Re: Unknown illness kills 6 children in Ukrainian orphanage
Note the mention of hemorrhagic pneumonia (the first mention of it) - this almost has to be H1N1, although they likely don't want to say it. Seasonal flu or Legionella or such is typically not hemorrhagic in the lungs. This article also moves the onset of illness back to the 3rd, which means that the children were ill untreated for about eight days before the deaths occurred.
Rotavirus is an intestinal bug and does not cause any respiratory symptoms.
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"WHAT WE HAVE DIED five children, just a coincidence. No infection was not here!" -
says Director Nezhinsky orphanage for children with central nervous system Yelena Garmash. Final autopsy results are expected in two weeks, until the same doctors believe that the cause of death of small boarding was just [ARVI].
Darius Gorsky "FACTS" (Chernigov, Kiev)
Already a week since the incident in the beautiful ancient city of Chernihiv region incessantly repeating television and read in the newspapers. "FACTS" three times (13,14,17 August) covered the resonant event. Another would be: in a boarding school, where they live, children and adults with severe central nervous system, such as hydrocephalus (water on the brain) and cerebral palsy, died from an unknown infection, five students! Provincial Health Department and doctors Nezhin hospital did everything in their power to prevent new victims. At the same time, regional and district prosecutors, together with the police trying to find the extreme and has already filed two criminal cases into the death of children. "The situation is completely controlled," - in a firm voice officials and doctors. However, in this story is a lot of questions for which answers are still not able to find ...
"When a virus infection it was necessary to prescribe the antiviral drugs and not antibiotics!"
Recall that on August 11 Nezhinskii city hospital, one after another brought five children from a local boarding house for children with lesions of the central nervous system. All with the same symptoms - fever, sore throat, rash in the joints and, accordingly, a general diagnosis - acute respiratory viral infection. But it turned out that the disabled were taken to hospital only when in the boarding school from a similar disease had died, five students!
- Children still became ill on Aug. 3, - said "Facts" Head of the Centre of Public Relations General Directorate Ministry of Internal Affairs in the Chernigov region Sergey Bryl. - Evening of 7 August the first girl died, eleven Natasha. In the night from 10 th to 11 th was pronounced dead 17-year-old Anna, and the next day, one after another within a few hours died three boys, the eldest of whom was 19 and the youngest - 10 years. And only then - on the fifth day after the first death and the eighth from the beginning of the disease in children - the administration sounded the alarm. August 12 admitted to hospital, nine persons, three of whom were in serious condition in intensive care. It was created several investigative and operational groups that have studied just three versions: that children have died from extreme heat in the room that he died as a result of food poisoning and that the inmates of the orphanage died because of improper treatment of their viral diseases. The latter date is considered the most likely, because viral infections should be prescribed antiviral drugs, but not antibacterial, antibiotics, which children were treated. Given all this, the district prosecutor's office Nezhinskaya Chernihiv region opened a criminal investigation immediately on two articles of the Criminal Code of Ukraine - on the fact of improper performance of official duties, the administration of the orphanage and medical staff of this institution, which resulted in the death of a juvenile.
Chief physician Nezhinskaya Hospital Vladimir Levkovsky initially did not want to talk to the press, citing the fact that journalists garbles his words and comments.
- I'm afraid of you - a little angrily told me the chief doctor, rigors. - None of the media refused the meeting. But journalists have raised such a fuss that I had the sick time is not enough. Yes, and wheeze ponapisyvali, annoying to read.
- "Facts" will write the truth. If you just tell her - I promised.
- Well, let's - sigh, agreed the doctor. - I learned about the tragedy only 11-th of. At half past four in the afternoon I called my doctor in infectious and reported that it examines children in boarding school: "Vladimir, there is an unfavorable situation. Two children died, another child dying. I need help." On the day in boarding school there were 78 people, and they all have to examine to determine whether to risk their lives and health. To help you understand these are no ordinary children, and disabled persons with gross pathology of the nervous system. Paralysis, spinal deformity, mental health and mental retardation, hydrocephalus and microcephaly (a decrease in brain volume. - Author .)...
The body's defenses, these children are zero, and any infection is extremely dangerous for them. So when I learned that in a boarding school for the past few days, five babies have died, sent a nine doctors and informed the head of the regional department of health. By eight o'clock we could come to the aid of colleagues from Chernigov and medics from Kiev. There was even a deputy minister of health Raisa Mostovenko personally inspected all the patients and very wisely appointed medical supplies. Three inmates of the orphanage, we were taken to the intensive care unit and intensive care, because they were in fairly serious condition, five placed in the infectious disease clinic.
- What kind of diagnosis?
-
Acute respiratory viral infection on a background of severe congenital systemic diseases of the nervous system. The children were fever, reddened throat and redness in the joints. There was a rash that look like chickenpox (later, this diagnosis was not confirmed). As a result of post-mortem autopsy, the cause of death previously called cerebral edema and the
viral haemorrhagic pneumonia. Perhaps it was provoked by [ARVI]. More accurate results we expect in two weeks.
"In children with lesions of the nervous system a huge appetite. How many of them do not feed them - they will still ask for more"
Earlier, doctors have been several versions about the mysterious illness that struck the unfortunate kids. Another 12 August the chief medical officer of the Chernigov region Nikolay Donets said "facts" that the cause of death for boarding in any case are not viruses, influenza A and B, and, most likely, a new herpes virus. The Commission of doctors from Nezhin, Chernigov and Kiev has consistently tested and cut a variety of diagnoses - sounded versions of infectious mononucleosis to banal poisoning. But to date, doctors have concluded that the cause of death of children has rotavirus infection, also called intestinal flu or disease of dirty hands.
- Can become infected with each of us, - says Vladimir Levkovsky. - Infection is "walking" in the transport, on the street. But normal, healthy person can easily overcome it, and the children with such low immunity, such as those who live in a boarding school, do not stand up. But still the situation has worsened such high temperatures! Fan for sick children do not send, can not. True, we are now for personal money set a few air conditioners in the House, which allocated under the prison for these children. A few of them for the weekend we sent back to boarding school, we still have nine people. Someone have bronchitis, a few - suspicion of pneumonia. I can safely say that now their lives are out of danger.
Vladimir allow "Facts" briefly visit the two chambers of infectious offices occupied ill; boarding. Watch for these children without tears impossible. One heart-rending cries of the second sleep, twisting her thin legs in the lotus position ", the third (obviously with Down syndrome) out loud laughs and shakes his head, and the fourth in its 1923 has a height and weight, as in ... one and a half baby, only with big sad eyes and older. Almost all of them, regardless of age, are in pampers. The thought that these kids, and so extremely deprived by fate and abandoned, still suffer from heat or inflammation of the lungs, heart to. Few brightens the overall impression of the Chamber is extremely attentive staff. Doctors and nurses belong to the youngest patients, as a family. Smiled at them, comforted, fed with a spoon (one of the boys are fed by prayer "Our Father", he is very fond of) and are on hand - the majority of persons with disabilities are unable to move independently.
- Frankly, we just reinsured, - explained the "Facts" head of the health of the Chernigov region, Vladimir Yashchenko. - Just someone from the children in boarding the temperature rises or the neck turns red - immediately taken to the hospital, under the supervision of doctors. Each of them we took the tests, X-ray done to them, and if there is no suspicion of pneumonia or other indications for the child's stay in hospital, returning him to the orphanage. I have heard accusations that the sooner we write them out, but they are groundless. First, in the boarding around the clock seven days a week staffed by experienced doctors, and secondly, why do children without extreme need to be in the infectious department? And then, in children with congenital diseases of the nervous system of constant appetite. What they do not give, they eat and eat, and even may admixture ask.
At the hospital in my diet per day is allocated 2 UAH 30 kopeks, and in the boarding school - 30 hryvnia. So where they will be better?
"We have several times sent for the doctor car, but the doctor came only after three hours'
Entering the house Nezhinsky orphanage, you know that Vladimir Yashchenko rights. The three-storey building is located almost in the center of the city, but not on a noisy street, and in the private sector. On all sides it is surrounded by greenery. Pavilions, a beautiful playground and a garden with lawns and flower beds bordered by rustic brick house with a new metal-plastic windows. On each door pasted the announcement that boarding is in quarantine.
- Here is working committee, the director does not give interviews - dryly informed me sticking out at the sound of a woman in a white robe with a gauze mask on his face and slammed the door in front of us.
And only a few hours later, asking for support in the General Directorate of Social Protection of the Chernigov region (whose jurisdiction is a children's home), we were able to meet with the director of the agency Elena Garmash.
- Sexually was not here - categorically stated Elena Garmash. - This coincidence. Children with severe congenital diseases and incredible heat - as in the street and indoors.
- But, let the doctors say that all your pupils, which they were treated and cured now, patients with SARS. Yes, and how differently - not as inspiring each other - could die five children from one house?
- First, only in the end they were in the same ward, and before that - in three different. Secondly, these children simply were in the same ward for inmates with the most severe diseases of the nervous system. That is, they were the weakest. We die each year children with cerebral palsy and hydrocephalus, is a natural process. With such a diagnosis, they live only a few years, as long as God wills. All that was in our power, we did. Windows closed diapers and sheets in the hallway set the fan pulled the children to the last.
- And you do not have air conditioning?
- We are funded by the regional budget. Money for air conditioners, we identified sponsors only now, after what had happened.
- But why do not you go to a doctor as soon as the children got sick and died when the first girl, 7 August? After all, the hospital learned about the children's deaths only on the fifth day!
- It's not true. An hour after the death of the body of our pupils were already in the morgue of the city hospital. And before that our doctor was treating the girl. By the way, August 11, we tried to call for medical help from a local clinic, three times sent him our internatovskuyu car, but the doctor arrived only three hours ...
- Why not call for an ambulance?
- To decide, not me. I am not a doctor.
- Among the dead babies - those abandoned by their parents?
- Two of them were parents, but they provedyvali guys are extremely rare. In three other guardian was me. As a further sixty of our pupils. Our agency is designed for one hundred and twenty children aged from four to thirty-five years. Now here are registered 113 students. Of these, 24 are now on a vacation with relatives, another 14 - in the sanatorium "Sosnica, three - in the Chernigov mental hospital, and nine - in a city hospital. That is so far in the boarding school were 63 people. All the normal temperature. However, those who had recently returned from the hospital on the advice of doctors are in prison. And I repeat: none of the doctors has no right to assume responsibility finally give any conclusions until the results of the autopsy. Confirmation that the children died because of infection, no!
In two weeks must be prepared to test results taken from children who visited the hospital. At the same time, pending the outcome of histological studies of bacteriological material, taken from the bodies of dead babies, and experts will give a final conclusion. Meanwhile, the President of Ukraine Viktor Yanukovych instructed the Prosecutor General Oleksandr Medvedko until Aug. 29 to examine the causes of death of five young sufferers.
