Influenza A is the critical situation in Santa Fe

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Maximum health alert / Preocupaci?n official expansion into the interior

Influenza A is the critical situation in Santa Fe

Crece mortality, there were 62 victims across the province and is near to overcome lethal cases in Buenos Aires; pathology prior

THE NATION

SANTA FE .- The province is on track to become the the largest number of fatalities caused by the epidemic of influenza A (H1N1).

Yesterday, the number of deaths officially reached 62, four more than before. 760 cases were virologically confirmed, leaving 400 out of 5250 tokens were admitted to the system web monitoring the epidemic. Until yesterday, in the province of Buenos Aires, which concentrates the largest number of fatalities, there were 72 victims.

Here, the picture of health is considered very critical.Santa Fe, gradually is becoming the territory most affected by the virus.

While yesterday acknowledged a decline in the number of influenza A by thousands of professionals working 15 hours per day to care for the sick. And the warnings were ratified: the government will license up to 27 this month, it is likely that the resumption of school, scheduled for that date was postponed another week, and speculation with a new closure of public places such as casinos and shopping malls.

These days, during the winter holiday period, many Santa Fe occupy public spaces along with their families, to take advantage of outdoor activities. Rosario and the coastal districts between Santa Fe and are re-elected, although the hotel reservations and gastronomic activity fell 40 percent.

It also jeopardized the election for governor in Vera, scheduled for next Sunday, seven months after the assassination of the mayor, the radical Raul Encina Seco.

Asked the candidates to the governor, Hermes Binner, postponement, "taking into account the cases in that city would risk being increased with a concentration of people in the local vote."

Aggravated cases
For monitoring the epidemic influenza conducted in the province shows that the virus was lethal in patients with pathologies that prior consultation late aggravated cases. According to La Nacion had access, 80 percent of the 62 deaths suffered any disease, like diabetes, AIDS or immunosuppressive diseases.

Faced with the sudden rise in the number of deaths, the provincial government consulted with experts from the Pan American Health Organization (PAHO) and the Centers for Disease Control and Prevention of United States (CDC).

"We analyzed the situation with the technicians because Santa Fe province is a serious, giving all the details. We believe that studying the data of deaths by influenza A is important in order to defeat the pandemic, they are preliminary data that may be useful later in order to progress and develop specific health measures, "said Santa Fe Health Minister, Miguel Angel Cappiello.

"The variation of the numbers [of cases registered in connection with monitoring conducted at the national level] is related to an adjustment in the system of disease surveillance, which is closer to reality," said the Secretary of Health Debora Ferrandini, who confirmed that measures of social distancing and school closures have helped reduce the spread of the virus.

The province began the week today with a steady decrease of the consultations and the communists, even though it still shows the increase in international in intensive care in serious cases.

Cappiello said: "We must remain alert to this disease because in the northern hemisphere there is a resurgence, despite the summer. The eyes of the world are in Argentina and in the southern hemisphere, where other viruses are circulating" typical of the winter season.

The threat of dengue
But the crisis for the health of Santa Fe will not end with influenza A. Epidemic in full, the provincial Ministry of Health activated the alarm against the possibility that there were a strong resurgence of dengue in the cold decline.

Therefore, starting from August descacharrado tasks and eliminating mosquito breeding grounds, in addition to a new awareness campaign. The fear is that the excess of reported cases during the summer when there were more than 1,300 infected in the province.

The possible reappearance of dengue would carry the risk that the outbreak was more aggressive than the previous one. "There is the possibility of severe dengue, stronger than feverish. Do not be ruled out against the threat of a new epidemic. If we eliminate reservoirs [Aedes aegypti mosquito, vector of the dengue virus] in the country, is highly probable. There are three serotypes [infectious microorganisms] of the disease circulating in South America, "said Ferrandini.

La Naci?n - 20/07/09​

The Nation - 20/07/09 :tiphat:http://74.125.115.132/translate_c?h...usg=ALkJrhi4yxVY6e9JL9ilVu7ZatHFbbJatQ#M?xima​

 

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Re: Influenza A is the critical situation in Santa Fe

Santa Fe elect to study the behavior of influenza A

Tuesday July 21, 2009 | 11:02 (updated 17:50)

WHO, PAHO and the Ministry of Health will analyze the national development of the epidemic in that province, where 68 fatalities were recorded in San Luis, killed three others, the director of epidemiology bonaerense spoke of the need to comply with measures to prevent further contagion Yaque peak may still be some more.

Forecasts of a new outbreak of influenza A virus over the next few weeks remain in suspense for specialists who monitor the daily behavior of the disease, while still a request to not abandon the people of preventive measures. Meanwhile, Santa Fe confirmed six new deaths and San Luis, three others.

The World Health Organization (WHO), Pan American Health Organization (PAHO) and the Ministry of Health of the Nation chose the province of Santa Fe to study the epidemiological behavior of influenza A and delineate new health policies and strategies .

Provincial Health Minister, Michael Cappiello, informed decision and said that the method is applied to a major who has "the epidemiology of any pandemic: study of death and on that basis is constructed and indicators that allow devise strategies to address it. "

The province today confirmed six new cases in the last 36 hours, bringing to 68 the total number of people killed by H1N1 influenza.

The deceased with 68 laboratory confirmed, and according to the report by place of residence (and death) are 42 area Rosario, 15 belong to the Great Santa Fe, five to the north of Reconquista, the four western Rafaela and two Venado Tuerto.

In addition, 40 of the deceased were women, with an average age of 44 years and 28 males whose average age is 41 years.

Buenos Aires. This morning, the director of epidemiology in the Ministry of Health of Buenos Aires, Mario Masana Wilson, told the press warned that it was not yet time to "drop our guard." And he stressed: "This disease still can give us some more and peak moments of anxiety."

Epidemiologist stressed the importance of taking action "appropriate and prudent in the current context, and stressed the need to unify criteria and speeches from various government agencies.

Masana Wilson confirmed that the measures announced at the beginning of the epidemic remain and which must be met to avoid liability with the contamination is a new and unpredictable disease.

In San Luis, meanwhile, the Health Minister, Julio Quevedo, confirmed three deaths from the virus.

At a press conference, the official acknowledged that about 298 suspected cases, there were 17 deaths from severe respiratory complications and the Institute Malbr?n confirmed that three of these cases were the victims of the pandemic influenza N1H1.

This is a patient of 52 years, another 20 and a boy of 5 years, coming from Villa Mercedes and the provincial capital. Only one case had an added condition, while two others entered the Health Complex and died with severe pneumonia in intensive care, said the official.

Extension.
Driver's licenses for professionals due to expire in July remain in force until August 31 as part of measures to overcome the epidemic of influenza A.

As published today in the Official Gazette, the National Transport Regulation (CNRT) extended the licenses for drivers involved in automobile transport services of passengers, general cargo and dangerous goods.

The measure serves to avoid the massive attendance of professionals at the centers of renewal of licenses and "normalize" the attention to the number of employees who are graduates.

The extension "will reach all those drivers who are unable to perform the psychophysical assessments and / or training courses, as a result of the suspension of activities by the medical providers and qualified trainers," explains the rule.:tiphat:http://www.lanacion.com.ar/nota.asp?nota_id=1152982

 

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Re: Influenza A is the critical situation in Santa Fe

<TABLE class=recuadro border=0 cellSpacing=0 cellPadding=0 width=465><TBODY><TR><TD><!-- google_ad_section_start -->For the work performed in the province
Santa Fe was chosen by WHO to

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explore how the influenza A

Wednesday July 22 2009


The World Health Organization, the Pan American Health Organization and the Ministry of Health of the Nation, chose Santa Fe for the epidemiological study that will outline new policies and health strategies to tackle the pandemic.

According to the announcement the previous day by the Minister of Health of the province, Miguel Angel Cappiello province has been working "on a more serious, offering the most reliable and transparent information" which lets you define actions to address pandemic flu A.
The method to be applied in Santa Fe is one of the major epidemiological studies that have any pandemic: We study the deaths, and on that basis, it was built to allow information and indicators to devise strategies to address it, "said Minister Health of the province, Miguel Angel Cappiello, after a meeting that took place at the provincial office of president.
In that sense, "one of the first analysis allowed us to know that if the patient consultation before the two days of symptoms appearing, is recovering from a generally favorable, and if on the contrary it does after three or four days, morbidity is generally higher, "said Cappiello.

With regard to selection, the head of the provincial health noted that Santa Fe was chosen "because the province, according to these international organizations, is working on a more serious and provide the best information and transparent," said Health Minister of the province.
Meeting with Governor Hermes Binner, also attended two medical consultants from PAHO: Ophelia Girls, medical and sanitary Nicaraguan plastic surgeon, and Alethse De la Torre, Mexican medical specialist in infectious diseases who are in the province to monitor the work that is done to combat pandemic influenza and provide technical support to the Ministry of Health to address this problem.

Transparent
After the meeting, Girls valued as "very positive effort made by the Ministry of Health of the province, where" we see a cohesive team, working with people and for the people. "
"The work we do is serious and transparent information, allowing us to analyze the emergence of virtually all cases, and future steps to be taken to avoid further complications and deaths," he added.
For his part, De la Torre said that the decision on measures to combat the disease depend on the management of the governor and the Ministry of Health. "
"The effort is done and the transparency with which the data are handled, the strength and solidity that is team work and communication given to the community is essential to a good response and cohesion throughout the health service , "added the Mexican expert.
"The data that we see are those officially published. We found fluidity and transparency of information. It's wonderful how they are being released from the government this information in a clear and concise, "he said.

Asimismo,​

Also, girls then explained that the main mission of PAHO is the technical advice, "and it aims to" strengthen the capacities of ministries of health of the member countries of PAHO and the World Health Organization (WHO ) ".
Finally, the medical Nicaraguan added that "we are very encouraged by this team to further strengthen these efforts and, in a very coordinated, both with the authorities and the community, being developed."
Also participating in the meeting the secretary of Health, Debora Ferrandini and the director of Promotion and Prevention Health Uboldi Andrea.


"It will all Latin America"

Health Minister Miguel Angel Cappiello, said this morning that Santa Fe is a team of experts from different locations, sent by the Pan American Health Organization, to work with the ministry of the province in some instruments, which then will be replicated throughout the country and in Latin America. We will make an analysis of deaths and pharmacovigilance of medicinal products. "
The head of the provincial health stated that "these two procedures, these two studies are done here at the request of the PAHO and the Ministry of Health of the Nation, and relate to recognize the work of the ministry team This makes the province and provide transparency in the data in real time. He added that "we are a province that, through training of our professional teams, is able to confirm in real time cases of the virus in each patient and especially in those who die in institutions, or postmortem."
Cappiello said, "Santa Fe has one third of deaths in the country" and said that "yesterday we reported no patient died."

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On work done with experts from PAHO, said that "will have 40 pages and will mean that there are 10 teams working in the province, with monitoring of clinical, physicians who treated patients after their families. This will take about 30 days for the first analysis, "he said.
He maintained that "this has to do with the transparency with which we are working and providing information in real time. We can make this work that will serve all of Latin America and the world by way of working. "
Finally noted that "the fact that they rely on us to do this work because it is the best way to fight the influenza A is having good information. Without that, it is impossible to defeat the pandemic, "he concluded.

Health Minister Michael Cappiello, Ophelia Girls, PAHO consultant, the secretary of Health, Debora Ferrandini; Governor Hermes Binner; Alethse De la Torre, PAHO consultant and director of Promotion and Prevention Health Andrea Uboldi.




Without new deaths
The minister stressed Cappiello today kept in 68 cases of death in the province and that this "does not reach the rate of mortality and the lethality or that is marked as internationally. However, a death for that family is a hundred percent, and we must be respectful of that. We must be mindful that if in future there is an outbreak, we are better able to avoid anyone die. "
He added that "20% of patients were healthy, which should be more because we must look to see what are the reasons for the event.

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There are already preliminary issues related to the time of consultation, analysis of very few critical stories, if consulted before 2 days and half the table was reversed and, after 3 or 4 days, no ".:tiphat:http://tinyurl.com/mqhnt4


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