2012年2月1日水曜日

Flu cases begin to affect the emergency in the hospitals in Spain

Los casos de gripe empiezan a afectar a las urgencias
Madrid - 17-01-2012

http://www.elpais.com/articulo/madrid/casos/gripe/empiezan/afectar/urgencias/elpepiespmad/20120117elpmad_6/Tes

Flu cases begin to affect the emergency

Madrid is the only autonomous region in which the epidemic has already begun this disease


ELENA G. SEVILLANO - Madrid - 17/01/2012

The flu has arrived in the region and health centers and emergency departments have begun to notice. Madrid is the only Spanish region which already has exceeded the epidemic threshold for the disease. With 91 cases per 100,000, almost double the regional average rate for the rest of the country, according to the latest System Influenza Surveillance in Spain's Instituto de Salud Carlos III, referring to the week 1 of 2012 ( 1 to 8 January). Madrid is in epidemic situation, while Asturias and Castilla-La Mancha have a local broadcast, another seven communities, sporadic, and the rest zero.


The monitoring


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The society of emergency medical calls for "calm"

A video shows beds in hospital corridors Alcorcón
The increase in patients attending hospital emergency departments are being "significant," says the Society of Emergency Madrileña (Madrid Shemesh). However, the agency wants to "convey to the public a message of calm and confidence in the ability of emergency services and professionals at all levels of care," according to a statement signed by the president, Juan Jorge Gonzalez. The Shemesh explained that the increase in the incidence of influenza is "a prevalent pathologies reactivation of chronic lung or heart that occur with increased morbidity" and that, therefore, require attention, "in many cases hospital admission with a greater number and proportion at other times of the year. " The latest weekly report on influenza surveillance in the Community of Madrid, also with data from the first week of the year, states that the incidence is 91 cases per 100,000 inhabitants, while the epidemic threshold, is calculated using the average weekly incidence in the five previous seasons, for 2011-2012 is 40.5 cases per 100,000.
The Spanish Society of Intensive Care Medicine has warned of the arrival of peak seasonal H1N1 virus and has requested that manage emergencies "antivirals to the suspicion of infection with influenza A" to "the increase in mortality has been occurring in critically ill patients admitted to Spanish ICUs. " The company explains that "the immunocompromised and the population at risk should receive annual booster dose, especially those over 65 and pregnant."
The Ministry of Health did not provide data on the increased influx of flu patients to health centers or hospital emergency. A spokeswoman said only that "there is a little more flow than at other times." The overload of the emergency jumped to the media last week, after spreading the Anti-Privatisation Coordination of Public Health and other video recorded at the hospital in Alcorcón which can see up to 14 beds set up in the aisles the emergency center.
"I had never experienced anything like this, spent three days in the emergency department, with patients in the hallways, sometimes but stretchers beds," says Alba El Pais, the person who recorded the video with his cell phone between days 3 and 4 January in Alcorcón Hospital, where he had to accompany her boyfriend Daniel for a double vision problem. He says that to find the conditions in which they were patients there, many of them elderly, decided to record the images, edit them and hang them on the Internet to denounce it publicly. "We spent a total of 50 hours in the emergency department, 22 of them on a bed in a hallway and the other 28 in the waiting room," he said when Daniel finally went to a room.
"The sick, with no privacy, sleeping on the walkways, in view of all, no bathroom, no shower, no closet, no couches for family members. Even see how to wash and change to an old lady the sight of all, shyly hiding only a screen of a meter wide, "said Alba. "The nurses tell us they several areas of the hospital are closed due to recent staff cuts, which happened a few weeks ago. We say that there is no room, is not staffed to address them," he adds. Alcorcón Hospital issued a statement on 13 in which he claimed that there was no collapse despite the "existing flu outbreak" and that the center was working "properly".
The day before, had denounced the PSOE in Alcorcón that the hospital has 560 beds, but usually only work 400, which represents a ratio well below average. This center was the worst score in the satisfaction survey conducted by the Ministry of Health in 2010. He received the lowest score in the emergency section, especially when patients are asked to rate the waiting time.


The monitoring


- Monitoring the incidence of influenza in Madrid is done through a network of "sentinel physicians" formed by 122 physicians (88 family physicians and pediatricians 34).
- In total serving a population of 166,006 inhabitants (2.7% of total).
- This season the Ministry of Health has asked doctors to take samples from the two first cases arriving each week. These data are updated with the statements received at the end of the week.

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