Here is an extract of an official Ukranian Health Ministry statement that should make things clear. Note how they point out that about 40-50 thousand is typical for the number of flu/ARI cases at this time of year nationwide but this year it has jumped to 250 thousand just in the last couple of weeks. Prior to that it was still about the seasonal norm level this year.http://www.moz.gov.ua/ua/main/press/?docID=13975
Google Translated link http://translate.google.com/translate?u ... ndows-1251
03 листопада 2009, the Supreme Council of Ukraine considered the issue of poverty in the state of the epidemic of influenza A (H1N1). Given that the Minister of Health of Ukraine Vasyl Knyazevich not had occasion to inform the parliament about the situation in the medical field, and, given the large number of pressing issues, the answers to what society expects, the press service of Ukraine Ministry of Health provides the text of the report of the Minister, prepared speech the Supreme Council of Ukraine 03.11.09.
Dear people deputies!
Before starting his speech, would recall: epidemiology laws have nothing to do with the laws of politics, viruses do not care which political party in power, but the disease is not treated the opposition criticism.
I hope that today we will talk not about politics, society and give clear signals that the state is able to confront challenges such as epidemic.Now the situation directly with the incidence of influenza A (H1N1)
Recalled June 11, 2009 WHO announced 6 th phase of a pandemic influenza A (H1N1). This means that the virus has caused outbreaks of influenza in long-term population of at least two countries in a WHO region and one country in the world.
In today's world, more than 440 thousand of laboratory-confirmed cases of influenza А/H1N1 California, including nearly 5.5 thousand cases ended by death. I draw your attention to the fact that the laboratory confirmed cases are not 100% married to screen all patients, but a sample that is used in epidemiology as a method.
More than 90 countries recorded deaths, the largest number of deaths, as of October 2009, recorded in Brazil - 899, USA - 593 Argentina - 538, India - 315, Mexico - 231.As at 22 June 2 November in Ukraine influenza and ARI recorded 255 thousand 516 patients, 71 died on the person, including adults - 66, 3 children, 2 pregnant women. The most difficult situation is in Lviv, Ivano-Frankivsk, Ternopil region.
What is influenza A (H1N1) differs from other types of flu? Notes - for the clinical features is no different. Their symptoms are similar and identical to any food poisoning, ozone depleting substances. By essentially different in that no one no immunity to it, because the virus is completely new, not fully understood, no one knows thereby worsening clinical picture, and how this fight.
I would like to note that it is unusual and that treating it began in the summer, severe disease was small. Therefore experience in treating such patients in the world is also not enough.A characteristic feature of the disease is rapid development of severe cases that manifested as pneumonia instant when people die before the fifth day, or when people die at 7-8 day from pneumonia stratification of bacterial infection.
Is there a unique situation in Ukraine? I emphasize that - No! Global statistics show that in the world accounted for one third of deaths from pneumonia, complicated bacterial infections, and two-thirds - to death from viral pneumonia. Such patients are very difficult to resuscitation, it is difficult to choose the mode of artificial ventilation, they require a lot of attention in the intensive care department from both the doctors and of nurses.Very often I ask: How can a simple sector doctor to determine - whether it is the common cold, flu or California?
Notes - a doctor and should not do it. In the state clearly defined epidsytuatsiya, A/H1N1 virus circulating in the territory of Ukraine, and do not need to prove it every time again and again
. This fall, traditionally attended by several viruses, but is fixed mainly two types - normal seasonal type A and California A/H1N1. Each of these types can cause very serious complications. So the doctor should not try to distinguish between them, it must be guided by clear clinical manifestations of the patient. If the patient has severe symptoms, it is treated at home and uses the standard drugs, as with colds. If severe (very high fever, chest pain, shortness of breath) - urgently hospitalizuyetsya.
From experience, we already have today, doctors emphasize that the disease affects primarily young working-age population. Age most of the dead is from 20 to 45 years. Unfortunately, even the fact that today people are more actively seeking help in hospital, mortality is very high, the situation remains difficult. Explanations that do not, including in international experts, because there is, as noted earlier, experience in medical practice.
Characteristic is the fact that the course of disease is complicated in the case of a patient obesity, diabetes, respiratory diseases, other severe chronic diseases.
Unfortunately, we have today and the cases of destruction of pregnant women, killing the fetus and in 2 cases - the mother.
As already indicated, the virus quickly spreads through Ukraine. Cases recorded in Vinnytsia, Khmelnytsky, Transcarpathian, Rivne. Quarantine implemented in 9 provinces.Comparative analysis epidsytuatsiyi in Ukraine in the past and in 2009 shows:
At the 42nd week in 2008 and is 12-19 in October - the number of patients in Ukraine amounted to 45 517 people. For the same period in 2009 - 45 thousand 177 persons.
At the 43rd week in 2008, ie, 20-26 October 2008 - the number of patients was 42 thousand 713 persons, and last week this year - 48 thousand 909 persons.
As we see, the problem today - not only in quantitative growth of viral diseases, but that doctors are dealing with a new virus from which people are dying and medicine is so helpless.
I would like to emphasize, ladies and gentlemen deputies: the situation is really complicated, but the mood that nahnitayutsya only worsen it.
Sixth. Finally. Dear members, I assure you: the Ministry of Health has never hidden and will not conceal information about the situation in the country. All allegations of concealment of deaths - libel.
Unlike politicians, doctors work based on the principles of Evidence, therefore, the results of laboratory tests, we had no legal or moral right to declare the epidemic in the country. Fruit and viruses can not grow quickly at the request of one or another political force. So to finish the report, which also started: epidemiology laws have nothing to do with the laws of politics, viruses do not care which political party in power, but the disease is not treated the opposition criticism.
Press Service of the Ministry of Health of Ukraine