Swine flu outbreak worsens in Argentina

[cHeroKee]

Swine flu outbreak worsens in Argentina (http://www.sindhtoday.net/news/1/24653.htm)

June 27th, 2009

Buenos Aires, June 28 (EFE) Health officials in Argentina said Saturday the government may declare a state of emergency as the influenza A(H1N1) virus, also called swine flu, is spreading alarmingly in the country.

Till date, 26 people have died and more than 1,500 people have been infected by the deadly virus in the country.

?The emergency does not mean we?re closing everything down. The emergency is a frame of reference for having medicines ready for direct purchase and mobilising health personnel,? Health Minister Claudio Zin said.
A national emergency may be declared next week, the minister said.

Health organisations said the number of swine flu cases is higher than the official figure in the country and hospitals have been unable to deal with the situation.

On Friday, 99 new cases have been tested positive for swine flu, raising the total to 1,587.


(http://www.sindhtoday.net/news/1/24653.htm)

[cHeroKee]

Then you have.....
Brazil finds variant in A/H1N1 (http://cottontopssandbox.wordpress.com/2009/06/18/brazil-finds-variant-in-ah1n1/)

Posted on June 18, 2009 by niarane
BUENOS AIRES (AFP) ? The swine flu deaths of two people in Argentina and a mutation of the H1N1 virus detected in Brazil have added to fears that South America is entering a harsh winter beset by the flu pandemic.

[cHeroKee]

This has been translated and I am taking it from another forum....

Please note the highlighted portions...this is looking a lot like cytokine storms...





" We are seeing the internment of young patients, among 15 and 50 years, with pneumonias, some that evolve quickly towards a gravity that stops many is unusual, in that the lung ?catches fire? in a matter of horas" , it commented doctor Jorge San Juan, head of the Department of Intensive Therapy of the Mu?iz hospital.

That has taken to that the patients of these characteristics begin to be treated in more and more aggressive form. As the NATION informed yesterday, the doctors received from the Ministry of Health the directive to take, of now in more, to all the cases of influenza like potentials of A influenza (H1N1), with the recommendation to realise x-rays of thorax to the patients with fever symptoms and fatigue and to commit quickly to which they suffer pneumonia.

" Today, that already is known that the virus is circulating massively, the attitude that is had with the patients depends on the clinical evaluation that the doctor does, so that he is not transformed into a serious case. No longer [is necessary to make the diagnosis of laboratory that confirms the infection by the new virus] to begin tratamiento" , it said doctor Vilma Savy, female leader of the Respiratory Service of Virus of the Malbr?n institute.

The preoccupation by how it attacks this influenza some young people was confirmed to the NATION by a forensic doctor who, in the last hours, realised two autopsies in two people passed away by influenza A. " The bodies had the v?sceras, meninges and the brain inflamed, a factor little common in which dies by influenza. In addition, the lungs were in very bad state, with spots that we have not been able to identify. We sent them to realise anatomy studies patol?gica" , it said the pathologist that it asked not to present his name until the sanitary authorities took note from the found thing.

The changes in the strategies of attention of the patients who arrive with advanced pictures of influenza aim at being more aggressive: to try, and later to see what happens; to burn stages. " This form of attention of the serious patient will change the evolution and will avoid more deaths and pneumonias - doctor San Juan affirmed, coordinator of the Committee of Emergencia Epidemiologist of the Buenosairean Ministry of Health.

For a serious pneumonia, San Juan explained, today the patients not only receive antibiotics in empirical form but also antiviral and the possibility is not delayed of resorting to the mechanical respiratory attendance. " Although 24 hours are expected generally to see how it evolves, we suggested not to do it and, if it is unbalanced quickly, to arrive at intubacion" , it needed San Juan.

The province of Buenos Aires will count, as of the next week, with tests of fast diagnosis that will allow to discriminate, in only 15 hisopados minutes by means of, if the person is carrying of influenza A. Anyway, the final confirmation will give the Malbr?n institute it. The new test will serve to begin the treatment before, informed the Buenosairean sanitary authorities.

http://www.lanacion.com.ar/nota.asp?nota_id=1144216

[cHeroKee]

Lungs that ?catch fire? in hours

There are patients of ?an unusual? gravity

Saturday 27 of June of 2009

?We are seeing the internment of young patients, among 15 and 50 years, with pneumonias, some that evolve quickly towards a gravity that stops many is unusual, in which the lung ?catches fire? in a matter of hours?, commented doctor Jorge San Juan, head of the Department of Intensive Therapy of the Mu?iz hospital.

That has taken to that the patients of these characteristics begin to be treated in more and more aggressive form. As the NATION informed yesterday, the doctors received from the Ministry of Health the directive to take, of now in more, to all the cases of influenza like potentials of A influenza (H1N1), with the recommendation to realise x-rays of thorax to the patients with fever symptoms and fatigue and to commit quickly to which they suffer pneumonia.

?Today, that already is known that the virus is circulating massively, the attitude that has itself with the patients depends on the clinical evaluation that the doctor does, so that he is not transformed into a serious case. No longer [is necessary to make the diagnosis of laboratory that confirms the infection by the new virus] to begin the treatment?, said doctor Vilma Savy, female leader of the Respiratory Service of Virus of the Malbr?n institute.

The preoccupation by how it attacks this influenza some young people was confirmed to the NATION by a forensic doctor who, in the last hours, realised two autopsies in two people passed away by influenza A.

?The bodies had the v?sceras, meninges and the brain inflamed, a factor little common in which dies by influenza. In addition, the lungs were in very bad state, with spots that we have not been able to identify. We sent them to realise studies of pathological anatomy?, said the pathologist that it asked not to present his name until the sanitary authorities took note from the found thing.

The changes in the strategies of attention of the patients who arrive with advanced pictures of influenza aim at being more aggressive: to try, and later to see what happens; to burn stages. ?This form of attention of the serious patient will change the evolution and will avoid more deaths and pneumonias - doctor San Juan affirmed, coordinator of the Committee of Emergencia Epidemiologist of the Buenosairean Ministry of Health.

For a serious pneumonia, San Juan explained, today the patients not only receive antibiotics in empirical form but also antiviral and the possibility is not delayed of resorting to the mechanical respiratory attendance.

?Although 24 hours are expected generally to see how it evolves, we suggested not to do it and, if it is unbalanced quickly, to arrive at intubation?, it needed San Juan.

The province of Buenos Aires will count, as of the next week, with tests of fast diagnosis that will allow to discriminate, in only 15 hisopados minutes by means of, if the person is carrying of influenza A. Anyway, the final confirmation will give the Malbr?n institute it. The new test will serve to begin the treatment before, informed the Buenosairean sanitary authorities.

http://babelfish.yahoo.com/translate...rUrl=Translate (http://babelfish.yahoo.com/translate_url?doit=done&tt=url&intl=1&fr=bf-home&trurl=http%3A%2F%2Fwww.lanacion.com.ar%2Fnota.asp% 3Fnota_id%3D1144216&lp=es_en&btnTrUrl=Translate)