Argentina: unusual serious cases in young people

[JimO]

Re: Argentina: unusual serious cases in young people

Map of confirmed and fatal in Buenos Aires

http://flutracker.rhizalabs.com/flu/...921875&zoom=10

That map shows higher numbers in a lot of places, such as South America than what we've seen reported. The legend indicates 480 fatalities worldwide. Do you have the underlying data?

[kiwibird]

Re: Argentina: unusual serious cases in young people

Each report will have a url attached pointing to the news report relating to it. It will also have been cross referenced with local government media reports. You should be able to trace it back from the map.

[AlaskaDenise]

Re: Argentina: unusual serious cases in young people

..............Concern about how this attack some young flu was confirmed to the nation on a coroner that, in recent hours, conducted two autopsies on two people killed by influenza A.

"The bodies were viscera, meninges and brain swollen, a little common factor in death from influenza. Additionally, the lungs were in bad shape, with some spots we could not identify. The studies sent pathology, ...............

It will be informative to compare data from autopsies from other rapid deaths.

.

[zimagail]

Re: Argentina: unusual serious cases in young people

Two things about Argentina of interest in relation to the above discussion.
1. There are more doctors per population than most any other country save Cuba. And though the infrastructure is not the best access is free to all.
2. Though by law one needs a perscription for antivirals, they can be obtained at the "friendly local pharmacy" without one. However, elderberry, hypericum and other herbal and folk remedies are common knowledge.
Argentines may be better prepared to face this wave than most North Americans.

[Treyfish]

Re: Argentina: unusual serious cases in young people

HEALTH IN THE DISTRICT Bonaerense

Concern about the cases that show renal complications

In some health centers are at 50% of those considered serious by Influenza A.

.::::::::::::::::::::::::::::::::::::::::::::::::: :::::::::::::::::::::::::::::::::::::::

Concern about the cases that show renal complications


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Notes PROVINCIAL
The usual expansion, during the winters of respiratory disease, often no bigger impact on the services of Nephrology hospitals. At least until now, when some experts were concerned that kidney patients who develop severe influenza A are associated with dialysis services affected by renal failure are difficult to forecast.
This states, for example, from the service of Nephrology Hospital Posadas current referral center hospitals in the Province in regard to the new disease-where they were 8 serious cases of influenza A that were treated affected by renal insufficiency.

"It is very interesting, because there seems to be a complication associated, but rather a form of the virus. In a significant number of serious cases of influenza A (confirmed or suspected) to reach the hospital this impact is kidney, although this is just starting and need to study it more carefully, "said William German, chief of the Nephrology referred to hospital.
According to German, this disorder was also observed in Mexico, in severe patients and that they shared some common features, such as being included in an age range between 17 and 40 years, have no pre-existing disease at the time of contracting the virus and therefore did not belong to the so-called risk groups.

Features

As in Mexico, where renal complications observed are characterized by bilateral pneumonia begin with a box accompanied by a short shock of evolution characterized by the presence of elements such as fever and fatigue.
People are affected by a major interned difficulty breathing and require the use of respirators. Shortly afterwards and in the context of a systemic inflammatory response, stop urinating and derivatives dialysis.
"In general, the prognosis for these patients is poor and in cases such as those described the steps are very fast and can not be avoided once unleashed, seem to be part of the behavior of the virus in some cases, although it must investigate infecot?logos , "German said.
The specialist noted that it had launched a round of consultations to other health centers and three other cases were identified who required dialysis at the hospital in Mar del Plata.
For his part, Amadeo Esposto platense infectologists found that "while there have been serious cases that required dialysis, this is not the most expected. Should be considered the topic to see if this is triggered directly by the virus or some other factor. "
In this sense, the specialist said that "at a recent meeting of specialists it was decided to make a thorough evaluation of the clinical records of patients who have not evolved well off the disease to know the exact causes."
"However, in most cases it remains the most serious pulmonary and difficulties faced by hospitals to deal with a high demand respirator," said Esposto.http://www.diariodemocracia.com/diar...dNoticia=15301

[HenryN]

Re: Argentina: unusual serious cases in young people

Buenos Aires with suspect cases

http://flutracker.rhizalabs.com/flu/gmap0906272254.html?lat=-34.80027235055681&lon=-58.6669921875&zoom=8

[AlaskaDenise]

Re: Argentina: unusual serious cases in young people

<a rel="nofollow" href="http://www.recombinomics.com/News/06270901/H1N1_Buenos_Aires.html">Commentary</a>

Commentary



Soaring Death Rate in Buenos AiresRaises Pandemic Concerns

Recombinomics Commentary 18:03
June 27, 2009

"We're seeing the placement of young patients, between 15 and 50 years with pneumonia, some rapidly evolving towards a gravity which for many is unusual, in which the lung is' fire 'in a matter of hours," said Dr. Jorge San Juan, head of the Department of Intensive Care Hospital Mu&#241;iz.

This has led to patients with these characteristics begin to be treated in an increasingly aggressive. THE NATION As reported yesterday, doctors from the Ministry of Health received the directive to take, from now on, all cases of influenza and potential influenza A (H1N1), with the recommendation to perform chest radiographs for patients with symptoms of fever and fatigue and internal quickly to all suffering from pneumonia.

"The bodies were viscera, meninges and brain swollen, a little common factor in death from influenza. Additionally, the lungs were in bad shape, with some spots we could not identify. The studies sent pathology, "said the coroner who asked not to publicize his name until the health authorities take note of it found.

The above translation describes patients in and around Buenos Aires (see updated map). In the past few days 26 confirmed fatalities have been reported as well as 15 additional probable fatalities. H1N1 infections of swine on a nearby farm (see map) has also been described in an OIE report.

The targeted population, as well as the description of the rapid deterioration sounds remarkable like reports on the 1918 pandemic.

Sequence data on these patients and swine would be useful. It is the beginning of flu season in Argentina, and the potential for the evolution of a more virulent Pandemic H1N1 looms large.

.

[colormyquilt]

Re: Argentina: unusual serious cases in young people

viz:


the lung is' fire 'in a matter of hours,

two autopsies on two people killed by influenza A.

"The bodies were viscera, meninges and brain swollen, a little common factor in death from influenza. Additionally, the lungs were in bad shape, with some spots we could not identify.

Will it vary, in terms of hours/ days, the amount of time it takes to have internal organs effected in this way? Are we seeing cases where individuals are seeking treatment late? Or has the virus changed? I am thinking of the six year old female child in Canada who died last week- 24 hours post symptoms. Those providing statements from Argentina are saying this is a different presentation that what they are accustomed to seeing- seasonal flu or otherwise. It is difficult putting this together- because there are also "those many other purported high number of cases that experience mild symptoms or are asymptomatic." How is this virus working that it can kill the six year old child in 24 hours/ have First Nation on ventilators/ and yet CFR in New York City is substantially small given the 500,000 cases NYC is reported as now having or had.

It is truly amazing. I am re-reading John Barry's book. So much has changed since 1918, medically. Yet, not so with a novel virus.

How horribly frustrating and exhausting those working the front lines. They are to be commended, their families are to be commended.

[Giuseppe]

Re: Argentina: unusual serious cases in young people

HEALTH IN THE DISTRICT Bonaerense

Concern about the cases that show renal complications

In some health centers are at 50% of those considered serious by Influenza A.

.::::::::::::::::::::::::::::::::::::::::::::::::: :::::::::::::::::::::::::::::::::::::::

Concern about the cases that show renal complications


Recommend Article
Print
Say in the FORUM

Notes PROVINCIAL
The usual expansion, during the winters of respiratory disease, often no bigger impact on the services of Nephrology hospitals. At least until now, when some experts were concerned that kidney patients who develop severe influenza A are associated with dialysis services affected by renal failure are difficult to forecast.
This states, for example, from the service of Nephrology Hospital Posadas current referral center hospitals in the Province in regard to the new disease-where they were 8 serious cases of influenza A that were treated affected by renal insufficiency.

"It is very interesting, because there seems to be a complication associated, but rather a form of the virus. In a significant number of serious cases of influenza A (confirmed or suspected) to reach the hospital this impact is kidney, although this is just starting and need to study it more carefully, "said William German, chief of the Nephrology referred to hospital.
According to German, this disorder was also observed in Mexico, in severe patients and that they shared some common features, such as being included in an age range between 17 and 40 years, have no pre-existing disease at the time of contracting the virus and therefore did not belong to the so-called risk groups.

Features

As in Mexico, where renal complications observed are characterized by bilateral pneumonia begin with a box accompanied by a short shock of evolution characterized by the presence of elements such as fever and fatigue.
People are affected by a major interned difficulty breathing and require the use of respirators. Shortly afterwards and in the context of a systemic inflammatory response, stop urinating and derivatives dialysis.
"In general, the prognosis for these patients is poor and in cases such as those described the steps are very fast and can not be avoided once unleashed, seem to be part of the behavior of the virus in some cases, although it must investigate infecot?logos , "German said.
The specialist noted that it had launched a round of consultations to other health centers and three other cases were identified who required dialysis at the hospital in Mar del Plata.
For his part, Amadeo Esposto platense infectologists found that "while there have been serious cases that required dialysis, this is not the most expected. Should be considered the topic to see if this is triggered directly by the virus or some other factor. "
In this sense, the specialist said that "at a recent meeting of specialists it was decided to make a thorough evaluation of the clinical records of patients who have not evolved well off the disease to know the exact causes."
"However, in most cases it remains the most serious pulmonary and difficulties faced by hospitals to deal with a high demand respirator," said Esposto.http://www.diariodemocracia.com/diar...dNoticia=15301

The kidney failure is a not unexpected complication because the pneumonia-related coagulopathy and increased loss of fluids through capillars.

Intravascular coagulation, thrombosis, hemorrhages, lowered serum proteins, are quite common in severe infections' patients.

Even in the early H5N1 cases, kidney failures were observed.

So, I think physicians should keep in mind that severe influenza (as well as other viral infection) requires a comprehensive management of patients, with all supportive care needed, with particular attention to coagulation, capillary permeability and kidney functionality.

It is a matter of critical care unit, and thus a triage protocols are needed in order to select patients with most urgent need.

I see how more than six years since the H5N1 panzootics crisis started has not served to prepare better for emergencies even in developed nations.

[Dark Horse]

Re: Argentina: unusual serious cases in young people

How is this virus working that it can kill the six year old child in 24 hours/ have First Nation on ventilators/ and yet CFR in New York City is substantially small given the 500,000 cases NYC is reported as now having or had.

What I worry about is that the same disastrous experiences are going on in NYC, Utah, etc., except that we don't get the details because it would "scare us...cause panic."

There was quite a lot of detail about the assistant prinicpal who was one NYC's first deaths. It sounded pretty awful and may be similar to what is being witnessed in Argentina.

[HenryN]

Re: Argentina: unusual serious cases in young people

Graphs of confirmed cases and deaths at bottom of report at

http://www.lanacion.com.ar/nota.asp?nota_id=1144216

[sharon sanders]

Re: Argentina: unusual serious cases in young people

Recursos para m?dicos

• La identificaci?n y el cuidado de pacientes infectados por el virus de la influenza tipo A (H1N1) de origen porcino
• Infecciones y uso de medicamentos
• Respiradores y mascarillas

Directrices para las audiencias espec?ficas


Ni?os

• Directrices provisionales para m?dicos sobre prevenci?n y tratamiento de ni?os peque?os

Mujeres embarazadas

• Informaci?n para los m?dicos sobre las mujeres embarazadas y la influenza porcina

VIH

• Directrices provisionales con relaci?n a los adultos y adolescentes infectados por el VIH: Informaci?n para los m?dicos sobre el virus de la influenza H1N1 tipo A de origen porcino

Vea Informaci?n general
Vea Recursos para padres y quienes se encargan del cuidado de otras personas
Vea Recursos para mujeres embarazadas

[colormyquilt]

Re: Argentina: unusual serious cases in young people

we don't get the details because it would "scare us...cause panic."

Thanks, Dark Horse. I have a question. What is it "about the details that would scare us...cause us to panic?"

[HenryN]

Re: Argentina: unusual serious cases in young people

As Country Votes, Argentina on Verge of Declaring Swine Flu "Emergency"
Argentine health authorities said Saturday that a "health emergency" could be declared nationwide after elections on Sunday because of the exponential spread of the AH1N1 flu virus, which up till now has taken 26 lives and has infected 1,587 people. Meanwhile, health organizations said that the number of people infected in the country "is substantially greater" than the official toll and that hospitals are "verging on collapse"


BUENOS AIRES -- Argentine health authorities said Saturday that next week a "health emergency" could be declared nationwide because of the progress of the AH1N1 flu virus, which up to now has taken 26 lives and has infected 1,587 people.

"The emergency does not mean we're closing everything down, the emergency is a frame of reference for having medicines ready for direct purchase and mobilizing health personnel," said Claudio Zin, health minister in Buenos Aires province where the greatest number of deaths and infections have been recorded.

Zin said that this alert, which doctors' organizations have requested for days, "is a frame of reference for taking quick decisions" to combat the illness.

"It doesn't mean we're going to close schools and shopping malls and suspend transport on the metro," because "that's not the point," he said.

A different approach from that taken in Mexico City where, at the height of the epidemic, leisure and entertainment locations were shuttered along with part of the capital's 35,000 restaurants.

Schools were closed nationwide for 10 days and normally bustling Mexico City became a ghost town as people were urged to stay home to halt the spread of the illness.

The Buenos Aires health minister has, however, confirmed comments by members of the "crisis committee" created by the Argentine government to deal with the new flu virus, who say that the possibility of declaring a national emergency next week after this Sunday's legislative elections is being considered.


In "areas at risk" of contagion, "alcohol in gel and pads" are being distributed for wetting the finger used for sticking shut vote envelopes without using saliva, election official Alejandro Tullio said Friday.

To the prevention measures that authorities are recommending to the public, Tullio added that voters ought to "keep their distance one from the other in case people line up to vote and they should go to the polls early to avoid the crowds."

Health organizations said that the number of people infected in the country "is substantially greater" that the official toll and that hospitals are "verging on collapse."

The total number of deaths in Argentina from the swine-flu virus reached 26 on Friday, when three new fatalities were confirmed along with 99 new cases of the illness, raising the total to 1,587.

The Health Ministry said in a communique that under study are specimens from 967 people suspected of having caught the AH1N1 flu virus.

http://www.laht.com/article.asp?ArticleId=338061&CategoryId=12394

[Rocky]

Re: Argentina: unusual serious cases in young people

Niman,

Back in March you started a thread on the huge penguin die off in Argentina and Chile, have you seen anything linking them?

Could this red tide have had anything to do with it?

http://www.flutrackers.com/forum/showthread.php?t=105843&highlight=penguins