Re: Bolivia - H1N1 - Confirmed Cases - 547
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http://www.laprensa.com.bo/noticias/14-07-09/noticias.php?nota=14_07_09_socd1.php
SOCIETY
THERE ARE THREE OTHER STATE IN PATIENTS WITH ACUTE AND DIAGNOSIS RESERVED
Two patients died in La Paz on suspicion of having influenza A
Updated 14/07/2009
Prevention at the Institute of Thorax, a sign prohibiting the entry of persons not using the chinstrap
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This is a man of 37 years who died in the Hospital de la Oliva Luis Uría and a woman of 44 years, at the Instituto del Tórax, in Miraflores. The 1406 samples CENETROP accumulated raw
The Departmental Service of Health (Headquarters) in La Paz awaiting confirmation of the Center for Tropical Diseases (CENETROP) from Santa Cruz that killed two people with the suspicion of being carriers of influenza virus A.
In addition, three others are seriously ill with symptoms with a diagnosis reserved for the new flu.
In Santa Cruz, the lack of reagents CENETROP resulted in the accumulation of 1,406 samples from across the country to verify if they correspond to the disease.
The director of the Departmental Service of Health in Santa Cruz, Erwin Saucedo, reported stopping activities because of lack of reagents CENETROP until yesterday afternoon, when Health Minister Ramiro Tapia, arrived in this capital with a staff of East " test kit. "
In La Paz, the director of the Headquarters, Franz Torrez explained that one of the deceased, a male person of 37 years, was taken to the Hospital Luis de la Oliva Uría with simple pneumonia deteriorated to cause a heart attack Saturday morning.
Torrez also confirmed that the patient had symptoms of an influenza A, such as nasal discharge and fever.
The second suspected case was at the Institut du Thorax, the hospital complex of Miraflores. She is a woman of 44 years who had a degree of pneumonia complicated "multi-bilateral sources (in both lungs). Died on Sunday and was connected to an artificial breathing machine. The cause of death was a heart attack, but they had flu symptoms.
In both cases, samples were sent to CENETROP pending confirmation, but it is unknown when they will be verified by the laboratory. Torrez is expected on Wednesday or Thursday, said that because the order was given to them that are of priority for testing.
No data
As the CENETROP did not work yesterday, did just the weekend with a "test kit" sent by the Ministry of Health, yesterday was not known if there were further positive cases in the country.
The latest report was the weekend, with 555 confirmed cases. Santa Cruz is the department most affected, with 385 infected La Paz is in second with 79 cases in Cochabamba are 60 people suffering from influenza A.
In Oruro, 10 in Tarija, seven, at Potosí, five in Chuquisaca, four, and in Beni, a. There are four other persons affected by the virus AH1N1 whose place of origin was not identified by the laboratory.
In La Paz, two of the three serious cases are in the University Hospital and one at the Institute of Thorax. The director of the Hospital de Clinicas, Eduardo Chavez, said that the quarantine unit are five Persons registering the presence of the virus AH1N1, including two in a state of health "complicated." A woman of 46 years of age who presents a simple pneumonia and a male person of 65 years with a double pneumonia.
The director of the Instituto del Tórax, Germán Villavicencio, the hospital reported that one person is committed by males 19 years. Recorded a "serious health condition" for ethical reasons, Dr. Villavicencio his medical history did not specify whether or suffered from other diseases.
Gradually
The director Chávez also reported that the headquarters sent 35 doses of Tamiflu to meet the suspects, after that weekend, the doctor complained of receiving medication as a "dropper".
But even the University Hospital does not receive reimbursement for expenses incurred in treating patients for influenza A. The doctor estimated 200,000 Bolivians services expenses and other 200,000 Bolivians to equip the room of the intensive care unit that opened Quarantine hospital for cases of influenza A.
The National Director of Epidemiology, Eddy Martinez, explained that it restored all the expenses are recorded in hospitals or health centers to address serious cases of influenza A, by the municipality or the national government.
Martinez said that during this week will enable other laboratories to process samples of the disease.
The National Institute of Health Laboratories (INLASA) is equipped and Martinez on Thursday and expected to be able to process the shots made for the sick.
The center of Cochabamba, located in the Universidad Mayor de San Simón (UMSS), yet has an international accreditation that allows you to operate with the reagents, but the authorities estimated that the problem will be resolved this week.
Workers' Japanese 'in strike
In Santa Cruz stopped the activities of Japanese Hospital medical staff, in demanding the payment of the bonus cancel without vaccination continues to date. The leader of the health workers, Róger Hurtado Cuellar reported that the payments were not made and that delays of more than a week. He added that the strike will continue today because the town still does not "pay what it owes them."
The National Director of Epidemiology, Eddy Martinez, described the decision of the health workers of Japanese Hospital as an aberration because "the health of Bolivians," a health crisis affecting the country by the increase of positive cases of influenza A.
Health Minister Ramiro Tapia, while inaugurating the vaccination campaign, said his office already sent the items and approved the payment of the bond immunization. Tapia explained that the problems are the City of Santa Cruz and the Prefecture, which did not make money for the cancellation.
The Japanese Hospital is one of the largest in the Santa Cruz city and there were more people inside the department for cases of influenza A.
Avanza common flu vaccination
The Ministry of Health yesterday launched the vaccination for the common flu in Santa Cruz, after the past week began with Cochabamba.
The area minister, Ramiro Tapia said that his office and the Government were the only ones to provide this remedy to the Bolivian people, because it was inaccessible because of their price.
Tapia said that there are 140,000 doses of influenza vaccine for the human target of the Santa Cruz department.
The National Director of Epidemiology, Eddy Martinez, said the campaign to prevent massive infection common flu began in 8000 in Cochabamba dose.
The authorities also reported that requested the World Health Organization (WHO), another 400,000 doses.
The free vaccine will be applied to vulnerable populations, older than 60 years, children under 36 months and the medical staff, who are exposed to the sick.
The goal of vaccination is to facilitate the detection of those infected with influenza A, it says, if people who were vaccinated sick, is assumed to be infected with the virus AH1N1....
...Health announced a medical audit
Health Minister Ramiro Tapia, reported yesterday that an audit will instruct the Departmental Service of Health (Headquarters) from Santa Cruz to investigate a possible medical malpractice in the treatment to counteract the health complications in the first two died from influenza AH1N1 in Bolivia.
Tapia explained that according to the protocol established by the health office, "the treatment for influenza AH1N1 have to settle early, because it is a duty and an obligation."
"It has to be clear about the background, because the new Constitution of the State (CPE) provides the beginning of a medical audit in cases where there is a question in the medical management if there is evidence of guilt, and medical malpractice."
The authority said that the investigation is precisely why wait so long to prescribe the treatment and avoid complications of the virus A.
Tapia spoke about the death of a girl of six years who suffered from cerebral palsy child and a man of 59 years who suffered from heart disease and Chagas' disease, both as the first recorded deaths due to the epidemic.
"The protocol we have noted that before the highly suspected cases, and if the virus associated disease, treatment should be initiated without waiting for the outcome."
The director of Headquarters Santa Cruz, Edwin Saucedo, said that the influenza AH1N1, coupled with the chronic diseases that afflicted both cases, precipitated the demise of both.
"According to the comprehensive analysis of clinical laboratory radiological records of two cases, has led us to the conclusion that confirm the suspicion that we had previously, that both died as a result of influenza virus AH1N1," said the doctor at the time reporting on these infections.
The doctor said that this assessment was compiled by a technical committee established that both scientific case "basis carrying diseases which affect the sensitive development of the virus in the most lethal.
The Ministers of Health will coordinate
Ministers of Health of South America will meet between now and Wednesday this week in Buenos Aires, Argentina, to coordinate their actions and addressing the epidemic of influenza AH1N1, said the Bolivian Health Minister Ramiro Tapia.
He explained that the purpose of the meeting is to take actions for a joint management of the epidemic, which resulted in Bolivia and 555 cases of infection. In Argentina there were 26 deaths and 1587 cases, while in Chile reported 6211 cases and 12 deaths.
"We have a meeting in Buenos Aires (Argentina), we have been summoned to all Ministers of Health of South America. We want to make a joint management of the epidemic. " Participating authorities Argentina, Brazil, Paraguay, Uruguay, Chile and Bolivia.
Figures
Positive cases of influenza A in the country reached 555, according to the latest report.
Most patients, 385, is in Santa Cruz, where he confirmed 2 deaths.
In La Paz, infected 79 and arrived in Cochabamba, at 60.
In Oruro, 10; Tarija, seven; Potosí five, Chuquisaca, four, and a positive, Beni.
Confirmed cases are continuing in the figure of 555 because no CENETROP processed samples.
