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Mexico: at least 16 dead, in outbreak of influenza A H1N1 in Chihuahua state, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared

Re: Mexico - 5 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

Re: Mexico - 5 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

I don't think that's right. I think Rodolfo Caballero and Rodolfo Knight are the same individual. I believe "caballero" in Spanish translates to "knight" in English. And I think that is the probable, unconfirmed death.

That one had me stumped too. All of the articles are very confusing at the moment. The reason I listed him was the age difference, but that could have been reporting error. Without him, we only have Palma and the pregnant woman confirmed I believe. As far as I can tell, the first case was the one which they could not obtain a result.

I was mostly trying to provide a clear chain of transmission...:)
 
Re: Mexico - 5 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

Re: Mexico - 5 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

http://www.oem.com.mx/elmexicano/notas/n2020822.htm
Spanish to English translation
Ciudad Ju?rez
Juarez danger zone for cases of H1N1 virus

Women receiving the biological. Photo: Mexican
SS 6 confirmed cases here.:confused:
El Mexicano
March 29, 2011

Editorial / El Mexicano

Ciudad Ju?rez, Chihuahua.-With 39 suspected cases of influenza in the state, 7 and confirmed 5 deaths:confused: (3 confirmed as a result of H1N1 virus):confused:, a TBC and a discarded, the State Ministry of Health refuses to issue warning and holds high the 'moderate', considering that the problem is not serious.

Jorge Duque Rodr?guez, commissioned to provide information on this contingency, the state explained that there have been 5 deaths, of which only 3 were confirmed as a result of H1N1 influenza virus, and is still pending confirmation of the virus in another victims and one was dismissed, so we will install a specialized technical committee to investigate the true cause of death of this person.

At a news conference, state Health Secretary Sergio Pi?a Marshall, the commissioner by the Government to provide information about influenza, Jorge Duque Rodriguez and the director of State Health Services, Angel Villasenor disclosed that the outbreak has remained stable at the moment there are 39 suspected cases of H1N1 influenza, only 7 have been confirmed, of which 6 in Ciudad Juarez, including a Texas resident and one in Chihuahua.

Fourteen cases have been ruled out with special laboratory studies, while 15 are considered suspects in the clinical condition, but no samples were taken, only been addressed therapeutically and so far have a good outcome. Three cases are still pending study.

The outbreak was recorded in the region of Ciudad Juarez, across the state have not had much impact. The person in the city of Chihuahua who died was hospitalized in the General hospital and contracted the virus while traveling in the border area Ciudad Ju?rez
 
Re: Mexico - 5 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

Re: Mexico - 5 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

http://www.eluniversal.com.mx/estados/79957.html
Spanish to English translation

Reactivate measures against H1N1 virus
Northern states establishing fences in public health

Tuesday March 29, 2011
Correspondent | El Universal

MEXICO CITY

The confirmation of three cases of death from influenza A H1N1 in Chihuahua and one in Jalisco reactivated prevention systems in the national territory without a formal declaration of alert. The state ministries of Health launched vaccination campaigns and health fences in public places.

Sergio Pi?a Marschall, head of the agency in Chihuahua, reported that since the outbreak of the virus-intensified last week, shots were applied to 300 thousand Chihuahua, representing one third of the population. He hoped the arrival of 250 000 doses for immediate use, were strengthened after the vaccination campaigns, especially in government offices and schools.

These measures were replicated in Nuevo Leon, Tamaulipas, Sonora, Baja California Sur, Sinaloa, Durango, Zacatecas and San Luis Potosi, and Puebla, Hidalgo and Tabasco, according to reports, although the instructions were widespread health for the rest of the country.

In Ciudad Juarez, the head of the Sanitary District, Hector Puertas Corners, confirmed the death of a woman Sunday night, who tested positive for H1N1. Of the four deaths reported through the weekend, said that two were from pneumonia and only two by this virus.

The official clarified that the school filters start at home: If parents see signs of flu should not take their children to school, but the doctor for review.

Confirmed death in Jalisco

In the Old Civil Hospital of Guadalajara killed a 53-year-old resident of Michoac?n and sick with influenza A H1N1. Arturo Rangel, head of the Department of Epidemiology of the Ministry of Health Jalisco (SSJ), reported that this death is the first in the state for this cause and said the recurrence of cases in northern Mexico are not cause for alert.

"This is an imported case because he was very serious and from Michoac?n. The only measure being taken in health services is to strengthen epidemiological surveillance, have given instructions to the instructors in the state units and hospitals to verify cases of severe or atypical pneumonia. "

Sinaloa, Sonora, Nuevo Leon and Tamaulipas continued epidemiological surveillance to prevent infections, the health units reiterated the importance of getting vaccinated against the three types of influenza: A H3N2, A H1N1 and seasonal.

Air stations, rail and road Mazatl?n-Durango preventive fence was installed to submit to quarantine people who come from Ciudad Juarez, Chihuahua, and acute flu-like symptoms. The health secretary, Ernesto Echeverr?a Aispuro, said that has not issued any alerts for schools to put filters review of students, teachers and administrators, as they have not detected cases of influenza A H1N1.

Pregnant women, children under five, elderly, diabetics and patients immunosuppressed by drugs or disease, such as people being treated for cancer are at risk groups. Preventive measures are coughing in the elbow, using tissue and use antibacterial gel.

The Secretary of Health in Queretaro, Mario C?sar Garc?a Feregrino, announced the reactivation of the 27 local epidemic control and the onset of rapid sampling in the coming days. In Hidalgo, the owner rejected Fuentes Jorge Islas risk of an outbreak of influenza A H1N1 as in northern Iraq, but acknowledged that intensified measures to prevent contagion from consideration.

In Tabasco, as a preventive measure, the Health Ministry urged the teachers to detect flu symptoms in their students, report them to the authorities for health and care sweeps time suspected cases of H1N1 virus. (Juan Manuel Cruz, Ulises Zamarroni, Javier Cabrera, Julio Manuel Loya, Dinorath Mota, Xochitl Rangel and Robert Barboza, with information from Notimex)
 
Re: Mexico - 5 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

Re: Mexico - 5 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

That one had me stumped too. All of the articles are very confusing at the moment. The reason I listed him was the age difference, but that could have been reporting error. Without him, we only have Palma and the pregnant woman confirmed I believe. As far as I can tell, the first case was the one which they could not obtain a result.

I was mostly trying to provide a clear chain of transmission...:)

A clear chain of transmission would be a severe red flag. The CFR of H1N1 is low. The assumption seems to be that these are only the most severe cases. Five deaths probably implies thousands of milder cases.

My take at this point is:

Caballero - dead, probable H1N1, contact with Palma, unable to confirm
Palma - dead, confirmed H1N1
A woman who travelled to the US - dead, confrimed H1N1
Another woman in Juarez (pregnant?) - dead, tests pending
A woman in the capital city of Chihuahua - dead, confirmed H1N1

And 2-3 confirmed H1N1 cases still alive, in addition to a couple dozen official suspects, and hopefully thousands of unreported milder cases.

So Ciudad Juarez itself is four deaths, two of which are confirmed, and Chihuahua as a whole is thus five deaths, three of which are confirmed.
 
Re: Mexico - 5 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

Re: Mexico - 5 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

I would remind again that until a couple of weeks ago - according FluNet (see in this thread: http://www.flutrackers.com/forum/showpost.php?p=402133&postcount=107 ), H1N1 (2009) virus isolations demonstrated a very low activity.

The sudden increase in cases and deaths deserves a better explanation, since the unusual epidemic curve in Mexico.

I would appreciate some commentaries about the different epidemic patterns in neighboring US and Mexico.
 
Re: Mexico - 5 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

Re: Mexico - 5 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

Just something to keep in mind; there is a large possible denomiator here. With about 1,500,000 people in the city alone, even four H1N1 deaths isn't that many. During the Ukraine H1N1 outbreak of 2009, there were several oblasts of that size that recorded 100+ fatalities.

Hopefully antivirals and vaccination will prevent such a tragedy here.

http://en.wikipedia.org/wiki/Ciudad_Juárez

Ciudad Ju?rez (Spanish pronunciation: [sjuˈ?a? ˈxwaɾes]), abbreviated Cd. Ju?rez, also known as Ju?rez and formerly known as El Paso del Norte, is a city and seat of the municipality of Ju?rez in the Mexican state of Chihuahua. Ju?rez's estimated population is 1.5 million people.[2] The city lies on the Rio Grande (R?o Bravo del Norte), south of El Paso, Texas. El Paso and Ciudad Ju?rez comprise one of the largest bi-national metropolitan areas in the world with a combined population of 2.4 million people.
 
Re: Mexico - 5 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

Re: Mexico - 5 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

I agree. I was mostly concerned with the speed and timing of the deaths of the officers. But without knowing how many in the division were actually sick, there is know way of knowing.

http://www.oem.com.mx/elheraldodechihuahua/notas/n2020229.htm
Spanish to English translation

Chihuahua
Liz Aguilera suffered flu, H1N1 was not

Doctor Jorge Duque.
El Heraldo de Chihuahua
March 29, 2011

Editors

Chihuahua, Chihuahua .- The technical committee of health for the case of the H1N1 influenza virus ruled that the PRI deputy Liz Garcia Aguilera has not contracted the H1N1 influenza virus, since only this is a flu-like with satisfactory outcome.

Dr. Jorge Duque Rodriguez said that if the legislator were met with an opportunity to avoid that could trigger a contagion among their relatives.

The Member of the Institutional Revolutionary Party underwent a medical examination and appropriate treatment particularly for the flu symptoms he presented.

The alarm came after Liz Aguilera presented some symptoms such as severe headache and other signs related to the H1N1 influenza virus.

When the legislator is under medical treatment, which has responded excellently to a satisfactory outcome


Post 99-

http://www.diario.com.mx/notas.php?f...4632605e6ec3ea
Spanish to English translation

H1N1 came from Texas and New Mexico: Governor of Chihuahua

Orlando Chavez Echavarria
The Journal | 03.28.2011 | 00:28

Chihuahua- The H1N1 influenza outbreak that affects the state of Chihuahua originated in Texas and New Mexico, said yesterday the governor Cesar Duarte Jaquez.

"It is confirmed that the lady who died recently in capital Chihuahua came from a Texas trip, just as those who are infected in Ciudad Ju?rez are all related to a trip to the United States, or have had contact with U.S. citizens "he said.

Duarte Jaquez said that in the states of Texas and New Mexico for several days were detected cases of the disease, which directly affected Chihuahua, as all people who are infected have a direct relationship with the two U.S. institutions...

Apoligies if i'm confused on this. Just pointing out a statement by the Governor...:confused:
 
Re: Mexico - 5 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

Re: Mexico - 5 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

I agree with you on the officers. One more fatality on the police force and something would clearly be wrong. While there have been at least a dozen reports worldwide of two linked fatalities, there have not been any reports of three.

I think the article about Liz Aguilera you posted is a good example. H1N1 seems to have been discarded simply because her illness was mild. But most (99%+) H1N1 infections are mild.

And I think the statement about all the infections coming from the US is political; the politician wants to paint the picture of this as an imported outbreak. There is no such thing. H1N1 is everywhere.
 
Re: Mexico - 5 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

Re: Mexico - 5 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

It's very hard to know how much it's circulating when Mexico hasn't reported cases for a while. The recent severe weather could be the cause of the outbreak, imo. Thank you for your expertise!:tiphat:

http://informacioninfluenza.jalisco.gob.mx/


Numeralia / Influenza A H1N1

Entity / Source
Confirmed Cases
Deaths
World WHO
N / D
18,366
Mexico / SSA
72,548
1,316
Jalisco / SJS
4.283 *
101
WHO deaths Date: 07/11/2010 Mexico Court: 07/19/2010

Jalisco: Deaths from Influenza A H1N1

Total deaths
101
Source: Secretar?a de Salud Jalisco Act: 01/03/2011

See Table


Sorry Ironorehopper, I didn't mean to ignore you! Regarding your graphs posted above, it is odd. After seeing the patterns of spread worldwide, my only conclusion would be that Pandemic A/H1N1 has yet to take over? Perhaps the cases in Texas/Mexico are a sign of that in the coming wave?

Now I have to get back to work, I have one of those J.O.B. things! Have a great day!:)
 
Re: Mexico - 5 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

Re: Mexico - 5 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

http://www.aztecanoticias.com.mx/notas/estados-y-df/47745/virus-ah1n1-ingreso-por-el-paso-texas
Spanish to English translation

H1N1 viruses joined by El Paso, Texas
Source
Reynaldo Lara
March 29, 2011
13:31 hrsCiudad Juarez, Chihuahua .- The authorities of Chihuahua reported that the outbreak of H1N1 virus in the state was given a breathalyzer operating in El Paso , Texas.

A traffic officer in Chihuahua was infected with the virus when tested for alcohol the subject that came from Texas.

The number of H1N1 cases has not increased, remains at four, three in Ciudad Juarez and one in Chihuahua.

The health fence continues in schools, command posts and public buildings of the institution.

It should be noted that the border where the virus supposedly entered have not done a health fence.
 
Re: Mexico - 5 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

Re: Mexico - 5 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

These new deceased patients would represent the sixth and seventh death in Chihuahua. Officially we will have 4 dead in this state -Only confirmed by laboratory- But I'm only assuming 6 dead -based on media reports- in this outbreak as one is pending of confirmation and the other is "negative"


------

Another person dies of atypical pneumonia; expect results to see if H1N1 is involved

The director of the Health II Jursidicción of Ciudad Juárez, announced this afternoon at a press conference, which was presented another possible death from the H1N1 influenza virus.


14:15:22



He said that there were two deaths, 1 of which was negative to the virus and the other expected results to confirm whether it was because of the virus.

If so, would add 4 fatalities in this border because of the virus.

Door Corners said Hector already applied 35 000 doses of influenza vaccine, while reiterating the presence of vaccination modules throughout the city.

On the other hand, reported that health units are open from 08:00 to 19:00 hours to meet all the people who were present to receive the vaccine.

Finally, he urged parents to make the home, the first filter to fight outbreak of influenza, and ensure that their children will not suffer any symptoms of influenza-like illness or allergies, and if so, do not send them to school, but to put a value to a doctor.

http://puentelibre.mx/not_detalle.php?id_n=63910
 
Re: Mexico - Several dead, in outbreak of influenza A H1N1 in Juarez - statewide alert declared in Chihauhua

Re: Mexico - Several dead, in outbreak of influenza A H1N1 in Juarez - statewide alert declared in Chihauhua

IMO, no other area in the world is trying to count either H1N1 fatalities or atypical pneumonia deaths precisely, so it isn't surprising that counts aren't exactly consistent.

http://rotativo.com.mx/nacionales/s...-de-influenza-a-h1n1-en-cd-juarez/55619/html/

INFLUENZA

Total of 17 suspected cases of influenza A H1N1 in Cd Juarez


Tuesday March 29, 2011, updated 12 minutes ago

Ciudad Ju?rez, 29 Mar 11 .- The health authorities found four more suspected cases of influenza A virus H1N1, three men and a woman, so the figure rises to 17 in this city.

The Medical Committee spokesman Hector Puertas Corners, and Undersecretary of Health in the north, Felipe Fornelli Laf?n, reported that two of the affected people are hospitalized and two are in their homes for treatment.


The official report indicates that in this border to date total of 17 suspected cases, six of which were positive for influenza virus, six are negative and five are in the process
.


Expressed in the entire state of Chihuahua eight people have tested positive to the virus, two of them are in the age range of 15 to 24 years, four aged 25 to 44, and two 45 to 64.


They said that in this border have registered four deaths from pneumonia, two of them on the A H1N1.


This day is implemented vaccination operational in the offices of City Council and the Customs Border. (EL UNIVERSAL)
 
Re: Mexico - Several dead, in outbreak of influenza A H1N1 in Juarez - statewide alert declared in Chihauhua

Re: Mexico - Several dead, in outbreak of influenza A H1N1 in Juarez - statewide alert declared in Chihauhua

http://www.arrobajuarez.com/notas.php?IDNOTA=20881&IDSECCION=Portada&IDREPORTERO=De la Redacción

Streets and corners in the Ministry of Health vaccine against H1N1

■ Office application starts inmates, will be 5 000

Hundreds of people were vaccinated against influenza H1N1 from Tuesday morning on the streets of inner-city neighborhoods, by brigades of the State Health Secretariat.
Immunization brigades started the west, with the application of biological indiscriminately.
The vaccine was offered to people on the street corners and housing sector.
At the same time, the Attorney General announced the vaccination of more than five thousand inmates of the institution Ceresos.
The action started on personnel and prisoners from the prison of Achilles Serd?n.

Chihuahua, Chih. Tuesday March 29, 2011

PRESS RELEASE



Apply more than five thousand vaccines against influenza Ceresos

In order to prevent the development of influenza caused by H1N1 virus in prisons administered by the State, the Special Prosecutor in the Execution of Punishment and Judicial Measures supported by the Health Services, has implemented measures since Monday.

In the prison of Achilles Serd?n started from Tuesday with the application of vaccines to all staff and inmates. It continues with the rest.

Each direction of the State Department of Social Rehabilitation for Adults: Achilles Serd?n Low Risk Unit and Care for Adolescent Offenders in Chihuahua, as well as those of Parral, Juarez and Nuevo Casas Grandes, turned on preventive measures to be taken with respect to influenza, this at least for a period of three weeks minimum.

The indications include actions such as: establishing a control center at the entrance to the prison where a physician can check the health status of persons entering to visit and talk to those who show symptoms of ailments such as flu, cold, lest access in such conditions.

Antibacterial gel will be available to visitors and staff also will be given surgical masks.

In visible areas such as offices and visiting areas, printed material will be placed with preventive measures.

Also there will be a general sanitation based on water and bleach in all areas of the prisons where there is an influx of people, mainly in the areas of family and conjugal visits.

Each director of the Centers for Rehabilitation and its staff must be prepared to receive and support the facilities and security staff to attend Health Services to administer vaccinations.
 
Re: Mexico - 6 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

Re: Mexico - 6 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

http://www.elmanana.com.mx/notas.asp?id=227262

Spanish to English translation
Health authorities say the school filters started from home, if possible infection should not be sent to minors
CHIHUAHUA .- The state Health Secretary Sergio Pi?a Marshall, reported that since the presence of influenza A H1NI vaccine has been applied to a third of the population of the entity to prevent the virus from spreading.

For deaths, the Ministry of Health reported that there are only three confirmed cases, one more is still under study and the other, initially hailed as victim of H1N1, was finally discarded.

This is the first case that led to death from influenza, which was the Transit Agent Juarez, and was dismissed from the victims of this disease, since it is not possible to confirm the presence of the virus.

He explained that together with the application of the vaccine, which represents more than 300 thousand Chihuahua, is expected today the release of 250 thousand doses to start your application immediately.

Since the outbreak of the disease, which has caused five deaths in the state were strengthened prevention and vaccination campaigns throughout Chihuahua, especially in public offices and schools, among others.

Have been distributed to the State Health Centers doses sufficient to start the vaccination campaign for it. For its part, the proprietor of the Sanitary District of the State Ministry of Health in Ciudad Ju?rez, H?ctor Door Corners said that on Sunday night a woman died on the premises of a local hospital, which had tested positive for the virus influenza A H1N1.

Although it remains at 13 the number of suspected cases to the influence of A H1N1, two of the five people who have died in this border were positive for the disease.

In total there are six positive cases of influenza A H1N1, six were negative and one is in the process of definition in the Instituto Mexicano del Seguro Social (IMSS).

Of the five people who died two were positive for H1N1 virus, a negative cast and the other is pending. "On the pneumonia-related deaths have five cases, but only have two confirmed H1N1, another is negative and one is awaiting confirmation."

He said that so far have used 30 thousand doses and has 45 thousand more in Ciudad Ju?rez, also have distributed 50 000 leaflets containing information on prevention measures to be implemented to avoid infection.

The Health Council spokesman stated that the school filters start at home, where parents who note symptoms of flu should not take their children to school and yes the doctor for review: "At school, teachers each classroom inform management if there are any suspicious situation. "

For his part, Cesar Duarte, state governor, confirmed that the new outbreak of avian and human influenza caused five deaths in the institution, from South America.

"It is confirmed that the woman killed in Chihuahua was a trip to Texas, just as those infected in Ciudad Ju?rez are all related to travel to the United States or contact with American citizens."

The governor denied that the outbreak could become an emergency of major proportions as in 2009. "We expected that this paralyze economic activity, as happened two years ago."

States take precautions SHEET Islands Hidalgo Jorge Fuentes, Secretary of Health in the Bank, denied that the State has at present a risk of an outbreak of influenza A H1N1, as in the north of the country.

But he said they will intensify security measures to avoid the entry of any infection. To date, the only state with 10 cases of influence stationary and not one of A H1N1, but the official called for people to extreme measures of hand washing and home ventilation.

"These measures are universal, very simple but highly effective." Tamaulipas Secretariat of Health set up epidemiological fences on the border with Nuevo Leon and Veracruz to prevent the advance of the influenza A H1N1.

It is also of Chihuahua that has had to mourn the death of four people from the disease, the neighboring states of Veracruz and Nuevo Leon and had the first cases began to Tamaulipas on permanent alert, said the health minister, Norberto Trevi?o Garc?a Manzo.

"There is an alarming situation as in 2009, and that so far no one has sickened Tamaulipas, and also help set up checkpoints in the resorts now approaching the Easter holiday period."

Durango Health Authorities to maintain continuous surveillance of influenza A H1N1 cases are recorded in Chihuahua. Health Secretary at the Institution, Alejandro Avitia Campa said that since the first week of March the disease surged in the neighboring state, however, is a virus that lives in the country and therefore continues to prevention.

You do not have an alarm monitoring but, mentioning that from October 2010 to date, the population has been vaccinated with trivalent biological, including seasonal influenza A H1N1 and H3N5. [This should probably read H3N2. - alert]

Health antiviral respond outbreak of the virus rule MEXICO CITY .- The head of the National Center for Prevention Programs and Disease Control Ministry of Health (SSA), Miguel Angel Lezana ruled out the possibility of a repeat outbreak of large dimensions influenza A H1N1 and 2009.

The specialist epidemiologist said that given the circumstances of what has been the circulation of the virus in Mexico over the past two years, is unlikely to be given a large outbreak nationwide.

However, because of the outbreak in Chihuahua, where until yesterday confirmed seven cases of influenza A H1N1, laboratory surveillance is maintained, and have implemented actions to control what happens in Ciudad Ju?rez and Chihuahua.

"You can rule out a repeat of what happened in April and May 2009 without a doubt. But surveillance is maintained while there is movement of the virus, but no alarm.

We have no situation out of control and are taking the necessary measures. " It has thirty possible cases that are treated with antivirals (osetamivil) and studied in the laboratory, but only seven have been confirmed, and there is no report of other cases where entities such as Sonora, Nuevo Leon and North of the country .

To avoid infections, the official recalled to be applied on a daily basis with the hygiene and protection, such as frequently washing hands, covering when sneezing or coughing, not self-medicate and seek medical advice in the presence of symptoms such as fever, cough, headache, throat and joints.

"The best way to protect yourself and avoid large crowds for not transmitting the disease. Are simple measures that if implemented in the daily habits contribute significantly to this is not higher for the Mexican population. "

Lezana Fernandez stated that the outbreak of influenza cases focused in Ciudad Juarez and Chihuahua at this time can not be extended, because it is running surveillance throughout the country and not only in northern states.

Apply Government Health Unit capital preventive strategy MEXICO CITY .- The capital's Health Ministry imposed a prevention strategy at the International Airport of Mexico City (AICM), through which monitoring of International Health Unit in Flights Chihuahua record, given the situation that exists in that entity by the influenza A H1N1.

In a statement, the local agency also reported that monitor arrivals from the State of the Republic in the North Bus Station.

Recommended that owners of commercial establishments, responsible for workplace and school officials, make filters to identify suspected cases of influenza, as well as allowing employees and students suffering from respiratory promptly seek medical attention.

Faced with possible detections, the Ministry of Health of Ontario (SSDF) also stressed that you must be notified of such cases at the number of telemedicine, 51 32 09 09.

To the general public, meanwhile, suggested addressing the health self-care measures and personal hygiene, such as avoiding exposure to sudden changes in temperature and any symptoms go to the nearest medical facility to home.

In case of illness, not self-medicate, avoid attending crowded places, wearing masks, kiss refrain from shaking, not sharing eating utensils, continuous washing of hands, and coughing and sneezing by covering your mouth and nose with a forearm or a handkerchief.

It also advised those who have not vaccinated against the H1N1 influenza go to the nearest health unit to apply for immunization, and made available to the phone number Remote Medicine, 51 32 09 09, for any questions or more information.
 
Re: Mexico - 6 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

Re: Mexico - 6 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

http://www.aztecanoticias.com.mx/notas/salud/47769/descarta-cordova-cerco-sanitario-por-ah1n1
Spanish to English translation

Cordova ruled no H1N1 health fence
Source
Notimex
March 29, 2011
15:36 hrs

Mexico City .- The Secretary of Health Jose Angel Cordova Villalobos, dismissed the need for a health fence because of cases of influenza H1N1 and having to perform actions of revaccination.

At a press conference, the head of the Ministry of Health noted that reported cases especially in Chihuahua in no way represent an epidemic, let alone a pandemic, but it is a small outbreak that is already controlled.

"There was a small outbreak located in the state of Chihuahua, are 25 suspected cases, five confirmed, with five deaths, but in reality is not an epidemic, let alone a pandemic," he said.

He explained that although not a great danger, it is worth remembering the preventive mechanisms such as hand washing, using alcohol gel, if you're sick do not shake hands and kiss below, go to the doctor, and in places where there is an outbreak, to reinforce the vaccination.

C?rdova Villalobos reported that in total 247 cases have been reported throughout the republic, of which 17 percent were H1N1 , and most were influenza B. Before the virus was H3N2.

"I think there's nothing to worry about, cases have remained all the time from two years ago, suddenly more the virus circulates, suddenly less. Two weeks ago we had a circulation a little more important, but coincided with an outbreak in the southern United States, in Texas. "

He said it is precisely this movement of people between countries and cities that facilitates exchange of the virus there.

Noting that both the local and federal governments to meet their obligations to report on whether needed or not an alert, said that on this occasion by no means necessary to close schools or businesses, and less to health fences because the outbreaks are controlled.

"What we have asked states to supplement its vaccination campaign and strengthen epidemiological surveillance and supplementary measures to strengthen prevention, but there is no reason for extreme alertness, or to limit the mobility of people, close or anything "he said.

He clarified that "if it were the case, would apply the same criteria as the last two years of closing, if any, a school, the classroom where he registered the case but for now there is no need for anything and therefore should not be alarming, because if the case had already been released. "

"Not used to warn when not needed, although some criticized us alert you. We will not warn when not warranted, must alert the necessary, "he said.

He said the cases have been reported in ages ranging from 20 to 60 years of age, but particularly young people, because they do not take proper care to go to the doctor and let the disease progresses, and after five days may become serious, especially to self-medicate.

The Secretary of Health stressed that people who are reported with influenza virus H1N1 in this small outbreak were not vaccinated, he urged people to do that in states that completion of the immunization.

He recalled that the recent vaccination campaign began in late October 2010 and the vaccines are distributed according to the target population for vaccination, however, recognized that immunization has been uneven in the states.

"Some states have nearly completed their vaccination others not so and that we must call attention to comply with vaccination, that is, send the vaccines needed to protect people at risk in each state and we find that they still have some, "he said.

He pointed out that we can see how there is progress in the states and nationally on the vaccination campaign, and if suddenly there is an outbreak "we will strengthen, but there will be a new campaign.
 
Re: Mexico - 6 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

Re: Mexico - 6 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

long thread ...
what lab did the testing
did they send it to INDRE or Canada or CDC ?
we need all 8 segments to see whether there is reassortment

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no find for reassortment or indre or segments in this thread, except this very post

---------------------
Texas used to give many full genomes of new pH1N1,
although delayed
 
Re: Mexico - 6 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

Re: Mexico - 6 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

I think key points to note here are as follows:-
1. Mexico is at the end of its 'normal' flu season
2. Whilst imperfect, google trends does show overall trends reasonably well, and at present this indicates minimal levels of flu in the chihuahua area see http://www.google.org/flutrends/mx/#MX-CHH. This tends to argue against a more widespread distribution of flu in the area; as such, an argument that there is widespread flu and this is merely the odd severe case looks doubtful.
3. Texas has a declining flu activity (characterised as low) http://www.google.org/flutrends/us/#US-TX and I am not aware of any major reports of hospitals seeing a surge in cases here.
4. Gven the high volumes of cross border traffic and the fact that flu season has been around for some time, it is odd that there should be a sudden surge at this time in mexico, i.e now at this time as opposed to preceding weeks and months. Texas has had H1N1 circulating for months, so if this were the source of the problem, why is it only showing up now?
5. there are clear links between some fatal cases
6. If we judge countries and people on the basis of what they do rather than what they say, judging by the measures and actions taken in this area, it would suggest a high level of concern, so my question is, how many of the facts do we really have? Can anyone access hospital admissions data for chihuahua to see if there have been localised surges in deaths or general illenss attributed to any cause, especially amongst at risk groups?

We need to see genetic analysis data; is it possible that we have a novel or reassorted form of H1N1 in this area? Without this information, all we can do is monitor spread and epidemiology and guess as to what is going on.
 
Re: Mexico - 6 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

Re: Mexico - 6 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

As I pointed out earlier (http://www.flutrackers.com/forum/showpost.php?p=402133&postcount=107 ), FluNet shows very little H1N1 (2009) activity in Mexico during last twelve months.

Since the overall herd immunity to this virus may have decreased among population, it is reasonable to think that a drift variant could reignite an out-of-season outbreak among these communities.

Until a more detailed epidemiological and virological analysis on current Chihuahua state events will be available, I don't see a reason to be worried in seeing this recurrence of H1N1 (2009) in Mexico.
 
Re: Mexico - 6 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

Re: Mexico - 6 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

vibrant , as it was in 2009
ironorehopper , not widespread yet, because they have some immunity
(H1N1) and the spring comes.

But maybe more virulent because of reassortment ?
 
Re: Mexico - 6 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

Re: Mexico - 6 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco - statewide alert declared in Chihauhua

In the end of the 2009 season in USA there was a resurgence of cases in Texas that called the attention of media and CDC, but it was transient.
I think that in Mexico there is a type of virus more virulent, but don' t forget that virulence alone is not enough to create a dangerous killer, it is necessary also more transmissibility.
Few deaths correlated ( cluster?) and few cases are not the same thing as comparable number of deaths and many cases around there.
 
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