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Influenza exceeded catastrophic scenarios, but it is a mild virus: INER
In Mexico, 13 have been identified severe influenza epidemics, with relatively high mortality rates: 1667, 1734, 1805 (influenza and typhus), 1806, 1826, 1837, 1846 (influenza and typhus), 1881, 1889, 1918 (high mortality), 1920, 1957, 1959.
Sun, 25/04/2010 - 12:38
In April last year were alerted by several cases of influenza.
ArchivoCiudad of Mexico-The director general of the National Institute of Respiratory Diseases, Rogelio Perez Padilla said that one year of the pandemic H1N1 epidemiological catastrophic scenarios projected by WHO to Mexico, 18 000 605 deaths, 30,000 hospitalizations and about 4.5 million outpatient visits, not only met but were exceeded by far.
Perez Padilla said in an interview that the INER, as a referral hospital where special units were opened and use a special target computer, type astronaut, have been equally or even more patients than those reported in the first stage, peak or pandemic outbreak, in late April 2009, with 45 patients, and forcing the government to implement social distancing measures extreme.
"We started to pick up more cases of the commons, which were about 20, from January 2010, in the second week in February raised the figure to double, until 10 days of hospitalization ranged between 45 and 15 intubated hospitalized now, since there is a decrease, we only have 23 people detained and 11 were intubated, but we believe it is still a high figure considering that is over 1 year of the pandemic, "he said.
And this situation, he said, has not only seen in the INER, but also in other institutes of concentration in Mexico City, such as the National Nutrition and National Pediatrics, to name a few. "The virus continues to circulate in the community and have therefore refused to see the H1N1 virus as a mild, causing little damage, the reality is that it is still dangerous, still killing people, and statistics are only based on the confirmed.
For this reason the author of the new influenza virus A/H1N1. A comprehensive overview ", has no doubt confirmed that the statistics of the Ministry of Health and released in its website are at least 10 times greater than what is actually reported as valid. According to SSA, so far there are 72 000 481 cases, covering the period from March 10, 2009 until April 19, 2010.
Simply put, in the first phase of the pandemic, the National Epidemiological Surveillance System captured 165 000 920 patients, of whom 47 000 478 suffered from some disease like diabetes, obstructive pulmonary disease, asthma and smoking. Towards the month of October, reported the highest recovery of infection, so that the INER came to have 85 hospitalized at the same time.
"It would be interesting to have the total number of patients, because the figures show we have many limitations" and "we have not really noticed a change, we still ill patients, in addition, mortality data are delayed by six months and up 1 year for the entire capture process death certificates. "
The specialist noted that only in the INER were hospitalized over a year one thousand 123 persons, of which about a quarter, 280 were intubated and required mechanical ventilation required. It also gave 500 thousand oseltamivi treatments and spend 35 million dollars to address the pandemic.
"In our hospital in a year killed 270 people on suspicion of influenza, but authorities confirmed only 31 cases and 4 of influenza A. Not all H1N1 can be checked because the test has limitations, problems. The time is performed also means a limitation. The test depends on the patient is shedding the virus in secretions, the lungs may already be severely damaged and you may get a negative test.
"We have a high percentage of negative even when they have the infection, and that access to the test in some places is very limited, so there are many suspects and little tested, so the magnitude of the epidemic can not be defined only by the confirmed cases are very few in relation to the sick, and that it is with the deaths (198 thousand), only a fraction will go through a laboratory test and positive test, "he said in an interview.
In the book, P?rez Padilla was given the task of tracing the first cases of transmission of the pandemic and found one in late February, in a six-month San Luis Potosi, followed by four more cases in Veracruz. With that the child is found Edgar Hernandez, La Gloria, Veracruz, the case is not zero. "We do not know yet what the case is zero."
Key
The fatality rate, according to Rogelio P?rez Padilla, director of INER and author of the new influenza virus A/H1N1. A comprehensive overview ", was 0.6% overall but increased above 1% among people over 35 years of age.
INER-In the morning of March 23, 2009 was taken to an emergency 134 children, a resident of Ontario, previously healthy six days had cough and fever of 39 degrees had been given antibiotics, despite which continued to worsen. Two days later started with diarrhea during the following hours worsened requiring mechanical ventilation, week confirmed the presence of influenza. The patient died on April 11. "
"The 1918 flu season arrived in full revolution, the central objective of the campaign was based on delousing all military and population. Then began one based on shared bottles of aspirin, quinine and calcium carbonate to the population of the border. In Mexico City died when there were 700 thousand 500 thousand inhabitants.
Valad?z White / Millennium
Influenza exceeded catastrophic scenarios, but it is a mild virus: INER
In Mexico, 13 have been identified severe influenza epidemics, with relatively high mortality rates: 1667, 1734, 1805 (influenza and typhus), 1806, 1826, 1837, 1846 (influenza and typhus), 1881, 1889, 1918 (high mortality), 1920, 1957, 1959.
Sun, 25/04/2010 - 12:38
In April last year were alerted by several cases of influenza.
ArchivoCiudad of Mexico-The director general of the National Institute of Respiratory Diseases, Rogelio Perez Padilla said that one year of the pandemic H1N1 epidemiological catastrophic scenarios projected by WHO to Mexico, 18 000 605 deaths, 30,000 hospitalizations and about 4.5 million outpatient visits, not only met but were exceeded by far.
Perez Padilla said in an interview that the INER, as a referral hospital where special units were opened and use a special target computer, type astronaut, have been equally or even more patients than those reported in the first stage, peak or pandemic outbreak, in late April 2009, with 45 patients, and forcing the government to implement social distancing measures extreme.
"We started to pick up more cases of the commons, which were about 20, from January 2010, in the second week in February raised the figure to double, until 10 days of hospitalization ranged between 45 and 15 intubated hospitalized now, since there is a decrease, we only have 23 people detained and 11 were intubated, but we believe it is still a high figure considering that is over 1 year of the pandemic, "he said.
And this situation, he said, has not only seen in the INER, but also in other institutes of concentration in Mexico City, such as the National Nutrition and National Pediatrics, to name a few. "The virus continues to circulate in the community and have therefore refused to see the H1N1 virus as a mild, causing little damage, the reality is that it is still dangerous, still killing people, and statistics are only based on the confirmed.
For this reason the author of the new influenza virus A/H1N1. A comprehensive overview ", has no doubt confirmed that the statistics of the Ministry of Health and released in its website are at least 10 times greater than what is actually reported as valid. According to SSA, so far there are 72 000 481 cases, covering the period from March 10, 2009 until April 19, 2010.
Simply put, in the first phase of the pandemic, the National Epidemiological Surveillance System captured 165 000 920 patients, of whom 47 000 478 suffered from some disease like diabetes, obstructive pulmonary disease, asthma and smoking. Towards the month of October, reported the highest recovery of infection, so that the INER came to have 85 hospitalized at the same time.
"It would be interesting to have the total number of patients, because the figures show we have many limitations" and "we have not really noticed a change, we still ill patients, in addition, mortality data are delayed by six months and up 1 year for the entire capture process death certificates. "
The specialist noted that only in the INER were hospitalized over a year one thousand 123 persons, of which about a quarter, 280 were intubated and required mechanical ventilation required. It also gave 500 thousand oseltamivi treatments and spend 35 million dollars to address the pandemic.
"In our hospital in a year killed 270 people on suspicion of influenza, but authorities confirmed only 31 cases and 4 of influenza A. Not all H1N1 can be checked because the test has limitations, problems. The time is performed also means a limitation. The test depends on the patient is shedding the virus in secretions, the lungs may already be severely damaged and you may get a negative test.
"We have a high percentage of negative even when they have the infection, and that access to the test in some places is very limited, so there are many suspects and little tested, so the magnitude of the epidemic can not be defined only by the confirmed cases are very few in relation to the sick, and that it is with the deaths (198 thousand), only a fraction will go through a laboratory test and positive test, "he said in an interview.
In the book, P?rez Padilla was given the task of tracing the first cases of transmission of the pandemic and found one in late February, in a six-month San Luis Potosi, followed by four more cases in Veracruz. With that the child is found Edgar Hernandez, La Gloria, Veracruz, the case is not zero. "We do not know yet what the case is zero."
Key
The fatality rate, according to Rogelio P?rez Padilla, director of INER and author of the new influenza virus A/H1N1. A comprehensive overview ", was 0.6% overall but increased above 1% among people over 35 years of age.
INER-In the morning of March 23, 2009 was taken to an emergency 134 children, a resident of Ontario, previously healthy six days had cough and fever of 39 degrees had been given antibiotics, despite which continued to worsen. Two days later started with diarrhea during the following hours worsened requiring mechanical ventilation, week confirmed the presence of influenza. The patient died on April 11. "
"The 1918 flu season arrived in full revolution, the central objective of the campaign was based on delousing all military and population. Then began one based on shared bottles of aspirin, quinine and calcium carbonate to the population of the border. In Mexico City died when there were 700 thousand 500 thousand inhabitants.
Valad?z White / Millennium