevereiro/2012] Hospital Ana Costa, Santos (SP), acute respiratory symptoms, were discharged today [19/fevereiro/2012]. According to the hospital, patients will be discharged under observation at their homes.

The other three patients, all aboard the MSC Armonia, yet had improved enough to be released.

The group was hospitalized yesterday afternoon [18/fevereiro/2012], shortly after disembarking the ship, with the same symptoms of the crew who worked as a waitress, FPS, 30, who died. She was admitted to the same hospital last Wednesday [15/fevereiro/2012] and died on Friday night [17/fevereiro/2012], after complications in the context of health.

The Instituto Adolfo Lutz, where the clinical examinations were sent for analysis, is preparing to release the result as soon as possible to find the causes of death and hospitalization of crew of 10 others, according to the hospital.

-
Reported by:
Promed-Port
promed-port@promedmail.org
-

(2)
Source: CNN News [19/02/2012] [Edited]


Preliminary examination shows that crew killed in cruise had influenza B
-------------------------------------------------- -------------------------
The Hospital Ana Costa, Santos, on the southern coast of S?o Paulo, announced this afternoon [19/fevereiro/2012] preliminary results of the examination of respiratory secretions in the patient performed 30 years, died last Friday, March 17 [fevereiro/2012].

FSP, who worked as a waitress on the ship MSC Armonia, was hospitalized on Wednesday, 15 [fevereiro/2012], acute respiratory symptoms such as flu, cough and fever. According to the hospital, tests showed that F. had isolated the influenza virus B, influenza viruses with lower mortality.

In a statement, the hospital ensures that it is a virus that causes less impact to cause pandemics and therefore "would like to emphasize that people should feel quiet, because the risk of infection by this virus is confined to a restricted physical space ".

Except for F., whose cause of death will be elucidated in an examination obituary still under development, all other patients treated had a favorable outcome, according to the note.

The final reports and all other appropriate measures will be conducted by health authorities and the Ministry of Health, according to the memo, which says that the Hospital Ana Costa stands ready "to serve its customers and other clarifications that may be necessary."

-
Reported by:
Promed-Port
promed-port@promedmail.org

[Although the Norovirus has gained notoriety because of outbreaks of gastroenteritis on cruise ships, influenza outbreaks are also common. The summer cruises along the West Coast, going to Alaska, are the scene of frequent outbreaks.

In Brazil, also in the summer, was the influenza B virus is not a pandemic but also because of severe outbreaks.

Perhaps the travel agencies were to carry the warning: "Ministry of Health warns, cruise ship may be harmful to health." After all, join more than hundred thousand passengers and crew members (from all over the world) is an opportunity that you will disregard any viruses.

Good time to remind the opportunity of routine vaccination, yearly against influenza.

- Mod ljs]


[Take admission in passenger before boarding would be impractical (without legal support to), but considering the risk and potential magnitude of outbreaks on cruise ships, why not discuss the possible requirement of demonstrating, by a passenger (and Obviously the crew), vaccination against diseases that could cause outbreaks on ships, such as measles, rubella, mumps, influenza, meningococcus?

Controversy requirement, but would certainly make travel safer for cruise passengers and crew, minimize the risk of disease spread during and after international cruises.

We had mentioned in previous review that influenza was one of the hypotheses, the Mod ljs also bet on influenza as the most likely hypothesis. In the news there was the initial information that the crew members were vaccinated after the occurrence of death, as a preventive measure and control the outbreak. If indeed the hypothesis that influenza is confirmed, it is a question: were vaccinated against influenza? Should have received antiviral.

To find Santos (Sao Paulo, Brazil) HealthMap, go to:
; Http://healthmap.org/r/1HAR

- Mod rna]

 

[alert]

Re: Brazil - Hospital asks test of H1N1 for 10 persons - 3 still hospitalized and for the death of a crew member of the cruise ship MSC Armonia - confirmed influenza B

Re: Brazil - Hospital asks test of H1N1 for 10 persons - 3 still hospitalized and for the death of a crew member of the cruise ship MSC Armonia - confirmed influenza B

http://www.promedmail.org/pt

Date Published: 02/22/2012 10:10:33
Subject: PRO / PORT> Cruise Ship - Argentina (DF), a former Brazil (SP), outbreak, influenza B
Archive Number: 20120222.1049054

CRUISE SHIP - ARGENTINA (BUENOS AIRES), EX-BRAZIL (Santos, SP), OUTBREAK, INFLUENZA B
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A message / Una mensaje / of ProMED-PORT
http://www.promedmail.org
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International Society for Infectious Diseases
http://www.isid.org

Date: Wednesday / Mi?rcoles, 22 February / Febrero 2012
Source: BBC [02/22/2012] [Edited]


MSC Armonia arrives in Buenos Aires with 7 crew members sick, Clar?n says
-------------------------------------------------- ---------------------
According to the Argentine newspaper, the ship has already registered 18 cases of influenza B among crew and passengers.

The MSC Armonia, which departed the Port of Santos, on the southern coast of Sao Paulo on Saturday, 18 [fevereiro/2012] for a 9 night cruise to Buenos Aires, Argentina, passing through Montevideo, Uruguay landed on the morning of Wednesday, 22 [fevereiro/2012], in the capital Buenos Aires.

According to the newspaper Clar?n, the ship has already registered 18 cases of influenza B among the crew and passengers. One of them, the waitress FSP, 30, who died on the night of Friday, 17 [fevereiro/2012], Hospital Ana Costa, Santos.

The ship, according to the newspaper, will be subject to inspection by the Ministry of Health due to the risks of contagion. The Minister of Health, Julio Manzur, was heading a delegation of sanitary technicians in the country to confirm the information that other crew members on board were sick.

According to the newspaper in Montevideo, the first stop of the cruise, seven crew members had to receive medical care and were hospitalized in the city, with flu symptoms similar to those of F.. They were discharged yesterday afternoon [21/fevereiro/2012].

The crew of the cruise ship MSC Armonia board intend to continue to seek the Consulate of Brazil in Buenos Aires, Argentina, in the morning [22/fevereiro/2012], according to information published in the newspaper The Tribune. The intention is to ask for help, since increased to 22 the number of sick employees.

According to MCS Cruises, only five crew members landed in Montevideo with flu symptoms and were treated at a city hospital, returning to the ship after medical treatment.

Ten people, including three passengers and seven crew members were hospitalized on Saturday [18/fevereiro/2012], Hospital Ana Costa, Santos, acute respiratory symptoms such as flu, cough and fever. Everyone has discharged.

[Posted by Mod ljs]

-
Reported by:
Promed-Port
promed-port@promedmail.org

[Predictable

- Mod ljs]


[As I understand the crew and passengers have been complied with and return to the ship to continue on the cruise ... and disseminate the outbreak.

The symptoms are being treated with antivirals? Plus, the crew returning to the ship return to normal duties in contact with other passengers and crew? In fact, in addition to ward off symptoms of contact with others, everyone should be receiving antivirals (oseltamivir or zanamivir) as treatment or prophylaxis.

Again, as mentioned in our previous review, vaccination against diseases with outbreak potential cruisers should be mandatory for all crew members and, if possible, to all passengers. It is not just a measure of personal protection, but a public health issue, the International Health Regulations. Remember that the foregoing in relation to yellow fever vaccine in some countries, not to prove through the international certificate prevents the entry of any traveler in that country.

 

[alert]

Re: Brazil - Flu-like outbreak causes the death of a crew member of the cruise ship MSC Armonia - 18 cases confirmed influenza B including fatality

An official press release from the company:

http://www.cruiselawnews.com/2012/0...member-dies-passengers-hospitalized/#comments

MSC Cruises Press Office - February 21, 2012 5:50 AM
MSC Cruises is making every effort to clarify the circumstances leading up to and following the death of MSC Armonia crew member Fabiana Pasquarelli. Ms Pasquarelli disembarked from MSC Armonia for medical reasons on 15 February 2012 in Santos, Brazil. She was then taken to local hospital Ana Costa where she died on Friday 17 from respiratory complications. The health and safety of both crew and guests is MSC Cruises’ number one priority and we will continue to fully co-operate with local health authorities in Brazil until official reports will allow a clearer understanding of this tragic event. MSC Cruises works hard to ensure that industry standards in terms of crew health and safety are always respected. An internal investigation to verify whether procedures were correctly followed will be launched.

 

[tetano]

Re: Brazil - Flu-like outbreak causes the death of a crew member of the cruise ship MSC Armonia - 18 cases confirmed influenza B including fatality

Cruise armonia: The only 'suspicious' case had no Influenza

The only crew member of the cruise MSC Harmony that was derived to the Hospital Mu?iz to be evaluated does not suffer influenza, according to the information that received yesterday evening (Wednesday, the 22nd) the minister of Health of the Nation, Juan Manzur.
The diagnosis was prepared by the doctor Jorge San Juan, boss of the Department of Intensive Attention of the Infectious Critical Patient of the nosocomio.
The studies that were practised on him to determine if the patient was suffering influenza were negative, so much for the variants A and B of the illness.
According to the communicated by the prestigious infect?logo to the holder of the sanitary portfolio, the patient remained in observation during the night and he was given of discharge this morning (Thursday, the 23rd).
Meanwhile, others two crew members who showed light symptoms were evaluated and medicated by the sanitary service of the craft, without needing derivation to a hospitable center, it finishes the bulletin of the portfolio of Health of the Nation.

http://www.gacetamercantil.com.ar/n...unico-caso-sospechoso-no-tenia-influenza.html

 

[Emily]

Brazilian crew member dies of flu type B on cruise ship

Brazilian crew member dies of flu type B on cruise ship

(Nothing new here except maybe the number of crew and passengers on the boat.)

http://news.ph.msn.com/business/article.aspx?cp-documentid=5912162

Updated: Tue, 21 Feb 2012 16:54:11 GMT | By Agence France-Presse
Brazilian crew member dies of flu on cruise ship
Crew members from an Italian-registered cruiseliner were treated for flu-like symptoms here Tuesday after a Brazilian waitress aboard the ship died over the weekend of type B flu, authorities said.

The MSC Armonia arrived in Montevideo from the Brazilian port of Santos and was supposed to depart later in the day to Buenos Aires.

A Uruguayan navy spokesman said five crew members were taken off the ship for treatment at a private clinic.

The ship was inspected by health authorities, which gave it permission to allow its 1,000 staff and 2,500 passengers to disembark, said Captain Sergio Bique....

 

[Ronan Kelly]

Re: Brazil - Flu-like outbreak causes the death of a crew member of the cruise ship MSC Armonia - 18 cases confirmed influenza B including fatality

Brazilian MOH statement, machine translated;

02/24/2012, to 19h51
Outbreak of Influenza B in MSC Armonia Cruise Ship


Subject: Outbreak of Influenza B in MSC Armonia Cruise Ship

1. Epidemiological surveillance of Santos, in conjunction with the Center for Epidemiological Surveillance Ministry of Health of S?o Paulo - SES / SP, informed the Ministry of Health - Health Surveillance Secretariat, on February 17, 2012 the occurrence of death of a crewmember of the vessel MSC Armonia females and 31 years, consequent to acute respiratory infection, which progressed to respiratory failure during hospitalization in the intensive care unit.

2. After investigation by the medical service of the vessel and to health services in the cities of Santos and Guaruja, it was found that there were 13 more cases among passengers and crew, compatible with respiratory flu-like illness (fever plus cough or sore throat and other flu-like symptoms), among which 12 were hospitalized, although no respiratory failure, but require observation and completing exams. All 13 crew or passengers who had any symptoms of respiratory secretion samples were collected, and blood samples to determine the etiology of the disease.

3. On February 20, 2012, analysis by PCR of respiratory secretions of the index case and six more suspected cases of flu-like illness, held at Instituto Adolfo Lutz - SES / SP, identified infection with influenza virus type B, concluding in this way, that it was an outbreak of influenza.

4. Influenza or flu commonly is caused by three virus types (A, B, C), and the type A which most commonly cause outbreaks and epidemics such as the recent 2009 pandemic H1N1 pandemic. Type C is less common and usually causes subclinical disease, with no impact on human health. The type B occurs less frequently than type A, circulates throughout the year, can cause more localized epidemics, however, like A, can cause outbreaks.

5. Clinical manifestation of the great majority of cases of both Influenza A and B, evolves uncomplicated, with spontaneous cure in 7 days, however, rare cases can progress to respiratory failure, pneumonia, septicemia and death. The cause of these adverse developments is unknown, but it is known that people with certain comorbid conditions and pregnant women are at higher risk and should therefore be treated differently and priority (see Annex Recommendations).

6. In the period from February 18 until today's date, the vessel is kept information from the daily situation of the cases, reported the occurrence of nine suspected cases on arrival in Montevideo - Uruguay and seven suspected cases on arrival in Argentina. All cases identified in these countries evolved without complications and cases initially admitted to Santos had also been high.

7. Considering the ship's return to Brazil, Port of Santos, next Monday, February 27, and the knowledge of the existence of an outbreak of Influenza B, in addition to actions already established by the medical service of the MSC Armonia, with treatment of symptomatic with oseltamivir (neuraminidase inhibitor), isolation of patients for 5 days and the establishment of primary prevention measures (respiratory etiquette, hand disinfection, use of alcohol gel, among others) the Secretariat of Health Surveillance, ANVISA and the Center for Surveillance - SES / SP recommend additional actions (see Annex - Recommendations) to control the outbreak.

8. These recommendations follow international standards for better control of influenza outbreaks on cruise ships and are mainly aimed at:
a) the treatment of patients, reducing symptoms and frequency of complications;
b) with an institution of chemoprophylaxis: Reducing Influenza B infection of persons who may be at greater risk of complications;
c) inform people who have higher risk of complications and, if not, were vaccinated last year should not be exposed to the risk of infection and
d) eliminate the outbreak on the ship MSC Armonia.
9. Health Surveillance Secretariat, jointly with ANVISA, the Center for Epidemiological Surveillance - SES / SP and Surveillance in the city of Santos ensure the supply of oseltamivir for treatment and chemoprophylaxis necessary and keep the event monitoring and verification of measures to be adopted.


"Here are the recommendations forward to the cases of Influenza B in MSC Armonia Cruise Ship"

Brasilia, February 24, 2012.
http://portal.saude.gov.br/portal/a...pDetalheNoticia&id_area=1498&CO_NOTICIA=13734