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http://www.elpais.com.uy/090822/pna...-vacuna-contra-gripe-a-estara-lista-en-marzo-
"The influenza vaccine will be ready in March"
Federico Castillo
The director of the Pan American Health Organization said the bird A is here to stay and that it is too early to determine what will be its future performance. In an interview with El Pais, admitted that the virus has had a very aggressive behavior in healthy young, something not known reasons. He stated that the vaccine will be the region in March.
"You said that influenza A is here to stay. Do we have to learn to live with this virus?
"And so. Each new virus that appears in addition to the "zoo", not leaving. Occasionally some species become extinct, but viruses are rarely uncomplicated extinct.
And you know how it will be their behavior?, "will remain as at present or will mutate into something more aggressive?
"It's still all very new. It is an object of permanent study this new virus. The viruses that we know of influenza also change. Each year you have to make a new vaccine. And the virus can also compete. Even compete for territory ... what we saw this season in the south is that there was a shift, the virus traveled to other influenza viruses. And we have to monitor how this competition will be space. The viruses that we have also had a more aggressive and then have gone to live with the diminishing population. It is too early to understand how it will be the performance of the new virus. In addition, entered into a strip of new stock, which generally was not attacked.
-Young and pregnant, for example.
"Yes, pregnant women in general are always the most sensitive. We are always careful with them. But this virus, attacking the young people had much more impact. And also because it has a much more aggressive behavior do not yet know well what is due. Because while most fatal cases had other aggregate factors, it is also true that in healthy young adults had a very aggressive behavior, with direct damage to the lining of the lung requiring ventilation, assisted ventilation, etc.
- Something that does not happen with any other flu.
"Exactly. We have to think that the deaths that occur with seasonal virus because they are often re-infect other bacteria and that complicated terms. But in the case of this virus was directly attack the virus, which is not common in seasonal influenza.
- What might happen in the behavior of the virus when temperatures rise?
"We're looking much has happened in the north, where it was almost like a plateau. But it is true that climate change is not as clearly defined seasons. We are looking at how this virus will behave, if you are more in stages affecting winter ... do not know much. Because in the north has remained, but neither have had a very strong summer.
- How advanced is the possibility of the vaccine?
"There's still many questions. If available, you will not be before November in the north. Meanwhile, in the countries of the region would not be until March. We must define what will be the priority groups to use this vaccine, to make estimates and to make negotiations with companies. The other issue that everyone will have to define is whether we have any certainty about this vaccine to eventually think that the March production will be able to incorporate into a vaccine cocktail southern seasonal or if we having to use separately. Because it also changes much production capacity.
- How does the response of Uruguay to the pandemic?
"There was a good surveillance system. It adopted the measures recommended by the organization. Uruguay has always been very transparent in terms of numbers. He got the full laboratory quickly. Staff were trained. The people reacted pretty well. There was no violence, no panic. Uruguay responded well. It did not generate panic in the measurements.
- Are you surprised at the number of deaths that were here (32)?
"They examined each of the deaths. What we are learning is that one must be very aggressive and very early in treatment, but there are also individuals who, attacking the virus very quickly. There have been hundreds of thousands of cases-with much movement among children and young people, and few people. It is a virus of low lethality.
Profile
Name: Mirta Roses
Born: Cordoba, Argentina
Age: 63 years
Other information: Medical. It is the first woman to address the OPS.
First woman in the OPS
Mirta Roses graduated as a surgeon at the National University of Cordoba in 1969. He obtained a diploma in Public Health with a concentration in epidemiology and a certificate of specialization in infectious diseases at the University of Buenos Aires. He began his career as medical care in Cordoba internal Rawson Hospital, and assistant teachers in the chairs of Social and Preventive Medicine, Infectious Diseases and National University. He joined the Pan American Health Organization in 1984 as coordinator of the Epidemiology Unit of the Caribbean Epidemiology Center. On 1 February 2003, took over as director, becoming the first woman to hold that position in the health organization world's oldest, established in 1902.
The reform of the health and training
One of the reasons for the visit of the Director of PAHO, Mirta Roses, Uruguay was the signing of an agreement for training of health professional teams in the first level of care. Roses said that the courses are intended to train 3,000 professionals from primary care, public and private sectors.
"To develop the competences required to solve the population problems in the first level and is aligned with the model of care which the law of the integrated health system, which has a" focus of family and community health "Roses justified.
He stressed the importance of the course because the health reforms "are often left without crystallizing due to lack human resources training. About the new system, Roses said it "interesting" is that "there was agreement on the fundamental principles of fairness and solidarity in financing and that the" pieces are to be completed.
El Pais Digital
http://www.elpais.com.uy/090822/pna...-vacuna-contra-gripe-a-estara-lista-en-marzo-
"The influenza vaccine will be ready in March"
Federico Castillo
The director of the Pan American Health Organization said the bird A is here to stay and that it is too early to determine what will be its future performance. In an interview with El Pais, admitted that the virus has had a very aggressive behavior in healthy young, something not known reasons. He stated that the vaccine will be the region in March.
"You said that influenza A is here to stay. Do we have to learn to live with this virus?
"And so. Each new virus that appears in addition to the "zoo", not leaving. Occasionally some species become extinct, but viruses are rarely uncomplicated extinct.
And you know how it will be their behavior?, "will remain as at present or will mutate into something more aggressive?
"It's still all very new. It is an object of permanent study this new virus. The viruses that we know of influenza also change. Each year you have to make a new vaccine. And the virus can also compete. Even compete for territory ... what we saw this season in the south is that there was a shift, the virus traveled to other influenza viruses. And we have to monitor how this competition will be space. The viruses that we have also had a more aggressive and then have gone to live with the diminishing population. It is too early to understand how it will be the performance of the new virus. In addition, entered into a strip of new stock, which generally was not attacked.
-Young and pregnant, for example.
"Yes, pregnant women in general are always the most sensitive. We are always careful with them. But this virus, attacking the young people had much more impact. And also because it has a much more aggressive behavior do not yet know well what is due. Because while most fatal cases had other aggregate factors, it is also true that in healthy young adults had a very aggressive behavior, with direct damage to the lining of the lung requiring ventilation, assisted ventilation, etc.
- Something that does not happen with any other flu.
"Exactly. We have to think that the deaths that occur with seasonal virus because they are often re-infect other bacteria and that complicated terms. But in the case of this virus was directly attack the virus, which is not common in seasonal influenza.
- What might happen in the behavior of the virus when temperatures rise?
"We're looking much has happened in the north, where it was almost like a plateau. But it is true that climate change is not as clearly defined seasons. We are looking at how this virus will behave, if you are more in stages affecting winter ... do not know much. Because in the north has remained, but neither have had a very strong summer.
- How advanced is the possibility of the vaccine?
"There's still many questions. If available, you will not be before November in the north. Meanwhile, in the countries of the region would not be until March. We must define what will be the priority groups to use this vaccine, to make estimates and to make negotiations with companies. The other issue that everyone will have to define is whether we have any certainty about this vaccine to eventually think that the March production will be able to incorporate into a vaccine cocktail southern seasonal or if we having to use separately. Because it also changes much production capacity.
- How does the response of Uruguay to the pandemic?
"There was a good surveillance system. It adopted the measures recommended by the organization. Uruguay has always been very transparent in terms of numbers. He got the full laboratory quickly. Staff were trained. The people reacted pretty well. There was no violence, no panic. Uruguay responded well. It did not generate panic in the measurements.
- Are you surprised at the number of deaths that were here (32)?
"They examined each of the deaths. What we are learning is that one must be very aggressive and very early in treatment, but there are also individuals who, attacking the virus very quickly. There have been hundreds of thousands of cases-with much movement among children and young people, and few people. It is a virus of low lethality.
Profile
Name: Mirta Roses
Born: Cordoba, Argentina
Age: 63 years
Other information: Medical. It is the first woman to address the OPS.
First woman in the OPS
Mirta Roses graduated as a surgeon at the National University of Cordoba in 1969. He obtained a diploma in Public Health with a concentration in epidemiology and a certificate of specialization in infectious diseases at the University of Buenos Aires. He began his career as medical care in Cordoba internal Rawson Hospital, and assistant teachers in the chairs of Social and Preventive Medicine, Infectious Diseases and National University. He joined the Pan American Health Organization in 1984 as coordinator of the Epidemiology Unit of the Caribbean Epidemiology Center. On 1 February 2003, took over as director, becoming the first woman to hold that position in the health organization world's oldest, established in 1902.
The reform of the health and training
One of the reasons for the visit of the Director of PAHO, Mirta Roses, Uruguay was the signing of an agreement for training of health professional teams in the first level of care. Roses said that the courses are intended to train 3,000 professionals from primary care, public and private sectors.
"To develop the competences required to solve the population problems in the first level and is aligned with the model of care which the law of the integrated health system, which has a" focus of family and community health "Roses justified.
He stressed the importance of the course because the health reforms "are often left without crystallizing due to lack human resources training. About the new system, Roses said it "interesting" is that "there was agreement on the fundamental principles of fairness and solidarity in financing and that the" pieces are to be completed.
El Pais Digital