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Re: Mexico: Respiratory Illnesses - including Mexico City and Oaxaca
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Re: Mexico: Respiratory Illnesses - including Mexico City and Oaxaca
The question now is the cause of these illnesses. Is this swine flu? While the woman in Oaxaca was negative for influenza A, what do we know about all these other patients? Are most of them testing positive for influenza? What about epidemological links? And what is the approximate CFR?Comment
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Re: Mexico: Respiratory Illnesses - including Mexico City and Oaxaca
If it's not Influenza A it may be Influenza B, with some bacterial superinfection.
At this point, a strong dose of caution is absolutely needed.Comment
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Re: Mexico: Respiratory Illnesses - including Mexico City and Oaxaca
The woman is negative for influenza B as well. She has tested negative for just about anything you can think of (except maybe a novel virus - see above postings). We need to figure out what is going on. This one woman is certainly NOT the index case of a novel disease. This sporadic spread is certainly consistent with influenza (maybe a new strain?). What we need to know now is lab results from some of the other cases (not all of which are even in Mexico anymore), and what is the CFR?Comment
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Re: Mexico: Respiratory Illnesses - including Mexico City and Oaxaca
Source: http://www.baytoday.ca/content/news/details.asp?c=31073
Been to Mexico lately ... Health Unit thinks you should know this
By Kate Adams
BayToday.ca
Wednesday, April 22, 2009
North Bay Parry Sound District Health Unit (Ontario, Canada)
News Release
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The North Bay Parry Sound District Health Unit advises that a number of severe respiratory illness (SRI) cases are occurring in various locations of south and central Mexico. At this time, no cases have been reported outside of Mexico. Physicians and local healthcare workers are asked to actively watch for cases of SRI, especially in people who have returned from Mexico within the last two weeks.
The people in Mexico who have SRI began with influenza-like symptoms that rapidly progressed to severe respiratory distress in about 5 days, with many requiring mechanical ventilation. Some patients have died. Most people who became ill were previously healthy young adults aged between 25-44 years old. Some health care workers have also been affected.
The Health Unit notified physicians, hospitals, and walk-in clinics within the North Bay Parry Sound catchment area. If you have visited Mexico in the last two weeks and have influenza-like symptoms (eg: fever, cough, sore throat, muscle or joint aches, shortness of breath) seek medical attention.
To stay healthy and prevent the spread of infections, the Health Unit recommends:
? Wash your hands well and often.
? Sneeze and cough into your upper sleeve.
? Stay at home when you are ill.
? Eat a well-balanced diet.
The Health Unit will provide more information as it becomes available.Comment
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Re: Mexico: Respiratory Illnesses - including Mexico City and Oaxaca
Red lights lit by outbreaks of influenza in the City
El Sol de México22 de abril de 2009
Juan Garciaheredia
Ciudad de México.- Encienden los focos rojos autoridades de salud debido a brotes de influenza en el Distrito Federal y algunas entidades del país, al grado de que se hace un llamado a los ciudadanos para extremar medidas de higiene en su vida cotidiana y que se laven las manos -por ejemplo- cuando salgan del Metro, además de evitar lugares concurridos y evitar contacto con personas enfermas.
Mexico City .- Turn the hot spots of health authorities due to outbreaks of influenza in Mexico and some Mexican states, the extent to which calls on citizens to exercise extreme hygiene measures in their daily lives and to wash their hands, for example when leaving the Metro, and avoid crowded places and avoid contact with sick people.
Trascendió en la Secretaría de Salud (SdeS) federal que en lo que va de 2009 se han registrado ocho fallecimientos por esa enfermedad, cuyo virus se hizo más resistente y su presencia se alargó a la época de calor, cuando antes sólo cobraba fuerza en invierno.
Transpired in the Ministry of Health (SDES) federal so far in 2009 there have been eight deaths from the disease, the virus became stronger and expanded its presence in the hot season, when just before gathering strength in winter .
Sin embargo, hasta el cierre de esta edición ninguna autoridad confirmó oficialmente esa cifra de difuntos.
However, until the end of this year officially confirmed that no authority figure of the dead.
La semana pasada el director general adjunto de la Dirección General de Epidemiología, Hugo López Gatell, comentó que en 2008 hubo 30 muertes asociadas con influenza y hasta el momento en 2009 son dos los fallecimientos relacionados con el citado mal.
Last week, the deputy director general of the General Directorate of Epidemiology, Gatell Hugo Lopez, said that in 2008 there were 30 deaths associated with influenza and until 2009 were two deaths associated with that evil.
No obstante, el director del Cenavece, Miguel Angel Lezama, dijo que dos personas murieron en el Hospital de la Secretaría de Salud del DF en Iztapalapa; otros dos en el Instituto Nacional de Enfermedades Respiratorias (INER) y uno en el Hospital Angeles del Pedregal.
However, the director of Cenavece, Miguel Angel Lezama, said two people died at the Hospital of the Ministry of Health of Mexico City in Iztapalapa, another two at the National Institute of Respiratory Diseases (INER) and one at the Hospital Angeles del Pedregal .
Sin embargo, en la SdeS trascendió que son ocho los muertos por influenza en lo que va de 2009, aunque se recalca que la población no debe alarmarse porque no se trata de una epidemia, sino solamente algunos brotes de ese mal.
However, in SDES transpired that eight deaths from influenza so far in 2009, but stressed that people should not panic because this is not an epidemic, but only a few outbreaks of this evil.
En su momento, el subsecretario de Prevención y Promoción de la Salud de la SdeS, Mauricio Hernández Avila, informó que ha habido casos graves de la citada enfermedad en Oaxaca, San Luis Potosí y en el Distrito Federal, por lo cual ya se lanzó una alerta epidemiológica.
At the time, Undersecretary of Prevention and Health Promotion of the SDES, Mauricio Hernandez Avila, has been reported that severe cases of the disease in Oaxaca, San Luis Potosi in Mexico and thus was launched a epidemiological alert.
Ante dicha situación ya se activó el Comité Nacional para la Seguridad en Salud, que es una instancia colegiada para hacer un análisis, seguimiento, definición, diseño de políticas, estrategias y acciones de respuesta rápida ante circunstancias inusuales que se presentan en salud, subrayó el funcionario.
Faced with this situation and activates the National Committee for Health Security, which is a collegial body for analysis, monitoring, defining, designing policies, strategies and actions to respond rapidly to unusual circumstances that are presented on health, stressed the official.
Lezama señaló que hasta el momento se ha descartado aplicar una alerta en aeropuertos y fronteras, ya que la enfermedad se encuentra concentrada en el Distrito Federal.
Lezama said that so far has rejected an application alert at airports and borders, because the disease is concentrated in the Federal District. (not - see above - Fla1)
Por otra parte, indicó que el sector salud ya agotó 18 millones de vacunas para prevenir la influenza, compradas el año pasado.
On the other hand, indicated that the health sector and drained 18 million vaccines to prevent influenza, bought last year.
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Re: Mexico: Respiratory Illnesses - including Mexico City and Oaxaca
Federal districts
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Re: Mexico: Respiratory Illnesses - including Mexico City and Oaxaca
Maybe niman was right - this is looking like it could be swine flu or other influenza. There are cases all over the place - this appears to have spread faster than SARS did.Comment
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Re: Mexico: Respiratory Illnesses - including Mexico City and Oaxaca
Please use this thread for the posting of facts and pertinent/support comments.
Discussion thread here for pithy comments:
Thanks to everyone for participating!
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Re: Mexico: Respiratory Illnesses - including Mexico City and Oaxaca
I am going to routinely move posts off this thread, to the discussion thread, that are not informational.
As an old friend put it - this thread is going to remain "virgin of spec".
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Re: Mexico: Respiratory Illnesses - including Mexico City and Oaxaca
At least this one doesn't have to be translated.
OTTAWA ? The Public Health Agency of Canada has told quarantine services to be on alert for travellers returning from Mexico after a number of severe respiratory illnesses (SRI) were reported in some regions of the country.
Mexican health authorities contacted PHAC last Friday to inform them of the respiratory conditions, which were reported in the south and central areas of Mexico. The cases elevated from flu-like symptoms to severe respiratory conditions in about five days, with "a high proportion" of cases requiring assisted ventilation.
PHAC, in an April 20 report, said Mexican officials informed the Canadian health agency that the "case-fatality rate was relatively high" and that most cases involved healthy adults between the ages of 25 and 44. A number of health-care workers were also affected.
Although no cause has been confirmed, some samples were positive for influenza A and B.
PHAC said the concern for Canadians travelling from Mexico serves as a "reminder of the importance of the SRI hospital-based surveillance established after the SARS outbreak in Canada."Comment
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Re: Mexico: Respiratory Illnesses - including Mexico City and Oaxaca
This is talking about five people ages 25-45 dying of respiratory illness in Mexico City in the past few weeks.Comment
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Re: Mexico: Respiratory Illnesses - including Mexico City and Oaxaca
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Re: Mexico: Respiratory Illnesses - including Mexico City and Oaxaca
We know now where the woman got this illness - she proably had contact with someone from Mexico City, where there are over 120 cases since 3/18.
The question now is, Is this a novel coronavirus (which was my guess all along - in which case the influenza A and B detections in Mexico City are background noise), or is this a new strain of flu (and the coronavirus test was some kind of false alarm)?Comment
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Re: Mexico: Respiratory Illnesses - including Mexico City and Oaxaca
Can someone alert the CDC to put out some kind of notice warning travelers and doctors to try to avoid importation of cases?Comment
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