Ukraine- H1N1 Outbreak October 27 2009 - November 30 2009

[alert]

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 67 deaths

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 67 deaths

Apparently, of the 22 cases confirmed, only one was fatal (not 22 confirmed deaths as in another article). I would think that fatal or severe cases would get priority testing, but apparently not (either that or the fatal cases are coming up negative for whatever reason - virus deeped in lungs?).

http://www.romandie.com/ats/news/091102121844.6f355mb5.asp

Influenza: 67 dead in Ukraine, Orthodox pray for the sick
KIEV - Soixante-sept personnes sont mortes en Ukraine de la grippe et de difficult?s respiratoires aigu?s, selon un nouveau bilan du minist?re de la Sant? publi? lundi, alors que l'Eglise orthodoxe ukrainienne a commenc? ? c?l?brer des pri?res pour la sant? de la nation. MOSCOW - Sixty-seven people died in Ukraine from the flu and acute respiratory problems, according to revised figures from the Ministry of Health released Monday, while the Ukrainian Orthodox Church began to celebrate pray for the health of the nation .

"Soixante-sept personnes sont mortes", a indiqu? ? la presse le ministre adjoint de la Sant? Vassyl Lazorychynets. "Sixty-seven people died," he told the press the Deputy Minister for Health Vasyl Lazorychynets. Le pr?c?dent bilan faisait ?tat de 60 morts. The previous record of 60 reported deaths.

Ces chiffres concernent surtout les r?gions occidentales, les plus affect?es par l'?pid?mie, mais "ne sont pas pas tr?s diff?rents" de ceux observ?s les ann?es pr?c?dentes, at-il fait valoir. These figures are primarily western regions most affected by the epidemic, but "are not not very different" from those observed in previous years, "he argues.

"Officiellement, 22 cas de grippe H1N1 ont ?t? confirm?s" dans ce pays de 46 millions d'habitants, a soulign? M. Lazorychynets. "Officially, 22 cases of H1N1 have been confirmed" in this country of 46 million people, said Lazorychynets.

Parmi eux, seul un cas mortel a ?t? recens?, a affirm? le service de presse du minist?re. Among them, only one fatal case has been identified, said the press service of the ministry. Le Conseil de la s?curit? nationale et de la d?fense avait pour sa part rapport? vendredi quatre morts de grippe H1N1. The Council for National Security and Defense had to share four deaths reported Friday influenza H1N1.

Environ 255.000 personnes souffrent de la grippe, pour l'essentiel dans l'ouest du pays, et 15.000 d'entre elles sont hospitalis?es, dont quelque 170 dans des unit?s de soins intensifs, a pr?cis? M. Lazorychynets. Approximately 255,000 people suffer from influenza, mainly in western countries, and 15,000 of them were hospitalized, including some 170 in intensive care units, said Lazorychynets.

Dans ce contexte, l'Eglise orthodoxe ukrainienne relevant du Patriarcat de Moscou (majoritaire en Ukraine) a appel? lundi ses fid?les ? se joindre ? une pri?re "pour l'arr?t de la propagation de la maladie et la gu?rison des malades" qui sera prononc?e cette semaine par ses pr?tres, at-elle annonc? dans un communiqu?. In this context, the Ukrainian Orthodox Church under the Moscow Patriarchate (majority in Ukraine) on Monday urged his followers to join a prayer "for curbing the spread of disease and healing the sick" to be delivered this week by his priests, "she said in a statement.

L'ouest de l'Ukraine est frapp? par une vague de grippe et de maladies respiratoires semant la panique parmi la population, qui a d?valis? les pharmacies en masques et traitements contre la grippe devenus introuvables. The west of Ukraine has been hit by a wave of flu and respiratory diseases spreading panic among the people who robbed pharmacies in masks and treatments against influenza now found.

Le gouvernement a annonc? vendredi des mesures drastiques contre l'?pid?mie, dont la fermeture d'?coles et l'annulation de rassemblements publics alors que le pr?sident Viktor Iouchtchenko a demand? dimanche une aide d'urgence aux Etats-Unis, ? l'Union europ?enne, ? l'Otan et aux pays voisins de l'Ukraine. The government announced Friday drastic measures against the epidemic, including closing schools and canceling public gatherings while President Viktor Yushchenko called Sunday for a relief in the United States, the European Union , Nato and the neighboring countries of Ukraine.

Le puissant Parti des r?gions (opposition pro-russe) a r?clam? lundi au gouvernement de faire un rapport sur la situation ?pid?mique devant le Parlement et s'est mis ? distribuer des masques de protection parmi les d?put?s et les journalistes parlementaires, selon Interfax. The powerful Party of Regions (pro-Russian opposition) claimed Monday the government to report on the epidemic situation in Parliament and began to distribute protective masks among MPs and parliamentary reporters, Interfax said.

(?AFP / 02 novembre 2009 13h18) (? AFP / 02 novembre 2009 13h18)

 

[Giuseppe]

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 67 deaths

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 67 deaths

[From Ministry of Health, http://www.moz.gov.ua/ua/main/press/?docID=13959 ]

(Google Machine Translation)


02/11/2009

1.Telefonnyy contact obstetricians-gynecologists, midwives w / prev

1.1.Vstanovlennya telephone contact with each pregnant woman who is registered, and determine the presence or absence of signs of ozone, 2 times a week.

1.2. In the absence of illness to seek vaccination for pregnant according to the instruction (with a vaccine to prevent pandemic flu) and vaccinate according to the recommendations.

1.3. If you have symptoms of acute respiratory disease in women given a recommendation to the doctor and made an urgent transmission sector doctor's place of residence for immediate medical examination and medical patronage.

2. When you review pregnant woman is determined by the degree of symptom expression.

2.1. Outpatient treatment (if uncomplicated with no fever). Recommend:

- Maskovyy mode

- Providing bed regime;

- Airing room, wet cleaning;

- Multivitamin complex for pregnant women;

- Nutrition (preferably to give preference to sour milk products and fresh fruits and vegetables, green. In the absence of edema is recommended the use of large amounts of liquids);

- Throat rinse solution furatsylinu or baking soda solution (1 teaspoon in a glass of water) and spray treatment hlorofiliptu; can also use the decoction of herbs chamomile, calendula, Sage therapy, etc.;

- With cold in the nose drops are used according to instructions on the application;

- Cough - vidharkuyuchi mucolitic and tools that contain root Althea or termopsys;

- With increasing temperature - hospitalization!

- To visit a doctor (at night - emergency) recommended paracetamol (use no more than 1 time in 4-6 hours, until 4 times a day).

Do not give aspirin.
With the deterioration of - Emergency hospitalization!
If you have any catarrhal manifestations and increasing temperatures - hospitalization and treatment under medical supervision
- Ozeltamivir

Attention! Use of antibiotics during flu irrationally as antibacterial drugs do not work on viruses.

2.2. Treatment in hospital

Obstetric tactics of pregnancy or childbirth in the hospital solved consultation involving obstetricians-gynecologists, based on a protocol to provide medical care for influenza type AN1N1, as well as algorithms to provide medical care for pandemic influenza caused by virus type AN1N1, California.

Director of motherhood,
childhood and spa software
R. O. Moiseenko

Chief specialist of Health of Ukraine
the specialty of obstetrics and gynecology "
V. Kaminsky



Thank you for understanding!

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02.11.2009

1.Телефонний контакт лікаря акушера-гінеколога, акушерки ж/к.

1.1.Встановлення телефонного контакту з кожною вагітною, яка знаходиться на обліку, та з?ясування наявності або відсутності ознак ГРВІ 2 рази на тиждень.

1.2. При відсутності ознак захворювання запросити вагітну для проведення вакцинації згідно інструкції (при наявності вакцини для профілактики пандемічного грипу) та щепити згідно рекомендацій.

1.3. При наявності симптомів гострого респіраторного захворювання у жінки дається рекомендація звернутись до лікаря, а також здійснюється терміново передача даних дільничному лікарю за місцем проживання для негайного медичного огляду та лікарського патронажу.

2. При огляді вагітної жінки визначається ступінь вираження симптомів.

2.1. Амбулаторне лікування (при неускладнених формах без підвищення температури). Рекомендувати:

- масковий режим

- забезпечення ліжкового режиму;

- провітрювання приміщення, вологе прибирання;

- полівітамінні комплекси для вагітних;

- раціональне харчування (бажано перевагу віддати кисло-молочним продуктам та свіжим овочам і фруктам, зелені. При відсутності набряків рекомендовано вживання великої кількості рідини);

- полоскання горла розчином фурациліну або розчином харчової соди (1 чайна ложка на стакан води) та обробка спреєм хлорофіліпту; Також можна використовувати відвари трав ромашки, календули, шалфею лікувального тощо;

- при нежиті використовують краплі у ніс згідно інструкції про застосування;

- при кашлі ? відхаркуючі та муколітичні засоби, які вміщують корінь алтею або термопсис;

- при підвищенні температури ? госпіталізація!

- до приїзду лікаря (вночі ? швидка допомога) рекомендовано парацетамол (використовувати не частіше 1 разу в 4-6 годин, тобто до 4 разів на добу).

Не давати аспірин.
При погіршенні стану ? термінова госпіталізація!
При будь-яких катаральних проявах та підвищенні температури ? госпіталізація та лікування під наглядом лікаря
- озельтамівір

Увага! Використання антибіотиків при грипі нераціонально, оскільки антибактеріальні препарати не діють на віруси.

2.2. Лікування в умовах стаціонару

Акушерська тактика ведення вагітної або породіллі в стаціонарі вирішується консиліумом за участі лікаря акушера-гінеколога, базуючись на ?Протоколі надання медичної допомоги хворим на грип типу АН1N1?, а також Алгоритмі надання медичної допомоги хворим на пандемічний грип, викликаний вірусом типу АН1N1, Каліфорнія.

Директор Департаменту материнства,
дитинства та санаторного забезпечення
Р.О.Моісеєнко

Головний спеціаліст МОЗ України
зі спеціальності ?акушерство та гінекологія?
В.В.Камінський



Дякую за розуміння!

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[sharon sanders]

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 67 deaths

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 67 deaths

A Communication Nightmare that is developing and could cost lives -


"..Telling the public the truth is also paramount. Before a vaccine becomes available during a severe pandemic, at some point the government will ask citizens to adhere to a series of public-health guidelines for non-pharmaceutical interventions, such as staying at home if they become ill. Large-scale, sustained compliance will be essential if those measures are to succeed. Compliance requires trust, and that depends on truth-telling..." Historian John Barry

http://www.flutrackers.com/forum/showthread.php?p=279147

 

[Giuseppe]

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 67 deaths

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 67 deaths

[From Ministry of Health, http://www.moz.gov.ua/ua/main/press/?docID=13955 ]

(Google Machine Translation)


02/11/2009

I. Indications for hospitalization

- Children first two years of life with severe and medium severe disease.

1 Kids first 5 years at temperatures above 38 ? C;

2 Children from 5 years and up to 17 years at temperatures above 39 ? C;

3 Patients with violation of consciousness, excessive excitation or pronounced weakness, convulsions, cyanosis, respiratory manifestations (choking);

4 The appearance of any fizykalnyh changes in the lungs (or auskultatyvnoho perkutornoho character);

5 Since hemorrhagic manifestations: hemorrhagic rash, bleeding;

6 Multiple vomiting and diarrhea (more than 3 times a day);

7 Since hemodynamic changes: tachycardia or bradycardia in comparison with age norms; arrhythmias other nature;

Hypertension 8 to 30% lower blood pressure, hypertension in 30% higher blood pressure compared with age norms;

9 Children who are in a closed children's collectives (boarding schools, etc.);

10 Children from families of social risk;

11 pregnant women with any respiratory signs and fever.

12 Patients with any respiratory signs and fever and the presence of concurrent disease:

chronic lung diseases, including bronchial asthma endocrinilogical pathology - overweight, over 30% of body weight, severe forms of diabetes, patients with immunodeficiency - hemolytic anemia, primary immunodeficiency, aspleniya, hemohlobinopatiyi, HIV infection, long immunosuppressive therapy, onco and ONCOHEMATOLOGICAL, cardiovascular pathology in the stage of decompensation, renal failure.

II. Treatment of influenza in outpatient facilities easy uncomplicated

1. Home treatment for acute period

2. Drinking a lot of liquid (plus 50% of daily needs) and the enriched food.

3. Pyretic agents (drugs paracetamol, ibuprofen);

4. When you cough and protykashlovi mucolitic means;

5. When cold - dekonhistanty; and children first three years of life, 0.65% sodium chloride solution (drops in the nose)

6. Antihistamine II-III generation

7. Arbidol.

8. When degradation - hospitalization.

Not to recommend aspirin!

III. Treatment in hospital

1 Ozeltamivir (instructions included);

2 In the absence ozeltamiviru - arbidol;

3 Indications for the appointment of antibiotics - to join suspected bacterial infection antibiotics are appointed immediately after the collection of material for bacteriological study, without waiting for the results of bacteriological study. Recommended antibiotics for the following groups: levofloxacin protected klavulonovoyu acid aminopenitsyliny, tsefolosporyny III-IV generation.

- After receiving the results of bacteriological study of antibacterial therapy is correction of the light sensitivity of pathogens.



Indications for hospitalization in the intensive care unit

(determines the physician anesthesiologist, or head of department of anesthesiology at participating physician)

1 Violation of consciousness

2 fit

3 Hyperthermia with fluid loss (diarrhea, vomiting, breach of enteral nutrition).

4 circulatory failure, shock.

5 respiratory insufficiency III-IV degree.

6 Lack of other organs and systems (kidney, liver, breach of hemostasis, hemorrhagic syndrome, etc.).

Treatment of severe pneumonia in a intensive care unit

1 Breath of resistance to exhalation, deep breaths at least 1 hour session. If constant rattle or atelectasis on lung X-ray - fibrobronhoskopiya;

2 Inhalation of beta-2 adrenomimetykiv

3 symptomatic:

- Restrictive mode of infusion therapy;

- A full regime of enteral nutrition, including foods that contain phospholipids (cod-liver oil, fish, etc.);

- Aerozolterapiya;

- Mukolityky.

4. Appointment of antibiotics in suspected bacterial infection after a fence material for biological research:

- Without waiting for the results of bacteriological study of intravenous antibiotics are recommended for the following groups: karbepenemy, doripinem, kalamitsin, levofloxacin, hatyfloksatsyn protected klavulonovoyu acid aminopenitsyliny protected cephalosporin; child-rovamytsyn.

- After receiving the results of biological research material is correction of antibacterial therapy, taking into account the sensitivity of pathogens.

5. Indications for transfer for artificial pulmonary ventilation in patients with severe pneumonia:

- Adults: violation of consciousness, refractory hypertension and tachycardia (more than 120 UD at min.) Violation acute heart rate, shortness of breath for more than 36 dyhan minute laboratory indices: РаО2 below 60 mm.rt.st with oxygen inhalation; RaSO2 (if No patient of chronic pulmonary insufficiency), more than 60 mm.rt.st; FiO2 oxygen inhalation at least 90%;

- Children: All types of respiratory failure, which is not compensated by the appointment of 100% oxygen (saturation of blood less than 90%) laboratory parameters: РаО2 below 60 mm.rt.st with oxygen inhalation; RaSO2 (if the patient had no chronic pulmonary insufficiency), more than 50 mm.rt.st;

6. Methods of artificial pulmonary ventilation in adults: SIMV, ventilation is controlled by pressure, minute volume - if you can track and hyperventilation, RaSO2 33-35 mm.rt. century. if there is no possibility of monitoring RaSO2 leave the needs of the patient (breathing sense of comfort, lack of combat breathing respirators) for a patient weighing approximately 70 kg - 10-12 l / min., adult respiratory volume 5.7 ml / kg for children 4.5 ml / kg, positive pressure on the trachea 8.10 Centimeter of water, for children 4.6 sm.vod.st, if you can maintain control of the pressure plateau to 30 sm.vodn.st (for adults). Within hours after the transfer of artificial pulmonary ventilation on the concentration of oxygen to 100% after hours to 50% (except in severe hypoxia and Hypoxia, are not corrected by other methods) in cases of refractory Hypoxia despite FiO2 0.5 changed the situation on the abdomen of the patient, duration of 1-2 hours, in cases refractory Hypoxia - rekrotuyuchyy maneuver (rozduttya lung) and artificial pulmonary ventilation inverted mode (the ratio of breaths to exhale 1:1). Contraindications to transfer to the stomach is arterial hypotension. With the existence of artificial pulmonary ventilation apparatus - before intubatsiyeyu and before transfer to independent breathing - use of non-invasive method of artificial pulmonary ventilation. Patients with severe pulmonary insufficiency (except children), in which artificial pulmonary ventilation more than 3 nights - traheostomiya. Systematic X-ray control, fibrobronhoskopiya (systematic) took specimens to determine the sensitivity of the causative agent to antibiotics in cases of severe bacterial pneumonia - vnutrishnotrahealne systematic introduction of antibiotics to which the sensitive parasite. Mode sedation (propopofol, oksybutyrat sodium sibazon) - inadequate patient behavior, fighting machine, the lack of adaptation to the patient's breathing apparatus for artificial pulmonary ventilation in cases when using sedative drugs can not adapt to the patient's breathing apparatus - used muscle relaxant, arduan, fentanyl, when transferred to independent breathing - use of auxiliary breathing modes, mode SRAR and high-frequency ventilation.

Director, Department of Medical Assistance
MP Zhdanova

Director of motherhood, childhood and spa software
R. O. Moiseenko

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02.11.2009

І. Показання до госпіталізації

- Діти перших двох років життя з середньо тяжкими та тяжкими формами хвороби.

1 Діти перших 5-ти років при температурі понад 38?С;

2 Діти від 5 років та до 17 років при температурі понад 39?С;

3 Пацієнти з порушенням свідомості, надмірним збудженням чи вираженою млявістю; судомами, ціанозом; респіраторними проявами (задуха);

4 Поява будь-яких фізикальних змін в легенях (аускультативного або перкуторного характеру);

5 З геморагічними проявами: геморагічний висип, кровотечі;

6 З багаторазовим блюванням та діареєю (понад 3 рази на добу);

7 З гемодинамічними змінами: тахікардія або брадикардія в порівнянні з віковою нормою; аритмії іншого характеру;

8 Гіпотензія на 30% нижче артеріального тиску; гіпертензія на 30% вище артеріального тиску в порівнянні з віковою нормою;

9 Діти, що знаходяться у закритих дитячих колективах (інтернатні заклади тощо);

10 Діти із сімей соціального ризику;

11 Вагітні з будь-якими респіраторними проявами та підвищеною температурою.

12 Пацієнти з будь-якими респіраторними проявами та підвищеною температурою та наявність супутньої патології:

хронічні захворювання легень, в тому числі бронхіальна астма; ендокринологічна патологія - зайва вага понад 30% від маси тіла; тяжкі форми цукрового діабету; хворі з імунодефіцитами - гемолітична анемія, первинні імунодефіцити, аспленія, гемоглобінопатії, ВІЛ-інфекція, тривала імуносупресивна терапія, онко та онкогематологічні захворювання, серцево-судинна патологія в стадії декомпенсації; ниркова недостатність.

II. Лікування грипу в амбулаторних умовах легких неускладнених форм

1. Домашній режим протягом гострого періоду

2. Вживання великої кількості рідини (плюс 50% добової потреби) та вітамінізоване харчування.

3. Жарознижуючі засоби (препарати парацетамолу, ібупрофену);

4. При кашлі протикашльові та муколітичні засоби;

5. При нежиті - деконгістанти; а для дітей перших трьох років життя 0,65% розчин хлориду натрію (краплі в ніс)

6. Антигістамінні препарати ІІ-ІІІ поколінь

7. Арбідол.

8. При погіршенні стану - госпіталізація.

Не рекомендувати АСПІРИН!

ІІІ. Лікування в умовах стаціонару

1 Озельтамівір (інструкція додається);

2 При відсутності озельтамівіру - арбідол;

3 Показання до призначення антибіотиків - при підозрі приєднання бактеріальної інфекції Антибіотики призначаються відразу після забору матеріалу для бактеріологічного дослідження; без очікування результатів бактеріологічного дослідження. Рекомендуються застосування антибіотиків з наступних груп: левофлоксацин, захищені клавулоновою кислотою амінопеніциліни, цефолоспорини ІІІ-ІУ покоління.

- Після отримання результатів бактеріологічного дослідження проводиться корекція антибактеріальної терапії з урахуванням чутливості збудників.



Показання до госпіталізації у відділення інтенсивної терапії

(визначає лікар-анестезіолог, або завідувач відділення анестезіології за участі лікуючого лікаря)

1 Порушення свідомості

2 Судоми

3 Гіпертермія з втратами рідини (діарея, блювота, порушення ентерального живлення).

4 Серцево-судинна недостатність, шок.

5 Респіраторна недостатність ІІІ-ІУ ступеню.

6 Недостатність інших органів та систем (ниркова, печінкова, порушення гемостазу, геморагічний синдром тощо).

Лікування тяжкої пневмонії в умовах відділення інтенсивної терапії

1 Дихання з опором на видиху; Глибокі вдихи не рідше 1 сеансу на годину. За наявності постійних хрипів або ателектазу легенів на рентгенограмі - фібробронхоскопія;

2 Інгаляція бета-2 адреноміметиків

3 Симптоматично:

- рестриктивний режим інфузійної терапії;

- повноцінний режим ентерального живлення, включаючи продукти які містять фосфоліпіди (риб'ячий жир, риба та інші);

- аерозольтерапія;

- муколітики.

4. Призначення антибіотиків при підозрі бактеріальної інфекції після забору матеріалу на бактеріологічного дослідження:

- без очікування результатів бактеріологічного дослідження рекомендуються внутрішньовенне застосування антибіотиків з наступних груп: карбепенеми, доріпінем, каламіцін, левофлоксацин, гатифлоксацин, захищені клавулоновою кислотою амінопеніциліни, захищені цефалоспорини; вагітним -ровамицин.

- після отримання результатів бактеріологічного дослідження матеріалу проводиться корекція антибактеріальної терапії з урахуванням чутливості збудників.

5. Показання до переводу на ШВЛ у хворих з тяжкою пневмонією:

- дорослі: порушення свідомості, рефрактерна гіпертензія та тахікардія (більше 120 уд на хв.), гостре порушення серцевого ритму, задишка більше 36 дихань на хвилину; лабораторні показники: РаО2 нижче 60 мм.рт.ст при інгаляції кисню; РаСО2 (якщо у хворого немає хронічної легеневої недостатності) більше 60 мм.рт.ст; FiO2 при інгаляції кисню менше 90%;

- діти: усі види дихальної недостатності, яка не компенсується призначенням 100% кисню (сатурація крові менше 90%); лабораторні показники: РаО2 нижче 60 мм.рт.ст при інгаляції кисню; РаСО2 (якщо у хворого немає хронічної легеневої недостатності) більше 50 мм.рт.ст;

6. Методика ШВЛ у дорослих: SIMV, вентиляція яка контролюється за тиском, хвилинний об'єм - якщо є можливість легка гіпервентиляція, РаСО2 33-35 мм.рт. ст., якщо немає можливості моніторингу РаСО2 виходити з потреби хворого (почуття дихального комфорту, відсутність боротьби з дихальним респіратором), орієнтовно для хворого вагою 70 кг - 10-12 л/хв.; дихальний об'єм для дорослих 5-7 мл/кг; для дітей 4-5 мл/кг; позитивний тиск на видоху 8-10 см.вод.ст.; для дітей 4-6 см.вод.ст; якщо є можливість контролю підтримувати тиск плато до 30 см.водн.ст (для дорослих). Протягом години після переведення на ШВЛ концентрація кисню до 100% , після години до 50% (за винятками тяжкої гіпоксії та гіпоксемії, які не корегуються іншими методами); у випадках рефрактерної гіпоксемії не зважаючи на FіО2 0,5 зміна положення хворого на живіт тривалістю на 1-2 години; у випадках рефрактерної гіпоксемії - рекротуючий маневр (роздуття легень) та інвертований режим ШВЛ (співвідношення вдих до видиху 1:1). Протипоказанням до переводу на живіт є артеріальна гіпотензія. За наявністю відповідного апарату ШВЛ - перед інтубацією та перед переводом на самостійне дихання - застосування неінвазивного методу ШВЛ. Хворих з тяжкою легеневою недостатністю (окрім дітей), у яких ШВЛ більше 3 діб - трахеостомія. Систематичний рентгенологічний контроль, фібробронхоскопія (систематична), посів харкотиння з метою визначення чутливості збудника до антибіотиків, у випадках тяжкої бактеріальної пневмонії - внутрішньотрахеальне систематичне введення антибіотиків до яких чутливий збудник. Режим седації (пропопофол, оксибутират натрію, сібазон) - неадекватна поведінка хворого, боротьба з апаратом, відсутність адаптації дихання хворого до апарату ШВЛ, у випадках коли за допомогою седативних препаратів не вдається адаптувати дихання хворого до апарату - застосовувати м'язові релаксанти, ардуан, фентанил, при переводі на самостійне дихання - застосовувати режими допоміжного дихання, режим СРАР та високочастотної вентиляції.

Директор Департаменту розвитку медичної допомоги
М.П.Жданова

Директор Департаменту материнства, дитинства та санаторного забезпечення
Р.О.Моісеєнко

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[Giuseppe]

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 67 deaths

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 67 deaths

[From Ministry of Health: http://www.moz.gov.ua/ua/main/press/?docID=13950 ]

Press information on the incidence of influenza, acute respiratory infections and their complications (pneumonia, etc.) at 8-00 hr. November 2, 2009

(...)

<table border="1" cellpadding="2" cellspacing="0" width="100%"><tbody><tr><td>Разом</td> <td>255504</td> <td>19177</td> <td>236327</td> <td>10841</td> <td>138025</td> <td>3326</td> <td>6511</td> <td>35342</td> <td>75827</td> <td>38</td> <td>950</td> <td>15677</td> <td>7773</td> <td>3308</td> <td>4314</td> <td>372</td> <td>17308</td> <td>6163</td> <td>3675</td> <td>125</td> <td>174</td> <td>130</td> <td>20</td> <td>24</td> <td>9</td> <td>67 </td> <td>62 </td> <td>3 </td> <td>3</td></tr></tbody></table>
Deaths: 67.

 

[Giuseppe]

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 67 deaths

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 67 deaths

Among the compound used in treating flu-like illness, they suggest (Min. of Health), the arbidol (http://www.flutrackers.com/forum/showpost.php?p=313304&postcount=261 )

 

[alert]

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 67 deaths

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 67 deaths

And one of the doctors who died in Ternopil apparently is negative for H1N1.

http://www.unian.net/rus/news/news-344568.html

In Ternopil region is ill-third of doctors and nurses


В Тернопольской области заболели 30% медицинских работников. In the Ternopil region 30% of ill health workers.

Как передает корреспондент УНИАН, об этом сегодня на пресс-конференции сообщил начальник Управления здравоохранения облгосадминистрации Богдан ОНИСКИВ. According to an UNIAN correspondent, reported this today at a press conference, said the head of the Office of Health Governor Bogdan ONISKO.

Он уточнил, что речь идет как о врачах, так и о медработниках среднего звена. He clarified that this is how the doctors and paramedics on the middle level.

В то же время начальник Управления здравоохранения заверил, что в области нет проблем с медицинскими кадрами. At the same time head of the Department of Health assured that in no problems with medical personnel. “Мобилизованы студенты старших курсов, на вызов направляем врачей других специальностей, ведь это все-таки дипломированные медики. "Mobilized senior students, the challenge send doctors of other specialties, it's still qualified doctors. Обслуживаем всех больных”, - утверждает Б.ОНИСКИВ. We serve all patients, "- says Boris ONISKO.

По его данным, в настоящее время область не планирует обращаться за помощью в другие регионы. According to him, at present the region is not planning to seek help in other regions. “Помощи не просим, мы справляемся, хотя врачи работают в сверхсложных условиях. "Aid does not ask, we can handle, although doctors are working in highly complex environments. Тем более что все больничные учреждения переведены на круглосуточный режим работы”, - добавил Б.ОНИСКИВ. Moreover, all the hospital facilities have been translated into clock mode "- added B. ONISKO.

По его данным, ни у одного из больных врачей не установлен грипп А/H1N1. According to him, none of the patients, doctors do not have influenza A/H1N1. Он также добавил, что зафиксирован факт смерти одного врача, однако умер тот от заболевания, которое не связано со “свиным” гриппом. He also added that recorded the death of a doctor, but he died from the disease, which is not associated with "swine" influenza.

 

[alert]

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 67 deaths

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 67 deaths

And Ternopil is running out of hospital beds, so they are using gyms.

http://www.unian.net/rus/news/news-344603.html

In the Ternopil region are already preparing gyms to accommodate patients


В Тернопольской области в связи с ростом количества больных готовят для их размещения спортзалы и воинские части. In the Ternopil region at the growing number of patients prepare for their deployment gyms and military units.

Как передает корреспондент УНИАН, об этом во время пресс-конференции сообщил председатель облгосадминистрации Юрий ЧИЖМАРЬ. According to an UNIAN correspondent, came during a press conference the chairman of the Governor Yuri CHIZHMAR.

?Готовим проект по отводу спортивных залов, воинских частей для размещения больных. Finish the project on the challenge, gyms, military units to accommodate patients. Учитываем, сколько у нас есть свободных коек в резерве, лежаков (так называемых топчанов) и других средств, которые могут будут использованы при приспособлении этих учреждений для нужд больных?, - проинформировал Ю.ЧИЖМАРЬ. We take into account how much we have free beds in reserve, lounges (so-called cot) and other tools that can be used to adapt these institutions to the needs of patients ", - informed Yu CHIZHMAR. При этом он выразил надежду, что к использованию спортзалов и воинских частей не дойдет. He expressed hope that the use of gyms and military units will not come.

В общей сложности, по его данным, по сравнению с пятницей уровень заболеваемости в области на сегодняшний день возрос в два раза. In total, according to his data, compared with Friday morbidity in today doubled. ?В целом гриппом и ОРВИ заболели 39,731 тыс. человек, показатель заболеваемости составляет 364,5 на 10 тыс. населения?, - отметил Ю.ЧИЖМАРЬ. "In general, influenza and SARS are sick 39.731 thousand people, the incidence rate of 364.5 per 10 thousand population", - said Yuri CHIZHMAR.

По его подсчетам, при нынешней динамике заболеваемости в области проблемы с тем, где размещать больных, возникнут уже вскоре. According to his calculations, if current trends in the incidence of problems with where to put the patients to arise soon. Ведь три городских больницы и областная уже почти заполнены, есть только небольшой резерв. After three city hospitals and Regional nearly filled, there is only a small reserve. Следовательно руководство области приняло решение срочно подготовить районную больницу, которая должна быть вскоре сдана в эксплуатацию. Consequently the field manual has decided to urgently prepare a district hospital, which should soon be put into operation. ?Думаю, сегодня-завтра административные меры будут согласованы и государственная комиссия примет больницу в эксплуатацию, благодаря чему получим дополнительные койкоместа. "I think today or tomorrow administrative measures will be agreed and the state commission will take the hospital into operation, thus get the extra beds.

Также рассчитываем на поликлинику Комбайнового завода, хотя там сейчас не включено отопление, поэтому в этом помещении невозможно проводить врачебные манипуляции?, - заметил Ю.ЧИЖМАРЬ. Also look forward to the clinic Combine Plant, although it is not included heating, so in this room is impossible to conduct medical manipulation, "- said Yu CHIZHMAR. При этом добавил, что планирует сегодня провести ?жесткий разговор? с городским председателем Романом ЗАСТАВНЫМ, чтобы мэрия за счет резервных средств обеспечила стопроцентное финансирования энергоносителей для поликлиник Комбайного завода, чтобы та могла работать по максимуму своих возможностей. It added that it plans today to hold a "hard conversation" with the town chairman Roman Zastavna to City Council at the expense of reserve funds offer one hundred percent financing of energy to combine plant clinics, so that she could work to the maximum of its capabilities. ?Мы готовы ее за несколько дней переоборудовать для размещения больных?, - сказал председатель облгосадминистрации. "We are prepared her for a few days to convert to accommodate patients," - said the chairman of Regional State Administration.

 

[Rwilmer]

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 67 deaths

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 67 deaths

Ukraine closes all schools to fight swine flu
By YANA SEDOVA and SIMON SHUSTER (AP) ? 4 minutes ago

KIEV, Ukraine ? Urging its citizens not to panic, Ukraine on Monday closed down all schools nationwide for a week to avoid the spread of swine flu and suggested that nightclubs, cinemas and food markets in the west also shut down.

The World Health Organization said Monday there was no evidence that Ukraine had a bad outbreak of swine flu but at the government's request it had sent a health team in to help the country cope.

"But this is not an indication that the situation is severe," said WHO spokeswoman Liuba Negru. "The information we have gotten (from the government), we have to double-check it and make sure it is real, evidence-based information."

Ukraine's Health Ministry said Monday that 67 people in the nation of 40 million have died of flu, but did not say how many of those deaths were related to swine flu. Worldwide, outbreaks of regular seasonal flu claim 50,000 lives each year.

Nevertheless, all schools have been closed for a week across Ukraine, even in the capital, Kiev, where there have been no confirmed cases of swine flu.

In western Ukraine, local authorities advised people to travel only when necessary, a Health Ministry spokeswoman said.

All outdoor markets have been closed in the western region of Lviv, where the governor also urged cinemas, cafes, nightclubs and theaters to shut down until further notice.

Some observers, including the speaker of the parliament, Vladimir Litvin, suggested that these measures are the result of political wrangling ahead of the country's presidential election in January. The pivotal vote could overturn the 2004 Orange Revolution that swept a pro-Western government to power.

"We are seeing a political competition to see who will be the first to lead this process (of fighting swine flu)," Litvin said, according to the UNIAN news agency.

Prime Minister Yulia Tymoshenko met a Swiss shipment of anti-viral drugs at the Kiev airport on Monday.

"The government has declared the situation an epidemic, but there is absolutely no need to panic," she declared on national television.

Her main rival, President Viktor Yushchenko, said thousands were infected and called for assistance from NATO, the European Commission, the United States, Russia and other countries.

Konstantin Bondarenko, director of the Gorshenin Institute, a political consultancy, said that Tymoshenko has the most to lose from public sentiment over the outbreak, as state health officials answer to her.

"Right now all the candidates are weighing their political options, looking around for a theme, and this is a very hot topic right now. The panic is there, and they are acting on it," Bondarenko said.

After receiving the shipment of 300,000 doses of Tamiflu at Kiev's Borispol airport, Tymoshenko said her government plans to increase its hoard of the drug by another 300,000 to 950,000 doses.

"This is the supply that will reliably protect Ukraine," Tymoshenko said, ITAR-Tass news agency reported.

Viktor Yanukovych, the Regions' Party candidate for the presidency, has not yet commented on the swine flu uproar. Yanukovych, who was beaten in 2005 by Yushchenko, is leading in the polls with a platform that emphasizes closer ties with Russia.

During the past five years of Yushchenko's presidency, relations with Moscow reached historic lows. Yushchenko's approval ratings at home have fallen to single digits in the wake of the economic crisis, which hit Ukraine hard, and years of political gridlock with Tymoshenko.

http://www.google.com/hostednews/ap/article/ALeqM5gZEiW5KQGUG6UipPRvyy8rMDXlqgD9BNHE0O0

 

[alert]

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 67 deaths

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 67 deaths

http://www.unian.net/rus/news/news-344496.html

Chief sanvrach Ukraine: the plague, and even speech can not be


На сегодняшний день нет оснований предполагать, что в Украине есть случаи заболевания легочной или какой-либо другой чумой. To date, there is no reason to suppose that in Ukraine there are cases of pulmonary disease or any other plague.

Об этом заявил главный санитарный врач Украины Александр БЕЛОВОЛ в комментарии УНИАН. Told the chief sanitary doctor of Ukraine Alexander Belovolov in the comments UNIAN.

?О чем вы говорите, ни о какой чуме не может быть и речи?, - сказал А.БЕЛОВОЛ. "What are you talking about, nor what kind of plague can be no question", - said A. Belovolov.

Он также убежден, что эпидемия гриппа в Украине, которая началась с Тернопольской области, никак не связана с проблемой вывоза мусора, в результате чего значительно увеличилось число грызунов на территории областного центра. He is also convinced that a flu epidemic in Ukraine, which began with the Ternopil region, has nothing to do with the problem of garbage disposal, resulting in a significant increase in the number of rodents in the territory of the regional center.

?Замусоренность ? это тот фактор, который никогда не снимается, но о чуме даже и речи быть не может. "Littered - it is the factor that will never be removed, but about the plague and even speech can not be. Это грипп, который есть во всем мире?, - сказал А.БЕЛОВОЛ. It is influenza, which is the world ", - said A. Belovolov.

Все заявления о том, что в Украине отмечена какая-либо чума, А.БЕЛОВОЛ назвал абсолютной неправдой. All statements that Ukraine is awarded any plague, A. Belovolov called absolute lie.

Как сообщал УНИАН, 31 октября секретарь Совета национальной безопасности и обороны Раиса БОГАТЫРЁВА опровергла сообщение о выявлении у больных в западных регионах легочной чумы. As UNIAN reported earlier, 31 October, the Secretary of the National Security and Defense Raisa BOGATYREVA denied the identification of patients in the western regions of pneumonic plague. Комментируя соответствующее заявление кандидата в президенты Инны БОГОСЛОВСКОЙ, Р.БОГАТЫРЁВА отметила, что сегодня выявлены лишь случаи заболевания гриппом А/H1N1. Commenting on a statement of the presidential candidate Ina BOGOSLOVSK, R. BOGATYREVA noted that today, only identified cases of influenza A/H1N1.

 

[Rwilmer]

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 67 deaths

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 67 deaths

Swine flu panic-stricken Ukraine gets help
2 November 2009 | 18:23 | Source: B92
KIEV -- Reports from Ukraine are saying that the country, which has been hit with 190,000 swine flu cases to date, is not ready for the epidemic.

The H1N1 virus could also become a political issue ahead of the January presidential elections.

President Viktor Yushchenko has asked for emergency assistance from the United States, EU, NATO and neighboring countries.

On Monday, the Ministry of Health in Kiev explained that only 22 of 67 victims of respiratory infections were in fact infected with swine flu.

Ukrainian Prime Minister Yulia Tymoshenko stated that the "people were dying from common flu and respiratory infections".

The neighboring countries have responded to the Ukrainian government appeal's for help.

Additionally, a Swiss plane carrying 16 tons of antivirus medication landed at the airport in Kiev last night.

?There are 300,000 units of Tamiflu, which means that 300,000 people will receive emergency medical help. It is also the amount that will meet the daily needs in all of Ukraine,? said the prime minister.

Tymoshenko also stated that her country would buy the same amount of Tamiflu for USD 8,7 per package, but added the medication would not be distributed via pharmacies, because some of them took advantage of the situation and were selling the drug at ten times its original price.

Meanwhile, reports said that half of the 190,000 swine flu cases were children. The Ministry of Health stated that four doctors succumbed to the disease.

The epidemic broke out last week in the western part of the country and the government reacted by closing off nine regions.

The state of emergency has not been introduced yet, however, but school children have been sent home for three weeks.

All mass gatherings have been canceled, including concerts, and movie shows, while traveling from one region to another has been restricted.

Tymoshenko suspended her election campaign two days ago, but she in the meantime stated that the epidemic would not jeopardize the holding of the presidential elections.

http://www.b92.net/eng/news/world-article.php?yyyy=2009&mm=11&dd=02&nav_id=62773

 

[Giuseppe]

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 67 deaths

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 67 deaths

I would reminder to readers that during Hong Kong summer wave of pandemic H1N1 2009 influenza, a lot of health care workers fell ill with flu but promptly treated recoverd quickly.

I think that comprehensive evaluation of Hong Kong experience in managing influenza epidemic should be seen as prototypical for other regions and country, even those in short supplies for drugs or vaccines.

 

[alert]

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 67 deaths

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 67 deaths

Of note is that Russia has reported TEN confirmed H1N1 fatalities in the past week:

http://www.romandie.com/ats/news/091102180500.uxjzpcaz.asp

So perhaps that area of the world has just had weather changes as winter approaches that result in an acceleration of the outbreak?

 

[Hogweed]

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 67 deaths

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 67 deaths

New update at http://translate.googleusercontent....le.com&usg=ALkJrhhTYV_MqAfEOPl1iVkq0xbGxnX-UQ

Up to
255516 ILI/ARI
15810 Hospital Admissions
235 Intensive Care
70 deaths now.

 

[Shiloh]

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 67 deaths

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 67 deaths

Source: http://www.google.com/hostednews/afp/article/ALeqM5hAkHLSJckej_Tf-N_wbbNrw_NmFw

Deaths in Ukraine fuel swine flu fears

(AFP) ? 39 minutes ago

KIEV ? Ukraine raised its death toll from flu and respiratory problems on Monday, while Kiev's mayor suggested a Champions League match should be played without spectators amid a swine flu scare.

Kiev had made an urgent appeal to world powers for help battling the spread of the A(H1N1) virus on Sunday, after declaring 60 people had died of respiratory complications and flu.

The health ministry put this figure at 67 on Monday, without detailing when the deaths took place or explaining the jump in the toll.

"Sixty-seven people have died," deputy health minister Vasyl Lazoryshynets said, adding that this figure "did not differ much" from previous years.

He said 255,000 cases of flu and acute respiratory illness had been registered among the country's population of 46 million. Of those 15,000 people were hospitalised, he said.

The Ukrainian government's announcement last week that it was implementing the toughest measures yet in Europe to combat swine flu led to panic, sparking a run on pharmacies.

Authorities in Ukraine's eastern Donetsk region have ordered employees of medical centers, shopping centres and public transport to wear masks over the next three days, Interfax news agency reported Monday.

Kiev's mayor meanwhile suggested the Champions League match of Inter Milan and Dynamo Kiev later in the week should take place in a stadium empty of football fans to prevent contagion.

According to the health ministry, only 22 cases, including one death, have been confirmed as the A(H1N1) virus, widely known as swine flu. The country's National Security Council however puts the number of dead at four.

Alarm over swine flu has become a political issue in Ukraine as the country gears up for January's presidential election, with each candidate striving to take the lead in managing the health scare.

Prime Minister Yulia Tymoshenko ordered a three-week shutdown of schools and universities, while her rival, President Viktor Yushchenko, asked the United States, the European Union and NATO for drugs and equipment to fight the virus' spread.

Ukraine has also ordered 16 tonnes of the antiviral drug Tamiflu from Switzerland.

 

[Rwilmer]

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 70 deaths

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 70 deaths

Ukraine Mystery Outbreak Sparks WHO Concern as Disease Spreads Share Business ExchangeTwitterFacebook| Email | Print | A A A
By Kateryna Choursina and Halia Pavliva

Nov. 2 (Bloomberg) -- The World Health Organization sent a team of experts to Ukraine today to investigate an outbreak of respiratory disease that?s sickened a quarter of a million people and left pharmacies without masks or flu remedies.

A group of epidemiologists, physicians, laboratory technicians and communications advisers is scheduled to arrive tonight in Kiev, Gregory Hartl, a WHO spokesman in Geneva, said in a telephone interview today.

Ukraine faces an outbreak of flu-like illness that?s killed at least 67 people and infected 255,000, according to the country?s first deputy health minister Vasyl Lazoryshynets. About 22 patients tested positive for swine flu, Lazoryshynets said. It?s ?difficult to tell? whether the pandemic H1N1 virus is responsible for all the cases, according to Hartl.

?There are a lot of unknowns,? he said. The crew of experts will collect samples from patients and send them to the WHO?s influenza collaborating center in London for diagnosis. The WHO may have more information on Nov. 4, Hartl said.

Ukraine?s government has closed schools and banned public events. In four of Kiev?s 10 districts, a majority of drugstores posted handwritten signs in their windows that read ?no masks.? A central information line for the city?s drugstores said yesterday most stores had run out of protective masks or flu and cold remedies such as paracetamol, called acetaminophen in the U.S., and new supplies were expected later in the week.

Onions, Garlic and Lemons

The streets of Lviv, the city near the Polish border that?s reported the most cases, were empty yesterday, with museums, restaurants and stores closed, said Halyna Shymanska, a 47-year- old doctor. Shymanska, who runs a private ultrasound diagnostics office in nearby Truskavets, said pharmacies have run out of masks as well as antivirals and basic flu medicines.

?People are relying on folk remedies like onion and garlic,? she said in a telephone interview.

Garlic and lemons, also used as a flu remedy, are now scarce in the town of Cherasky, in central Ukraine. The price of a kilogram (2.2 pounds) of lemons there has quadrupled to 50 hryvnia ($6.10) in the past week.

About 15,000 people are being treated at hospitals across Ukraine, Lazoryshynets said at a press conference in Kiev today.

Ukraine has asked the U.S., the European Union, NATO and neighbors for anti-flu drugs. Poland and Slovakia sent protective masks and Roche Holding AG?s drug Tamiflu to Ukraine after President Viktor Yushchenko said the country couldn?t fight an outbreak of pandemic influenza alone, according to a statement from the government.

?A Bit of a Flap?

H1N1, a new flu strain that?s evolved in pigs, humans and birds, has sickened at least 440,000 people and killed over 5,700 since it was discovered in Mexico and the U.S. in April, the World Health Organization said last week. The WHO estimates seasonal flu causes up to 500,000 deaths a year.

?It?s a bit like Mexico in the beginning,? said John Oxford, professor of virology at Queen Mary?s School of Medicine and Dentistry in London, adding that Ukrainian authorities may not have the scientific resources they need to observe the outbreak closely. ?One?s first reaction is that not due to any fault of their own, they?re getting into a bit of a flap.?

It?s unlikely that the virus has mutated and become more deadly, according to Oxford. ?It doesn?t fit with the experience of other countries at the moment, so why should the Ukraine be different,? he said.

An analysis of early data on the outbreak suggests severe cases and deaths in Ukraine occurred among adults aged between the ages of 20 and 50, according to the Geneva-based WHO.

The U.K. Health Protection Agency estimated on Oct. 29 that about 521,000 of the country?s 61 million residents have gotten the virus since the pandemic began, and 137 of them have died. That?s a death rate of 0.03 percent, similar to the one Ukraine?s numbers indicate.

Across the Black Sea, Bulgaria also said it was hit by a flu epidemic, closed schools and banned gatherings, the Sofia News Agency reported, citing Angel Kunchev, head of the health ministry?s department of control of communicable diseases.

http://www.bloomberg.com/apps/news?pid=20601087&sid=aho.pJfVAysE&pos=9

 

[Amish Country]

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 70 deaths

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 70 deaths

From the website of:
The United States State Department
Embassy of the Ukraine
Warden Messages
----------
Dear Friends and Wardens,


The U.S. Embassy is aware of the disease outbreak being widely reported in Western Ukraine. According to press reports, the Ministry of Health has confirmed that the disease in question is 2009-H1N1 influenza, sometimes referred to as novel H1N1 or swine flu. The Embassy is monitoring the situation and remains in contact with Ukrainian public health authorities responding to it. According to the press, Ukrainian authorities have put several precautionary measures in place. For example, the Embassy understands that the current school vacation will be extended for three weeks; authorities have asked that public gatherings not take place; and pregnant women are being advised to defer non-emergency visits to hospitals where patients suffering from flu-like symptoms are being treated. Additionally, some press reports have said that restrictions limiting the "unnecessary" movement between regions will be in place for the next three weeks, although no details of how officials will determine the urgency of travel have been released. Individuals reporting flu-like symptoms are being advised to limit contact with other people, and, in some cases, are being treated in isolation units at local hospitals. However, public health officials have told the Embassy that as of October 30, no general quarantine is in effect.


If you are quarantined or placed in isolation due to 2009-H1N1 influenza, please contact the Embassy at the number below and let us know, so we can monitor your situation. However, please be aware that the Embassy cannot demand your immediate release if you have been detained or quarantined in accordance with local public health and legal authorities.


Due to legal restrictions and a lack of sufficient resources, the Embassy is not in a position to provide private citizens with pandemic-related supplies, medications or medical treatment, including vaccines, and cannot provide specific medical advice. Questions and concerns about influenza or other illnesses should be directed to a medical professional. A list of local hospitals and doctors can be found on our website at http://kiev.usembassy.gov/amcit_medical_eng.html.


For more information on how to prepare for a severe pandemic, please see the State Department "Pandemic Influenza Fact Sheet" and "Options During a Pandemic" flyer located on www.travel.state.gov. Detailed information about 2009-H1N1 influenza can be found on the U.S. Centers for Disease Control and Prevention website at http://www.cdc.gov/h1n1flu/, the U.S. Government’s federal influenza website at http://www.flu.gov, and the World Health Organization website at http://www.who.int/csr/disease/swineflu/en/index.html.


U.S. citizens residing or traveling in Ukraine are encouraged to register with the Embassy through the State Department's travel registration website, https://travelregistration.state.gov/ibrs/ui/, to obtain updated travel and security information. U.S. citizens without Internet access may register directly with the Embassy. Registration is important; it allows the Embassy and the State Department to assist you in an emergency.


The Embassy is located at 10 Yuriy Kotsyubysnky Street in Kyiv. The Consular Section is located at 6 Pymonenko Street. The American Citizen Services telephone number is 38-044-490-4445; the fax number is 38-044-490-4040; the email address is kyivacs@state.gov. For after-hours emergencies, please call 38-044-490-4000.

----------
Source:
http://kiev.usembassy.gov/amcit_wardenmsg_0405_eng.html

 

[alert]

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 70 deaths

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 70 deaths

http://www.promedmail.org/pls/otn/f..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,79908

Archive Number 20091102.3781
Published Date 02-NOV-2009
Subject PRO/AH/EDR> Influenza pandemic (H1N1) 2009 (84): Ukraine, WHO


INFLUENZA PANDEMIC (H1N1) 2009 (84): UKRAINE, WHO
*************************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Mon 2 Nov 2009
Source: World Health Organization (WHO), CSR, Disease Outbreak News [edited]
<http://www.who.int/csr/don/2009_11_01/en/index.html>


On 28 Oct 2009, the Ministry of Health of Ukraine informed WHO, through its
Country Office in Ukraine, about an unusually high level of activity of
acute respiratory illness in the western part of the country, associated
with an increased number of hospital admissions and fatalities.

On 30 Oct 2009, the Ministry of Health of Ukraine announced the
confirmation of pandemic (H1N1) 2009 virus infection by RT-PCR in 11 out of
30 samples obtained from patients presenting with acute respiratory illness
in 2 of the most affected regions. Tests were performed in 2 laboratories
in Kyiv, including the National Influenza Centre. Confirmatory tests will
be performed at one of the WHO Collaborating Centres for Influenza.

The situation is quickly changing with increasingly high levels of acute
respiratory illness (ARI)/influenza-like-illness (ILI) activity being
observed in Ternopil, Lviv, Ivano-Frankivsk, and Chernivtsi regions. The
higher levels of transmission in these regions corresponds to an increased
number of hospital admissions and fatalities associated with severe
manifestations of acute respiratory illness.

As of 30 Oct 2009, over 2300 individuals have been admitted to hospital,
including over 1100 children. 131 cases have required intensive care,
including 32 children. As of 31 Oct 2009, a total of 38 fatalities
associated with severe manifestations of ARI have been registered.
Preliminary epidemiological data analysis indicates that severe cases and
deaths primarily occur among previously healthy young adults aged 20-50
years. Fatal and severe cases are reported to have sought medical attention
5 to 7 days after onset of symptoms.

International experience of the (H1N1) 2009 pandemic to date, especially
from the Southern Hemisphere, has shown that poor clinical outcomes are
associated with delays in seeking health care and limited access to
supportive care. In addition, this virus has also shown its ability to
cause rapidly progressive overwhelming lung disease, which is very
difficult to treat.

Public health measures recommended by the Ministry of Health of Ukraine
across the entire country include: social distancing (school closures and
cancellation of mass gatherings); enhancement of surveillance activities;
increased respiratory hygiene; and continuation of the vaccination campaign
against seasonal influenza targeting at-risk groups.

The Government of Ukraine has activated coordination mechanisms to respond
to the rapidly evolving situation, including the harmonization of response
plans across all administrative levels. In response to the request from the
minister of health of Ukraine, WHO is deploying a multidisciplinary team of
experts to assist national authorities in mitigating the impact of the
pandemic. The team comprises the following expertise: health emergencies
coordination, case management, epidemiology, laboratory diagnostics,
logistics, and media/risk communications.

As per WHO's communication in May 2009, there is no rationale for travel
restrictions, because such measures will not prevent the spread of the
disease. Travellers can protect themselves and others by following simple
recommendations aimed at preventing the spread of infection such as
attention to respiratory hygiene. Individuals who are ill should delay
travel plans, and returning travellers who fall ill should seek appropriate
medical care. These recommendations are prudent measures which can limit
the spread of many communicable diseases and not only the pandemic (H1N1)
2009 virus.

--
communicated by:
ProMED-mail rapporteur Marianne Hopp

[This is confirmation by WHO that the outbreak of acute respiratory illness
throughout Ukraine is an extension of the global influenza (H1N1) 2009
pandemic. So far in Ukraine, 11 of 30 patient samples have tested positive
for influenza pandemic (H1N1) 2009 virus. Confirmatory tests are in
progress in another WHO Collaborating Centre. As of 30 Oct 2009, a total of
2300 people (including 1100 children) have been hospitalised, and as of 31
Oct 2009, there have been 38 fatalities. The Ukrainian authorities seem to
have been unprepared for an outbreak on this scale, and WHO involvement in
the control of the outbreak will be considerable. No travel restrictions
are envisaged.

The locations of the most affected regions can be found using the
interactive map of the regions (oblasts) of Ukraine at:
<http://www.infoukes.com/ukremb/mappuzzle.html>. The HealthMap/ProMED-mail
interactive map of Ukraine can be accessed at:
<http://healthmap.org/admin/prolink.php>. - Mod.CP]

[see also:
Influenza pandemic (H1N1) 2009 (81): Ukraine, conf. 20091101.3771
Influenza pandemic (H1N1) 2009 (80): Ukraine susp. RFI 20091031.3764]

......................cp/msp/sh

 

[sharon sanders]

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 70 deaths

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 70 deaths

WHO has a "crew" there.

 

[Gert van der Hoek]

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 70 deaths

Re: Ukraine- Pandemic Influenza - Ministry of Health says 255,000 cases & 70 deaths

Chief Medical Officer Ukraine did not confirm the swine flu epidemic


KIEV, November 3. In Ukraine, the epidemic is not only "swine", as well as normal influenza, as well as OCR. This, according to "censor", said chief medical officer Alexander Bilovol.

"The epidemic of influenza and acute respiratory disease observed in the western regions, - said the chief medical officer in the air channel ICTV. - Especially in the 11 regions, where almost 15% exceeded the threshold.

According to him, in other regions, there is the previous level indicators that have been in 2007-2008.

Chief sanitary doctor said that as a result of the epidemic, according to latest figures, 71 people died and has 14 laboratory confirmed cases of influenza A/H1N1.

"The three people who died, identified influenza A/H1N1?, - added Bilovol.

He also said that "100% verification of this diagnosis in Ukraine give two laboratories that are equipped with modern equipment - is a central sanitary and epidemiological stations and Institute Gromashevsky.

At the same time on October 30, Minister of Health of Ukraine Vasyl Knyazevich said that the country's outbreak of highly influenza A/H1N1.

The same day, Prime Minister Yulia Tymoshenko has imposed quarantine in 9 regions of Ukraine and for 3 weeks canceled all public events in the State, as well as classes in all schools.

http://www.rosbalt.ru/2009/11/03/685672.html