"Right now dominated by acute respiratory symptoms"

[Ronan Kelly]

Spanish to English translation
DISTRICT HOSPITAL WORKER "Right now dominated by acute respiratory symptoms"
23/04/2011, 17:18 | Source: Press Office | (0) Comments
Dr. Esperanza Martinez spoke after visiting the Barrio Obrero hospital this afternoon. On the other hand, noted that patients with dengue box seen at this service are the catchment area of ​​the hospital and there is already a downward trend of new cases.
"The expectation is that will increase the respiratory cases and decrease the dengue cases," reiterated the Minister of Health, Dr. Esperanza Martinez.

According to the report presented by the authorities of the Barrio Obrero to Dr. Martinez, 90% of beds occupied by patients with bronchiolitis (acute respiratory symptoms).

In this regard, the Minister of Public Health asked the people in the risk group approach to the services to be vaccinated against influenza.

"What we want is that people, after this Easter, please go near the place of vaccination and those at risk for influenza are vaccinated. We will intensify this next week, "he explained.

Dr. Felix Ibieta, director of Coordination of Hospitals, meanwhile, explained that the Plan is being evaluated Easter in Public Health services.

"With regard to human resources, for which reinforcement was raised, we are checking if people are busy and, so far, we have no problems. With the theme of drugs and supplies, they have failed in some places because the problem is that we are at a peak of consumption in the area of ​​acute respiratory diseases, which in some places exceeded what was planned. Quadrupled, for example, in the Barrio Obrero consumption in these three days. But as we guard the parks, we are going to restock hospitals, "said the practitioner, who noted that in this context, the visit also provides the services of the north: Clean, Mariano Roque Alonso, Loma Pyta and hospital San Jorge.

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http://www.mspbs.gov.py/v2/7911-HOS...o-predominan-los-cuadros-respiratorios-agudos

 

[Ronan Kelly]

Re: "Right now dominated by acute respiratory symptoms"

Most recent epidemiological report is here; http://www.vigisalud.gov.py/index.p...&id=12:boletin-epidemiologico-2011&Itemid=237

Excerpts;

Spanish to English translation
SENTINEL SURVEILLANCE influenza-like illness (ILI)

Data from sentinel surveillance of ILI indicate that the proportion of ILI consultations among all the queries presented a fluctuating trend over the past two weeks, with an increase of 1% over the previous week.

...

Proportion of hospitalizations for SARI
With respect to the proportion of hospitalizations for SARI, at week 14 reached 5.4%, showing an increase in the last week of around 3%. The proportion of ICU admission (17%) showed a slight increase over the previous week (13.9%). The proportion of deaths from SARI among the dead from all causes is kept below 3%.

...


SARI cases reported and analyzed
In the SE 13 of 2011 513 cases have been reported SARI, from the Surveillance
Hospital, 458 samples were taken, of which 41.3% (144/349) tested positive
for respiratory viruses (Table 5).

...

The highest number of cumulative cases of SARI is in the age group under
2years, followed by the elderly.

...

Proportion of Risk Factors, State immunization and treatment with oseltamivir
Of all patients hospitalized for SARI 14.8% had one or more risk factors. The most frequent were heart disease (51.3%), chronic respiratory disease, including asthma (55.3%) and diabetes (34.2%). To date there has been pregnant 7 hospitalized for SARI in this surveillance of which 1 required ICU
11.8% of hospitalized SARI cases reported having received influenza vaccine during the 2010 season and 8.7% received treatment with oseltamivir

...

The largest proportion of respiratory viruses identified SARI encases corresponds to Influenza A H3N2 (65%), however, has identified a proportional increase in RSV (29%) of 3% over the previous week (26%). Adenovirus represents 5% and influenza A H1N1 2009, 1%. To date, no virus was detected Parainfluenza and Influenza B in this surveillance.
From SE 4 shows a sharp drop in the circulation of influenza A H3N2. In the past four weeks is detected RSV circulation increasing and predominant.

...


By analyzing the distribution of respiratory viruses by age group, it shows the importance of RSV is gathering in the group younger than 1 year, representing over 50% of positive samples, but in those over 60 years the virus is dominant, and Influenza virus (Figure 11).
In severity, the influenza virus becomes important significance in relation to other viruses under surveillance (Figure 12).

 

[Ronan Kelly]

Re: "Right now dominated by acute respiratory symptoms"

Spanish to English translation
Warn of increased respiratory disease in children
After the fall of temperature, consultations for respiratory symptoms are increasing in health centers. Dr. Wilfrido Coronel, head of the Central Hospital Pediatric Emergency Room of the IPS, said account for 70% of the medical service and that the most frequent in infants, are the pictures of bronchiolitis.


El emphasized that bronchiolitis is an inflammation of the lower respiratory tract viral origin, which manifests with chest cry and respiratory difficulty.

"They are the most cases we have, besides the pictures of bronchitis, asthma attacks, adding to this also pneumonia," he said.
The pediatric emergency area receives about 400 patients per day, of which 70% have respiratory problems, and 30% of dengue and other diseases.
As for prevention, professional urged to vaccinate children against influenza dose, which is suitable from six months to two years and also for those with some chronic diseases such as asthma, cardiac, renal and diabetic .

He added that the trivalent doses provides protection against the H1N1 strain, the seasonal (AH3N2) and influenza B.

He recalled that the dose is also available against pneumococcus, causes pneumonia and meningitis.

"Shelter, not exposed to temperature changes. If you are sick, do not send them to school, "recalled the professional, while noting that a child with a cold or the flu can spread to their peers.

Complications

"The complications are because they do not postpone the problem in the early days," said Dr. Coronel, with respect to the importance of rest and timely consultation with the flu symptoms.

With regard to dengue, the doctor urged to "take personally" the responsibility to eliminate mosquito breeding sites and prevent the spread of the disease in our country.
May 3, 2011 00:00

http://www.abc.com.py/nota/alertan-sobre-incremento-de-males-respiratorios-en-ninos/

 

[Ronan Kelly]

Re: "Right now dominated by acute respiratory symptoms"

Weekly Bulletins are here; http://www.vigisalud.gov.py/index.php?option=com_phocadownload&view=category&id=12&Itemid=140

Week 17:

Spanish to English translation

As recorded in Weekly Schedule Mandatory reporting ILI consultations
accumulated to the SE 16 (17 to 23/04/2011) amount to 87,033 notifications. ILI showed a decrease compared to 36.4% week 15, we consider following biases: reduced consultations holidays and the consequent decrease notification.

Correspond to the epidemiological week 16, 4,870 consultations in all ages
Influenza-like illness (ILI), representing an incidence rate of 75.5 per 100,000
people throughout the country, in all ages.

Of the 18 Health Regions 15 registered decrease in consultations. However three increased. In the consultations Boqueron Dept. increased more than 50%, in the city Canindey? more than 20% and in the Alto Paran? Department reached a 7.7%. See table.

Respiratory virus activity persists throughout the country. Sentinel Surveillance indicates the movement Influenza A H3N2, the predominant RSV on entire population of infants and Adenovirus. No important circulation records Influenza A H1N1- 2009, now considered Influenza strain
seasonal. The influenza vaccine available now includes in its spectrum of coverage to Influenza A virus H3N2 and H1N1-2009, as well as Influenza B strain, thus stressing the recommendation to promote vaccination
Influenza for populations at risk.


...

Proportion of hospitalizations, and deaths in the ICU for SARI.
With respect to the proportion of hospitalizations for SARI between hospitalizations for all causes, at week 15 reached 4.2%, showing a decline in the last week of 1%. The proportion of income for SARI ICUs between ICU admission for all causes showed an increase of 8.8% (21.4%) compared to the previous week (12.6%). The proportion of deaths from SARI among the dead from all causes is kept below 2%

...

Largest proportion of respiratory viruses identified in SARI cases due to influenza A H3N2 (55%), however, has identified a proportional increase in RSV (39%). Adenovirus represents 5% and influenza A H1N1 2009 and Parainfluenza 1% each. To date, no influenza B virus has been detected in this surveillance.
From SE 4 shows a sharp drop in the circulation of influenza A H3N2. From SE 9 is detected RSV circulation increasing and predominant

...

http://www.vigisalud.gov.py/index.p...&id=12:boletin-epidemiologico-2011&Itemid=237