http://www.huffingtonpost.com/david-kir ... 91579.html
Mexican Lawmaker: Factory Farms Are "Breeding Grounds" of Swine Flu Pandemic
Large-scale swine producers in Mexico deny that their industry is the source of the deadly new influenza strain, saying the animals are all healthy, and that it is scientifically "not possible" for hogs to infect people with the illness. But lawmakers in the eastern state of Veracruz are now charging that large-scale hog and poultry operations are "breeding grounds" of infection that are making people sick and fueling the pandemic.
On Sunday, the state government of Veracruz confirmed swine influenza in a five-year-old girl in the village of La Gloria, located right next to a massive US-owned hog facility. The bodies of two other village children who died in February and March will be exhumed and tested for signs of the illness, local media reports said.
And in the western state of Guerrero, 500 pigs were just killed after becoming ill with swine flu.
The nation's hog industry says it is not to blame for any human illness. "We deny completely that the influenza virus affecting Mexico originated in pigs, because it has been scientifically demonstrated that this is not possible," said a statement issued by the National Organization of Pig Production and Producers and its president, Mario Humberto Quintanilla González.
The group said it had ordered a series of lab tests and sought technical support from the National Autonomous University of Mexico and others, "in order to demonstrate, once again, that pigs are not the cause of the flu that is affecting the country. It must remain clear that the flu problem is caused neither by the proximity to swine operations nor by the consumption of pork meat or pork products."
The statement went on to say, however, that pork producers, "will respect whatever scientific determination is made as to the actual causes that have provoked this health problem."
Meanwhile, one of Mexico's largest producers, Granjas Carroll, a subsidiary of US hog giant Smithfield Foods, issued its own statement saying there was no sign of swine flu at any of its operations in the states of Veracruz and Puebla. The company's huge facility near the town of La Gloria was first mentioned as a possible source of the new human-swine flu outbreak by Tom Philpott at
www.grist.org.
According to El Universal newspaper, the company reported no signs of disease in any of its 907 workers, 60,000 breeding sows or 500,000 feeder pigs, all of whom were vaccinated against swine flu. "The press release stated that that the virus was found in people who were not near swine production facilities, and who did not have contact with pigs, and therefore, 'it has been concluded that the contagion has been between humans,'" El Universal reported.
But the industry statement that this disease was not transmitted from pigs to people contradicts virtually all Mexican government statements so far, including Mexico's Health Minister, Jose Angel Cordova, who said the virus, "mutated from pigs, and then at some point was transmitted to humans." Whether they were Mexican pigs or not remains a mystery, of course.
As Philpott pointed out in his post, Mexican newspapers have been reporting for weeks that residents living near Granjas Carroll's massive hog facility at La Gloria are falling ill with severe upper respiratory diseases. One five-year-old girl in the village just tested positive for swine flu - the bodies of two more children who died recently are being exhumed.
According to an April 5 article in La Jornada newspaper, "Clouds of flies emanate from the lagoons where Granjas Carroll discharges the fecal waste from its hog barns - as well as air pollution that has already caused an epidemic of respiratory infections in the town."
More than 400 people had already been treated for respiratory infections, and more than 60 percent of the town's 3,000 residents had reported getting sick, the paper said. State officials disputed that claim, and said the illnesses were caused by cold weather and dust in the air.
The problems began in early March, when many neighbors of the hog CAFO (confined animal feeding operation) became sick with colds and flu that quickly turned into lung infections, causing local health officials to impose a "sanitary cordon" around the area and begin a mass program of vaccination and home fumigation.
"According to state agents of the Mexican Social Security Institute, the vector of this outbreak are the clouds of flies that come out of the hog barns, and the waste lagoons into which the Mexican-US company spews tons of excrement," La Jornada reported. "Even so, state and federal authorities paid no attention to the residents, until today."
The state legislature of Veracruz has demanded that the Smithfield subsidiary turn over all documents and environmental certifications on its three massive waste lagoons, but so far, the company has only supplied information on one of them, news reports said today.
On Friday, the chairman of the state legislature's Committee on the Environment, Marco Antonio Núñez López, called on Veracruz's Secretary of Health to impose a "sanitary cordon" around all hog and poultry CAFOs in area - as well as bus terminals and airports - to prevent the spread of influenza among the population.
He said the factory farms should be considered "breeding grounds" (focos rojos - which might also translate as "hot spots") of potential infection for the cities of Veracruz, Boca del Río, Coatzacoalcos, Córdoba, Orizaba, Xalapa and Perote.
"I asked the Secretary to inform us about what was going on in La Gloria with Granjas Carroll, because avian flu is spreading from birds to pigs, and from there to humans, and that urgent measures are needed," Núñez López told reporters.
He was referring to another CAFO, this one containing poultry, called Granjas de Bachoco, located near the state capital of Xalapa. He said there was an epidemic of avian flu among the chickens being raised there, but that this was being kept quiet so as not to interfere with exports. Influenza-infected chickens raise the risk of cross-infection to pigs in the same area, scientists say.
Meanwhile, on the other side of Mexico, about halfway between Mexico City and Acapulco in the town of Cocula, Guerrero, health officials ordered the destruction of 500 pigs infected with swine flu, local newspapers reported. One hundred of the animals fell sick at the Rancho La Joya operation and were sacrificed last Wednesday. On Thursday, 400 more infected pigs were killed.
There is no proof that this illness emerged on a Mexican hog factory farm, or in Mexico, or even in hogs. But we do know that Mexican pigs with swine flu are being destroyed. And we know that Mexican lawmakers think that CAFOs are making people sick.
And now we know that a five-year-old girl in La Gloria has swine flu. I wonder if the CDC is going to go check on her, and see how she contracted that virus.
http://www.grist.org/article/2009-04-25 ... smithfield
The outbreak of a new flu strain—a nasty mash-up of swine, avian, and human viruses—has infected 1000 people in Mexico and the U.S., killing 68. The World Health Organization warned Saturday that the outbreak could reach global pandemic levels.
Is Smithfield Foods, the world’s largest pork packer and hog producer, linked to the outbreak? Smithfield operates massive hog-raising operations Perote, Mexico, in the state of Vera Cruz, where the outbreak originated. The operations, grouped under a Smithfield subsidiary called Granjas Carrol, raise 950,000 hogs per year, according to the company Web site—a level nearly equal to Smithfield’s total U.S. hog production.
On Friday, the U.S. disease-tracking blog Biosurveillance published a timeline of the outbreak containing this nugget, dated April 6 (major tip of the hat to Paula Hay, who alerted me to the Smithfield link on the Comfood listserv and has written about it on her blog, Peak Oil Entrepreneur):
Residents [of Perote] believed the outbreak had been caused by contamination from pig breeding farms located in the area. They believed that the farms, operated by Granjas Carroll, polluted the atmosphere and local water bodies, which in turn led to the disease outbreak. According to residents, the company denied responsibility for the outbreak and attributed the cases to “flu.” However, a municipal health official stated that preliminary investigations indicated that the disease vector was a type of fly that reproduces in pig waste and that the outbreak was linked to the pig farms. It was unclear whether health officials had identified a suspected pathogen responsible for this outbreak.
From what I can tell, the possible link to Smithfield has not been reported in the U.S. press. Searches of Google News and the websites of the New York Times, Washington Post, and Wall Street Journal all came up empty. The link is being made in the Mexican media, however. “Granjas Carroll, causa de epidemia en La Gloria,” declared a headline in the Vera Cruz-based paper La Marcha. No need to translate that, except to point out that La Gloria is the village where the outbreak seems to have started. Judging from the article, Mexican authorities treat hog CAFOs with just as much if not more indulgence than their peers north of the border, to the detriment of surrounding communities and the general public health. Get this:
De acuerdo con uno de los habitantes de la comunidad, Eli Ferrer Cortés, los desechos fecales y orgánicos que produce Granjas Carroll no son tratados adecuadamente, lo que genera contaminación del agua y del viento en la region.
My rough translation: According to one community resident, the organic and fecal waste produced by Granjas Carrol isn’t adequately treated, creating water and air pollution in the region. I witnessed—and smelled—the same thing in Hardin County, Iowa, a couple of years ago, another area marked by intensive industrial hog production. The article goes on to say that area residents have long complained of “fetid odors” in the air and water, and swarms of flies hovering around waste lagoons. Like their counterparts who live in CAFO-heavy U.S. areas, they also complain of respiratory ailments. Now, with 30 percent of the area’s residents now infected with the virulent flu bug, people are demanding that state and federal authorities inspect hog operations there. So far, reports La Marcha, the response has been: nada.
The Mexico City daily La Jornada has also made the link. According to the newspaper, the Mexican health agency IMSS has acknowledged that the orginal carrier for the flu could be the “clouds of flies” that multiply in the Smithfield subsidiary’s manure lagoons.
I’ll be in touch with contacts in Mexico as this story develops —and I’ll be curious to see whether the U.S. media explores the link with Smithfield’s Mexico operation.
http://biosurveillance.typepad.com/bios ... vents.html
Swine Flu in Mexico- Timeline of Events
Introduction
At Veratect, we operate two operations centers based in the United States (one in the Washington, DC area and one in Seattle, WA) that provide animal and human infectious disease event detection and tracking globally. Both operations centers are organizationally modeled after our National Weather Service using a distinct methodology inspired by the natural disaster and meteorology communities. Our analysts handle information in the native vernacular language and have been thoroughly trained in their discipline, which include cultural-specific interpretation of the information. We are currently partnered with 14 organizations that provide us with direct ground observations in 238 countries. We are a multi-source, near-real time event detection and tracking organization with years of experience in this discipline.
March 30
Veratect reported that a 47-year-old city attorney for Cornwall was hospitalized in a coma at Ottawa General Hospital following a recent trip to Mexico. Family members reported the individual voluntarily reported to the hospital after gradually feeling ill upon returning from his trip on 22 March. The source stated that the hospital did not know the cause of illness. The case was reportedly on a respirator and awaiting a blood transfusion, but sources did not provide symptoms or a suggested cause of illness. This information was available in our web portal to all clients, including CDC and multiple US state and local public health authorities, however no one had connected this man’s illness with a potential crisis in Mexico.
April 2
Local media source Imagen del Golfo reported that state health officials recorded a 15% increase in disease over an unspecified period in the highland areas of Veracruz, which includes La Gloria. The increase was primarily due to higher levels of upper respiratory disease and gastroenteritis. Specifically, officials noted an increase in pneumonia and bronchial pneumonia cases. Health officials attributed the increase to seasonal climate changes.
April 6
Veratect reported local health officials declared a health alert due to a respiratory disease outbreak in La Gloria, Perote Municipality, Veracruz State, Mexico. Sources characterized the event as a "strange" outbreak of acute respiratory infection, which led to bronchial pneumonia in some pediatric cases. According to a local resident, symptoms included fever, severe cough, and large amounts of phlegm. Health officials recorded 400 cases that sought medical treatment in the last week in La Gloria, which has a population of 3,000; officials indicated that 60% of the town’s population (approximately 1,800 cases) has been affected. No precise timeframe was provided, but sources reported that a local official had been seeking health assistance for the town since February.
Residents claimed that three pediatric cases, all under two years of age, died from the outbreak. However, health officials stated that there was no direct link between the pediatric deaths and the outbreak; they stated the three fatal cases were "isolated" and "not related" to each other.
Residents believed the outbreak had been caused by contamination from pig breeding farms located in the area. They believed that the farms, operated by Granjas Carroll, polluted the atmosphere and local water bodies, which in turn led to the disease outbreak. According to residents, the company denied responsibility for the outbreak and attributed the cases to "flu." However, a municipal health official stated that preliminary investigations indicated that the disease vector was a type of fly that reproduces in pig waste and that the outbreak was linked to the pig farms. It was unclear whether health officials had identified a suspected pathogen responsible for this outbreak.
Local health officials had implemented several control measures in response to the outbreak. A health cordon was established around La Gloria. Officials launched a spraying and cleaning operation that targeted the fly suspected to be the disease vector. State health officials also implemented a vaccination campaign against influenza, although sources noted physicians ruled out influenza as the cause of the outbreak. Finally, officials announced an epidemiological investigation that focused on any cases exhibiting symptoms since 10 March.
This information was available in our web portal to all clients, including CDC and multiple US state and local public health authorities.
April 16
Veratect reported the Oaxaca Health Department (SSO) indicated that an unspecified number of atypical pneumonia cases were detected at the Hospital Civil Aurelio Valdivieso in Reforma, Oaxaca State, Mexico. No information was provided about symptoms or treatment for the cases. NSS Oaxaca reported that rumors were circulating that human coronavirus was spreading at the hospital; sources did not provide any response to these statements from the hospital or health officials.
Laboratory samples were sent to Mexico City for analysis; results were expected to be released sometime next week. According to NSS Oaxaca, health officials had intensified preventive measures aimed at mitigating further spread of the disease. Sources reported that the SSO also implemented a sanitary cordon around the hospital.
This information was pushed to CDC and several US state and local public health authorities in an email alert notification provided by Veratect.
April 20
Veratect was urgently asked to provide access to the VeraSight Global platform on 20 April by a client in the US public health community, and indicated they had received word from their counterparts in Canada that Mexican authorities had requested support. This client speculated whether notification of all southern U.S. border states’ public health authorities should be done and were confused as to why the CDC had not issued an advisory. Veratect contacted the CDC Emergency Operations Center to sensitize them about the situation in Mexico. CDC indicated they were already dealing with the crisis of recently detected H1N1 swine influenza in California and possibly Texas.
April 21
Veratect reported the Oaxaca Health Department (SSO) confirmed two adults died from atypical pneumonia at the Hospital Civil Aurelio Valdivieso in Oaxaca, Oaxaca State, Mexico. One of the cases was a 39-year-old female; the other case was an adult male of unspecified age. After the deaths, the hospital established a quarantine in the emergency room due to initial concerns that avian influenza was responsible for the cases. However, the SSO subsequently stated that neither avian influenza nor coronaviruses, including that which causes severe acute respiratory syndrome (SARS), were the source of infection. Additionally, the SSO denied the cases represented an epidemic. According to local sources, the SSO indicated that the atypical pneumonia cases were caused by an unspecified bacterial pathogen and were treatable with antibiotics. Sources indicated a total of 16 additional patients exhibited signs of respiratory infection; none of these patients exhibited complications.
Veratect sources indicated the 39-year-old female was treated at the hospital for five days before dying on 13 April. This case was reportedly immunocompromised; in addition to acute respiratory symptoms, she also had diabetes and diarrhea. The SSO contacted 300 people that had been in contact with the woman; sources stated that between 33-61 contacts exhibited symptoms of respiratory disease, but none showed severe complications. The SSO characterized the incident as an "isolated case;" they noted that over 5,000 cases of pneumonia occur annually in Oaxaca.
Another local source reported the SSO launched surveillance measures in the former residential areas of the two fatal cases and in other targeted geographic areas. No additional information was provided regarding the second fatal case at the hospital.
Veratect reported that the Oaxaca State Congress Permanent Committee on Health had undertaken an investigation into the cases. The committee inspected the Hospital Civil Aurelio Valdivieso on 20 April. The director of the medical school at the University Autónoma "Benito Juárez" de Oaxaca (UABJO), along with other medical academics, publicly requested that national health authorities investigate the cases of atypical pneumonia. No information was provided indicating that national health authorities plan to investigate the matter. The director of the medical school also requested the SSO furnish evidence showing that the cases were negative for avian influenza, SARS, and other severe pathogens; his request was echoed by readers commenting on an online user forum.
Veratect also reported the National Ministry of Health issued a health alert due to a significant increase in influenza cases during the spring season in Mexico. Officials indicated that there have been 14 influenza outbreaks throughout the country. The most heavily affected states are Baja California, Chihuahua, Distrito Federal (Mexico City), Hidalgo, Tlaxcala, and Veracruz. Local case counts were not provided.
Officials stated that 4,167 probable cases of influenza, 313 of which were confirmed, have been reported throughout the country in 2009. Case counts for suspected and confirmed influenza cases have tripled in 2009 as compared to the equivalent time period in 2008. The National Institute of Respiratory Diseases recorded two fatal cases of influenza in 2009, but specific dates and locations were not provided.
Health officials stated they were unsure precisely why the incidence of influenza had increased. However, they believed the increased presence of influenza B, in combination with influenza A, was a contributing factor. In response, officials advised anyone exhibiting influenza symptoms to avoid self-medication and seek medical care immediately. Officials had also enhanced epidemiological surveillance for influenza. Lastly, health officials had focused efforts on providing antiviral medications and influenza vaccinations to the most vulnerable segments of the population. According to the Mexican Ministry of Health, 44.3% of the national population was vaccinated against influenza in 2005-2006.
Veratect sensitized the International Federation of Red Cross who in turn requested broader access be provided to the Pan-American Disaster Response Unit (PADRU). Veratect moved to notify several US state and local public health authorities, providing the caveat the situation in Mexico remained unclear due to pending laboratory results. Veratect reached out to World Health Organization (WHO) operations, informing them the Veratect team was on an alert posture and available for situational awareness support. They indicated they and their subordinate, the Pan American Health Organization (PAHO) were now aware of the situation but had no further information. Veratect also extended contact to the British Columbia Center for Disease Control and offered assistance in tracking the events in Mexico. All contacts indicated laboratory results were pending.
April 22
Veratect reported the Oaxaca Health Department (SSO) indicated 16 employees at the Hospital Civil Aurelio Valdivieso in Oaxaca, Oaxaca State, Mexico had contracted respiratory disease. However, the SSO denied these cases were connected to the recently identified cases of atypical pneumonia at the hospital. No information was provided indicating how many employees work at the hospital or whether the number of respiratory disease cases was higher than average. The source reported that "fear" persisted among hospital physicians concerning the possible presence of a deadly bacteria or virus circulating in the hospital. One anonymous hospital employee criticized hospital management as "unfair" for not providing clear information regarding the first fatal atypical pneumonia case.
An additional source reported the cause of the atypical pneumonia cases remained unknown; it stated that bacteria or virus could have caused the cases. In contrast, according to an 18 April report, the SSO indicated that the atypical pneumonia cases were caused by an unspecified bacterial pathogen and were treatable with antibiotics. The reason for this discrepancy was unclear at this time.
The Instituto Mexicano del Seguro Social (IMSS), a national health entity, had now joined the SSO in responding to the cases; reports did not indicate the Mexican National Ministry of Health had joined in the response efforts. The IMSS extended the sanitary cordon surrounding the hospital. Patients exhibiting flu-like symptoms would be sent to the hospital’s epidemiology department for further study. IMSS instructed physicians to hospitalize respiratory disease patients immediately if they meet certain standards for severity of symptoms. Lastly, the hospital’s emergency room would remain closed for an additional 15 days so that cleaning and preventive disinfection could be carried out.
Veratect also reported the Mexican Ministry of Health indicated that an "unusual" outbreak of laboratory-confirmed influenza caused five deaths from 17-19 April 2009 in Mexico City, Mexico. The deaths occurred at the following three hospitals: el Hospital de la Secretaría de Salud (2), el Institute Nacional de Enfermedades Respiratorias (2), and el Hospital Ángeles del Pedregal (1). According to unofficial sources, the fatal case count was higher than that provided by officials. There were currently 120 influenza cases hospitalized throughout Mexico City. National health officials indicated that influenza vaccines were sold out in Mexico City and that they were attempting to acquire additional supplies of the vaccine.
At this point, the Mexican Health Secretary reportedly stated there was an influenza epidemic in Mexico City and throughout the rest of the county. In response to the cases, the official stated health authorities would launch a public awareness and vaccination campaigns. He stated that 400,000 vaccines would be administered, primarily to medical staff; it was unclear whether these efforts would be focused on Mexico City or any other geographic area. Health officials also ordered the provision of special masks, gloves, and gowns for medical personnel that were in contact with influenza cases.
A total of 13 fatal cases of influenza were reported in Mexico City in the past three weeks. However, several other media sources reported that the 13 deaths were recorded since 18 March 2009; the reason for this discrepancy was unclear. Sources reported a total of 20 fatal cases of influenza throughout Mexico over the disputed timeframe. The other cases were located in San Luis Potosí (4), Baja California (2), and Oaxaca (1). The Director of Epidemiology at the National Center for Epidemiological Surveillance and Disease Control characterized the outbreak as "quite unusual."
No information was provided indicating that the strain of influenza itself was unusual. Rather, several sources indicated that it was "unusual" to record this many fatal influenza cases during this time of year. Influenza cases normally peak from October to February, while these cases had occurred during Mexico’s spring season.
Canada announced a national alert for travelers returning from Mexico with respiratory disease, beginning a campaign of public media announcements. Potentially ill contacts were identified returning from Mexico and isolated in Canada. Internet blogs begin to spin up. CDC indicates concern about the events unfolding in Mexico. Veratect sensitizes the US community physician social network managed by Ozmosis.
April 23
Veratect reported the Secretary General of the Oaxaca Ministry of Health Workers Union confirmed that a doctor and a nurse from the Hospital Civil Aurelio Valdivieso in Oaxaca, Oaxaca State, Mexico were under observation for suspected "atypical" pneumonia. This contradicted statements made by the Oaxaca Health Department (SSO) on 22 April that 16 hospital employees contracted respiratory disease, but none of the cases exhibited atypical pneumonia.
The union official stated that a review by the Oaxaca State Board of Medical Arbitration indicated that the hospital faced serious difficulties caused by overcrowding; he stated that overcrowded conditions created a "breeding ground" for the spread of various epidemics. According to the official, the hospital has 120 beds but the number of patients hospitalized had at times surpassed 240.
Other sources reported that the Department of Livestock, Fisheries, Rural Development, and Feed (SAGARPA) declared on 20 April that Oaxaca, Mexico was free of avian influenza. SAGARPA stated that authorities should remain vigilant in monitoring for the disease among birds.
Canadian local health officials stated that a Rouge Valley resident with influenza-like illness was being monitored at Scarborough Centenary Hospital in Scarborough, Ontario. The precaution was being taken in accordance with an alert issued by the Ministry of Health asking hospitals to watch for severe respiratory illnesses in travelers returning from Mexico. Despite the warning, the Ministry had indicated that evidence is not suggestive of a novel pathogen or influenza strain, according to the source. A representative for the Rouge Valley Health System stated that this case is being monitored related to the alert. The source did not specifically indicate symptoms or that the person had traveled to Mexico. No additional information regarding the case, including age or health status, was reported.
The source stated that hospital employees were asking any patients admitted to the hospital if they had recently traveled to Mexico, which according to the source was a popular tourist destination for Durham-region residents.
Additional Canadian sources indicated Southlake Regional Health Centre officials treated a patient with influenza-like illness (ILI) who recently returned from Mexico. The Ministry of Health recently notified Southlake, in addition to health units across the country, that an outbreak of severe respiratory disease was affecting areas of Mexico; ill travelers returning from that region with ILI symptoms were encouraged to be monitored. Sources did not provide any specific information about the case, including age or current treatment status. Information regarding the individual’s travel to Mexico was also not provided, including destinations and duration of time in country.
The Public Health Agency of Canada (PHAC) noted that an Ontario resident who returned from Mexico on 22 March experienced severe respiratory illness, but has fully recovered and was not considered connected to the current situation. Veratect recently reported on 30 March that a public official from Cornwall, Ontario was hospitalized with an unknown illness following a trip to Mexico; however, it is unclear if the cases are related, or if this was the case referenced by PHAC officials.
Veratect assesses the situation and notes the following:
Affected areas:
Oaxaca, Distrito Federal, San Luis Potosí, Baja California
Distance to nearest international airport:
• Oaxaca airport, located approximately 150 miles from Reforma, is connected via non-stop air traffic to Houston
• Mexico City (Distrito Federal) airport is connected via non-stop air traffic to many cities in the US, Canada, Europe and Latin America, with the most outbound traffic to Los Angeles, Frankfurt, Houston, Dallas, and Amsterdam
• San Luis Potosí airport is connected via non-stop air traffic to Dallas and Houston
• Mexicali airport in Baja California is connected via non-stop traffic to Los Angeles
• Veracruz airport is connected via non-stop air traffic to Houston
Large mass gatherings:
Semana Santa (April ~April 3 – 12, Palm Sunday to Easter Sunday), which is Mexico’s second largest holiday. Mexico’s population is approximately 90% Catholic, which results in substantial population migration patterns during this time period. For instance, in Ixtapalapa (in Mexico City), one million people visit for Semana Santa. Other well-known sites for the holiday include Pátzcuaro, San Cristobal de las Casas (Chiapas), and Taxco. Veratect notes substantial population migration has just occurred that could facilitate the spread of respiratory disease.
Civil Unrest:
The recent surge in organized crime and drug-related violence in Mexico, including homicides, kidnappings, extortion, and theft, has disproportionately impacted Mexican states along the Pacific Coast and U.S.-Mexico border. This factor may confound situational awareness of respiratory disease in Mexico and contribute to problems in epidemiological investigation and response measures. Baja California is one of five states within this region that currently accounts for more than 75 percent of Mexico's drug-related homicides, and has recorded high levels of drug seizures and police corruption cases. Veracruz, a state with high drug cartel activity in the Gulf of Mexico, has recorded little violence, while the state of Oaxaca to the southwest, recently recorded the assassination of a political party leader. Mexico City, in the center of the country, recently arrested a major drug cartel leader, and recorded few homicides this month. The levels of unrest in Hidalgo, San Luis Potosi, and Tlaxcala, however, are very low, and have not reported a single homicide related to organized crime in the past month.
Veratect issues notification to additional public health authorities in two states. Veratect reaches out to the Pan American Health Organization emergency operations team but is unable to establish contact. Veratect notes no publicly available English language reporting from ProMED, HealthMap, FluNET, CDC, ECDC, or WHO about the unfolding events in Mexico. Many of Veratect’s clients, including Canadian, ask why an alert has not been issued by the US to sensitize their healthcare community.
April 24
Veratect continues to process a dramatic increase in reporting on the situation in Mexico.
WHO requests access to the Veratect system. Veratect is aware of laboratory samples from Mexico are positive for “swine flu” H1N1, a novel virus. World media are now aware of the situation in Mexico. CDC issues a press statement, as does WHO.
Veratect notifies the private US clinical laboratory community and activates a Twitter feed (twitter.com/veratect) to enable more rapid updating of information.
