Shiloh
Editor, Senior Moderator
Source: http://www.diario.com.mx/nota.php?notaid=dfcb1a4af8cd2c370b70128fc37d1818
Google translation:
Simulating a influenza pandemic
22 October 2008
Update: 10:56 PM when Cd. Juarez
Martin Orquiz
The Journal
Several deaths and dozens of people under treatment for an influenza pandemic was the result of the simulation carried out yesterday by government health sector, which trained to prepare in case of any contingency.
From eight o'clock in the morning, dozens of fake patients began arriving at the premises of the General Hospital of Zone 35 of the Instituto Mexicano del Seguro Social (IMSS) with symptoms such as severe coughing and general malaise, so that medical staff - it was actually started to care.
Corridors and rooms of the hospital were put up for the simulation of the event, while dozens of coordinators and observers witnessed the development of protocols of care.
Many of the people who came to actually building to receive medical attention, were surprised to observe that some medical staff were dressed in white protective suits "like in the movies," said one witness.
The surprise was generated in some individuals who did not read large banners that were placed on the exterior and interior of the building to report the completion of the drill.
"Hey, what's going on? Asked a man frightened to see so many who had poor health.
At the gates of the hospital facilities, several students were waiting for their turn to enter the scene, and determined that each time a wave of sick due to come into demand for medical care.
In stretchers, in wheelchairs or assisted by other persons,
simulators roamed the corridors of the hospital faking a cough and a generalized malaise that due to its good performance, confused a number of those entitled under the IMSS who witnessed the staging.
"You will be playing the daughter of a lady who is dying," he instructed one of the coordinators to a student who participated in the representation and that he had to endure because the paper did not like it.
And yes, one of the rooms was put up as morgue due to the expectation that there will be deaths among patients.
Some of the players had to remain for several minutes pretending to be dead, which drew even more attention from the rightful owners who were not aware of the drill.
The action included the participation of up to three groups of the Mexican Army with 14 elements each, which supported the medical staff with securing the airport facilities, transport and medicines for the sick and also oversee the tasks of medical care .
It also represented a manifestation of citizens who, with banners and shouting, demanded vaccinations to health authorities, so that military and elements of the Municipal Police contained the enardecidos Protestants.
The event, informed the coordinator of the event in the IMSS and epidemiologist, Daniel Rodriguez Torres, is part of the National Action Plan for Preparedness and Response Against Influenza.
The reason for the staging, he added, is to draw the attention of all members of the health sector to be ready with a plan in a real situation.
Despite the size of the simulation was significant because the alleged ill, embodied by students, came by tens, in practice it is not known when it might happen an event of this magnitude.
"We are not going to tell, you can be at any time," he warned.
To give the phenomenon, he explained, it is necessary for the occurrence of genetic recombination or seasonal human influenza with the avian virus which would produce a pandemic.
He indicated that it was the transmission from birds to humans, but we still need to have this combination between the two ailments.
And it is in preventing this from happening that are making these exercises, he said.
The specialist said that influenza, flu or flu as the Americans call it, should not be confused with a common cold, because its impact is much more severe and can reach up to kill the patient.
In general, this disease is characterized by an attack on the overall state of the person, which usually leads to respiratory failure and other problems in the lungs.
He reported that to detect this disease should be sought four symptoms: fever, headache, dry cough and colds, plus a general state of prostration of the body and respiratory failure.
The common people should avoid self autodiagnosticarse and to prevent the escalation of the situation, so you have to know that every box must be addressed with the respiratory doctor, he said.
This type of disease, he added, need the rest of the patient, who must also consume plenty of fluids and citrus.
In addition, you should avoid the consumption of aspirin to try to soothe their pain, because you have to consume substances prescribed by a doctor.
Torres also mentioned that the general public can prevent the spread of respiratory tract diseases, including influenza, noting some biosecurity measures.
He added that some are to be careful when you cough or sneeze covering their mouths, to avoid greeting kiss and even hand, since vehicles are transmitters of pathogens, washing hands frequently and avoid social conglomerate.
"They should take shelter in their homes in any case," he said.
Any doubts about this should be consulted before a doctor, who is the one who can more accurately determine who is suffering from the disease.
In the operation carried out in the hospital IMSS participated epidemiologists, public health nurses, 50 players, 30 evaluators, controllers and even observers from the United States, who will make some recommendations, he said.
The activities of the National Action Plan for Preparedness and Response Against Influenza were held in several of the facilities of the health sector of the city, which for half a day made for training exercises to cope with the eventual pandemic of the disease.
In total, were 80 thousand people who participated in the drill, which began with the supposed arrival of two men from China and infected with influenza.
In one hour, sets the scenario, the city became a chaos with the pandemic, generating major conflicts.
The balance of the pandemic was 50 people dead, while today the organizing committee will meet to evaluate the results.
Health authorities advised people to apply vaccination against influenza, because after three years in a row to do is create more antibodies.
In case there was a pandemic, those who are vaccinated repeatedly would be the least affected.
When infected with this disease a patient may lose their lives in less than four hours, they indicated.
The sources added that the flu is a highly contagious acute respiratory illness with increased incidence in the winter months, which affects all ages but with greater severity and complications in the extremes of life.
Spanish:
Simulan una pandemia de influenza
22 Octubre 2008
Actualizado: 10:56 PM hora de Cd. Ju?rez
Mart?n Orquiz
El Diario
Varios muertos y decenas de personas bajo tratamiento por una pandemia de influenza fue el resultado del simulacro realizado ayer por instancias del sector salud, las que entrenaron para prepararse en caso de una eventual contingencia.
A partir de las ocho de la ma?ana, decenas de pacientes simulados comenzaron a llegar a las instalaciones del Hospital General de Zona 35 del Instituto Mexicano del Seguro Social (IMSS) con s?ntomas como tos severa y malestar general, por lo que personal m?dico ?que s? era real? comenz? a atenderlos.
Pasillos y salas del nosocomio fueron acondicionados para realizar la simulaci?n del evento, mientras que decenas de observadores y coordinadores presenciaban el desarrollo de los protocolos de atenci?n.
Muchas de las personas que acudieron al edificio realmente a recibir atenci?n m?dica, se sorprendieron al observar que algunos miembros del personal m?dico estaban vestidos con trajes protectores blancos ?como en las pel?culas?, se?al? uno de los testigos.
El asombro se gener? en algunos individuos que no leyeron las grandes pancartas que se colocaron en el exterior e interior del inmueble para informar acerca de la realizaci?n del simulacro.
?Oiga ?qu? est? pasando?, pregunt? un hombre asustado al ver a tanta persona que presentaba malas condiciones de salud.
En las puertas de las instalaciones hospitalarias, esperaban varios estudiantes su turno para entrar a escena, ya que cada determinado tiempo una oleada de enfermos deb?a entrar en demanda de atenci?n m?dica.
En camillas, en sillas de ruedas o ayudados por otras personas, los
simuladores recorrieron los pasillos del hospital fingiendo una tos y un malestar generalizado que, debido a su buena actuaci?n, confundieron a varios de los derechohabientes del IMSS que presenciaron la escenificaci?n.
?A usted le toca ser la hija de una se?ora que se muere?, instruy? una de las coordinadoras a una estudiante que particip? en la representaci?n y que tuvo que aguantarse porque el papel no le gust?.
Y s?, una de las habitaciones fue acondicionada como morgue debido a la expectativa de que habr? defunciones entre los enfermos.
Algunos de los actores tuvieron que permanecer por varios minutos simulando estar muertos, lo que llamaba a?n m?s la atenci?n de los derechohabientes que no estaban enterados del simulacro.
La acci?n incluy? hasta la participaci?n de tres grupos del Ej?rcito Mexicano con 14 elementos cada uno, los que apoyaron al personal m?dico con el aseguramiento de las instalaciones aeroportuarias, el transporte de las medicinas y de los enfermos, adem?s de supervisar las tareas de atenci?n m?dica.
Tambi?n se represent? una manifestaci?n de ciudadanos que, con pancartas y gritos, exigieron vacunas a las autoridades de salud, por lo que militares y elementos de la Polic?a Municipal contuvieron a los enardecidos protestantes.
La actividad, inform? el coordinador del evento en el IMSS y epidemi?logo, Daniel Torres Rodr?guez, forma parte del Plan de Acci?n Nacional de Preparaci?n y Respuesta contra la Influenza.
El motivo de la escenificaci?n, agreg?, es llamar la atenci?n de todos los integrantes del sector salud para que est? preparado con una plan en una situaci?n real.
A pesar de que la dimensi?n del simulacro fue grande, ya que los supuestos enfermos, encarnados por estudiantes, llegaron por decenas, en la pr?ctica se desconoce cu?ndo podr?a suceder un evento de esta magnitud.
?No nos va a avisar, puede ser en cualquier momento?, advirti?.
Para que se d? el fen?meno, explic?, es necesario que ocurra la recombinaci?n gen?tica de la influenza humana o estacional con la aviar, cuyo virus producir?a la pandemia.
Indic? que ya se dio la transmisi?n de las aves a los humanos, pero todav?a hace falta que se presente la combinaci?n entre ambos padecimientos.
Y es en prevenci?n de que eso ocurra que se est?n realizando estos ejercicios, afirm?.
El especialista indic? que la influenza, gripe o flu como lo llaman los norteamericanos, no debe confundirse con un resfriado com?n, ya que sus repercusiones son mucho m?s severas y puede llegar hasta a matar al paciente.
En general, este padecimiento se caracteriza por un ataque al estado total de la persona, la que por lo com?n genera insuficiencia respiratoria y otros problemas de los pulmones.
Inform? que para detectar esta enfermedad se deben buscar cuatro s?ntomas: fiebre, dolor de cabeza, catarro y tos seca, m?s un estado general de postraci?n del organismo e insuficiencia respiratoria.
La gente com?n debe evitar automedicarse y autodiagnosticarse para prevenir que se agrave su situaci?n, por lo que tiene que saber que todo cuadro respiratorio debe atenderse con el m?dico, dijo.
Este tipo de enfermedades, a?adi?, requieren del reposo del paciente, quien tambi?n debe consumir muchos l?quidos y c?tricos.
Adem?s, debe evitar el consumo de aspirina para tratar de calmar sus dolores, ya que tiene que consumir las sustancias recetadas por un m?dico.
Torres mencion? que tambi?n la poblaci?n en general puede prevenir la dispersi?n de los padecimientos de las v?as respiratorias, incluyendo la influenza, observando algunas medidas de bioseguridad.
Agreg? que algunas son tener cuidado al toser o al estornudar cubri?ndose la boca, evitar saludarse de beso y hasta de mano, ya que son veh?culos transmisores de pat?genos, lavarse con frecuencia las manos y evitar las conglomeraciones sociales.
?Deben resguardarse en sus casas en todo caso?, se?al?.
Cualquier duda al respecto debe ser consultada ante un m?dico, quien es el que puede determinar con mayor precisi?n la enfermedad que se padezca.
En el operativo realizado en el hospital del IMSS participaron epidemi?logos, enfermeras en salud p?blica, 50 actores, 30 evaluadores, controladores y hasta observadores provenientes de los Estados Unidos, quienes har?n algunas recomendaciones, dijo.
Las actividades del Plan de Acci?n Nacional de Preparaci?n y Respuesta contra la Influenza se realizaron en varias de las instalaciones del sector salud de la ciudad, en las que por medio d?a hicieron simulacros para entrenarse para enfrentar la eventual pandemia de ese padecimiento.
En total, fueron mil 80 personas las que participaron en el simulacro, el que comenz? con la supuesta llegada de dos hombres procedentes de China y contagiados con influenza.
En una hora, establece la situaci?n hipot?tica, la ciudad se volvi? un caos con la pandemia, generando grandes conflictos.
El saldo de la pandemia fue de 50 personas muertas, mientras que hoy se reunir? el comit? organizador para evaluar los resultados.
Las autoridades de salud recomendaron a las personas que se apliquen la vacuna contra la influenza, ya que despu?s de tres a?os seguidos de hacerlo se crean m?s anticuerpos.
En caso de que hubiera una pandemia, los que se vacunan reiteradamente ser?an los menos afectados.
Al contagiarse con esta enfermedad un paciente puede perder la vida en menos de cuatro horas, indicaron.
Los informantes a?adieron que la influenza es una enfermedad respiratoria aguda altamente contagiosa con incidencia mayor en los meses de invierno, que afecta a cualquier edad pero con mayor severidad y complicaciones en los extremos de la vida.
Google translation:
Simulating a influenza pandemic
22 October 2008
Update: 10:56 PM when Cd. Juarez
Martin Orquiz
The Journal
Several deaths and dozens of people under treatment for an influenza pandemic was the result of the simulation carried out yesterday by government health sector, which trained to prepare in case of any contingency.
From eight o'clock in the morning, dozens of fake patients began arriving at the premises of the General Hospital of Zone 35 of the Instituto Mexicano del Seguro Social (IMSS) with symptoms such as severe coughing and general malaise, so that medical staff - it was actually started to care.
Corridors and rooms of the hospital were put up for the simulation of the event, while dozens of coordinators and observers witnessed the development of protocols of care.
Many of the people who came to actually building to receive medical attention, were surprised to observe that some medical staff were dressed in white protective suits "like in the movies," said one witness.
The surprise was generated in some individuals who did not read large banners that were placed on the exterior and interior of the building to report the completion of the drill.
"Hey, what's going on? Asked a man frightened to see so many who had poor health.
At the gates of the hospital facilities, several students were waiting for their turn to enter the scene, and determined that each time a wave of sick due to come into demand for medical care.
In stretchers, in wheelchairs or assisted by other persons,
simulators roamed the corridors of the hospital faking a cough and a generalized malaise that due to its good performance, confused a number of those entitled under the IMSS who witnessed the staging.
"You will be playing the daughter of a lady who is dying," he instructed one of the coordinators to a student who participated in the representation and that he had to endure because the paper did not like it.
And yes, one of the rooms was put up as morgue due to the expectation that there will be deaths among patients.
Some of the players had to remain for several minutes pretending to be dead, which drew even more attention from the rightful owners who were not aware of the drill.
The action included the participation of up to three groups of the Mexican Army with 14 elements each, which supported the medical staff with securing the airport facilities, transport and medicines for the sick and also oversee the tasks of medical care .
It also represented a manifestation of citizens who, with banners and shouting, demanded vaccinations to health authorities, so that military and elements of the Municipal Police contained the enardecidos Protestants.
The event, informed the coordinator of the event in the IMSS and epidemiologist, Daniel Rodriguez Torres, is part of the National Action Plan for Preparedness and Response Against Influenza.
The reason for the staging, he added, is to draw the attention of all members of the health sector to be ready with a plan in a real situation.
Despite the size of the simulation was significant because the alleged ill, embodied by students, came by tens, in practice it is not known when it might happen an event of this magnitude.
"We are not going to tell, you can be at any time," he warned.
To give the phenomenon, he explained, it is necessary for the occurrence of genetic recombination or seasonal human influenza with the avian virus which would produce a pandemic.
He indicated that it was the transmission from birds to humans, but we still need to have this combination between the two ailments.
And it is in preventing this from happening that are making these exercises, he said.
The specialist said that influenza, flu or flu as the Americans call it, should not be confused with a common cold, because its impact is much more severe and can reach up to kill the patient.
In general, this disease is characterized by an attack on the overall state of the person, which usually leads to respiratory failure and other problems in the lungs.
He reported that to detect this disease should be sought four symptoms: fever, headache, dry cough and colds, plus a general state of prostration of the body and respiratory failure.
The common people should avoid self autodiagnosticarse and to prevent the escalation of the situation, so you have to know that every box must be addressed with the respiratory doctor, he said.
This type of disease, he added, need the rest of the patient, who must also consume plenty of fluids and citrus.
In addition, you should avoid the consumption of aspirin to try to soothe their pain, because you have to consume substances prescribed by a doctor.
Torres also mentioned that the general public can prevent the spread of respiratory tract diseases, including influenza, noting some biosecurity measures.
He added that some are to be careful when you cough or sneeze covering their mouths, to avoid greeting kiss and even hand, since vehicles are transmitters of pathogens, washing hands frequently and avoid social conglomerate.
"They should take shelter in their homes in any case," he said.
Any doubts about this should be consulted before a doctor, who is the one who can more accurately determine who is suffering from the disease.
In the operation carried out in the hospital IMSS participated epidemiologists, public health nurses, 50 players, 30 evaluators, controllers and even observers from the United States, who will make some recommendations, he said.
The activities of the National Action Plan for Preparedness and Response Against Influenza were held in several of the facilities of the health sector of the city, which for half a day made for training exercises to cope with the eventual pandemic of the disease.
In total, were 80 thousand people who participated in the drill, which began with the supposed arrival of two men from China and infected with influenza.
In one hour, sets the scenario, the city became a chaos with the pandemic, generating major conflicts.
The balance of the pandemic was 50 people dead, while today the organizing committee will meet to evaluate the results.
Health authorities advised people to apply vaccination against influenza, because after three years in a row to do is create more antibodies.
In case there was a pandemic, those who are vaccinated repeatedly would be the least affected.
When infected with this disease a patient may lose their lives in less than four hours, they indicated.
The sources added that the flu is a highly contagious acute respiratory illness with increased incidence in the winter months, which affects all ages but with greater severity and complications in the extremes of life.
Spanish:
Simulan una pandemia de influenza
22 Octubre 2008
Actualizado: 10:56 PM hora de Cd. Ju?rez
Mart?n Orquiz
El Diario
Varios muertos y decenas de personas bajo tratamiento por una pandemia de influenza fue el resultado del simulacro realizado ayer por instancias del sector salud, las que entrenaron para prepararse en caso de una eventual contingencia.
A partir de las ocho de la ma?ana, decenas de pacientes simulados comenzaron a llegar a las instalaciones del Hospital General de Zona 35 del Instituto Mexicano del Seguro Social (IMSS) con s?ntomas como tos severa y malestar general, por lo que personal m?dico ?que s? era real? comenz? a atenderlos.
Pasillos y salas del nosocomio fueron acondicionados para realizar la simulaci?n del evento, mientras que decenas de observadores y coordinadores presenciaban el desarrollo de los protocolos de atenci?n.
Muchas de las personas que acudieron al edificio realmente a recibir atenci?n m?dica, se sorprendieron al observar que algunos miembros del personal m?dico estaban vestidos con trajes protectores blancos ?como en las pel?culas?, se?al? uno de los testigos.
El asombro se gener? en algunos individuos que no leyeron las grandes pancartas que se colocaron en el exterior e interior del inmueble para informar acerca de la realizaci?n del simulacro.
?Oiga ?qu? est? pasando?, pregunt? un hombre asustado al ver a tanta persona que presentaba malas condiciones de salud.
En las puertas de las instalaciones hospitalarias, esperaban varios estudiantes su turno para entrar a escena, ya que cada determinado tiempo una oleada de enfermos deb?a entrar en demanda de atenci?n m?dica.
En camillas, en sillas de ruedas o ayudados por otras personas, los
simuladores recorrieron los pasillos del hospital fingiendo una tos y un malestar generalizado que, debido a su buena actuaci?n, confundieron a varios de los derechohabientes del IMSS que presenciaron la escenificaci?n.
?A usted le toca ser la hija de una se?ora que se muere?, instruy? una de las coordinadoras a una estudiante que particip? en la representaci?n y que tuvo que aguantarse porque el papel no le gust?.
Y s?, una de las habitaciones fue acondicionada como morgue debido a la expectativa de que habr? defunciones entre los enfermos.
Algunos de los actores tuvieron que permanecer por varios minutos simulando estar muertos, lo que llamaba a?n m?s la atenci?n de los derechohabientes que no estaban enterados del simulacro.
La acci?n incluy? hasta la participaci?n de tres grupos del Ej?rcito Mexicano con 14 elementos cada uno, los que apoyaron al personal m?dico con el aseguramiento de las instalaciones aeroportuarias, el transporte de las medicinas y de los enfermos, adem?s de supervisar las tareas de atenci?n m?dica.
Tambi?n se represent? una manifestaci?n de ciudadanos que, con pancartas y gritos, exigieron vacunas a las autoridades de salud, por lo que militares y elementos de la Polic?a Municipal contuvieron a los enardecidos protestantes.
La actividad, inform? el coordinador del evento en el IMSS y epidemi?logo, Daniel Torres Rodr?guez, forma parte del Plan de Acci?n Nacional de Preparaci?n y Respuesta contra la Influenza.
El motivo de la escenificaci?n, agreg?, es llamar la atenci?n de todos los integrantes del sector salud para que est? preparado con una plan en una situaci?n real.
A pesar de que la dimensi?n del simulacro fue grande, ya que los supuestos enfermos, encarnados por estudiantes, llegaron por decenas, en la pr?ctica se desconoce cu?ndo podr?a suceder un evento de esta magnitud.
?No nos va a avisar, puede ser en cualquier momento?, advirti?.
Para que se d? el fen?meno, explic?, es necesario que ocurra la recombinaci?n gen?tica de la influenza humana o estacional con la aviar, cuyo virus producir?a la pandemia.
Indic? que ya se dio la transmisi?n de las aves a los humanos, pero todav?a hace falta que se presente la combinaci?n entre ambos padecimientos.
Y es en prevenci?n de que eso ocurra que se est?n realizando estos ejercicios, afirm?.
El especialista indic? que la influenza, gripe o flu como lo llaman los norteamericanos, no debe confundirse con un resfriado com?n, ya que sus repercusiones son mucho m?s severas y puede llegar hasta a matar al paciente.
En general, este padecimiento se caracteriza por un ataque al estado total de la persona, la que por lo com?n genera insuficiencia respiratoria y otros problemas de los pulmones.
Inform? que para detectar esta enfermedad se deben buscar cuatro s?ntomas: fiebre, dolor de cabeza, catarro y tos seca, m?s un estado general de postraci?n del organismo e insuficiencia respiratoria.
La gente com?n debe evitar automedicarse y autodiagnosticarse para prevenir que se agrave su situaci?n, por lo que tiene que saber que todo cuadro respiratorio debe atenderse con el m?dico, dijo.
Este tipo de enfermedades, a?adi?, requieren del reposo del paciente, quien tambi?n debe consumir muchos l?quidos y c?tricos.
Adem?s, debe evitar el consumo de aspirina para tratar de calmar sus dolores, ya que tiene que consumir las sustancias recetadas por un m?dico.
Torres mencion? que tambi?n la poblaci?n en general puede prevenir la dispersi?n de los padecimientos de las v?as respiratorias, incluyendo la influenza, observando algunas medidas de bioseguridad.
Agreg? que algunas son tener cuidado al toser o al estornudar cubri?ndose la boca, evitar saludarse de beso y hasta de mano, ya que son veh?culos transmisores de pat?genos, lavarse con frecuencia las manos y evitar las conglomeraciones sociales.
?Deben resguardarse en sus casas en todo caso?, se?al?.
Cualquier duda al respecto debe ser consultada ante un m?dico, quien es el que puede determinar con mayor precisi?n la enfermedad que se padezca.
En el operativo realizado en el hospital del IMSS participaron epidemi?logos, enfermeras en salud p?blica, 50 actores, 30 evaluadores, controladores y hasta observadores provenientes de los Estados Unidos, quienes har?n algunas recomendaciones, dijo.
Las actividades del Plan de Acci?n Nacional de Preparaci?n y Respuesta contra la Influenza se realizaron en varias de las instalaciones del sector salud de la ciudad, en las que por medio d?a hicieron simulacros para entrenarse para enfrentar la eventual pandemia de ese padecimiento.
En total, fueron mil 80 personas las que participaron en el simulacro, el que comenz? con la supuesta llegada de dos hombres procedentes de China y contagiados con influenza.
En una hora, establece la situaci?n hipot?tica, la ciudad se volvi? un caos con la pandemia, generando grandes conflictos.
El saldo de la pandemia fue de 50 personas muertas, mientras que hoy se reunir? el comit? organizador para evaluar los resultados.
Las autoridades de salud recomendaron a las personas que se apliquen la vacuna contra la influenza, ya que despu?s de tres a?os seguidos de hacerlo se crean m?s anticuerpos.
En caso de que hubiera una pandemia, los que se vacunan reiteradamente ser?an los menos afectados.
Al contagiarse con esta enfermedad un paciente puede perder la vida en menos de cuatro horas, indicaron.
Los informantes a?adieron que la influenza es una enfermedad respiratoria aguda altamente contagiosa con incidencia mayor en los meses de invierno, que afecta a cualquier edad pero con mayor severidad y complicaciones en los extremos de la vida.