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Go Back   FluTrackers > South America > Seasonal Flu 2009 - 2013 1/2 including H1N1 pandemic 2009 > Argentina

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  #31  
Old February 4th, 2013, 01:55 AM
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Default Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

Nine affected persons of flu are still hospitalized

TO PLATA. - Nine persons were still interned yesterday evening in from Buenos Aires hospitals after having being infected by the virus of the flu A, y the doctors were hoping to be able to disconnect from the artificial respirator to one of two women who are in more serious state, while other one was evolving without changes.
The sanitary provincial authorities said that the sprout is contained, since more cases did not take place, and they hope to be able to re-open this week the hospital of Carmen de Areco, where the illness appeared.
They were 11 the persons reached by the infection, nine of them nurses of the provincial hospital Our Lady of Carmen, of the mentioned district. Although in a beginning the Department of from Buenos Aires Health denied that it was a question of the flu A, the results of analysis carried out in the Institute Malbrán confirmed the day before yesterday that the genoma of the virus that produces this illness was present in four of the taken samples.

http://www.lanacion.com.ar/1551683-s...das-de-gripe-a
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  #32  
Old February 4th, 2013, 03:17 AM
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Default Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

I would only highlight this point: what is the likelihood that a traveler from the US - currently experiencing a severe winter seasonal A/H3N2 sustained influenza epidemic, this virus accounting for 90%+ of type A strain isolations - to remain infected with an H1N1pdm09 and then causing a out-of-season nosocomial outbreak in Argentina?

Is it possible that another pathogen could be involved in an hyperacute outbreak among health care providers?
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  #33  
Old February 4th, 2013, 03:28 AM
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Default Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

Another question (if this is just H1N1) is why would pH1N1, after a very large circulation over the last four years and inevitable multiple exposures for healthcare workers (who very likely have had vaccines in the past) suddenly cause such a high level of severe disease and/or virulence?
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  #34  
Old February 4th, 2013, 04:25 AM
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Default Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

Be careful, because the public authorities tend to minimize the seriousness of this type of event and to allocate to external causes rather than point on internal weaknesses.

The reports are very confused and it is difficult to understand who are they talking about as a person coming from abroad The first case seems to have been a patient hospitalized with cardiac ischemia and appeared to be ill even the brother who attended to him. Is this the man coming from abroad?
Other reports point to a nurse who was ill, and had made a recent trip abroad.
But we are also told that several cases of deaths from pneumonia were recorded during the months of October and November.

The H1N1 virus even if circulates for 4 years, maintains intact its dangerousness toward people who are not immune against him. This is testified by the fatal cases that are recorded in various parts of the world , in particular people between 45 and 65 years.
Furthermore many health care workers, expecially nurses, refuse to submit to vaccination.
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  #35  
Old February 4th, 2013, 09:03 AM
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Default Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

Yes, I agree that something about these reports doesn't add up...

http://www.genteba.com.ar/component/...le-con-gripe-a

Carmen de Areco: the last batch of samples sent to Malbrán was compatible with influenza A
Sunday, February 3, 2013 00:32

12345 (0 - user / s voted this article) for the last four patients in the Rossi

The Ministry of Health of the Province of Buenos Aires reported that in the last batch of samples corresponding to four hospital patients "Nuestra Señora del Carmen", sent this week to the Institute Malbrán to be processed and analyzed, was found compatible with influenza genome A free classified.

Previous studies and the first batch of samples, corresponding to 7 patients had tested negative for influenza A. This is a total of 11 patients, of which 9 are employees of the hospital and the other two members of the community.

Note that as of date, no new cases were detected in the working population or hospital, or the community at large.

"Since the beginning of the problem, and even when results were not available, the Ministry of Health took preventive measures and locking action for this type of pathology," said the provincial director of Primary Health Care, Luis Crovetto.

"The joint effort and work with the Ministry of Health of Nation, has allowed us to move forward day by day in the diagnostic investigation and continue therapy instituted from day one," he stressed Crovetto, who coordinated actions in blocking Carmen de Areco hospital.

Of the 11 hospitalized, two were discharged with personalized daily checks by phone. In the hospital of La Plata Rossi's two critically ill patients while other four are stable and progressing favorably.

Moreover, in the San Jose hospital also interned Parchment other two are also affected stable and improving. The same applies to another patient in the hospital Cetrángolo of Vicente Lopez.
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  #36  
Old February 4th, 2013, 11:58 AM
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Default Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

Source: La Nacion, http://www.lanacion.com.ar/1551718-g...estados-unidos

Gripe A: recomiendan vacunarse antes de viajar a los Estados Unidos


Desde el Ministerio de Salud bonaerense plantearon tomar esa precaución por el brote epidémico que registra ese país; cómo siguen los afectados de Carmen de Areco

Desde el Ministerio de Salud bonaerense recomendaron a la población vacunarse antes de viajar a los Estados Unidos en base al brote epidémico que registra en este momento dicho país.

"Debe tenerse [en cuenta] como prevención de que Estados Unidos está pasando por un brote epidémico. Sería conveniente que quien concurra tenga la protección de la vacuna porque es una herramienta altamente efectiva para prevenir la salud", señaló en declaraciones a TN el director de Atención Primaria de dicha cartera, Luis Crovetto.

Sobre la situación que atraviesan las nueve personas afectadas de gripe A, cuyo contagio se produjo en el hospital de Carmen de Areco, Crovetto detalló: "Dos se encuentran de alta, 7 están evolucionando satisfactoriamente y próximos a finalizar su tratamiento, y otras dos siguen en terapia intensiva en estado crítico".

Por otro lado, agregó que hace 12 días que no se registran nuevos casos de afectados, ni en el personal ni en la comunidad, aunque continúan con las tareas de investigación para conocer su procedencia.

"En principio, como antecedente de importancia, hay un trabajador que había viajado a los Estados Unidos. El Instituto Malbrán sigue trabajando para ver qué variedad es y establecer si existe correspondencia con este dato", agregó.

Crovetto aprovechó las circunstancias para desmentir algunas versiones que hablaban de la circulación viral en la Argentina y, especialmente, en la provincia de Buenos Aires, donde "existe una alta cobertura de vacunación, del 93%"..


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  #37  
Old February 4th, 2013, 03:24 PM
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Default Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

Source: Clarin, http://www.clarin.com/sociedad/Gripe...859714166.html


Gripe A: afirman que no hay circulación del virus y piden tranquilidad

El gobernador Daniel Scioli aseguró que no se produjeron nuevos contagios y que la enfermedad se encuentra “encapsulada” en el hospital de Carmen de Areco.


04/02/13 - 13:41


Tras la confirmación de cuatro casos de Gripe A en el hospital de Carmen de Areco, el gobernador bonaerense Daniel Scioli pidió “tranquilidad” a la población y afirmó que no hay circulación de la enfermedad, ya que se encuentra “encapsulada” en ese centro de salud.

"Quiero transmitir absoluta tranquilidad, (la Gripe A) está absolutamente bloqueada, limitada y encapsulada en esos casos" de Carmen de Areco, donde están internadas cuatro personas, aseguró Scioli en declaraciones a Radio 10.
Por su parte, el ministro de Salud de la Provincia, Alejandro Collia, confirmó hoy que una enfermera que contrajo el virus en Orlando, Estados Unidos, "sería el nexo epidemiológico" de los cuatro casos de Gripe A detectados en el hospital Nuestra Señora del Carmen.
Hasta el momento, aseguró, sólo está probado que "cuatro de los once pacientes que fueron hospitalizados con los mismos síntomas contrajeron el virus". Y destacó que desde que se cerró el servicio de terapia intensiva del hospital, hace 12 días, no se detectaron nuevos casos.

Asimismo, aunque aclaró que la recomendación existe desde antes que se detecte este brote, el ministro instó a todos los que tienen previsto viajar a los Estados Unidos a vacunarse contra la Gripe A.

De las nueve personas que permanecen internadas, dos enfermeras se encuentran en estado crítico y con asistencia respiratoria mecánica en el área de Terapia Intensiva del Hospital Rossi de La Plata, informó ayer el director de Medicina Preventiva del Ministerio de Salud bonaerense, Luis Crovetto.

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  #38  
Old February 4th, 2013, 04:58 PM
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Default Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

If they don't know what strain it is, why are they calling it swine flu or H1N1 in multiple article above??

http://www.buenosairesherald.com/art...re-visiting-us

Monday, February 4, 2013
Gov't denies Swine Flu outbreak, suggests flu shot before visiting US
After four people were diagnosed with Swine Flu in a Carmen de Areco hospital, the head of the BA province Health Ministry’s Primary Care office, Luis Crovetto, suggested that people planning on visiting the US should get a flu shot before traveling.

He also rejected rumours saying there was a Swine Flu outbreak in the country.

Regarding the patients currently being treated, he stated that “one of them recently visited the US, and the Malbrán Institute is treating him to determine which virus strain they are dealing with.”

The Government official clarified that “neither the country nor the province are dealing with a Swine Flu outbreak” and said the population should not be worried.

He concluded by assuring that “every infected patient was treated quickly” and that no other cases were registered.
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  #39  
Old February 4th, 2013, 05:00 PM
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Default Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

This is apparently a quote from an official source. If the traveler is a nurse, it seems unlikely to be the index case. Might there be some co-infection going on that worsened the illness of the two nurses?

http://www.elnuevoherald.com/2013/02...-h1n1-dos.html

Four H1N1 cases, two seriously, in a hospital in Argentina AFP
BUENOS AIRES --- Four H1N1 cases, two of them seriously, the first in 2013, have been detected in a hospital in the town of Carmen de Areco Argentina (150 km northwest of Buenos Aires), reported Monday a official source.
"Of the 11 patients who have had this painting has been confirmed in four genome of influenza A (H1N1) and the epidemiological link would be a nurse who traveled to America where today there is a seasonal flu," he told Radio Ten Alejandro Collie, Minister of Health of the province of Buenos Aires, which is located Carmen de Areco.
He expressed concern "for patients who are hospitalized," especially by two nurses said, is in critical condition mechanically ventilated.
Meanwhile, Daniel Scioli, governor of the district of 14 million people, the largest in Argentina, called for calm to the population and that "there is no circulation of influenza A (H1N1) in the province or the country."
Scioli said the disease is "encapsulated" in cases of Carmen de Areco hospital, while vaccinated advised those traveling to the United States.
In 2009, the year that the pandemic was declared, in Argentina there were 11,931 cases of H1N1 flu, 626 of which ended with the death of the patient.
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  #40  
Old February 4th, 2013, 05:05 PM
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Default Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

http://www.lanacion.com.ar/1551794-s...sos-de-gripe-a

Monday February 4, 2013 | 17:37.
Scioli asked tranquility after the eleven cases of influenza A
She said that this disease is "encapsulated", all cases were recorded in Carmen de Areco

The advice comes after are detected cases of swine flu in hospital in Carmen de Areco.

The Buenos Aires Governor Daniel Scioli, today called "quiet" after eleven confirmed cases of influenza A in the provincial territory and assured that no viral circulation noting that the disease is "encapsulated" to hospital patients Carmen de Areco.

"There is no circulation of influenza virus A or province or in the country, the latter confirmed it (the national health minister, Juan) Manzur," he said.

The president also specified that he wanted to "convey absolutely quiet, influenza A is absolutely locked, encapsulated in these cases."

Scioli said, speaking to Radio 10 that it is "absolutely isolated cases" and, while acknowledging that there may be a "logical concern", denied that there is an outbreak of influenza A.

Meanwhile, the Minister of Health of Buenos Aires, Alejandro Collie, reiterated that "there is no circulation of influenza virus or the province or the country."

The official said that a nurse who contracted the virus in Orlando, United States, "would the epidemiological link" of the four flu cases detected in hospital Our Lady of Mt. He also confirmed that only proved that "the eleven patients who were hospitalized with the same symptoms contracted the virus" and noted that since the closure of the intensive care unit of the hospital, 12 days ago, there were no new cases of the disease .
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  #41  
Old February 4th, 2013, 05:06 PM
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Default Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

http://www.docsalud.com/articulo/435...r-sin-alarmar-

Dr. Daniel Stamboulian - Medical Director Stamboulian
Influenza: prevention without alarming

Send by mail Print Share Text Size By: Dr. Daniel Stamboulian
In the last week raised the concern in the community before the serious respiratory condition that presented some in the hospital's intensive care "Nuestra Señora del Carmen" in the town of Carmen de Areco, Buenos Aires Province.

According to the Institute Malbrán confirmed in 4 of the 10 cases studied by PCR detected viral genome influenza support group A. Although the categorization is being made, our suspicion is that probably corresponds to the H3N2 that is predominant in the U.S..

So said the minister of National Health Juan Manzur who recalled that at this time there is no circulation of influenza in Argentina and the first recorded case of Carmen de Areco correspond to a patient from the U.S. who entered the country with the virus that infected the people with whom he had contact only in the field of intensive care at the hospital.

Furthermore, in an official statement, the Ministry of Health reported that those affected had not received influenza vaccination. Currently, most patients have a good outcome, while two nurses present a grim picture. The cases reported in Areco are bounded, are controlled and do not cause for alarm.

The flu season started earlier than in other years in the Northern Hemisphere. In the U.S. spread across the country, reaching epidemic proportions in many states like New York, where he was declared a health emergency. From October last year to January 10, 2013 caused the death of 20 children, more than 2,200 people were hospitalized and are estimated to amount to 28,000 infections, but authorities Center for Disease Control of the country (CDC) considered that the worst may have passed since the number of affected states and is decreased in several regions may begin to decline infection rates.

The best way to prevent

It is always important to remember that influenza is an acute viral infection that spreads easily from person to person and causes annual epidemics that peak during winter.
By circulating the world three types of influenza viruses (A, B and C) that can affect people of any age. The A are classified into subtypes H and N, of these currently circulating in humans the A (H1N1) and A (H3N2). All types can cause serious illness and death in high-risk populations: children under 2 years old, adults over 65, pregnant, immunocompromised patients, those with prior conditions (heart, lung, kidney, liver, blood or metabolic as diabetes.

Transmission is very easy and quick in closed communities and given through respiratory secretions containing virus and sick people expelled by coughing, sneezing and / or talk and then inspire others who are in the same environment. In addition, the hands become contaminated by contact with these secretions.

Annual vaccination is the most effective way to prevent infection. It is also important to take other measures such as washing hands frequently and covering your mouth and nose with a tissue when coughing or sneezing.

And vaccine strains


It happens that the strain of influenza that currently prevails in the U.S., and that caused most of the cases of the outbreak, is the A subtype H3N2, which tends to have more severe symptoms than usual.

In addition, influenza vaccine applied during the 2012 season did not contain this strain, so who travel or who traveled were not protected. This strain itself will be included in the vaccines that are available in our country in early March, and will be similar to those currently applied in the northern hemisphere.

Remember that the virus strains change every year, and that defenses acquired by immunizations are obtained within 10 days of enforced but are only useful for a year. It is therefore very important annual revaccination during the autumn months and consult a doctor before traveling to another hemisphere.

This is critical in the case of health workers (not to infect their patients) who belong to risk groups and those who live with or work with them.

Precautions for travelers

For those visiting northern hemisphere countries in February 2013 are encouraged to strengthen the remaining flu preventive measures and consult a specialist to assess the possibility of receiving the flu vaccine and the eventual fate indication of antiviral medication.
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  #42  
Old February 4th, 2013, 05:07 PM
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Default Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

Which flu A strain do these patients have? Yes, there is flu in Florida. This is not new. It is flu season here. Here is the Florida forum on FluTrackers.

From the latest state report - week 4:

In Florida, around two thirds of the specimens that have been submitted for influenza testing at BPHL in recent weeks are testing positive for influenza.

Most of these are influenza A H3, but influenza B is also circulating, and small numbers of 2009 influenza A H1N1 specimens have also been reported.

All of these are seasonal strains of influenza.

Influenza virus is circulating in all regions of the state.

http://www.doh.state.fl.us/Disease_c...ek-04-2013.pdf
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  #43  
Old February 4th, 2013, 05:08 PM
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Default Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

Quote:
Originally Posted by sharon sanders View Post
Which flu A strain do these patients have? Yes, there is flu in Florida. This is not new. It is flu season here. Here is the Florida forum on FluTrackers.

From the latest state report - week 4:

In Florida, around two thirds of the specimens that have been submitted for influenza testing at BPHL in recent weeks are testing positive for influenza.

Most of these are influenza A H3, but influenza B is also circulating, and small numbers of 2009 influenza A H1N1 specimens have also been reported.

All of these are seasonal strains of influenza.

Influenza virus is circulating in all regions of the state.

http://www.doh.state.fl.us/Disease_c...ek-04-2013.pdf
I've seen enough that I have removed the mention of H1N1 from the thread title. I suspect the subtype has yet to be determined, and some of the reporters are using "H1N1" or "swine flu" incorrectly as a synonym for "Influenza A" , especially in light of the doctor's comments about H3N2 above.
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  #44  
Old February 4th, 2013, 05:50 PM
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Default Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with influenza A - conflicting reports of subtype

This event is interesting for sure.

Perhaps we are missing the fact that the proposed "index case from Florida" had to travel by air. By doing so, she was in contact with people from all over the world - from India? Yemen? Iraq? Israel? Hong Kong? All of which are locations reporting H1N1 cases - whether en route to or from Orlando (which happens to be a world vacationing location, especially this time of year.)

Additionally, I agree with the most recent Dr. discussion regarding the influenza A in US. It is too vague to determine the cases in Argentina are or are not H1N1.

The demographics of the disease in Argentina suggest a virus more sinister to the middle and younger age groups - where the current H3N2 situation in the US - although creating disease in all populations - is very obviously posing a significant danger to those persons 65 and older.

This event is worthy of all of your ongoing efforts in epidemiology and surveillance.
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Old February 4th, 2013, 06:06 PM
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Default Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with influenza A - conflicting reports of subtype

Thanks curiosity and everyone on this thread.

I find this statement not credible:

"The Buenos Aires Governor Daniel Scioli, today called "quiet" after eleven confirmed cases of influenza A in the provincial territory and assured that no viral circulation noting that the disease is "encapsulated" to hospital patients Carmen de Areco.

'There is no circulation of influenza virus A or province or in the country, the latter confirmed it (the national health minister, Juan) Manzur,' he said.

The president also specified that he wanted to 'convey absolutely quiet, influenza A is absolutely locked, encapsulated in these cases.'"


Flu is flu. It is not containable. It circulates all over the world in a continuous cycle.
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  #46  
Old February 4th, 2013, 06:34 PM
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http://www.arecociudad.com.ar/nota.a...&id_tiponota=4

LA PLATA, February 04 (www.ArecoCiudad.com.ar) The Minister of Health of Buenos Aires, Alejandro Collie, brought calm to the population by emphasizing that "there is no circulation of influenza virus or the province or in the country" and detected cases were limited to hospital intensive Carmen de Areco.
In this regard, he added that with the addition of the influenza vaccine, the decision of the Ministry of Health of the Nation, is a high immunization coverage throughout the country and added that in the province more than 92 percent of the population risk are vaccinated against the influenza virus.
He stressed that "the blocking actions, which included medical monitoring and antiviral medication to contacts of the patients were efficient, so 12 days ago that no new cases are recorded."
Regarding patients Areco, now two are admitted to the hospital in Parchment, another in Vicente López Cetrángolo and the remaining six in the Rossi of La Plata.
All "do well and only one patient delicate but stable". This luens, at the headquarters of the Ministry of Health of the Province, there was a meeting of infectious disease experts to analyze what spasos to follow in terms of prevention and care.
The provincial director of Primary Care, Luis Crovetto said that "the information provided by the Institute Malbrán national health ministry, the 11 patients are affected by one of the variants of influenza A". (www.ArecoCiudad.com.ar)
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Old February 4th, 2013, 06:49 PM
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Default Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with influenza A - conflicting reports of subtype

This is also not a credible claim:

In this regard, he added that with the addition of the influenza vaccine, the decision of the Ministry of Health of the Nation, is a high immunization coverage throughout the country and added that in the province more than 92 percent of the population risk are vaccinated against the influenza virus.


That would be the highest vaccination rate (non-military) that I have ever heard of. In the study below it was remarked about the high vaccination rate of pregnant women at 63%:

In Quebec, 63% of pregnant women were vaccinated, which is a higher rate than vaccination against seasonal influenza.

Vaccine. 2011 Jan 7. [Epub ahead of print]
Determinants of A (H1N1) vaccination: Cross-sectional study in a population of pregnant women in Quebec.
Fabry P, Gagneur A, Pasquier JC.
Clinical Research Centre Etienne-Le Bel, Sherbrooke University Hospital Centre, Sherbrooke, Quebec, Canada.

http://www.flutrackers.com/forum/sho...d.php?p=386702
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Old February 4th, 2013, 07:44 PM
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Default Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with influenza A - conflicting reports of subtype

hat tip to Michael Coston for the information.

Argentina has frozen food prices for 2 months due to inflationary pressures. This situation may have something to do with the denial of flu cases in the country. A hungry population is an unstable one.


machine translation


PAIS - | 02/04/2013 | 19:08 | 0
Supermarkets prices remain until April 1
An agreement signed between the United Supermarket Association and the Ministry of Domestic Trade, paralyze food prices for two months.


The Ministry of Domestic Trade and United Supermarkets Association signed an agreement whereby supermarkets across the country keep the products increases until 1 April.
The understanding reached today is valid from the first of February for a period of two months, according to sources with the secretariat leading Guillermo Moreno, where consumers are urged to report cases in which registered increases.

http://www.eldiariodelarepublica.com...0204-0019.html
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Old February 4th, 2013, 08:09 PM
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Default Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with influenza A - conflicting reports of subtype

http://www.losandes.com.ar/notas/201...mas-694888.asp

Swine flu: four confirmed cases of the 11 who had symptoms
Of the patients in Carmen de Areco two are in critical condition. The Buenos Aires Governor Daniel Scioli, called for "calm" and said disease is "encapsulated" in the hospital in the locality.
Monday, February 4 from 2013Votá (0)

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The authorities took drama to the situation. (Archive)
Notes relacionadasGripe A: a nurse at a hospital is very serious
Four H1N1 cases, two of them seriously, the first in 2013, have been detected in a hospital in the town of Carmen de Areco Argentina (150 km northwest of Buenos Aires), said Monday an official source.

"Of the 11 patients who have had this painting has been confirmed in four genome of influenza A (H1N1) and the epidemiological link would be a nurse who traveled to America where today there is a seasonal flu," he told Radio Ten Alejandro Collie, Minister of Health of the province of Buenos Aires, where he locates Carmen de Areco.

He expressed concern "for patients who are hospitalized," especially by two nurses said, is in critical condition mechanically ventilated.

The Buenos Aires Governor Daniel Scioli, today called "quiet" after confirmed cases of influenza A in the provincial territory and assured that no viral circulation noting that the disease is "encapsulated" to hospital patients Carmen de Areco.

"There is no circulation of influenza virus A or province or in the country, the latter confirmed it (the national health minister, Juan) Manzur," he said.

The president also specified that he wanted to "convey absolutely quiet, influenza A is absolutely locked, encapsulated in these cases."

Scioli said, speaking to Radio Diez, that it is "absolutely isolated cases" and, while acknowledging that there may be a "logical concern", denied that there is an outbreak of influenza A.

Meanwhile, the Minister of Health of Buenos Aires, Alejandro Collie, reiterated that "there is no circulation of influenza virus or the province or the country."

The official said that a nurse who contracted the virus in Orlando, United States, "would the epidemiological link" of the four flu cases detected in hospital Our Lady of Mt.

Collia Minister also recommended influenza vaccine to those who are planning to travel to the United States, and noted that "over 92 percent of the population at risk are vaccinated against the influenza virus," so "is recorded high immunization coverage throughout the country. "

Of those infected with the virus in Carmen de Areco, nine medical and two patients, two were discharged last week, two are hospitalized in a hospital in Parchment, another is in Vicente López Cetrángolo and the remaining six Rossi hospital of La Plata.

For these patients, Crovetto explained that "there are two people who were admitted directly to the intensive care unit with a critical but are presenting a satisfactory progress in their critical condition."

"The rest will go into a room less complex, which will remain under observation, but have evolved smoothly and surely will be discharged in the next few days," he said.

With the confirmation of cases, Rep. Nancy macrista bonaerense Monsoon called for more information on the "outbreak" of swine flu and questioned the hospital staff Areco Carmen is not vaccinated, when the trivalent vaccine is mandatory for health workers.
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Old February 4th, 2013, 08:13 PM
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Default Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with influenza A - conflicting reports of subtype

This resolves the timing; the nurse was in the US in late December, so could have been early enough to be the index case.

http://www.clarin.com/sociedad/Gripe...859714079.html

SociedadGripe A
Influenza A: is a very serious one of the nurses
By Fabian Debesa
The woman is hospitalized in La Plata, in coma. He traveled to Orlando in December and is suspected to spread to ten other people in the hospital in Carmen de Areco, which was closed.
Imagery
Intensive. In La Plata Rossi inpatients are 6 and 4 were confirmed Influenza A. / DANIEL FORNERITerapia intensive. In La Plata Rossi inpatients are 6 and 4 were confirmed Influenza A. / DANIEL FORNERICompartirVotar0Email0
AThe 6EtiquetasGripe Plata. Correspondent - 04/02/13

The hospital nurse Carmen de Areco who have contracted swine flu in the United States is very serious, in intensive care. According to medical sources confirmed, and remains on life support in hospital induced coma Rossi de La Plata, where he was taken five days ago.

It is one of four health workers who, according to data released by the Ministry of Health of the Nation, are affected by a strain of influenza type A. The outbreak began 11 days ago in hospital Our Lady of Mount Carmel and caused the closure of almost all services of this hospital located in the north of the province of Buenos Aires.

In the hospital of the capital Buenos Aires Rossi's total of six affected by the virus. The nurse who traveled between 20 and 30 December at Orlando, on vacation and another companion of tasks in the field of hospital therapy Areco are those more serious. "Both clinical indicators remain stable, but his condition is critical," hospital sources told Clarin. Last night, remove the ventilator evaluating one of the patients. Four other nurses do well. Complications also remain employed both interned in Cetrángolo Vicente Lopez and two women and a man treated at Parchment.

The 38 years that would have been caught in the U.S. works in the intensive care area of ​​the hospital de Areco. There came the focus that the virus spread among employees and also reached a man who cared for a sick relative.

As admitted in the provincial health ministry, at least two of the affected employees of the hospital had no vaccine against influenza A, which is mandatory for agents performing work in sanitary areas. Vanina Rodriguez, ATE provincial leader, told Clarín that "last year in the hospital lacked vaccines de Areco. It's because they recorded severe management problems. "

The Nuestra Señora del Carmen has 96 beds and perform 120 professionals and paramedics. For more than a week is closed. Only emergency care and outpatient adult and pediatric patients for symptoms consistent with influenza. Initially, Buenos Aires authorities had ruled out the possibility that it was influenza A. And on Saturday evening, the National Minister, Luis Manzur, confirmed the presence of "a genome of influenza A" in samples obtained in four of the 11 patients.

It remains to determine the complete genotype virus
. Suspect is a strain on the U.S. winter affected more than 20,000 people this year. And that would be different from that caused some cases in 2012 in Argentina. So in the next vaccination campaign, which will begin in early March, be immunized against the kind that prevailed this year in several U.S. states.
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Old February 5th, 2013, 05:36 AM
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Default Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with influenza A - conflicting reports of subtype

Source: La Nacion, http://www.lanacion.com.ar/1551924-l...-viajes-a-eeuu


La gripe A y los viajes a EE.UU.


Ante las versiones de que quienes viajen a Estados Unidos deberían vacunarse contra la gripe A, el doctor Daniel Stamboulian aclaró que la inmunización contra la cepa que está circulando en este momento en el país del Norte, la H3N2, sólo estará disponible en el país los primeros días de marzo. "La vacuna del año pasado no previene esta cepa del virus de la influenza", dijo el especialista.

En tanto, el Ministerio de Salud bonaerense difundió ayer medidas para prevenir el contagio, luego de que el Instituto Malbrán confirmara que pacientes derivados del hospital de Carmen de Areco tienen influenza.

Ante los primeros síntomas (fiebre de más de 38°C y dolores musculares, de garganta y articulares), las autoridades sugieren consultar al médico o concurrir a la guardia de un hospital. El virus de la gripe se propaga por las gotitas de saliva que una persona infectada elimina al toser, hablar o estornudar.

No hay que olvidar lavarse las manos con agua y jabón varias veces al día; usar un pañuelo desechable o la parte interna del codo para cubrirse la boca al toser o estornudar (el pañuelo hay que tirarlo a la basura inmediatamente); evitar tocarse los ojos, la nariz y la boca para reducir el riesgo de propagar los gérmenes; no ir a trabajar con síntomas, y limitar el contacto con otras personas.

En casa, mantener los ambientes ventilados, desinfectar las superficies y evitar que los chicos compartan objetos que lleven a la boca

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Old February 5th, 2013, 08:45 AM
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Default Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with influenza A - conflicting reports of subtype

http://www.infobae.com/notas/694951-...Argentina.html

05.02.13 | Healthy
Despite the official request, vaccines for Influenza A not yet arrived in Argentina

Si well yesterday from the Ministry of Health of the Province advised tourists traveling to the United States to apply the vaccine, pharmaceutical industry sources explained to the dose Infobae not yet available



Photo credit: NALuego of 11 patients were confirmed infected with the virus of influenza A in the town of Carmen de Areco, the authorities of the Ministry of Health of the Province advised that those who are traveling to the United States should be immunized .

It happens that an outbreak of the disease mainly affects Orlando and Miami, destination for many tourists from Argentina for a vacation.

However, from the pharmaceutical sector clarified that the vaccine arrive in the country during the month of February and will be sold only in March, as [in the past] three years.

"Right now, the flu is not a problem, begins to be when autumn begins in late March to early April. This is the opportune time for the vaccine to at-risk groups: pregnant, children under two years, people who suffer from obesity and chronic respiratory diseases, diabetes, heart disease, people with chronic respiratory diseases, "said Health Ministry sources consulted by national Infobae.
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Old February 6th, 2013, 08:56 AM
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Default Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with influenza A - conflicting reports of subtype

http://www.docsalud.com/articulo/435...atro-pacientes

A nurse is serious
Carmen de Areco flu: high to give four patients

Four of the nine patients admitted Carmen de Areco developing well. One of them, who was in the hospital in Parchment, and was discharged, and in the next few hours, return to their homes three others: the Cetrángolo admitted to Vicente Lopez and Rossi in La Plata.

Of the two individuals who were hospitalized at the San José de Pergamino one was released and the other was hospitalized for a problem but before flu symptoms: a basic septic arthritis.

The patient is in the hospital "Cetrángolo" of Vicente López is fit again and be able to leave the institution in the coming hours.

In the "Rossi" La Plata are 6 boarding. Of that total, three of which were recovered: two go home in the next few hours, while the third, aged 16, should be admitted to a rehabilitation institute for above problem: he had suffered a head injury by a motorcycle accident and was admitted so Areco, which then contracted respiratory virus.

Of the two women in the Intensive Care Unit of the Rossi one improved and he made ​​preparations to withdraw the respirator. Meanwhile, the other patient remains serious but stable.

"The sixth patient is completing treatment and follow good general admitted a few days," the provincial director of Primary Health Care, Luis Crovetto.
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Old February 7th, 2013, 09:05 PM
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Default Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with influenza A - conflicting reports of subtype

http://www.docsalud.com/articulo/436...-otro-paciente

He was admitted to the Rossi
Carmen de Areco: [discharged] to another patient

A man who had contracted influenza in Carmen de Areco and was admitted to the hospital Rodolfo Rossi of Silver City was discharged, according to the Ministry of Health of Buenos Aires.

"The patient completed antiviral treatment and did well, so he was discharged today," said the provincial director of Primary Health Care, Luis Crovetto.

The official explained that two people remain in intensive care Rossi and, within hours, the teenager politraumatizada derived by a traffic accident at an institution for the rehabilitation of the damage suffered in the crash.
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Old February 7th, 2013, 09:08 PM
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Default Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with influenza A - conflicting reports of subtype

This article and the one above it seem to indicate that two of the severe cases were already hospitalized for non-flu issues (a car accident and "septic arthritis") when they contracted the flu. Perhaps this helps explain the severity?

http://www.elcomercial.com.ar/index....218&Itemid=116

HOSPITAL-ARECO

Evolve FIVE IN HOSPITAL PATIENTS INFECTED ARECO



Share on linkedinShare on facebookShare on twitterShare on emailMore Sharing Services0La Plata, February 6 (Télam). - Five of the patients were infected with influenza A virus in hospital in Carmen de Areco developing well, the Ministry of Health in the province of Buenos Aires.
This is the man in the hospital San Jose, Parchment, who suffers from a basic septic arthritis before flu symptoms, and four patients the Rossi Hospital of La Plata, said the health portfolio.
A 16 year old girl was admitted to that hospital, and that prior to the spread of the virus in the hospital "Nuestra Señora del Carmen" in Areco, had suffered a head injury in a motorcycle accident.
Stable also two people who are in the Intensive Care Unit and a fourth patient Rossi is completing treatment with good performance status.
Yesterday were discharged four patients: one was admitted to the hospital San Jose, Parchment, one in the Cetrángolo of Vicente Lopez and two who were in the Rossi of La Plata. (Télam)
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Old February 8th, 2013, 12:41 PM
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Default Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with influenza A - conflicting reports of subtype

A nurse died for flu A in the hospital of Carmen de Areco


Andrea Gordillo, nursing supervisor of the Virgin Hospital of Carmen, of the from Buenos Aires city of Carmen de Areco, located to 130 km to the west of Buenos Aires, died this midday after several days had remained internee because of the flu A.
Gordillo had travelled to Miami in last December, where it contracted the illness and up to today it was interned in intensive therapy, in critical state, in the hospital Rossi of the locality of La Plata, as they confirmed the departments of Health of the Nation and of the province of Buenos Aires.

The 39-year-old woman, who had precedents of nicotinism, deposited the Rossi last January 28 and today to the 12.15 he suffered a flaw hemodinámica serious, which precipitated his decease.
The cause of his internment keeps on being a motive of study in the Institute Malbrán, where different lines of bacteriological investigation are continued, beyond having found in some samples traces of the virus of the flu A.
Another nurse interned in the Rossi remains delicate in the intensive therapy. Other patients of Carmen de Areco who needed internment for having picked up a respiratory virus evolved well and they were released from the hospital.
Although the Department of from Buenos Aires Health denied days behind that the flu A was the cause of the sprout of a sharp infection that affected 11 persons in the hospital of Carmen de Areco, the Department of Health of the Nation informed last February 2 that the viral genoma of the virus of the flu A was found in the samples of four of the affected patients, which were analyzed in the Institute Malbrán.

http://www.lanacion.com.ar/1553021-m...armen-de-areco
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Old February 8th, 2013, 02:32 PM
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Default Re: Argentina - At least 15 people sick with flu like illness - one death - hospital closed in Carmen de Areco - 4 people with influenza A - conflicting reports of subtype

Buenos Aires.-
- An Argentine nurse who turned out to be affected by the virus of the flu A after a trip that did Miami (the USA) died today in a clinic of the from Buenos Aires city of Carmen de Areco, they confirmed to Efe sanitary authorities. 39-year-old Andrea Gordillo, was employed as nursing supervisor at a hospital and had travelled to the United States last December. In the same health center where he died Gordillo is interned another nurse, who remains “ delicate in intensive therapy ”, it indicated the department of Health of the province of Buenos Aires in a bulletin.



The sanitary Argentine authorities confirmed last Monday the existence of eleven cases of flu A in the country, all of them located in Carmen de Areco. The number includes Gordillo and another incomer nurse. Others nine patients of Carmen de Areco affected by the virus have been released from the hospital, it pointed out the bulletin.

The minister of provincial Health, Alejandro Collia, he has asked the population for calmness. “ There is circulation of the virus of the flu neither in the province nor in the national territory ”, he said. Also, he remembered that “ more than 92 % of the population in risk is vaccinated against the virus of the influenza ”, from what “ a high coverage of immunization registers in the whole country ” .En 2009 the flu A caused in Argentina more of half a thousand of dead persons. In whole 10.000 persons were affected by the illness, which proliferation forced to suspend the classes in the schools and universities, as well as all kinds of public and cultural activities in 17 of 23 provinces of the country. The pandemic sent on the following year and from 2010 only there had registered two dead persons, both in 2011.

http://www.elnuevoherald.com/2013/02...#storylink=rss
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Old February 8th, 2013, 02:44 PM
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Default Re: Argentina - At least 15 people sick with flu like illness - one death - hospital closed in Carmen de Areco - 4 people with influenza A - conflicting reports of subtype

Two important facts are revealed in the articles above:

First, if the nurse really was hospitalized on January 28, his/her trip to Orlando in December may not be relevant. He/she could have contracted the flu locally, as a delay of at least 29 days from exposure to hospitalization seems unlikely.

Secondly, the reporting seems to have changed from two patients and nine nurses reported originally (which would have been very unusual to have that many hospitalizations in previously healthy nurses), to two nurses and nine patients.
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Old February 9th, 2013, 03:48 AM
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Default Re: Argentina - At least 15 people sick with flu like illness - one death - hospital closed in Carmen de Areco - 4 people with influenza A - conflicting reports of subtype

THE PLATA. - Yesterday to the midday there died Andrea Gordillo (39), nursing supervisor of the from Buenos Aires Hospital Our Lady of Carmen, of Carmen de Areco, and one of four patients to whom the Institute Malbrán had detected tracks of the viral genoma of flu A. Nevertheless, after confirming the decease, in the Department of from Buenos Aires Health they said not to be in conditions to affirm that it should be a question of the above mentioned illness.
The portfolio of provincial Health informed that the nurse suffered a flaw hemodinámica serious, which precipitated the death. ' The cause of his internment keeps on being a motive of study in the Institute Malbrán, where different lines of bacteriological investigation are continued, beyond having found in some samples traces of the virus of the flu A ', he joined.
With the same precaution there expressed himself the from Buenos Aires director of preventive medicine of the department, Luis Crovetto. ' We am not in conditions to put name and last name to the diagnosis ', said the official to THE NATION. And it continued: ' The epidemiologic investigation will clarify that once there are the farmings of fungi, bacteria and virus. Also the autopsy will help to do him to the victim '.

The news of the death of Gordillo drew loudly into the frame of mind of his partners of the hospital of Carmen de Areco. ' We were in a General Assembly when the so-called telephone one demolished us ', told to THE NATION Mariela Iturralde, worker of the nosocomio, who for two weeks remains closed by a minimal guard.
Although it was known that the state of health of Gordillo was serious and that, since on January 28 Rodolfo Rossi of La Plata had been interned in the Hospital after returning of his trip to the USA, it remained interned in intensive therapy, his partners were preserving the hope that it was improving.
' Andrea had a strong personality that allowed him to become the nursing supervisor. I thought that it might overcome it ', he remembered Iturralde. It was doing approximately 15 years that the victim, single and without children, was employed at the hospital of the city that saw her being born. Also, it was in charge of the local School of Nurses, added his partner.

Another internee nurse remains delicate in the intensive therapy, while other patients who needed internment were released from the hospital, it detailed Crovetto.
After the first rumours of which a 'stranger' virus was affecting the hospital of this city, the Department of from Buenos Aires Health denied that it was a question of the flu A, but some days later the results of analysis carried out in the Malbrán indicated that the genoma of the virus that produces this illness was present in four of the taken samples. Meanwhile, in Carmen de Areco, the workpeople of the health center deny this diagnosis. ' It is necessary to insist that it is not a flu A ', he emphasized Iturralde.
Yesterday, the United Network remembered that although 2013 still began the campaign because the anti-flu vaccine is not available for the south hemisphere, the hand wash is necessary and to cough and to sneeze in the crease of the elbow. The ONG remembered that in case of travelling and presenting symptoms gripales in 15 days it is necessary to consult a doctor

http://www.lanacion.com.ar/1553247-c...las-enfermeras
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Old February 9th, 2013, 12:06 PM
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Default Re: Argentina - At least 15 people sick with flu like illness - one death - hospital closed in Carmen de Areco - 4 people with influenza A - conflicting reports of subtype

Source: La Nacion, http://www.lanacion.com.ar/1553373-g...uso-una-muerte


Gobierno bonaerense reconoció desconocer el tipo de gripe A que ya causó una muerte


Aseguraron que las vacunas llegarán a la Argentina la próxima semana y que la circulación del virus en la Ciudad y Buenos Aires es nula

El gobierno bonaerense admitió no conocer el tipo de genoma de Gripe A, que causó la muerte de la enfermera del hospital de Carmen de Areco, Andrea Gordillo , tras haberse contagiado en un viaje a los Estados Unidos.
Al respecto, el ministro de salud bonaerense, Alejandro Collia, declaró a Radio Mitre que la vacuna en la Argentina recién va a estar disponible la próxima semana: "Hay genoma de Gripe A. ¿Cuál es el subtipo? No tengo conocimiento de información oficial al respecto".
El funcionario explicó que las vacunas que se distribuyeron el año pasado no contienen la protección necesaria porque "ha aumentado la circulación de dos virus que no estaban incluidos", ya que "el virus que desató la pandemia en 2009 era H1N1, este nuevo es H3N2". Aseguró también que desde su cartera se está planeando iniciar una campaña desde los primeros días de marzo.

"Por ahora la circulación del virus es menor, y seguramente en Capital y Buenos Aires la misma es nula", afirmó el ministro, quién llamo a la gente a vacunarse sin esperar a junio o julio.

El virus está circulando de manera amplia en los Estados Unidos, y allí fue contraído por la enfermera que murió en un centro de salud de La Plata, donde se encontraba internada desde hace aproximadamente 10 días.
En tanto, una colega suya continúa internada en terapia intensiva, a la espera de su evolución.
Fuentes del hospital declararon que los demás pacientes que precisaron internación por haber contraído un virus respiratorio , evolucionaron bien y fueron dados de alta.


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