Growing atypical pneumonia cases in Puebla

[Rwilmer]

Re: Growing atypical pneumonia cases in Puebla

I don't really mean to jump in here but from what I know and I know the spanish language quite well. That translates to:

Un comunicado publicado en internet por la Direcci?n de Epidemiolog?a de la SS menciona el fallecimiento de nueve mujeres por mes a consecuencia de neumon?a e influenza, y el escrito precisaba que al 19 de agosto de 2009 se hab?an registrado 682 defunciones maternas.


A statement communicated over the internet by the Authority of Epidemiology of the SS says the deaths of nine women per month as a consequence of pneumonia and influenza, a document dated August 19, 2009 states there has been 682 maternal deaths.

Which means that there has been 682 maternal deaths from this year up until august 19 from ALL causes. Alert you are correct on your assumptions. I spent 5 years in middle/high school and one year in college so far studying French and Spanish. I am very good at these two languages. Que tan bueno es usted en alert espanol?

 

[JimO]

Re: Growing atypical pneumonia cases in Puebla

Isn't the deaths of nine pregnant women per month in just one region an alarming indicator in itself?

 

[estacion]

Re: Growing atypical pneumonia cases in Puebla

This was the original message by Mexican Heath Secretariat:

18 de Septiembre del 2009

Al 19 de agosto de 2009 se han registrado 682 defunciones maternas, en comparaci?n con el mismo per?odo de 2008 en que se hab?an registrado 661 defunciones.
El incremento en las defunciones maternas por influenza o neumon?a se observa a partir del mes de abril y desde entonces se han registrado en promedio nueve defunciones por mes.
Los estados que han presentado mayor incremento en las defunciones por esta causa, en comparaci?n con a?os anteriores son Puebla, Tabasco, Veracruz, Hidalgo, Distrito Federal, Chiapas, Guerrero, Jalisco, Michoac?n, Yucat?n y especialmente el estado de M?xico que ha registrado 17 defunciones hasta la fecha, en tanto que registr? cuatro en el 2008 y una en el 2007.
De las 683 defunciones registradas, 118 cuentan con diagn?stico de neumon?a o influenza en cualquiera de las causas de defunci?n; de ?stas, 58 tienen el diagn?stico como causa b?sica.
Con respecto al resultado de laboratorio 12 cuentan con resultado positivo a influenza A(H1N1), 5 a influenza A sin tipificaci?n, 4 son negativas a influenza, 3 est?n pendientes de resultado y el resto no cuenta con toma de muestra para diagn?stico.
A nivel mundial se ha documentado un incremento en la morbilidad y mortalidad materna durante la pandemia de influenza por el virus A(H1N1), elevando hasta siete veces el n?mero de defunciones maternas por esta causa.
La infecci?n por influenza durante el embarazo puede ser m?s grave que en otros pacientes sanos y plantea riesgos para el feto.
Adem?s de un incremento en la morbi‐mortalidad materna, las madres con infecciones respiratorias graves pueden tener mayor riesgo de parto prematuro. El riesgo se ha observado particularmente en el segundo y tercer trimestre del embarazo.
Las recomendaciones para mujeres embarazadas, son:
*Ante la presencia de s?ntomas respiratorios, acudir de inmediato a la unidad de salud m?s cercana, para recibir atenci?n m?dica oportuna.
*Mantenerse alejadas de personas que tengan una infecci?n respiratoria aguda.
*Lavarse las manos frecuentemente con agua y jab?n.
*No automedicarse.
*Evitar acudir a lugares concurridos.
*Si el m?dico decidi? el manejo ambulatorio, quedarse en casa y mantenerse en reposo hasta que hayan remitido los s?ntomas, si es posible aislada de la familia.

Google translation:

September 18, 2009

At August 19, 2009 there have been 682 maternal deaths, compared with the same period in 2008 when there had been 661 deaths.
The increase in maternal deaths from influenza or pneumonia were observed from April and since then there have been an average of nine deaths per month.
The states that have submitted largest increase in deaths from this cause compared with previous years are Puebla, Tabasco, Veracruz, Hidalgo, Distrito Federal, Chiapas, Guerrero, Jalisco, Michoacan, Yucatan, and especially the state of Mexico that has recorded 17 deaths to date, as recorded four in 2008 and one in 2007.
Of the 683 deaths, 118 have a diagnosis of pneumonia or influenza in any of the causes of death, of these, 58 have a diagnosis as the underlying cause.
On the outcome of laboratory 12 have positive to influenza A (H1N1), 5 to influenza A without typing, 4 were negative for influenza, 3 are pending outcome, the remainder has no sampling for diagnosis.
Worldwide there has documented an increase in maternal morbidity and mortality during a pandemic influenza virus A (H1N1), bringing to seven times the number of maternal deaths from this cause.
Influenza infection during pregnancy may be more severe than in other healthy patients and poses risks to the fetus.
Apart from an increase in maternal morbidity and mortality, mothers with acute respiratory infections may be at greater risk of preterm delivery. The risk has been observed particularly in the second and third trimesters of pregnancy.
The recommendations for pregnant women, are:
* In the presence of respiratory symptoms, go immediately to the nearest health unit, to receive timely medical attention.
* Keep away from people who have an acute respiratory infection.
* Wash hands often with soap and water.
* No self-medicate.
* Avoid going to crowded places.
* If the doctor decided the ambulatory treatment, stay home and keep at rest until the symptoms have resolved, if possible isolated from the family.

Source: Mexican Heath Secretariat
http://influenza.salud.gob.mx/Lists/Noticias/AllItems.aspx

 

[Shiloh]

Re: Growing atypical pneumonia cases in Puebla

Source: http://www.lajornadadeoriente.com.mx/2009/10/14/puebla/atl118.php

Google translation:

Reports the Union of Social Security three deaths from influenza in Atlixco AH1N1

DOMINGUEZ MIGUEL ANGEL RIOS

Atlixco. Reyes Hernandez Rosas, section 1 Puebla general secretary of the National Union of Social Security Workers (SNTSS), said in Atlixco are recorded three deaths from influenza AH1N1 atypical. And one of them said at a news conference, is related to an employee of Social Security, specifically the washing plant installed on the auxiliary board of Metepec.

So far "we much strengthening measures and actions against influenza. The aim of constantly talking with the media is well discern this worrisome problem. Two weeks ago the issue came to terms for alarm, but today it dropped significantly.

The report is that "we had two weeks ago to 56 inpatients. Today the figure is 47. From first to last day of September 48 deaths occurred only atypical pneumonia in the hospital of St. Alexander. In this hospital arrive 2 thousand 800 workers and is visited by 20 thousand people. That the sixth floor is devoted exclusively to respiratory problems. In the emergency area created a flag for every patient also with respiratory complications, and thus prevent further contamination of others ".

This same "policy is applied in the clinic 34 of Atlixco and the sanatorium of Metepec. We hire extra time, especially doctors, to meet demand in centers such as Amalucan and Las Margaritas of such diseases. "

"In the case of the hospital in Metepec, how many cases of atypical influenza deaths are registered?

"Until last week we had three atypical pneumonia. One of them unfortunately were employed by the washing plant. Here's a fact: it is important to review the preventive measures and when you start feeling bad is almost obligatory to visit the doctor.

In the case mentioned, "the recommendation for that person was addressed promptly, but she refused. Even in San Alejandro was offered a disability for five days and refused to continue working with the argument that he needed money. That's the issue. He was finally admitted on Friday in hospital in Metepec, but the state of health deteriorated and was taken to San Alejandro where he died on Monday. "



The case of LFC



On the issue of dismantling the Union of Luz y Fuerza del Centro (LFC), ordered by President Felipe Calder?n, Reyes Hernandez said this was an issue "very difficult. In fact we were already giving it up three weeks ago and discovered an internal struggle between Alexander Munoz treasurer and secretary general. There were several things, like patterns and inflated pride came the two. As they did not negotiate, the federal government seized them. "

To go to adding that "a grant of more than 45 billion pesos annually. It's peak. In times of crisis good money to be applied where there no longer seems complicated background. Following this action of the Executive, we hope that it can happen only under law and that workers are paid liquidating plan accordingly as marked on the collective agreement.

We are "out of it. We come from a difficult process of revising the collective agreement. So the recommendation for unions is to maintain internal unity. It is important that the general secretary of any trade organization to give way to politics, not personal problems. That happened with Luz y Fuerza del Centro and there are consequences. "

- At some point they have no fear that the federal government sticking their hands in their union?

"Those are the risks of a struggle or an internal contest for power. When things are bad, illegally, there are not good omens. The best measure for unions is internal democracy, no reelection, transparency, legality and the law framework. Especially now that the government goes too fussy and badly can grab one of us. Such disunity of Alexander and Augustine Luz y Fuerza del Centro hurt more than 40 thousand workers.

 

[alert]

Re: Growing atypical pneumonia cases in Puebla

Alert you are correct on your assumptions. I spent 5 years in middle/high school and one year in college so far studying French and Spanish. I am very good at these two languages. Que tan bueno es usted en alert espanol?

Your translation is essentially the same as mine in the previous post. I had a total of six years of Spanish between high school and college. I haven't taken any formal French - all the French I can read comes from tracking disease (and from my high school and college Spanish!!!)

If there were 661 maternal deaths last year, then 682 this year is not much of an increase. At most 21 excess deaths, and that could just be year-to-year fluctuation.

 

[Shiloh]

Re: Growing atypical pneumonia cases in Puebla

Source: http://www.lajornadadeoriente.com.mx/2009/10/15/puebla/sal211.php




Thursday, October 15th, 2009
La Jornada de Oriente - Puebla - Health


In one and a half there have been 49 deaths by SARS in the Hospital de San Alejandro: SNTSS

Americo Faria OCAMPO

The general secretary of section 1 of the National Union of Social Security (SNTSS), Reyes Hernandez Rosas, September reported that to date 49 deaths have been recorded by SARS in the Hospital de San Alejandro del IMSS, ie there were more than one death per day. Some of them might have been caused AH1N1 virus, but health authorities have not yet confirmed.

The head of medical services of the IMSS delegation, Eduardo Morales Hern?ndez, explained that patients who have died from SARS undergo a lung biopsy by experts from the National Medical Arbitration Commission (CONAMA), so from that study was to determine whether the dead were infected with human influenza. To date, he added, do not have any results from those tests.

Gatell Hugo Lopez Ramirez, general director of epidemiology at the Federal Ministry of Health, said in an interview earlier this means that during this third rebound of the virus AH1N1 is required doctors to report suspected cases of human influenza all deaths from pneumonia, severe acute respiratory infections and influenza-like illness (ETI), as indicated during the contingency is probable that up to 80 percent of suspected cases test positive to the new strain.

When it began in April 2009-health contingency - for human influenza, the local Health Ministry has reported only five deaths from the virus AH1N1. Three occurred in hospitals of the state agency, one in the IMSS and the ISSSTE another.

The first victim was a 33-year-old native of Santa Maria Moyotzingo, Auxiliary Board of St. Martin Texmelucan. The second, a 11 year old girl originally from Tehuacan, the third, a 52-year-old from Tlatlauquitepec, Puebla, the fourth, a girl of two years of the number nine health jurisdiction, based in Tepexi Rodriguez, and the fifth, a 48 years old.

Morales Hern?ndez San Alejandro reported that currently have 50 dependents hospitalized for symptoms of human influenza, but so far none have been confirmed as positive for the new strain of influenza by the laboratory of the Hospital of La Raza, Mexico, which is the site where we analyze all samples sent by all the hospitals of the IMSS in Mexico.

The official explained that 80 percent of hospitalized patients is composed of adults and 20 percent are children.

He said although in recent days has increased the demand for health services for respiratory diseases in all units of family medicine clinics and care centers, the delegation state of Puebla has contemplated hiring more staff, since he considered that the current workforce is sufficient to meet the health contingency. Hernandez Rosas noted that although the hospital authorities of St. Alexander assigned the sixth floor of the hospital to care for patients with respiratory problems and those infected with influenza, this place has already been exceeded by demand, with only 47 beds were arranged.

 

[Shiloh]

Re: Growing atypical pneumonia cases in Puebla

Source: http://www.poblanerias.com/alertadi...registra-17-muertes-por-influenza-a-h1n1.html

IMSS Puebla recorded 17 deaths from Influenza A H1N1


Patricia Guti?rrez Rodr?guez Tuesday, October 20th, 2009 15:08
News - Outstanding, Alerta Digital

But the latest report by the Health Services of the State of Puebla, states that only five deaths have occurred.

Puebla, Puebla .- Francisco Fraile Garc?a representing the Mexican Social Security Institute (IMSS) in Puebla, revealed that from April to date, 17 have died entitled Influenza A H1N1.

However, this figure does not match the latest report from the Health Services in the State of Puebla (SSEP), an agency that reported only five deaths from the same cause.

In response, Fraile Garcia said that the numbers representing the institute, are real.

"Confirmed deaths from this cause are 17 April to get here (...) mainly in the city of Puebla is where we are having the greatest impact in this case (...) I say what we have in the institution and the institution does not lie" .

He added that at least 36 others remain hospitalized and treated, after contracting the virus.

The delegate gave the starting signal to four new ambulances, an investment for the acquisition was 1 million 800 thousand pesos, they will be assigned to the municipalities of Nuevo Necaxa, Izucar de Matamoros Tehuac?n and central ambulances in the hospital San Alejandro.
Edit/Delete Message

 

[Shiloh]

Re: Growing atypical pneumonia cases in Puebla

Source: http://www.poblanerias.com/alertadi...-insiste-en-solo-5-muertes-por-influenza.html

SSEP people insist on only 5 deaths from influenza


Wednesday, October 21st, 2009 13:23
News - Outstanding, Alerta Digital

Reliance said it expects the certification of 24 cases of deaths sent by IMSS to CONAMED.

Puebla, Puebla .- The Ministry of Health announced that 2 thousand 307 samples sent for analysis to the National Institute of Epidemiological Reference (INDRE), now a thousand reported 387 cases of influenza A H1N1 positive, which includes the 7 cases identified in other entities.

The owner of Health Services in the State, Dr. Jos? Alfredo Arango Garcia, said that to this day continues with 5 deaths from complications related to this condition, while results are expected 24 cases of atypical pneumonia deaths, suspected of influenza A H1N1 sent by the Mexican Social Security Institute to CONAMED to be certified the direct cause of death.

The official said that once you have obtained the decision of the National Medical Arbitration Commission, the governing body for analysis of all clinical records, it may announce the cause of death without margins of error.

For its part, the deputy director of epidemiology, Dr. Araceli Soria C?rdoba, urged people to continue their health protective care and not exposed to sudden temperature changes.

According to the breakdown of the positive cases by health jurisdiction, 876 positive cases are for the town of Puebla, 119 to Zacapoaxtla, 99 Tehuacan, 64 Huejotzingo Health Jurisdiction, 49 to Huauchinango, 46 to San Salvador El Seco, 41 to Tepexi Rodriguez, 34 to Chignahuapan, 29 to Acatlan de Osorio, 23 to Izucar de Matamoros.

As regards gender, 616 (53%) positive cases were women and 544 (47%) while men, by age group, 511 (44%) are children and 635 (56%) adults.

On the epidemiological situation of this disease in neighboring states, said that 549 thousand Veracruz reported positive cases, Oaxaca thousand 380 thousand 348 Guerrero, Estado de Mexico thousand 367 thousand 232 Hidalgo, Tlaxcala thousand 41, Morelos 343, without longer believes that the entity is below the national average.

He reiterated that the Health staff have the training and the necessary inputs, such as Tamiflu and confirmatory tests in order to give patients the best care in all clinics in the state, he urged people to avoid self-medication or home remedies, and go immediately to the nearest health unit to your home, since the diagnosis of this disease is vital to avoid complications and risks.

He stressed that although there is still no date set for counting in the state with the vaccine virus A H1N1, it is important that people who are in vulnerable groups, attend health unit to receive vaccination against seasonal influenza, as every year, is being implemented throughout the month of October and November for free.