La influenza A (H1N1)

4 de mayo de 2009

Desde el punto de vista de un tributario, cuando ocurre este tipo de situaciones como una gripe riesgosa. Debemos preocuparnos que el gobierno de Guatemala no malgaste nuestro dinero, ya son nuestros impuestos lo que se utilizan para resolver este tipo de emergencias y puede ser que no sea tan necesario, por lo que no debemos permitir que esta influenza A sirva de cortina de humo para que nos desvíen de los temas que si importan como la violencia, inseguridad y sobre todo la crisis.

Esta es una enfermedad tratable, por lo que siempre debemos poner las cosas en contexto y ser concientes que la información no es extraña pero esta en nosotros saber diferenciarla.

No debemos dejar que tanta información nos intimide por estas situaciones, debemos ser responsables y cada uno tomar la iniciativa de informarse correctamente y cuidarse.

[audio:http://files.libertopolis.com/audio/2009/may/NEG090504.mp3]

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4 Comments

  1. Dr. Jorge M. Figueroa el 6 de mayo de 2009 a las 15:45

    He sido un asiduo oyente de sus programas. La razón de esto es que siempre han tratado los temas con seriedad y profundidad. Sin embargo su programa sobre la influenza fue un programa en el que el tema fue tratado a la ligera. Creo que deberían de haber invitado a algún conferencista que sepa sobre el tema. En Guatemala hay infectologos de reconocido prestigio que podrían ayudarlos a comprender la magnitud del problema. Creo que para poder hablar con autoridad sobre el tema, es importante enterarse de lo que ocurrió durante la epidemia de gripe española, en la que murieron aproximadamente 40 millones de personas. Existen relatos de los médicos de las fuerzas armadas de los Estados Unidos, con relatos escalofriantes de lo ocurrido en esa època. Les sugiero ingresar al sitio del Centro de control de Enfermedades de Atlanta para ver lo que potencialmente puede suceder. Es posible que todo resulte en una falsa alarma, pero si no es así creo que temos que estar preparados. Les incluyo un artículo sobre el tema.PAS 2009: H1N1 Flu Predicted to Wane and Reemerge in Fall
    Martha Kerr

    May 4, 2009 (Baltimore, Maryland) — Pediatric infectious diseases specialists and public health experts used the stage of the Pediatric Academic Societies’ annual meeting to update their colleagues on the latest statistics and projections on the H1N1 «swine flu» outbreak.

    «I believe that we will see [H1N1 cases] die down over the next month or two, with a reemergence in the fall,» predicted James Cherry, MD, pediatric infectious diseases specialist at the University of California at Los Angeles School of Medicine.

    «I’ve lived through 4 shifts of influenza A,» Dr. Cherry told a heavily attended special symposium here. The current strain appears to be more similar to the 1957 strain, when deaths were largely attributed to coinfection with Staphylococcus aureus, than it does to the better recognized 1976 swine influenza outbreak, he said.

    «I think we are going to see this strain reemerge in the fall, with MRSA [coinfection].(Multiple resistant staphillococcus aureus) I believe MRSA will play a major role in morbidity and mortality,» Dr. Cherry warned.

    «This is real. This is going to happen. We need vaccines. We should move ahead with vaccine development as fast as possible. Antivirals are not going to manage it,» he said.

    The median age of infected patients in this outbreak is 26 years, and the virus primarily infects teens and young adults, he said. «It doesn’t seem to seriously affect anyone over age 50. We don’t know if these individuals have some residual immunity.»

    Gail J. Demmler-Harrison, MD, professor of pediatrics at Baylor College of Medicine and Texas Children’s Hospital in Houston, commented that «Dr. Cherry’s adage still holds true: If there is a fever, it is probably influenza. If there are nasal symptoms, then it is likely not.»

    There could be exceptions, she cautioned, such as infants with severe gastrointestinal symptoms and apnea, and infants who are immunocompromised may have atypical presentations.

    «It is important to obtain a proper specimen of a nasal swab, aspirate or wash…with rapid A/B flu testing at the point of care» in children with fever and flu-like symptoms and close contact with a confirmed or suspected case, Dr. Demmler said. Positive samples should be sent to a laboratory for viral cultures and molecular typing.

    Stephen C. Redd, MD, the Centers for Disease Control and Prevention’s Coordinating Center for Infectious Diseases (CDC CCID) influenza team leader, noted that there are no new recommendations for travel. Community mitigation procedures have not been made mandatory.

    «Schools should consider closing if there has been a confirmed case among students, or confirmed cases in the neighborhood, but there are no preemptive mandatory regulations for closings or travel restriction,» he emphasized. Mandatory closings are restricted to outbreaks with 1% to 2% or higher mortality, «and that is certainly not the case with this outbreak.»

    «This is a rapidly evolving epidemic,» Dr. Redd added. «Susceptibility is widespread, but the severity picture is much less clear than the susceptibility…. Guidance is frequently changing. Stay tuned!»

    «Clinicians should recommend early antiviral treatment with oseltamivir (Tamiflu) or zanamivir (Relenza) if the patient is severely ill or is at high risk for complications. Use your clinical judgment to decide whether additional antibacterial therapy is needed,» he said.

    «The evidence on the value of induction of secretory IgA or FluMist is unknown,» Dr. Cherry added.

    The speakers have disclosed no relevant financial relationships.

    The Pediatric Academic Societies are a consortium of pediatric associations and societies, including the Asian Society for Pediatric Research, the American Society of Pediatric Nephrology, the Association of Pediatric Program Directors, the International Pediatric Hypertension Association, the Pediatric Infectious Diseases Society, and the Programme for Global Paediatric Research.

    Pediatric Academic Societies (PAS) 2009 Annual Meeting: Hot Topic Symposium: «H1N1 Influenza A: What the Pediatrician Needs to Know.» Presented May 4, 2009.

    Journalist
    Martha Kerr
    Como ustedes pueden ver, en otras latitudes si se le está prestando atención al problema y se maneja con seriedad.

    Atentamente,

    Dr. Jorge M. Figueroa
    Colegiado No. 1820

  2. Fernando el 7 de mayo de 2009 a las 09:06

    saludos,

    lamentablemente no se puede descargar el archivo ni oirlo.

  3. IBLIN el 20 de mayo de 2009 a las 08:20

    por favor mandenme el diagnostico clinico y labolatorial de la gripe ah1n1

  4. lucas el 26 de junio de 2009 a las 07:02

    es mentira!!

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