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A13 Influenza (H1N1) Pandemic 2009
Pages 327-341

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From page 327...
... by case definition and confirm a representative sample by laboratory; the National Laboratory of respiratory viruses; the disease notification system of influenza type by case definition; and typing and subtyping of influenza strains circulating each year in relation to the vaccine formula, which takes place in the three National Influenza Centers of the World Health Organization (WHO)
From page 328...
... Figure A13-2 R01627 uneditable bitmapped image with real type labels where translated
From page 329...
... Surveillance R01627 uneditable bitmapped image type replaced estimated that the transmission to close contacts at home was 1.1 percent versus 8.7 percent in school. It was also found that the incubation period at school was 48 hours and that dissemination rate was R0 = 2.4.
From page 330...
... The lack of epidemic containment in CABA and the metropolitan area of theProvince of Buenos Aires led to the spread in major cities within the Province of Buenos Aires as well as several provincial capitals, starting with Santa Fe.
From page 331...
... 160 Figure A13-5 140 0 to 4 years old 5 to 14 years old R01627 120 15 to 44 years old 45 to 64 years old editable vectors Number of cases 100 > 65 years old 80 60 40 20 0 4/26/09 4/29/09 5/2/09 5/5/09 5/8/09 5/11/09 5/14/09 5/17/09 5/20/09 5/23/09 5/26/09 5/29/09 6/1/09 6/4/09 6/7/09 6/10/09 6/13/09 6/16/09 6/19/09 6/22/09 6/25/09 6/28/09 7/1/09 7/4/09 7/7/09 7/10/09 7/13/09 Date of the onset of symptoms FIGURE A13-6  Distribution of confirmed cases and cases under study by age and date of onset of symptoms, rest of country (except Buenos Aires and Province of Buenos Aires) , April-July 2009 (n = 5,030)
From page 332...
... SOURCE: Ministry of Health National Surveillance System.
From page 333...
... Had schools been closed as recommended between June 8th to 19th, the virus probably would not have spread as far and there may have been fewer deaths. An increase in deaths resulted because of the lack of early treatment by shifting to mitigation and only treating cases of severe acute respiratory infection (SARI)
From page 334...
... As of early July, the intensity 4500 4000 3500 3000 2500 2000 1500 1000 500 0 EW 14 EW 15 EW 16 EW 17 EW 18 EW 19 EW 20 EW 21 EW 22 EW 23 EW 24 EW 25 EW 26 EW 27 EW 28 EW 29 EW 30 EW 31 EW 32 EW 33 EW 34 EW 35 Respiratory syncytial virus Adenovirus Human parainfluenza virus Influenza B virus Seasonal influenza A virus Influenza A virus without subtyping Pandemic influenza (H1N1) 2009 FIGURE A13-9  Distribution of respiratory viruses by epidemiological week, Argentina 2009.
From page 335...
... SOURCE: Ministry of Health National Surveillance System. 80 68.08 70 Figure A13-10 60 R01627 Rates (per 100,000)
From page 336...
... . SOURCE: Ministry of Health National Surveillance System.
From page 337...
... . SOURCE: Ministry of Health National Surveillance System.
From page 338...
... SOURCE: Ministry of Health National Surveillance System. Figure A13-15 R01627
From page 339...
... editable vectors 90% 80% 70% 60% Percentage 50% 40% 30% 20% 10% 0% Fever or Dyspnea Tachypnea Cough Crackles Progressive Wheezing Asthenia Cyanosis precedent Dyspnea FIGURE A13-17  Signs and symptoms identified in medical records. SOURCE: Ministry of Health National Surveillance System.
From page 340...
... Also, in other jurisdictions, like the Province of Tierra del Fuego, there was not a mitigation step introducing a transition phase in which treatment of all cases continued, but chemoprophylaxis was not given. This strategy showed a considerable difference in the rate of hospitalization and in mortality, as seen in the pyramids of each region (Figures A13-18 and A13-19)
From page 341...
... FIGURE A13-19  Descriptive analysis of epidemiological data 2009-H1N1 influenza A Figure pandemic, Tierra del Fuego, Argentina, May 21A13-19 through August 30, 2009 (intensive health care and treatment of ILI)


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