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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 - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

http://www.diario.com.mx/notas.php?f=2011/03/30&id=73b2ccd7d34ff0a65100f98cab4189e2
Spanish to English translation

15:57 pm | Wednesday March 30, 2011 | Ciudad Juarez, Chihuahua, Mexico

There are 3 new suspected cases of influenza, including a 6 year old girl

Ram?n Chaparro
The Journal | 30.03.2011 | 14:10

Health officials reported three new cases suspected of being carriers of the human influenza virus, including a 6 year old girl who was hospitalized for a better surveillance.

Hector Puertas Rincones, committee spokesman medical surveillance in the contingency registered, said that with these three cases are 20 patients classified as "suspicious."

He said the other two that were found yesterday are a man and a woman, and both are treated in their homes as they complete their studies in the laboratory.

Indicated that the number of deaths from SARS remains four, but only two of them could be established that the virus A (H1N1) was the cause of death.
 
Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

no alarm


Tamaulipas on alert for H1N1 14:32
Chihuahua confirmed 7 cases of H1N1 influenza 7:34
Chihuahua: 4 killed by H1N1 van 27/03/2011
Schools will Juárez filters H1N1 3/26/2011
Fourth death from H1N1 reported in Chihuahua 26/03/2011
Durango Ssa in hot weather alert 25/03/2011
 
Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

http://www.diario.com.mx/notas.php?f=2011/03/30&id=fd5e56cfb7c0f26c0aaeb912c2f7b782
Spanish to English translation

Chihuahua remains under control: authorities

Talina Erika Perea
The Journal | 30.03.2011 | 23:47

Chihuahua- The H1N1 influenza outbreak in Chihuahua remains controlled health officials said pointing out that until Wednesday we have a record of 11 people confirmed with this type of virus, of which 2 are hospitalized, five remain in their homes and 4 have died.

George Duke, commissioner to address the outbreak of influenza in the state indicated that the H1N1 influenza epidemiological trend is downward, however, said this is a virus that will present each year in Mexico and throughout the world.

According to official reports have identified 66 people with possible presence of this virus.

In this universe it was confirmed that 11 people have H1N1 influenza virus, another 36 are as "suspicious" and are already receiving antiviral treatment and 19 underwent further examination and laboratory and were discarded.

Of the 11 cases that are confirmed are hospitalized and in stable condition, five remain at home and four died.

The Director of Health Services in the State, Angel Villase?or urge people to maintain hygiene and go to the modules of the Health Services to get the shot.

"It has had an excellent response from people, until Tuesday night had a report that had been implemented in Juarez 30 000 doses of vaccines and other 15 000 Chihuahua."

He said that calls for the understanding of citizenship as the staff of the Ministry of Health is insufficient for the demand and the number of doses that are being implemented in all medical institutions.

However, he said, in an agreement with the Autonomous University of Chihuahua over 100 students of medical and nursing faculty will join the medical teams to support health personnel in the implementation of this vaccine.

Finally, he said, people should have the firm conviction that there is no risk of shortage he has just sent a consignment of 250 000 vaccine will be distributed in all municipalities in the state.
 
Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

http://www.diario.com.mx/notas.php?f=2011/03/30&id=c77aa94048f887e27b8c89e07bcd4d3f
Spanish to English translation

Reject that contracted H1N1 killed in Ju?rez here or in Odessa

Julio Antonio Molinet
El Diario de El Paso | 03.30.2011 | 23:19

International and local health authorities warned yesterday that it is not appropriate, nor prudent, to assert that two of those killed in Ciudad Juarez for the influenza A/H1N1 virus contracted in Odessa and El Paso, Texas cities.

Dr. Luis G. Castellanos, an epidemiologist at the Pan American Health Organization and World Health Organization in the United States-Mexico border, agreed that "it is time to work together" to take on this new phase of influenza.

He said authorities should work hard on community education, prevention, immunization of individuals, and ensuring compliance with sanitary measures established for such conditions.

He recalled that the H1N1 is a type more in the range of viral respiratory diseases, "is transmitted by respiratory tract and can get anywhere, in any area."

"Right now the H1N1 may be in Ciudad Ju?rez, El Paso and elsewhere in the world because it appears climate change with the season," he said.

According to the doctor, the exact moment of contagion is not always possible to specify with certainty: "It can happen on a bridge in a mall, a bus in the street, without the person realizing."

And he reiterated: "The flu is everywhere, whether seasonal or H1N1 (which currently is seasonal)."

But how the virus is passed?

Castellanos said that only three factors must match "(1) an infected person, (2) otherwise healthy person, and (3) that both coincide at the same time so that the patient will pass the virus to her healthy."

He argued that the main route of infection is aerosol droplets expelled with secretions of patients with H1N1 to the healthy person, "a handshake, a sneeze, a laugh, among others."

Therefore emphasized in the familiar routine, "exiled sneeze with your elbow, or cover your nose and mouth with a tissue (and then dispose of it), wash your hands often with soap and water, apply antibacterial", among other measures.

"Do you know why do not we pay attention to the flu?, Lack of seriousness. In Mexico say they got sick here, what good is that? Do they want people not to fear grip come here? "He said, Lupe Martinez of the Segundo Barrio.

Martinez called attention to the level of access to vaccines, costs, and said he was unaware "if I should re-vaccinated."

"Those who suffered infection (H1N1) or been vaccinated, not contract the disease again in your life," he said, Dr. Castellanos. And he revealed: "This minimizes the occurrence of cases in the present, the risk of infection is lower."

He explained that there is a significant difference between what was experienced two years ago (2009) during the pandemic, since at the time had a higher risk of infection because they were less vaccinated.

"The H1N1 vaccine is incorporated into the shot that is being implemented in seasonal influenza." He insisted "it is less dangerous as the virus exposure becomes less able to hurt people," he added.
 
Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

The statement made by the expert in the above post may be too much optimistic about the level of herd immunity in Mexicans (or in general world poupulation) against H1N1 (2009):

(...)

Martinez called attention to the level of access to vaccines, costs, and said he was unaware "if I should re-vaccinated."

"Those who suffered infection (H1N1) or been vaccinated, not contract the disease again in your life," he said, Dr. Castellanos. And he revealed: "This minimizes the occurrence of cases in the present, the risk of infection is lower."

He explained that there is a significant difference between what was experienced two years ago (2009) during the pandemic, since at the time had a higher risk of infection because they were less vaccinated.

"The H1N1 vaccine is incorporated into the shot that is being implemented in seasonal influenza." He insisted "it is less dangerous as the virus exposure becomes less able to hurt people," he added.

I am not sure because:

1) the level of immunity in the population may have decreased against H1N1 (2009);
2) the low viral circulation for almost an year may have further increased the susceptible population ratio;
3) trivalent seasonal vaccines, including H1N1 (2009) strain, although represent a good option for controlling winter outbreaks, demonstrated in some epidemiological studies a lower than expected effectiveness in preventing disease in vaccinated people;
4) H1N1 (2009), as all other influenza viruses, undergoing small changes, with selection of drift variants, and the susceptible portion of population may fall ill even though the virus is not longer in the 'pandemic' status; further, people who had the flu during 2009-2010 could have a reduced immunity against new drift variants.
 
Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

http://www.diario.com.mx/notas.php?f=2011/03/30&id=fd5e56cfb7c0f26c0aaeb912c2f7b782
Spanish to English translation

Chihuahua remains under control: authorities

Talina Erika Perea
The Journal | 30.03.2011 | 23:47

Chihuahua- The H1N1 influenza outbreak in Chihuahua remains controlled health officials said pointing out that until Wednesday we have a record of 11 people confirmed with this type of virus, of which 2 are hospitalized, five remain in their homes and 4 have died.

.

So that's a fourth confirmed fatality. The first fatalitiy was "discarded" (even though he was almost certainly infected with H1N1), and there appear to be two more fatalities under investigation, for a total of seven "atypical pneumonia" fatalities.

The number of alive, confirmed cases seems to be just 7, reflecting the fact that one needs to be severely ill to get tested.
 
Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

Confirmed in Ju?rez 8 cases for influenza, two of them mortal

Eight cases that detected of possible influenza type A H1N1 turned out to be positive, reported the Secretary of State Health in Ju?rez and of these, two were mortal.


The previous thing the holder of the sector informed His state Health on this border, Felipe Fornelli Laf?n, in the extraordinary meeting of the Municipal Committee of Health.

The official pointed out that another eight possible cases of influenza A H1N1 turned out to be negative, whereas four more are in expectation of the results of the analyses.

He added that between this four one finds death, for which they wait to determine if the death was for this virus.

http://puentelibre.mx/not_detalle.php?id_n=64078
 
Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

http://www.elpueblo.com/notas/20110331/incrementa_a_17_los___contagiados_de_influenza_ah1n1

Increases to 17 infected with the H1N1 influenza> Increases to 17 infected with the H1N1 influenza
Chihuahua .- According to the latest report issued by the Ministry of Health, reported that the number of infections by H1N1 influenza cases rose to 17 people infected, four confirmed deaths and one unconfirmed.

By: Writing I
31/marzo/2011

The brand report of 80 cases, 17 have been confirmed, 21 dismissed, 17 are considered suspects without sample and 25 are suspects in the study.

Importantly, the six deaths, four were confirmed that were caused by H1N1 influenza virus, [one] is [under] a laboratory study and one is discarded. Of these four are two of Ciudad Ju?rez and [two are in] Chihuahua.

The Health Ministry stated that the number of cases confirmed as positive for H1N1 virus is 17, in the period from day 22 to March 31, 2011.

Of those confirmed, three were in stable clinical condition, one in serious condition and four people have died. Of those confirmed four are hospitalized and nine others convalescing at home.

Confirmed cases of influenza, by age group, under four a range of 15 to 24 years, eight to a group of 25 to 44 and five more to an age ranging between 45 and 64 years of age.

Of those confirmed, 11 have been reported by hospitals in the Health Services Chihuahua, two in hospital belonging to the Chihuahua Institute of Health, two by the IMSS and two in private practice.

By town, people confirmed H1N1 influenza occurred, eight [in] Chihuahua [and nine in] Ciudad Juarez.
 
Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

Region 6 (includes NM, TX) currently showing >20% increase in ED ILI cases compared to last season at this time. Of course, this map changes often based on when they get information from the states. Yesterday it was showing below number of cases.
http://isdsdistribute.org/
 
Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

Region 6 is also the only region showing an increase in cases. Arkansas in particular has had an increase in activity almost to levels from earlier in the year.
Region 6 (includes NM, TX) currently showing >20% increase in ED ILI cases compared to last season at this time. Of course, this map changes often based on when they get information from the states. Yesterday it was showing below number of cases.
http://isdsdistribute.org/
 
Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

http://www.oem.com.mx/elmexicano/notas/n2024991.htm
Spanish to English translation

Ciudad Ju?rez
Other 3 transits have the H1N1

Recorded 9 more infected.
El Mexicano
April 1, 2011

Juan Ramon Rosas / El Mexicano

Ciudad Ju?rez, H?ctor Doors Chihuahua.-Corners, head of the Sanitary District, announced that it raised the rate of people with human influenza virus H1N1 positive nine people, including also became known unofficially as 3 elements of the Municipal Traffic Division are hospitalized due to be infected the virus, while it was mentioned that one of them is in intensive care fighting for his life.

It should be noted that the information unofficially, he explained that the three elements, besides the two who lost their lives, are assigned to East Station.

So far there are 36 suspected cases, 9 were positive and equal negative number, there are 18 tests in progress.

Also released as received 50 000 influenza H1N1 vaccines are already being applied to people through the medical units of the Health District II, IMSS, ISSSTE, Social Development, Civil Pensions, General Hospital, Hospital Women and children, Municipal Health Directorate, firehouses and community centers.

Also continue to urge the community that have not been immunized to go as soon as possible to inject, taking into account that the biological is completely free Dr. Felipe Fornelli said Laf?n Undersecretary of Health in the Northern Zone.

It should be noted that during the intense campaign undertaken by the health sector in this city, so far have applied about 42 000 doses against influenza, reported by the Director of the Health District II Hector Puertas Corners.

Similarly health authorities have worked hard to prevent infection among people who have been affected with the virus, so health fences are being made in areas adjacent to the affected housing, bringing the vaccination brigades to 50 blocks round and taking away people showing symptoms of the disease.

On the same subject experts urge the border town, to come to receive immediate medical attention if symptoms such as sudden high fever, cough, headache, muscle and joint pains.

To reassure the community in terms of medical service being performed in hospitals and medical units, it is important to note that all employees of health institutions are receiving the necessary training to provide quality service.

Also to keep the public informed is important to expose some of the measures recommended to prevent the spread of this disease which are.
 
Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

http://www.diario.com.mx/notas.php?f=2011/04/01&id=6e94d2a440cc5877bfa4fa5e364c39b7
Spanish to English translation

Health care discarded fences

Talina Erika Perea
The Journal | 04.01.2011 | 00:44
Chihuahua - health fences shall not be imposed at airports, terminals and schools by the outbreak of influenza H1N1 detected in the cities of Juarez and Chihuahua said yesterday the Board of Health in the State.

Until Thursday the official report indicated that increased to 17 patients infected with H1N1 influenza, however, the death toll remains at 4 confirmed and two others who could not be confirmed before his death.

George Duke, the state commissioner to deal with the outbreak of influenza noted that according to international protocols no conditions to establish fences in the state health

"What sets the protocols is that we are at the stage of prevention measures and enhance hygiene" particularly in workplaces, schools and common areas.

Dr. Angel Villase?or Health Services in the State reported that Secretary of Health initiated the distribution of 181 000 envelopes with antibacterial gel with intent to deliver to citizens and take care to sanitize.

"In those cases where you do not have a sink handy and require hand washing can use this gel and sanitized," said the doctor.

The Health Committee said that the outbreak situation in Chihuahua is controlled and it is expected that cases continue to increase during the next 2 to 3 weeks, since this is the average time it takes for the virus to manifest after an infection.

The statistics show that until Thursday the universe of cases rose to 80 of which: 17 have already been confirmed, 21 were dismissed, 17 are in the stage of suspected non-treated sample, and 25 more are suspected in study--treated .

It also noted that the number of deaths is kept in 6 of these in four confirmed the presence of H1N1 virus by laboratory tests and in two it was not possible because they died before the clinical trial.

Of the 17 patients who had confirmed the virus, 8 are from the state capital and 9 are in Ciudad Ju?rez.

Health Secretary reiterated that the public should remain calm because the outbreak is controlled, however, calls go to the vaccination modules and extreme measures of hygiene in homes, schools and workplaces.
 
Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

http://www.oem.com.mx/elmexicano/notas/n2024991.htm
Spanish to English translation

Ciudad Juárez
Other 3 transits have the H1N1

Recorded 9 more infected.
El Mexicano
April 1, 2011

Juan Ramon Rosas / El Mexicano

Ciudad Juárez, Héctor Doors Chihuahua.-Corners, head of the Sanitary District, announced that it raised the rate of people with human influenza virus H1N1 positive nine people, including also became known unofficially as 3 elements of the Municipal Traffic Division are hospitalized due to be infected the virus, while it was mentioned that one of them is in intensive care fighting for his life.

It should be noted that the information unofficially, he explained that the three elements, besides the two who lost their lives, are assigned to East Station.

OK. Now that's a bit unusual. Two fatalities plus one in the ICU. It appears that at least four individuals from that station have been confirmed as H1N1 cases (plus the original fatality they could not confirm), so it is unlikely the outbreak is due to some other agent.

Perhaps the officers were co-infected with something such as MRSA? Perhaps something else was impairing their immune system? Could they all have had some pre-existing condition? While it is possible that the virus could have mutated, I am hesitant to suspect that because no severe illness has been reported (that we know) in family members or contact HCW. I do note that I haven't seen any mention of Tamiflu in this outbreak, which certainly could save lives.
 
Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

There have been a number of media reports referring to a mutated pH1N1 in Mexico, but that could just be heresay and paranoia. However, the EuroFlu Bulletin for Week 12 indicated that about two-thirds of the pH1N1 isolates were sub-clades that had departed from the A/California/7/2009 H1N1 Pandemic strain. Furthermore, one of the subclades (from England) with a mutation at the receptor binding domain - S185T - outnumbered the California clade. This mutation was associated with more severe cases in England.

So, it's very plausible that the virus circulating in Mexico, and possibly Venezuela, is one that can evade prior immunity and cause more serious illness. But, we won't know until some sequences are released. For some reason there have been no pH1N1 sequences released of specimens collected in the U.S. since December. It sounds like the outbreak in Mexico was related, in part, to contacts in Texas, so even release of some U.S. sequences would be helpful. It is even possible, based on the isolates data at the state level and the severity of illness, that two strains of pH1N1 are circulating in different parts of the U.S.; one similar to A/California/7/2009 and one like one or more of the subclades detected in Europe. That could explain why some states that have had pH1N1 co-circulating with seasonal varieties since before December have not had much serious illness, and other states started experiencing severe illnesses and deaths as soon as pH1N1 began showing up.

Anyway, we need data from North America.
 
Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

There have been a number of media reports referring to a mutated pH1N1 in Mexico, but that could just be heresay and paranoia. However, the EuroFlu Bulletin for Week 12 indicated that about two-thirds of the pH1N1 isolates were sub-clades that had departed from the A/California/7/2009 H1N1 Pandemic strain. Furthermore, one of the subclades (from England) with a mutation at the receptor binding domain - S185T - outnumbered the California clade. This mutation was associated with more severe cases in England.

So, it's very plausible that the virus circulating in Mexico, and possibly Venezuela, is one that can evade prior immunity and cause more serious illness. But, we won't know until some sequences are released. For some reason there have been no pH1N1 sequences released of specimens collected in the U.S. since December. It sounds like the outbreak in Mexico was related, in part, to contacts in Texas, so even release of some U.S. sequences would be helpful. It is even possible, based on the isolates data at the state level and the severity of illness, that two strains of pH1N1 are circulating in different parts of the U.S.; one similar to A/California/7/2009 and one like one or more of the subclades detected in Europe. That could explain why some states that have had pH1N1 co-circulating with seasonal varieties since before December have not had much serious illness, and other states started experiencing severe illnesses and deaths as soon as pH1N1 began showing up.

Anyway, we need data from North America.

Genetic characterization is pointing toward an increase in genome heterogeneity among H1N1 (2009) influenza viruses.

However, to date, the antigenic properties of recent isolates belonging to different clades seem to be much more homogeneous - ie the vaccine should works against circulating strain (at least until they don't suffer for major antigenic drifts).

It remains to be established the effectiveness on the field of trivalent vaccines composition after some studies pointed toward a lower than expected protection (it seems to range between 45% to 65%...).
 
Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

http://excelsior.com.mx/index.php?m=nota&id_nota=726789

Spanish to English translation
Heat, worse than the flu; exceeds the number of deaths
The heat wave hitting Mexico has left more dead than the current outbreak of H1N1 in the country, said federal Health Minister

MEXICO CITY, April 2 .- With the increase of temperature will be presented in the country over the next two months, Health Secretary Jose Angel Cordova said that this year could increase heat related deaths.
Only in the last days eight people have died from heat stroke or exhaustion by this same phenomenon, while influenza A H1N1 have been confirmed only four deaths.
"Remember that one year will be very hot and very dry and we will see another type of disease, conversely, as there is high humidity, dengue fever is on the ground. We have been 700 cases in three months, "said Secretary of Health.
He also said in recent days by the high temperatures deaths have occurred in the north of the country, mainly in Baja California, two from heat exhaustion and heat stroke six, while the influenza outbreak is controlled Chihuahua and over the next few weeks will disappear.
Interviewed after attending the ceremony for the 40 years since the founding of the Mexican Association of Gastrointestinal Endoscopy (AMEG), Cordova Villalobos said diseases to climate change, so in this season of spring is necessary to avoid exposure to solar radiation, so as not to endanger health.
"Some diseases increase a little and others decrease," he said, after reporting that influenza A H1N1 infections that occurred last week in Ciudad Juarez, Chihuahua, and are under control, so there is no reason to worry.
He explained that the Chihuahua Thursday reported 80 suspected cases of influenza A H1N1, of whom only 17 have been confirmed, the death toll is six, although only four are confirmed by this type of virus.
Until yesterday, only two patients were hospitalized severe influenza, while the other patients treated were in stable condition.
"Yesterday we were 14 new cases (in Chihuahua), and reached almost 60 000 vaccines given and continue to drugs, plus they have enhanced surveillance", he said.
After this behavior contagion, the health secretary said that in the rest of the country this virus is stable, even in Tabasco has not registered any cases of H1N1 in the past three months.
However, he admitted that this strain has displaced other influenza virus in the country, with half of the cases that emerged last week were type A H1N1, which shows more presence, although the virus is fluctuating and oscillating.
"There were 137 cases were fewer cases, 50 percent were influenza virus A H1N1, but they are still very few. If we talk about 60 percent of 137 cases, we are talking about 75 cases on average across the country in a week, so not to worry.
Remember that before we had a thousand to two thousand cases a day. There is continuous monitoring, but for now there is no reason for alarm, "he said. The outbreak emerged in Ciudad Ju?rez was located, he added. There was a ring of health, administering vaccines and any suspected cases received antiviral treatment.
 
Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

Confirmation of a fifth fatality, one that has been previously reported. Of the now 21 confirmed cases, 5 have died, 4 are hospitalized (1 grave), and the other 12 are recovering or have recovered at home. No indication which category the three surviving confirmed officers fall into.

Of note, there are currently only two unconfirmed deaths (the original discarded officer, and one more recent death still pending testing), and at most one severe unconfirmed case (combining this article with the above one - and it might indicate a confirmed case that has recovered somewhat in the past day), so the speculation that they are having trouble confirming cases seems extremely unfounded.

This link also contains a list of locations where flu vaccine will be distributed.

http://www.arrobajuarez.com/notas.php?IDNOTA=20940&IDSECCION=Portada&IDREPORTERO=De la Redacci

Spanish to English translation
Ministry of Health

PRESS RELEASE


ACCORDING TO THE OFFICIAL REPORT OF 01 APRIL DAY OF THE MINISTRY OF HEALTH OF CHIHUAHUA: 21 people have tested positive for influenza A virus H1N1, of whom five have died.


Based study of the universe according to epidemiological criteria to track the H1N1 influenza outbreak, which is 92.21 have been confirmed, 23 dismissed, 18 are considered suspects without sample and 29 are suspects in the study.

Importantly, the 7 deaths have been subjected to laboratory studies. Of them exists only official confirmation of the presence of H1N1 virus in 5 people, 1 is in laboratory study and 1 is discarded. 5 deaths occurred in Ciudad Juarez and in Chihuahua 2.

The Health Ministry stated that the number of cases confirmed as positive for H1N1 virus is 21, in the period from day 22 to April 1, 2011.

Of those confirmed, 3 were found in clinically stable, 1 is severe and 5 people have died. Of those 4 are confirmed and 12 hospitalized more convalescing at home.

Confirmed cases of influenza, by age group, under 4 to range from 15 to 24 years, 11 to group 25 to 44 and 6 more at an age ranging between 45 and 64 years of age.

Of those confirmed, 11 have been reported by hospitals in the Health Services Chihuahua, 2 in hospital belonging to the Chihuahua Institute of Health, 6 by the IMSS and 2 in private practice.

By Municipality, people confirmed H1N1 influenza occurred, 8 in Chihuahua and 13 in Ciudad Juarez.
 
Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

Cordova doesn't seem to understand the reassortment concern
 
Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

Source: FluNet, updated, http://gamapserver.who.int/gareports/Default.aspx?ReportNo=1

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Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

Re: Mexico - 7 dead, in outbreak of influenza A H1N1 in Juarez, 1 Dead in Jalisco ,1 Dead in Baja California - statewide alert declared in Chihauhua

And, of course, Australia continues to report out-of-season influenza activity (from FluNet, http://gamapserver.who.int/gareports/Default.aspx?ReportNo=1 ):

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