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Growing atypical pneumonia cases in Puebla

Re: Growing atypical pneumonia cases in Puebla

Shiloh said:
So there might be a very large undercount of deaths due to A/H1N1 in Mexico
Click to expand...

I agree. If you go back to April, remember that they reported hundreds of suspect deaths at the beginning, but only confirmed a couple dozen.

Puebla, where this is going on, has only reported FIVE confirmed deaths during the entire pandemic.
 
Re: Growing atypical pneumonia cases in Puebla

Concealment reported flu cases in Sinaloa
They note that state health teachers recorded the deaths of two professors from pneumonia, when in fact died of H1N1 virus

Culiacan, Sinaloa Tuesday, 06 octubre of 2009
09:07 The teachers union accused the Health sector to conceal the death of two teachers of technical secondary schools in Culiacan and Guasave A1HN1 human influenza, since in the death certificate identifies "problems of pneumonia."

Quinonez Jaime Mu?oz, secretary general of Section XXVII of the National Union of Education Workers, said that data are available on a very high number of mentors who are infected and hospitalized, so Health is required to react in their care.

He said relatives of the teacher Juan Carlos Castro Salazar, Technical School Tajito Guasave and Jesus Navarro, a similar school in Culiacan, have elements of medical opinion and support these died of human influenza virus.

About these cases last week, Secretary of Health, Hector Ponce Ramos, said it has recorded only one death from this disease since the first broadcast the alert, and it was a teenager in the city Mazatlan. :tiphat:http://www.eluniversal.com.mx/notas/631311.html
 
Re: Growing atypical pneumonia cases in Puebla

Sure, blame it on the seasonal flu...

http://translate.google.com/transla...bla+neumonia&hl=en&lr=&tbo=p&num=20&tbs=qdr:d

Atypical pneumonia and influenza, seasonal, more serious than AH1N1: SSA E-Mail E-Mail
Por M?nica Franco By Monica Franco
lunes, 05 de octubre de 2009 monday, 05 of 2009 of octubre




La Secretar?a de Salud Federal recomend? a los gobiernos estatales modificar los criterios de vigilancia epidemiol?gica , al detectarse cambios en los patrones de contagio de Infecciones Respiratorias. The Federal Health Ministry recommended to the state governments to amend the criteria for epidemiological surveillance, to detect changes in patterns of transmission of respiratory infections.

Mar?a de Jes?s Hoy Guti?rrez, directora de Vigilancia Epidemiol?gica de la SSA Federal, advirti? que hoy el problema ya no es la Influenza AH1N1 porque la malignidad esta controlada ; "es estable", refiri?. Today Maria de Jesus Gutierrez, Director of Epidemiological Surveillance Federal SSA, said that today the problem is no longer AH1N1 influenza because the malignancy is controlled, "stable" Vazquez said.

Consider? que se requiere "hacer una revisi?n profunda" a los casos que se presentan por neumon?a at?pica e influenza estacional , as? como las Infecciones Respiratorias Agudas Graves pues ah? hay mayor mortandad. He considered that it is required "to do a thorough review" the cases submitted by atypical pneumonia and seasonal influenza and the Severe Acute Respiratory Infections because there is no greater mortality.

En cuanto al virus AH1N1 la funcionar?a federal expuso que solo el 10% de los casos probados son graves y llevan a la muerte a sus portadores ; dijo que solo uno de cada tres sospechosos son positivos a influenza humana y el 90 por ciento son casos leves que solo registran hasta tres o cuatro d?as de molestias. As the virus AH1N1 the federal work stated that only 10% of proven cases are severe and lead to death in their carriers, said that only one of every three suspects are positive for human influenza and 90 percent are mild cases having only three or four days of discomfort.

Al rendir una conferencia magistral "Situaci?n Actual de la Influenza y su perspectiva" ante funcionarios de la SSA estatal, IMSS, Issste e Issstep, as? como m?dicos poblanos, Hoy Guti?rrez resalt? que " en lugar de enfocarse en un seguimiento num?rico, de contarse casos, las autoridades sanitarias deben garantizar atenci?n de calidad a todos los enfermos , no solo de Influenza AH1N1, pues la meta es evitar la muertes por cualquier padecimiento". In paying a lecture "Current Status of Influenza and perspective" to state officials from SSA, IMSS, ISSSTE and Issstep and medical poblanos, Gutierrez emphasized today that "instead of focusing on a numerical tracking of cases counted , health authorities must ensure quality care for all patients, not only influenza AH1N1, because the goal is to prevent deaths from any disease.
 
Re: Growing atypical pneumonia cases in Puebla

http://www.intoleranciadiario.com/nuevo/despliegue-noticia.php?id_noticia=49452

Multan to drivers for violating sanitary


Die 2 operator, suffered pneumonia





Pilar Bravo


For not complying with the guidelines recommended hygiene sanitation, public transport service began to receive fines from the Ministry of Communications and Transport, said Lazaro Jimenez Aquino. The official said the fines could be up to 50 days' wages for failing to comply with the recommendations. It also said it is not mandatory that drivers using masks and latex gloves because they work long hours and these measures are inconvenient.

Lazaro Jimenez denied that the deaths of two operators that occurred last week on routes 53 and 72, were human influenza, as cases have not yet been confirmed by health authorities but admitted that the victims suffered from pneumonia that was fulminating and resulted in death pathways. He recommended that we must await confirmation from health officials and recommended to the delegates of the routes remain alert. The aim is to detect drivers who have flu symptoms to be treated in time and prevent further infections.

A risk group president of the Alliance for Transportation, Jesus Morales Paz, confirmed the deaths of two operators for respiratory diseases that were complicated by pneumonia and requested an analysis to see if they were victims of human influenza.

The union of carriers requested support from the SCT to ask the authorities of the Health Ministry that the operators are considered as risk group due to the contact you have with users and are working for fourteen hours straight. The operators, he said, are exposed to cold and heat, sudden changes that impact their health, hence the need for vaccination during their Health Week.

The Lazarus Jim?nez, deputy secretary of Transportation, made a new appeal in 180 transport routes of Puebla and the metropolitan area for action spray that take more than ten minutes.
 
Re: Growing atypical pneumonia cases in Puebla

Another case blamed on atypical pneumonia, instead of H1N1.

http://translate.google.com/transla...bla+neumonia&hl=en&lr=&tbo=p&num=20&tbs=qdr:d

Classes suspended in the ITO for Alleged Death by Influenza Type A H1N1.
--------------------------------------------------------------------------------

? Una catedr?tica falleci? en la cl?nica de especialidades del IMSS. ? A professor died in the IMSS specialty clinic.

Juan Santos Carrera . Juan Santos Carrera.
Fueron suspendidas las clases a los 5 mil 200 estudiantes del Instituto Tecnol?gico de Orizaba (ITO) ante la presunci?n del deceso de una catedr?tica a causa del virus de la Influenza Tipo A H1N1 y que oblig? a la direcci?n a desinfectar todas las instalaciones de la M?xima Casa de Estudios de Orizaba. Classes were suspended at 5 thousand 200 students from the Instituto Tecnologico de Orizaba (ITO) to the presumption of death of a professor because of Influenza Virus Type A H1N1 and forcing management to disinfect all facilities of the Maximum Casa de Estudios de Orizaba.

Alumnos del ITO, informaron a los medios de comunicaci?n que una profesora, docente el ?rea de ingenier?a industrial, solicit? desde hace dos semanas un permiso por su estado de gravidez, pero falleci? en la Cl?nica de Especialidades del Instituto Mexicano del Seguro Social (IMSS) de esta misma ciudad de Orizaba. Students of the ITO, informed the media that a teacher, teaching the area of industrial engineering, applied two weeks leave for their state of pregnancy, but died in the Specialty Clinic of Instituto Mexicano del Seguro Social (IMSS) of this city of Orizaba.

Lo anterior, fue confirmado por el subdirector de servicios administrativos del plantel, Adri?n Reyes Ben?tez quien indic? que el bebe, fue salvado por personal del Instituto, no as? la catedr?tica: This was confirmed by the deputy director of administrative services of the campus, Adrian Reyes Benitez who said the baby was saved by Institute staff, not the professor:

"Se ha comentado que su muerte tuvo que ver con este virus de la Influenza Tipo A H1N1, sin embargo no tenemos la certeza de que esto as? haya sido; la causa de muerte seg?n dice el Certificado M?dico, fue una neumon?a aguda, la cual hizo que sus pulmones dejaran de funcionar". "He commented that his death was related to the influenza virus type A H1N1, however we are not certain that this well has been, the cause of death says the medical certificate was acute pneumonia, which had his lungs stop functioning.

Por ese motivo las clases fueron suspendidas en el ITO, personal de limpieza se encarg?, apoyados por maestros, de lavar y desinfectar de manea principal las aulas, mesa bancos, pupitres, servicios sanitarios, escaleras, pasillos, pasamanos y escritorio a fin de evitar m?s contagios entre el personal acad?mico, manual o la propia comunidad estudiantil. For this reason classes were suspended in the ITO, cleaning staff was responsible, supported by teachers, to wash and disinfect main hobble the classroom, table benches, desks, restrooms, stairways, hallways, railings and a desk to avoid more infections among academic staff, manual or the student community itself.

"Es una situaci?n ya estaba programada dentro de los aspectos de control de la contingencia que tenemos provocada por la influenza; no recuerdo el mes pero fue en marzo o abril que hicimos una tarea semejante" concluy? el entrevistado quien anunci? que el pr?ximo lunes, las clases se reanudar?n de manera normal y con todo el plantel desinfectado. "This situation was already scheduled within the control aspects of contingency that we caused by influenza can not remember the month but was in March or April we did a similar task," concluded the respondent who announced that next Monday, the Classes will resume as normal and disinfected the entire campus.
 
Re: Growing atypical pneumonia cases in Puebla

Florida1 said:
I have made another submittal to ProMed.
Click to expand...

Good luck. I doubt this will get a ProMed posting. Seasonal flu does not get reported on ProMed (and that is what they are blaming this on), and Pandemic H1N1 only gets "big picture" stories, and an increase in cases in one locality will not merit a posting.

It is the same reason we could not get a ProMed posting in April.
 
Re: Growing atypical pneumonia cases in Puebla

#64:
"As the virus AH1N1 the federal work stated that only 10% of proven cases are severe and lead to death in their carriers"


"ONLY" 10% of proven cases are severe ...

:bat:
 
Re: Growing atypical pneumonia cases in Puebla

Source: http://www.e-consulta.com/index.php?option=com_content&task=view&id=37519&Itemid=202

Google translation:

Atypical pneumonia and influenza, seasonal, more serious than AH1N1: SSA
By Monica Franco
monday, 05 of 2009 of octubre


The Federal Health Ministry recommended to the state governments to amend the criteria for epidemiological surveillance, to detect changes in patterns of transmission of respiratory infections.

Today Maria de Jesus Gutierrez, Director of Epidemiological Surveillance Federal SSA, said that today the problem is no longer AH1N1 influenza because the malignancy is controlled, "stable" Vazquez said.

He considered that it is required "to do a thorough review" the cases submitted by atypical pneumonia and seasonal influenza and the Severe Acute Respiratory Infections because there is no greater mortality.

As the virus AH1N1 the federal work stated that only 10% of proven cases are severe and lead to death in their carriers, said that only one of every three suspects are positive for human influenza and 90 percent are mild cases having only three or four days of discomfort.

In paying a lecture "Current Status of Influenza and perspective" to state officials from SSA, IMSS, ISSSTE and Issstep and medical poblanos, Gutierrez emphasized today that "instead of focusing on a numerical tracking of cases counted , health authorities must ensure quality care for all patients, not only influenza AH1N1, because the goal is to prevent deaths from any disease.
 
Re: Growing atypical pneumonia cases in Puebla

Post #69 is a duplicate of #64, but we might want to keep it because of the different emphasis.
 
Re: Growing atypical pneumonia cases in Puebla

Two points here. Only one positive case in the city of Matamoros? That is a fairly large city, right on the border of the US at Brownsville, Texas. Secondly, where the blue star is, Google actually inserted the words "bird flu". Come on, Google. Tracking this is hard enough without that kind of nonsense...

http://impreso.milenio.com/node/8652361

The biopsy was negative to the virus
Campaña incompleta Campaign incomplete
De los casos positivos de la gripe AH1N1, 36 son de Torreón. Of positive cases of influenza AH1N1, 36 are of Torreon.

2009-10-06•Comarca y Estados 2009-10-06 • District and the



La Ssa comenzó ayer la Semana Nacional de Vacunación sin las dosis contra la influenza. The SSA began yesterday the National Immunization Week without the dose against influenza. En Coahuila se descarta que el virus haya provocado la muerte de cuatro pacientes. In Coahuila is possible that the virus has killed four patients. Foto : Héctor Télez Photo: Hector TELEZ Torreón .- A decir de las autoridades de salud, la influenza tipo AH1N1 no fue lo que provocó la muerte de la niña estudiante de la escuela Primaria Anexa a La Normal. Torreon .- As a matter of health authorities, influenza type AH1N1 was not what killed the girl student at the Elementary School Attached to Normal.

También se descartó el contagio de otros tres fallecimientos que se registraron como sospechosos, entre éstos el estudiante de San Pedro de las Colonias. Contagion also ruled three other deaths that were recorded as suspects, among whom was a student at San Pedro de las Colonias.

José Aguirre Carrillo, jefe de la Jurisdicción Sanitaria número seis informó que ya son 38 casos positivos a influenza humana en lo que refiere a la dependencia a su cargo, 36 corresponden al municipio de Torreón, uno a Matamoros y uno a Viesca. Jose Aguirre Carrillo, head of the Sanitary Jurisdiction number six that are already reported 38 cases positive for human influenza in what concerns the department at his charge, 36 belong to the municipality of Torreón, [one in] Matamoros to one Viesca.

Hasta la fecha suman ya 540 casos de evidencia epidemiológica, es decir que han sido catalogados como sospechosos. To date now total 540 cases of epidemiological evidence, ie that have been listed as suspects.

El jefe jurisdiccional detalló que según se le informó por parte de las autoridades de la Secretaría de Salud en el estado, el resultado de los análisis de la biopsia tomada a la niña de once años, estudiante de la escuela Anexa a La Normal, resultaron negativos al nuevo virus. The chief court explained that he was told by the authorities of the Ministry of Health in the state, the test results of the biopsy taken at the eleven-year-old student at the school annexed to normal, were negative [with respect to] the new virus.


Deceso de la alumna de la escuela Anexa no fue por la gripe AH1N1 Foto : Guillermo Solís Death of the student in the school was annexed by [influenza]* AH1N1 Photo: Guillermo Solis
Aseveró que también se descartó que la influenza humana haya sido la causa del fallecimiento de otras dos mujeres, una originaria de Matamoros y otra del municipio de Torreón quien se encontraba embarazada. He asserted also denied that the human influenza has been the cause of death of two women, a native of Matamoros and the town of Torreon another who was pregnant.

“También se descartó el caso del niño de San Pedro. "He also dismissed the case of [the child] of San Pedro. Se siguen mandando muestras, en el registro tenemos que hay tres personas hospitalizadas en Torreón que están como sospechosos, por lo que se les tomó la muestra. Continue sending samples, the recording we have three people who are hospitalized in Torreon as suspects, so they took the sample.
El diagnóstico que se maneja es por neumonía atípica”, detalló el funcionario de salud. The diagnosis that is handled by atypical pneumonia ", the official health.

Aguirre Carrillo manifestó que en el estado de Coahuila los casos suman 146 y que a la fecha están pendientes por confirmar o descartar alrededor de 15 pacientes, cuyas muestras fueron enviadas hace dos o tres días. Carrillo Aguirre said that in the state of Coahuila where 146 and added that to date have remained to be confirmed or ruled around 15 patients whose samples were sent two or three days ago.
El jefe de la dependencia de salud resaltó la importancia de seguir las medidas preventivas. The head of the health agency stressed the importance of further preventive measures.
 
Re: Growing atypical pneumonia cases in Puebla

Maybe the virus has changed in a way that the current tests are not working. If this is the case then I encourage the CDC to get there and investigate. I know testing is poor down there but it can't be that poor.
 
Re: Growing atypical pneumonia cases in Puebla

The previous post (#71) also indicates that out of 540 suspects, only 38 have come back positive for Pandemic H1N1, whereas across the border in the US, 95% of the flu is H1N1.
 
Re: Growing atypical pneumonia cases in Puebla

alert said:
The previous post (#71) also indicates that out of 540 suspects, only 38 have come back positive for Pandemic H1N1, whereas across the border in the US, 95% of the flu is H1N1.
Click to expand...

I read it as a 7% positive rate - which could also indicate they are not doing the nasal swabs correctly. Texas percent positive is 30.5% in most recent report.
 
Re: Growing atypical pneumonia cases in Puebla

Hogweed said:
I read it as a 7% positive rate - which could also indicate they are not doing the nasal swabs correctly. Texas percent positive is 30.5% in most recent report.
Click to expand...

I didn't even think of that one - perhaps the lab is good, but the swabbing is poor. Remember, in the severe cases, H1N1 can be more difficult to detect - remember the lesson of Matt and Mindy McIntosh.

Would immunofluorescence tests provide more false negatives than PCR? I have seen no evidence that PCR testing is being done anywhere in Mexico.
 
Re: Growing atypical pneumonia cases in Puebla

You know, I think that there might be different varients of this virus. One that causes mild infection and one that is severe.
 
Re: Growing atypical pneumonia cases in Puebla

Rwilmer said:
You know, I think that there might be different varients of this virus. One that causes mild infection and one that is severe.
Click to expand...

The US CDC has been looking for that for the past five months and found no evidence of that.

The epidemiology is also not consistent with that - if that were true, if you got the virus from a severe case, you would get a severe case, and if your contact had a mild illness, so would you.

But the principal of the school in NYC in April died after having contact with mild cases in his students (as did Matt McIntosh), and of the 1,900+ fatalities in the US, only one (McIntosh again) had a fatal case in a family member.
 
Re: Growing atypical pneumonia cases in Puebla

http://www.flutrackers.com/forum/showthread.php?t=127212

The above post (Hat-tip Ironorehopper) mentions that the CDC did detect one sample that they believe was a drift variant. I have no clue where this came from geographicallly. Could this have come from Mexico? It is likely that such a virus would test negative by Mexico's testing methods. Could such a virus be spreading widely in Mexico?
 
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