HEALTH Mysterious pneumonia kills 3, infects 9 in Argentina: ‘Similar to COVID’

jward

passin' thru
Just proof that Mercury retrograde "preshadow" is really a real thing, eh

I posted a few wrong posts here (I thought I was on the COVID thread). I am going to see if I can fill in with Argentinian news so we don't have 4 blank posts;)
As to why the first tests were negative, I had the impression that it was their autopsy samples that were triggering positive, which could answer the question. There's that case we talked about in Canada that followed same trajectory, if anyone is truly curious that might be a place to poke around for coming to understand the processes and what is truly normal and not.
 

jward

passin' thru
still not pinned down the strain, and rising concerns about the high cfr, at least with the HC workers. . .


Enrique A.

@HenrikAborym
43m

Yer another one... 2 hours ago, Tucumán, Argentina health officers confirm the death number 6 (Six) from the cluster of pneumonia cases, attributed to the Legionella bacteria (species not identified so far) CFR of this event: 50%~ Official Source: https://msptucuman.gov.ar/comunicado-ofi

~~~~~~~~~~~

Nature paper: https://nature.com/articles/s41598-021-86431-8
CDC report: https://cdc.gov/mmwr/volumes/66/wr/pdfs/mm6622e1.pdf
 

Heliobas Disciple

TB Fanatic
Indeed. They now have six deaths, out of 11 cases, so we're at a little over 50% death rate. Still no mention of them , ya know, maybe closing this clinic that is killing people with Legionnaire's disease... just keeping all the patients, doctors, nurses and workers working there until they find the source sounds like a great plan.:rolleyes:



VIA GOOGLE TRANSLATE
(fair use applies)


EPIDEMIOLOGICAL SITUATION September 4, 2022

OFFICIAL COMMUNICATION

The Ministry of Public Health reports the death of a patient linked to the cluster of pneumonia cases

This is a 64-year-old male patient with comorbidities, who was hospitalized in serious condition in the public sector.


AND



VIA GOOGLE TRANSLATE



Home » News » Featured News » OFFICIAL COMMUNICATION

EPIDEMIOLOGICAL SITUATION September 4, 2022
OFFICIAL COMMUNICATION

The Ministry of Public Health reports the death of an 81-year-old male patient, with comorbidities, who was hospitalized in serious condition, in the public sector. It is linked to the cluster of pneumonia cases.
 

Luddite

Veteran Member
Hoped they checked the supplied oxygen manifold too.

My money would still be on an obscure legionella in the a/c. It should have been known& knocked out by now...
 

Heliobas Disciple

TB Fanatic
Looks like they did clear out the clinic. Some updated info in this article, translated via google translate. I corrected the obvious mis-translation in the headline of the article.



(fair use applies)

BOLDING IN BLACK TYPE IN ORIGINAL; BOLDING IN RED TYPE IS MINE


Medical Light [Luz Medica] should not be cleaned until it is defined how the deadly bacteria arose
Monday, September 05, 2022, 04:27

UNDER STUDY. The Ministry of Health ordered to preserve the sanatorium where the outbreak of legionella occurred in the conditions in which it is found, in order to determine what was what favored the appearance of the bacterium.


Two new deaths raised to six the number of fatalities from the disease caused by the outbreak of legionella that was detected in the Luz Mëdica sanatorium, while health authorities are still waiting to determine what caused the appearance of the bacteria.

“Legionella outbreaks occur in many parts of the world. We are going to determine the cause after thoroughly studying the places where it is usually located and we will relate it to the cases of the affected patients”, explained the Minister of Health of the province, Luis Medina Ruiz.

The Provincial Health System (Siprosa) continued to impose restrictions on admission to the medical center, defined as the place of origin of the cases. In addition, on Saturday patients from the sanatorium were referred to the Centro de Salud hospital to prevent further infections.

On the other hand, the cleaning of the place was prevented. “The sanatorium was asked not to carry out any cleaning or maintenance tasks, since samples will be taken through which the experts who will arrive on Monday or Tuesday will work,” explained Medina Ruiz.

“These are bacteria that require, for their discovery, special sampling and specific studies to increase the chances of finding it. Then, based on the results, all the actions that are necessary to guarantee safety will be carried out,” he stated.

Regarding the responsibilities of maintaining the institution in adequate sanitary conditions, the minister assured that, being a private sanatorium, the maintenance corresponds to the place. “Every institution has maintainers or engineers who deal with those things. To obtain this information, the authorities of the clinic should be requested”, he pointed out. In any case, an official source from the Ministry of Health indicated that the sanatorium had all the requirements in order.

The minister clarified that, although the exact causes are not known, there is already an idea of how these bacteria appear: “the most frequent sources of contagion are central air conditioners, sources of water vapor, showers, etc. ", said.

The official added that the Ministry is holding conversations via Zoom with local, national and Pan American Health Organization (PAHO) experts: "They are advising us to have more chances of finding the bacteria as soon as possible."

“Investigation teams were generated and six more people with the same condition were found. We were able to achieve a diagnosis of an outbreak that put a nation and the world on edge, some even spoke of a new virus that was ruled out when we discovered that it is a bacterium, legionella, that is not spread from person to person and that it has antibiotic treatment. That gives us peace of mind ”, Medina Ruiz had affirmed in his last press conference.

The infectious outbreak of bilateral pneumonia adds eleven cases, six of which died; four are hospitalized (three in Mechanical Respiratory Assistance and one with non-invasive ventilation); and three persist under outpatient treatment with home monitoring.

The two deceased on Sunday were men, one 64 years old and the other 81 years old. Both had comorbidities and were admitted to the Centro de Salud hospital when they died.

These data will be updated this Monday, when the criteria used to include "linked cases" changes, since not only patients with bilateral pneumonia will be considered, explained Medina Ruiz.

The outbreak of legionella that occurred in the province reached national repercussion and media from different countries address the issue on their sites.

“Both the United States Centers for Disease Control and Prevention (CDC) and European standards recommend periodic testing of water to detect the presence of legionella and prevent it from contaminating the environment and spreading it. This is key in hospitals because the refrigeration systems are associated with water pipes,” journalist Pablo Sigal wrote for the Clarín newspaper.

In that note he also assures that he had contact with a professional who works at the Luz Médica sanatorium (although she kept her identity anonymous) and assured that she told him about the lack of hygiene in the institution. He even mentioned the "presence of rats in the warehouses," Sigal said.
 

jward

passin' thru
Indeed. They now have six deaths, out of 11 cases, so we're at a little over 50% death rate. Still no mention of them , ya know, maybe closing this clinic that is killing people with Legionnaire's disease... just keeping all the patients, doctors, nurses and workers working there until they find the source sounds like a great plan.:rolleyes:
Actually, they did say up thread that the place had been shut down (isolated)
..and to date, the outbreak is still associated with those earlier dates.

I still keep seeing ice makers, in the staff lounge areas, as a culprit, but :: shrug ::

ETA: I see you caught your mistake while I was typing...one thing I've not seen that would be informative is just how big the possible pool is from those days in August. . .
 

Heliobas Disciple

TB Fanatic
Actually, they did say up thread that the place had been shut down (isolated)
..and to date, the outbreak is still associated with those earlier dates.

I still keep seeing ice makers, in the staff lounge areas, as a culprit, but :: shrug ::

ETA: I see you caught your mistake while I was typing...one thing I've not seen that would be informative is just how big the possible pool is from those days in August. . .

I saw it originally too but read it was only 12 patients they moved and assumed they moved mostly the sick patients and left the rest. Upon further reading it seems there were only 12 patients total in the clinic and all of them were moved. It was a confusing day for me on this thread yesterday ;).


(fair use applies)

THROUGH GOOGLE TRANSLATE


Completed the transfer of 12 patients to the public sector
September 3, 2022

After the meeting led by the Minister of Health of the Nation, Dr. Carla Vizzotti, her counterpart from the province of Tucumán, Dr. Luis Medina Ruiz, and the PAHO representative in Argentina, Dr. Eva Llopis, the health portfolios agreed on the transfer of patients who remained hospitalized in the private sanatorium for various pathologies.

These are 12 people housed in intensive care and other hospital rooms who were referred to the Centro de Salud hospital as part of the contingency health plan, following the outbreak of legionella detected in that institution.

The purpose of the transfer responds to the continuity of the evolution of these patients and to various monitoring and environmental control actions. The operation was carried out by the Directorate of Health Emergencies 107 and had the collaboration of the Tucumán Police.

To date, the infectious outbreak of bilateral pneumonia already identified by the Legionella bacterium amounts to eleven cases, of which four died; four are hospitalized (three in MRA and one with non-invasive ventilation); and three persist under outpatient treatment with home monitoring.


HD
 
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Heliobas Disciple

TB Fanatic

Now I'm seeing 26.

Not sure where he got his info, the last article I read said 22.

View: https://mobile.twitter.com/Sinh_MD/status/1566939567554428929?cxt=HHwWgoCwyYLP8b4rAAAA


Bờm @Sinh_MD

Now there are 26 cases of #argentinapneumonia. The case "definition" has been "expanded". Why? More deaths coming

8:01 PM · Sep 5, 2022



I posted this last night in the red text in the article above:
These data will be updated this Monday, when the criteria used to include "linked cases" changes, since not only patients with bilateral pneumonia will be considered, explained Medina Ruiz.

They are widening the pool now to look for those who present symptoms but without being in full blown pneumonia. Increasing the number ill will change the percentage of those who died. If you have 26 sick and 6 dead it's a better fraction than 11 sick and dead. I think that's what that twitter poster was hinting at too, although he's hinting more deaths so you would want a better denominator in that fraction.
 

jward

passin' thru
dunno how to explain that math...

OFFICIAL COMMUNICATION5 September, 2022
Epidemiological situation

listen to this note
gacetillas-COVID-Y-PRENSA-02-02-1024x612.png
Case update on the pneumonia outbreak.


The Ministry of Public Health reports the current epidemiological situation linked to the outbreak of pneumonia.

Total CasesDeceasedboarding schoolsMRAAmbulatory
2266310
Situación Epidemiológica
 

Heliobas Disciple

TB Fanatic
I suppose this will be updated to 26 if that twitter poster was correct:




(fair use applies)

VIA GOOGLE TRANSLATE



There are already 22 cases of legionella in Medical Light, with SIX deaths
Monday, September 05, 2022, 17:03

The Ministry of Health of Tucumán reported that there are 22 cases of legionella registered in Tucumán, with a total of 6 deaths.

There are 6 people hospitalized (three with mechanical ventilation) and another 10 outpatients.

The person in charge of the Sanitary portfolio, Dr. Luis Medina Ruiz, explained that the change in the criteria for registering those affected by legionella includes patients, health personnel, and caregivers who have been in the Luz Médica sanatorium in August, or has received a surgical intervention and has any compatible symptoms such as fever or respiratory symptoms.

“We want to inform you that, having a known etiology for this outbreak linked to the private sanatorium, we have considered, together with the Minister of the Nation, Dr. Carla Vizzotti, a change in the inclusion criteria within this outbreak. Initially, when we detected two patients with bilateral pneumonia that coincided with the common workplace and that we also could not find its etiology, that was what we had as inclusion criteria. Today, knowing that it is a bacterium that does not always cause bilateral pneumonia, we are including any health personnel, patient or family caregiver who has been in the month of August or has received a surgical intervention in the selection criteria for patients. in this private sanatorium and who has some compatible symptom such as fever or respiratory symptoms,

“That is why today we are including at least 8 new patients, of which 1 is a patient, 2 are health personnel and 5 are caregivers of patients who were hospitalized, post-surgical or with neurological problems. Of these 8 patients, there is one who has severe comorbidity, due to a cerebrovascular accident and is also suffering from pneumonia, he is the only one who is serious. We are very sorry for the death of the two patients yesterday, who were on mechanical respiratory assistance for their bilateral pneumonia, and very seriously ill with severe comorbidities. One of them was 81 years old and the other 64, in summary today we have 6 deceased, 9 patients who are at home with outpatient medical follow-up, since the clinic they present is of moderate or mild severity,

Likewise, the official stressed that it is a bacterium that is not transmitted from person to person and the fact of having found the cause gives them a lot of certainty about the measures to be taken. “Initially we had taken the measure of isolating the sanatorium without removing the patients, since not knowing the etiology it could have been a virus or a battery that could have spread in the community. Knowing today that it is a bacterium, has allowed us to take other measures regarding this outbreak.”

Regarding Medical Light, the minister stressed: "First of all we have to analyze responsibility, today we are with the sanatorium closed, patients cannot enter, neither outpatients nor inpatients, and from today or tomorrow a team of experts will come since they Legionella is not an easy-to-find bacterium, a special technique is needed”.

At the same time Medina Ruiz clarified that the Ministry carries out tests on the condition of the water, if it is drinkable, if it has residual chlorine, if it has germs and that has not been found; since the conditions were within the adequate.

“The public sector has a permanent epidemiological surveillance, in case of seriously ill patients, the cause is sought, that does not happen everywhere. Here we saw patients who came from the private sector, we took action on the matter and we have thoroughly investigated what the cause is. And not finding it is when all this is triggered. I think the next steps will depend on the findings in the next few weeks,” she added.

“There are no patients who are not related to the private sanatorium in the month of August, and that is the situation where the limits are. Today we have a little more certainty. This disease has the characteristic that it is self-limited; it is very different from COVID that one does not know when it ends. With this bacterium no, most people can have an asymptomatic or mild symptomatic picture, and it is self-limited. That means that when the disease begins, the body itself limits it and cures it. He will not have relapses because he has no new contact with the germ, ”he detailed.

In the same way, he remarked: “any person who begins with symptoms such as fever, symptoms compatible with the flu: body aches, headache, cough, cold, dyspnea. In some patients diarrheal pictures. We are going to control them for at least two weeks, from the closure of the sanatorium and that there is no other person working inside, until we are certain that there are no more patients.

Medina Ruiz stressed that patients who are hospitalized are receiving specific treatment. Pneumonia is a very frequent cause of death in older people and with comorbidities, the cause is not always known and that is every year and winter. Pneumonia is usually fatal, due to the Influenza virus.

“Today all the compromised patients are under strict surveillance, in therapy with professionals with a lot of experience and of course we are going to have a very fluid communication with the family. It will be opportune, we are going to have a press conference once a day, and then with official communications when some relevant information appears, ”she warned.

Finally, the official explained: “The way this disease is spread is through water vapor, air conditioning, the shower when it disperses the water, when it is breathed. The bacteria do not enter through the mouth when one touches the water, it has a special way of contagion and entry into the body. In a certain way, it generates outbreaks and this way of contagion does not give rise to interhuman contagion, that is, for the person next to me to become infected, they need a cloud of particles that enter the lung.”
 

Heliobas Disciple

TB Fanatic
dunno how to explain that math...

OFFICIAL COMMUNICATION5 September, 2022
Epidemiological situation

listen to this note
gacetillas-COVID-Y-PRENSA-02-02-1024x612.png
Case update on the pneumonia outbreak.



The Ministry of Public Health reports the current epidemiological situation linked to the outbreak of pneumonia.

Total CasesDeceasedboarding schoolsMRAAmbulatory
2266310
Situación Epidemiológica


The weird translation isn't helping me on any of these articles...

that being said - I think 22 cases, 6 are dead, of the 16 left - 10 are home, 6 in hospital, 3 of those on vents ? That would match the article I just posted. "There are 6 people hospitalized (three with mechanical ventilation) and another 10 outpatients." (from article in post just below yours)

HD
 

Heliobas Disciple

TB Fanatic
I am still finding disbelieving doctors on twitter. And not just one or two. Most of the ones I see posting are posting their incredulity. Of course the ones who are satisfied with the official narrative aren't posting...

I think there is one very reasonable explanation for why the hospital was quick to say it was not Legionnaire's for the first few days. If people were dying because of their negligence in not maintaining the a/c or water in their clinic, that's on them financially. Money is a great motivator to try and cover up what could be their fault. I'm not saying that I am convinced it's Legionnaire's at this point, from what I'm reading on twitter I still have my doubts. For instance, they still haven't identified the strain or made it completely official. So... still reserving judgment; but the hospital reporting for the first few days that they ruled out Legionnaires (which would absolve them of that liability, thus being is a great motivator to make that turns-out-to-be false claim without having done all the tests) strikes that specific inconsistency off the list of reasons for me to still have reservations.

Next point: if this illness is from the clinic - why are caregivers getting sick? Were they with the patient in their rooms before they went home? They don't specify. Could also be a translation problem (?)

"That is why today we are including at least 8 new patients, of which 1 is a patient, 2 are health personnel and 5 are caregivers of patients who were hospitalized, post-surgical or with neurological problems"
 

psychgirl

Has No Life - Lives on TB
Now I'm seeing 26.

Not sure where he got his info, the last article I read said 22.

View: https://mobile.twitter.com/Sinh_MD/status/1566939567554428929?cxt=HHwWgoCwyYLP8b4rAAAA


Bờm @Sinh_MD

Now there are 26 cases of #argentinapneumonia. The case "definition" has been "expanded". Why? More deaths coming

8:01 PM · Sep 5, 2022



I posted this last night in the red text in the article above:
These data will be updated this Monday, when the criteria used to include "linked cases" changes, since not only patients with bilateral pneumonia will be considered, explained Medina Ruiz.

They are widening the pool now to look for those who present symptoms but without being in full blown pneumonia. Increasing the number ill will change the percentage of those who died. If you have 26 sick and 6 dead it's a better fraction than 11 sick and dead. I think that's what that twitter poster was hinting at too, although he's hinting more deaths so you would want a better denominator in that fraction.
Good Lord have you followed through this doctor’s tweets??!

View: https://twitter.com/Sinh_MD/status/1566944003974635522?cxt=HHwWhICxvaDR874rAAAA



His “insinuations” are….making my fear meter go red alert!


View: https://twitter.com/Sinh_MD/status/1566934354609115137?cxt=HHwWgsCojcuf774rAAAA


View: https://twitter.com/Sinh_MD/status/1566914926052052993?cxt=HHwWgsC4idm05r4rAAAA





View: https://twitter.com/Sinh_MD/status/1566914100764049417?cxt=HHwWkoC8mdSE5r4rAAAA
 

Heliobas Disciple

TB Fanatic

Heliobas Disciple

TB Fanatic
the WHO weighs in. Is the phrase "compatible with" wiggle room or is that how disease is often presented? :shr:


(fair use applies)


Legionellosis - Argentina​

5 September 2022


Outbreak at a glance
As of 3 September 2022, a cluster of 11 cases of severe pneumonia, including four deaths, have been reported in San Miguel de Tucumán city, Tucuman Province, Argentina. Legionella spp. was isolated in the samples from four cases. Legionellosis is a pneumonia-like illness that varies in severity from mild febrile illness to a serious and sometimes fatal form of pneumonia. Cases were initially reported as being pneumonia of unknown cause. Legionella bacteria was identified as the causative organism on 3 September.

All cases presented with bilateral pneumonia, fever, myalgia, abdominal pain, and dyspnea between 18 and 25 August 2022 and are epidemiologically linked to one health facility. Of the 11 cases, eight are health workers of the facility; three are patients of the health facility. Three of the four deaths were among health workers.

Health authorities are coordinating cluster investigation activities, active case finding to identify additional cases, contact tracing and public health activities to limit further spread.

Outbreak overview

On 29 August 2022, WHO was notified by the Ministry of Health of Argentina of a report from the Ministry of Public Health of Tucumán Province, of a cluster of six cases of bilateral pneumonia without an etiological cause identified in San Miguel de Tucumán city, Tucuman Province, Argentina 1. All six cases were linked to one private health facility in the city of San Miguel de Tucumán, with the onset of symptoms between 18 and 22 August 2022. The six cases included five health workers and one patient who was admitted to the clinic for an unrelated condition and then subsequently to the intensive care unit after developing pneumonia. In addition to bilateral pneumonia, all cases presented with fever, myalgia, abdominal pain, and dyspnea.

On 1 September, three additional cases were identified through active case finding - all health workers from the same private health facility, aged 30 to 44 years - with similar signs and symptoms to the initial six cases identified 2. The onset of symptoms for these cases was between 20 and 25 August 2022.

Between 2 and 3 September, two additional cases were identified, an 81-year-old male and a 64-year-old male, both with comorbidities, who were hospitalized and presented similar clinical presentation as the previous cases 3.
As of 3 September 2022, 11 cases have been identified, four of whom have died (three health workers). Eight of the 11 reported cases are health workers of the same health facility. The median age of the cases is 45 years; seven are male. Ten cases had underlying conditions and/or risk factors for severe disease, including the four reported deaths. Four cases are still hospitalized as of 3 September. Contacts of the cases are under follow-up and, to date, none have developed symptoms.

Laboratory results

Blood, respiratory and tissues samples were obtained from the 11 cases. Preliminary tests conducted at the local Public Health Laboratory were negative for respiratory viruses, and other viral, bacterial, and fungal agents. On 31 August, samples from the initial six cases were sent to the National Reference Laboratory - the Administration of National Laboratories and Health Institutes (Administración Nacional de Laboratorios e Institutos de Salud - ANLIS per its acronym in Spanish) - for additional testing 4 . As of 3 September 2022, negative results have been obtained for COVID-19 (RT-PCR), Influenza, detection of antibodies for Coxiella, urinary antigen for Legionella spp., panel of 12 respiratory viruses, hantavirus (Elisa IgM), histoplasma (RT-PCR), Yersinia pestis (PCR) and micro agglutination for leptospirosis.

Further analyses of two bronchoalveolar lavage samples by highly sensitive total DNA sequencing (metagenomics) found readings compatible with Legionella spp. On 3 September 2022, ANLIS reported that amplification products of the 16S ribosomal gene for Legionella spp. from the two samples of bronchoalveolar lavage sequenced by metagenomics and analyzed by four different bioinformatic methods, produced results compatible with Legionella pneumophila. Confirmation of these results is expected upon completion of the sequencing processes. This laboratory result supports evidence compatible with Legionnaires’ disease. Blood culture and seroconversion tests continue to be conducted to complement the diagnosis of Legionella infection.

Epidemiology of Legionellosis


Legionellosis is a generic term describing the pneumonic and non-pneumonic forms of infection with the Legionella species of bacteria. Legionellosis varies in severity from mild to serious and can sometimes be fatal.
Legionnaires’ disease, the pneumonic form, has an incubation period of 2 to 10 days (but up to 16 days have been recorded in some outbreaks). It is an important cause of community- and hospital-acquired pneumonia; and although uncommon, Legionnaires may cause outbreaks of public health significance. Initially, symptoms are fever, mild cough, loss of appetite, headache, malaise and lethargy, with some patients also experiencing muscle pain, diarrhoea and confusion. The severity of Legionnaires’ disease ranges from a mild cough to rapidly fatal pneumonia. Untreated Legionnaires’ disease usually worsens during the first week.

Mortality from Legionnaires’ disease depends on the severity of the disease, the use of antibiotic treatment, the setting where Legionella was acquired, and whether the patient has underlying conditions, including immunosuppression. The death rate may be as high as 40–80% in untreated immunosuppressed patients and can be reduced to 5–30% through appropriate case management, depending on the severity of the clinical signs and symptoms. Overall, the death rate is usually between 5–10%.

Public health response​

In response to the detection of the cluster of bilateral pneumonia, health authorities in Tucuman Province coordinated cluster investigation activities including the follow-up of cases, search for the source(s) of infection, active case finding to identify additional cases, and contact tracing. Preliminary investigations indicated no secondary cases were identified.
As Legionella spp. has been identified as the etiology of this outbreak, the following public health measures were implemented:
  • Risk assessment and suspension of healthcare activities in the health facility.
  • Enhanced surveillance including active and passive case finding.
  • Biological and environmental sampling, and laboratory testing, including bacteria isolation, and metagenomics.
  • Case isolation and clinical care of patients.
  • Contact identification, support and monitoring.
  • Risk communication
With the support of national health authorities, environmental samples are being collected to define the source of contamination and urgently implement prevention and control measures. The health authorities are also implementing internal and external communication strategies for health professionals and the community.
The Pan American Health Organization (PAHO)/WHO is providing technical support for the outbreak investigation, including advice on sampling, environmental assessment, clinical management, and Infection and Prevention Control (IPC) measures.

WHO risk assessment​

Legionellosis varies in severity from a mild febrile illness to a serious and sometimes fatal form of pneumonia and is caused by exposure to Legionella species found in contaminated water and potting mixes. The most common form of transmission of Legionellosis is inhalation of contaminated aerosols from contaminated water sources. Sources that have been linked to both the transmission of Legionella via aerosols and outbreaks of Legionellosis include air conditioning cooling towers or evaporative condensers associated with air conditioning and industrial cooling, hot and cold water systems, humidifiers, and whirlpool spas. Infection can also occur by aspiration of contaminated water or ice, particularly in susceptible hospital patients. To date, there is no reported direct human-to-human transmission.

Sporadic outbreaks of legionellosis pneumonia have been reported in Argentina before. There are robust surveillance activities being implemented in the affected health facility. Nonetheless, in the absence of an identified source of Legionella bacteria, the risk of developing Legionellosis for people working or hospitalized at the same health facility is currently moderate.
Countries with cases of Legionellosis reported after travel to Argentina should notify their regional IHR focal point.

WHO advice​

WHO recommends the continuation of laboratory analyses, case identification and clinical care, contact tracing, outbreak investigation to identify the source(s), implementation of measures to prevent further infections and enhancement of Infection Prevention and Control (IPC) measures. IPC measures in health facilities have been enhanced during the COVID-19 pandemic and should be reinforced to prevent healthcare-associated transmission. Precautions that are recommended for COVID-19 should continue to be followed.

WHO does not recommend any specific different measures for travelers. In case of symptoms suggestive of respiratory illness either during or after travel, travelers are encouraged to seek medical attention and share their travel history with their healthcare provider.

WHO advises against the application of any travel or trade restrictions on Argentina based on the current information available on this event.
 

psychgirl

Has No Life - Lives on TB
Others (specialists and physicians in this area) were saying it’s “not that hard to detect OR treat” if it is Legionella. One doctor did say however, that there are many strains of that disease.
 

jward

passin' thru
I'm still not unduly alarmed- remember click bait and alarmist-ism and misinformed folk, by design or accident are thick out there, and unfortunately they're more than willing to abdicate good science in order to glean follows and clicks.

Still was good to see the # affected rise, without a corresponding rise in the CFR- that 50-60 (?) % was concerning!
 

Zoner

Veteran Member
I'm still not unduly alarmed- remember click bait and alarmist-ism and misinformed folk, by design or accident are thick out there, and unfortunately they're more than willing to abdicate good science in order to glean follows and clicks.

Still was good to see the # affected rise, without a corresponding rise in the CFR- that 50-60 (?) % was concerning!
True ... discernment is necessary. “good” science always questions.
 

SouthernBreeze

Has No Life - Lives on TB
I'm sorry, but I don't know how many more of these "hair on fire" threads I can handle. Every time there is a disease outbreak of any kind it's knee jerk reactions that prevail. Then comes all the conspiracy theories. I don't trust any governments, either, but good grief, get a grip, and think objectively about all of this. Discernment is a forgotten word these days.

Just because someone puts out a tweet claiming to be "in the know", or "I know for a fact" doesn't make it true.

Just sit back, relax, and watch to see what happens.
 

Heliobas Disciple

TB Fanatic
I'm sorry, but I don't know how many more of these "hair on fire" threads I can handle. Every time there is a disease outbreak of any kind it's knee jerk reactions that prevail. Then comes all the conspiracy theories. I don't trust any governments, either, but good grief, get a grip, and think objectively about all of this. Discernment is a forgotten word these days.

Just because someone puts out a tweet claiming to be "in the know", or "I know for a fact" doesn't make it true.

Just sit back, relax, and watch to see what happens.

I don't see this as hair on fire at all, I see it as a discussion of a disease outbreak with a lot of open questions. If you (any poster, not addressing this to you SB) feel fire approaching your hair, I agree, back out and stop reading. But for those who can read without getting worked up there is a lot of useful information coming out that should be read with a critical and discerning mind. This is a prep board first and foremost. If you read TB in Jan 2020, you knew about covid and could get ready for it about 2 months sooner than the rest of the population. If you're reading TB now, you know that there could be a war with China over Taiwan any day, that food shortages are coming, that there is an outbreak of monkeypox, that the Iran deal may be falling apart and there is a possiblity of war in that region as well. You'd know that Kim may be getting ready to test nukes (that's always happening though)... you'd know that vaccine passports and other surveillance are in the works. You'd know that the election was indeed stolen and that Hunter Biden's laptop is real and that the corruption goes wide and deep. Should I go on? [ETA: I can't believe I left out the two biggies! - the Great Reset and the Vaxxx issues!] All of that is info the regular consumer of CNN has no idea about. that's why we love and read TB on a regular basis. This thread and it's potential warning is included in that. If you're reading here, now you know there's something very suspicious happening in Argentina that may or may not be worldwide in a few weeks. There is no harm keeping an eye on it if you are so inclined. If you're not, back out. No harm done either way.

HD
 
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Heliobas Disciple

TB Fanatic
For example, since when do you need DRONES to monitor the street if it's a non-contagious issue with the a/c or water pipes? hmm? Or a police motorcade to accompany the ambulances transporting, I assume, the 12 patients they were vacating. (see video next post). And speaking of 12 patients - this clinic has AT LEAST four floors because the people who got sick were on floors 1 and 4. A four story hospital only has 12 patients? Frankly, to me, this whole story stinks.

Pay attention to the address. 900 Marco Paz St.


(fair use applies)

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Drones, medical records and plans: what is Justice looking for in the sanatorium of the Legionella outbreak
The Public Prosecutor's Office is carrying out an operation. There have already been six deaths from this bacterium.

Paula Galinski
06/09/2022 11:46 | Updated on 06/09/2022 15:37

The Public Prosecutor's Office (MPF) is carrying out an inspection on Tuesday at the Luz Médica sanatorium , located in the center of Tucumán, where the outbreak of the Legionella bacterium was recorded . So far, six people have died and another 16 continue to have symptoms associated with the infection.

The procedures began around 10 in the morning and at 11:30 the building was formally entered. "It was done with the consent of the legal representatives of the clinic and the team in charge of the operation was accompanied by personnel from Siprosa (Provincial Health System)," prosecutor Pedro Gallo, who requested the measure , assured Clarín .

In front of the sanatorium, two tents and two vans of the Scientific Team of Fiscal Investigations, which participated in the inspection, were set up. Marcos Paz Street was closed at 900, where the sanatorium is located, to facilitate the tasks.

According to the prosecutor, the objective of the inspection is to verify the state of the property . "The idea is to check the intensive care, the rooms where the doctors used to be. Also check the condition of the central air conditioning ducts and the water tanks , although with the accompaniment of Siprosa so as not to contaminate the place," Gallo clarified. , which is in charge of the Fiscal Unit for Attacks on Persons.

They also look for documentation that may be of interest. "Surely, we request medical records of patients , both on paper and digitally," said the prosecutor.

Meanwhile, he stressed that they will not be in charge of tracking the bacteria : "Representatives of the Pan American Health Organization (PAHO) are expected to withdraw samples in search of Legionella ."

Regarding the tasks during the inspection, he maintained that "a planimetric and photographic record is being made ." "In addition, we are working with drones in the area," said the prosecutor.

The visit of Justice is related to a complaint for possible malpractice. This is the case of a 70-year-old woman who had been admitted to Luz Médica for a scheduled gallbladder operation and who died as a result of bilateral pneumonia. So far, the cover of the case is "culpable homicide".

PAHO experts arrive


Simultaneously, it was expected that between Tuesday and Wednesday referents from the Pan American Health Organization (PAHO) would arrive to take samples from different areas of the health center with the intention of detecting where the Legionella bacteria originated .

As detailed from the Tucumán Ministry of Health to this newspaper, they were waiting for samples to be taken from the central ventilation and also from the water, although they clarified that the water had already been analyzed and was within normal parameters .
legionella

The most frequent sources of contagion of this bacterium, which is not transmitted from person to person, are central air conditioners, devices that generate water vapor and showers.

Air conditioners, which have cooling towers and use water, can develop small droplets that, when inhaled, cause the spread of this bacterium.

Meanwhile, the Luz Médica sanatorium is closed . "Over the weekend, the last 12 patients were transferred to the Zenón Santillán hospital in the Tucuman capital, where they remain isolated," they stressed from the provincial Ministry of Health.

In addition to the six deceased, the bacterium has so far affected 16 other patients. Of them, ten are recovering at home and another six remain hospitalized. "There are three who are serious with mechanical respiratory assistance," they added from the portfolio directed by Luis Medina Ruiz.
 

Heliobas Disciple

TB Fanatic
The address of this school is 600 Marco Pez Street. The clinic is 900 Marco Pez Street. Not exactly next door, possibly even 3 blocks down (if the number correspond to street - 600 block vs 900 block). Weird coincidence or something more?

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Classes are suspended in a central school for more than 30 cases of gastroenteritis: fever and diarrhea
Tuesday, September 06, 2022, 11:14



Saint Francis College

Colegio San Francisco, located at 600 Marcos Paz Street, will close its doors for three days due to an outbreak of gastroenteritis among students.


Classes had to be suspended because around 30 cases with the same intestinal condition were registered, reported Telefé.

The school authorities made the decision together with Siprosa and the Ministry of Education of the province after different pictures of students with fever, diarrhea and vomiting. During these three days students will receive virtual classes.

The school conducted a survey to determine the number of cases at all levels of the two shifts, and then decided to contact the Ministries of Health and Education to make the decision.
 

SouthernBreeze

Has No Life - Lives on TB
I am watching, but not in a panic over it. Frankly, I'm not too concerned at all. Now, if something develops of it, later, I'll take appropriate actions at that time. My point is that no one should get all in a "hair on fire" panic, unless the situation warrants. Just like MP, the situation doesn't warrant it at this time. Others may disagree. I'm just sharing my own viewpoint, since it is open for discussion.
 

naegling62

Veteran Member
I am watching, but not in a panic over it. Frankly, I'm not too concerned at all. Now, if something develops of it, later, I'll take appropriate actions at that time. My point is that no one should get all in a "hair on fire" panic, unless the situation warrants. Just like MP, the situation doesn't warrant it at this time. Others may disagree. I'm just sharing my own viewpoint, since it is open for discussion.
Well as long as this doesn't cause me to have to cancel my gay cruise for the 2nd time everything is ok.
 

Heliobas Disciple

TB Fanatic
I am watching, but not in a panic over it. Frankly, I'm not too concerned at all. Now, if something develops of it, later, I'll take appropriate actions at that time. My point is that no one should get all in a "hair on fire" panic, unless the situation warrants. Just like MP, the situation doesn't warrant it at this time. Others may disagree. I'm just sharing my own viewpoint, since it is open for discussion.
Agree. This is not hair on fire, and no one should be hair on fire about it. (and I agree with you on MP too). But for me, this is something to watch. Readers can take the word of the Argentinian officials and the PAN and WHO and walk away thinking all is fine and stop reading the thread at this point, or they can keep watching the inconsistencies in the story and wonder what's going on, without panicking or overreacting. We're all grown ups here, I would hope we all use discernment when we read. Whatever choice is made is up to the reader, and it's all open for discussion, always is and always should be. All viewpoints are appreciated by me, they help me with my own sorting through the mess, opposing or agreeing, all info that is added is helpful.

HD
 
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