Shiloh
Editor, Senior Moderator
Source: http://www.diariodepernambuco.com.br/2009/08/25/brasil3_0.asp
Google translation:
Questions in priority cases
PANDEMIC / / Difficulty of doctors is to identify which patients with flu have complications
Bras?lia - A researcher in infectious diseases and respiratory viruses, Federal University of S?o Paulo (UNIFESP) Nancy Bell said yesterday that the most difficult of health professionals in Brazil is to define which patients may experience worsening of influenza-AH1N1 flu.
Uncertainty hinders the recommendation of Tamiflu, targeted for severe cases. Photo: Ronaldo de Oliveira / CB / D.A Press
"We can not know who are the 10% who have complications and 90% who do not," he said. She said the problem of uncertainty of physicians is related to the administration of the drug Tamiflu, since the direction of the Ministry of Health is the remedy to be prescribed for patients belonging to risk groups or who are in serious condition.
The doctor noted that, although there are cases in which the drug is used after the worsening state of health, the greater effectiveness of the drug occurs within 48 hours after onset of symptoms. "Most patients have no complications, but you can not know," he said. For Nancy, the feeling is "anguish" for the health professionals responsible for diagnosing the cases and decide who should take the medicine. The departure, she said, is to use common sense - many patients with symptoms, even outside the risk groups, generally have a higher viral load and therefore should be treated with caution.
On the promise of the vaccine in Brazil, scheduled for early 2010, the infectious disease specialist said that there is no definition of who will receive doses of priority. There are discussions about immunization of health professionals and people in risk groups. Just yesterday, Rio Grande do Sul confirmed 12 more deaths from the flu. In all, 154 are already in the state and more than 500 in the country.
License in MPF - All pregnant employees (servants, interns) of the Federal Public Ministry (MPF) in the whole country are released to attend to work until August 31 because of AH1N1. The MPF will also recommend to companies providing service to adopt similar extent. If there is a possibility, liberated women may, at the discretion of the supervisor, do house chores.
Pernambuco - The Health Department of Pernambuco State (SES / PE) has made available 41 beds in regional hospitals to treat patients with influenza AH1N1 in serious condition. The cases that need to be admitted to the ICU will continue to be directed to the Hospital Oswaldo Cruz (Huoc), according to the state agency. In Pernambuco, 61 are confirmed cases of influenza. Of these 42 are admitted (26 in private and in public 16) and 216 suspect cases.
Google translation:
Questions in priority cases
PANDEMIC / / Difficulty of doctors is to identify which patients with flu have complications
Bras?lia - A researcher in infectious diseases and respiratory viruses, Federal University of S?o Paulo (UNIFESP) Nancy Bell said yesterday that the most difficult of health professionals in Brazil is to define which patients may experience worsening of influenza-AH1N1 flu.
Uncertainty hinders the recommendation of Tamiflu, targeted for severe cases. Photo: Ronaldo de Oliveira / CB / D.A Press
"We can not know who are the 10% who have complications and 90% who do not," he said. She said the problem of uncertainty of physicians is related to the administration of the drug Tamiflu, since the direction of the Ministry of Health is the remedy to be prescribed for patients belonging to risk groups or who are in serious condition.
The doctor noted that, although there are cases in which the drug is used after the worsening state of health, the greater effectiveness of the drug occurs within 48 hours after onset of symptoms. "Most patients have no complications, but you can not know," he said. For Nancy, the feeling is "anguish" for the health professionals responsible for diagnosing the cases and decide who should take the medicine. The departure, she said, is to use common sense - many patients with symptoms, even outside the risk groups, generally have a higher viral load and therefore should be treated with caution.
On the promise of the vaccine in Brazil, scheduled for early 2010, the infectious disease specialist said that there is no definition of who will receive doses of priority. There are discussions about immunization of health professionals and people in risk groups. Just yesterday, Rio Grande do Sul confirmed 12 more deaths from the flu. In all, 154 are already in the state and more than 500 in the country.
License in MPF - All pregnant employees (servants, interns) of the Federal Public Ministry (MPF) in the whole country are released to attend to work until August 31 because of AH1N1. The MPF will also recommend to companies providing service to adopt similar extent. If there is a possibility, liberated women may, at the discretion of the supervisor, do house chores.
Pernambuco - The Health Department of Pernambuco State (SES / PE) has made available 41 beds in regional hospitals to treat patients with influenza AH1N1 in serious condition. The cases that need to be admitted to the ICU will continue to be directed to the Hospital Oswaldo Cruz (Huoc), according to the state agency. In Pernambuco, 61 are confirmed cases of influenza. Of these 42 are admitted (26 in private and in public 16) and 216 suspect cases.