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Influenza: the virus takes control

Tonka

New member
http://www.larazon.es/noticia/964-gripe-a-el-virus-toma-el-mando

Spanish to English translation

Influenza: the virus takes control

The H1N1 strain circulating in homes and workplaces goes directly to the lungs.
Do not matter any preventive measures. Where are the masks?, Who today use alcohol gels?, What was the collective psychosis before a sneeze on the bus?

January 29, 1911 - - Pilar P?rez
Still here. Here to stay, as noted by most experts. Influenza A H1N1 famous, a year after cornering headlines and television news has become a more "family." After successfully completing the year of the pandemic, preventive measures which helped to minimize cases of seasonal flu population faces back to the virus. Without the fear installed in society, preventive measures do not work and now the virus enferenta without masks or gels ... According to the latest bulletin System Influenza Surveillance, compiled by the Instituto de Salud Carlos III of Madrid, nine out of ten cases were caused by the H1N1 strain 2009.
It is true that although they have not been many reviews in the press or television, in these weeks, the germ is rampant "among us." Some experts, such as coordinator of the Infection of the Spanish Society of Primary Care Physicians (Semergen), Jos? Luis Ca?ada, "this new virus has displaced other A/H3N1--B and is incorporated into the "always." It is mere survival, of the Laws of Darwin. This organism is here to stay and evolve to survive. "
In addition, the climate factor in their favor. The concentration of virus is higher in cold weather. Any comparison to last year would be useless, because then what was experienced was a pandemic-a widespread disease in many countries, and now the seed is part of the seasonal epidemic. "Although there was a feeling that once the pandemic does not happen anything, the fact is that not the case. This year there are many cases of influenza A, and end up in the ICU ", Jordi Rello, of the Spanish Society of Intensive Care Medicine, Critical and Coronary Units (Semicyuc).

"Surprise?
After the months of October and November, when the pandemic had its peak last year, it seemed that the season promised to be quiet. However, once into December, cases of H1N1 began to proliferate, to the latest data provided by the Instituto de Salud Carlos III. "While it is true that the strain is not virulent, it has been proven highly contagious. Since the organism when in contact with her for the first time does not have enough antibodies to fight it, "notes Rello.
A less aggressive viral also because many of the patients, despite a lower rate of vaccination, "and that probably had some contact last year," says Jos? Mar?a Molero, a member of the Infectious Diseases Society of Medical Spanish Family and Community in Spain (Semfyc). This should not diminish the importance, as the risk groups, children, pregnant women over 65 or chronically ill, can see how the virus complicates its underlying conditions.
The influenza virus A target made directly into the lung, as noted Rello: "In intensive care units have seen many cases with significant involvement in this body." At the moment the strains that have been tested are included in the groups which are the vaccine strains of the 2010-2011 season, in addition to causing influenza A.
During this period still remains vigilant confirmed hospitalized cases of severe illness of influenza, which began in Spain during the pandemic virus AnH1N1. Since the beginning of the 2010-2011 season have been reported 777 confirmed cases of influenza hospitalized serious. The 93 percent were infected with influenza virus AnH1N1. 30 percent and 39 percent of the reported cases were in groups of 15-44 and 45-64 years respectively, the rest in those under 15 years (14 percent) and in 65 (17 .)
After a pandemic, epidemic waves are always-as a replica of an earthquake it were-and in this case the A/H1N1 has done just the same when the seasonal epidemic traditionally live their peak. In recent weeks there has been a clear rise in cases, although in line with other years, maybe slightly higher. Rello remembered as the 1968 flu had a pretty intense first wave and a second year of significant conditions.

What happened to ...?
Before coming to these situations, which in many cases are complicated in more or less serious diseases as causes of viral infection, the question: "What happened to prevent both" hype "was last year?". Refers not only to vaccines, but the entire array to be 'promoted' masks, gels, tissues. An example can be seen in the Basque Country, where the competition to sell 47 million masks bought the previous government to deal with influenza A has remained unsuccessful, so the Department of Health has already paid 2.8 million euros for this material and the cost of renting the place where it is stored, as reported by Efe. Also, the 3M company emphasizes that its record fourth quarter sales was achieved despite the drop in sales of masks to protect against H1N1.
What happened to the constant gesture clean hands without water? The business of the alcohol gels provided has not been picked up again this year, since the absence of media campaigns have not advertised for sale. "Its use must be frequent, there is nothing wrong and helps to protect," notes Glenn.
Maintain preventive measures against influenza A, also serves to control the spread of other viruses. Thus, experts encourage people to continue the use of gels as well as the continuous washing of hands, to avoid serving in "vehicle" of the infectious agent. Moreover, "at the first signs of discomfort and suspicion one should stay at home and if things are going, call the doctor from the ambulance to check her passing," says Glen. Simple rules that most of the Spanish forgotten, "because I think last year that caused widespread alarm scared. Factor that helps to meet the standards ", says Valentin Martinez-Otero, Ph.D. in Psychology, Universidad Complutense de Madrid.


Ram?n Cisterna, coordinator of the Study Group on Influenza and Chief of Clinical Microbiology and Infection Control Hospital de Basurto (Bilbao), the vaccination rate qualifies as "very low" and states that "set back the social protection against a virus that every year has consequences for the health of citizens, especially those of extreme age, older people and children, and for the health and productive system of our country. "
However, the professionals of the Spanish Society of Medical Residency (Shemer) claim that the Ministry of Health data show that the vaccine over 65 years only prevent 30 to 40 percent of infections, so ask reinforce this As with other such as nutrition and hydration to improve its effectiveness. The vaccine for this flu season is trivalent, and that immunizes against both type A, as against the two strains have circulated more seasonal winter in the southern hemisphere. As far as having "let down their guard" makes no sense if you had weapons and could have been prevented in time.

Outside Spain
Europe is also experiencing a similar situation. According to the European Centre for Disease Prevention and Control (ECDC, for its acronym in English) 74 percent of the reported cases were from the virus, almost all (99 percent) for the H1N1. Thus, in the latest report major outbreaks were in the United Kingdom, where emergency services have almost collapsed.
However, given these figures do not all experts consider "worrying" situation. For its part, says that the Spanish Rello should be more aware of the existence of the spread of this virus, "so we should implement preventive measures that both were promoted last year, still very present in other countries like the United Kingdom '. Thus, Canada refers to "the impressive ability of humans to forget, so dismissive. And of course, in the end this a virus like the others, which behaves like them. "
Where I do agree a hundred percent, and at the same time coincide with Anselmo Andr?s, a pediatric pulmonologist Management Unit Pediatric Clinic, University Hospital Virgen Macarena in Seville, "is the need that all health personnel to be vaccinated to prevent cases like the Clinic, which occurred late last week. " Then all the emergency services contracted respiratory infection and left "in box" unit.
One of the groups where there have been more cases in children, considered also at risk. The pediatric pulmonologist at Hospital Universitario Virgen Macarena in Seville says that "not being particularly superior to other years, although it is true that the H1N1 virus has coincided in time with the syncytial." This may trigger a period of respiratory infections more or less complicated and undermine the child's health.
 
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