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Viewing cable 09BUENOSAIRES721, ARGENTINA: H1N1 DEATH TOLL CLIMBS TO SIX

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Reference ID Created Released Classification Origin
09BUENOSAIRES721 2009-06-19 21:51 2011-08-25 00:00 UNCLASSIFIED Embassy Buenos Aires
R 192151Z JUN 09
FM AMEMBASSY BUENOS AIRES
TO SECSTATE WASHDC 3896
INFO MERCOSUR COLLECTIVE
DEPT OF HHS WASHINGTON DC
UNCLAS BUENOS AIRES 000721 
 
 
DEPT FOR OES/IHB - P. MURPHY AND D. WILUSZ 
 
E.O. 12958: N/A 
TAGS: TBIO SOCI PGOV PREL AR
SUBJECT:  ARGENTINA: H1N1 DEATH TOLL CLIMBS TO SIX 
 
1.  Summary:  H1N1 cases in Argentina continue to increase.  In 
response, the Ministry of Health (MOH) has begun to focus on defined 
risk groups.  Reacting to an increased pattern of local transmission 
rather than contagion from outside the country, the MOH has moved 
from a strategy of containment toward one of mitigation.  The MOH 
has announced plans to open additional testing centers around the 
country.  End Summary. 
 
2.  According to information provided by the Ministry of Health 
(MOH), the number of confirmed H1N1 cases in Argentina has increased 
to 946.  Fifteen of these individuals are currently hospitalized, 12 
of them in intensive care units.  To date, six people confirmed with 
H1N1 have died, at least five of which come from a defined risk 
group: a prematurely born three-month baby, another infant, a 
ten-year-old girl with symptoms of meningitis, a child with 
respiratory problems, and a twenty-eight-year old who had undergone 
a bone-marrow transplant. 
 
----------------------- 
New Risk Groups Defined 
----------------------- 
 
3.  In view of this pattern, the MOH has defined specific risk 
groups.  These include people living in the critical areas of Buenos 
Aires or La Plata with a temperature of at least 38 degrees Celsius 
and symptoms of respiratory illness, and who also have preexisting 
respiratory, heart, or metabolic problems, are receiving 
immunodepressant drugs (HIV, cancer, or transplant patients), 
individuals under 2 years old or over 65, pregnant women, and 
smokers.  Under this definition, the risk population in Argentina is 
eight million, or 20% of the total population. Health authorities 
from both the City and Province of Buenos Aires have expressed 
concern about the rapid development of illness in a 15-year-old male 
patient who was hospitalized with symptoms, had not been diagnosed 
with a preexisting illness, and died within 48 hours of 
hospitalization.  Although he tested positive for H1N1, health 
authorities are trying to determine if the cause of death was H1N1 
or pneumonia that attacked simultaneously. 
 
4.  The Ministers of Health of these critical areas believe that 
there are approximately 50% more cases of flu than the 90,000 
currently reported.  This is not unexpected given the onset of the 
flu season here, and helps to explain why specific testing for H1N1 
will now be done only on individuals who are part of a defined risk 
group.  The MOH has said it plans to treat all individuals with 
symptoms in these risk groups with oseltamivir.  They have increased 
their purchase of oseltamivir to two million treatments per Pan 
American Health Organization recommendations. 
 
------------------------------- 
Mitigation Replaces Containment 
------------------------------- 
 
5.  While the MOH still collects documents filled out by travelers 
at ports of entry self-certifying that they are free of symptoms and 
uses thermal scanners in airports to check travelers' temperatures, 
recent H1N1 transmission rates appear to have increased more from 
local contact than from international travel.  As such, the MOH has 
adapted their original strategy from containment to one of 
mitigation.  Since school closures do not seem to have been 
sufficiently effective at stopping the spread of H1N1 among 
children, MOH has said it will only resort to this measure if there 
is more than one confirmed case in the same school.  They have 
ordered school authorities to strictly control children with regular 
flu symptoms attending classes.  In addition, the MOH has 
recommended that students stay away from large gatherings and group 
travel.  (Note: It is a common ritual for students finishing high 
school to travel to winter resorts such as Bariloche for their 
"end-of-the-year trip" during the winter holidays in July.) 
 
6.  National Minister of Health Graciela Ocana has promised to open 
19 additional laboratories around the country in an effort to 
provide a more efficient testing system for potential cases that 
develop in the provinces.  For now, tests from all over the country 
are still carried out only in the Malbran Institute, located in the 
city of Buenos Aires. 
 
KELLY