Argentina - Two nurses die of flu-like illness, several others hospitalized, unconfirmed reports of additional linked fatalities - hospital closed in

[alert]

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - influenza ruled out

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - influenza ruled out

Amazing finds, Treyfish. So the outbreak is due to H1N1 after all, and this serves as a reminder than tests for influenza can produce false negatives.

Perhaps the fact that one of the travelers had returned from the US (first reported in post #11) should have been an important clue.

 

[tetano]

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - H1N1 confirmed

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - H1N1 confirmed

To only five days of which the Department of from Buenos Aires Health should have denied that the flu A was the cause of the sprout of a sharp infection that affected 11 persons in the hospital of Carmen de Areco, the Department of Health of the Nation informed yesterday that the viral genoma of the virus of the flu A was found in the samples of four of the affected patients, which were analyzed in the Institute Malbr?n. Although the majority of the affected patients evolves in favorable form, two nurses of the hospital who contracted the infection were still yesterday inmates in critical state.
' In this moment there is no viral circulation of the illness in the Argentina ', clarified yesterday the minister of Health, Juan Luis Manzur, at the time that he added that ' the first case of the happened ones in the hospital of Carmen de Areco would correspond to that of a patient who entered to the country with the virus proceeding from the United States and who infected persons with whom it had contact only in the ambience of the intensive therapy of the nosocomio '. The United States faces this northern winter an epidemic of flu of major magnitude than the average, which is affecting with special severity the biggest persons.

http://www.lanacion.com.ar/1551463-detectan-gripe-a-en-los-pacientes-del-hospital-de-carmen-de-areco

 

[Giuseppe]

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - H1N1 confirmed

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - H1N1 confirmed

Source: La Nacion, http://www.lanacion.com.ar/1551463-detectan-gripe-a-en-los-pacientes-del-hospital-de-carmen-de-areco


Detectan gripe A en los pacientes del hospital de Carmen de Areco

Por Sebasti?n A. R?os | LA NACION

A tan s?lo cinco d?as de que el Ministerio de Salud bonaerense haya negado que la gripe A fuera la causa del brote de una aguda infecci?n que afect? a 11 personas en el hospital de Carmen de Areco, el Ministerio de Salud de la Naci?n inform? ayer que el genoma viral del virus de la gripe A fue hallado en las muestras de cuatro de los pacientes afectados, que fueron analizadas en el Instituto Malbr?n.

Aunque la mayor?a de los pacientes afectados evoluciona en forma favorable, dos enfermeras del hospital que contrajeron la infecci?n segu?an ayer internadas en estado cr?tico.

"En este momento no hay circulaci?n viral de la enfermedad en la Argentina", aclar? ayer el ministro de Salud, Juan Luis Manzur, al tiempo que precis? que "el primer caso de los ocurridos en el hospital de Carmen de Areco corresponder?a al de un paciente que ingres? al pa?s con el virus procedente de los Estados Unidos y que contagi? a personas con las que tuvo contacto s?lo en el ?mbito de la terapia intensiva del nosocomio". Estados Unidos enfrenta este invierno boreal una epidemia de gripe de mayor magnitud que el promedio, que est? afectando con especial severidad a las personas mayores.

El Ministerio de Salud nacional aclar? a trav?s de un comunicado que "dado el tiempo de evoluci?n de los pacientes, la cantidad analizada de genoma era baja, por lo que se requerir?n m?s estudios para terminar de confirmar estos resultados".

Jaime Lazovski, subsecretario de Relaciones Sanitarias e Investigaci?n y a cargo de la Anlis-Malbr?n, precis?: "Esta informaci?n coloca a la influenza A como la primera causa probable del brote que afect? a 10 personas entre empleados y pacientes internados en la terapia intensiva del nosocomio, y servir? para intensificar las estudios epidemiol?gicos que ya est?n realizando los equipos de las ?reas de Epidemiolog?a del Ministerio de Salud de la Naci?n y de la provincia de Buenos Aires".

Los estudios epidemiol?gicos se orientar?n esta semana a confirmar que el virus provino de los Estados Unidos, inform? el citado ministerio.
Lo que a?n se desconoce es de qu? cepa de gripe A se trata, si la que circul? el a?o pasado en el ?ltimo invierno en la Argentina o la que circula actualmente en el hemisferio norte.

"Si se tratara de la cepa que circul? el a?o pasado en la Argentina, las personas que se vacunaron el a?o pasado tendr?an a?n cierta protecci?n, ya que ?sta dura aproximadamente unos 10 meses", dijo a LA NACION la doctora Carla Vizzoti, jefa del Programa Nacional de Control de Enfermedades Inmunoprevenibles del Ministerio de Salud de la Naci?n.
Vacuna en camino

La funcionaria se?al? que "a fines de febrero comenzar? la distribuci?n de la nueva vacuna antigripal [que se elabora a partir de los serotipos del virus que actualmente est?n circulando, y que difieren de los del a?o pasado]. El caso de Carmen de Areco es un ejemplo de c?mo el personal de salud est? expuesto al virus y que tiene que protegerse, para no contagiar a los pacientes".

El ministerio inform? que los pacientes afectados por el brote ocurrido en el hospital Nuestra Se?ora del Carmen, de la ciudad bonaerense de Carmen de Areco, "no hab?an recibido la vacuna antigripal".

Adem?s, dijo a la nacion el doctor Luis Crovetto, director de Atenci?n Primaria de la Salud de la provincia de Buenos Aires, "ten?an factores agravantes, como antecedentes de tabaquismo importantes, e incluso una paciente estaba en tratamiento con corticoides, lo que es como estar inmunosuprimido".

Crovetto tambi?n se?al? que "esta semana comenzar? a funcionar en forma progresiva el hospital de Carmen de Areco, a medida que las distintas ?reas puedan ponerse operativas y se pueda garantizar su seguridad".

Desde que se cerr? el servicio de terapia intensiva del hospital, donde ocurri? el brote, no se han detectado nuevos casos de la enfermedad.


EMERGENCIA EN EE. UU.

En este invierno del hemisferio norte, la gripe A mostr? un comportamiento m?s virulento que el a?o pasado. El gobernador de Nueva York declar? en emergencia a la salud p?blica ante los brotes de la enfermedad. S?lo en ese estado norteamericano se detectaron hasta mediados de enero pasado 20.000 casos de influenza con una cepa distinta que, seg?n los diagn?sticos, provoca s?ntomas m?s severos y graves que las temporadas anteriores..

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[Giuseppe]

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - H1N1 confirmed

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - H1N1 confirmed

Influenza A(H1N1)pdm09 was not cited in any of the above articles in Spanish (''Gripe A'').

Since in the US the overwhelming majority of influenza A viruses circulating are of subtype H3N2, it is likely that the cluster of Argentinian cases are also caused by the same subtype.

The hyperacute clinical presentation of these nosocomial cases, however, could signal the presence of other pathogens and until a more precise aethiological studies will be performed and results made public, I would remain cautious about the actual causative agent in this cluster.

 

[Giuseppe]

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - H1N1 confirmed

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - H1N1 confirmed

Source: Argentinian Ministry of Health, in Spanish, full page: http://www.msal.gov.ar/prensa/index...-carmen-de-areco&catid=6:destacados-slide1068


Estudios realizados en ANLIS-Malbr?n detectan gripe A en pacientes infectados en el Hospital de Carmen de Areco


S?bado, 02 de Febrero de 2013 00:00


Tras los estudios realizados en el Laboratorio de Virus Respiratorios dependiente del organismo, se detect? la presencia de genoma viral de Gripe A.

El Ministerio de Salud de la Naci?n, a trav?s de la Administraci?n Nacional de Laboratorios e Institutos de Salud ? ANLIS ?Dr. Carlos G. Malbr?n?, inform? hoy que tras los estudios realizados en el Laboratorio de Virus Respiratorios dependiente del organismo, se detect? la presencia de genoma viral de Gripe A a trav?s de la t?cnica de PCR convencional en muestras de 4 de los pacientes afectados por el brote de neumon?a aguda en el hospital ?Nuestra Se?ora del Carmen?, de la ciudad bonaerense de Carmen de Areco.

?Esta situaci?n pone claramente en evidencia la importancia de estar vacunado contra la gripe, ya que la influenza es una enfermedad potencialmente grave para las personas que integran los grupos de riesgo, tal el caso de los trabajadores del sector salud?, dijo el ministro de Salud Juan Luis Manzur, quien durante la jornada da hoy mantuvo reuniones con los integrantes de los equipos t?cnicos de su cartera para monitorear la evoluci?n del brote.

El funcionario agreg? que ?en este momento no hay circulaci?n viral de la enfermedad en la Argentina?, se?alando que ?el primer caso de los ocurridos en el hospital de Carmen de Areco corresponder?a al de un paciente que ingres? al pa?s con el virus procedente de los Estados Unidos y que contagi? a personas con las que tuvo contacto s?lo en el ?mbito de la terapia intensiva del nosocomio?.

Tras conocerse los resultados de los estudios, la ANLIS-Malbr?n aclar? que, dado el tiempo de evoluci?n de los pacientes, la cantidad analizada de genoma era baja, por lo que se requerir?n m?s estudios para terminar de confirmar estos resultados.

?Esta informaci?n coloca a la Influenza A como la primera causa probable del brote que afect? a 10 personas entre empleados y pacientes internados en la terapia intensiva del nosocomio, y servir? para intensificar las estudios epidemiol?gicos que ya est?n realizando los equipos de las ?reas de Epidemiolog?a del Ministerio de Salud de la Naci?n y de la provincia de Buenos Aires?, explic? Jaime Lazovski, subsecretario de Relaciones Sanitarias e Investigaci?n y a cargo de la ANLIS-Malbr?n.

La suposici?n de que la causa del episodio pod?a ser la Gripe A se origin? en que uno de los primeros casos se trat? de una persona que hab?a realizado un viaje a Estados Unidos a fines del a?o pasado, y que en ese pa?s se registra una seria epidemia de Gripe A.

Los estudios epidemiol?gicos se orientar?n esta semana a confirmar que el virus provino de los Estados Unidos.

Entre tanto, las autoridades sanitarias informaron que desde que se cerr? el servicio de terapia intensiva del hospital, hace 10 d?as, no se han detectado nuevos casos de la enfermedad. Tambi?n que los enfermos m?s graves presentaban factores de riesgo para complicaciones y que no hab?an recibido la vacuna antigripal.

Aunque ya se han descartado la mayor?a de las otras causas que se hab?an sospechado cuando se detect? el brote, los ex?menes de laboratorio continuar?n debido a que algunos de ellos requieren repetir muestras luego de unas semanas para detectar cambios en la respuesta inmunol?gica de anticuerpos en los pacientes.


Quienes deben vacunarse contra la gripe

En 2011, la Presidenta de la Naci?n Cristina Fern?ndez de Kirchner decidi? incorporar la vacuna antigripal al Calendario Nacional de Inmunizaciones. Se trata de una vacunaci?n anual que se brinda gratuitamente en hospitales y centros de salud p?blicos de todo el pa?s a:

> Todos los trabajadores de la salud
> Todas las mujeres embarazadas, en cualquier momento de la gestaci?n.
> Todas las mujeres que tienen beb?s menores de 6 meses.
> Todos los ni?os entre 6 meses y 24 meses inclusive.
> Ni?os y adultos que tienen entre 2 y 64 a?os con enfermedades cr?nicas
(respiratorias, card?acas, renales, diabetes, obesidad m?rbida), con receta m?dica.
> Mayores de 65 a?os.

Las personas integrantes de estos grupos deber?n vacunarse anualmente, independientemente de haber recibido tratamiento previo con antivirales.


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[alert]

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - H1N1 confirmed

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - H1N1 confirmed

Influenza A(H1N1)pdm09 was not cited in any of the above articles in Spanish (''Gripe A'').

Since in the US the overwhelming majority of influenza A viruses circulating are of subtype H3N2, it is likely that the cluster of Argentinian cases are also caused by the same subtype.

The hyperacute clinical presentation of these nosocomial cases, however, could signal the presence of other pathogens and until a more precise aethiological studies will be performed and results made public, I would remain cautious about the actual causative agent in this cluster.

Posts #18 and #19 refer to "four cases of swine flu". Since I doubt H3N2v is involved, I am assuming the seasonal flu detected is H1N1pdm09, and made the title change in this thread based on those articles.

 

[Giuseppe]

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - H1N1 confirmed

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - H1N1 confirmed

Posts #18 and #19 refer to "four cases of swine flu". Since I doubt H3N2v is involved, I am assuming the seasonal flu detected is H1N1pdm09, and made the title change in this thread based on those articles.

The original spanish text told about 'Gripe A' but not details the subtype. The thread should be updated accordingly.

 

[sharon sanders]

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco

I have changed the thread title to omit H1N1pdm09. Sometimes reporters get the story wrong. Sometimes they have the title incorrect but the body of the article correct - and also vice versa.

 

[alert]

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco

http://www.arecociudad.com.ar/nota.asp?n=&id=694&id_tiponota=4

There would circulation viral disease
Swine flu: four cases detected in Carmen de Areco

The Secretary General of the Union of Public Health, Miguel ?ngel Zubieta, confirmed the information.

Source: NOVA Agency
Although the Ministry of Health had ruled out the presence of influenza A virus in hospital patients referred Carmen de Areco, reported Saturday that traces of the virus were found in four of eleven persons interned.
In an interview with NOVA, the Secretary General of the Union of Public Health of the Province (SSP), Miguel ?ngel Zubieta confirmed that eleven people interned, they found traces of the dreaded H1N1 virus in four cases.
Ten days ago there was a spread of a strange illness that affected nurses Hospital Nuestra Se?ora del Carmen, in the town of Carmen de Areco Buenos Aires. As a precaution, immediately closed the intensive care unit of the hospital, and from that moment we did not detect new cases of the disease.
On Monday, the Ministry of Health of Buenos Aires had reported that none of the eleven cases corresponded to the flu virus "in all its forms", nor were such "other respiratory viruses", from analyzes performed were negative for flu in laboratories address Cabins Blue Zoonosis, Rossi Hospital of La Plata and Maiztegui Institute of parchment.
However, on Saturday from the Ministry of Health of the Nation, by the Minister Juan Manzur, issued a statement which said that "after studies conducted in the Laboratory of Respiratory Viruses" Malbr?n Institute, "was detected presence of the viral genome of influenza A in samples from four of the patients affected by the outbreak of acute pneumonia "in hospital in Carmen de Areco.
Meanwhile, Zubieta said that "we must prevent people panic." In this regard, said that "traces of the virus were found" but warned that "it is necessary to clarify that patients do not have the virus."
The Surgeon General also noted that "this type of situations that demonstrate the risk to exposed health personnel" and again requested "is implemented and 'unsafe' in all hospitals, and to be regulated the 'hospital critical task.' "
Furthermore, Zubieta, referred to the attitude of the Minister of Health of Buenos Aires, Alejandro Collia who contacted the union to warn the balance. "In this case, we must recognize the will of the government and the minister in particular, contact us to inform us of the issue, to take public state that"
Meanwhile, as said in the statement issued by the Ministry of Health of the Nation "at this time there is no disease viral circulation in Argentina", and added that "the first case of those that occurred in the hospital of Carmen de Areco correspond to a patient who entered the country with the virus from the United States and spread to people I had contact only in the field of intensive care "health center of the city of Buenos Aires.

 

[alert]

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

Both nurses are confirmed H1N1 cases, and both are apparently on ventilators.



Remain critically ill patients infected with influenza A in Carmen de Areco
03.02.2013 | "Business as usual", reported from the area of ​​the Hospital Intensive Care Rossi de La Plata, where he remained hospitalized two of the four people who contracted the virus in the Hospital Nuestra Señora del Carmen the Buenos Aires district of Carmen de Areco .
Two of the people infected with influenza A virus remained hospitalized today in critical condition, while the deputy bonaerense Broad Progressive Front (FAP) Fernanda Antonijevic requested the government of Daniel Scioli further information on the outbreak.

"Business as usual", reported from the area of ​​the Hospital Intensive Care Rossi de La Plata, where he remained hospitalized two of the four people who contracted the virus in the Hospital Nuestra Señora del Carmen the Buenos Aires district of Carmen de Areco.

The FAP lawmaker submitted a draft application for the Executive reports to publicize bonaerense biosecurity status of the health center where the infections occurred and the picture of patient health.

"So far, not been reported if the current biosafety situation in the party of Carmen de Areco, demand or declare the same in health emergency," said Antonijevic, said a statement.

The provincial deputy said that "worrying is the situation that exists in Carmen de Areco, due to the lack of accuracy in the information received by the community, by the relevant authorities."

Personal Area Hospital Intensive Rossi told the agency that the situation of persons hospitalized with influenza A was unchanged in the last hours.

Both patients are in critical condition in hospital nurses Carmen de Areco, confirmed yesterday the director of Preventive Medicine, Ministry of Health of Buenos Aires, Luis Crovetto, adding that both are "serious" and "mechanical ventilation".

Although four confirmed cases of Influenza A, a total of eleven people had similar symptoms in the Hospital of Carmen de Areco, of which two were discharged with personalized daily checks by phone.

The remaining nine were transferred to other health centers for care: six were admitted to the Hospital Rossi, two in hospital San Jose, Parchment, and another patient was in the hospital Cetrángolo of Vicente Lopez.

The Ministry of Health of the Nation, leading Juan Manzur, confirmed yesterday that "after studies conducted in the Laboratory of Respiratory Viruses" Malbrán Institute, "detected the presence of influenza A viral genome in samples of four patients affected by the outbreak of acute pneumonia "in hospital in Carmen de Areco.

"This clearly reveals the importance of being vaccinated against flu because influenza is a potentially serious illness for people within the risk groups, as in the case of health care workers," said Manzur.

He added that "right now there is no disease viral circulation in Argentina", and remarked that "the first case of those that occurred in the hospital of Carmen de Areco correspond to a patient who entered the country with the virus from U.S. and spread to people I had contact only in the field of intensive care "health center.

http://www.laprensa.com.ar/402286-S...ados-por-gripe-A-en-Carmen-de-Areco.note.aspx

 

[tetano]

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

Nine affected persons of flu are still hospitalized

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

http://www.lanacion.com.ar/1551683-siguen-internadas-nueve-personas-afectadas-de-gripe-a

 

[Giuseppe]

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

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

Is it possible that another pathogen could be involved in an hyperacute outbreak among health care providers?

 

[Vibrant62]

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

Another question (if this is just H1N1) is why would pH1N1, after a very large circulation over the last four years and inevitable multiple exposures for healthcare workers (who very likely have had vaccines in the past) suddenly cause such a high level of severe disease and/or virulence?

 

[tetano]

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

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

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

The H1N1 virus even if circulates for 4 years, maintains intact its dangerousness toward people who are not immune against him. This is testified by the fatal cases that are recorded in various parts of the world , in particular people between 45 and 65 years.
Furthermore many health care workers, expecially nurses, refuse to submit to vaccination.

 

[alert]

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

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

http://www.genteba.com.ar/component...ado-al-malbran-resulto-compatible-con-gripe-a

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

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

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

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

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

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

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

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

Moreover, in the San Jose hospital also interned Parchment other two are also affected stable and improving. The same applies to another patient in the hospital Cetrángolo of Vicente Lopez.

 

[Giuseppe]

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

Source: La Nacion, http://www.lanacion.com.ar/1551718-...acunarse-antes-de-viajar-a-los-estados-unidos

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


Desde el Ministerio de Salud bonaerense plantearon tomar esa precauci?n por el brote epid?mico que registra ese pa?s; c?mo siguen los afectados de Carmen de Areco

Desde el Ministerio de Salud bonaerense recomendaron a la poblaci?n vacunarse antes de viajar a los Estados Unidos en base al brote epid?mico que registra en este momento dicho pa?s.

"Debe tenerse [en cuenta] como prevenci?n de que Estados Unidos est? pasando por un brote epid?mico. Ser?a conveniente que quien concurra tenga la protecci?n de la vacuna porque es una herramienta altamente efectiva para prevenir la salud", se?al? en declaraciones a TN el director de Atenci?n Primaria de dicha cartera, Luis Crovetto.

Sobre la situaci?n que atraviesan las nueve personas afectadas de gripe A, cuyo contagio se produjo en el hospital de Carmen de Areco, Crovetto detall?: "Dos se encuentran de alta, 7 est?n evolucionando satisfactoriamente y pr?ximos a finalizar su tratamiento, y otras dos siguen en terapia intensiva en estado cr?tico".

Por otro lado, agreg? que hace 12 d?as que no se registran nuevos casos de afectados, ni en el personal ni en la comunidad, aunque contin?an con las tareas de investigaci?n para conocer su procedencia.

"En principio, como antecedente de importancia, hay un trabajador que hab?a viajado a los Estados Unidos. El Instituto Malbr?n sigue trabajando para ver qu? variedad es y establecer si existe correspondencia con este dato", agreg?.

Crovetto aprovech? las circunstancias para desmentir algunas versiones que hablaban de la circulaci?n viral en la Argentina y, especialmente, en la provincia de Buenos Aires, donde "existe una alta cobertura de vacunaci?n, del 93%"..


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[Giuseppe]

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

Source: Clarin, http://www.clarin.com/sociedad/Gripe-afirman-circulacion-piden-tranquilidad_0_859714166.html


Gripe A: afirman que no hay circulaci?n del virus y piden tranquilidad

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


04/02/13 - 13:41


Tras la confirmaci?n de cuatro casos de Gripe A en el hospital de Carmen de Areco, el gobernador bonaerense Daniel Scioli pidi? ?tranquilidad? a la poblaci?n y afirm? que no hay circulaci?n de la enfermedad, ya que se encuentra ?encapsulada? en ese centro de salud.

"Quiero transmitir absoluta tranquilidad, (la Gripe A) est? absolutamente bloqueada, limitada y encapsulada en esos casos" de Carmen de Areco, donde est?n internadas cuatro personas, asegur? Scioli en declaraciones a Radio 10.

Por su parte, el ministro de Salud de la Provincia, Alejandro Collia, confirm? hoy que una enfermera que contrajo el virus en Orlando, Estados Unidos, "ser?a el nexo epidemiol?gico" de los cuatro casos de Gripe A detectados en el hospital Nuestra Se?ora del Carmen.
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Hasta el momento, asegur?, s?lo est? probado que "cuatro de los once pacientes que fueron hospitalizados con los mismos s?ntomas contrajeron el virus". Y destac? que desde que se cerr? el servicio de terapia intensiva del hospital, hace 12 d?as, no se detectaron nuevos casos.

Asimismo, aunque aclar? que la recomendaci?n existe desde antes que se detecte este brote, el ministro inst? a todos los que tienen previsto viajar a los Estados Unidos a vacunarse contra la Gripe A.

De las nueve personas que permanecen internadas, dos enfermeras se encuentran en estado cr?tico y con asistencia respiratoria mec?nica en el ?rea de Terapia Intensiva del Hospital Rossi de La Plata, inform? ayer el director de Medicina Preventiva del Ministerio de Salud bonaerense, Luis Crovetto.

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[alert]

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

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

http://www.buenosairesherald.com/ar...outbreak-suggests-flu-shot-before-visiting-us

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

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

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

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

He concluded by assuring that ?every infected patient was treated quickly? and that no other cases were registered.

 

[alert]

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

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

http://www.elnuevoherald.com/2013/02/04/1399655/cuatro-casos-de-gripe-h1n1-dos.html

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

 

[alert]

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

Re: Argentina - At least 15 people sick with flu like illness - hospital closed in Carmen de Areco - 4 people with H1N1pdm09

http://www.lanacion.com.ar/1551794-scioli-pidio-tranquilidad-tras-los-once-casos-de-gripe-a

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

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

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

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

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

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

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

The official said that a nurse who contracted the virus in Orlando, United States, "would the epidemiological link" of the four flu cases detected in hospital Our Lady of Mt. He also confirmed that only proved that "the eleven patients who were hospitalized with the same symptoms contracted the virus" and noted that since the closure of the intensive care unit of the hospital, 12 days ago, there were no new cases of the disease .