The most frequent zoonosis



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tarix30.10.2017
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The most frequent zoonosis

  • The most frequent zoonosis

  • Reservoir

  • Multiple hosts

  • Species barrier

  • Epizootics and epidemics

  • Impossible to erradicate

  • Individually avoidable



Expected phenomenon

  • Expected phenomenon

  • Fast global ignition process

    • Phase 4  Phase 5  Phase 6  Portugal
  • No pandemics are alike:

  • 1889, 1900, 1918, 1957, 1968, 2009

  • Different issue from seasonal influenza

  • Emergence of the A(H1N1)2009 virus

  • H1 generations



Worldwide impact

  • Worldwide impact

    • Ongoing spread of infection over both hemispheres
    • Common trends in each hemisphere
  • National impact



Southern hemisphere

  • Southern hemisphere

    • General widespread infection, though decreasing as Winter ends
  • Northern hemisphere

    • General flu activity during all Summer
    • Japan reporting a significant increase of ILI cases


Some aspects differ from seasonal flu:

  • Some aspects differ from seasonal flu:

    • High activity during Summer, in the northern hemisphere
    • Severe and fatal cases mainly in younger age groups
    • Death mainly associated with a rapid respiratory failure
  • Very fast worldwide spreading

    • All world regions in just 9 weeks




Wide spectrum of severity (no symptoms  death)

  • Wide spectrum of severity (no symptoms  death)

    • Proportion of cases with no symptoms not yet established
  • Majority of patients develops self-limited clinical cases

  • Risk groups:



Most patients recover without hospitalization

  • Most patients recover without hospitalization

  • Care-providers must pay attention to signs of aggravation:

  • Guidelines issued on care provision and use of antivirals



Viruses remain unchanged

  • Viruses remain unchanged

    • Will evolve and diverge over time
    • Sensitive to oseltamivir and zanamivir
    • Resistant to amantadine and rimantadine
    • 12 cases of oseltamivir resistance reported
  • Increased incidence of the pandemic virus



Containment phase - April 24 – August 21

  • Containment phase - April 24 – August 21

    • First reported case - April 29
    • First secondary case - July 4
    • First cluster - July 5
    • 100 cumulative cases - July 14
    • 1000 cumulative cases – August 14
    • 2000 cumulative cases – August 21
  • Mitigation phase - August 21



Minister of Health

  • Minister of Health

  • DGS, INSA,INFARMED, INEM

  • Emergency Coordination Committee

  • Articulation with all sectors involved

  • Involvement of citizens, families and enterprises























Kataloq: rdonlyres
rdonlyres -> Despacho n.º 1367/2005 de 29 de Novembro de 2005
rdonlyres -> Publicada la lista provisional de adjudicatarios de 130 viviendas en Zizur Mayor, Valle de Egüés-Sarriguren, Pamplona, Ansoáin y Cendea de Galar-Cordovilla
rdonlyres -> The History of Mental Illness: From 'Skull Drills' to 'Happy Pills'
rdonlyres -> Vila do Porto, Santa Maria, 17 de Janeiro de 2008 – Intervenção do presidente do Governo na inauguração da estação da esa em Santa Maria
rdonlyres -> El comité hispano-francés de selección de proyectos europeos interpirenaicos se reúne en Pamplona
rdonlyres -> Quinto congreso de economía de navarra economía y desarrollo sostenible miércoles, 19 de noviembre tarde
rdonlyres -> Publicada la lista provisional de adjudicatarios de 130 viviendas en Zizur Mayor, Valle de Egüés-Sarriguren, Pamplona, Ansoáin y Cendea de Galar-Cordovilla

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