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Costa Rica: 1,154 patients died from pneumonia or influenza in 2008

Shiloh

Editor, Senior Moderator
Source: http://www.elpais.cr/articulos.php?id=10917

Google translation:


Costa Rica in 1154 patients died from pneumonia or influenza in 2008
Health seeks to strengthen surveillance to reduce the impact of Influenza A
Source: elpais.cr | 08/08/2009


San Jose (elpais.cr) - The Ministry of Health of Costa Rica showed that in 2008 died 1154 patients in public hospitals due to pneumonia or influenza, while the National Institute of Statistics and Censuses (INEC), reported 360 in the same year.

The announcement was made by the Ministry of Health (MOH), to give an account that has been reported 27 deaths from influenza A which corresponds to a mortality rate of 0.6 per 100,000 inhabitants and a fatality rate of 3.38%.

An official report from MS said that this situation is intensifying efforts to implement surveillance strategies to prevent cases of Influenza AH1N1, becoming severe cases and thus reduce the number of deaths.

Although the prevention of infection remains the primary strategy to combat the virus, the initiation of antiviral treatment in a timely manner for people with influenza have risk factors for severe disease or is intended to prevent more serious and death, said a press release of the institution.

Health authorities stressed that a redoubling of efforts to understand the risk factors for ill and dying in AH1N1.

They explained that this is a valuable information to intervene in the conditions and in the chain of transmission in order to protect the health of the population.

"This allows the identification of groups of people who are exposed to an increased risk of severe disease, to adopt measures that can protect them better," he said.

MS said that due to inadequate analysis of mortality rates that have been published in some local media, has generated information that causes fear and confusion among the population question.

"It is important to take into account deaths that occur each year from pneumonia and influenza seasonality in Costa Rica. Example, died in 2008 patients hospitalized in 1154 the CCSS had the diagnosis of pneumonia or influenza and in the same year, the National Institute of Statistics and Census reported 360 deaths whose underlying cause of death was pneumonia or influenza, "said .

Therefore, "given that the analysis of mortality requires detailed analysis of each case, the Ministry of Health assembled an expert team composed of clinicians, pathologists and epidemiologists, who have the task of reviewing the clinical information of people who unfortunately have died during the pandemic. Based on this analysis will determine whether the person died of the H1N1 virus or H1N1 virus, "he added.

MS says it is inappropriate to make comparisons of mortality from pandemic influenza between countries, since the behavior is different in each country and the waves occur at different times, and therefore measures should be adapted to local situations.

Moreover, he added, as reported by the World Health Organization (WHO) and Pan American Health Organization (PAHO) in Latin American there is a significant under-reporting of deaths and the causes of it, Costa Rica is a country with a more complete record.

"This is compounded by the different capacities of health services that each country has to care and diagnosis of suspected cases," said MS.

The Bulletin of the health sector noted that "as noted by WHO, the epidemic is still at a relatively early stage of their development, so there are still many unanswered questions, and in this regard, countries should continue their efforts monitoring and generating greater awareness of the pandemic. "

WHO indicated that the "understanding of the disease continues to evolve, so their interest is based on studies with evidence on individual countries to assess the pandemic situation and determine the best option to minimize the impact of the pandemic to national and global levels. "

"The statistics have no face, and every death affects hurts. Behind every death is a family, kids, children, loved ones. They also reiterated that the responsibility for prevention of infection depends on each person adopt hygiene practices and recommended preventive measures against the virus, "said the Ministry of Health.

Data

The portfolio of Health reported that from April 24 to August 7, Costa Rica is at the peak of the first pandemic wave, with an attack rate of 17.9 per 100,000 inhabitants.

Indicated that attack rates are higher in the groups of 5 to 9 years, followed by the age group 10 to 14 years, are third in the 25 to 29 years and the fourth from 20 to 24 years, that 61% of cases were located in less than 30 years.

The group of 50 years and over is the one that presents the lowest rates, which is consistent with that offered in other countries.

When cut day August 6 has been reported 27 deaths from Influenza A H1N1 documented, which corresponds to a mortality rate of 0.6 per 100,000 inhabitants and a fatality rate of 3.38%.

Currently all provinces have confirmed cases of Influenza AH1N1. The central provinces are showing the highest infection rate in these provinces are in descending order Heredia, San Jos?, Cartago, Alajuela, Puntarenas, Guanacaste and Lim?n.

Of the 27 confirmed deaths 55.5% were the province of San Jos?, a 14.8. Heredia% to 11% and the province of Alajuela. With respect to the age of death ranges from 20 to 75 years, of which 10 cases are clustered in the range of 20 to 29 years, 3 cases in the range of 30 to 39 years, 6 cases in the range of 40 to 49 years and 8 cases in the range of 50 years and over.

The following table presents deaths by province and sex:
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Of these 27 deaths there were different risk factors being the most common include: Enf. previous lung (type asthma, COPD, pulmonary hypoplasia). DM. Obesity. HTA. Heart and two of the deaths occurred in pregnant women.
 
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