mercoledì 29 aprile 2009

Fase 5!

L'OMS ha dichiarato la fase 5. Le notizie si rincorrono, il sito dell'OMS non è ancora stato aggiornato ma c'è una fonte attendibilissima: il sito del Centro Europeo per il Controllo delle Malattie (ECDC).
Altre fonti trasmettono la notizia (leggi qui e qui).
Questo significa che il virus è caratterizzato da una trasmissione interumana almeno in due Paesi della stessa regione OMS. Anche se in questa fase la maggior parte delle altre Nazioni non è coinvolta la dichiarazione di fase 5 è un forte segnale di pandemia imminente e che il tempo per portare a compimento l'organizzazione, la comunicazione e l'implementazione delle misure di contenimento pianificate è breve.

La situazione relativa alla Nuova influenza sembra avere una costante: quello che si vede non è come sembra... rapidissima evoluzione degli eventi.

13 commenti:

Giuseppe Michieli ha detto...

WHO | Swine influenza - Alert Phase Level 5.

Swine influenza

Ladies and gentlemen,

Based on assessment of all available information, and following several expert consultations, I have decided to raise the current level of influenza pandemic alert from phase 4 to phase 5.

Influenza pandemics must be taken seriously precisely because of their capacity to spread rapidly to every country in the world.

On the positive side, the world is better prepared for an influenza pandemic than at any time in history.

Preparedness measures undertaken because of the threat from H5N1 avian influenza were an investment, and we are now benefitting from this investment.

For the first time in history, we can track the evolution of a pandemic in real-time.

I thank countries who are making the results of their investigations publicly available. This helps us understand the disease.

I am impressed by the work being done by affected countries as they deal with the current outbreaks.

I also want to thank the governments of the USA and Canada for their support to WHO, and to Mexico.

Let me remind you.

New diseases are, by definition, poorly understood. Influenza viruses are notorious for their rapid mutation and unpredictable behaviour.

WHO and health authorities in affected countries will not have all the answers immediately, but we will get them.

WHO will be tracking the pandemic at the epidemiological, clinical, and virological levels.

The results of these ongoing assessments will be issued as public health advice, and made publicly available.

All countries should immediately activate their pandemic preparedness plans. Countries should remain on high alert for unusual outbreaks of influenza-like illness and severe pneumonia.

At this stage, effective and essential measures include heightened surveillance, early detection and treatment of cases, and infection control in all health facilities.

This change to a higher phase of alert is a signal to governments, to ministries of health and other ministries, to the pharmaceutical industry and the business community that certain actions should now be undertaken with increased urgency, and at an accelerated pace.

I have reached out to donor countries, to UNITAID, to the GAVI Alliance, the World Bank and others to mobilize resources.

I have reached out to companies manufacturing antiviral drugs to assess capacity and all options for ramping up production.

I have also reached out to influenza vaccine manufacturers that can contribute to the production of a pandemic vaccine.

The biggest question, right now, is this: how severe will the pandemic be, especially now at the start?

It is possible that the full clinical spectrum of this disease goes from mild illness to severe disease. We need to continue to monitor the evolution of the situation to get the specific information and data we need to answer this question.

From past experience, we also know that influenza may cause mild disease in affluent countries, but more severe disease, with higher mortality, in developing countries.

No matter what the situation is, the international community should treat this as a window of opportunity to ramp up preparedness and response.

Above all, this is an opportunity for global solidarity as we look for responses and solutions that benefit all countries, all of humanity. After all, it really is all of humanity that is under threat during a pandemic.

As I have said, we do not have all the answers right now, but we will get them.

Thank you. [Margaret Chan - WHO Director-General]

WHO | Swine influenza

Marco ha detto...

THE World Health Organisation tonight raised its pandemic alert for swine flu to the second highest level.
The phase 5 alert - the second highest level - means that WHO believes a global outbreak of the disease is imminent and advised that all countries should activate pandemic preparation.

WHO chief Margaret Chan said: “It really is all of humanity that is under threat in a pandemic.”

Human cases of swine flu have been confirmed in Mexico, the United States, Canada, Britain, Israel, New Zealand and Spain. Mexico and the US have reported deaths.

Marco ha detto...

GENEVA – The World Health Organization has raised its pandemic alert for swine flu to the second highest level, meaning that it believes a global outbreak of the disease is imminent.

WHO says the phase 5 alert means there is sustained human to human spread in at least two countries. It also signals that efforts to produce a vaccine will be ramped up.

WHO has confirmed human cases of swine flu in Mexico, the United States, Canada, Britain, Israel, New Zealand and Spain. Mexico and the U.S. have reported deaths.

WHO Director-General Margaret Chan made the decision Wednesday to raise the alert level from phase 4 — signifying transmission in only one country — after reviewing the latest scientific evidence on the outbreak.

THIS IS A BREAKING NEWS UPDATE. Check back soon for further information. AP's earlier story is below.

BERLIN (AP) — The World Health Organization warned Wednesday that the swine flu outbreak is moving closer to becoming a pandemic, as the United States reported the first swine flu death outside of Mexico, and Germany and Austria became latest European nations hit by the disease.

In Geneva, WHO flu chief Dr. Keiji Fukuda told reporters that there was no evidence the virus was slowing down, moving the agency closer to raising its pandemic alert to phase 5, indicating widespread human-to-human transmission.

But he said the health body not yet ready to move the pandemic alert level up from its current level of 4, which means the virus is being passed among people. Phase 6 — the highest in the scale — is for a full-scale pandemic.

As fear and uncertainty about the disease ricocheted around the globe, nations took all sorts of precautions, some more useful than others.

Britain closed a school after a 12-year-old girl was found to have the disease. Egypt slaughtered all its pigs and the central African nation of Gabon became the latest nation to ban pork imports, despite assurances that swine flu was not related to eating pork.

Cuba eased its flight ban, deciding just to block flights coming in from Mexico. And Asian nations greeted returning airport travelers with teams of medical workers and carts of disinfectants, eager to keep swine flu from infecting their continent.

In Mexico City, the epicenter of the epidemic, the mayor said Wednesday the outbreak seemed to be stabilizing and he was considering easing the citywide shutdown that closed schools, restaurants, concert halls and sports arenas.

Swine flu is suspected of killing more than 150 people in Mexico and sickening over 2,400 there.

Dr. Richard Besser, the acting chief of the U.S. Centers for Disease Control and Prevention, said 91 cases have now been confirmed in 10 states, and health officials there reported Wednesday that a 23-month-old Mexican boy had died in Texas from the disease.

Across Europe, Germany confirmed three swine flu cases and Austria one, while the number of confirmed cases rose to five in Britain and ten in Spain.

WHO conducted a scientific review Wednesday to determine exactly what is known about how the disease spreads, how it affects human health and how it can be treated.

Dr. Nikki Shindo, a WHO flu expert, said the review would focus on the large trove of data coming from Mexico and from a school in New York City that has been hard-hit by the outbreak.

Germany's national disease control center, the Robert Koch Institute, said the country's three cases include a 22-year-old woman hospitalized in Hamburg, a man in his late 30s at a hospital in Regensburg, north of Munich, and a 37-year-old woman from another Bavarian town. All three had recently returned from Mexico.

Austria's health ministry said a 28-year-old woman who recently returned from a monthlong trip to Guatemala via Mexico City and Miami has the virus but is recovering.

British Prime Minister Gordon Brown said health officials were ordering extra medicine and "several million more" face masks to deal with the virus.

British media reports, citing an unidentified European surgical mask manufacturer, said the U.K. was seeking 32 million masks to protect its health workers from a possible pandemic.

"We've decided to build stocks of anti-virals, from 35 million to 50 million," Brown said, adding that the government had put in enhanced airport checks and was going to mail swine flu information leaflets to every household in Britain.

In addition to a couple in Scotland who got swine flu on their Mexican honeymoon, new British cases included a 12-year-old girl in the southwest English town of Torbay. Brown said her school had been closed as a precaution.

He said the other two cases were adults in London and in Birmingham. All three had visited Mexico, were receiving anti-viral drugs and were responding well to treatment, Brown said.

French President Nicolas Sarkozy met with Cabinet ministers to discuss swine flu and his health minister said France will ask the European Union to suspend flights to Mexico.

The U.S., the European Union and other countries have discouraged nonessential travel to Mexico. Cuba suspended all regular and charter flights from Mexico to the island but was still allowing airlines to return travelers to Mexico.

New Zealand's number of swine flu cases rose to 14, 13 of them among a school group that recently returned from Mexico. Officials say the swine flu strain infecting the students is the same as that in Mexico. All were responding well to antiviral drugs and in voluntary quarantine at home.

New Zealand has 44 other possible cases, with tests under way.

Mexico was taking drastic measures to fight the outbreak. It closed all archaeological sites and allowed restaurants in the capital to only serve takeout food in an aggressive bid to stop gatherings where the virus can spread. Schools remained closed until at least May 6.

A regional beach soccer championship in Mexico was postponed and all Mexican first-division soccer games this weekend will be played with no audiences. Cruise lines were avoiding Mexican ports and holiday tour groups are canceling holiday charter flights there.

The Philippine health chief appealed to dozens of Filipino legislators to abandon plans to visit Las Vegas to cheer for boxing idol Manny Pacquiao — even though Las Vegas is more than 300 miles (480 kilometers) from the Mexican border.

Egypt's government ordered the slaughter of all pigs in the country as a precaution, though no swine flu cases have been reported there. Egypt's overwhelmingly Muslim population does not eat pork, but farmers raise up to 350,000 pigs for its Christian minority.

In Australia, officials were testing more than 100 people with flu symptoms for the virus and the government gave health authorities wide powers to contain contagious diseases.

"(We can make) sure that people are isolated and perhaps detained if they don't cooperate and are showing symptoms," said Health Minister Nicola Roxon.

Daniel Fiacchini ha detto...

Anche all'OMS devono mettersi daccordo... questa mattina, secondo quanto riportato dll'affidabile CIDRAP la notizia era questa:
Dr. Keiji Fukuda of the World Health Organization (WHO) said at a news briefing today that the latest data on swine flu "suggests that as the outbreak evolves we are moving closer to [pandemic alert] phase 5, but I don't think we are there yet."

Marco ha detto...

L'Oms lancia l'allarme: "La pandemia è imminente. Il grado di allerta passa da 4 a 5 sui 6 totali: "Il tempo per completare l'organizzazione, la comunicazione e la messa in atto delle previste misure di attenuazione è breve". Il direttore generale dell'Organizzazione mondiale della sanità, Margaret Chan, ha esortato tutti i Paesi ad attivare i piani di preparazione alla pandemia e ha chiesto alle ditte farmaceutiche di aumentare la produzione di antivirali.

Marco ha detto...

Vi deve essere molto caos e la preoccupazione sta salendo.
Oggi ho fatto scorta di mascherine e Supradin e gli stessi farmacisti mi hanno preso per pazzo...
Credo che, a causa di una lacunosa e mistificatrice informazione da parte dei media, la cosa sia presa "sotto gamba"...
Questo e' molto grave secondo il mio punto di vista.
Porto il mio esempio:non sono un esperto ma mi sto informando...ma l'italiano media pensa solo a non mangiare la carne e a non andare in Messico..

Anonimo ha detto...

bravo furbo le mascherine sai cosa te ne fai?

sotto gamba hai preso tu in considerazione la medicina, in caso di forte pandemia l'unico rimedio e la tuta integrale.
altro che mascherina..

fammi il favore per piacere

Daniel Fiacchini ha detto...

Caro Anonimo, intanto presentati. In secondo luogo: ognuno è libero di fare ciò che vuole e sull'utilizzo delle mascherine chirurgiche le più importanti istituzioni sanitarie non hanno mai approvato il loro uso generalizzato da parte della popolazione ma neanche rinnegato la loro utilità... è una di quelle evidenze scientifiche non disponibili.
Io non criticherei Marco. Magari un giorno ti ritroverai a cercarne e non trovarne...

Marco ha detto...

Grazie!
Anonimo sei veramente un cafone.
Io saro' ignorante in materia e ma lo dico candidamente...e senza vergognarmene.
E' facile additare noi poveri stolti come creduloni o fifoni ma la realta' è che se questo mi fa stare piu' calmo e tranquillo io lo faccio punto e basta.
Per lavoro, essendo commerciale, giro ogni giorno decine di centri commerciali in tutto il nordest..e vedo centinaia di persone..capisci perche' sono preoccupato?
...forse no!

VolareLiberi ha detto...

Vedo che il mio commento e´stato cancellato.Rifaccio la domanda, se VIENE AFFERMATA EPIDEMIA A LIVELLO INTERNAZIONALE.La gente come deve comportarsi per non avere panico?Viola.Buonaserata.

VolareLiberi ha detto...

Vedo che il mio commento e´stato cancellato.Rifaccio la domanda, se VIENE AFFERMATA EPIDEMIA A LIVELLO INTERNAZIONALE.La gente come deve comportarsi per non avere panico?Viola.Buonaserata.

Marco ha detto...

L'Organizzazione mondiale della sanità, dopo aver avvertito per la prima volta in maniera esplicita del rischio pandemia, ha innalzato a 5 - in una scala il cui valore massimo è 6 - il livello di attenzione sul virus a seguito della certificazione dei «progressi» fatti dalla nuova influenza nelle ultime ore. «Per il momento non vi è nessuna evidenzia scientifica ed epidemiologica che giustifichi il passaggio dalla fase di allerta 5 alla fase 6», ha dichiarato Keiji Fukuda, vicedirettore generale dell'Organizzazione mondiale della sanità annunciando però che i casi umani ufficialmente notificati sono saliti a 236 in 13 paesi, contro i 148 ricoverati di del giorno prima. In Messico, da 26 casi si è passati a 97, mentre negli Stati Uniti, dove si è registrato l'unico decesso fuori dal Messico, i casi confermati sono 109. Per quanto riguarda l'Europa, in Spagna il ministero della Sanità ne ha conclamati 13, la Gran Bretagna 8, in Germania ne sono stati riscontrati 3 e un caso si è registrato in Giappone, Olanda, Svizzera e Austria. I ministri della Salute della Ue hanno intanto respinto la proposta, avanzata dalla Francia, di bloccare i voli europei diretti in Messico. A Lussemburgo, poco prima del vertice, Daniela Filipiova, responsabile della Sanità della Repubblica Ceca, in qualità di presidente di turno della Ue, si era detto contraria a misure restrittive riguardanti i viaggi verso il Paese centroamericano. La collega francese Roselyne Bachelot, lasciando la riunione, ha comunque espresso l'augurio che la misura non venga definitivamente accantonata dai Ventisette, ribadendo che «se necessario dovrebbe essere adottata». Nessun termine preciso è stato per il momento assegnato al virus A/H1N1.

Daniel Fiacchini ha detto...

Viola, non esiste che il tuo commento sia stato cancellato. Non ho cancellato nessun commento dalla data del 24 aprile. Forse hai commentato in un altro post...
In queto blog trovi un sacco di informazioni sparse su come proteggersi in caso di pandemia. Sarà mia cura, quando riuscirò a respirare, recuperare il materiale e dedicare diversi nuovi post a questo importantissimo argomento. In fondo PandemItalia è stato creato anche per rispondere alla tua domanda!