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. "