Re: Behavioral response to 2009 Influenza H1N1
Source:
http://www.argenpress.info/2009/05/m...tas-16-de.html
Google translation:
Friday May 15, 2009
Mexico: A/H1N1 - 34 women killed, 16 of them housewives
Sandra Torres Pastrana (CIMAC)
The case of a woman whose husband of 32 years, died of A/H1N1 virus and therefore was evicted along with their four daughters and sons for their home is just one example of how discrimination has characterized the pandemic in our country, with no public institutions in the emotional support for the sick, quarantined or hospitalized for relatives of those killed, mostly women.
This is affirmed Guadeloupe Majul, deputy director of the Clinical Care Tech Palewi who coordinates mental health care to families of victims of the deadly virus and sick people as part of the care program initiated by the Government of Mexico through a team, led by Patricia Pati?o, who also responded to the victims of the fire in the disco's New Divine.
According to figures from the Ministry of Health (SS) to date 60 people have died from the virus, 56.7 percent of whom were women, mostly between 20 to 54 years, with primary schooling. Of the women who died, 16 were devoted to home.
Tech Palewi clinic, through the call center of the Business Coordinating Council, has detected the phone since last May 1, cases of relatives of victims, hospitalized people, who need the assistance of experts for their state of anxiety, the emotional impact to the virus.
Currently, Tech Palewi has detected 15 cases to which they are following up, through counseling and telephone support, but it will add more in line passing day. Also covers the three women who are sick and hospitalized two men, one of them still hospitalized, and two sick children with their mother and father.
And support to families of 6 persons killed, 5 of whom were women of 72, 24, 35, 38 and 40 years of age, as a man of 32 years.
The GDF has referred cases, but through the phone have also known of other deaths that occurred at the National Institute of Respiratory Diseases (INER) and the Instituto Mexicano del Seguro Social (IMSS), among others.
Mental health and health emergency
This program, Majul states, intends to sensitize governments and precisely detect the emotional needs of the population has been affected by the influenza A/H1N1 virus, which, like emergency care, are important aspects of mental health.
Tanat?loga and also notes the coordinator of patient care, although health care is efficient, "unfortunately the public health institutions do not provide emotional support, even in this epidemic, and therefore there is no containment of patients or relatives."
Some relatives of victims of the virus have revealed that they did not receive emotional support even when his family was in the hospital, spent hours with no information, with limited views, which means both to abuse family members as patients, said Majul.
Furthermore, once the body is delivered to their families, health authorities do not provide any emotional support, but given the epidemiological monitoring for the detection of the family, he says.
Cases
Among the deaths, which are mostly women, Majul recalls a couple of 24 years died in a hospital of the IMSS, whose death was due to the lack of adequate response to the drug, contrary to the positive response that her mother had and sister also interned for influenza A/H1N1.
In this case, Tech Palewi accompanying the husband did, because in principle it was in his house to evolve properly, but it followed a complication that brought down on hospitalization and death, without any further explanation until now.
After his death, his mother was discharged from the hospital, as did his sister, who had a favorable response to the medicine. This family will now give telephone follow-up.
Another sad case, tells Majul is the death of a woman aged 38 who died on April 24, a mother of two girls, one 10 and another 5 years and a boy of 7 years who were left with his father.
According to the husband, she went to the doctor for a cold and discomfort, he was given medication but the discomfort increased and returned to the doctor, who changed her treatment, but had complications, was hospitalized and died. The family has used the facilities of the organization, which are helping them, especially girls and children to express their emotions.
Therapy
Assistant Director for Tech Palewi therapy has some technical aspects of a general nature: how to live the crisis, catharsis techniques and how they conceptualized the process of mourning and the later stages, but obviously there are things that are very specific and each case has its own particular details.
Women may have specific needs and this will depend on your personal and family history, because it is not the same as a woman who has been working away from home and lose your partner, that is dedicated to home and suddenly is the need to be a provider.
Basically, Majul said, we are taking entire families where the woman was widowed, or vice versa, with sons and daughters and they really flow to the office has been very slow due to the emergency situation in the country and because there are families who are under treatment and the same situation in isolation, which are attended by telephone.
Statistics SS
According to the Ministry of Health, today there are 60 fatalities, 56.7 percent female and 41.4 percent men, 79.3 percent of which relate to people aged 20 to 54 years.
Most of the deaths for people with primary school degree (43 percent), 19.3 to secondary school the same percentage, 10.5 professional.
As for the usual occupation of the people died, most, 16 cases were women engaged in household, 11 workers, 11 private employees; 7 students, and with fewer cases, unemployed or employed in the public sector among others.
The total number of confirmed cases, according to the SS, are 2 to 446 thousand yesterday, after it has already almost nine thousand tests.
On the other hand, for the tanat?loga and deputy director of the Clinical Care Association Palewi Tech, as they spend time going to get more cases to the clinic because of the duel will happen and end the isolation many families because they are in treatment .
"Not all people asking for help after the death of a loved one, the first few weeks are contained by the family, spiritual and religious rituals, so it is not so much the absence, but as time passes and people are taking their routine, starts to feel the absence and after a few weeks, where they see the reality of loss is when you ask for help. "
Finally, Majul says the grieving process does not end in a couple of weeks, much less for women because these are different according to their social and family relationships.
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