by lightningBugout » Thu Nov 05, 2009 7:33 am
Pandemic (H1N1) 2009, Ukraine - update 1 (WHO)
3 November 2009 -- According to the Ministry of Health of Ukraine, the country has now recorded more than 250 000 cases of influenza-like illness, with 235 patients requiring intensive care. As of 2 November, 70 deaths from acute respiratory illness have been reported.
Regions in western Ukraine continue to show the highest rates of acute respiratory illness/influenza-like illness. The level of activity in the Kyiv area is also increasing rapidly.
Laboratory testing in Ukraine has confirmed pandemic H1N1 influenza virus in samples taken from patients in two of the most affected regions. As the pandemic virus has rapidly become the dominant influenza strain worldwide, it can be assumed that most cases of influenza in Ukraine are caused by the H1N1 virus.
As elsewhere, WHO strongly recommends early treatment with the antiviral drugs, oseltamivir or zanamivir, for patients who meet treatment criteria, even in the absence of a positive laboratory test confirming H1N1 infection.
At the request of the government, a multi-disciplinary team of nine experts has been deployed by WHO and arrived in Kyiv yesterday evening. Discussions with the Minister of Health were held this morning to brief the team.
Team members will now begin field investigations to characterize the clinical and epidemiological features of the outbreak. Work will initially begin in Lviv region, where reported numbers of cases showing severe manifestations of acute respiratory illness have been especially high. Two virologists on the team have started working at the National Influenza Centre and the laboratories of the Central Sanitary and Epidemiological Station in Kyiv to provide diagnostic support.
Samples sent by the Ministry of Health were received today by the WHO Collaborating Centre for Reference and Research on Influenza, Mill Hill in London, UK. The laboratory will conduct confirmatory tests and further characterize the virus.
Many questions remain to be answered. The outbreak in Ukraine may be indicative of how the virus can behave in the northern hemisphere during the winter season, particularly in health care settings typically found in Eastern Europe.
Given the potential significance of this outbreak as an early warning signal, WHO commends the government of Ukraine for its transparent reporting and open sharing of samples.
WHO continues to recommend no closing of borders and no restrictions on international travel, including to Ukraine. Experience shows that such measures will not stop further spread of the virus.
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Ukraine - President hears reports of commanders of armed forces on fighting flu
President Victor Yushchenko met the First Deputy Defense Minister Valeriy Ivashchenko, Commander of Interior Troops of Ukraine Oleksandr Kikhtenko, Chairman of the State Border Guard Service Mykola Lytvyn, Chairman of Administration of the State Special Transport Service Mykola Malkov to hear their reports on the execution of Security and Defense Council instructions on protection of national security in an outbreak of pandemic flu in Ukraine.
First of all sides have discussed providing aid to civilians in fighting flu and respiratory illnesses.
In accordance with the instruction of the NSDC of October 30, 2009 "On urgent measures to ensure national security in an outbreak of pandemic flu in Ukraine” the Ministry of Defense of Ukraine was supposed to:
1) provide medical teams and mobile hospitals in consultation with the Ministry of Health of Ukraine to give medical assistance to the population of mainly rural areas
2) provide military mobile hospitals and labs, ambulance airplane AN-26 "Vita" and sanitary helicopter Mi-8 to take part in conducting medical treatment and preventive measures in the regions with the worst sanitary-epidemiological situation in response to the appropriate requests of the Ministry of Health of Ukraine.
The President was also informed on the sickness rate and measures taken to fight the outbreak of flu in military units, prevention of the disease, vaccination and observation of quarantine.
Separately participants of the meeting have discussed the situation with conscription to the armed forces. As a preventive measure the Defense Ministry decided to postpone sending the November draftees to their units for ten days and to suspend gathering the recruits at recruiting stations for the period, as well as to speed up demobilization of soldiers, who have completed their service.
The President has instructed the commanders of military units to enhance coordination with the Ministry of Health, Chief Sanitary Doctor, and to conduct consultations on preventive measures, one of which is vaccination against seasonal flu.
Victor Yushchenko also emphasized the importance of follow quarantine regime and limiting the number of mass events with participation of the military.
The President also stressed the need holding regular testing of all military formations for respiratory illnesses. To ensure that Ministry of Defense and other agencies are to prepare applications to Ministry of Health for provision of test systems that it has, including those received as international humanitarian assistance.
The President requested the present officials to provide information on the sickness rate in regular units daily and in those, where there are conscripts - twice a day.
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Ukraine leader attacks rivals over flu epidemic
Wed Nov 4, 2009 4:19pm EST
KIEV, Nov 4 (Reuters) - Ukrainian leader Viktor Yushchenko on Wednesday accused opponents running against him in a January presidential election of criminal negligence in the way they have handled an outbreak of swine flu. Yushchenko said bitter rival Prime Minister Yulia Tymoshenko, ex-prime minister Viktor Yanukovich and parliamentary speaker Volodymyr Lytvyn were all aware of a flu epidemic in the week they organised mass rallies for their own campaigns.
The government announced a series of strict measures such as school closures and a ban on public events, including rallies, last week after the first confirmed swine flu death.
Yushchenko, unlikely to win re-election with support at 5 percent of the population or under, was due to hold his rally on Saturday -- after the measures were put in place.
"The first and most effective method of prevention is not to allow mass gatherings of people. But, ignoring this rule, hundreds of thousands of people were brought to Kiev for various events from different regions," Yushchenko told television stations in a broadcast to the nation.
"I want to stress that those who organised these events knew the situation and they've ignored it. The parliament speaker and the leader of the opposition and, most importantly, the prime minister, ignored the facts of the epidemics," Yushchenko said.
"This is completely similar to the May Day rallies in Kiev after the Chernobyl disaster," he said referring to the Soviet cover-up of the 1986 nuclear reactor explosion to Ukrainians who were exposed to radiation for days without knowing of it.
Ukrainian authorities have said at least three people have died of the H1N1 variety of flu. Out of some 450,000 cases of acute respiratory illness registered in the country about 20 or slightly under have been confirmed as swine flu.
More than 80 people have died since mid-October of the flu and other respiratory illnesses and the World Health Organisation has said it assumes most flu cases in Ukraine have been caused by the H1N1 virus.
Both Tymoshenko and Yushchenko have sought to take a lead in handling the flu epidemic -- while the president appealed for aid from neighbouring countries, the prime minister met the first consignment of medicines at the airport on Sunday.
"I see not only moral, but criminal responsibility here. I have asked Ukraine's General Prosecutor's office to start a criminal investigation into the cases of negligence" amongst Ukraine's top health officials and government members, Yushchenko said.
Opposition leader Yanukovich leads the opinion polls with about 28 percent and is expected to face Tymoshenko, with about 20 percent support now, in a final round of voting in February. (Writing by Sabina Zawadzki)
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Ukraine flu outbreak widens, Kiev announces control moves - Summary
Posted on : 2009-11-04 | Author : dpa
News Category : Health
Kiev - Ukraine's deadly flu outbreak widened on Wednesday, as government officials announced new emergency measures in an attempt to control the spread of the illness. More than 478,000 people were registered with national health authorities as suffering from the flu, of whom 17 had confirmed cases of swine flu, Health Ministry spokeswoman Lyudmila Luharska said.
The nationwide death count from flu-related illnesses since late October stood at 86, Luharska said at a Kiev press conference, according to the Ukrainska Pravda website.
Flu infection was highest in Ukraine's western Lviv, Ternopil and Ivano-Frankivsk provinces, where reports of flu to health authorities had doubled since the weekend, she said.
Four deaths from the virulent swine flu strain were confirmed as of Thursday, Luharska said.
One man who died of swine flu was a Kiev resident, the news agency Interfax reported. A second person in the Ukrainian capital was suspected of having been infected with swine flu.
The Kiev swine flu death marked the first jump of swine flu from Ukraine's western provinces, where the flu outbreak has been concentrated so far, to Kiev, Ukraine's largest metropolitan area.
Prime Minister Yulia Tymoshenko said at a meeting that her government would enact more emergency measures to control the disease's spread and to combat retail shortages of anti-flu drugs and protective anti-infection masks.
Tymoshenko said the government would prepare a plan "within a week" to establish a nationwide chain of state-run drug sales centres to combat what she called hoarding and price-gouging by the private health industry, according to a report by the Korrespondent website.
The centres, each offering a limited assortment of some 100 basic anti-cold and flu drugs, would operate in government-run hospitals and clinics, and sell medical supplies at a marginal price mark-up, Tymoshenko said.
Tymoshenko also instructed Foreign Minister Petro Poroshenko to obtain a "special pandemic price" in negotiations with international drug companies for emergency deliveries of anti-flu drugs to Ukraine, according to an Interfax report.
Government textile and clothes factories have received 1 million metres of gauze and cheesecloth from state reserves, Tymoshenko said,and emergency production of surgical masks was beginning, according to a TSN television news report.
Initial deliveries of cloth masks would reach the general public in seven days, "sufficient to provide every Ukrainian citizen two masks," she said.
Factories in Kharkiv and the hard-hit Lviv region would produce the masks, according to Ukrainian media reports. Tymoshenko on Monday said that if necessary, her government would commit 6 million metres of gauze and cheesecloth to the emergency mask production programme.
Tymoshenko was scheduled to travel to the Lviv province, the epicentre of the flu outbreak, on Thursday afternoon, according to a Cabinet of Ministers statement.
Last edited by
lightningBugout on Thu Nov 05, 2009 7:54 am, edited 2 times in total.
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