• FluTrackers.com Inc. does not provide medical advice. Information on this web site is collected from various internet resources, and the FluTrackers board of directors makes no warranty to the safety, efficacy, correctness or completeness of the information posted on this site by any author or poster. The information collated here is for instructional and/or discussion purposes only and is NOT intended to diagnose or treat any disease, illness, or other medical condition. Every individual reader or poster should seek advice from their personal physician/healthcare practitioner before considering or using any interventions that are discussed on this website. By continuing to access this website you agree to consult your personal physican before using any interventions posted on this website, and you agree to hold harmless FluTrackers.com Inc., the board of directors, the members, and all authors and posters for any effects from use of any medication, supplement, vitamin or other substance, device, intervention, etc. mentioned in posts on this website, or other internet venues referenced in posts on this website.
  • We are not asking for any donations. Do not donate to any entity who says they are raising funds for us.

The Discovery of the 2009 A/H1N1 Pandemic - Mexico: April 17 New Respiratory Illnesses - Including Mexico City & Oaxaca

Re: Atypical Pneumonia Cases - Mexico

Re: Atypical Pneumonia Cases - Mexico

Can someone post a translation of the ISSSTE article from post #10. I don't know how to auto-translate (I speak Spanish too).
 
Re: Atypical Pneumonia Cases - Mexico

Re: Atypical Pneumonia Cases - Mexico

Here is the translation.

Oaxaca de Ju?rez .- Avian Flu

Todav?a no se ponen de acuerdo en los servicios generales de salud p?blica de Oaxaca respecto de dos muertes que ocurrieron en el hospital Aurelio Valdivieso por una supuesta neumon?a at?pica relacionada con el virus de la gripe aviar. I still can not agree on the general health services in respect of public Oaxaca two deaths that occurred in the hospital for alleged Aurelio Valdivieso SARS-related virus of avian influenza.

A los dos decesos, se le suma otro m?s en el hospital del ISSSTE en esta capital lo que puede derivar en un asunto un poco m?s serio de los que los doctores Nakamura y V?squez Villanueva pretenden que creamos. The two deaths are piled on another in the ISSSTE hospital in this capital which can lead to a somewhat more serious matter of the doctors and Nakamura Vasquez Villanueva claim to believe.
Supongo que la mayor?a de los ciudadanos sabemos qu? es la gripe aviar y cu?ntas gentes han muerto por la mutaci?n de un virus que solo afectaba a las aves pero que ahora es peligroso para mam?feros, incluido el humano, el cerdo y el gato. I suppose that most people know about avian influenza and how many people have been killed by a mutated virus that only affects birds, but now it is dangerous to mammals, including humans, pigs and cats.

En Argentina murieron cientos de personas por un brote de influenza aviar hace apenas unos a?os, despu?s de que la mutaci?n del virus se identific? en Hong Kong y luego se traslad? v?a a?rea a varias partes del mundo. In Argentina hundred people died in an outbreak of avian influenza a few years ago, after the mutation of the virus was identified in Hong Kong and then moved by air to various parts of the world.

?Por qu? Oaxaca deber?a estar exenta de una epidemia de Influenza Aviar?, pues eso no nos lo han explicado los servicios de salud del estado, pero podemos decir que contamos con una aeropuerto internacional en nuestra capital al que llegan ciudadanos de todo el mundo que pueden traer entre sus pertenencias, un microsc?pico virus que es altamente letal. Why Oaxaca should be free from an epidemic of Avian Influenza? Because that's not what we have explained the health services of the state, but we can say that we have an international airport in capital to our citizens who come from around the world that can bring their belongings from a microscopic virus is highly lethal.

La gripe aviar fue identificada por primera vez hace cien a?os en Italia y estaba relacionada solamente con las aves, por eso su nombre. Bird flu was first identified in Italy one hundred years ago and was related only to birds, thus its name. Es producida por un virus que tiene al menos 15 subtipos de los cuales los m?s peligrosos para los humanos son los H5 y H7, causantes de las epidemias en China y en Argentina. Is caused by a virus that has at least 15 subtypes of the most dangerous to humans are the H5 and H7, which cause epidemics in China and Argentina.

Por otra parte, el diagn?stico de los servicios de salud de Oaxaca para el caso del Aurelio Valdivieso, fue Neumon?a At?pica y ?sta es causada por bacterias que pueden ser atacadas con antibi?ticos, mientras que para un virus, no existe ant?doto. Moreover, the diagnosis of health services for the case of Oaxaca Aurelio Valdivieso, and this was atypical pneumonia is caused by bacteria that can be attacked with antibiotics, whereas a virus, there is no antidote.

No s? qu? da m?s miedo, si la gripe aviar o la ignorancia y la descoordinaci?n de los servicios de Salud en Oaxaca que no se ponen de acuerdo para decirle a la ciudadan?a a qu? nos estamos enfrentando porque mientras unos dicen que ya identificaron el problema, otros opinan que los resultados que mandaron al Distrito Federal, tardar?n un promedio de 15 d?as. I do not know what fear is, if the bird flu or ignorance and lack of health services in Oaxaca that do not agree to tell the public what we're facing because while some say that it identified the problem, others believe that the results sent to the Federal District, will take an average of 15 days.

?A qui?n le hacemos caso? Who cares if we do?

Y mientras le hacemos caso a alguien deber?amos estar investigando cu?ntas muertes relacionadas con una simple gripa y unas diarreas recurrentes hay en los hospitales del sector salud federal, estatal y los particulares para darnos una idea del enemigo que tenemos frente a nosotros y que no podemos ver. And while I do if someone should be investigating how many deaths related to a simple cold and there are some recurring diarrhea in the hospitals of the health sector, state and individuals to give us an idea of the enemy before us and we can not see .

Salud de Oaxaca dice que no hay de qu? preocuparnos, pero los resultados dentro del propio hospital civil con las personas que tuvieron contacto con la enferma que muri?, presentaron cuadros agudos de problemas respiratorios lo que puede significar que las cosas no est?n tan bien como parecen. Health Oaxaca said not to worry, but the results within the hospital with people who had contact with the patient who died showed acute respiratory problems which may mean that things are not as good as they seem .

Preocupa tambi?n el hecho de que en M?xico y mucho menos en Oaxaca tenemos la capacidad para hacerle frente a una epidemia de consecuencias incalculables, nuestros servicios de salud hacen lo que humanamente le permite el precario y escaso presupuesto con el que cuentan y ante eso pues no se puede hacer mucho menos que ponerse a rezar. Also troubling is the fact that much less in Mexico and Oaxaca have the capacity to cope with an epidemic of incalculable consequences, our health services do what is humanly allows poor and low budget with which to tell, and that therefore no can be done much less to get to pray.

Nuestro pobre estado se caracteriza porque tiene ?casas? de salud, pero no tiene ni medicamentos, ni m?dicos porque el presupuesto federal que deber?a de llegar para atender a las m?s de 10 mil comunidades, pues nada m?s no llega y entonces hay una gran demanda de m?dicos que no pueden ser contratados por falta de presupuesto. Our state is poor because it "houses" of health, but has no medication, no doctors, because the federal budget that should get to meet more than 10 thousand communities, as nothing else fails then there is great demand doctors may not be hired due to lack of budget.

Entonces no es lejano que podamos sufrir una epidemia de cualquier tipo, de c?lera, de influenza, de gripe aviar o de lo que sea, porque somos vulnerables por la escases de m?dicos y medicinas. So far we are not suffering an epidemic of any kind, cholera, influenza, avian flu or whatever, because we are vulnerable because of the shortage of doctors and medicines.

Ni siquiera tenemos el presupuesto para hacer un balance, una investigaci?n de cu?ntas muertes podr?an estar relacionadas con problemas respiratorios que pudieran tener que ver algo con un virus, vaya, parece que no hay ni presupuesto ni ganas de investigar. We do not even have the budget to balance, an investigation of how many deaths could be related to respiratory problems that might have something to do with a virus, well, it seems that there is no budget or desire to investigate.
Ojal? y un asunto serio como este, no se le vaya a salir de las manos a las autoridades en materia de salud p?blica, estatal y federal, porque los errores en salud, se entierran, no se archivan. And hopefully a serious matter like this, you are not going to get out of the hands of the authorities in public health, state and federal, because errors in health, are buried, are not archived.

Also, can we change the title of the thread to something that mentions that all of this is in one or two hospitals in Oaxaca, not spread out all over Mexico?
 
Re: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

Re: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

Here is this morning's article in their daily paper. It seems that the authorities are admitting that there are two deaths and two others hospitalized. Also it seems the second death (the 35 yr old man) actually probably happened BEFORE the first. This paper really suspects a cover-up of a SARS-type outbreak.

http://www.diariodespertar.com.mx/Agenda/8923-Amplan-cerco-sanitario-IMSS.html

Manuel Salcedo, director of Civil and Martin Vasquez, Secretary of Health, called to account. De encontrar responsabilidades, por omisi?n o inacci?n, podr?a demandar sanciones contra funcionarios To find liability, default or failure to act could bring sanctions against officials

Abre Comisi?n de Arbitraje M?dico expediente de oficio Medical Arbitration Commission opens the file automatically

El Instituto Mexicano del Seguro Social (IMSS) dio instrucciones precisas al personal m?dico y de enfermeras para enviar al ?rea de Epidemiolog?a a los derechohabientes enfermos de cuadros gripales. Instituto Mexicano del Seguro Social (IMSS) gave clear instructions to doctors and nurses to send to the area of epidemiology to entitled categories of flu patients.
Al mismo tiempo, tambi?n se dieron ?rdenes de brindar atenci?n prioritaria, seguimiento y, de ser necesario por la gravedad del caso, canalizar a los pacientes inmediatamente a hospitalizaci?n. At the same time, orders were given to provide focus, monitoring and, if necessary by the severity of the case, channeling of patients to hospital immediately. Obligaci?n del personal m?dico y de enfermeras es, asimismo, formular los reportes diarios de los casos de los derechohabientes enfermos de cuadros gripales atendidos en los diversos turnos. Obligation of doctors and nurses is also making daily reports of cases of influenza-like pictures of sick dependents served in various shifts.
La disposici?n de ampliar el cerco sanitario, iniciado en el Hospital Civil, fue hecha en la Cl?nica Hospital N?mero 1 del Seguro Social, durante una reuni?n urgente convocada ayer por la tarde. The provision to expand the circle of health, started in the Civil Hospital, was made in the Clinical Hospital No. 1 Social Security, called for an urgent meeting yesterday afternoon.
La Comisi?n Estatal de Arbitraje M?dico de Oaxaca (CEAMO) inici? un expediente de oficio por las muertes a causa de neumon?a at?pica suscitadas en el Hospital Civil ?Doctor Aurelio Valdivieso?. The State Commission of Medical Arbitration Oaxaca (CEAMO) launched an own deaths by cause of atypical pneumonia arising in the Hospital Civil "Dr. Aurelio Valdivieso". La instancia m?dica otorg? un plazo de 72 horas a los Servicios de Salud de Oaxaca (SSO) y al nosocomio para presentar un informe de lo sucedido y de las medidas aplicadas. The department granted a medical within 72 hours to Oaxaca Health Services (OHS) and the hospital to report what happened and the measures implemented.
A?n cuando la Secretar?a de Salud descart? la presencia de gripe aviar, el titular de la CEAMO, Manuel Ortega Gonz?lez, titular de la instancia, consider? que existen elementos contradictorios que motivan a una investigaci?n de fondo. Although the Health Department ruled out the presence of bird flu, the owner of the CEAMO, Manuel Ortega Gonz?lez, head of the department, found that there are contradictory elements that motivate a research fund.
Adelant? que, en caso de que no se hayan aplicado los procedimientos adecuados, podr?a fijarse responsabilidades en contra de funcionarios p?blicos, incluso la destituci?n de los responsables. He said that in the event of the failure to implement appropriate procedures, could be set against liabilities of public officials, including the dismissal of those responsible. Ser? a partir del informe presentado por dichas dependencias de salud como el consejo de la CEAMO analizar? y deliberar? sobre las responsabilidades y sanciones. It will be a report submitted by the health units and the council of the CEAMO analyze and discuss the responsibilities and penalties.
Tras la muerte de dos pacientes no se present? ninguna queja ante la CEAMO, por lo cual no existe un expediente, ?pero, por ser una situaci?n de inter?s general, en donde pudiera existir un riesgo a toda la sociedad, solicitamos por escrito al director del Hospital Civil ?Aurelio Valdivieso?, (Manuel Salcedo) y al Secretario de Salud de Oaxaca, Mart?n V?zquez Villanueva, los pormenores del casos y solicitar las medidas que ellos adoptaron como responsables?, dijo Ortega Gonz?lez. After the death of two patients there was no complaint with the CEAMO, so there is no record, "but, as a general situation, where there could be a risk to society as a whole, we request in writing to the Director Hospital Civil 'Aurelio Valdivieso "(Manuel Salcedo) and the Secretary of Health in Oaxaca, Mart?n V?zquez Villanueva, details of cases and apply the measures they took to be responsible," said Ortega Gonz?lez.
Esperan respuesta para hoy They hope to answer today
La solicitud de informaci?n de la CEAMO fue enviada a las dos instancias el viernes pasado, por lo que hoy vence el plazo para que se emita una respuesta, en caso de que ?sta no se presente, la CEAMO tiene facultades sancionadoras. The request for information was sent to the CEAMO the two bodies on Friday, so today is the deadline to issue a response, if it is not present, CEAMO has powers to impose penalties.
Dado que no hay un expediente de queja espec?fica, el trabajo de la CEAMO es comprobar que se hayan cumplido correctamente con todas las medidas a tomar y que los mismos funcionarios hayan girado instrucciones, pues pudo haber negligencia de alg?n responsable por no dictaminar acciones o instrucciones adecuadas, como tambi?n responsabilidad de funcionarios por no haber aplicado las medidas que se mandataron. Since no record of a specific complaint, the work is to check the CEAMO have been completed correctly with all the steps to take and that these officials have issued instructions as may have been liable for negligence of not finding any actions or instructions appropriate, as also the responsibility of officials for failure to implement measures that mandate.
Si bien los SSO declararon en conferencia de prensa que ya fueron entregados las muestras tomadas a la paciente de 39 a?os de edad, quien falleci? la semana pasada por neumon?a at?pica, y en ellos se descarta una gripe aviar, no obstante, la CEAMO solicit? la informaci?n oficial enviada por el Instituto Nacional de Referencia Epidemiol?gica (INRE). While the SSO stated at a press conference that since the samples were delivered to the patient 39 years old, who died last week of atypical pneumonia, and they discard a bird flu, however, sought CEAMO Official information from the National Institute of Epidemiological Reference (INRE).
Debido a que se contraponen las voces oficiales de los SSO y, por otro parte, la de los trabajadores del Hospital Civil, existen sospechas de que ?hay cosas turbias al respecto, por eso decidimos hacer un caso de inter?s general de riesgo de la sociedad e intervenir para tener claro el panorama?, dijo el m?dico. Because they contradict the official voices of the SSO and, on the other hand, the workers of Civil Hospital, there are suspicions that "things are murky on this, so we decided to make a general case of the company's risk and intervene to have the clear picture, "said the doctor.

Descarta CEAMO gripe aviar como CEAMO discarded as avian influenza
causa neumon?a at?pica cause atypical pneumonia
A m?s 9 d?as de la muerte de Jovita Guti?rrez Cruz y Silvano Jean Palomeque, la presencia de gripe aviar es ?extraordinariamente dif?cil? debido a que el periodo de incubaci?n del S?ndrome Respiratorio Severo Agudo alcanz? su periodo m?ximo y hasta el momento no se tienen indicios concretos de m?s muertes, dijo el m?dico. Over 9 days of the death of Jovita Gutierrez Silvano Cruz and Jean Palomeque, the presence of avian flu is "extremely difficult" because the incubation period of the Severe Acute Respiratory Syndrome achieved its maximum and so far there are no indications concrete more deaths, "said the doctor.
?Se habla de una persona m?s y de otras enfermera que est? internada. "One speaks of a person and other nurse who is interned. Por eso necesitamos la informaci?n precisa y puntualmente, si realmente no hay nada por qu? haber cerrado, por qu? haber mandado a quemar colchones, hay preguntas que a?n no quedan muy claras?, manifest?. So we need the information accurate and timely, if nothing is really why you have closed, why have commanded to burn mattresses, there are questions that still are not very clear, "he said.
Por lo altamente contagioso de la enfermedad, a estas alturas ya se ubieran presentado muchos m?s decesos como ocurri? en Guangdong, China cuando la enfermedad se present? por primera vez en 2002. As the highly contagious disease at this stage already submitted ubieran many more deaths as occurred in Guangdong, China where the disease was first introduced in 2002.





Diputados se dan otra semana para ?incubar? una investigaci?n Members are given another week to 'incubate' research


Los integrantes de la Comisi?n Permanente de Salud del Congreso del Estado pospusieron hasta la pr?xima semana la visita que ten?an programada para este lunes al Hospital Civil ?Doctor Aurelio Valdivieso?, para supervisar las condiciones en que opera ese nosocomio, luego del fallecimiento de dos pacientes por neumon?a at?pica y el riesgo de un brote de gripe aviar. The members of the Standing Committee of Health of the State Congress postponed until next week the visit was scheduled for Monday at the Hospital Civil "Dr. Aurelio Valdivieso" to monitor the conditions on which such hospital following the death of two patients atypical pneumonia and the risk of an outbreak of bird flu.
Gerardo Garc?a Henestroza, presidente de la Comisi?n, indic? que la visita se pospuso, debido a que no estar?an presentes el titular de los Servicios de Salud de Oaxaca, Mart?n V?squez Villanueva y otros funcionarios del sector, estos se encuentran en Salina Cruz, donde este jueves ser? inaugurado el hospital de la regi?n. Gerardo Garcia Henestroza, chairman of the Committee, said that the visit was postponed because it would not be present holder of the Health Services in Oaxaca, Mart?n V?squez Villanueva and other officials of the sector, these are at Salina Cruz, where this Thursday will be opened the hospital in the region.
Sin embargo, el legislador panista, sostuvo en que est? vigente la postura de esa Comisi?n, en el sentido de que se investigue de manera exhaustiva los motivos del fallecimiento de los dos pacientes y, para descartar si hay otro tipo de riesgos. However, the PAN legislator, argued that the current position is that Commission, in the sense that an exhaustive investigation of the reasons for the death of two patients, and to rule out if there are other risks.
La semana pasada, Garc?a Henestroza, entrevistado por Diario DESPERTAR, se?al? que esa Comisi?n intervendr? ?responsablemente? en el caso suscitado en el Hospital Civil , ?porque la salud de los oaxaque?os no puede estar en riesgo?. Last week, Garcia Henestroza, interviewed by DESPERTAR Journal, noted that the Commission will act "responsibly" in the case raised at the Civil Hospital, "because the health of Oaxacans can not be at risk."

De ?primera mano? From 'first hand'
Este lunes ten?an previsto realizar la visita de supervisi?n al nosocomio, para verificar las condiciones en que se encuentran las instalaciones, corroborar si hay un cerco sanitario y las medidas que se han tomado para evitar otros casos similares. This Monday they planned to conduct the monitoring visit to the hospital to verify the conditions under which the facility, verify if a fence and health measures taken to prevent similar cases.
El director de Prevenci?n y Promoci?n de la Salud, Miguel ?ngel Nakamura L?pez, asegur? a los miembros de la Comisi?n de Salud que ?no hay ning?n brote epid?mico? en el Hospital Civil. The director of Prevention and Health Promotion, Miguel ?ngel L?pez Nakamura, assured members of the Committee on Health that "there is no outbreak in the Civil Hospital.
Lanzan la bolita Throw the ball
Se?al? que si se llegara a establecer que hubo negligencia m?dica, la Comisi?n solicitar? la intervenci?n de la Comisi?n Estatal de Arbitraje M?dico, para que ?sta proceda en consecuencia, y de acuerdo a sus facultades. He noted that if it was established that there was medical negligence, it shall request the intervention of the State Commission for Medical Arbitration, to which it was derived in consequence, and according to their abilities.
?Si hay riesgos para la salud de los oaxaque?os, no s?lo cuando hay un brote epidemiol?gico, sino en casos como el registrado en el Hospital Civil, donde las causas de la neumon?a at?pica no han sido dadas a conocer oficialmente?, indic?. "If there are health risks Oaxacans, not only when there is an epidemic outbreak, but in cases such as in the Civil Hospital, where the causes of atypical pneumonia have not been officially made known," he said.
Cabe se?alar que, tras los dos decesos, los Servicios de Salud en Oaxaca decretaron una cuarentena en el ?rea de Urgencias Adultos del Hospital Civil, porque hay el temor de un brote de gripe aviar. It should be noted that after the two deaths, the Health Services in Oaxaca decreed a quarantine in the area of Civil Emergency Adult Hospital, because there are fears of an outbreak of bird flu.
Por ello, el presidente de la Comisi?n Permanente de Salud en el Congreso local reiter? que los integrantes de la misma constatar?n personalmente la situaci?n que prevalece en el Hospital Civil. Therefore, the chairman of the Standing Committee on Health Congress reiterated that members of the same personally the situation in the Civil Hospital.
?No sospechamos nada, pero es mejor verificar la situaci?n en el nosocomio, despu?s de que se registr? la muerte de dos pacientes?, se?al?. "I do not suspect anything, but it is better to check the situation in the hospital after they recorded the deaths of two patients," he said.
En el Hospital Civil ?Aurelio Valdivieso?, fallecieron Mar?a Jovita Guti?rrez Cruz, de 39 a?os de edad, y Silviano Jaen Palomeque, debido a la neumon?a at?pica. In the Civil Hospital "Aurelio Valdivieso, Maria Jovita Gutierrez Cruz died, aged 39, and Silviano Jaen Palomeque due to atypical pneumonia. La Comisi?n Permanente de Salud, adem?s de Garc?a Henestroza, del PAN est? integrada por los diputados Carlos G?mez Orozco, Silvia Estela Z?rate G?mez y Claudia del Carmen Silva Fern?ndez del PRI, as? como F?lix Antonio Serrano Toledo, del PRD. The Standing Committee on Health, in addition to Garcia Henestroza of the PAN is composed of deputies Carlos Gomez Orozco, Silvia Estela Zarate Gomez and Claudia del Carmen Silva Fern?ndez del PRI, and F?lix Antonio Serrano Toledo, PRD.




Falsa alarma, considera epidemi?logo False alarm, consider an epidemiologist

La posibilidad de que se manifieste un brote de gripe aviar es dif?cil y poco factible, asegur? el epidemi?logo Odav?as Mart?nez Soriano; el especialista confi? en que no pasar? a mayores el problema suscitado en d?as pasados en el Hospital Civil ?Doctor Aurelio Valdivieso?, por la muerte de dos pacientes a causa de la neumon?a at?pica. The possibility that an apparent outbreak of bird flu is difficult and unlikely, said epidemiologist Odav?as Soriano Mart?nez, and hopes that will not go to the biggest problem raised in recent days at the Hospital Civil "Dr. Aurelio Valdivieso" by the death of two patients because of atypical pneumonia.
Indic? que, del diagn?stico fina, depender? establecer el riesgo que corren las personas que estuvieron en el ?rea del nosocomio donde fueron hospitalizados los pacientes fallecidos. Indicated that the final diagnosis will depend on establishing the risk that persons who were in the area of the hospital where the dead patients were hospitalized.
?Siempre habr? un riesgo grande, como cuando un m?dico trata a pacientes de VIH-SIDA y, accidentalmente, se pincha un dedo con una aguja infectada?, explic? Mart?nez Soriano, quien es catedr?tico de la materia de Salud P?blica en la Facultad de Medicina y Cirug?a de la Universidad Aut?noma ?Benito Ju?rez? de Oaxaca (UABJO). "There will always be a big risk, as when a doctor treats patients with HIV-AIDS and accidentally pricked a finger with a needle infected," said Martinez Soriano, who is professor of public health at the Faculty of Medicine and Surgery at the Universidad Aut?noma "Benito Ju?rez" de Oaxaca (UABJO).
Y a?adi? que, ?en el caso presentado en el Hospital Civil, por obligaci?n deber?n realizarse m?s estudios para establecer si habr?a riesgos de personas infectadas?. He added that "the case presented at the Civil Hospital, liability further studies must be conducted to establish whether there would be risks of infected people."
Se?al? que la situaci?n generada por la muerte de dos personas diagnosticadas con neumon?a at?pica, desafortunadamente gener? mucho temor entre los pacientes del Hospital Civil, debido a la cultura de los oaxaque?os. He noted that the situation created by the death of two people diagnosed with atypical pneumonia, unfortunately generated much fear among the patients of Civil Hospital, due to the culture of Oaxaca.

Temor ancestral Fear ancestral
?Generalmente, cuando ocurren estos casos, la gente piensa en mejor no ir a consulta, porque considera que tiene el riesgo de contagiarse?, indic?. "Generally, when such cases occur, people think better not to go to consultation, believing that the risk of infection," he said.
Sin embargo, calific? como ?coherente y prudente? la actitud del secretario de Salud en el estado, Mart?n V?squez Villanueva, al acudir al Hospital Civil y no haber utilizado el cubreboca. However, as "consistent and prudent" attitude of the secretary of health in the state, Mart?n V?squez Villanueva, to go to Civil Hospital and not to have used the cubreboca.
?Esto, de alguna manera dio confianza, no s?lo a los pacientes, sino al personal que labora en ese nosocomio?, coment?. "This somehow gave confidence, not only to patients but to staff working in that hospital," he said.
Ahora, dijo, habr? que esperar el resultados de los ex?menes de laboratorio que se realizan en la ciudad de M?xico, para descartar que se trate de un problema de gripe aviar. Now, he said, must await the results of laboratory tests being conducted in the city of Mexico, to rule out that this is a problem of avian flu.
Mart?nez Soriano dijo que fue muy apresurado dar a conocer el problema por la muerte de dos pacientes de neumon?a at?pica, y reiter? en que esto tender?a a diluirse, pero habr? que esperar el diagn?stico final. Martinez Soriano said he was very quick to publicize the problem for the deaths of two patients of atypical pneumonia, and reiterated that this would tend to fade, but must await the final diagnosis.


Por hacinamiento, paran centro de salud de la colonia Estrella By overcrowding, stop center of health of the Star Cologne

Trabajadores de Centro de Salud Urbano n?mero dos perteneciente a los Servicios de Salud Oaxaca (SSO) tomaron las instalaciones de dicho sitio para solicitar la ampliaci?n o construcci?n de un nuevo edificio, ya que el existente ya no cumple con los requerimientos, asever? si l?der sindical, Claudio Flores L?pez. Workers' Center for Urban Health number two belongs to the Health Services Oaxaca (SSO) installations that took place to request an extension or a new building because the existing one no longer meets the requirements, if a union leader said Claudio Lopez Flores.
Agreg? que con las instalaciones que cuentan actualmente fueron edificadas en la d?cada de los setenta, lo cual demuestra la necesidad de la actualizaci?n del nosocomio, debido a que la cantidad de derechohabientes atendida en aquel entonces no se equipara con los cerca de 30 mil que reciben atenci?n de manera mensual. He added that the facilities were now built in the seventies, which demonstrates the need for updating the hospital because the number of dependents at that time served does not equate to about 30 thousand who are attention on a monthly basis.
Refiri? que con el espacio con el que se cuenta para las consultas y diversos servicios que se prestan es muy reducido, lo cual merma la calidad de los servicios en detrimento de los pacientes y asever?, ?no es capricho la acci?n que hemos tomado, m?s bien es por necesidad, requerimos aumentar la calidad y calidez?. He said that with the space to account for the various consultations and services provided is very low, which lowers the quality of services to the detriment of patients and said, "It is not fancy the action we have taken, more it is by necessity, need to increase the quality and warmth. "
Flores L?pez inform? que el centro de salud ubicado en la colonia Estrella, laboran alrededor de 80 m?dicos, 70 de base y 10 de contrato, quienes trabajan ?amontonados?, por lo que exigi? al secretario de salud, Mart?n V?squez Villanueva poner de manera inmediata atenci?n a este problema, ya que durante los ?ltimos 10 a?os se ha solicitado la ampliaci?n, misma que no se ha dado. Flores Lopez reported that the Health Center located in Star Cologne, working about 80 doctors, 70 basic and 10 contract workers "crowded", and it required the secretary of health, Martin Vasquez Villanueva put an immediate attention to this problem because for the past 10 years has requested an extension, which has not occurred.
Los dejan sin atenci?n The left unattended
Por otro lado en las afueras del centro m?dico se pod?a observar a diversas personas, en su mayor?a de escasos recursos, quienes llegaban en busca de atenci?n para encontrarse con la sorpresa de que ayer (lunes) los m?dicos no laborar?an, lo cual lo supieron mediante unas cartulinas pegadas en la reja de entrada. On the other side on the outskirts of the medical center could be seen several people, mostly poor, who came in search of care to meet the surprise that yesterday (Monday) the doctors laborar?an, which he knew by some cards glued on the entrance gate.
Los integrantes de una de las familias se encontraban sentados en los escalones de la entrada principal esperando a ver si ser?an atendidos ya que, a decir de los trabajadores, probablemente recibir?an atenci?n, cosa que no sucedi?. The members of one family were sitting on the steps of the main entrance waiting to see whether they would be treated as, say the workers will probably receive attention, something that did not happen.
?Venimos de la colonia Microondas, necesito hacerme los chequeos de az?car y la presi?n porque sufro de diabetes y mi hija ven?a a consulta normal?, indic? un padre de familia que esperaba la apertura del centro y acus? ?no avisaron, yo vine el viernes y no nos dijeron nada, ahora tengo que buscar donde m?s ir a atenderme?. "We come from the Cologne Microwave, need to have checkups sugar and pressure because I suffer from diabetes and my daughter was a normal consultation," said a father who hoped to open the center and accused "no warning, I came on Friday and not told us anything, now I have to find where to go to meet more. "
 
Re: Atypical Pneumonia Outbreak - Oaxaca Hospital

Re: Atypical Pneumonia Outbreak - Oaxaca Hospital

Actually, a closer reading of that article seems to indicate that the two people ill today are IN ADDITION to the two from teh 18th-20th, as it doesn't say the first person was a doctor, and it called the nurse "otra = another".

You may have four people seriously ill. On the bright side, it does appear those 16 mild illnesses, and 33-36 contacts are unrealted to this outbreak.
 
Re: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

Re: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

Source: http://www.diariodespertar.com.mx/Agenda/8923-Amplan-cerco-sanitario-IMSS.html

Google translation:

Extend the fence to IMSS health
21/04/2009 04:00:00
Citlalli Lopez / Vega Jorge Aguilar Jorge A. Alfonso Perez

Manuel Salcedo, director of Civil and Martin Vasquez, Secretary of Health, called to account. To find liability, default or failure to act could bring sanctions against officials

Medical Arbitration Commission opens the file automatically

Instituto Mexicano del Seguro Social (IMSS) gave clear instructions to doctors and nurses to send to the area of epidemiology to entitled categories of flu patients.
At the same time, orders were given to provide focus, monitoring and, if necessary by the severity of the case, channeling of patients to hospital immediately. Obligation of doctors and nurses is also making daily reports of cases of influenza-like pictures of sick dependents served in various shifts.
The provision to expand the circle of health, started in the Civil Hospital, was made in the Clinical Hospital No. 1 Social Security, called for an urgent meeting yesterday afternoon.
The State Commission of Medical Arbitration Oaxaca (CEAMO) launched an own deaths by cause of atypical pneumonia arising in the Hospital Civil "Dr. Aurelio Valdivieso". The department granted a medical within 72 hours to Oaxaca Health Services (OHS) and the hospital to report what happened and the measures implemented.
Although the Health Department ruled out the presence of bird flu, the owner of the CEAMO, Manuel Ortega Gonz?lez, head of the department, found that there are contradictory elements that motivate a research fund.
He said that in the event of the failure to implement appropriate procedures, could be set against liabilities of public officials, including the dismissal of those responsible. It will be a report submitted by the health units and the council of the CEAMO analyze and discuss the responsibilities and penalties.

After the death of two patients there was no complaint with the CEAMO, so there is no record, "but, as a general situation, where there could be a risk to society as a whole, we request in writing to the Director Hospital Civil 'Aurelio Valdivieso "(Manuel Salcedo) and the Secretary of Health in Oaxaca, Mart?n V?zquez Villanueva, details of cases and apply the measures they took to be responsible," said Ortega Gonz?lez.

They hope to answer today
The request for information was sent to the CEAMO the two bodies on Friday, so today is the deadline to issue a response, if it is not present, CEAMO has powers to impose penalties.
Since no record of a specific complaint, the work is to check the CEAMO have been completed correctly with all the steps to take and that these officials have issued instructions as may have been liable for negligence of not finding any actions or instructions appropriate, as also the responsibility of officials for failure to implement measures that mandate.
While the SSO stated at a press conference that since the samples were delivered to the patient 39 years old, who died last week of atypical pneumonia, and they discard a bird flu, however, sought CEAMO Official information from the National Institute of Epidemiological Reference (INRE).
Because they contradict the official voices of the SSO and, on the other hand, the workers of Civil Hospital, there are suspicions that "things are murky on this, so we decided to make a general case of the company's risk and intervene to have the clear picture, "said the doctor.


CEAMO discarded as avian influenza cause atypical pneumonia

Over 9 days of the death of Jovita Gutierrez Silvano Cruz and Jean Palomeque, the presence of avian flu is "extremely difficult" because the incubation period of the Severe Acute Respiratory Syndrome reached its maximum and so far there are no indications concrete more deaths, "said the doctor.
"One speaks of a person and other nurse who is interned. So we need the information accurate and timely, if nothing is really why you have closed, why have commanded to burn mattresses, there are questions that still are not very clear, "he said.

As the highly contagious disease at this stage already submitted ubieran many more deaths as occurred in Guangdong, China where the disease was first introduced in 2002.

Members are given another week to 'incubate' research

The members of the Standing Committee of Health of the State Congress postponed until next week the visit was scheduled for Monday at the Hospital Civil "Dr. Aurelio Valdivieso" to monitor the conditions on which such hospital following the death of two patients atypical pneumonia and the risk of an outbreak of bird flu.
Gerardo Garcia Henestroza, chairman of the Committee, said that the visit was postponed because it would not be present holder of the Health Services in Oaxaca, Mart?n V?squez Villanueva and other officials of the sector, these are at Salina Cruz, where this Thursday will be opened the hospital in the region.
However, the PAN legislator, argued that the current position is that Commission, in the sense that an exhaustive investigation of the reasons for the death of two patients, and to rule out if there are other risks.
Last week, Garcia Henestroza, interviewed by DESPERTAR Journal, noted that the Commission will act "responsibly" in the case raised at the Civil Hospital, "because the health of Oaxacans can not be at risk."

From 'first hand'
This Monday they planned to conduct the monitoring visit to the hospital to verify the conditions under which the facility, verify if a fence and health measures taken to prevent similar cases.
The director of Prevention and Health Promotion, Miguel ?ngel L?pez Nakamura, assured members of the Committee on Health that "there is no outbreak in the Civil Hospital.
Throw the ball
He noted that if it was established that there was medical negligence, it shall request the intervention of the State Commission for Medical Arbitration, to which it was derived in consequence, and according to their abilities.
"If there are health risks Oaxacans, not only when there is an epidemic outbreak, but in cases such as in the Civil Hospital, where the causes of atypical pneumonia have not been officially made known," he said.
It should be noted that after the two deaths, the Health Services in Oaxaca decreed a quarantine in the area of Civil Emergency Adult Hospital, because there are fears of an outbreak of bird flu.

Therefore, the chairman of the Standing Committee on Health Congress reiterated that members of the same personally the situation in the Civil Hospital.
"I do not suspect anything, but it is better to check the situation in the hospital after they recorded the deaths of two patients," he said.
In the Civil Hospital "Aurelio Valdivieso, Maria Jovita Gutierrez Cruz died, aged 39, and Silviano Jaen Palomeque due to atypical pneumonia.

The Standing Committee on Health, in addition to Garcia Henestroza of the PAN is composed of deputies Carlos Gomez Orozco, Silvia Estela Zarate Gomez and Claudia del Carmen Silva Fern?ndez del PRI, and F?lix Antonio Serrano Toledo, PRD.


False alarm, consider an epidemiologist

The possibility that an apparent outbreak of bird flu is difficult and unlikely, said epidemiologist Odav?as Soriano Mart?nez, and hopes that will not go to the biggest problem raised in recent days at the Hospital Civil "Dr. Aurelio Valdivieso" by the death of two patients because of atypical pneumonia.
Indicated that the final diagnosis will depend on establishing the risk that persons who were in the area of the hospital where the dead patients were hospitalized.

"There will always be a big risk, as when a doctor treats patients with HIV-AIDS and accidentally pricked a finger with a needle infected," said Martinez Soriano, who is professor of public health at the Faculty of Medicine and Surgery at the Universidad Aut?noma "Benito Ju?rez" de Oaxaca (UABJO).
He added that "the case presented at the Civil Hospital, liability further studies must be conducted to establish whether there would be risks of infected people."
He noted that the situation created by the death of two people diagnosed with atypical pneumonia, unfortunately generated much fear among the patients of Civil Hospital, due to the culture of Oaxaca.


Fear ancestral
"Generally, when such cases occur, people think better not to go to consultation, believing that the risk of infection," he said.
However, as "consistent and prudent" attitude of the secretary of health in the state, Mart?n V?squez Villanueva, to go to Civil Hospital and not to have used the cubreboca.
"This somehow gave confidence, not only to patients but to staff working in that hospital," he said.
Now, he said, must await the results of laboratory tests being conducted in the city of Mexico, to rule out that this is a problem of avian flu.
Martinez Soriano said he was very quick to publicize the problem for the deaths of two patients of atypical pneumonia, and reiterated that this would tend to fade, but must await the final diagnosis.




By overcrowding, stop center of health of the Star Cologne

Workers' Center for Urban Health number two belongs to the Health Services Oaxaca (SSO) installations that took place to request an extension or a new building because the existing one no longer meets the requirements, if a union leader said Claudio Lopez Flores.
He added that the facilities were now built in the seventies, which demonstrates the need for updating the hospital because the number of dependents at that time served does not equate to about 30 thousand who are attention on a monthly basis.
He said that with the space to account for the various consultations and services provided is very low, which lowers the quality of services to the detriment of patients and said, "It is not fancy the action we have taken, more it is by necessity, need to increase the quality and warmth. "
Flores Lopez reported that the Health Center located in Star Cologne, working about 80 doctors, 70 basic and 10 contract workers "crowded", and it required the secretary of health, Martin Vasquez Villanueva put an immediate attention to this problem because for the past 10 years has requested an extension, which has not occurred.
The left unattended
On the other side on the outskirts of the medical center could be seen several people, mostly poor, who came in search of care to meet the surprise that yesterday (Monday) the doctors laborar?an, which he knew by some cards glued on the entrance gate.
The members of one family were sitting on the steps of the main entrance waiting to see whether they would be treated as, say the workers will probably receive attention, something that did not happen.
"We come from the Cologne Microwave, need to have checkups sugar and pressure because I suffer from diabetes and my daughter was a normal consultation," said a father who hoped to open the center and accused "no warning, I came on Friday and not told us anything, now I have to find where to go to meet more. "
> swap
 
Re: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

Re: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

This line was in this morning's article:

One speaks of a person and other nurse who is interned. So we need the information accurate and timely, if nothing is really why you have closed, why have commanded to burn mattresses, there are questions that still are not very clear, "he said.

I really can't believe this hasn't blown up all over Flublogia and ProMed and the WHO. They are having deaths from an atypical pneumonia, at least one lab found evidence of a coronavirus in one of the deaths, HCWs are falling ill, there may be a cover-up and it has now been at least 12 days since the first samples were taken, and no known pathogens have been identified. This not some little village in some backward country. This is taking place is a major modern city. This should be getting far more attention than it is...
 
Re: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

Re: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

This article even says that Mexican authorities (the IMSS) are warning other hospitals about proper procedures to follow for admitting suspected patients. This could be a huge outbreak because there really is no link between the two deaths, and I have read no source mentioning anything about the contacts of the 35 year old man. Did anyone even trace them?
 
Re: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

Re: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

alert - Welcome to FluTrackers and thanks for posting comments on the situation at Hospital General ?Dr. Aurelio Valdivieso? and the unknown infections.

Most of the reports on this thread are based on Diario Despertar de Oaxaca. If you have information or comments from other news article, please post them along with the url link. Having information from several sources helps to corroborate the information. Posting the original language reports (Spanish) is also helpful because we all have access to on-line machine translators and many members here have translating skills.
 
Re: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

Re: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

The fact that only the one newspaper seems to be covering this is part of what scares me. I have been posting the link with any translation I've posted so that people can translate themselves as well. I really don't understand why no one else is alarmed. When one person died of pneumonia on a train in Russia, the entire global media blew up in hours. Here we have had two or three deaths (the ISSSTE would be three), 2-4 HCW who had contact with the deceased are ill, a laboratory has detected a coronavirus, there is some evidence of a cover-up, and there seems to be no coverage. I would feel a lot better if more sources were covering this. Most of the other sources went silent around 4/17.

I have the feeling that this story will eventually blow up either with a large hospital outbreak (many dead HCW), or an imported case elsewhere in the world. And that second scenario is what I want to prevent most.
 
Re: Atypical Pneumonia Cases - Mexico

Re: Atypical Pneumonia Cases - Mexico

Can someone post a translation of the ISSSTE article from post #10. I don't know how to auto-translate (I speak Spanish too).

Bienvenido Alert!

Por favor, poner algo en esta línea se encuentra. Si es en español que está bien. Además, desde esta línea se encuentra ahora en el actual foro de noticias, por favor, hacer comentarios que son pertinentes a los hechos presentados.

:)
 
Re: Mexico: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

Re: Mexico: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

Sorry. I got a little off task there. English is my first language but I speak Spanish as well. I have been following Flublogia in its various forms since the SARS outbreak of 2003, and have seen countless false alarms, most of which I have been able to detect at the first posting as impossible (the Russian train is the most recent example). Those stories that seem to be the slightest bit possible (the Rio arenavirus scare in December, for example) usually pick up so much media attention that I've never felt the need to post anything. But for some reason, this story isn't getting any attention. And it looks really plausible that this is a new novel coronavirus.
 
Re: Mexico: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

Re: Mexico: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

http://www.puntoyaparteinforma.com.mx/1248653.html

Here is an editorial from a different source. He seems to think the deaths are caused by a normal seasonal virus (and I really hope he's right), but he mentions a couple other possible cases in other hospitals.
 
Re: Mexico: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

Re: Mexico: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

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

Here is some basic information about Oaxaca. Notable is that this outbreak is in a modern city, not some little village, and also that the main industry in Oaxaca is TOURISM.:surrender:

And this one you don't need to translate:smartass:
 
Re: Mexico: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

Re: Mexico: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

Alert, please let me welcome you to FluTrackers as well. :tiphat:
 
Re: Mexico: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

Re: Mexico: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

Actually, I have been reading FluTrackers for over two years, and reports like ProMed since the SARS outbreak, but never registered because I am not a professional, so I always assumed that you professionals would have better information than I do. With this outbreak though, I saw so many potential read flags (coronavirus, diarrhea, lies, ill HCW), that I registered to try to act to bring attention to it. If this really is a major outbreak, I will regret the four days I read these articles and waited for a posting that wasn't coming. I've seen so many alarms raised on here and even on ProMed that had to be false from the start, and this looked so much worse.

I am now starting to slightly doubt myself. Maybe there is a reason you guys didn't raise an alarm over this. Maybe this newspaper is worthless (I have had it pointed out to me that it is riddled with grammar errors), or maybe the editors just have a political bias of some kind.

With the possible ill HCW having taken ill on 4/17 or thereabouts, in the next three days they would be developing severe pneumonia, and that we would likely hear about from several sources. It is clear now that the majority 36 household contacts with mild respiratory disease were apparently not infected, because there would be 36 cases of pneumonia by now, and we'd be hearing things like "The hospital is closed and people are dying", and we don't.

The next few days will tell whether my worst fears have come true, or whether I have added one more false alarm.
 
Re: Mexico: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

Re: Mexico: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

To quash an idea before it gets started, this is NOT an outbreak of Swine Flu because all labs have indicated that no influenza virus (human, bird or pig) was found. I figured someone would suggest this because one of the articles in the Swine Flu thread mentions that some of the contacts traveled to Mexico. Also, those Swine Flu cases were not this severe.
 
Re: Mexico: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

Re: Mexico: Atypical Pneumonia Cases and Deaths - Oaxaca Hospital

To quash an idea before it gets started, this is NOT an outbreak of Swine Flu

I was wondering just that. :D

Welcome Alert. :)

.
 
Back
Top