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SAO PAULO — Officials say a 15-year-old Brazilian girl died on a Copa Airlines flight from Orlando to Sao Paulo after a trip to Walt Disney World.

The number of dead from swine influenza rises to 4 in the EC [State of Ceara] in a month.
[by Mauricio Fonseca Beltran]

The Secretariat of Health of Ceará (SESA) has confirmed on Wednesday afternoon more than one death from swine flu in the state. The fourth victim of the disease was a boy of 4 years, who lived in the Goiabeiras neighborhood on the outskirts of the capital Fortaleza. He is the first victim of 2010. The child's name was not released on the recommendation of the Ministry of Health.

According to SESA, he was admitted to Albert Sabin Children's Hospital and died on January 28. With the event confirmed today, total deaths from Influenza A (H1N1) in the city rise to four in less than a month.

Three women also died from the virus. All were young people, residents of Fortaleza and infected in 2009. One was in the sixth month of pregnancy. The child could not be saved by the medical staff of the Assis Chateaubriand Maternity School (MEAC), who followed the case.

Swine flu causes fourth death in Ceará
03-02-2010 | Eliomar de Lima |

The State Department of Health confirmed on Wednesday the fourth death from swine flu. The victim was a child of four, who lived in Fortaleza. He died on the 28th. He began showing symptoms of influenza on January 2 and was referred to a private hospital, after he was released and at home, he got worse and ended up at Albert Sabin Children's Hospital.

A press release from Health states that the child arrived in critical condition at Albert Sabin.

This is the fourth death caused by swine flu in Ceará.

01/03/2010 at 22:21
Swine flu advances in Minas Gerais, accounting for two deaths this year

Influenza "A", better known as swine flu, can not be completely ruled out this season. Some doctors point out that the summer is not swine flu season, but the university Wagner Colini Boy (29 years) in Belo Horizonte, died on Monday after performance of the H1N1 virus (Influenza "A").
According to the State Department of Health (SES), were recorded this year 30 reports of influenza "A" in Minas Gerais, and seven cases and three confirmed discarded. Of the three confirmations, two people died, one was healed and all were from BH. Colini Wagner was the second victim of the Influenza virus "A".
Among the three cases confirmed in Ontario in 2010 is that of a couple of BH who contracted the disease in Carajas - PA, where he was working. She came to Belo Horizonte for treatment and died at a private hospital. While deaths are not considered by health professionals as a sign that the second wave of influenza virus A is about to burst in the state, government officials are mobilizing to fight the cases that may arise going forward. Technicians of the Municipal Health (SMSA) has met with professionals to clarify on vaccination against swine flu, which begins on Nov. 8. It is expected that the first vaccines are applied in 1.3 million residents of the capital, to extend later to other cities.
In the coming weeks, the SES must re-activate the State Committee to Combat Human Influenza "A" (H1N1), which was created last year because of the epidemic. This year, the meetings are, in principle, every 15 days so that authorities can evaluate the clinical disease in Minas Gerais. All this concern is unfounded, based on the records of that 17 thousand people have died from H1N1 in 2009 worldwide. In the state, according to SES, 1435 cases were confirmed, with 148 deaths and 1822 dropped.

Wednesday, 03/03/2010, 13:56

Barros Barreto, nine patients with H1N1

The University Hospital João de Barros Barreto (HUJBB) said, just by noting that there are 09 patients admitted with acute influenza A, five adults, one teen, two children and an elderly woman. Three of them have tested positive for the H1N1 virus and five are still waiting for test results.

The Indian boy of seven months in hospital in isolation and girl of nine and a woman of 32 still hospitalized in the Intensive Care Unit (ICU), however, all are stable clinical condition. (Ascom / HUJBB)

Health alert for the movement of the virus even in the hottest months of the year. Vaccination begins Monday
03/03/10 at 21:05

The epidemiological bulletin 01/2010 of the State Department of Health (SESA), released yesterday, brings the ratio of five deaths confirmed by the new flu this year. In all, 373 confirmed cases in 2010. Last year, there have been more than 56 thousand cases with 290 deaths. Deaths were recorded in the Region Metropolitana (1), the regions of Ponta Grossa (1), Pato Branco (1) and Melton (2).

This year, the distribution of cases puts the regional Maringá as the most problematic, with 90 testing positive for the new flu, followed by Greater Curitiba, with 84, and Londrina, which counts 83. The North State alone has more than half of cases in the state. 205 are confirmed. The national vaccination against the disease starts next Monday.

Comparing the numbers available in the bulletins released - were 82 in total - Paraná recorded last year almost 57 thousand cases in the positive, with about 290 deaths. The proportion of one death almost 200 positive cases. The numbers this year show one death every 74.6 positive cases recorded. While it may seem tragic, it is still premature to say that the fatality rate is higher. What do the numbers indicate is that the virus retains its movement in the state, so you need to keep alert.

Campaign - The first stage of the vaccination campaign against a new flu starts next Monday. Health professionals from the front line in meeting the indigenous population and be the first to be vaccinated in the first stage of the campaign which runs until March 19. It will then be of pregnant women, chronically ill and children six months to two years.

"The first batch of vaccines, with 167 thousand doses, has been forwarded to the municipalities that will immunize groups specific to each stage of the campaign," said Secretary of Health, Gilberto Martin. The expectation is that the end of the vaccination campaign, scheduled for May 21, more than 5 million people are vaccinated.

In this first phase of vaccination, will be in the form of active search, ie, with health professionals in search of the target groups, hospitals and health units for health professionals and villages, where the indigenous population.
In the next step, the population will have the vaccine available in the two thousand units of primary health care throughout the state, and mobile stations that can be organized by the municipalities. Any progress will be sustained based on systems already used by other immunization campaigns, such as polio and rubella as well.

He died yesterday one more person with suspected influenza A (H1N1). Ana Victoria Moreira da Silva e Silva, 23, may be the 9th fatality from the disease this year alone. She died in Hospital Emergency Municipal Mário Pinotti, located in the lane 14 March For the family, there was medical negligence, as the medication for the disease, Tamiflu was prescribed for only a couple about 12 hours after she had given entering the hospital.

Lorenz Luzia da Silva, Ana Victoria's aunt, said her niece was experiencing flu symptoms since last week, but I was studying for an open and therefore did not seek medical advice immediately. But on Sunday, would have done the test and was hospitalized for Curuçá, a town where he lived. "She was very chest pain, fever, cough and fatigue," he explains.

The possible victim of influenza A was, nursing and hospital internship of Curuçá, northeast of the state. She transferred from the city came on the morning of Wednesday, reaching to PSM March 14 at around 11am, second Luzia Lorenz. The doctors suspected was pneumonia.

"Upon arrival at the emergency room, the health of Ana Victoria got worse. We spent the whole afternoon begging for the doctor of Tamiflu for her, because only here was told that my niece could be with influenza A. Even with the insistence, only gave the drug to her for about 23h, but then it was too late. "

In PSM, was collecting material for the examination for the presence of H1N1 virus, but the result should only go out next week.

The couple, according Luiza Lorens, would have fainted several times during the night and had three cardiac arrests followed, which would, in fact, caused his death. "She begged me to take off here. This morning was expecting to be able to transfer it to the Barros Barreto, who is the referral hospital, but unfortunately the worst happened. I just think it took a lot to do the necessary procedures, "reports.

Ana's mother Victoria, Domenica Moreira, was very upset at the loss of his daughter and came to harm in receiving the emergency room, where the family was awaiting the release of the body. She and another daughter, Paula Regina Mota, who had contact with Ana Victoria are being treated with Tamiflu, should also have been infected with the H1N1 virus.

Family members say that probably the wake and funeral of Ana Victoria should happen Curuçá, where the girl lived with her parents and two sisters.

HOSPITAL

In a statement, Sesma said Ana Victoria was hospitalized with severe pneumonia and, in his own Wednesday, the Department of Health Surveillance of Sesma fired and made the collection of blood for examination, since the examination of nasal secretion can only be done three to five days after onset of symptoms and information about the Hospital Curuçá stated that the girl was hospitalized eight days. It says that "the patient has had X-ray, medication, took antibiotics, did inhalation of oxygen and medication for the flu."

On the possible delay in drug administration, the press reported that every time the patient was being serviced properly.

"On Wednesday it was registered in the central beds and waiting for transfer to the Hospital Barros Barreto, reference in this type of treatment. However, yesterday morning, Ana Victoria had three cardiac arrests followed, went to the room resuscitation HPSM, but could not resist and joined in death, "said a statement.

Cases reported

In 2010, the Sespa recorded 112 reported cases hospitalized, 46 confirmed and 8 deaths.

Of the fatalities, four were women, one with heart disease and diabetes, a chronic lung disease, one out of the risk group and one is still under investigation.

MUNICIPALITIES

The municipalities that recorded deaths caused by influenza A, according to Sespa: São Paulo (1 case), Belém (1), Benevides (1), Bragança (1), Cameta (3) and Parauapebas (1).

>> Sesma ensures that starts today vaccination for pregnant women

As of today, according to the Municipal Health Secretariat of Bethlehem (Sesma), all health units and several family health in the capital are already available vaccine against influenza A (H1N1) for pregnant women. The professionals of health are being immunized since last Tuesday.

Sergio Pimentel, Sesma holder, explained that there was misinformation from the Department of Health (Sespa) to disclose that the anticipation for the vaccination of pregnant women would begin on Wednesday. "The agreement between the state and city was that the immunization of pregnant women, which begin only in March 22, would be expected in the March 8 and could be held throughout the vaccination period, but nothing was passed on availability of vaccines this week, "he explains.

Because of the misinformation Sesma, according to Pimentel, directed to professionals working in vaccination to immunize pregnant women who, by chance, from reaching clinics. That, if the unit has already received the vaccine.

He assured, however, that from today all the health centers are already adequately resourced to ensure the immunization of pregnant women and health professionals. The secretary also said that dentists can also be vaccinated. "We decided to turn into truth misinformation provided by Sespa. There is no logic to anticipate a campaign that is national, "he said.

CAMPAIGN

Throughout the vaccination campaign, the Sespa will provide 700 thousand doses of vaccine against the H1N1 virus in Bethlehem, and of that total, 28 thousand are already being distributed by Sesma 29 units for the local health units and family health .

"In the islands and in the districts of Outeiro and Mosqueiro vaccination will occur in the same way in the city center, ie, people who fall into categories should seek the clinic nearest," said Carlene Castro, director of Department of Health Surveillance of Sesma. An alert, according to Castro, is that the emergency rooms in Bethlehem - 14 March and Guama - it will offer the vaccine in any of the stages of the campaign.

The Maternity Teaching Hospital Santa Monica, the main unit of the health care aimed at the high-risk pregnancies, the Unified Health System, has temporarily suspended the service.

In a press release, the general management of the unit said the service was suspended in compliance with the Protocol of the Ministry of Health, regarding the H1N1 virus, better known as Influenza A. On Thursday, day 11, the State Department of Health confirmed the first case of death in the state due to the Severe Acute Respiratory Syndrome (SARS), which was a youth of 30 years, who died in the Hospital Hélvio Auto.

According to a spokesperson for the Santa Monica, there are currently three patients with severe acute respiratory syndrome (SARS) admitted to the Intensive Care Unit (ICU) and a newborn in the Intensive Care Unit Care Unit (ICU Neo), precluding leave to receive new patients, since the drive - in theory - serves only high-risk cases.

The temporary closure of Santa Monica - the suspension of service will depend on the clinical evolution of patients in hospital - following the determination of the protocol established by the Ministry of Health and health authorities.

According to the general manager of the clinic, Jose Carlos Silver, all necessary procedures to protect patients from Santa Monica have already been adopted. Silver points out that patients with a profile that would be identified to the maternity hospital will be sent to University Hospital or other hospitals.

"Right now we need the understanding and collaboration of all professionals in hospitals in the state in order to fulfill our ultimate goal which is to care and save lives," said the manager.

Follows the note in full:

PRESS RELEASE

Maternity School Santa Monica, in view of the existence of three (03) patients admitted to the ICU Maternal initially diagnosed with SARS (Severe Acute Respiratory Syndrome) has technical responsibility for civilian and communicate:

a) As the current protocols of the Ministry of Health and complying CCIH Technical Guidelines (Committee on Infection Control) of the same, we are unable to get patients to hospital, until they are in technical and hygienic conditions;

b) have been reported the State Secretary for Health, Municipal Secretary of Health and Dean of UNCISAL;

c) We are together, seeking immediate solutions in an attempt to bring assistance to other units.

José Carlos Souza Silver

Manager