Re: Veracruz and Nayarit- Flaccid Paralysis in the region of Orizaba, 33 sick, 2 dead
Re: Veracruz and Nayarit- Flaccid Paralysis in the region of Orizaba, 33 sick, 2 dead
http://promedmail.org/pls/otn/f?p=2...,F2400_P1001_USE_ARCHIVE:1001,20101215.4445,Y
Spanish to English translation
Archive Number 20101215.4445
Published Date 15-DEZ-2010
Subject PRO / POR> Guillain Barre Syndrome (anchored?): Mexico (02) (Veracruz)
Guillain Barre syndrome (range?): MEXICO (02) (VERACRUZ)
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Uma Mensagem / A message / ProMED-mail <http://www.promedmail.org>
ProMED-mail e um program da / is a program of the International Society
for
Infectious Diseases <http://www.isid.org>
Data: Quarta-feira / Wed, 15 dezembro / December 2010
De: Promed-Port <Promed-Port@promedmail.org>
Fonte: El Sol de Cordoba [15.12.2010]
http://www.oem.com.mx/elsoldecordoba/notas/n1890751.htm
C?rdoba
High alert, there are 33 cases of flaccid paralysis
Health Secretary Veracruz, Paul Anaya, led in this city a
urgent meeting to discuss the 33 reported cases of flaccid paralysis
in the Cordoba-Orizaba.
C?rdoba, Veracruz .- Given the possible association of vaccine
influenza A (H1N1) with Guillain-Barre syndrome, the Organization
World Health Organization (WHO) made recommendations to the surveillance system
Epidemiology of acute flaccid paralysis (AFP) to include all
age groups, even to prevent the resurgence of polio,
hence the epidemiological alert is at its maximum scale,
ie at level 6 (6s1), surpassing the influenza A (H1N1)
found in the scale 5 last year.
And is that the epidemiological alert is at its highest level since
the Guillain-Barre syndrome and poliomyelitis are considered
major diseases in the group of acute flaccid paralysis (AFP)
that attack the nervous system and are conditions that no longer contained in the
list of disease, even Mexico is certified free of polio.
Until December 3 this year, the Ministry of Health
Veracruz confirmed two cases in the area of C?rdoba: 1 and 1 in Cuitlahuac
Carlos A. Carrillo, adding to the 21 corresponding region
Orizaba. The cases are dealt with by the Health District Number
6.
Official documents of the Ministry of Health made known that the alert
epidemiological against PFA is from 7 December, after the
first outbreak in the town of Guadalupe Victoria, Municipality of
San Blas, Nayarit, on 26 September. Including seven cases. Outbreak
only one case progressed with influenza-like illness.
The second outbreak occurred in Orizaba with 23 cases identified between 8
November and December 3, ages range between 3 and 50 years of age. Of
including 1 case in Carlos A. Carrillo, 3 Ixtaczoquitl?n, 2 in Nogales, 15
Orizaba, 1 in San Andres and 1 Tenejapa Cuitlahuac.
Official sources confirmed last night that, in addition, another case was detected
Cuitlahuac and one in Cuichapa.
56% of the patients had respiratory distress (cough, runny
nose, sore throat, 13 days before the onset of paralysis. 39%
gastrointestinal upset, diarrhea, abdominal pain, vomiting, myalgia, arthralgia,
fever, shortness of breath and general malaise. Until 10
December 6 patients remained serious and two died.
Of the two deaths, one corresponded to a female person of 48
age, history of seasonal influenza vaccination
November 1, the second a 56-year-old with a history
hypertension, who was diagnosed with Guillain
Barr?.
The paralysis in this second outbreak has been presented with features
distal, ascending, with a decrease or abolition of reflexes,
Involvement of the thoracic and pelvic in 83% of cases,
cranial nerves involvement in 8% and impact on respiratory muscle
in 21% of cases.
In one of the sections of the documents referred to possible
association of Guillain-Barre syndrome a vaccine against influenza A
(H1N1) within 52 days prior to the onset of paralysis.
Directions are provided to doctors to refer patients in
if you have symptoms at referral hospitals, in case of
vaccination history exist in the 52 days before the start of the
paralysis, seek information from: lot vaccine, vaccinated with
same batch and the presence of more cases among vaccinated persons
jointly by staff of Health. For cases under 15 years
age also should make the prevention and control actions
around the home for the event, coordinated with
epidemiology staff review.
It should be noted that official information was given to all staff
Medical Sanitary District No. 6 for knowledge is
signed by the head of this office, Junco Minerva Gonz?lez.
VERACRUZ, the largest number of Redlining
Veracruz state ranks first in cases of syndrome
paralysis, and this disease has occurred in Chihuahua,
Hidalgo, Aguascalientes,
revealed the general director of epidemiology at the Ministry of Health
federal, Hugo Lopez Gatell.
He said that throughout the country have sporadic cases of this type
paralysis, but in the case of the experience in Veracruz and warning
epidemiological entity makes share tops the list.
"The number of cases, this issue is important in social communication, but
never is a useful figure because the amount of population in each
state is different. "
At the same time, the federal official denied that the disease is the
condition that attracts most attention in the country, but also added that
have many epidemiological phenomena.
"This is an open field, we have schedules, we work on 365 of
year, we only state team with a strong, capable and well integrated
input and that is reassuring. "
The physician said that the phenomena of this type are not more alert
beyond the available evidence, "for that is the public health,
anticipate the risks, find and solve based on
evidence, technical information science available. "
Stated that acute flaccid paralysis surveillance is in
epidemiology from the 60 originally was headed to
infectious problems such as polio, but since the year 1994 was not
reported this disease in Mexico, "the system remains alert
early. "
And by the existence of this condition in the central region of the state,
have built five groups: the first is the clinician who is responsible
analyzing clinical data and clinical what there is available, the
Compiled second epidemiological data, the third risk
environmental health risks to consider, the laboratory room
headed by the Indre and the State Laboratory of Public Health
Veracruz, fifth, health promotion and risk communication.
UNKNOWN FACTOR THAT CAUSED THE BAD: SSA
According to Health Secretary of the State Government, Paul Anaya,
the outbreak of acute flaccid paralysis in the center will be increased,
to this day account for 33 patients with this condition it is also the
time is not known what is the factor that causes and not
confirms what suffering is, because this SSA is on alert.
Interviewed this afternoon, prior to take after a meeting with
health authorities of the IMSS, ISSSTE, Public Health, Indre, including
other, the state official said Saturday through Tuesday, cases
disease increased because there are already 33.
"The three new cases were a child and two adults, I can tell you
if there still are cases, yes, I can not say when it will
Finally, we had high hopes that what we send to laboratories?
Atlanta National and we could confirm some cases, 80 percent
negative at all, so far we can say that it is a flaccid paralysis
acute Guillain-Barre likely, but we can not determine because
has multiple causes, as we have no laboratory finding would
irresponsible to say that is a cause or another. "
Although he mentioned that it is a paralysis, not
Guillain Barre discarded it and said it intended to be as obsessive or
being labeled with something they do not yet have a last name, "is a paralysis
acute flaccid. "
He said that patients who have had this disease before
Therefore some other condition or respiratory tract, and therefore still
when there is no diagnosis is serving patients who have this
type of symptoms.
"Most cases have been discharged, the two who died a
has an immune substance, you have to tell people that the more
inform us early and go to a doctor when they have early signs
of muscle aches in the joints, the doctor gives you more
opportunity to do more things. "
Revealed that people with diabetes, hypertension and cancer are
easy for you to generate a complication, and this does not worry the
dependence because such cases existed, but what really sets in
alert is presented in a given area geodemographic "very
Orizaba circumscribed and adjacent municipalities and more in some
colonies. "
He added that since the state of Veracruz reported cases of this
paralysis, others did the same, "now appear where
Chihuahua, Aguascalientes, Hidalgo, flaccid paralysis has always been, what
that concerns us is a very circumscribed area. "
He said that while certainly not be what it originates, it would
irresponsible to alarm the rest of the population, and clarified that it is not
contagious, "is treatable, as I said preventive measures for roads
respiratory and digestive tracts. Second, tell people however health
scientists who are, not being very bold statements in the
sense to say that is post-vaccination, there have been adverse reactions
vaccination. In this regard indicated that this is not the case. "
He recalled that fatigue, weakness, reflex changes, "ants and
calambritos "are some of the symptoms in which the population must
to monitor closely, and go to the doctor, so that it is monitoring and
rule out acute flaccid paralysis.
INVESTIGATE CAUSES OF THE OUTBREAK
To assist in determining the causes that have caused flaccid paralysis
among the population of this county and the region, the Coordinated Services
Veracruz Health working together with the Ministry of Health
federal and established five groups to gather technical expertise
and analyze information.
This was announced by health minister in the state, Dr. Paul Anaya, who
was accompanied by Deputy Director of Epidemiology, Hugo Lopez-Gatell
Ram?rez, and medical experts to agree on actions to benefit
Veracruz and reiterated many times as is necessary in this
municipality to support the sick, as instructed by Governor
Javier Duarte.
He noted that while there is uncertainty as to what caused this outbreak
it is irresponsible to alarm the public over and reiterated that
disease is not contagious and is treatable, so again urged the
population to take preventive measures and care for their airways and
digestive.
Confirmed the increase of patients from 30 to 33 years of this disease
is not yet confirmed as Guillain Barre and stressed that 80 percent of
cases sent to the laboratory of the World Health Organization
were negative.
The health secretary said that most cases have been given
high and again called for those who feel some
discomfort such as numbness or tingling seek medical advice immediately
for review.
Deputy Director of the Department of Epidemiology, Secretariat
Federal Health Hugo Ram?rez L?pez-Gatell reported that such cases
have always existed throughout the country.
He added that other states such as Chihuahua, Hidalgo and Aguascalientes are
reporting cases and the concern now is that there are in an area
limited to Orizaba and surrounding municipalities. He stressed that in Veracruz
has a team of state health and judicial quality, highly
strong, capable and well integrated, and that input and is reassuring.
Detail that was held a technical session with entertainment
Dr. Anaya and his team of health of Veracruz to integrate five
technical groups, which will be in charge of analyzing all
Available clinical information and laboratory, another to compile all
detailed epidemiological information on potential exposures of cases
as possible associations with risk factors.
A third of health risks is to consider the contexts
environment that may be relevant to the investigation, one more
laboratory with the participation of the Institute of Diagnosis and Reference
Epidemiological (Indre) and the State Laboratory of Public Health
Veracruz, one of the leading laboratories in the country, and a fifth group
health promotion and risk communication will allow us
efficient liaison with the media and society.
"We did not come because it is a serious problem. We came because we have a team
which technical dialogue, "concluded the federal official.
SYNDROME, AN ENIGMA IN ORIZABA
Despite the secrecy that exists in the health sector and between authorities and
staff of public and private hospitals of the city, the presence of
strange disease Guillain-Barre Syndrome, which outbreak occurred in the
community of Barrio Nuevo, has caused concern and alarm among
population.
Voice of the Secretary of Health of the State Government, Paul Anaya Rivera
were confirmed yesterday, 33 cases of this disease, some patients
admitted to the Regional Hospital of Specialties IMSS, as could be
known.
It should be noted that the Health Secretary himself forbade workers
Sector, externalize any information related to this disease,
to the media. However it transpired that most
cases, 80 percent positive development for the attention
receiving adequate.
In this regard there have been cases of children with this disease, as
confidential reports of public schools, which have evolved
successful so far and do not talk about casualties were reported.
Although no exhaustive investigation into the symptoms and how
spread, some doctors have reported that patients recorded
Home intense fatigue and weakness in the lower extremities, which
gradually advancing until his legs paralyzed.
There are versions where the evil spreads to completely paralyze the
patient's body, but with care and appropriate medications, manage
overcome their critical condition.
However,
there are witnesses who say it is a disease
completely unknown and doctors are baffled and
some even admit that there really is no defined treatment and
to combat this evil.
