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

SouthernBreeze

Has No Life - Lives on TB

Heliobas Disciple

TB Fanatic

Heliobas Disciple

TB Fanatic

This is accurate. I have a few articles to post. The protestors/workers who are about to lose their jobs, do not think it's Legionnaire's and want proof. What stands out for me is how many employees there are. 130 employees, in a clinic with a minimum of 4 stories and yet only TWELVE patients - scroll up, they moved 12 patients to other hospitals. And moved them with drones in the air, heavily armed police motorcycle escorts around the ambulances and the drivers were dressed to the nines in hazmat gear. That is some strange clinic... (my way of saying the story is very fishy).
 

Heliobas Disciple

TB Fanatic
(fair use applies)

GOOGLE TRANSLATED


Medical Light employees deny the presence of legionella in the sanatorium
Wednesday, September 07, 2022, 07:52

Company personnel protest in front of the health entity and claim for their source of work.

During the afternoon of Tuesday, a protest was carried out by the employees of the Luz Médica sanatorium, which is closed due to the cases of legionella that occurred in the province and that claimed the lives of 6 people.

The demonstrators made strong statements in which they questioned the version announced by the Ministry of Health of the Nation that reports that the disease found is legionella.

"They brought the virus", "there is a patient who was admitted with the virus", were some of the versions they gave, although they did not specify that they had evidence for their statements.
 

Heliobas Disciple

TB Fanatic
(fair use applies)

GOOGLE TRANSLATE


Employees of Medical Light disbelieve the presence of legionella in the sanatorium
Present September 06, 2022 By LPTV

Company personnel protest in front of the health entity and claim for their source of work. Statements provided to us.

During the afternoon of this Tuesday, a protest is carried out by the employees of the Luz Médica sanatorium, which is closed due to the cases of legionella that occurred in the province and that claimed the lives of 6 people.

In a talk with LOS PRIMEROS , the employees made strong statements in which they questioned the version announced by the Ministry of Health of the Nation that reports that the disease found is legionella.

"They brought the virus", "there is a patient who was admitted with the virus", were some of the versions they gave, although they did not specify that they had evidence for their statements.
 

Heliobas Disciple

TB Fanatic
(fair use aplies)

GOOGLE TRANSLATE - I am assuming 130 families effected means there are 130 employees at this clinic (that is minimum 4 stories and only had 12 patients) (yes I keep emphasizing this - it makes no sense)

Employees of Luz Médica protested at the doors of the hospital
09/07/2022

Days ago, the Malbrán Institute confirmed the analyzes sent from Tucumán. The origin of the cases of bilateral pneumonia, responded to the bacterium legionella . This morning, employees of the sanatorium held a protest at its doors, in support of their colleagues. "Many things were said that are not," declared one of the referents.

Yanet Agüero , representative of the workers in the protest, spoke exclusively with our VOVE Tucumán mobile . "We are here to support our bosses. We are 130 families that could be left on the street . People are saying a lot of things that are not. For example, the tanks, or that people arrive and kill them. They bring the patient in a deplorable state and expect a miracle from the staff, when it clearly comes from poor care of the house ".

Regarding the legionella outbreak, Agüero explained: "The sanatorium did not deny the situation. Epidemiology was informed from the beginning. We are waiting for the final results, since until now, the exact origin is not known, and most of the samples are coming back negative . When this is over, we want to get back to work properly." According to the woman, the protest was made up of kitchen staff, cleaning staff, nurses and doctors.

Finally, in the event that legionella had to do with sanitary and building conditions, the outlook would not be encouraging. "We don't know what would happen to us. If the sanatorium were closed, we would be out of a job . We are 130 families who live from this. I've been here for two months, but I have colleagues who have been here for 25 years. The hospital authorities supported us, and said that the salaries would continue to be paid.”
 

Heliobas Disciple

TB Fanatic
(fair use applies)

GOOGLE TRANSLATE

Medina Ruiz: the Luz Médica building is "like a seriously ill patient, maybe it can be recovered and maybe not"
Wednesday, September 07, 2022, 11:08

After the doctor Claudio Zin said that "the only solution for the sick building of Luz Médica is a bulldozer", the Minister of Health, Luis Medina Ruiz, expressed his position.

"Everything has its steps, first we have to know where the source of contagion is and identify it," he said.

He added that "everything has treatment." And he compared the situation of the Marcos Paz street building at 900 with "a patient who has a serious illness."

"We have to follow all the steps: identify where it is, find (the focus), do the treatment, eliminate it, verify that it does not continue. These are things that will take time to guarantee that the building can be recovered or not," he explained.

The minister then detailed different alternatives, taking into account that "the bacteria can be eliminated when exposed to vapors with a temperature greater than 70 degrees, or with chemical products."

Medina Ruiz remarked that "there will not be an authorization if we are not 100% sure that the germ is gone."

Therefore, he disagreed with the position of "talking about the destruction of a building, knowing that this happens in the world, and not only in a hospital or a sanatorium, but also in hotels, spas and other places."

"Everything has its protocol, there is scientific evidence. Today there are experts worldwide making the diagnosis, the active search, the taking of samples; in addition, the processing (of what is obtained) will be in charge of the Malbrán Institute, which has unquestionable prestige," he remarked.

Dr. Zin had pointed out that "the problem is the building, not the people who are there; the patient is the building."

He then recalled an outbreak recorded in 1976, in Philadelphia (United States), where 34 patients died in a few days. "A doctor determined that there was no contagion from person to person, but from building to people. The sick person was the building. This hotel, the Bellevue-Stratford, was never opened again. The same thing happened with a hotel in Miami, in 2009, where there was also an outbreak of legionella, and it never opened again," he said.
 

Heliobas Disciple

TB Fanatic
(fair use applies)

GOOGLE TRANSLATE


Legionella in Tucumán: the Government says that for now it will not reopen the clinic and the employees protest
There are 22 confirmed cases, six deceased and six hospitalized. A health worker recommended demolishing it.

Updated on 09/07/2022 19:26

22 cases in total: 6 deceased, 6 hospitalized (3 with an artificial respirator and 3 in a delicate state) and 10 people in outpatient treatment. They are doctors, nurses, pharmacy assistants, caregivers and patients. That is the current epidemiological situation linked to the outbreak of pneumonia in the Luz Médica de Tucumán sanatorium, according to the latest report issued by the province's Ministry of Health.

The closure of the medical center where the legionella outbreak was registered generated this Wednesday the protest of the employees in defense of their jobs. The workers cut Marcos Paz to 900 in the provincial capital, made two bonfires and distributed banners.

In any case, the Minister of Health Luis Medina Ruiz remarked that "there will not be an authorization if we are not 100% sure that the germ is no longer there." In a press conference, the official explained that "everything has its steps" and that first they have to "know where it is and identify" the source of contagion.

However, he clarified, "everything has treatment." And he compared the situation of the Marcos Paz street building at 900 with "a patient who has a serious illness."

The minister then detailed different alternatives, taking into account that "the bacteria (of legionella) can be eliminated when it is exposed to vapors with a temperature greater than 70 degrees, or with chemical products."

"We have to follow all the steps: identify where it is, find (the focus), do the treatment, eliminate it, verify that it does not continue. These are things that will take time to guarantee that the building can be recovered or not," he explained before the consultation of the newspaper La Gaceta de Tucumán .
"It is potentially unrecoverable"

Before Clarín 's query , Claudio Zin pointed out that the building is potentially unrecoverable because no one can guarantee that the sanitization with bleach that is being done will reach the places where the legionella is. "There is no water pipe that is exempt from having this bacterium. As it is not known where it is, no one can guarantee that cases will not appear again," he explained.

"The only solution for that sick building is a bulldozer," he said.

As Clarín was able to learn, most of the infected patients were distributed between the hospital rooms on the fourth floor and the intensive care sector that works on the first. For this reason, both sectors are being investigated.
Justice investigates the case of "patient zero"

Meanwhile, the Public Prosecutor's Office began an investigation, led by prosecutor Pedro Gallo of the Criminal Prosecutor's Office 3, for the death of Margarita Zerda (71), the third legionella victim who was classified as patient zero .

The case began with the malpractice complaint filed by his relatives before the Justice. “They operated on her badly and that led to her staying longer inside the sanatorium. Thus, she could have been infected with this bacterium, but they say it to cover up that there was malpractice, ”says her nephew Patricio, in dialogue with Clarín .

As a result of the events, the prosecutor and a team of scientists carried out a visual inspection of the clinic, which remains closed and without patients , to collect evidence regarding Zerda's particular case.

"We have to follow all the steps: identify where it is, find the source, do the treatment, eliminate it, verify that it does not continue. These are things that are going to take time to guarantee that the building can be recovered or not. We are waiting for let everything move forward and find a resolution," he concluded.

Another suspicious case

María Rosa Luna's mother is hospitalized for bilateral pneumonia at the Centro de Salud sanatorium along with legionella patients.


His [HER] daughter denounces that he [SHE] is going through this situation due to negligence and suspects that he [SHE] may have caught the bacteria when he was in the Luz Médica sanatorium.

It is that on August 12 he visited the Luz Médica sanatorium for a cardiological consultation.

"After that, she got sick. She contracted mild pneumonia in one lung. From the Avellaneda public hospital they referred her to the Medical Light (it corresponded to her by PAMI) where she was hospitalized for less than 48 hours. On the 30th, when the outbreak broke out, they gave her the discharged when in reality she was not in good health. That is why we suspect that she may have been infected with legionella in the therapy room on the first floor," says María Rosa.
 

Heliobas Disciple

TB Fanatic
UPDATE ON THE COLLEGE THAT CLOSED UP THE BLOCK.

They ruled out Legionnaire's. This article is postulating this is some type of food poisoning. Yesterday in the youtube I posted they asked the doctor about this case and he said it is still winter in Argentina, so maybe a stomach flu type thing (via youtube auto translate which is even worse than google)..


NOTE: we are now at AT LEAST SIXTY cases. Yesterday it was at least 30. So case count has doubled overnight.


(fair use applies)

GOOGLE TRANSLATE

Outbreak of gastroenteritis at the San Francisco school: Medina Ruiz affirmed that "the origin was not water"
Wednesday, September 07, 2022, 1:28 p.m.

The Minister of Health of Tucumán, Luis Medina Ruíz, explained the situation of the Tucuman school that suspended its classes for at least 60 cases of gastroenteritis.

After it became known during the day this Tuesday that the San Francisco school on Marcos Paz street at 600 will not teach classes in person due to an outbreak of gastroenteritis, the Minister of Health of Tucumán, Luis Medina Ruiz referred to the subject.

“ Apparently the picture is of viral origin. None of the boys needed hospitalization. We have participated in the controls, the water is drinkable. It is very likely that it was due to the handling of some food, a birthday or a meeting that may have taken place. Some food consumed, perhaps, there were kiosks or street vendors at the door. The origin was not the water because otherwise it would have been more massive and we have also made the diagnosis of certainty that the water was chlorinated," said the official.

"There is monitoring of patients by Education and Health. The outbreak is under control," he said.

In addition, Medina Ruiz explained the consequences for children who have diarrhea and vomiting. "Dehydration is what carries the health risk, therefore fluid intake is very important. Medical consultation must be urgent if there is diarrhea or vomiting."
 

Heliobas Disciple

TB Fanatic
This is an older article but I found it today and I want to archive it on this thread because it gives some more dates and history of what was going on at the clinic.


(fair use applies)

VIA GOOGLE TRANSLATE


Complaint
His father died in the intensive care unit of the outbreak in Tucumán and he doubts the cause he was told
Gabriela Guzmán says that her father was about to be discharged but his health inexplicably deteriorated.
Legionella in Tucumán: a 64-year-old man died and there are already five fatalities

Penelope Canonico
08/31/2022 19:54 | Updated on 09/04/2022 14:13

"My dad died this morning in the same therapy where two people died and four others remain hospitalized with serious respiratory conditions ," the words of Gabriela Guzmán (45) point against the Luz Médica Sanatorium in Tucumán.

Gabriela fears that her 84-year-old father has died in the private sanatorium due to an infection of unknown origin that causes bilateral pneumonia – it is not yet known if it is a virus or a bacterium – that generated an alert in the health system of the northern province.

His father, Lorenzo Argentino Guzmán, had entered the hospital on August 22, Monday of last week, due to a positive picture of Covid 19. But, on Saturday the 27th he had already recovered and his health parameters were normal. He was going to be discharged until, a few hours later, they suspended the measure because he needed a "change of catheter" and there was no urologist available, according to his daughter Gabriela.

And he mentions that every day he received a different report "as if one doctor did not know what the other was doing."

“In these five days, since he had recovered from Covid until he died, they told me that he was still in the hospital because they were waiting for the urologist to change his catheter. But I saw the urologist leave the sanatorium in that period of time, ”he says.

“From the day I admitted him until today he was in therapy and they never allowed me to see him. They just gave him to me this morning, at 6, to fire him and he was in a total state of abandonment . I found him thin, with purple hands and wrists and injured legs as if he had suffered a blow, ”he describes.

And he continues: “Under his ribs I could see bruises. I always asked them to shave him because he was a person who took care of those details, but he had a long beard, "he laments in dialogue with Clarín .

Without hesitation, she called her lawyer to tell her about the situation and filed a complaint with the court. “The death certificate is confusing. He says that he died of cardiorespiratory arrest, infection and then Covid positive. I clicked to file the complaint when an internal staff of the Sanatorium told me that my father had not died in the way they said . They even called me yesterday to discharge him. Everything is very rare ”, he exposes.

Gabriela suspects that her father contracted the unknown disease at the Sanatorium, that they are hiding something or making up a clinical history.

"It is painful. I don't know what to think anymore,” she says. He does not understand why the Sanatorium authorities refuse to give him the medical history, but the prosecutor in charge of the case gave them a period of 4 hours to present it and the case was classified as "doubtful death", as he tells Clarín .

“They didn't want to hand over the body for us to do an autopsy. Now, it is in the judicial morgue,” she points out.

It is not the first time that he experiences a bitter pill. In March of this year, Lorenzo entered Luz Médica for a urethral infection. “Because of malpractice they destroyed his entire urethra and, from there, he collapsed, started wearing diapers, lost 17 kilos and was practically bedridden,” he says.

Clarín tried to contact the Luz Médica Sanatorium and its director, Alejandro Lembo, but received no response.
 

Heliobas Disciple

TB Fanatic
VERY SCANT NEWS COMING FROM THE REGION TODAY ON THIS STORY. Still no news about official lab reports or the condition of the patients. .And no news at all on the closed university. Btw, the clinic a six story building (I found it on street view on google maps) and it is about 2 and a1/2 blocks from the school. Here's the one update I found:



(fair use applies)

VIA GOOGLE TRANSLATE


Luis Medina Ruiz detailed the current health situation in the province after the outbreak of legionella

09/08/2022

This morning, the Minister of Health , Luis Medina Ruiz , referred to the health context after the outbreak of Legionella that worries the province. The official explained that there are still people who are still under observation and announced that the source of contagion is closed today.

“We have 22 patients under control who are the initial ones. We continue to control all the people they had inside the sanatorium, there are around 185, who are health personnel plus those who were hospitalized. We have made the decision that there be 16 days of control from the day the sanatorium closes, because we know that this is generated in a focus. The focus today is no longer a source of contagion because it is closed ", he explained.

The minister commented that “the incubation period is generally between two and ten days”. “We have to mourn the death of six people. Most had significant comorbidity," he noted.

We are determining the sampling to guarantee that there are no false positives or false negatives. If I took a sample in the wrong way, I could run the risk of not finding it or of contaminating it. Everything is being done with great scientific rigor to obtain the results. Those samples are going to go to Malbrán and they are going to determine”, he added.
 

Heliobas Disciple

TB Fanatic
They are still investigating 349 people, and there are apparently people with pneumonia who aren't testing for Legionnaires - if I'm reading the translation correctly, and I may not be, I am open to discussion. Those points are highlighted in red bold.


(fair use applies)


VIA GOOGLE TRANSLATE ; Carla is a woman, the prounoun should be SHE


Vizzotti said that legionella is located only in Medical Light, and that there are 349 people under follow-up
Friday September 09, 2022, 16:51

The Minister of Health of the Nation, Carla Vizzotti, referred this Friday to the outbreak of legionella in Tucumán and gave news about the investigation of this bacterium discovered in the Luz Médica sanatorium and that has already caused six deaths and at least 22 infections, of which two are serious paintings.

He [SHE] also reported that 165 people are being followed "in relation to the health center" and 184 people "in relation to patients and caregivers", adding 349 people under observation.

He [SHE] confirmed that "the situation is absolutely localized to a health center," he recalled that "the source of infection of this bacterium is through inhalation" and clarified that "it is not spread from person to person."

Vizzotti gave a press conference, accompanied by experts from the Pan American Health Organization (PAHO), who remain on alert for this disease that causes bilateral pneumonia.

"A large team has been working since August 29, when Tucumán detected two severe bilateral pneumonias with all the usual negative diagnoses, so it was of unknown origin. An alarm was raised and actions began to be generated," Vizzotti began by saying. regard.

After highlighting the measures that were taken in the sanatorium where the first cases appeared and how they evolved, the minister referred to the progress in the investigation in recent days.

"At this time, what has been done is to work with the province, with the health center and the experts for the evaluation of the building and the taking of environmental samples carried out yesterday. Today they arrived at Malbrán and when the results are known they will communicate," he [SHE] announced.

And he added: "So far we have studied 22 patients, of whom there are 6 people who died, 4 hospitalized people, 2 with mechanical ventilation and 12 outpatients. They are patients, health personnel and patient caregivers."

In this sense, he pointed out that the patients who died had previous risk conditions that complicated their health condition after infection with the bacteria.

"It is very important to say that what we are looking for is people with pneumonia to see if it was caused by Legionella and that takes time because they are people who were hospitalized and many may have pneumonia due to a nosocomial cause that does not have to be this bacterium," he explained. .

And he drew a line of comparison with the coronavirus: "It is not like with the Covid that gave us the negative PCR and we could classify it, but rather it has a different complexity."

In this sense, he recalled that "the source of infection of this bacterium is by inhalation, when it is in the pipes,

"It is not transmitted from person to person. The situation is absolutely localized to a health center. What we do is investigate backwards any case that has had exposure and is still in incubation. That is why the number of cases could vary in the last few days, but it is not transmitted from person to person," Vizzotti reassured.
 
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Heliobas Disciple

TB Fanatic
Another report on this from a different paper:

(fair use applies)

VIA GOOGLE TRANSLATE

Vizzotti reported on the evolution of the Legionella outbreak in Tucumán
The national and provincial health authorities, together with national and international experts, have been working from the beginning on the investigation and control of the outbreak. In the ANLIS-Malbrán laboratories, the diagnostic evaluation of the samples of the suspected cases included was expanded.

Posted on Friday, September 09, 2022

The Minister of Health of the Nation, Carla Vizzotti, together with the representative of the Pan American Health Organization (PAHO), Eva Jané Llopis, gave a press conference today to report on the evolution of the Legionella outbreak in Tucumán and the actions that are developed to respond in an articulated work between the Nation, the jurisdiction and local and international experts.

The minister reported that today she held a closing meeting of this stage of work in relation to the outbreak together with authorities from the Ministry of Health of Tucumán and highlighted "the support from the first day of the Pan American Health Organization through its representative in the country and with the arrival this week of an expert and advisory team for the environmental study of the building”.

Vizzotti clarified that “in this bacterium the source of infection is by inhalation when it is in the air conditioning tabulators, the pipes, it is aerosolized and it is not transmitted from person to person. So, the situation is absolutely localized in a health center, which is what usually happens with outbreaks of this bacterium."

On the other hand, the minister listed the steps to follow that include the search for more cases among the people who may have been exposed; complete laboratory studies of all detected cases; clinical follow-up of exposed cases; and the final classification of all cases to assess the final determination of the magnitude of the outbreak. On the other hand, the clinic facilities will also be disinfected to evaluate their rehabilitation and the strengthening of the infection control and facility inspection committees will continue.

In her turn, the PAHO representative in Argentina, Eva Jané Llopis, highlighted “the rapid action of the national authorities and the province of Tucumán to detect, evaluate, and respond to this outbreak; as well as the very rapid notification made to the WHO through the necessary channels and complying with all health regulations. And she remarked that "this action demonstrates Argentina's commitment to international public health."

According to the epidemiological investigation, as of September 8, 22 suspected cases of Legionella disease (6 people deceased) have been identified, of which 4 results are compatible with Legionella pneumophila and one with Legionella spp. Epidemiological investigation continues (monitoring, evaluation, and classification of cases, monitoring of exposed persons), laboratory surveillance, and environmental surveillance, to finally determine the magnitude of the outbreak.

Legionella is a bacterium that is found in water and multiplies more easily in buildings with high-volume water systems.

The most common form of transmission is inhalation of contaminated aerosols produced in conjunction with sprays, jets, or mists of water. Sources of these aerosols include cooling towers for air conditioning, hot and cold water systems, humidifiers, and whirlpool installations. It is important to mention that it is not transmitted from person to person.

Illness caused by this bacterium has an incubation period of 2 to 10 days and people may develop mild self-limited illness (Pontiac Fever) or more severe illness with pneumonia known as Legionnaire's disease. People over 50 years of age, those who smoke or have smoked, those who are immunocompromised, and those with chronic diseases are at increased risk of severe disease.

Evolution of the outbreak and actions taken

In a chronology on the origin of the outbreak and the work carried out, the minister explained that on August 29, the Epidemiology Directorate of Tucumán notified the national health portfolio about the detection of a conglomerate of two cases of bilateral pneumonia without identification of the cause and related to the same private sanatorium.

Since then, they have worked together on the investigation. The first step was to verify the existence of a possible outbreak and preventive isolation was carried out so that no new patients were admitted to the institution. In addition, a case definition was agreed upon to search for new cases and a protocol was drawn up to determine the possible origin.

Thus, new cases were identified and samples were taken that were analyzed at the Tucumán Public Health Laboratory for respiratory viruses, other viral, bacterial and fungal agents, all with negative results.

In turn, the samples were sent to laboratories of the National Administration of Laboratories and Health Institutes (ANLIS) “Dr. Carlos Malbrán” to expand the diagnostic analysis. They were studied for legionellosis, hantavirus, panel of 12 respiratory viruses and pancoronavirus, histoplasmosis and panfungal, leptospirosis, Q fever, mycoplasma and psittacosis.

All patients were transferred to another hospital and there are no workers in the institution, so there are no people who could be in contact with the source of transmission.

Finally, last Saturday, ANLIS-Malbrán reported that a viral genome was detected through PCR, sequencing and metagenomic analysis, compatible with legionella pneumophila in 4 patients and with legionella sp in 1 case.

In relation to environmental surveillance in the sanatorium, 59 samples were taken from 27 different sites, of cold and hot water and swabs from taps and showers. Samples will be derived for analysis at ANLIS-Malbran
. Additionally, the disinfection process of the facilities will begin.
 

psychgirl

Has No Life - Lives on TB
It just seems so odd that finding the pathogen responsible for this pneumonia is taking….this long.
Like many Twitter experts in the field have posted, it’s puzzling, because they’ve always thought Legionaires to be fairly easily diagnosed.
 
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