Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - six deaths due to chikungunya confirmed

[Gert van der Hoek]

Re: Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - one case meningococcal disease confirmed

Re: Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - one case meningococcal disease confirmed

computertranslation


Patients with fever and skin lesions query should consult a doctor

Febrile illnesses increased compared to last year

DANIEL GONZALEZ CAPPA | EL UNIVERSAL

Wednesday September 17, 2014 12:00 AM

Patients who have died from what some doctors call a "hemorrhagic febrile illness" presented a similar pattern: respiratory failure accompanied by fever, bleeding and skin lesions described as spots and blisters.

The scientific community is still waiting for the results of the analysis of samples that were sent last week to the National Institute of Hygiene (INH) and clarified the cause of the deaths.

The College of Physicians of Aragua state ensures (until press time) who have passed at least ten people, nine of them in this state.

The infectious disease doctor Julio Castro, Institute of Tropical Medicine Central University of Venezuela, refers to these cases as follows: "It seems to be a relatively common disease in the context of Venezuela now with manifestations with which to better we are not very familiar with. "

Clarifies that INH analyzes these samples three to four days. "The tests usually take between 24 and 48 hours to be biologically ready, but three to four days to produce results. Already at this point or in the hours should be some form of information," said the specialist.

Meanwhile, recommended that all patients having more than three days with fever and skin symptoms should see a doctor.

The recommendation formula because fever cases increased significantly over the previous year. According to the Epidemiological Bulletin No. 36 of the Ministry for Health (MPPS), only in the week between August 31 and September 6 boxes 104,405 cases of fever were diagnosed, an increase of 14.38% compared to the previous week. Last year 27,028 cases were reported for the same date.

"Any fever rising process means that there is an epidemic that is evolving," said meanwhile the former Minister of Health Rafael Orihuela, adding that the two diseases with febrile symptoms are picking up in the country are dengue and chikungunya. Indicates that the criterion of severity of the patients who died of "hemorrhagic fever" was respiratory failure.

More: El Universal

 

[Treyfish]

Re: Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - one case meningococcal disease confirmed

Re: Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - one case meningococcal disease confirmed

Tuesday, September 16, 2014


5 year old dies in Vargas with similar symptoms to victims of Maracay

​

Physicians Maracay Central Hospital reported that another patient five months old with acute hemorrhagic fever syndrome. "His condition is stable," although high fever and spots on the skin. Last Sunday he died in this hospital Fossi Franklin, 40 years of age, acute respiratory failure, fever, bleeding and stains on the skin. Before he had been admitted to hospital with symptoms of chikungunya and was discharged.

Social Security In San Jose, in Maracay, Yordi Bracho, 28, from Choron?, entered Friday with leg pain. "At first I thought it was phlebitis, had a red stain, but now all swollen and purple blood bubbles leg," said his wife Carolina Gautier. He developed fever from Friday until Sunday. "The doctors tell me that the redness moved very fast, and do not know what you have." Last week, Bracho presented symptoms of chikungunya, but had improved.

In Vargas, where chikungunya has also been extended, died Sunday a child of 5 years with similar cases of Aragua box.
Thomas War of Maternal Messenger pediatrician and president of the Medical College of Vargas reported child entered after more than 12 hours with vomiting. His parents reported that he had a week with high fever and skin rash.

During that time they resorted to home treatment, they thought it was chikungunya, which together with the dengue has affected the whole family. Living in Montesano, where most are affected by febrile virus. "We assume it was a dengue chikungunya.'re Waiting for studies to determine the causes of death," Guerra said.

Last week, Miguel Carrillo died, 39 years old, in hospital Pariata half hour after entering with high fever and joint pains as those produced by chikungunya. :tiphat: https://translate.google.com/transl...-nino-de-5-anos-en-vargas-con.html&edit-text=

 

[Treyfish]

Re: Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - one case meningococcal disease confirmed

Re: Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - one case meningococcal disease confirmed

Medical emergency requires reporting of Aragua

According to autopsy, there are several deaths from complications Syndrome

<table class="bgdbdb" border="0" cellpadding="0" cellspacing="0" height="360" width="522"><tbody><tr><td id="playerCont0" title="0" align="center">

</td></tr></tbody></table> In the Central Hospital of Maracay awaiting results of samples sent to the National Institute of Hygiene COURTESY

​

Erika GUILL?N | SPECIAL TO THE UNIVERSAL
Wednesday September 17, 2014 12:00 AM

Maracay -. Photos, medical reports and autopsy data gathered representatives of the College of Physicians in Aragua, where it says that in the last days have passed 10 people, nine of them in the state, by the so-called hemorrhagic fever syndrome.

So far not known whether the disease is caused by a virus or bacteria. Indeed, as indicated, that is what the tests reveal samples sent last week, the National Institute of Hygiene (INH) in Caracas, the only place in the country with the reagents for these samples.

"They is an emergency, we know not what we face and we must know the cause in order to provide appropriate treatment to prevent the collapse of the patient's organs. Three to five days are enough for testing and still have not said anything, "he said and warned union representatives to be done urgently epidemiological fence.

"This is a very aggressive disease and causes deterioration of the patient within 72 hours to cause death," said a doctor who attended the meeting called for Tuesday night at the headquarters of the College of Physicians in Aragua, and who declined to be identified under guard.

The health professionals at that meeting, the authorities insisted that the Executive must declare a health emergency in the arag?e?a entity due to the serious situation. They handle the figure of 10 deaths from the syndrome, one of which was recorded in Caracas earlier this week.

It was learned that some samples of crops able to be sent to a private laboratory to verify that the disease is treated.

For professional ethics, doctors kept secret the names of the patients involved, cautioned, however mentioned details of the autopsy of one of the recently deceased, which reveals the aggressiveness of the disease.

A case

All medical reports indicate death from Acute Haemorrhagic Fever Syndrome in a patient a year, died 1 September, after seven hours hospitalized. Relatives said, according to the report, the baby began the disease on August 30 with fever to 39.5 ? degrees and rash on upper extremities. Two days later he developed fever to 40 ? degrees and rectal bleeding not yield multiple times. On admission to the Central Hospital of Maracay, was diagnosed with "severe dengue".

In the clinical history of the patient indicates that the infant showed a hypovolemic shock. After supplying the necessary drugs, the baby had complications. Increasing white blood cells and low platelets. He recorded a respiratory arrest that caused his death.

The situation was reported to health authorities in the state. He took samples (post mortem) of heart, liver, kidney, spleen, lung and intracardiac blood sent to the National Institute of Hygiene Rafael Rangel.

In the autopsy report states: "hepatomegaly, steatosis, congestive spleen, pale kidneys, hemorrhagic enterocolitis with rings granulomatous appearance, pleuritis erosive and petechiae in the upper limbs."

Representatives of the College of Physicians insist that the deceased had the same set of symptoms (fever 40 ? degrees unyielding, skin rashes and bleeding) that result in rapid deterioration.

Suspected Cases

It was learned that at the Hospital of Maracay two children, 12 and 5 years of age, who for days have the same symptoms of the disease and are treated as DHF.

Social Security In San Jose are hospitalized two men, one 39 years (from the coastal town of Choron?) and another 55 with disease characteristics.

The suspects in both cases health centers could not be confirmed with the policy of the College of Physicians of Aragua.

Furthermore, it emerged that doctors and nurses do not have Central Hospital biosecurity measures. Face shortages of inputs, especially gloves and face mask, to take care of the patients admitted. :tiphat: https://translate.google.com/transl...agua-exigen-declarar-la-emergencia&edit-text=

 

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Re: Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - one case meningococcal disease confirmed

Re: Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - one case meningococcal disease confirmed

Health Minister meets with epidemiologists: Reiterates that "no foreign virus in the country"

nancy Health Minister meets with epidemiologists: Reiterates that no foreign virus in pa?sLa Minister of Popular Power for Health, Nancy Perez, met with epidemiologists in the country to assess the status of the country.

Perez reported that so far there are 398 confirmed cases of Chikungunya and other 45 000 dengue have been recorded in the country.

The Minister said it is reviewing the equipment of health centers to fight disease. In that vein, he also noted that the entire network of public health has Acetaminophen.

Moreover, Perez noted the presence of an alleged strange disease or Ebola virus in the Central Hospital of Maracay, explaining that the eight dead, three suffered from Chikungunya, but died because they had an underlying disease.

He repudiated it has been a perverse application of what information must be referring to those deaths.

He said that in the event that in the country if the cases being detected at an international level to inform people properly and all the protocols established to control the disease will be fulfilled arise.

"Right now there are not any strange virus, at the time a disease is what will appear to inform the people," he said.:tiphat:http://noticiaaldia.com/2014/09/ministra-de-salud-se-reune-con-epidemiologos-del-pais/

 

[Treyfish]

Re: Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - one case meningococcal disease confirmed

Re: Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - one case meningococcal disease confirmed

...
MEET TODAY EPIDEMIOLOGISTS

Minister Nancy Perez reported that today hold a meeting with all the country epidemiologists. The goal is "to establish an action plan, not only for Ebola, but for any disease transmission."
He recalled that these professionals with managers to disclose and comply with the recommendations issued by WHO and PAHO. Today on a workbench in which the measures will be needed to run will be established.
The official also announced that the government is taking a special laboratory for processing samples of suspected cases of Ebola. :tiphat:https://translate.googleusercontent...9.html&usg=ALkJrhi_DzJCAQ8plz13VQ0sKh96M0pXxg

 

[Treyfish]

Re: Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - one case meningococcal disease confirmed

Re: Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - one case meningococcal disease confirmed

Minister of Health: Three of the deceased had chikungunya with other underlying diseases

Nancy Perez reiterated that they are waiting for pathological studies of other deceased.He insisted that the lethality of this virus is "low" and said that "at this time there are no foreign virus in the country"

YP / National Web <small class="timestamp">September 17, 2014 - 24:16</small>
As he left a meeting with epidemiologists, health minister, Nancy Perez said that patients who have had a febrile syndrome with complications that have led to deaths "have an underlying disease" and attributed to a "terrorist campaign" theories on the causes of deaths, infectious disease specialists in the country have been attributed to an atypical presentation of chikungunya virus.

"We are waiting for the anatamopatol?gicos studies" reported, while confirming that there are 398 cases of chikungunya so far this year with three deaths that had the virus, but insisted that all these people "had underlying diseases" because the lethality of the virus "is very low."
"Right now there are not any strange virus, when that disease need to know the town, the report will appear. Pol?tca State not hide anything," said

Regarding the case of deceased gentleman of 60 years in clinical Razetti Luis, explained: "I was five days duration and had a skin infection, this is not a rare disease. What is it you do not know? the infectious agent that caused that person having septic shock and has died. But it is not a rare disease. Every day there are cases of patients who, for whatever reason, will unfortunately die. Can I be sure, that if here is a case of being detected internationally, be the first to say, "he said.


Perez asked the public to channel their concerns about hemorrhagic fever that has caused deaths in Aragua and the Capital District.
"The recommendation is to wait what government spokesmen say, the government has some spokesmen, is not that people do not make complaints, it is valid that express and say" he said.


He denied that the country had a shortage of acetaminophen for fever and symptoms of these diseases, but told the couple that the government is buying and distributing the medicine in hospitals and CDI.:tiphat:https://translate.googleusercontent...0.html&usg=ALkJrhiK2VUHOro_7I5HiTviyn1cRDVydw




Health Minister said that there was "bleeding or rare diseases"


National <small class="timestamp">September 17, 2014 - 12:01 am</small>
The Health Minister Nancy Perez ruled on the complaint of the Medical College of Aragua and said, "No hemorrhagic or rare diseases, and are responsible for diagnosing laboratories." Perez stressed that "chikunguya not kill the person, there are low deaths from this virus. What can happen is that you have an underlying disease, such as problems in the immune system, and the patient is complicated. "
Sectoral Health Secretary Aragua state, Luis Lopez, said in a radio program that the Central Hospital of Maracay is operating normally. :tiphat:


https://translate.googleusercontent...1.html&usg=ALkJrhjIKe5Ahzc1enttzXPlK0sAgb4IVA

 

[Treyfish]

Re: Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - one case meningococcal disease confirmed

Re: Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - one case meningococcal disease confirmed

....Results of the assembly.
On Monday night there was a meeting at the Medical College of Aragua, where it was said that the analysis of cultures made ​​the first killed in the Central Hospital of Maracay was negative in dengue and meningococcemia. "It is possible that the virus has mutated chikungunya fever" was the assumption on which the medical profession agreed. During the meeting it was reiterated that the medical reports of the 9 patients who died in the HCM indicate death from acute hemorrhagic fever syndrome, a common box with the patient died Sunday in Caracas Razzetti Clinic.
Physicians requested a ruling from the Ministry of Health on the causes of the 9 deaths in Maracay Central Hospital, after pictures of patients presented hemorrhagic fever. Yesterday, at a press conference at the headquarters of the Venezuelan Medical Federation reiterated the call. "Cases like this could be in any state because the information is not clear epidemiological and health centers do not have the supplies to care for patients. The government's responsibility is to clarify things, "said Douglas Le?n Natera, president of the federation..:tiphat:https://translate.googleusercontent...4.html&usg=ALkJrhjgtq-owgtJJ-wwGA94tKBmfg-DAg

 

[alert]

Re: Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - one case meningococcal disease confirmed

Re: Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - one case meningococcal disease confirmed

http://panorama.com.ve/portal/app/push/noticia127698.php

Ottawa Hospital Epidemiologist: "Ways to die with Chikungunya are very few"

Wednesday September 17, 2014 01:26 PM
Maracaibo / Alberto Barboza


The epidemiologist Central Hospital of Maracay, in Aragua, Hector Celis been reiterated Wednesday that the medical center "has a full and normal operation."

He said: "We are receiving users for all the various pathologies that come to this hospital, which is the fourth statewide in level of care, whether we are referring hospital from other states. The hospital is completely normal, our health teams working with biosecurity measures, using their white coats and gloves respective (...) you have to disqualify false rumors that the hospital has an outbreak, there is no such situation. "

"Every user that comes to our Emergency Central Hospital with symptoms in the order of appearance. Arthralgia, fever and maculopapular rash is received by the medical staff of the emergency, lends timely care, physical and laboratory examination I it clear that management is fully ambulatory Chikungunya (...) would only inpatient cases that have a disease very important base, who want to monitoring by the medical staff, "he said.

He stressed that "it is a disease with a low fatality rate, ie the chances of dying of Chikungunya are very few. It is a disease that is characterized by much discomfort tends to the patient to lie down during the acute phase, but later superseded , the individual is incorporated into your regular activities. "

For the population, advised: "Prevention, that starts from the house, nothing do with spray if there is no vector control (...) is nothing going on in the Central Hospital, the chikungunya are circulating in America, it fell to Venezuela, but there is already a knowledge that it is a benign transmitted diseases ".

 

[alert]

Re: Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - one case meningococcal disease, one case dengue, three cases chikungunya confirmed

Re: Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - one case meningococcal disease, one case dengue, three cases chikungunya confirmed

http://globovision.com/hay-398-casos-de-chikungunya-y-mas-de-46-mil-de-dengue/

Perez Nancy: No extraneous viruses as there will be informed



17 Sep, 2014 Source of news: FL // Image credit: Globovision 


NancyPerez-

Health Minister, Nancy Perez, ruled out any "strange virus" and assured that, should I register a case, duly advise. "It is state policy to hide anything," and ruled out declaring a health emergency.

He said of the eight dead in the Maracay Central Hospital (HCM), only two patients had Chikungunya. However, he clarified that these had "underlying disease and its outcome could not be Chikungunya".

He also said that there has been a "perverse" information management and added that a doctor ever said that ethics is a "rare disease", but must report a "precise etiology."


"There are cases that got there and (for example) there is one that was poisoning from a plant, and not by extraneous causes."

He said the Government spokesmen and therefore, urged people not to fall into distress. "People have stopped being spokesmen health are coup (...) are violating the Venezuelan Penal Code with unfounded news when they want to create chaos."

P?rez also referred to the deceased person in the Hospital Razetti Luis Clinic in La Candelaria, ensuring that the patient had a skin infection, the causes are being investigated. Referred the person died of sepsis.


"Every year we will see cases that for whatever reason are going to die, you can be sure that if there is a case of what we are discarding internationally (Ebola), be the first to say it."

 

[alert]

Re: Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - one case meningococcal disease, one case dengue, three cases chikungunya confirmed

Re: Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - one case meningococcal disease, one case dengue, three cases chikungunya confirmed

http://www.eluniversal.com/nacional...fallecido-por-sindrome-febril-agudo-en-aragua

New report died of acute fever in Aragua

A two year old girl died in ambulatory Turmero to 7:00 Monday night. According to relatives, the infant presented with fever, skin redness and pain in the joints.

Erika GUILL?N | EL UNIVERSAL

Wednesday September 17, 2014 3:29 PM

Maracay.- With the death of a two year old after presenting acute hemorrhagic fever syndrome increases to ten the number of deaths from this disease in Aragua which even doctors do not know the cause.

They alleged relatives of the infant, who were in the morgue awaiting the entity body, the small submitted a fever, redness of the skin and joint pain. He was treated at the outpatient Turmero, where he died at about 7 pm on Monday, minutes after admission.

She lived in the La Julia Marino Township. He recorded a temperature over 40 degrees that would not budge despite the supply of drugs. She was diagnosed as a case of Chicungunya in suspected by the symptoms presented, as it reported a local media. Families demand that the cause of death of little clarification.

Meanwhile, the board of the College of Physicians in Aragua remains pending the results of samples sent to the National Institute of Hygiene Rafael Rangel, Caracas, enabling them to ascertain whether the disease is caused by a virus or bacteria. This, in order to treat the patient.

suspect mutation

In permanent assemblies that keep physicians, epidemiologists and different health unions in the state, in their eagerness to know what causes febrile illness have noted, preliminarily and the characteristics of the disease, the cause of death could be due a mutation that causes massive bleeding chikungunya.

Unofficially, it was learned that ruled out that it is serious or meningococcal dengue, as several samples were negative. It was learned that the health professionals are focused on finding answers to the purpose of undertaking an epidemiological fence and not expect more deaths occur.

Denies version

However, the possibility that it is an aggressive type of chikungunya was denied Thursday by epidemiologists working in the HCM, who ruled that this is the cause of death.

Hector Celis, HCM doctor said that the theory that the virus has mutated is not true and indicated that the reported deaths by fever comes to patients who had underlying conditions. "In a febrile process where the patient is well hydrated makes dies for the underlying disease."

He also denied that the health center are held chikungunya cases. They also rule out the presence of meningococcemia in hospital.

In the state, the president of the College of Physicians, Angel Sarmiento, reported last week the death of eight people to cause hemorrhagic fever syndrome and health authorities requested the declaration of alert. Subsequently, the death of another person in the Central Hospital of Maracay, named Frank Gonzalo Fossi, 44-year-old case was reported by relatives who requested explanation of the cause of death was reported.

All deaths reported by the College of Physicians have been challenged by government and health authorities in the state. For the case, last Friday the governor, Tarek El Aissami, asked the Public Ministry opened a criminal investigation against Sarmiento to offer his opinion statements obey a campaign of terrorism to create unrest in the state.

Health authorities deny that the death of patients who noted Sarmiento has been given by a common factor or a strange disease

 

[alert]

Re: Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - one case meningococcal disease, one case dengue, three cases chikungunya confirmed

Re: Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - one case meningococcal disease, one case dengue, three cases chikungunya confirmed

Dr. Orihuela is now blaming this entire incident on chikungunya. If chikungunya has about the same fatality rate as seasonal flu (about 0.1%), then 10-12 deaths would imply 10,000-12,000 cases. Considering estimates of 90,000 undiagnosed fever cases in Aragua, that is certainly possible.

Perhaps the sepsis is caused by secondary bacterial infections?

http://www.ntn24.com/noticia/muerte...chikungunya-segun-el-dr-rafael-orihuela-25838

Maracay deaths were caused by "severe cases of Chikungunya," according to Dr. Rafael Orihuela


News

Wednesday, September 17, 2014

The doctor and former Minister of Health, Rafael Orihuela said the cause of the deaths were recorded in the General Hospital of Maracay, Aragua state, was the Chikungunya virus.

"The deaths are not meningococcemia, are severe forms of Chikungunya and the government will have to accept it and say it publicly, we will give an ultimatum, you have 48 hours to tell the truth, because if not, we will say , he said.

As reported in La Patilla, Dr. ensures that the national government has tried to hide the truth about this situation. "What is happening is the failure in preventing disease, the failure of a health policy and neglect of those leaders are useless," he said.

He said that the origin of the country's health crisis due to the negligence of the National Executive to resolve this situation.

According to the latest epidemiological bulletin, in the country have been recorded so far in 2014, 45,745 cases of dengue. While Chikungunya have been tested so far 243 cases.

"The number of patients per month per week have significantly increased (...) This story that only 243 people are those with the virus, the only way it does is hide the country and the world that the epidemic of Chikungunya, after be warned that three months to get ready, it is leading ahead ago, "said the doctor.

Finally, he praised the performance of the College of Physicians of Aragua and stressed that his statements were absolutely responsible and attached to professional ethics.

NTN24 Venezuela Writing

 

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Re: Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - one case meningococcal disease, one case dengue, three cases chikungunya confirmed

Re: Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - one case meningococcal disease, one case dengue, three cases chikungunya confirmed

http://www.el-nacional.com/regiones/Aissami-Hospital-Central-Maracay-Vinimos_0_485351464.html

El Aissami in visit to Central Hospital of Maracay: We came because we do not run any risk


The governor of Aragua in visit to HCM / Photo AVN

September 18, 2014 - 6:17 a.m.


The governor of Aragua state, Tarek El Aissami rejected the "disinformation campaign" against the public health system in this state and, in particular, against the Central Hospital of Maracay, he assured that keeps running normally.


So he spoke Wednesday after a tour of the hospital grounds, accompanied by his family and medical staff.

"We have come because we know that we do not run any risk. The hospital is functioning quite normally," he said in remarks broadcast by Venezolana de Television.


"What has made this terrorist campaign is unleashing more love and passion on the part of physicians towards their work and have expressed it," he said.


The governor said that since last Friday until Tuesday the hospital attended the birth of 60 children. He also mentioned that so far 2014 has been practiced surgery 700, the highest figure nationally.


During his tour, El Aissami expressed support and solidarity to the people working at the Central Hospital of Maracay "to this terrible terrorist campaign that has been unleashed against our hospital.'ve Also transmitted physicians, nurses, patients and families our hospital a special greeting President Nicolas Maduro and his commitment to continue promoting public health in Maracay, "he said.

He said the hospital was the subject of a smear campaign that goes beyond Venezuela, for "special programs have been devoted to international news" based on false rumors.


He also underscored the talent possessed by the medical staff, demonstrated "during this time of upheaval that have tried to impose. It was a terrible tragedy for which they took many of them."


He stressed that in case of any anomaly that threatens the public health of Aragua "will be the first alert and take necessary measures."

 

[alert]

Re: Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - one case meningococcal disease, one case dengue, three cases chikungunya confirmed

Re: Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - one case meningococcal disease, one case dengue, three cases chikungunya confirmed

Dr. Orihuela is now tweeting that 6 of the 7 samples from fatal cases have texted positive for chikungunya:

https://twitter.com/raforih

Dr Rafael Orihuela @raforih ? 16h

Se comenta que de 7 muestras que proces? el Instituto Nacional de Higiene en pacientes fallecidos de Maracay, 6 fueron Chikungunya

 

[alert]

Re: Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - one case meningococcal disease, one case dengue, six cases chikungunya confirmed

Re: Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - one case meningococcal disease, one case dengue, six cases chikungunya confirmed

http://english.eluniversal.com/naci...ral-hospital-under-epidemiologic-surveillance

Maracay's Central Hospital under epidemiologic surveillance

Doctors made an appeal to keep calm and noted that currently there are no patients with chikungunya fever admitted in that hospital

EL UNIVERSAL

Thursday September 18, 2014 11:26 AM

The medical staff of the Maracay's Central Hospital (HCM) in north central Aragua state issued a communiqu? to inform that the hospital is working normally, with no incidents.

Gerardo S?nchez, an epidemiologist at the hospital, noted that due to the rain season and the incidence of the chikungunya virus in Aragua state "we have been keeping close surveillance over the cases that have arisen," he highlighted.

S?nchez made an appeal to keep calm and explained that "many patients could have suffered from a prior condition before suffering from that disease, making it more serious."

H?ctor Celis, the head of the epidemiology service at the HCM, remarked that the theory claiming that the chikungunya virus could have mutated was still unclear. He said that currently there are no patients with chikungunya fever admitted in that hospital.

Celis also denied the incidence of meningococcemia infection or Ebola virus in the hospital, and underscored that the photographs posted on social networks reporting those diseases were fake.

Last week, the Aragua state Medical Association alerted that nine patients had died at Maracay's Central Hospital reportedly as a result of a hemorrhagic fever syndrome.

 

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Re: Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - six deaths due to chikungunya confirmed

Published Date: 2014-09-18 20:05:15
Subject: PRO/AH/EDR> Undiagnosed hemorrhagic fever - Venezuela (02): (AR) fatal, RFI
Archive Number: 20140918.2784418

UNDIAGNOSED HEMORRHAGIC FEVER - VENEZUELA (02): (ARAGUA) FATAL, REQUEST FOR INFORMATION
************************************************** *************************************
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: Tue 16 Sep 2014
Source: El Universal [edited]
http://english.eluniversal.com/nacio...fever-syndrome


Pictures, medical reports and autopsy data are being gathered by members of the Medical Association of Aragua state, central north Venezuela, where 9 people have died in the last few days reportedly from a hemorrhagic fever syndrome [see Undiagnosed hemorrhagic fever - Venezuela: (AR) fatal, RFI 20140912.2767248 for more details]. Another person died in Caracas on Sunday [14 Sep 2014] from the same condition.

To date, doctors do not know whether the disease is caused by a virus or bacteria. This will be determined by the test results of the samples sent last week to the National Institute of Hygiene (INH) in Caracas, the only place in Venezuela that has the adequate reagents.

"3 to 5 days are enough for running the tests, but they (health authorities) have not said anything. This is an emergency; we do not know what we are facing, and we need to know the causes in order to provide appropriate treatment to prevent the collapse of the patient's organs, and also to set up epidemiological surveillance. This is a very aggressive disease that causes deterioration of patients within 72 hours and causes death," said a doctor who attended a meeting convened on Tuesday [16 Sep 2014] night at the headquarters of the Medical Association of Aragua state and who requested anonymity.

The doctors attending the meeting insisted that government authorities must declare a health emergency in Aragua state. They reported on 10 deaths from hemorrhagic fever syndrome, including one patient who died in Caracas on Sunday [14 Sep 2014]. Sources said that some culture samples were sent to a private laboratory to determine the causes of the disease.

For professional ethics, doctors would not disclose the names of the patients involved, but they provided details of the autopsy of one of the deceased that reveal the aggressiveness of the disease.

The autopsy report shows hepatomegaly, strong steatosis, congestive spleen, pale kidneys, hemorrhagic enterocolitis, erosive pleuritis and petechiae in the upper limbs.

Representatives of the Medical Association of Aragua state remarked that all the deceased had the same symptoms (high fever, skin rashes and bleeding).

[Byline: Erika Guillen]

--
Communicated by:
ProMED-mail Rapporteur Mary Marshall

[The results of an autopsy on one individual does not fully help to define the etiology of these deaths, but suggests an enteric involvement with a hemorrhagic colitis as one of the pathologies seen. Interestingly, when using GIDEON (http://www.gideononline.com) with the combination of clinical symptoms and autopsy findings, the leading diagnosis proposed is Venezuelan hemorrhagic fever, followed by yellow fever.

A reliable source in the region has mentioned that severe chikungunya infection has been speculated as one of the possible pathologies. Clearly, we await results of laboratory testing for the possible organisms that might explain what is going on.

ProMED-mail would greatly appreciate more information on this from reliable sources, especially from sources that are apolitical.

For a map of Venezuela showing the states, see http://www.ephotopix.com/image/south...itical_map.gif. The state of Aragua is located to the west of Caracas and borders with the state of Carabobo to its immediate west. They are both in the north, to the northeast of Portuguesa and Barinas, where the cases of Venezuelan hemorrhagic fever have previously been identified. - Mod.MPP]

 

[alert]

Re: Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - six deaths due to chikungunya confirmed

Bad idea. REALLY bad idea.

http://online.wsj.com/articles/vene...tbreak-of-deadly-disease-terrorism-1411083807



Venezuela's Maduro Deems Outbreak of Deadly Disease 'Terrorism'

By Juan Forero


Updated Sept. 18, 2014 9:09 p.m. ET

Venezuelan President Nicol?s Maduro speaks in Caracas on Thursday. EPA

CARACAS, Venezuela?President Nicol?s Maduro said he ordered the prosecution of doctors who had alerted the public to the recent deaths of nine people in a public hospital from an unidentified but possibly infectious disease.

"They wanted to impose a scheme of alarm, of psychological terrorism," Mr. Maduro said Wednesday in a speech broadcast on TV. "There is no other name for this, it's terrorism."

He said he had spoken with Attorney General Luisa Ortega "so that our organs of justice work with severity, with all the firmness and severity that the law permits. You have to punish these people."

Mr. Maduro's warnings come after doctors said publicly said that they suspected a possible outbreak of Chikungunya disease, which is carried by mosquitoes from victim to victim, in the city of Maracay just west of here. Mr. Maduro's government, which has lost support amid an economic crisis and soaring crime, hasn't said what it believes caused the deaths.

From Aug. 30 until Sunday, nine people?four of them children?died at the large Central Hospital of Maracay, medical personnel in the city said. Doctors and the family of the last victim, Franklin Fossi, 41, a truck driver who died on Sunday, said he and the other victims suffered from fevers, blisters on their skin and severe joint pain.

"We don't know what we are confronting," Angel Sarmiento, the president of the Medical College of Aragua state, told reporters last week.

Dr. Sarmiento was singled out by the president for his comments about the deaths. The doctor couldn't be reached for comment.

Dr. Douglas Natera, president of Venezuela's medical federation, which represents doctors, said the opaque nature of Mr. Maduro's government and its criticism of the medical establishment is generating anxiety in Maracay, where many people have gone to neighborhood clinics complaining of symptoms found in people infected with Chikungunya.

"Had they given out information quickly, they wouldn't have caused people to be alarmed in Maracay, and then later in the whole country," said Mr. Natera, who was also criticized by Mr. Maduro. "The people know what's happening in the communities, where they have fevers and pain."

Since first appearing in the Americas in Martinique last year, Chikungunya has spread across the Caribbean, infecting more than 9,000 people and killing 113 in the region, says the Pan American Health Organization.

Doctors and epidemiologists say that with preventive planning and medication, deaths can be prevented.

In Venezuela, Health Minister Nancy Perez on Wednesday provided what doctors here said were the government's most extensive comments on the disease, saying that 398 cases had been detected and that three of those infected had died.

"What is important now is that at this moment there is no strange virus," Ms. Perez said on Venezuelan TV, without providing details or mentioning the deaths in Maracay.

Medical associations here, as well as former government health officials, have said that the government should call a health emergency in Maracay because of the possibility that an epidemic has taken hold. And in neighborhoods in that city, residents who have lined up at clinics, feeling ill, say they don't understand why there is not more information about the disease.

"People die and they say it's a lie," said Eseglaine Tovar, as she waited for attention with her baby boy, who has been sick. "They say it's a rumor and it's done to destabilize, but it's true what we've seen."

Mr. Maduro, though, suggested that the doctors who had criticized his government's handling of the case might have even been plotting a biological attack against the country.

"We have serious suspicions that the right-wing was aiming to introduce a type of virus in the hospital in Maracay or elsewhere," he said. "Their campaign fell into the abyss, thanks to God."

 

[Vibrant62]

Re: Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - six deaths due to chikungunya confirmed

Alert: Completely agreed.

By taking this stance, if (heaven forbid) it was ebola, I guess they could blame terrorism rather than the govt.

Sounds like Venuzuelan politics must be something of a 'blame' culture. I suppose I find it more concerning that they felt the need to take this stance at all, when chikungunya is a known problem and epidemic. It makes it sound suspicious when it probably isnt at all

 

[alert]

Re: Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - six deaths due to chikungunya confirmed

The case in Caracas remains unsolved:

http://www.entornointeligente.com/a...guarda-relacion-con-casos-de-Maracay-21092014

VENEZUELA: Caracas Death of patient cases unrelated to Maracay

Correo del Orinoco / According to the president of the Razeti clinical hemorrhagic fevers may have multiple causes, such as staphylococcus, meningococcus, Guanarito fever, leptospirosis, malaria, malaria

Dr. Domenico Rizzuti, president of the Razeti clinic, located in Caracas, said the death of a person in the private health center does not relate to deaths in Aragua state, nor should cause alarm in the population.

"There are no symptoms of alarm and no one can say that there is a direct relation to the cases of Maracay" he said. According to the doctor, hemorrhagic fevers may have multiple causes, such as staphylococcus, meningococcus, Guanarito fever, leptospirosis, malaria, malaria. "The important thing in these cases is to make the epidemiological fence," he said.

He described that it was a male patient of 60 years old, from the Valles del Tuy, Miranda State, which entered Saturday afternoon at the clinic with a feverish syndrome, flictena and hematemesis, and died an hour and a half . Apparently, according to the expert, had a five-day developments.

Upon the death of the patient and ignore the cause, explains, "The body is taken to a cooling room", where it is withdrawn by staff subregional epidemiology branch of the Ministry of Popular Power for Health.

At the same tests were practiced her liver biopsy, skin biopsy, lumbar puncture and blood cultures intracardiac puncture "to establish a definitive diagnosis," said Rizzuti.

He said that preventive measures, "which are made here and in any other country in the world," proceeded to clean the space using the protocol indicated by epidemiology. "He closed the emergency spraying to apply vectors, spraying ammonia, disinfectants and cleaning with chlorine. This is done three times and the path where the patient was admitted to disinfection closes" certified.

 

[alert]

Re: Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - six deaths due to chikungunya confirmed

In what world is "unknown biological war" a better diagnosis than suspected chikungunya?

http://www.correodelcaroni.com/inde...gos-investigan-supuesta-guerra-bacteriologica

Maduro announced that "doctor friends" investigate alleged germ warfare


The ruling said "there is an international war, a war that aims to kneel to Venezuela"


Caracas.- President Nicolas Maduro said Sunday that the country began arriving medical "friends from all over the world," including Cuba, to investigate a "germ" war opposition tried to introduce in the central state of Aragua.

"They invented diseases in Venezuela and we are investigating. They're here doctor friends from all over the world, including our sister Cuba who sent us bacteriological matter experts to determine what he tried to do in this fascist right Aragua. Venezuela is solid in all aspects of social life, "he said in an official ceremony in Caracas.

Maduro said the government is still investigating what happened in the Central Hospital of Maracay, in Aragua, where eight patients died two weeks ago by a disease not yet clarified.

The Medical College of Aragua reported that four children and four adults were killed by a "rare" disease, which could be aggressive virus chikungu?a cases, which were denied by the regional government of Aragua.

The governor of Aragua, Tarek El Aissami, accused the president of the Medical College of Aragua, Angel Sarmiento, have started a campaign on the alleged epidemic in the hospital in Maracay.

"Now (Sarmiento) does not face even comes to the Central Hospital of Maracay, left, fled, but the courts will reach where you are," said El Aissami.

Sarmiento said the "strange" disease killed eight patients and so far the disease is unknown.

Attorney General Luisa Ortega said he had appointed two prosecutors to investigate reports of the supposed epidemic in the Hospital of Maracay, 100 km from Caracas.

The prosecutor noted that there have been "frivolous" claims about an alleged epidemic outbreak in the hospital, sparking anxiety and fear in the public.

In this regard, said the media who spread this "irresponsible campaign" committed a crime that is punishable by two to five years in prison.

Ortega said the country is facing an epidemic and Health Minister Nancy Perez has recognized that there are some cases chikungu?a virus, being treated according to the protocols of the World Health Organization.

 

[alert]

Re: Venezuela - Deaths in Maracay Central Hospital and elsehwere by unidentified illness(es?) - six deaths due to chikungunya confirmed

Meanwhile my favorite angry former Minister of health is still angry:

https://twitter.com/raforih

Dr Rafael Orihuelaraforih ? 2h

Dr. Confucius (invented confusion) going to say something today about serious outbreak of Chikungunya?. Another crackpot will lie?



Dr Rafael Orihuelaraforih ? 2h

Who ordered kidnap a timeout with Chikungunya and made complicit in CICPC and Forensic Medicatura (never seen) is Communist or Fascist

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(I think the joke about Confucius inventing confusion makes more sense in the original Spanish. - alert)