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1.
Euro Surveill ; 20(44)2015.
Artigo em Inglês | MEDLINE | ID: mdl-26554574

RESUMO

We describe the inquiries regarding Ebola virus disease (EVD) received by the Department of Public Health Alerts of the Community of Madrid between April and December 2014. A total of 242 inquiries were received. Consultations were initiated most frequently by hospital clinicians (59 inquiries, 24%), private citizens (57 inquiries, 24%) and primary care physicians (53 inquiries, 22%). The most frequent topic of inquiry was possible EVD in a patient (215 inquiries, 89%). Among these, 31 persons (14%) presented both EVD-compatible symptoms and epidemiological risk factors, and 11 persons (5%) fulfilled the criteria for a person under investigation. Recent travel abroad was reported in 96 persons (45%), but only 32 (15%) had travelled to an EVD-affected area. Two high-risk and one low-risk contact were identified through these inquiries. Low specificity of the EVD symptoms led to many difficulties in protocol application. Ineffective communication with healthcare professionals and unfamiliarity with the EVD protocols caused many case classification errors. A rapid consultation service by telephone is essential for providing qualified advice during emergencies. Our experience may help other countries dimension their activities and resources for managing similar exceptional outbreaks in the future.


Assuntos
Ebolavirus/isolamento & purificação , Instalações de Saúde , Pessoal de Saúde , Doença pelo Vírus Ebola/diagnóstico , Vigilância em Saúde Pública/métodos , Consulta Remota/estatística & dados numéricos , Surtos de Doenças/prevenção & controle , Febre/etiologia , Doença pelo Vírus Ebola/epidemiologia , Humanos , Espanha/epidemiologia , Viagem
2.
Rev. esp. salud pública ; 84(5): 609-621, sept.-oct. 2010. ilus, tab
Artigo em Espanhol | IBECS | ID: ibc-82403

RESUMO

Fundamentos: El primer caso confirmado de gripe pandémica (H1N1) 2009 adquirida en la Comunidad de Madrid (CM) se detec-tó el 20 de mayo, siendo el caso índice del primer brote escolar de la CM. Los objetivos son describir los brotes escolares ocurridos en la primavera de 2009, las medidas de control implementadas, así como el inicio de la transmisión comunitaria de este virus en la región. Métodos: Estudio observacional descriptivo de los brotes esco-lares de gripe pandémica (H1N1) 2009 ocurridos en la CM entre el 20 de mayo y el 27 de junio de 2009, y de los casos totales estudiados en ese periodo. Se utiliza la definición de agrupación de casos de gri-pe adoptada a nivel nacional (3 o más casos). Se analizan los datos clínicos, epidemiológicos y microbiológicos de los casos. Resultados: Se investigaron 1.349 casos asociados a 77 centros escolares de la CM con tres o más casos de gripe notificados durante la primavera de 2009, 47,4% del total de casos en ese periodo (n=2.844). Se detectaron 36 brotes en Leganés (más de un tercio de los centros del municipio), generando las mayores tasas de inciden-cia acumulada en la Zona Básica de referencia. Se detectaron dife-rencias en la sintomatología según la edad. Se analizaron 949 mues-tras por RT-PCR, resultando positivas 555 (58,5%). Conclusiones: La transmisión del virus pandémico en la CM ocurrió de manera sostenida durante la primavera de 2009 a conse-cuencia de los brotes en centros escolares, significando el inicio de la transmisión comunitaria en España(AU)


Background: The first pandemic influenza (H1N1) 2009 confir-med case acquired in the Madrid Region was diagnosed in May 20th. This was the index case of the first outbreak in a school in the Madrid Region (MR). The aim of this paper is to describe school outbreaks that took place during the spring in 2009, the control measures implemented and the beginning of the community transmission of this virus in the Region. Methods: Descriptive observational study of school outbreaks due to pandemic (H1N1) 2009 virus reported between May 20th and June 27th, and total investigated cases in this period. It was used the definition of cluster of influenza cases adopted by National Autho-rity (three or more cases). Clinical, epidemiological and microbiolo-gical data of cases were analyzed. Results: There were identified 1.349 cases of pandemic (H1N1) 2009. They were associated with 77 school centres with three or more reported cases, 47,4% of total cases in this period (n = 2.844). 36 outbreaks were detected in Leganés (more than one third of all schools in the municipality), generating the highest cumulative inci-dence rates in the Basic Health Zone. There were differences by symptoms according to age. During this period, 949 samples were analyzed and 555 (58.5%) tested positive. Conclusions: The transmission of pandemic (H1N1) 2009 virus in the MR occurred steadily during the spring of 2009 due to schools outbreaks, meaning the onset of community transmission in Spain(AU)


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Criança , Adolescente , Transmissão de Doença Infecciosa/prevenção & controle , Doenças Transmissíveis/epidemiologia , Pré-Escolar/classificação , Estudantes/classificação , Vírus da Influenza A Subtipo H1N1/imunologia , Influenza Humana/epidemiologia , Influenza Aviária/epidemiologia , Medicina de Família e Comunidade/tendências , Sinais e Sintomas , Surtos de Doenças/classificação , Surtos de Doenças/prevenção & controle , Espanha/epidemiologia
3.
Rev Esp Salud Publica ; 84(5): 609-21, 2010.
Artigo em Espanhol | MEDLINE | ID: mdl-21203723

RESUMO

BACKGROUND: The first pandemic influenza (H1N1) 2009 confirmed case acquired in the Madrid Region was diagnosed in May 20th. This was the index case of the first outbreak in a school in the Madrid Region (MR). The aim of this paper is to describe school outbreaks that took place during the spring in 2009, the control measures implemented and the beginning of the community transmission of this virus in the Region. METHODS: Descriptive observational study of school outbreaks due to pandemic (H1N1) 2009 virus reported between May 20th and June 27th, and total investigated cases in this period. It was used the definition of cluster of influenza cases adopted by National Authority (three or more cases). Clinical, epidemiological and microbiological data of cases were analyzed. RESULTS: There were identified 1.349 cases of pandemic (H1N1) 2009. They were associated with 77 school centres with three or more reported cases, 47,4% of total cases in this period (n = 2.844). 36 outbreaks were detected in Leganés (more than one third of all schools in the municipality), generating the highest cumulative incidence rates in the Basic Health Zone. There were differences by symptoms according to age. During this period, 949 samples were analyzed and 555 (58.5%) tested positive. CONCLUSIONS: The transmission of pandemic (H1N1) 2009 virus in the MR occurred steadily during the spring of 2009 due to schools outbreaks, meaning the onset of community transmission in Spain.


Assuntos
Vírus da Influenza A Subtipo H1N1 , Influenza Humana/epidemiologia , Influenza Humana/transmissão , Pandemias , Adolescente , Criança , Infecções Comunitárias Adquiridas/epidemiologia , Feminino , Humanos , Masculino , Instituições Acadêmicas , Espanha/epidemiologia , Fatores de Tempo , Saúde da População Urbana
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