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This first case concerns a woman of 60 who is in therapy at the encarnaceno hospital, confirmed Dr. V?ctor Cabrera, director of the IPS of incarnation to local media. 'At this point we already have a case of a patient with H1N1 in therapy, and are increasing respiratory pictures which spread very easily, then you have to take appropriate care measures, in these days of very cold treat of keeping the creature mainly in houses, which do not come out much, like older people'said the professional at the time point out that many cases of influenza, flu, bronchiolitis and bronchitis there are.