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

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  #61  
Old February 10th, 2013, 07:33 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

http://www.pagina12.com.ar/diario/so...013-02-09.html

A fatal case of Areco hospital
It was an intensive care nurse. He had traveled to the United States, where he could have been infected by a variety of influenza A prevalent there. Another woman is in serious condition. Since patients were identified, there were no new cases.

By Peter Lipcovich

He died yesterday of women affected by a virus in Carmen de Areco. She was a nurse working in the intensive care unit of the hospital in that locality. Another patient is "in serious condition" in intensive care in La Plata, while nine others were discharged. All were linked-as workers, patients or relatives of patients-service hospital with that of Carmen de Areco. The woman who died yesterday had traveled to the United States: there may have been infected with a variety of flu prevalent in the Northern Hemisphere and, on returning, could have been the "index case" from which others were infected. Anyway, the influenza virus was isolated in only four of the patients, studies continue to detect other germs. A specialist explained to this newspaper that "when a patient dies after falling ill with flu, not for this virus, but by simple, often common germs are fatal causes like diabetes, advanced age or smoking." In any case, since, for more than ten days, the patients were found and measures were taken to prevent the spread of the virus, no new cases.

The deceased patient named Andrea Gordillo and was 39 years old. Since 28 January, was hospitalized in intensive care at the Hospital of La Plata Rossi. According to sources close to the area of ​​health, women "had smoking history." The Ministry of Health of Buenos Aires stated that "the other nurse (intensive care service at the hospital in Carmen de Areco) Rossi admitted to the delicate remains in intensive care, with mechanical ventilation. Other Carmen de Areco patients who required hospitalization for having contracted a respiratory virus were discharged. "

Luis Crovetto, director of primary care at the Ministry of Health of Buenos Aires, this newspaper warned that "it concludes epidemiological research and infectious diseases specialist, will issue no judgment about which germ caused the infection." Samples of infected patients are investigated in Malbrán Institute-Ministry of Health of the Nation, and "the results will be interpreted by the committee that convened epidemiologists and infectious disease." On the assumption that the deceased patient was infected in the United States, where he had traveled little before, "is a very important, but the commission has not been issued yet," said Crovetto.

Jaime Lazovsky-Undersecretary of Foreign Health and Research, Ministry of Health of the Nation-explained to this newspaper that "the swine flu virus was detected in only four of the patients." In fact, the first analyzes were negative and the virus could be detected only by a very special and sensitive technique called "conventional PCR influenza A generic". There were meetings of experts to try to explain the fact that the virus has not been detected with the most common, but still no conclusion. Moreover, the technique only requires that the virus is influenza A, but not of what variety it is, which would determine whether a variety is prevalent in the U.S. this season. Meanwhile, "investigates the possibility of antibodies against other viruses, bacteria or fungi-Lazovsky-added: the measurements were made last week but should be repeated two to four weeks."

Alcides Troncoso professor at the Department of Infectious Diseases, Faculty of Medicine in the academic unit UBA hospital-Muñiz, Página/12 consulted, said that "in all cases of flu deaths calls, actually the death complication is bacterial. Thus, mortality from influenza A (H1N1) was very high in the pandemic of 1918, when there were no antibiotics and mechanical ventilators. After pandemics were caused by other strains of the virus: the A (H2N2) or A (H3N2). The 2009 pandemic was again virus A (H1N1) but with much lower mortality than in 1918. "

The infectious noted that, "generally, patients who die in relation to the flu virus had some pre-existing risk factors: heart disease, diabetes, obesity, smoking status, pregnancy, age over 50 years. The seriousness of the case usually depends on the 'ground', the previous state, and of course the person has been vaccinated against the flu or not. Most commonly, these patients have been superinfected with a common germ, often a bacterium, the previous state even makes appropriate antibiotics for bacteria that do not reach. "

Troncoso said that "in cases of Carmen de Areco, assuming that they originated in a person who traveled to the United States, it is often noted that to happen. And, by the information available, all patients have been in contact with one infected person: no epidemic, not even 'microepidemic', which requires multiple sources of infection. Anyway, it is best not get the flu, since one does not know which side of the statistic will be: mild or serious complication. The flu is easily spread by inhalation or by putting your hand to your face after touching objects contaminated with the virus: it is preferable that the risk groups are vaccinated, and not forgetting precautions like frequent hand washing: Clean hands save life. "
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  #62  
Old February 11th, 2013, 11:24 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

http://www.clarin.com/sociedad/Gripe...862713861.html

Swine flu: the nurse who died was infected in Miami
By Fabian Debesa
Andrea Gordillo was 39 and was employed at a hospital in Carmen de Areco. He contracted the virus on a trip to the United States, where there is an epidemic. A friend of hers is admitted serious.
Imagery
La Plata. Relatives of the deceased nurse and another woman in serious condition yesterday at the hospital door Rossi of La Plata. / DANIEL FORNERILa Plata. Relatives of the deceased nurse and another woman in serious condition yesterday at the hospital door Rossi of La Plata. / DANIEL FORNERICompartirVotar2Email0
7RELACIONADASRecién in March will be achieved in the country's new influenza vaccine
More
EtiquetassaludLa Plata. Correspondent - 09/02/13

The first fatal case was recorded in summer. Andrea Gordillo (39), head of the hospital's nursing service "Virgen del Carmen", Carmen de Areco, died yesterday afternoon in hospital Rossi de La Plata, where he was hospitalized since Jan. 28 with acute Influenza A.

He remains in intensive care with symptoms compatible with influenza A, Magdalena Beli (48) Mechanically assisted by respiratory failure. The other nine patients affected by this outbreak that began two weeks ago at the hospital de Areco were discharged and are under outpatient control.

According to the doctor, Gordillo died after "suffering a severe hemodynamic failure". Moreover, "had increased their smoking history that level of risk." The woman held in December to visit Miami. It was a vacation trip he shared with friends and some family. "She spent the holidays without drawbacks. He gathered more than 15 people to celebrate the new year, "said a relative of the victim. The hypothesis is that the authorities in that country, where there is an epidemic with over 20,000 cases, spreading Influenza A.

Then, always holding the theory-officials spread the virus among their co-workers in Areco. Therefore, the provincial health minister, Alejandro Collie, insisted that "there is no more virus circulation" because for 14 days reported no new episodes.

However, the relatives of the sick say another version. Speculate that the condition could be derived from a "virus-hospital". "Gordillo traveled to the U.S. with 5 other people-family and friends-and none was infected. Moreover, the incubation period of influenza A is of a week to 10 days and the workers began to have the first symptoms about 20 days after the return of the country Gordillo, "said yesterday a family member of another of the nurses.

The Ministry of Health of Buenos Aires do not close any possibility. "The cause of his hospitalization remains a study in Malbrán Institute, where various research continues bacteriological beyond in some samples have found traces of the swine flu virus," says the medical report released by the agency .

All patients admitted to the respiratory disease who were discharged and returned to Carmen de Areco. "They make normal life, do not use chinstrap" they said in the northern city of the province. However, licensed are working.

The "Virgen del Carmen" was closed yesterday. The medical center has 96 beds and serve 120 people between professionals and paramedics. Annexed operates a nursing home. For more than 10 days is closed as a precautionary measure. Only emergency care and outpatient adult and pediatric patients for having symptoms consistent with influenza. To assist people ministry sent a truck Hospital because in 40 miles around does not work another health care facility in the region.

Although the studies are still Malbrán to detect pathogen affecting nurses from Health recommended to those who begin a journey across America vaccinated against influenza A. Although in our country the vaccine is applied to a different strain circulating in the Northern Hemisphere since the beginning of winter.

In 2009 influenza A in Argentina caused more than half a thousand deaths. In total 10,000 people were affected by the disease, whose proliferation forced to suspend classes in schools and universities, as well as all kinds of public and cultural activities in 17 of the 23 provinces. The pandemic sent the following year and since 2010 there had been only two deaths, both in 2011.

Last night, the health authorities of the Nation and the Province insisted that this time it was an outbreak focused and no virus circulation in the country. So calm was asked to the general population.

-------------

And someone has commented on this article:

In Carmen de Areco, we are sure that it is not flu that killed Andrea.Estamos sure she did not contract the virus in Miami. Stop crucify. She is not guilty of anything. It is only guilty of having chosen this profession as honorable. In front of the hospital "Nuestra Señora del Carmen" is the hospital truck trim it does not work. Mild cases are treated in the guard and the rest is derived to a nearby hospital. Needed to clarify this because we are tired of reading and listening everywhere as defenestran.
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  #63  
Old February 12th, 2013, 03:23 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

Buenos Aires government did not admit to know the type of flu A that already caused a death

The from Buenos Aires government admitted not to meet the type of genoma of Flu To, that caused the death of the nurse of the hospital of Carmen de Areco, Andrea Gordillo, after having been contagious in a trip to the United States.
On this matter, the minister of from Buenos Aires health, Alejandro Collia, declared to Radio Mitre that the vaccine in the Argentina newly is going to be available next week: ' There is genoma of Flu A. what is the subtype? I do not have knowledge of official information on this matter '.
The official told that the vaccines that were distributed last year do not contain the necessary protection because ' new this one has increased the circulation of two viruses that were not included ', since ' the virus that untied the pandemic in 2009 was H1N1, it is H3N2 '. He made sure also that from his portfolio one is gliding to initiate a campaign from the first days of March.
' For the time being the circulation of the virus is minor, and surely in Capital and Buenos Aires the same one is void ', affirmed the minister, who called the people to vaccinate without waiting to June or July.

http://www.lanacion.com.ar/1553373-g...uso-una-muerte
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  #64  
Old February 12th, 2013, 04:56 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

The translator is messing with us here. It is translating "Gripe A" as "swine flu" , not the correct "Influenza A", furthering the confusion.

http://www.elnuevorojense.com.ar/ind...udad&Itemid=29

Addressed the pathology that keeps you guessing to Carmen de Areco
Tuesday 12 February 2013 17:18 | Written by Administrator 1 |
Influenza A: Palmieri had a meeting in the Health Region IV

The meeting was with Agú Peretti and several other officials for the purpose of dealing with the situation that caused the swine flu in the community carmense - arrive late March trivalent vaccines against new strains

(Press municipal). - Days gone by, on behalf of the Ministry of Health, Government of Rojas and Hospital Saturnino E. Unzué, Germán Palmieri, director of that hospital, met with his colleague Realdo Peretti, director of Region IV, with Marcelo Rojas, Associate Director, the medical Bonacalza Karina, chief of epidemiology for the purpose of gathering information on the progress , developments and measures taken and to take over cases of swine flu occurred in Carmen de Areco Hospital.
In a fruitful talk was rescued that cases of the hospital did not increase, and that the measures taken by the Ministry of Health of the Province of Buenos Aires could arrive in time to limit the disease.
Meanwhile, from the Ministry of Health and the Medical Management of Unzué been made aware that the population will be vaccinated against influenza in the local hospital in late March, when it will reach the trivalent new strains that today are causing flu cases in the northern hemisphere (winter) as the force in our country is monovalent, ie only immunizes the H1 N1.
Fittingly schedule will be established according to ages and groups have priority to end all calls and better.

RECOMMENDATIONS
From the local health portfolio, is recommended to people that before any symptoms consult a doctor or health professional immediately. They are:
- Headaches, chills and dry cough symptoms to fever follows (listed in the second or third day) that can go up to 38.5 or 39.5 ° C
- Muscle pain in arms, legs and back, and a state of malaise and fatigue.
- With fever respiratory symptoms become visible: nasal congestion, redness and discomfort in the throat.
In this situation, calls remain at home, from work or school and avoid crowds.
- Do not self-medicate.
- Do not take aspirin.
- Wash your hands often with soap and water.
- Maintain a clean and airy.
- Greet without shaking hands or kissing.
- Limit contact with others.
- Eat well, drink plenty of fluids and getting enough sleep and need.
- These actions can be enhanced with the use of alcohol gel.
It is available in Hospital Saturnino Unzué antiviral treatment for confirmed cases only, so it is recommended to seek medical advice and treatment if necessary provide the hospital.

ADVICE
Turn the Health Region provided all the support in counseling and medication as well as report on the arrival of new vaccines.
Palmieri was contacted to come to a doctor Rojas infectious disease, Ministry of Health of the Province to establish an information day for professionals and the general public whose date will be announced in due course.


The Buenos Aires government know the type of flu that caused a death
The Buenos Aires government admitted that know what type of genome of influenza A was the killing of a hospital nurse Carmen de Areco who was hospitalized in a facility platense and noted that "the vaccine in Argentina recently will be available next week. "
"There genome of influenza A. What is the subtype? At least to my knowledge there is no official information, "said Minister of Health of Buenos Aires, Alejandro Collie.
The official explained that the vaccines were distributed last year did not contain the necessary protection because "increased circulation of two viruses that were not included" and said that drugs against new strains will become available from next week.
The minister noted that "no doubt" the contagion in Argentina, which were officially four, could have started from some people who traveled to the United States.
"Right now the type (flu) A is circulating in the U.S. but not so wide that the pandemic was in 2009 but one that is H3N2," he added.
He stressed that vaccines therefore apply in Argentina 'no' work to that subtype of influenza: "There are two viruses that were not included in the vaccine last year."
"To say that we must get vaccinated for traveling is not correct because for vaccinations to travel properly would be with the strain circulating this year," he warned.
In this regard, he said that "the vaccine in Argentina just going to be available next week" and confirmed that from your portfolio is "planning to launch a campaign the first days of March."
"For now there is very little movement of the virus. If the circulation is smaller and probably in Buenos Aires Capital and circulation is virtually nil, "explained and called" vaccine "without waiting for June or July.
A hospital nurse Carmen de Areco who suffered a picture of flu died Friday at Rossi Hospital of La Plata, where he was hospitalized for about ten days, while a colleague of his remains in intensive care, officials said.
"The other nurse Rossi admitted to the delicate remains in intensive care. Other Carmen de Areco patients who required hospitalization for having contracted a respiratory virus evolved well and were discharged, "said an official statement.

PIE: Studies in the Institute Malbrán determined that it is flu A, but still not know the type of virus.
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  #65  
Old February 12th, 2013, 06:07 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

This was tweeted on February 2. I have no way to know the connection of this individual to the cluster:

http://twitter.com/Chinobasso/status/297915772540420096

No es gripe A, estan estudiando un CORONAVIRUS, mucho mas grave y no difunden xq no tiene infraestructura para pararlo

Translation: Is not flu A, they are studying a coronavirus, much more severe and not diffuse [i.e. rarer?] xq no infrastructure to stop

-----------

This thread indicates that the first positve results for influenza A were posted here the evening of February 2, so it is not clear whether this individual had those results when he tweeted this.
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  #66  
Old February 12th, 2013, 06:24 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



http://www.treslineas.com.ar/preocup...-n-809274.html

02.13.12 | The news 1 | BsAs. 2nd electoral Sec
Concern about possible cases of swine flu in San Andres de Giles
The doctor reported that Ricardo Carli in San Andres de Giles are possible cases of H3N2, the new mutation of influenza A that would have affected the nurses Carmen de Areco. The Ministry of Health confirmed that it was a case of influenza infected in the United States. She died a woman by the strange disease.



A few days ago there were cases that tested positive for influenza, cases that could well match the symptoms experienced by persons of Carmen de Areco.

Syncope News Carli told that these people were visiting the United States and returning it began to show the picture. This family is treated and safe.

On the uncertainty that killed nurse Carmen de Areco, that the Ministry of Health said it was a case of influenza A in the United States acquired, the doctor said that the incubation period of the virus is no more than seven days, so it is unlikely that the nurse who traveled to North America in mid-December and may have taken contagion symptoms begin to manifest until January.

This strange disease began to manifest in Carmen de Areco, where large numbers of people, linked to the Municipal Hospital, became ill. For this strange outbreak hospital closed for disinfection. A nurse Rossi died in hospital of La Plata.
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  #67  
Old February 13th, 2013, 09:04 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

Alright, identify the bacteria....

http://www.letrap.com.ar/blog/2013/0...e-de-griepe-a/

February 13, 2013
Collie said the case of Carmen de Areco "is not an outbreak of Griepe A"
Share on facebookShare on twitterShare on printShare on emailEl Minister of Health of Buenos Aires, Alejandro Collie, visited Carmen de Areco and in geriatric facilities in the new building, gave a press conference based on the questions and concerns of the community after the affected by a suspected case of swine flu that ended with the death of a nurse at the Hospital Virgen del Carmen.



Collia said that "there is not an outbreak of swine flu, is an infection caused by bacteria, with [also a] flu infection," about the case that week ago worried the whole community of Carmen de Areco and said that in the coming days , will know the results of the studies defining.

On the other hand, stressed that the hospital should be opened when all security measures, to begin to provide reliable service to all. The Minister did not rule out that a new hospital is built.
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  #68  
Old February 13th, 2013, 05:25 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

http://www.docsalud.com/articulo/437...-de-reapertura

There were roadblocks to demand their services
Hospital of Carmen de Areco, still no date for reopening

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Luis Crovetto. The Director of Primary Health Care, Ministry of Health of the Province of Buenos Aires, Luis Crovetto, said the partial opening of Carmen de Areco hospital where there had been an outbreak of Swine flu closed will be made "very soon", but did not speak of a specific date.

He announced the decision after the neighbors cut Route 7 to claim the operation of the hospital.

Speaking to Radio Continental, Crovetto reported that reopening is not yet effective as studies carried out by the ministry and hospital staff to determine the source of the outbreak is not over.

"There is still finalizing the epidemiological investigation and see these laboratory findings, the value taken against cadres who have lived and define what the agent, because on that basis also, are the various processes in the recovery of some areas of the hospital , as may be the area of intensive care in order to work with biosafety standards, "said Crovetto.

In relation to the health of internees with Influenza A, Crovetto indicated that only one patient remains hospitalized in critical condition at the Hospital of La Plata Rossi. In the center, died days ago Nurse Andrea Gordillo, who have contracted the virus during a trip to Miami.
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Old February 14th, 2013, 02:43 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

http://www.docsalud.com/articulo/438...armen-de-areco

After Influenza A Outbreak
He resigned the direction of Carmen de Areco Hospital

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The directors of the Hospital of Carmen de Areco, where there were several days earlier cases of Influenza A, including one fatal, a nurse, resigned their posts, sources with the Ministry of Health.

The resignation was submitted by the executive director of the hospital, Soledad Arias, and associate director, Laura Gianolio, who will be replaced preventively by John Coll, who currently serves on the Provincial Ministry of Health Hospitals Aires.

His appointment is pending regularization of hospital management organization, which still keeps its doors closed in part due to disinfection tasks being carried out for two weeks.

Yesterday, the representative of the Association of State Workers (ATE) of the province, Isasi Oscar met with the Minister of Health of Buenos Aires, Alejandro Collia to claim "the separation of hospital authorities and a joint assessment to reopen the hospital" as expressed in a statement.

"The workers are eager to continue serving the community health of Carmen de Areco, mainly that of the poorest. But with the same firmness also want to reopen under the maximum security for them and the people. And to enable the joint committee of safety and hygiene, as this example shows the negligence of management, "said Isasi.

"Although the ATE delegate body at the hospital twice raised will address the implementation of the Joint Security Committee to monitor and hygiene deficiencies that hospital, the management refused to do so. Reopen the hospital comply with the law implies that it requires provincial joint committee of occupational health and safety in all hospitals, "he concluded.

For his part, Director of Primary Care, Ministry of Health of Buenos Aires, Luis Crovetto, anticipated that works "with the hospital staff to perform partial opening" of some services remain closed preemptively.

He reported that "there is still finalizing the epidemiological investigation, see these findings in the laboratory and define what the agent" that killed Andrea Gordillo, a nurse, 39.

In this regard, sources confirmed to the health portfolio Telam agency still remains in intensive care the other nurse who was infected with the disease, in the hospital of Carmen de Areco.
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Old February 15th, 2013, 01:54 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

Two directors of the hospital of Carmen de Areco where pictures of flu were detected A, the mortal one, they presented his resignations to the charges that they were exercising in this welfare center, which remains closed in a preventive way, informed today sources of the department of from Buenos Aires Health.
The spokesmen added that it is a question of the executive director, Soledad Arias, and the associate director, Laura Gianolio, of the hospital where eleven persons contracted influenza type A, one of the cases mortally.
The instructions will be replaced of temporary form by Juan Coll, who gets out of debt in the provincial direction of Hospitals of the sanitary from Buenos Aires portfolio.
The official will take charge even so much ' regularize the flow chart of management ' of the hospital Our Lady of Carmen, who closed his doors before the diffusion of the virus.
Yesterday, the minister of from Buenos Aires Health, Alejandro Collia, Carmen de Areco visited and he said that the hospital will be re-opened when ' it has all the safety measurements already imposed '.

The declarations that there brought the web portal Areco Noticias, Collia he made sure that ' it is not a sprout of flu A, it is an infection provoked by a bacterium, with one on infection for flu '.
The person in charge of the sanitary provincial portfolio said, also, that in the next days there will be known the definitive results of the studies realized in the Institute Malbrán.
On February 8 sanitary sources confirmed the death of the nurse 39-year-old Andrea Gordillo, in the hospital Rossi, of La Plata, where it was interned approximately 10 days by a picture of flu A.
Meanwhile, another nurse of the hospital of Carmen de Areco remains interned in the unit of intensive therapy of the same hospital platense.
According to the sanitary portfolio, the woman ' had precedents tabáquicos that were increasing his situation of risk ' and he died after ' suffering a flaw hemodinámica serious, which precipitated the decease '.

The diffusion of the virus forced the sanitary authorities to close the service of intensive therapy of the health center of this locality to prevent from continuing the spread.
The mortal victim was getting out of debt as nurses' chief of the hospital Our Lady of Carmen of this city and it was identified last days by the minister Collia as the possible ' epidemiologic connection ', since it would have contracted the illness during a trip to Bordering, the United States.
Anyway, days behind the minister admitted that it was proved only that ' eleven patients who were hospitalized by the same symptoms picked up the virus ' and he emphasized that since there closed the service of intensive therapy of the hospital of Areco, 22 days ago, new cases of the illness were not detected.
Of eleven patients who picked up the virus compatible with flu A, nine were workpeople of the health center of Areco.

http://www.lanacion.com.ar/1554735-r...uadros-de-grip
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  #71  
Old February 16th, 2013, 07:52 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

Well, looks like they think it is not influenza A after all...

http://www.laverdadonline.com/detall...recordID=38129

The hospital opened municipal Carmen de Areco




Municipal Hospital of Carmen de Areco

The Carmen de Areco hospital where eleven people were infected with a strange disease that could not yet be detected, reopened after about 20 days of operation of minimum services, although intensive therapy, which saw the spread and zone OR are closed.
The information was given by the Minister of Health of Buenos Aires, Alejandro Collia and endorsed by Mayor Marcelo Skansi, who said on Monday that will virtually standardized provincial hospital operations Nuestra Señora del Carmen. Enclosed spaces, for now, are the Intensive Care Unit, where they caught a strange virus ten nurses and a patient and the operating room for repair works.
Speaking to DIB, Skansi said "the issue has been politicized" and criticized "some unscrupulous went for different versions without knowing about it." "The return creates uncertainty, so I decided to remain silent until a certainty," said the mayor, who explained that "so far no one knows what it is, because it is a very strange case in the province and the country."
Meanwhile, awaiting the results of the autopsy on the body of Andrea Gordillo, the nurse of 39 years who died last Wednesday at the Hospital of La Plata Rossi. According to medical sources confirmed, will be ready in about five days.
Moreover, the Institute Malbrán, which had confirmed in early February Influenza A in four of the eleven infected, discusses other research to try to find an accurate diagnosis. "We are hopeful that these results will be more accurate than the autopsy that was performed Gordillo" said Skansi told this agency.
Finally, the local leader was encouraged by developments in the health of Margarita Veliz, the nurse who is still hospitalized in Rossi: "We changed the medication and developed well within its gravity," he said. The woman has affected the lungs and is admitted to the hospital's intensive care ventilator assisted platense.
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Old February 20th, 2013, 09:16 AM
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http://www.miradaprofesional.com/amp...comentarios=c3

Influenza A in Carmen de Areco: already operates several hospital areas affected

LA PLATA, February 19: The provincial authorities reported that they were qualified outpatient os and some inpatient beds. Today they form a Technical Advisory Council Administrative (CATA) to normalize the situation permanently.

After several weeks of being closed by the flu outbreak, the hospital began Nuestra Señora del Carmen these days to reopen some services. As reported from the provincial health ministry, and operate outpatient and some inpatient beds, and is expected in the coming days to normal much of the structure of the hospital in the town of Carmen de Areco. The normalization process will continue today with the creation, for the first time, the Technical Advisory Board Administrative (CATA).

According to an official report by the Administrative Council shall be composed of representatives of the Hospital address, guilds, professional and non-professional, service chiefs, area managers, and the Health Region IV.

Meanwhile, remain closed operating rooms and delivery rooms until all tests are completed epidemiological virus which affected 11 people and caused the death of a nurse after several days of Hospital confinement Rossi of La Plata
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  #73  
Old February 22nd, 2013, 01:05 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

This does not add up. Seasonal flu does not kill two ICU nurses.

http://www.infobae.com/notas/697636-...undo-caso.html

13.02.22 | Society
Died another nurse Carmen de Areco with Swine flu: is the second case
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E-Mail-print woman remained hospitalized in intensive care for 20 days from the Rossi Hospital of La Plata. Two weeks ago, another worker also died from complications of the virus



A second nurse locality of Carmen de Areco hospitalized with swine flu died last night at the Hospital Rodolfo Rossi, La Plata, where he remained in intensive care for the last 20 days.

It is one of four health workers affected by a strain of influenza A virus, according to the Institute Malbrán found in January during an outbreak that started in Carmen de Areco hospital after a nurse returning from a trip U.S..

Besides those employees affected, seven patients were infected with a rare virus in the Hospital Nuestra Señora del Carmen, so health authorities decided to close the facility Buenos Aires in mid-January to isolate cases and prevent the virus from spreading unknown .

On February 8, Andrea Gordillo, 39, who served as head nurse of the hospital Carmen Orlando Areco and traveled between 20 and 30 December, where it is believed he contracted the disease, was the first to die by Influenza A.

Women had increased their smoking history that risk. Gordillo suffered severe hemodynamic failure, which precipitated the death.

The cause of his hospitalization remains a study in Malbrán Institute, where various research continues bacteriological beyond have found traces in some samples of influenza virus A.
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Old February 22nd, 2013, 01:09 AM
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Default Re: Argentina - Two nurses die of flu like illness, several others hospitalized - hospital closed in Carmen de Areco - 4 people with influenza A - conflicting reports of subtype

This might be a third fatality. Note the date.

http://www.andigital.com.ar/noticia....ticia_id=27848

Exclusive scoop ANDigital
Swine flu: the last patient died Areco hospitalized in La Plata

It is the nurse Margarita Veliz, the last infected with influenza A was still hospitalized at the Hospital Rossi, of the capital Buenos Aires. He was transferred on Sunday January 27 from the Hospital Nuestra Señora del Carmen, Carmen de Areco. He suffered the same symptoms and had the same diagnosis that the patient named Velazquez, also deceased, but whose death occurred on January 21. What is expected to shed light on a problem of this magnitude?

The Hospital Nuestra Señora del Carmen and Minister Alexander Collie, Looking to the other side?


SILVER-BUENOS AIRES, Feb. 21 (ANDigital) seems like a never ending story, and conversely those canned-American center, the ending here seems to be always unhappy: Thursday saw the second death among the large number of patients infected with Influenza A Hospital Nuestra Señora del Carmen, Carmen de Areco, many of whom were referred to Rossi Hospital of La Plata, and among whom was the deceased, the last to remain in that hospital in the capital Buenos Aires.

According to the findings made exclusively by ANDigital, it is the nurse Margarita Veliz, who performed his duties in that hospital carmeño, and presenting diagnosis was the same as that of the first person who died because of the spread of this strange germ, which is still unknown practically all remember that Velázquez-the first death-had been interned affected by a "coronary heart disease", according to the information you have accessed this medium, and whose death certificate mentioned among the causes of it to the initial diagnosis, the condition of a more "unspecified pneumonia," which in Creole means that we do not know what he died of.

Velasquez died on Jan. 21, but was admitted on December 25, 2012. What is particularly strange in that case was that the person who took care of him during that month of hospitalization, his brother, was also hospitalized for this strange seed in the intensive care unit (ICU) of the Hospital de La Plata Rossi.

Amen to these specific cases, and as reported ANDigital at all times, according to staff reports La Plata Rossi Hospital and the Union of Health of the Province, there were no fewer than 15 patients affected with this rare germ: of these, 13 were hospital workers, and two community members Carmena, and of these, six were taken to hospital mentioned Plata, who spent time in the pits that Rossi has for isolation of patients in the region.

Among those six was a poor Margarita Veliz, last admitted, who most likely died after being infected with swine flu, but the total lack of responses from a Ministry of Health of the province of Buenos Aires led by Alejandro Collie, and probably his most shameful showing.

Importantly, the Hospital Nuestra Señora del Carmen is still virtually closed its community benefits are minimal, its director resigned, Soledad Arias, and is momentarily intervened, and that contagion was reported, and almost absolutely proven, such as inpatient. (ANDigital)
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Old February 22nd, 2013, 05:16 AM
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Default Re: Argentina - Two nurses die of flu-like illness, several others hospitalized, unconfirmed reports of additional linked fatalities - hospital closed in Carmen de Areco - 4 people with influenza A - conflicting reports of subtype

The persistent inability to isolate causative agent of this institutional outbreak of severe respiratory infection is of concern.

One wonder whether after several weeks of media outlets speculations and suggestions, a more authoritative source of information will have to activate to dispel rumors and clarify the nature of this incident.

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Old February 22nd, 2013, 08:06 AM
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Default Re: Argentina - Two nurses die of flu-like illness, several others hospitalized, unconfirmed reports of additional linked fatalities - hospital closed in Carmen de Areco - 4 people with influenza A - conflicting reports of subtype

..The Minister of Health of Buenos Aires, Alejandro Collie, confirmed on Friday the death of another Hospital nurses Carmen de Areco who remained hospitalized in La Plata Rossi, but avoided talking about swine flu as the cause of his death. "We regret the end. His picture was complicated day after day, with failures in most of the organs, and it became impossible to save his life, "said Collie.

Speaking to Radio Buenos Aires Province, the official avoided however, speak of Influenza A. In this regard, he said that "we have yet to put a name and surname, infection instrahospitalaria" that ended the lives of two nurses of that hospital. This tempa generated a counterpoint between the national and provincial authorities from the outset of the case, and who was the one who was quick to clarify that they were cases of Influenza A Nation was health, while the family of the victims denied it at all times and the first results had been negative Province.

Province...http://www.aninoticias.com/noticia.php?id=6168
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Old February 22nd, 2013, 09:14 AM
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Default Re: Argentina - Two nurses die of flu-like illness, several others hospitalized, unconfirmed reports of additional linked fatalities - hospital closed in Carmen de Areco - 4 people with influenza A - conflicting reports of subtype

A 49-year-old nurse, died yesterday evening in the hospital Rossi of La Plata after remaining 20 days interned with the virus of the Flu To. The woman was redeeming like to help of infirmary in the Virgin Hospital of Carmen where the virus had caused the death of another person and affected to other 10, mostly employees of the health center.
The woman entered to the hospital Rossi last January 27 and yesterday evening, as he informed the Department of provincial Education, died as ' consequence of a functional multiorganic flaw, due to his respiratory picture of base '
This second case joins that of 39-year-old Andrea Gordillo, Nursing supervisor of the Intensive Therapy of the Hospital Our Lady of Carmen who died on February 8 in the hospital platense, where it had been moved on January 28 by the gravity of his picture.
Gordillo was indicated as the origin of the infections since between December 20 and 30 he had travelled to Bordering, in the United States, where it would have contracted the illness.

In his moment, the Department of from Buenos Aires Health had informed that Gordillo ' suffered a flaw hemodinámica serious, which precipitated the decease '. The organism had expressed across a medical report that ' there were, in some samples of blood, traces of the virus of the flu A '.
The chief of the National Program of Control of Illnesses, doctor Carla Vizzoti, supported in his moment that ' at the end of February it will begin the distribution of the bovine anti-flu piece of news '. The one who in turn underlined that ' the case of Carmen de Areco is an example of how the personnel of health is exposed to the virus and that has to be protected '.
The bovine piece of news to be protected against the vine-stocks of the flu that will circulate from the autumn in the Argentina will be available in March in hospitals and centers of free health for the high-risk groups, and in the pharmacies for the rest of the population. They will be similar in his composition to the vaccines that have been administered in the North hemisphere.




http://www.lanacion.com.ar/1556978-m...co-por-gripe-a
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Old February 22nd, 2013, 09:02 PM
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Default Re: Argentina - Two nurses die of flu-like illness, several others hospitalized, unconfirmed reports of additional linked fatalities - hospital closed in Carmen de Areco - 4 people with influenza A - conflicting reports of subtype

http://www.eldia.com.ar/edis/2013022...0222093347.htm
Spanish-English translation

Died another nurse who had contracted Influenza A
Viernes | 22.02.2013 16:30

He was hospitalized for 20 days in the Hospital Rossi of our city, but was working at the hospital in Carmen de Areco. It is the second case, as the chief of the service died on February 8


The nurse at the hospital in the locality of Carmen de Areco who remained hospitalized in intensive care for 20 days for a box of influenza A Rossi Hospital in our city died last night, bringing the total to two fatalities from the disease.

She served 49 years in the hospital nursing service Virgen del Carmen and was the only one of the 11 patients who remained hospitalized affected, the Ministry of Health of Buenos Aires.

The remaining nine patients were discharged and, according to the government, so far no complications in his health.

Thus, there are two nurses died after infection with influenza A, which affected nine Areco hospital workers and two patients.

The cause of death, like that of his partner who died days ago, still under analysis at the Institute Malbrán where handled various research bacteriological beyond have found traces in some samples of influenza A virus, noted.

The woman, who was admitted to hospital on 27 January Rossi, died last night following a multi-organ functional failure due to its basic respiratory symptoms, reported from the health portfolio.

They also stated that the other nine people affected did well and were discharged without complications.

The first fatality due to the spread of influenza A was Andrea Gordillo, 39, who died Jan. 8 at a hospital in La Plata, where he was hospitalized since Feb. 28.

Gordillo was serving as head nurse of Areco and was identified by the Health Minister Alexander Collie, as possible "epidemiological link" as it would have contracted the disease during a trip to Orlando, USA.

On Monday, the ministry of Health of Buenos Aires enabled outpatient and some inpatient hospital beds de Areco, which remained closed for prevention after cases were influenza type A.

Instead, the provincial health portfolio decided to keep closed operating rooms and delivery rooms of the Hospital Nuestra Señora del Carmen "until all tests are completed epidemiological virus."

As detailed from the portfolio, it is working to reopen the school, once security measures.

Last week, had submitted their resignations executive director, Soledad Arias, and associate director, Laura Gianolio, Hospital de Areco.

The directives were replaced on an interim basis by John Coll, who serves on the provincial health portfolio Hospitals Aires.
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Old February 23rd, 2013, 12:38 AM
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Default Re: Argentina - Two nurses die of flu-like illness, several others hospitalized, unconfirmed reports of additional linked fatalities - hospital closed in Carmen de Areco - 4 people with influenza A - conflicting reports of subtype

Influenza A. Could it be H1N1?
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Old February 23rd, 2013, 01:13 AM
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Default Re: Argentina - Two nurses die of flu-like illness, several others hospitalized, unconfirmed reports of additional linked fatalities - hospital closed in Carmen de Areco - 4 people with influenza A - conflicting reports of subtype

Quote:
Originally Posted by jeffrey View Post
Influenza A. Could it be H1N1?
That is certainly one possibility, and was the initial assumption. It has been pointed out early in this thread that H3N2 was the predominant strain in the US this year, so that could also be involved instead.

But it would be unusual for either virus to produce this outbreak alone. Although 4 samples have come back PCR positive for influenza A, there were at least 7 negatives taken earlier. They have also not announced a subtype, despite being nearly 3 weeks since the positive tests (February 2). And 2 of the 4 positive cases have died. There are also reports in this thread of several respiratory fatalities in this ICU from November to January, well before the nurse who traveled to Florida took ill.

It is conceivable that some kind of bacterial superinfection might also be involved, as was the case in the fatal H3N2 cluster in Maryland last year. It is also possible that the influenza A detections are a red herring or even a false positive, and that some other pathogen is responsible for this outbreak. And there is at least a remote chance that this could be the result of a non-circulating or novel avian or swine influenza A virus.
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Old February 23rd, 2013, 01:18 AM
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Default Re: Argentina - Two nurses die of flu-like illness, several others hospitalized, unconfirmed reports of additional linked fatalities - hospital closed in Carmen de Areco - 4 people with influenza A - conflicting reports of subtype

http://www.clarin.com/sociedad/Murio...871113045.html

He died the other nurse Carmen de Areco who was hospitalized with symptoms of influenza A
CompartirVotar0Email0
Etiquetassalud23/02/13

The hospital nurse Carmen de Areco who remained hospitalized in intensive care for 20 days for a box of Influenza A, Rossi died in hospital of La Plata, which now are two fatalities in the same case. In 49 years, she worked as a nurse in the hospital Virgen del Carmen and was the only one of the 11 patients who remained hospitalized affected, the Ministry of Health of Buenos Aires. The remaining nine patients were discharged and, according to the government, so far no complications.

Thus, there are two nurses died after infection with influenza A, which affected nine Areco hospital workers and two patients.

The cause of death, like that of his companion, still under analysis at the Institute Malbrán where handled various research bacteriological beyond have found in some samples of the virus of influenza A. The woman, who was admitted to hospital on January 27, died yesterday evening following a multiple organ functional failure, respiratory symptoms due to their base.

The first fatality of the case was Andrea Gordillo, 39, who died Jan. 8 at a hospital in La Plata, where he was hospitalized since Feb. 28. Gordillo was identified by the Health Minister Alexander Collie, as possible "epidemiological link" as it would have contracted the disease during a trip to Orlando, in the United States.
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Old March 4th, 2013, 06:31 PM
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Default Re: Argentina - Two nurses die of flu-like illness, several others hospitalized, unconfirmed reports of additional linked fatalities - hospital closed in Carmen de Areco - 4 people with influenza A - conflicting reports of subtype

More recent than anything in this thread, but still a week old.

http://www.saladeprensa.net/inf/inve...-que-murieron/

RESEARCH SALADEPRENSA.NET: Carmen de Areco "Nurses not died from influenza A" THAT DIED?
By redaccion_SDP-February 23, 2013
Posted on: 3, General Information, Police
Dr. Ceriani felt the need to tell the facts to the community to know what really happened so far. Ceriani explained that when everything exploded recently began working with an epidemiological protocol, forcing the medical profession to work without breaks, with the advice of an infectious disease and the province. When the pictures were duplicated and moved, despite the hard work, the doctor said that was perceived from the outside much hostility towards the medical staff and managers. "It is not easy for a physician to work down." Dr. Ceriani clarified that it did everything possible to change the medication which was trying to hit. Once done sometimes successful outcomes. Moreover, the professional nurse Gordillo said yes were vaccinated against the flu, something on the record. Ceriani said he is going to know what is the disease that has brought so much misfortune, but nobody knows when. "The hospital is criticized, as all public hospitals," Ceriani said however that intensive therapy is the best attended of the entire hospital. Ceriani said he was very distressed by the compulsory resignation of Dr. Arias and Dr. Gianolio, resignations carried out by the pressures of the staff do not start work if they did not leave medical office.
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Old March 6th, 2013, 02:06 PM
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Default Re: Argentina - Two nurses die of flu-like illness, several others hospitalized, unconfirmed reports of additional linked fatalities - hospital closed in Carmen de Areco - 4 people with influenza A - conflicting reports of subtype

Almost 2 months later, the hospital is still partially closed:

http://www.amprovincia.com.ar/notici...rmen-de-areco/

To normalize the healthcare

Evaluate the reopening Carmen Hospital of ArecoPara this end, met the mayor Marcelo Skansi with the Minister of Health of the province of Buenos Aires, Alejandro Collia.Miércoles March 6, 2013


The leaders assessed the standardization process that is taking place for the commissioning of all services of the Hospital Nuestra Señora del Carmen.

The Mayor highlighted the joint work between the Municipality and the Province to regulate health care to everyone in the district.

For his part, Minister Alejandro Collia confirmed the visit to Carmen de Areco on the occasion of the opening of the medical center.
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Old March 21st, 2013, 07:06 AM
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Default Re: Argentina - Two nurses die of flu-like illness, several others hospitalized, unconfirmed reports of additional linked fatalities - hospital closed in Carmen de Areco - 4 people with influenza A - conflicting reports of subtype

http://www.arecosemanal.com.ar/notic...armen-de-Areco

End of mystery Hospital Carmen de Areco

Neither 19/03/2013 flu or Hantavirus is Legionella.

Neither influenza nor Hantavirus is Legionella.
Finally, after two long months of uncertainty and mystery, the Ministry of Health of the Province of Buenos Aires released the results of studies conducted in different laboratories on hospital illness that kept the lives of two of the 11 people infected. The response was predictable by professionals who already pressing forward, it is the bacteria called Legionella.

LEGIONELLA: CHARACTERISTICS OF BACTERIA.

Legionella or Legionella, is a Gram negative bacillus shaped. They live in stagnant water with a wide temperature range. Its growth is favored by the presence of organic matter. Requires oxygen to breathe and has a flagellum to move.
Regarding taxonomy, there are 48 species in the genus Legionella, and a total of about 78 serotypes of which the most important, for its medical implications, is the species Legionella pneumophila Legionella pneumophila The species causes Legionnaires' disease, or Legionellosis. Legionella infection may present as typical pneumonia or febrile illness without pulmonary targeting called Pontiac fever. The bacteria need to multiply within amoebae found. SOURCE: news syncope.
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Old March 21st, 2013, 10:46 AM
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Default Re: Argentina - Two nurses die of flu-like illness, several others hospitalized, unconfirmed reports of additional linked fatalities - hospital closed in Carmen de Areco - outbreak now diagnosed as Legionella

I am having serious computer problems and have been trying to post that article for the past two days. I am moving this thread at this point to the "Other Respiratory Diseases" forum because it appears influenza had little, if anything, to do with these fatalities.

It remains unclear why 4 cases, including both fatal cases, tested positive for influenza A originally. Co-infections? Laboratory contamination of samples? Or a false report released to prevent panic (after all one reporter tweeted about NCoV on February 2)?
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Old March 21st, 2013, 11:02 AM
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Default Re: Argentina - Two nurses die of flu-like illness, several others hospitalized, unconfirmed reports of additional linked fatalities - hospital closed in Carmen de Areco - outbreak now diagnosed as Legionella

What is puzzling is that for the symptoms presented, Legionella should have been high on the list for the intitial differential diagnosis based on the symptoms presented i.e it should have been tested for and excluded very early on in the outbreak. However, this is now apparently the official cause.
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Old March 21st, 2013, 11:51 AM
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Default Re: Argentina - Two nurses die of flu-like illness, several others hospitalized, unconfirmed reports of additional linked fatalities - hospital closed in Carmen de Areco - outbreak now diagnosed as Legionella

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Originally Posted by Vibrant62 View Post
What is puzzling is that for the symptoms presented, Legionella should have been high on the list for the intitial differential diagnosis based on the symptoms presented i.e it should have been tested for and excluded very early on in the outbreak. However, this is now apparently the official cause.
Agreed.
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Old March 21st, 2013, 04:13 PM
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Default Re: Argentina - Two nurses die of flu-like illness, several others hospitalized, unconfirmed reports of additional linked fatalities - hospital closed in Carmen de Areco - outbreak now diagnosed as Legionella

Legionella doesn' t exclude influenza, see this article.

Clin Infect Dis. (2010) 51 (1): 115. doi: 10.1086/653444

Pandemic Influenza and Pneumonia Due to Legionella pneumophila: A Frequently Underestimated Coinfection
Caterina Rizzo, Maria Grazia Caporali, and Maria Cristina Rota

From July 2009 through February 2010 in Italy, 2500 confirmed cases of pandemic influenza and 4.5 million cases of influenza-like illnesses were reported to the sentinel surveillance system. Of the confirmed cases of pandemic influenza, 1278 (∼50%) were hospitalized. Of the patients hospitalized, 271 (21%) presented with pneumonia, which was attributed to bacterial coinfection in 33 cases.

Of the 33 cases with pneumonia due to bacterial coinfection, 6 (18%) were caused by Legionella pneumophila serogroup 1, and both the national legionellosis and the Italian mandatory 2009 A(H1N1) virus surveillance systems [3] were notified. The 2009 A(H1N1) virus reporting system is Web-based and was established in July 2009, whereas the national legionellosis surveillance system was established in 1983. Both systems include information about symptoms and risk factors, such as chronic illness, previous hospitalization, and travel.


http://cid.oxfordjournals.org/content/51/1/115.1.full
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Old March 22nd, 2013, 06:52 AM
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Default Re: Argentina - Two nurses die of flu-like illness, several others hospitalized, unconfirmed reports of additional linked fatalities - hospital closed in Carmen de Areco - outbreak now diagnosed as Legionella

It was not of flu A the sprout in Carmen de Areco

It would not have been the virus of the flu A the infectious agent that caused the death of two nurses of the hospital of Carmen de Areco, in whose service of intensive therapy produced to itself in last January a sprout of a respiratory infection that affected, in whole, eleven persons.


For Continental, the doctor Luis Crovetto, the director of Preventive from Buenos Aires Medicine, explained that, actually, “ the cases owed to an infection intrahospitalaria closed, with a bacterium gram denial call legionella ”.


The report of the Malbrán contradicts the preliminary widely used report on February 2, in which it was said that it had been detected “ the presence of viral genoma of flu A [...] in samples of four of the patients affected by the sprout of sharp pneumonia in the hospital Our Lady of Carmen, of the city of Carmen de Areco ”.


In this respect, Crovetto explained in Magdalena Tempranísimo that, “ in three of the patients, the infection for legionella studied with a coinfection with flu A H1N1. But the patients who died did not have this coinfection ”, it specified.


“ The legionella is a bacterium of the moisture, which can vaporizar and then the person can inhale it. For some mechanism that we still do not realize well, it contaminated the air conditioning of the hospital ”, it completed Crovetto.

http://www.continental.com.ar/notici...a/1863572.aspx
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Old March 22nd, 2013, 07:29 AM
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Default Re: Argentina - Two nurses die of flu-like illness, several others hospitalized, unconfirmed reports of additional linked fatalities - hospital closed in Carmen de Areco - outbreak now diagnosed as Legionella

OK. So they are saying four non-fatal cases tested positive for flu A (and that the flu was H1N1, not H3N2), but that the fatal cases tested positive for only Legionella. The translation is not quite clear, but a reading of the original Spanish tends to support this interpretation, IMO.

I believe that the total number of Legionella confirmed cases in the above report might be 5; the three co-infected cases that survived, and the two fatal cases that had only Legionella. If that is correct, the fourth H1N1 confirmed case would not have tested positive for Legionella.

It appears likely that the additional fatalities in November and December 2012 might also have acquired Legionella in that ICU; I hope environmental samples are being tested to find and eliminate the source of the outbreak.
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