Announcement

**Ronan Kelly** · May 28, 2011, 07:06 PM

Re: Paraguay Epidemiological Bulletin Week 20

Week 21, May 27th 2011.

25,038 Dengue cases to date in 2011 vs 13,206 in 2010 and 3,609 in 2009. 54 fatalities reported.

Spanish to English translation

So far this year 46,669 cases were reported acute fever suspected
of dengue, of whom 25 038 were confirmed (54%) patients by criteria
epidemiological and / or laboratory tests.
The incidence rate is 381.57 per 100,000 inhabitants. The serotype
are DEN-1 and DEN-2 (simultaneous circulation), with predominance of DEN-2. Cutting movement is recorded in Alto Paraguay.

...

Proportion of hospitalizations, and deaths in the ICU for SARI.
With regard to the proportion of hospitalizations among hospitalizations SARI
from all causes, at week 20 reached 4.4%, showing a slight increase
in the last week of 1%. The proportion of ICU SARI income between income
to UCI from all causes show a significant increase of 15% (22%) with
compared to the previous week (6.3%). The proportion of deaths from SARI between deaths from all causes is kept below 5%, however in the last
week had an increase of 3% (4.6%) compared to the SE 19 (1.5%).
...

SARI cases reported and analyzed

In the SE 20 of 2011, the sentinel sites have reported 999 cases of SARI is
have taken 871 samples, of which 32.2% (227/704) tested positive
for respiratory viruses (Table 3).

...

Largest proportion of respiratory viruses identified in cases corresponds SARI
now to RSV (58%), followed by Influenza A H3N2 (35%). Adenovirus
accounts for 4%, 2% Parainfluenza and Influenza A H1N1 2009 to 0.4%. To
date, no influenza B virus has been detected in this surveillance.
From SE 4 shows a sharp drop in the circulation of influenza A
H3N2. From SE 9 is detected RSV circulation increasing, the last being
weeks, the only virus identified with a proportional increase of 6% over
the previous week

...

http://www.vigisalud.gov.py/index.php?option=com_phocadownload&view=category&download=108:27052011-se-21-boletin-epidemiologico&id=12:boletin-epidemiologico-2011&Itemid=237

**Ronan Kelly** · June 9, 2011, 01:38 PM

Re: Paraguay Epidemiological Bulletin Weeks 20-21

Week 22, June 3rd 2011.

27,103 Dengue cases vs 13,322 to the same date last year, 54 fatalities reported.

...

Proportion of hospitalizations, and deaths in the ICU for SARI.
With respect to the proportion of hospitalizations for SARI between hospitalizations for all causes, in week 21 was 3.3%, showing a slight decline in the last week of 1%. The proportion of income for SARI ICUs between UCI income from all causes show a decrease of ~ 2.5% (15.8%) compared to the previous week (18.3%). The proportion of deaths from SARI among the dead from all causes, however, showed a significant increase (11.9%) compared to the previous week (7.7%) of around 4%.

...

In the SE 21 of 2011, the sentinel sites have reported 1,080 cases of SARI is
have taken 939 samples, of which 30.5% (234/766) tested positive
for respiratory viruses (Table 3).

...

Largest proportion of respiratory viruses identified in cases of SARI is currently left to RSV (60%), followed by Influenza A H3N2 (35%). Adenovirus represents 3%, 1% Parainfluenza and Influenza A H1N1 2009 to 0.4%. To date, no influenza B virus has been detected in this surveillance.
From SE 4 shows a sharp drop in the circulation of influenza A H3N2. From SE 9 is detected RSV circulation increase, in recent weeks being the only virus identified.

...

So far this year 48,629 cases were reported acute fever with suspected dengue, of whom 27 103 were confirmed (55.7%) cases by epidemiologic criteria and / or laboratory tests.
The incidence rate is 413.04 per 100,000 inhabitants. The serotypes identified were DEN-1 and DEN-2 (simultaneous circulation), with predominance of DEN-2.
In the epidemic period from the SE 6 and 19, the total reported cases was 45,236, of which 25 586 were confirmed (56.6%)
Currently, all reported cases in sub-axis of the channel is considered endemic, which implies a persistence of viral circulation and requires the close monitoring of the occurrence of cases, investigation and implementation of Community intervention measures. Comparative monitoring of notifications between epidemiological weeks in the endemic stage, will detect new outbreaks.
Cutting movement is recorded in Alto Paraguay and Itap?a departments and missions tend to replicate this
...

http://www.vigisalud.gov.py/index.php?option=com_phocadownload&view=category&download=109:03062011-se-22-boletin-epidemiologico&id=12:boletin-epidemiologico-2011&Itemid=260

**Ronan Kelly** · June 21, 2011, 09:42 AM

Re: Paraguay Epidemiological Bulletin Weeks 20-22

Link to week 23: http://www.vigisalud.gov.py/index.ph...011&Itemid=128

Week 24 June 17th 2011.

31,372 Dengue cases vs 13,443 to the same date last year, 54 fatalities reported.

...

Spanish - detected to English translation

Proportion of hospitalizations, and deaths to UCI by SARI.
With respect to the proportion of hospitalizations for SARI between hospitalizations for all causes, in week 23 reached 2.2%, showing a slight increase in the last week of 0.1%. The proportion of ICU SARI income between UCI income from all causes show a slight increase of ~ 1.8% (8.3%) compared to the previous week (6.5%). The proportion of deaths from SARI among the dead from all causes showed an increase (1.9%) compared to last week (0%) of the order of 2%

...

In the SE 23 of 2011, the sentinel sites have reported 1494 cases of SARI, have
1169 samples taken, of which, 31.9% (255/799) tested positive for some
respiratory viruses (Table 3).
...

The largest proportion of respiratory viruses identified in cases of SARI is currently left to RSV (62%), followed by the Influenza A H3N2 (32%). Adenovirus represents 4%, 2% Parainfluenza and Influenza A H1N1 2009 to 0.4%. To date, no influenza B virus has been detected in this surveillance.
From SE 4 shows a sharp decline in the circulation of influenza A H3N2. From SE 9 is detected RSV circulation increase, in recent weeks being the predominant virus identified.
...

...

Dengue
Currently all axes sub report cases within what is considered endemic channel, which implies a persistence of viral circulation and requires the close monitoring of the occurrence of cases, research and implementation of Community intervention measures. Monitoring comparative claims between epidemiological weeks in the endemic stage, will detect new outbreaks.
So far this year 50,602 cases were reported of acute febrile syndrome with suspected dengue, of whom 31 372 were confirmed (61.9%) cases by epidemiologic criteria and / or laboratory tests.
The cumulative incidence rate is 478.10 per 100,000 population. The serotypes identified were DEN-1 and DEN-2 (simultaneous circulation), with predominance of DEN-2.
In the epidemic period, between the SE 6 and 19, the total reported cases was 46,037, representing 92% of cases this year, of which 29 238 were confirmed (63.59%).

...

http://www.vigisalud.gov.py/index.php?option=com_phocadownload&view=category&download=111:17062011-se-24-boletin-epidemiologico&id=12:boletin-epidemiologico-2011&Itemid=260

**Ronan Kelly** · June 27, 2011, 06:31 AM

Re: Paraguay Epidemiological Bulletin Weeks 20-24

Week 25 June 24 2011

http://www.vigisalud.gov.py/index.php?option=com_phocadownload&view=category&download=112:25062011-se-25-boletin-epidemiologico&id=12:boletin-epidemiologico-2011&Itemid=260

31,956 Dengue cases vs 13,458 to the same date last year, 54 fatalities reported.

Spanish - detected to English translation

As recorded in Form Weekly Notifiable, ILI consultations accumulated to SE 24 (18/06/2011) amounts to 142,342 notifications. Correspond to this week, ILI consultations 6685, representing an incidence rate of 101.9 per 100,000 nationwide, in all ages.
Of the 18 health regions had increased only 4 queries regarding the SE 23. Departments Canindey? Guaira and had an increase slightly greater than 20%, about 10% Conception and Missions less than 1%.

...

Proportion of hospitalizations, and deaths to UCI by SARI.
With regard to the proportion of hospitalizations among hospitalizations SARI
from all causes, at week 24 reached 3.9%, showing almost
same behavior as the previous week (3.6%). The proportion of income to UCI
by SARI between UCI income from all causes show a slight increase
1.7% (13.6%) compared to the previous week (11.9%). The proportion of deaths by SARI among the dead from all causes showed an increase (5.1%) with over the previous week (2.9%) of the order of 2.2%. Since the beginning of the year SARI were 83 deaths in this sentinel surveillance.
...

The highest number of cumulative cases of SARI is in the age group
children under 2 years and especially in children under 6 months.
...

Ratio of Risk Factors, vaccination status and treatment with oseltamivir
Of all patients hospitalized for SARI 21.7% had one or more factors
risk. The most frequent chronic respiratory disease, including asthma,
(50.46%) heart disease (39.5%), diabetes (16.4%) and obesity (16.4%).
10% of hospitalized cases referred SARI receiving the influenza vaccine
during the 2010-2011 season and 8.3% received treatment with oseltamivir. It is note that when analyzing the deceased cases 50.6% had one or more
comorbidities.

...

The SE 24 2011, the sentinel sites have reported 1516 cases of SARI, have
1187 samples taken, of which 30.9% (258/835) tested positive for some
respiratory viruses (Table 5).

...

The largest proportion of respiratory viruses identified in cases of SARI is currently left to RSV (63%), followed by the Influenza A H3N2 (32%). Adenovirus represents 3%, 2% Parainfluenza and Influenza A H1N1 2009 to 0.4%. To date, no influenza B virus has been detected in this surveillance.
From SE 4 shows a sharp decline in the circulation of influenza A H3N2. From SE 9 is detected RSV circulation increase, in recent weeks being the predominant virus identified.

...

...

Dengue
Currently all axes sub report cases within what is considered endemic channel, which implies a persistence of viral circulation and requires the close monitoring of the occurrence of cases, research and implementation of Community intervention measures. Monitoring comparative claims between epidemiological weeks in the endemic stage, will detect new outbreaks.
So far this year, including the epidemic, 51,067 reported cases of acute febrile syndrome with suspected dengue, of whom 31 956 were confirmed (62.57%) cases by epidemiologic criteria and / or laboratory tests.
The cumulative incidence rate is 487.00 per 100,000 population. The serotypes identified were DEN-1 and DEN-2 (simultaneous circulation), with predominance of DEN-2.
In the epidemic period, between the SE 6 and 19, the total reported cases was 46,046, representing 92% of cases this year, of which 29 669 were confirmed (64.43%).
...

**Ronan Kelly** · July 4, 2011, 06:25 AM

Re: Paraguay Epidemiological Bulletin Weeks 20-25

Week 26; July 1 2011 [edited]

http://www.vigisalud.gov.py/index.php?option=com_phocadownload&view=category&download=114:01072011-se-26-boletin-epidemiologico&id=12:boletin-epidemiologico-2011&Itemid=260

...
As recorded in Form Weekly Notifiable, ILI consultations accumulated to SE 25 (25/06/2011) amounts to 148,345 notifications correspond to this week, ILI consultations 6003, representing an incidence rate of 91.5 per 100,000 nationwide, in all ages, down 10.2%.
Of the 18 health regions had increased 5 consultations with respect to the SE 24. The departments of Boqueron and Guairá had an increase greater than 50%, and the Departments of Misiones, Central and Alto Paraná greater than 20%.
...
Can be demonstrated in the endemic channel (Figure 2) that the number of ILI cases in the country at 25 SE for a second week suffered a decline, remaining on the fringe of alert coincides with the trend of last year. (Figure 3)
...
Proportion of hospitalizations, and deaths to UCI by SARI.
With respect to the proportion of hospitalizations for SARI between hospitalizations for all causes, in week 25 was 3.5%, showing a slight decrease compared to last week (4.6%). The proportion of ICU SARI income between UCI income from all causes also shows a slight decrease of 0.6% (14%) compared to the previous week (14.6%). The proportion of deaths from SARI among the dead from all causes declined (3.4%) compared to the previous week (5.1%) in the order of 1.7%.
...

In the SE 25 of 2011, the sentinel sites have reported 1699 cases of SARI is
1531 samples have been taken, of which, 30.3% (260/857) tested positive
for respiratory viruses (Table 5).

...
The largest proportion of respiratory viruses identified in cases of SARI is currently left to RSV (62%), followed by the Influenza A H3N2 (32%). Adenovirus and Parainfluenza The account for 3% each, and the Influenza A H1N1 2009 to 0.4%. To date, no influenza B virus has been detected in this surveillance.
From SE 4 shows a sharp decline in the circulation of influenza A H3N2. From SE 9 is detected RSV circulation increase, in recent weeks being the predominant virus identified.

...

...

Reporting 3 fatalities all H3N2.

...

DengueCurrently all axes sub report cases within what is considered endemic channel, which implies a persistence of viral circulation and requires the close monitoring of the occurrence of cases, research and implementation of Community intervention measures. Monitoring comparative claims between epidemiological weeks in the endemic stage, will detect new outbreaks.
So far this year, including the epidemic, 53,334 reported cases of acute febrile syndrome with suspected dengue, of whom 32 106 were confirmed (62.54%) cases by epidemiologic criteria and / or laboratory tests.
The cumulative incidence rate is 489.29 per 100,000 population. The serotypes identified were DEN-1 and DEN-2 (simultaneous circulation), with predominance of DEN-2.
In the epidemic period, between the SE 6 and 19, the total reported cases was 46,143, representing 92% of cases this year, of which 29 777 were confirmed (64.53%).
...

54 fatalities reported.

**Ronan Kelly** · July 12, 2011, 06:12 AM

Re: Paraguay Epidemiological Bulletin Weeks 20-26

Week 27; July 8 2011 [edited]

http://www.vigisalud.gov.py/index.php?option=com_phocadownload&view=category&download=115:08072011-se-27-boletin-epidemiologico&id=12:boletin-epidemiologico-2011&Itemid=260

Spanish - detected to English translation
As recorded in Form Weekly Notifiable, ILI consultations accumulated to SE 26 (02/07/2011) amounts to 154,606 notifications correspond to this week, ILI consultations 6261, representing an incidence rate of 95.4 per 100,000 nationwide, in all ages, with an increase of 4.3% compared to the SE 25.
Of the 18 health regions, 12 had increase in consultations regarding the SE 25. The Departments of Alto Paraguay Canindey? and had an increase greater than 50%, the Departments of San Pedro, Guaira, Caaguaz?, Itap?a and President Hayes more than 20%, and the Departments of Concepci?n, Caazap?, Misiones, Paraguar? greater than 10%. The Central Department presented an increase of just 1%.
Can be demonstrated in the endemic channel (Figure 1) that the number of ILI cases at the country level on the SE 26 suffered a slight rise, remaining within the strip alert and within expectations for the season (Figure 2 ).

...

Proportion of hospitalizations, and deaths to UCI by SARI.
With respect to the proportion of hospitalizations for SARI between hospitalizations for all causes, at week 26 reached 4%, showing a slight decrease compared to last week (4.4%). The proportion of ICU SARI income between income from all causes UCI also shows a decrease of ~ 8% (14.6%) compared to the previous week (22.5%). The proportion of deaths from SARI among the dead from all causes declined (1.8%) compared to the previous week (5.3%) in the order of 3.5%.

...

From the SE SE 1 26 1163 have been processed respiratory samples from hospitals SARI guards, of which 22.6% (263/1163) were positive for viruses. Of all positive samples to date, 63% are still growing VRS from week 9, 31% corresponds to A/H3 Influenza virus, Adenovirus 3% relate to and Parainfluenza, while Influenza A / 2009 H1N1 represents only 0.4%. To date, no influenza B virus has been detected in this surveillance.
From SE 4 shows a sharp decline in the circulation of influenza A H3N2. From SE 9 is detected RSV circulation increase, in recent weeks being the predominant virus identified.

...

A total of 1,735 SARI hospitalizations are reported, 292 admitted to ICU, and 94 fatalities.

...

Dengue:

Currently all axes sub report cases within what is considered endemic channel, which implies a persistence of viral circulation and requires the close monitoring of the occurrence of cases, research and implementation of Community intervention measures. Monitoring comparative claims between epidemiological weeks in the endemic stage, will detect new outbreaks.
So far this year, including the epidemic, 51,659 reported cases of acute febrile syndrome with suspected dengue, of whom 32 592 were confirmed (63%) cases by epidemiologic criteria and / or laboratory tests. The cumulative incidence rate is 496.69 per 100,000 population. The serotypes identified were DEN-1 and DEN-2 (simultaneous circulation), with predominance of DEN-2.
In the epidemic period, between the SE 6 and 19, the total reported cases was 46,392 representing 90% of cases this year, of which 30 162 were confirmed (65%).

...

62 fatalities reported.

**Ronan Kelly** · July 19, 2011, 05:25 AM

Re: Paraguay Epidemiological Bulletin Weeks 20-27

Week 28; July 15 2011 [edited]

http://www.vigisalud.gov.py/index.php?option=com_phocadownload&view=category&download=116:15072011-se-28-boletin-epidemiologico&id=12:boletin-epidemiologico-2011&Itemid=260

Spanish - detected to English translation

As recorded in Form Weekly Notifiable, ILI consultations accumulated to SE 27 (09/07/2011) amounts to 161,232 notifications correspond to this week, ILI consultations 6626, representing an incidence rate of 101 per 100,000 people throughout the country, all ages, up 5% compared to the SE 26.
Of the 18 health regions, 7 showed increase in consultations regarding the SE 26. Amambay Department reported an increase greater than 50%, the Departments of Cordillera, and Assumption Paraguar? greater than 20%, and the Departments of Itap?a, Central and ?eembuc? between 4 and 20%.
Can be demonstrated in the endemic channel (Figure 1) that the number of ILI cases in the country at week 27 experienced a slight increase, going back into the Gaza epidemic, but in line with the trend presented in previous years. (Figure 2).
...
Proportion of hospitalizations, and deaths to UCI by SARI.
With respect to the proportion of hospitalizations for SARI between hospitalizations for all causes, in week 27 reached 3.1%, same rate as the previous week. The proportion of ICU SARI income between income from all causes ICU shows an increase of 1% (12.7%) compared to the previous week (11.7%). The proportion of deaths from SARI among the dead from all causes increased (4.8%) compared to the previous week (1.8%) in the order of 3%. The cumulative number of deaths captured by sentinel surveillance is 100 (hundred) people.
...
From SE 1 SE 27 to 1024 have been processed respiratory samples from hospitals SARI guards, the percentage of positive cumulative 25.9% (265/1024), however in the last week was only 4, 8%. Of all positive samples to date, 63% are still growing VRS from week 9, 31% corresponds to A/H3 Influenza virus, Adenovirus 3% relate to and Parainfluenza, while Influenza A / 2009 H1N1 represents only 0.4%. To date, no influenza B virus has been detected in this surveillance.
From SE 4 shows a sharp decline in the circulation of influenza A H3N2. From SE 9 is detected RSV circulation increasing.
...

A total of 1.814 are SARI Reported hospitalizations, 308 Admitted to ICU, and 100 fatalities.

...

Dengue
Overcome the epidemic of Dengue, from epidemiological week 19, reports of acute febrile syndrome with suspected dengue in the system recorded a total of 3827 of which 1448 were confirmed (37.83%) cases by epidemiologic criteria and / or laboratory tests were discarded 94 and 2285 are still suspects. It is important to remember that Paraguay is a country endemic for this disease but are still checking with cut areas of viral circulation.

62 fatalities reported.

**Ronan Kelly** · July 23, 2011, 06:10 AM

Re: Paraguay Epidemiological Bulletin Weeks 20-28

Week 29; July 22 2011 [edited]

http://www.vigisalud.gov.py/index.php?option=com_phocadownload&view=category&id=12&Itemid=140

Spanish to English translation

As recorded in Form Weekly Notifiable, ILI consultations accumulated to SE 28 (16/07/2011) amounts to 168,576 notifications, corresponding to this week, ILI consultations 7344, representing an incidence rate of 111 , 9 per 100,000 nationwide, in all ages, with an increase of 11% compared to the SE 27.
Of the 18 health regions, 12 had increase in consultations regarding the SE 27. Departments Amambay and Boqueron reported an increase greater than 100%, the Departments of San Pedro, Presidente Hayes Guaira and more than 50% Caazap? Central ?eembuc? and more than 15% and the departments of Concepci?n, Cordillera, Misiones and Asunci?n 2 and 10%.

Can be demonstrated in the endemic channel (Figure 2) that the number of ILI cases in the country at 28 SE suffered a steady increase in the last three weeks, being in band epidemic.
...

Proportion of hospitalizations, and deaths to UCI by SARI.
With respect to the proportion of hospitalizations for SARI between hospitalizations for all causes, at week 28 was maintained at 3.1%. The proportion of ICU SARI income between UCI income from all causes showed a decline of ~ 8% (6.7%) compared to the previous week (14.6%). The proportion of deaths from SARI among the dead from all causes was 1.7%, with a decline of 3% over the previous week (4.8%). A total of 105 people died (see Chart 5).

...

From the SE SE 1 28 1057 have been processed respiratory samples from hospitals SARI guards, the percentage of positive cumulative 25.2% (266/1057). Of all positive samples to date, 63% are still growing VRS from week 9, 31% corresponds to A/H3 Influenza virus, Adenovirus 3% relate to and Parainfluenza, while Influenza A / 2009 H1N1 represents only 0.4%. To date, no influenza B virus has been detected in this surveillance. From SE 6 shows a predominance of RSV circulation relative to other etiologic agents (Figure 8)

...

SARI total 105 fatalities reported.

...
Dengue
Overcome the epidemic of Dengue, from epidemiological week 19, reports of acute febrile syndrome with suspected dengue in the system recorded a total of 3406 of which 1458 were confirmed (42.80%) cases by epidemiologic criteria and / or laboratory tests were discarded 112 and 1836 are still suspects. It is important to remember that Paraguay is a country endemic for this disease but are still checking with cutting areas of viral circulation

...

62 fatalities reported.

**Ronan Kelly** · August 1, 2011, 06:17 AM

Re: Paraguay Epidemiological Bulletin Weeks 20-29

Week 30; July 29 2011 [edited]

http://www.vigisalud.gov.py/index.php?option=com_phocadownload&view=category&download=118:29072011-se-30-boletin-epidemiologico&id=12:boletin-epidemiologico-2011&Itemid=260

As recorded in Form Weekly Notifiable, ILI consultations accumulated to SE 29 (23/07/2011) amounts to 174,361 notifications, corresponding to this week, ILI consultations 5785, representing an incidence rate of 88 , 1 per 100,000 nationwide, in all ages, down 21% compared to the SE 28.

Of the 18 health regions, only the departments of Concepci?n, Alto Paran? and Boqueron showed an increase in consultations regarding the SE 28, exceeding 50%.
The decline occurred in the last week, places the event again in the Gaza Alert, as shown in the channel endemic (Figure 1), showing the same trend as in 2008 and 2010. (Figure 2)

...

Proportion of hospitalizations, and deaths to UCI by SARI.
With respect to the proportion of hospitalizations for SARI between hospitalizations for all causes, in week 29 was 3.1%, suffering a decline of 2% over the previous week (5%). The proportion of ICU SARI income between UCI income from all causes show a slight increase of 2% (15.7%) compared to the previous week (13.4%). The proportion of deaths from SARI among the dead from all causes also suffered a slight increase (3.2%) compared to the previous week (1.3%) in the order of 2%. So far this year, the cumulative total of cases reported killed in the SARI surveillance totaling 109.

...

From the SE SE 1 29 1089 have been processed respiratory samples from hospitals SARI guards, the percentage of positive cumulative 24.4% (266/1089).
The monitoring of virus circulation by epidemiological week reported by the National Influenza Center, shows that the percentage of positive samples in the last week was 5%.
...

Dengue
Overcome the epidemic of Dengue, from epidemiological week 19, reports of acute febrile syndrome with suspected dengue in the system recorded a total of 3308 of which 1640 were confirmed (49.57%) cases by epidemiologic criteria and / or laboratory tests were discarded 117 and 1551 are still suspects. It is important to remember that Paraguay is a country endemic for this disease but are still checking with cut areas of viral circulation.

...

62 fatalities reported.

**Ronan Kelly** · August 8, 2011, 05:40 AM

Re: Paraguay Epidemiological Bulletin Weeks 20-30

Week 31; August 5th 2011 [edited], machine translated

http://www.vigisalud.gov.py/index.php?option=com_phocadownload&view=category&download=119:29072011-se-30-boletin-epidemiologico&id=12:boletin-epidemiologico-2011&Itemid=260

As recorded in Form Weekly Notifiable, ILI consultations accumulated to SE 30 (30/07/2011) amounts to 180,581 notifications, corresponding to this week, ILI consultations 6220, representing an incidence rate of 94 , 8 per 100,000 nationwide, in all ages, with an increase of 7.5% compared to the SE 29.

Of the 18 health regions, 9 of the departments reported an increase in inquiries about the SE 28. In the Department of Guaira was above 100%, in Caaguaz?, Central and ?eembuc? than 40% in San Pedro and Paraguar? than 20% and, in Cordillera, and President Hayes Amambay the increase was less than 10%.
In the last week the event is placed back into the Gaza Epidemic, as shown in the endemic channel (Figure 2), having the same trend as in 2010. (Figure 3)

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Proportion of hospitalizations, and deaths to UCI by SARI.
With respect to the proportion of hospitalizations for SARI between hospitalizations for all causes at 30 weeks was less than 3%. (2.6%) experiencing a decrease of 1% over the previous week (3.5%). The proportion of ICU SARI income between UCI income from all causes showed a decline of ~ 4% (11.1%) compared to the previous week (15%). The proportion of deaths from SARI among the dead from all causes experienced an increase (7.1%) compared to the previous week (4.7%) close to 2.5%. So far this year, the cumulative total of cases reported killed in the SARI surveillance totaling 115.

...

Of respiratory samples submitted by sentinel SARI in the last
week reported a single positive sample Adenovirus, represented
accumulated during the year to 3%, 4% Parainfluenza, Influenza A/H3 27% and the RSV
66%. Only one sample was positive for influenza A/H1N1 in the SE 5. Not
Influenza B identified in this surveillance.

...

Hantavirus
Summary - Year 2011
From SE SE 1 to 30 have been recorded 15 laboratory-confirmed cases of Hantavirus Pulmonary Syndrome (HPS), of which 14 are endemic: President Hayes (5), Boqueron (9).
In the department of Itap?a, non-endemic area and located in the southern axis of Paraguay, a confirmed (1) case.
Of the 15 confirmed cases of Hantavirus Pulmonary Syndrome, killed 8 people, representing a fatality rate of 53.3%
The confirmed dead are the department of Presidente Hayes (3) and the Department of Boqueron (5)

...

Dengue
Overcome the epidemic of Dengue, from epidemiological week 19, reports of acute febrile syndrome with suspected dengue in the system recorded a total of 3359 of which 2094 were confirmed (62%) cases by epidemiologic criteria and / or laboratory tests were discarded 146 and 1119 are still suspects. It is important to remember that Paraguay is a country endemic for this disease but are still checking with cut areas of viral circulation.

62 fatalities reported.

**Ronan Kelly** · August 13, 2011, 06:03 AM

Re: Paraguay Epidemiological Bulletin Weeks 20-31

Week 32; August 12th 2011 [edited], machine translated

http://www.vigisalud.gov.py/index.php?option=com_phocadownload&view=category&download=120:12082011-se-32-boletin-epidemiologico&id=12:boletin-epidemiologico-2011&Itemid=260

As recorded in Form Weekly Notifiable, ILI consultations
accumulated to SE 31 (06/08/2011) amounts to 186,451 notifications
corresponding to this week, 5870 ILI consultations, which represents a rate of
incidence of 89.5 per 100,000 nationwide, in all ages, with a
6% decrease compared to the SE 30.

Of the 18 health regions, 7 departments reported an increase in queries
with respect to the SE 30. The Departments of Canindey?, Alto Paraguay, Boqueron
showed an increase of over 100%, and Missions Caazap? than 50%
Alto Paran? Design and over 20% and the Department of ?eembuc?
increase was 3.4%.
The decline occurred in the last week, places the event again in the Gaza
Alert, as shown in the channel endemic (Figure 1), presenting the same
trend in 2010.
...

Proportion of hospitalizations, and deaths to UCI by SARI.
With respect to the proportion of hospitalizations for SARI between hospitalizations for all causes at 31 weeks was 3.7%, having a 1% increase over the previous week (2.7%). The proportion of ICU SARI income between UCI income from all causes show a slight increase of 3% (13.2%) compared to the previous week (10%). The proportion of deaths from SARI among the dead from all causes also experienced an increase (10.9%) compared to the previous week (7.1%) close to 4%. So far this year, the cumulative total of cases reported killed in the SARI surveillance totaling 126.

...

Dengue activity is minimal with total 62 fatalities reported.

**Ronan Kelly** · August 22, 2011, 05:26 AM

Re: Paraguay Epidemiological Bulletin Weeks 20-32

Week 33; August 19th 2011 [edited], machine translated

http://www.vigisalud.gov.py/index.php?option=com_phocadownload&view=category&download=121:19082011-se-33-boletin-epidemiologico&id=12:boletin-epidemiologico-2011&Itemid=260

As recorded in Form Weekly Notifiable, ILI consultations
accumulated to SE 32 (13/08/2011) amounts to 192,476 notifications
corresponding to this week, 6025 ILI consultations, which represents a rate of
incidence of 91.8 per 100,000 nationwide, in all ages, with a
2.6% increase compared to the SE 31.

Of the 18 health regions, 9 departments reported an increase in queries
with respect to the SE 31. Central Departments, President Hayes and Alto
Paraguay had a greater than 20%, San Pedro and Alto Parana than
10%. Increased less than 10% had Cordillera, Guaira, ?eembuc? and Asuncion.
In the last week the event is in the range of alert, as shown in
endemic channel (Figure 1), showing the same trend as in 2010. (Figure 2).

...

Proportion of hospitalizations, and deaths to UCI by SARI.
With respect to the proportion of hospitalizations for SARI between hospitalizations for all causes, at week 32 was 3.4%, un0, 5% less than the previous week (3.8%). The proportion of ICU SARI income between UCI income from all causes show a slight decrease less than 0.5% (12.8%) compared to the previous week (13.2%). The proportion of deaths from SARI among the dead from all causes was close to 8% and also showed a decrease (2%) over the previous week (9.8%). So far this year, the cumulative total of cases reported killed in the SARI surveillance totaling 127.
...

In the last week the cumulative percentage of positivity is in the order of 20% (21.5%). The data accumulated to indicate 32 SE greater proportion of RSV (62%), followed by influenza A H3 (31%) and Adenovirus smaller proportion (4%) and Parainfluenza (3%). So far this year has identified a single sample positive for Influenza A H1N1 2009.
Monitoring of viral circulation in recent weeks shows sporadic identification of influenza A / H3 and adenovirus, the percentage of positive samples in the SE 31 less than 10%. (7.7%). Until the date of the report have not been detected in the SE-positive samples from 32 hospitals vigilant.

...

Dengue activity is minimal with total 62 fatalities reported.

**Ronan Kelly** · August 31, 2011, 02:43 PM

Re: Paraguay Epidemiological Bulletin Weeks 20-33

Week 34; August 26th 2011 [edited], machine translated

http://www.vigisalud.gov.py/index.php?option=com_phocadownload&view=category&download=122:26082011-se-34-boletin-epidemiologico&id=12:boletin-epidemiologico-2011&Itemid=260

As recorded in Form Weekly Notifiable, ILI consultations
accumulated to SE 33 (20/08/2011) amounts to 197,721 notifications
corresponding to this week, 5245 ILI consultations, which represents a rate of
incidence of 79.9 per 100,000 people across the country, in all ages, with a
decrease of 13% compared to the SE 32.

Of the 18 health regions, 5 Department reported an increase in queries
with respect to the SE 32. Caaguaz? showed an increase of over 50%, Cordillera,
Missions and Amambay top 20% and, in the Department of Concepci?n increase
was 1.5%.
In the last week of the event tends to decrease delves further into the strip
Alert, as shown in the channel endemic. (Figure 1)

...

Proportion of hospitalizations, and deaths to UCI by SARI.
With respect to the proportion of hospitalizations for SARI between hospitalizations for all causes, at week 33 (3.6%) was similar to the previous (3.4%). The proportion of ICU SARI income between UCI income from all causes show a slight increase of 1% (10.3%) compared to the previous week (9.3%). The proportion of deaths from SARI among the dead from all causes also experienced an increase (9.2%) compared to the previous week (5.2%) 4%. So far this year, the cumulative total of cases reported killed in the SARI surveillance totaling 143.
...

From SE 1 SE 33 to 1436 have been processed respiratory samples from hospitals SARI guards, the percentage of positive cumulative 20.3% (291/1.436). The data accumulated to indicate SE 33 largest proportion of RSV (64%), followed by influenza A H3 (26%), and to a lesser extent Adenovirus (4%) and Parainfluenza (6%). So far this year has identified a single sample positive for Influenza A H1N1 2009. (Figure 5)
Monitoring of viral circulation Surveillance SARI Hospital, in recent weeks shows identification sporadic influenza A / H3, Parainfluenza, and Adenovirus, the percentage of positive samples in the SE 33 above 20% (22%). (Figure 6).

...

**Ronan Kelly** · September 4, 2011, 05:08 AM

Re: Paraguay Epidemiological Bulletin Weeks 20-34

Week 35; September 2nd 2011 [edited], machine translated

http://www.vigisalud.gov.py/index.php?option=com_phocadownload&view=category&download=123:02092011-se-35-boletin-epidemiologico&id=12:boletin-epidemiologico-2011&Itemid=260

As recorded in Form Weekly Notifiable, ILI consultations accumulated to SE 34 (27/08/2011) amounts to 204,493 notifications, corresponding to this week, ILI consultations 6772, representing an incidence rate of 103 , 2 per 100,000 nationwide, in all ages, with a 29.1% increase compared to the SE 33.

Of the 18 health regions, 16 departments reported an increase in consultations regarding the SE 33. Boqueron Department presented an increase of over 100%. Departments Guaira, Paraguarí, Central, presented Canindeyú Ñeembucú and an increase of over 50% Itapúa and Pres. Hayes and Amambay than 30%, Asunción, Alto Paraguay, Misiones and Caazapá an increase of over 20% and an increase equal to or less than 20% were in the departments of San Pedro, Concepcion and Alto Parana.
In the last week the event is in the range of alert, as shown in the channel endemic (Graph 1), showing the same trend as the year 2010 (Figure 2).

...

Proportion of hospitalizations, and deaths to UCI by SARI.
With respect to the proportion of hospitalizations for SARI between hospitalizations for all causes at 34 weeks was 3.4%, suffering a decline of 0.2% over the previous week (3.6%). The proportion of ICU SARI income between UCI income from all causes show a rise greater than 5% (15.9%) compared to the previous week (10.3%). The proportion of deaths from SARI among the dead from all causes suffered a decline (5.4%) compared to the previous week (9.2%) close to 4%. So far this year, the cumulative total of cases reported killed in the SARI surveillance totaling 147.

...

From SE 1 to SE 34, 1459 have been processed respiratory samples from hospitals SARI guards, the percentage of positive cumulative 19% (291/1.459). The data accumulated to indicate 34 SE greater proportion of RSV (64%), followed by influenza A H3 (26%) and Parainfluenza smaller proportion (6%) and adenovirus (4%). So far this year has identified a single sample positive for Influenza A H1N1 2009.
Monitoring of viral circulation Surveillance SARI Hospital, in recent weeks shows sporadic influenza virus identification, Parainfluenza, and Adenovirus, the percentage of positive samples in the SE 34 of more than 20%. (21.8%).

Announcement

Paraguay Epidemiological Bulletin Weeks 20-50 2011

Paraguay Epidemiological Bulletin Weeks 20-50 2011

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