Experiencia provincial relacionada a la pandemia de gripe por virus A H1N1 nuevo subtipo

Experiencia provincial relacionada a la pandemia de gripe por virus A H1N1 nuevo subtipoClaudia LpezDepartamento de EpidemiologaDireccin de Epidemiologa y EstadsticaSubsecretara de SaludProvincia del Neuqun- Argentina

Objetivos de la presentacinEn que contexto provincial transcurri la pandemia?Cmo estbamos preparados?Que estrategias de Vigilancia fueron implementadas/fortalecidas?Que magnitud y gravedad tuvo la primer onda pandmica?A que grupos de poblacin afect ms?Como evolucionaron los indicadores cualitativos propuestos por la OMS?

Contexto provincialNeuquen

Poblacin 474.155Pob/ Pob pas 1.31 %Hab/ Km 5 Hogares con NBI 15.5%Tasa desempleo 5 a 10%

Sistema de Salud de Neuquen40% poblacin se concentra en la ciudad de Neuquen100% de la poblacin de 2 regiones sanitarias es atendida en el Subsector Pblico57% de la poblacin capitalina recibe atencin en Subsector PrivadoOrganismos estatales de Salud y Educacin en pleno conflicto gremial, y especficamenteSubsector Pblico de Salud con graves problemas presupuestarios que ponan en riesgo su adecuado funcionamiento

Alerta de la OMS por Pandemia de Gripe (fines SE 16; 23 de abril)Activacin inmediata del COESAdecuacin y activacin de planes de contingenciaCreacin y fortalecimiento de estrategias de vigilanciaCoordinacin de acciones con NacinGeneracin de guas y recomendacionesComunicacin con los niveles politico- gerencialesSolicitud de insumos/recursos ante la emergencia sanitaria potencial

Diferentes niveles de funcionamiento, recepcin y capacidad de respuestaIntensa presin de los medios masivos de comunicacinDificultades de comunicacin y trabajo intersectorialContratiempos entre nuestra realidad, la nacional, regional e interinstitucionalPrograma de Salud Escolar sin adecuado funcionamiento

EDO relacionadas a IRABronquiolitis en menores de 2 aosTodo nio menor de 2 aos, con evidencia clnica de infeccin viral aguda con o sin fiebre y taquipnea, tiraje, o espiracin prolongada con sibilancias (notificacin numrica semanal- retraso habitual 1 a 2 SE)

Enfermedad tipo Influenza Aparicin aguda de fiebre mayor de 38 con tos y/o dolor de garganta, milagias y postracin en ausencia de otras causas (notificacin numrica semanal- retraso habitual 1 a 2 SE)

NeumonasEnfermedad respiratoria aguda febril con tos, dificultad respiratoria y taquipnea, (notificacin numrica semanal- retraso habitual 1 a 2 SE)

Influenza AH1N1 (Fase contencin)Toda persona que presente enfermedad respiratoria aguda febril (>38 C) en un espectro que va de enfermedad tipo influenza a neumona dentro de los 7 ds de haber estado expuesto en zonas afectadas con transmisin sostenidaInfluenza AH1N1 (Fase mitigacin)Toda persona que presente enfermedad respiratoria aguda febril (>38 C) en un espectro que va de enfermedad tipo influenza a neumona sin o con nexo epidemiolgico segn sea o no rea con transmisin sostenida)

Vigilancia de virus respiratorios por IFD y de virus Influenza A H1N1(cepa pandmica) por RT-PCR

Farmacovigilancia (oseltamivir en forma masiva y en grupos de embarazadas y menores)

Cronologa desde primer sospechoso/confirmadoPrimer caso AH1N1 confirmado, nexo MxicoSegundo caso confirmado, nexo Chile.Se incorpora Bs.As. como nexo en def. de caso. Fase ContencinFase MitigacinRetraso notorio en los resultadosSolo se estudian internadosConfirmacin tarda de casos sin nexo!!!!!!Aumento ausentismo escolar. Se solicita incluir Chile y Bs.As. como nexo Marcado aumento consulta y de ETI. Se recomienda suspensin clases.Disminuyen consultas ETI y aumentan neumonas IRAG

Grfico1

305

342

441

486

1412

5583

5519

SE 27

SE 28

Notificacin ETIs SE 20-26 de 2009, Neuqun , Sector Pblico

Hoja1

20643643702411431316305317.0682067871479.4018859863723.623046875317.0682067871162.3336791992244.2211608887

21802802828384438258342263.8639221191492.4421691895915.5362548828263.8639221191228.5782470703423.0940856934

229589581292376766326441309.2825622559650.91760253911364.2261962891309.2825622559341.6350402832713.30859375

231369136914193251248320486286.5369262695760.47052001952005.5322265625286.5369262695473.933593751245.0617675781

2422292229135334121313221412280.581817627934.70257568363088.4338378906280.581817627654.12072753912153.7312011719

2521862186105736222193455583291.3670654297916.4718627932861.2141113281291.3670654297625.10479736331944.7421875

261735173566438118484785519332.2641296387828.39044189452054.8940429688332.2641296387496.12631225591226.5036621094

271452145263847513615620420.4786376953804.79406738281536.455078125420.4786376953384.3154296875731.6610107422

281122112271455210355790510.6343078613766.94226074221150.7177734375510.6343078613256.3079528809383.7755126953

SE 20305

SE 21342

SE 22441

SE 23486

SE 241412

SE 255583

SE 265519

SE 27

SE 28

Hoja2

Hoja3

Llega medicacin para tratamiento ambulatorioa > 14 aos, (luego extensivoa menores)Cierre preventivo en los diversos niveles educativosCierre preventivo en los diversos niveles educativos

H1N1 edad virus

GRUPO_EDADPoblacin total

SE0 a 4 aos5 a 9 aos10 a 14 aos15 a 19 aos20 a 29 aos30 a 39 aos40 a 49 aos50 a 59 aos60 a 69 aos70 a 79 aos80 a 89 aos90 y mstotal0 a 4 aos5 a 9 aos% < 5 aos% 4 aos

Missing922010200000169256.2568.75Missing16212612.57537.591827144

241100020000004112550.00244375.0113200

2511330793411004211326.1933.33254222652.414.31151311750

26771557252221341511111244771531.5637.702624411825548.410.22.077297516789180

27739611161820241286220573935.6140.00272055530326.814.61.5731912213236181

284344241112177119212643434.1337.302812618421614.333.312.743718138311243

2934332433568838234341.4645.122982847179.857.320.73432215485252

3028140242423415528150.9152.733055541169.174.529.12822113273203

3147021312130106147077.0577.0531617312911.550.847.5475252814261

3230110121523004630165.2267.393246121172.245.737.0301016161111

3346120411411206346173.0274.603363172527.039.746142317032

3428240531213004928257.1461.2234491938.8281721002

TOTAL42742362372766810050494199934274243.0047.23TOTAL99323927215324.127.415.44277213813456616713419

Positivostotal 1045 con ignorados grupo edad

GRUPO_EDADproporcin de pob

Proporcin de casos confirmados de AH1N1 en internados y por grupo de edad. Pcia del Neuquen. SE 24 a 38 (N=1169)

Grupo de edad0 a 4 aos5 a 19 aos20 a 39 aos40 a 59 aos60 a 79 aos80 y msTotalcasos positivos823157542110255casos notif543112160185113561169% Positivos15,1027,6735,6229,1818,5817,8521,81

ARM pico

total

Grupo_edad : ARM, H1N1 (RT-PCR)=PositivoGrupo_edad : ARM, H1N1 (RT-PCR)=Negativo

BackForwardCurrent ProcedureBackForwardCurrent Procedure

ARMARMARM

Grupo_edadSiVNITOTALGrupo_edadSiVNITOTALGrupo_edadSiVNITOTAL

0 a 4 aos40670 a 4 aos31630 a 4 aos112237

10 a 14 aos10410 a 14 aos00310 a 14 aos1019

15 a 19 aos10715 a 19 aos10615 a 19 aos2123

20 a 29 aos302220 a 29 aos00520 a 29 aos3055

30 a 39 aos703330 a 39 aos20930 a 39 aos11063

40 a 49 aos202140 a 49 aos001340 a 49 aos3059

5 a 9 aos30175 a 9 aos0045 a 9 aos3033

50 a 59 aos502850 a 59 aos001550 a 59 aos8084

60 a 69 aos301160 a 69 aos00560 a 69 aos3041

70 a 79 aos00970 a 79 aos201470 a 79 aos4038

80 a 89 aos201080 a 89 aos001280 a 89 aos3034

90 y ms00090 y ms00490 y ms008

ignorado000ignorado000ignorado001

TOTAL310229TOTAL81153TOTAL523695

factor riesgo 1 : ARM, H1N1 (RT-PCR)=Positivofactor riesgo 1 : ARM, H1N1 (RT-PCR)=Negativo

positivosnegativostodos

ARMARMARM

factor riesgo 1SiVNITOTALfactor riesgo 1SiVNITOTALfactor riesgo 1SiVNITOTAL

Missing150164Missing80111Missing301486

Asma grave2017Asma grave009Asma grave3041

BDP000BDP001BDP105

Bronquiectasias001Bronquiectasias000Bronquiectasias002

Cardiopatas104Cardiopatas0010Cardiopatas3029

colagenopatia000colagenopatia002colagenopatia002

Demencia000Demencia001Demencia001

denustricion000denustricion000denustricion003

Diabetes106Diabetes001Diabetes1022

Enf Pulm restrictiva001Enf Pulm restrictiva000Enf Pulm restrictiva001

Enfisema/EPOC4010Enfisema/EPOC006Enfisema/EPOC4031

Etilismo102Etilismo000Etilismo102

Fibrosis qustica000Fibrosis qustica000Fibrosis qustica012

Hipertensin Pulmonar001Hipertensin Pulmonar000Hipertensin Pulmonar002

Inmunosupresin farmacolgica106Inmunosupresin farmacolgica001Inmunosupresin farmacolgica1012

Insuficiencia renal002Insuficiencia renal004Insuficiencia renal1014

neuromuscular405neuromuscular013neuromuscular4111

Obesidad102Obesidad001Obesidad104

oncologico102oncologico000oncologico207

personal de salud002personal de salud001personal de salud003

Personal salud000Personal salud000Personal salud001

Puerpera002Puerpera000Puerpera002

Sibilante recurrente002Sibilante recurrente002Sibilante recurrente009

tabaquismo000tabaquismo000tabaquismo001

TBC000TBC000TBC001

Varicela000Varicela000Varicela001


fallecidos

positivos

EVOLUCIN A LA FECHA

factor riesgo 1ObitoTOTALEVOLUCIN A LA FECHAGrupo_edad : Sexo, H1N1 (RT-PCR)=NegativoGrupo_edad : Sexo, H1N1 (RT-PCR)=Positivo

sin factor riesgo8164SEObitoTOTAL

Asma Grave1172404

Bronquiectasias0125542BackForwardCurrent Procedure1 de 40 a 49 es IA

Cardiopatas242614241SEXOSEXOSEXO

Diabetes062710203Grupo_edadFemMascTOTALGrupo_edadFemMascTOTALGrupo_edadFemMascTOTAL

Enf Pulm restrictiva012831260 a 4 aos0000 a 4 aos1230 a 4 aos101

Enfisema/EPOC2102927910 a 14 aos00010 a 14 aos10110 a 14 aos000

Etilismo12TOTAL3469515 a 19 aos00015 a 19 aos01115 a 19 aos011

Hipertensin Pulmonar0120 a 29 aos00020 a 29 aos10120 a 29 aos000

Inmunosupresin farmacolgica16EVOLUCIN A LA FECHA (+)30 a 39 aos01130 a 39 aos01130 a 39 aos011

Insuficiencia renal02SEObitoTOTAL40 a 49 aos00040 a 49 aos01140 a 49 aos000

neuromuscular3524035 a 9 aos0005 a 9 aos1125 a 9 aos000

Obesidad022542350 a 59 aos00050 a 59 aos21350 a 59 aos101

oncologico12261212260 a 69 aos00060 a 69 aos20260 a 69 aos000

personal de salud022725570 a 79 aos21370 a 79 aos00070 a 79 aos011

Puerpera022811980 a 89 aos00080 a 89 aos22480 a 89 aos213

Sibilante recurrente02290790 y ms00090 y ms00090 y ms101

TOTAL19229TOTAL19229TOTAL224TOTAL10919TOTAL549

Single Table Analysis

Grfico2

23767

3317

194

237

5522

6333

5921

8428

4111

389

3410

890 y ms

Total notif

Total Positivos

grupo edad

n casos

Distribucin por grupo de edad y confirmacin diagnstica de casos notificados como IRAG por A H1N1nuevo subtipo. pcia del Neuquen. Pico epidmico SE 24 a 29) N= 695

pico

SEXO

SEfemmascTOTAL

24224

25261642

26117124241

2788115203

286363126

29384179

TOTAL334361695

GRUPO_EDAD

SE0 a 4 aos5 a 9 aos10 a 14 aos15 a 19 aos20 a 29 aos30 a 39 aos40 a 49 aos50 a 59 aos60 a 69 aos70 a 79 aos80 a 89 aos90 y msTOTAL

241100020000004

25113217934110042

26761457252220341510111241

277386111616212412862203

2843442411121771192126

29333223335688379

TOTAL237331923556359844138348695

Positivos

GRUPO_EDAD

SE0 a 4 aos5 a 9 aos10 a 14 aos15 a 19 aos20 a 29 aos30 a 39 aos40 a 49 aos50 a 59 aos60 a 69 aos70 a 79 aos80 a 89 aosTOTAL

24110001000003

255110561301023

263293412161119646122

2719401478442255

287101031212119

29310110000017

TOTAL6717472233212811910229

Positivos grupo riesgo ppal

GRUPO_EDADotros factores riesgo en positivos

factor riesgo 10 a 4 aos5 a 9 aos10 a 14 aos15 a 19 aos20 a 29 aos30 a 39 aos40 a 49 aos50 a 59 aos60 a 69 aos70 a 79 aos80 a 89 aosTOTALGRUPO_EDAD

sin factores riesgo59132317211512787164otros factores riesgo0 a 4 aos5 a 9 aos10 a 14 aos15 a 19 aos20 a 29 aos30 a 39 aos40 a 49 aos50 a 59 aos60 a 69 aos70 a 79 aos80 a 89 aosTOTAL

Asma Grave2111351300017sin factores6717472233212610910226

Bronquiectasias000000010001insuficiencia renal000000010001

Cardiopatas000000020024Neuromuscular000000010001

Diabetes000000132006obesidad000000001001

Enf Pulm restrictiva000100000001TOTAL6717472233212811910229

Enfisema/EPOC2000021301110

Etilismo000001010002

Hipertensin Pulmonar100000000001GRUPO_EDAD

Inmunosupresin farmacolgica100002030006Embarazada20 a 29 aos30 a 39 aosTOTAL

Insuficiencia renal000001001002Si516

neuromuscular110011001005TOTAL22332291 sola ARM asmtica grave

Obesidad000000200002Ninguna fallece

oncologico011000000002

personal de salud000010100002

Puerpera000200000002

Sibilante recurrente110000000002

TOTAL6717472233212811910229

Caso0 a 4 aos5 a 9 aos10 a 14 aos15 a 19 aos20 a 29 aos30 a 39 aos40 a 49 aos50 a 59 aos60 a 69 aos70 a 79 aos80 a 89 aos90 y msTOTAL

Total notif237331923556359844138348695

Total Positivos6717472233212811910229

32.9496402878

Grupo_edad% PositivosPobTasa posi (0/000)Tasa notif (0/000)Grupo_edad0 a 4 aos5 a 19 aos20 a 39 aos40 a 59 aos60 a 79 aos80 y ms

0 a 4 aos28.275696211.7641.61% Positivos28.2737.3346.6134.2725.3223.81

5 a 19 aos37.331791211.564.19Tasa posi (0/000)11.761.563.154.745.4718.76

20 a 39 aos46.611748193.156.75Tasa notif (0/000)41.614.196.7513.8321.6178.80

40 a 59 aos34.271034224.7413.83

60 a 79 aos25.32365545.4721.61

80 y ms23.81533018.7678.80

Grfico1

95.326709034114.3955619536

6.25275651651.7306736787

9.15232326013.2605151614

17.88787685415.2213262169

30.91316955745.744925316

105.065666041318.7617260788

Tasa noti (0/000)

Tasa posi (0/000)

grupo de edad

tasa 0/000

Distfibucin por grupo de edad del riesgo de notificacin y de confirmacin en internados por Gripe A H1N1. pcia del Neuquen. SE 24 a 38 (N notif=1169 y confirmados= 255)

Grfico3

54382

4717

376

288

8023

8034

8023

10531

5612

579

4710

90

Total

Positivos

Grupo de edad

N caso

Distribucin por grupo de edad del total de internados por IRAG (AH1N1). Pcia del Neuquen. SE 24 a 38). N=1169

edad y sexo

4 sexo desconocido

Grupo_edad : H1N1 (RT-PCR), Sexo=Fem

H1N1 (RT-PCR)

Grupo_edadEn estudioIAIndeterminadoNegativono aptaPositivoTOTALGrupo_edadEn estudio (M)En estudio (H)Positivo (M)Positivo (H)TOTAL (M)TOTAL (H)

0 a 4 aos61201490412530 a 4 aos61824141253290

5 a 9 aos11009010305 a 9 aos1151073017

10 a 14 aos6008021610 a 14 aos66241621

15 a 19 aos6005041515 a 19 aos64441513

20 a 29 aos2310110134820 a 29 aos231013104832

30 a 39 aos100080143230 a 39 aos101414203248

40 a 49 aos111014083440 a 49 aos11178153446

50 a 59 aos2401120195650 a 59 aos242119125649

60 a 69 aos11004062160 a 69 aos1114662135

70 a 79 aos70011052370 a 79 aos79542334

80 a 89 aos9007042080 a 89 aos98462027

90 y ms400400890 y ms400081

ignorado000901423ignorado0214102323

TOTAL183412510140579TOTAL183192140139579636

Grupo_edad : H1N1 (RT-PCR), Sexo=Masc

H1N1 (RT-PCR)

Grupo_edadEn estudioIAIndeterminadoNegativono aptaPositivoTOTALGrupo_edadEn estudio (H)Positivo (H)TOTAL (H)

0 a 4 aos82501611412900 a 4 aos8241290

5 a 9 aos500507175 a 9 aos5717

10 a 14 aos60011042110 a 14 aos6421

15 a 19 aos4104041315 a 19 aos4413

20 a 29 aos1000120103220 a 29 aos101032

30 a 39 aos1400140204830 a 39 aos142048

40 a 49 aos1700140154640 a 49 aos171546

50 a 59 aos2100160124950 a 59 aos211249

60 a 69 aos141014063560 a 69 aos14635

70 a 79 aos91020043470 a 79 aos9434

80 a 89 aos80013062780 a 89 aos8627

90 y ms000100190 y ms001


TOTAL192902951139636TOTAL192139636

Grupo_edadEn estudio (M)En estudio (H)Positivo (M)Positivo (H)TOTAL (M)TOTAL (H)Grupo_edadEn estudio (M)En estudio (H)Positivo (M)Positivo (H)TOTAL (M)TOTAL (H)% PositivosPobTasa noti (0/000)Tasa posi (0/000)casos positivoscasos notifTasa noti (0/000)

0 a 4 aos618241412532900 a 4 aos6182414125329015.105696295.3314.408254395.33

5 a 9 aos11510730175 a 19 aos23151615615127.681791216.251.73311126.25

10 a 14 aos6624162120 a 39 aos33242730808035.631748199.153.26571609.15

15 a 19 aos6444151340 a 59 aos35382727909529.1910342217.895.225418517.89

20 a 29 aos23101310483260 a 79 aos18231110446918.583655430.915.742111330.91

30 a 39 aos10141420324880 y ms13846282817.865330105.0718.761056105.07

40 a 49 aos111781534461261295566131169.00556208

50 a 59 aos242119125649Grupospciahombresmujerestotalpositivos internados255Grupo_edadcasos positivoscasos notif% Positivos

60 a 69 aos11146621350 a 1Neuqun5594541711011positivos ambulatorios980 a 4 aos8254315.10

70 a 79 aos795423341 a 4Neuqun2315822793459515 a 19 aos3111227.68


90 y ms40008110 a 14Neuqun31902311566305840 a 59 aos5418529.19

ignorado021410232315 a 19Neuqun27219266745389360 a 79 aos2111318.58

TOTAL18319214013957963620 a 24Neuqun24914252865020080 y ms105617.86

25 a 29Neuqun222092287045079Total255116921.81

30 a 34Neuqun208142068641500

35 a 39Neuqun187581928238040

40 a 44Neuqun173961632533721Grupo de edad0 a 4 aos5 a 19 aos20 a 39 aos40 a 59 aos60 a 79 aos80 y msTotal

45 a 49Neuqun145601389928459casos positivos823157542110255

50 a 54Neuqun122701176924039casos notif543112160185113561169

55 a 59Neuqun8702850117203% Positivos15.101289134427.678571428635.62529.189189189218.584070796517.857142857121.8135158255

60 a 64Neuqun6896662113517

65 a 69Neuqun5077513910216

70 a 74Neuqun346942357704

75 a 79Neuqun219229255117

80 y msNeuqun190534255330

Grupo de edadPositivosTotalPositivo (M)Positivo (H)TOTAL (M)TOTAL (H)

0 a 4 aos825434141253290

5 a 9 aos17471073017

10 a 14 aos637241621

15 a 19 aos828441513

20 a 29 aos238013104832

30 a 39 aos348014203248

40 a 49 aos23808153446

50 a 59 aos3110519125649

60 a 69 aos1256662135

70 a 79 aos957542334

80 a 89 aos1047462027

90 y ms090081

ignorado244614102323

TOTAL140139579636

Caractersticas de las personas con IRAG durante el pico epidmico

Grupo de edad0 a 4 aos5 a 19 aos20 a 39 aos40 a 59 aos60 a 79 aos80 y ms% Positivos28,2737,3346,6134,2725,3223,81Tasa posi (0/000)11,761,563,154,745,4718,76Tasa notif (0/000)41,614,196,7513,8321,6178,80

ARM pico

total



ARMARMARM


0 a 4 aos40670 a 4 aos31630 a 4 aos112237

10 a 14 aos10410 a 14 aos00310 a 14 aos1019

15 a 19 aos10715 a 19 aos10615 a 19 aos2123

20 a 29 aos302220 a 29 aos00520 a 29 aos3055

30 a 39 aos703330 a 39 aos20930 a 39 aos11063

40 a 49 aos202140 a 49 aos001340 a 49 aos3059

5 a 9 aos30175 a 9 aos0045 a 9 aos3033

50 a 59 aos502850 a 59 aos001550 a 59 aos8084

60 a 69 aos301160 a 69 aos00560 a 69 aos3041

70 a 79 aos00970 a 79 aos201470 a 79 aos4038

80 a 89 aos201080 a 89 aos001280 a 89 aos3034

90 y ms00090 y ms00490 y ms008





ARMARMARM




BDP000BDP001BDP105






















TBC000TBC000TBC001



fallecidos

positivos

EVOLUCIN A LA FECHA



Asma Grave1172404


















Grfico2

23767

3317

194

237

5522

6333

5921

8428

4111

389

3410

890 y ms

Total notif

Total Positivos

grupo edad

n casos


pico

SEXO

SEfemmascTOTAL

24224

25261642

26117124241

2788115203

286363126

29384179

TOTAL334361695

GRUPO_EDAD


241100020000004

25113217934110042

26761457252220341510111241

277386111616212412862203

2843442411121771192126

29333223335688379

TOTAL237331923556359844138348695

Positivos

GRUPO_EDAD


24110001000003

255110561301023

263293412161119646122

2719401478442255

287101031212119

29310110000017

TOTAL6717472233212811910229





















TOTAL6717472233212811910229


Total notif237331923556359844138348695

Total Positivos6717472233212811910229

32.9496402878


0 a 4 aos28.275696211.7641.61% Positivos28.2737.3346.6134.2725.3223.81

5 a 19 aos37.331791211.564.19Tasa posi (0/000)11.761.563.154.745.4718.76

20 a 39 aos46.611748193.156.75Tasa notif (0/000)41.614.196.7513.8321.6178.80

40 a 59 aos34.271034224.7413.83

60 a 79 aos25.32365545.4721.61

80 y ms23.81533018.7678.80

Grfico1

95.326709034114.3955619536

6.25275651651.7306736787

9.15232326013.2605151614

17.88787685415.2213262169

30.91316955745.744925316

105.065666041318.7617260788

Tasa noti (0/000)

Tasa posi (0/000)

grupo de edad

tasa 0/000


edad y sexo

4 sexo desconocido


H1N1 (RT-PCR)


0 a 4 aos61201490412530 a 4 aos61824141253290

5 a 9 aos11009010305 a 9 aos1151073017

10 a 14 aos6008021610 a 14 aos66241621

15 a 19 aos6005041515 a 19 aos64441513

20 a 29 aos2310110134820 a 29 aos231013104832

30 a 39 aos100080143230 a 39 aos101414203248

40 a 49 aos111014083440 a 49 aos11178153446

50 a 59 aos2401120195650 a 59 aos242119125649

60 a 69 aos11004062160 a 69 aos1114662135

70 a 79 aos70011052370 a 79 aos79542334

80 a 89 aos9007042080 a 89 aos98462027

90 y ms400400890 y ms400081


TOTAL183412510140579TOTAL183192140139579636


H1N1 (RT-PCR)


0 a 4 aos82501611412900 a 4 aos8241290

5 a 9 aos500507175 a 9 aos5717

10 a 14 aos60011042110 a 14 aos6421

15 a 19 aos4104041315 a 19 aos4413

20 a 29 aos1000120103220 a 29 aos101032

30 a 39 aos1400140204830 a 39 aos142048

40 a 49 aos1700140154640 a 49 aos171546

50 a 59 aos2100160124950 a 59 aos211249

60 a 69 aos141014063560 a 69 aos14635

70 a 79 aos91020043470 a 79 aos9434

80 a 89 aos80013062780 a 89 aos8627

90 y ms000100190 y ms001


TOTAL192902951139636TOTAL192139636


0 a 4 aos618241412532900 a 4 aos6182414125329015.105696295.3314.408254395.33

5 a 9 aos11510730175 a 19 aos23151615615127.681791216.251.73311126.25

10 a 14 aos6624162120 a 39 aos33242730808035.631748199.153.26571609.15

15 a 19 aos6444151340 a 59 aos35382727909529.1910342217.895.225418517.89

20 a 29 aos23101310483260 a 79 aos18231110446918.583655430.915.742111330.91

30 a 39 aos10141420324880 y ms13846282817.865330105.0718.761056105.07

40 a 49 aos111781534461261295566131169.00556208





90 y ms40008110 a 14Neuqun31902311566305840 a 59 aos5418529.19



25 a 29Neuqun222092287045079Total255116921.81

30 a 34Neuqun208142068641500

35 a 39Neuqun187581928238040

40 a 44Neuqun173961632533721

45 a 49Neuqun145601389928459

50 a 54Neuqun122701176924039

55 a 59Neuqun8702850117203

60 a 64Neuqun6896662113517

65 a 69Neuqun5077513910216

70 a 74Neuqun346942357704

75 a 79Neuqun219229255117

80 y msNeuqun190534255330

ARM pico

total



ARMARMARM


0 a 4 aos40670 a 4 aos31630 a 4 aos112237

10 a 14 aos10410 a 14 aos00310 a 14 aos1019

15 a 19 aos10715 a 19 aos10615 a 19 aos2123

20 a 29 aos302220 a 29 aos00520 a 29 aos3055

30 a 39 aos703330 a 39 aos20930 a 39 aos11063

40 a 49 aos202140 a 49 aos001340 a 49 aos3059

5 a 9 aos30175 a 9 aos0045 a 9 aos3033

50 a 59 aos502850 a 59 aos001550 a 59 aos8084

60 a 69 aos301160 a 69 aos00560 a 69 aos3041

70 a 79 aos00970 a 79 aos201470 a 79 aos4038

80 a 89 aos201080 a 89 aos001280 a 89 aos3034

90 y ms00090 y ms00490 y ms008





ARMARMARM




BDP000BDP001BDP105






















TBC000TBC000TBC001



fallecidos

positivos

EVOLUCIN A LA FECHA



Asma Grave1172404


















Grfico2

23767

3317

194

237

5522

6333

5921

8428

4111

389

3410

890 y ms

Total notif

Total Positivos

grupo edad

n casos


pico

SEXO

SEfemmascTOTAL

24224

25261642

26117124241

2788115203

286363126

29384179

TOTAL334361695

GRUPO_EDAD


241100020000004

25113217934110042

26761457252220341510111241

277386111616212412862203

2843442411121771192126

29333223335688379

TOTAL237331923556359844138348695

Positivos

GRUPO_EDAD


24110001000003

255110561301023

263293412161119646122

2719401478442255

287101031212119

29310110000017

TOTAL6717472233212811910229





















TOTAL6717472233212811910229


Total notif237331923556359844138348695

Total Positivos6717472233212811910229

32.9496402878

Grfico1

95.326709034114.3955619536

6.25275651651.7306736787

9.15232326013.2605151614

17.88787685415.2213262169

30.91316955745.744925316

105.065666041318.7617260788

Tasa noti (0/000)

Tasa posi (0/000)

grupo de edad

tasa 0/000


edad y sexo

4 sexo desconocido


H1N1 (RT-PCR)


0 a 4 aos61201490412530 a 4 aos61824141253290

5 a 9 aos11009010305 a 9 aos1151073017

10 a 14 aos6008021610 a 14 aos66241621

15 a 19 aos6005041515 a 19 aos64441513

20 a 29 aos2310110134820 a 29 aos231013104832

30 a 39 aos100080143230 a 39 aos101414203248

40 a 49 aos111014083440 a 49 aos11178153446

50 a 59 aos2401120195650 a 59 aos242119125649

60 a 69 aos11004062160 a 69 aos1114662135

70 a 79 aos70011052370 a 79 aos79542334

80 a 89 aos9007042080 a 89 aos98462027

90 y ms400400890 y ms400081


TOTAL183412510140579TOTAL183192140139579636


H1N1 (RT-PCR)


0 a 4 aos82501611412900 a 4 aos8241290

5 a 9 aos500507175 a 9 aos5717

10 a 14 aos60011042110 a 14 aos6421

15 a 19 aos4104041315 a 19 aos4413

20 a 29 aos1000120103220 a 29 aos101032

30 a 39 aos1400140204830 a 39 aos142048

40 a 49 aos1700140154640 a 49 aos171546

50 a 59 aos2100160124950 a 59 aos211249

60 a 69 aos141014063560 a 69 aos14635

70 a 79 aos91020043470 a 79 aos9434

80 a 89 aos80013062780 a 89 aos8627

90 y ms000100190 y ms001


TOTAL192902951139636TOTAL192139636


0 a 4 aos618241412532900 a 4 aos6182414125329015.105696295.3314.408254395.33

5 a 9 aos11510730175 a 19 aos23151615615127.681791216.251.73311126.25

10 a 14 aos6624162120 a 39 aos33242730808035.631748199.153.26571609.15

15 a 19 aos6444151340 a 59 aos35382727909529.1910342217.895.225418517.89

20 a 29 aos23101310483260 a 79 aos18231110446918.583655430.915.742111330.91

30 a 39 aos10141420324880 y ms13846282817.865330105.0718.761056105.07

40 a 49 aos111781534461261295566131169.00556208





90 y ms40008110 a 14Neuqun31902311566305840 a 59 aos5418529.19



25 a 29Neuqun222092287045079Total255116921.81

30 a 34Neuqun208142068641500

35 a 39Neuqun187581928238040

40 a 44Neuqun173961632533721

45 a 49Neuqun145601389928459

50 a 54Neuqun122701176924039

55 a 59Neuqun8702850117203

60 a 64Neuqun6896662113517

65 a 69Neuqun5077513910216

70 a 74Neuqun346942357704

75 a 79Neuqun219229255117

80 y msNeuqun190534255330

ARM pico

total



ARMARMARM


0 a 4 aos40670 a 4 aos31630 a 4 aos112237

10 a 14 aos10410 a 14 aos00310 a 14 aos1019

15 a 19 aos10715 a 19 aos10615 a 19 aos2123

20 a 29 aos302220 a 29 aos00520 a 29 aos3055

30 a 39 aos703330 a 39 aos20930 a 39 aos11063

40 a 49 aos202140 a 49 aos001340 a 49 aos3059

5 a 9 aos30175 a 9 aos0045 a 9 aos3033

50 a 59 aos502850 a 59 aos001550 a 59 aos8084

60 a 69 aos301160 a 69 aos00560 a 69 aos3041

70 a 79 aos00970 a 79 aos201470 a 79 aos4038

80 a 89 aos201080 a 89 aos001280 a 89 aos3034

90 y ms00090 y ms00490 y ms008





ARMARMARM




BDP000BDP001BDP105






















TBC000TBC000TBC001



fallecidos

positivos

EVOLUCIN A LA FECHA



Asma Grave1172404


















Grfico2

23767

3317

194

237

5522

6333

5921

8428

4111

389

3410

890 y ms

Total notif

Total Positivos

grupo edad

n casos


Grfico4

41.606685158511.7622274499

4.18711373881.5631891291

6.74983840433.1461111206

13.82684535214.7378700857

21.61186190295.4713574438

78.79924953118.7617260788

Tasa notif (0/000)

Tasa posi (0/000)

grupos de edad

tasa 0/000

Distribucin por grupo de edad del riesgo de notificacin y confirmacin en pacientes con IRAG asociados a AH1N1. Pcia del Neuquen SE 24 a 29 N= 695

pico

SEXO

SEfemmascTOTAL

24224

25261642

26117124241

2788115203

286363126

29384179

TOTAL334361695

GRUPO_EDAD


241100020000004

25113217934110042

26761457252220341510111241

277386111616212412862203

2843442411121771192126

29333223335688379

TOTAL237331923556359844138348695

Positivos

GRUPO_EDAD


24110001000003

255110561301023

263293412161119646122

2719401478442255

287101031212119

29310110000017

TOTAL6717472233212811910229





















TOTAL6717472233212811910229


Total notif237331923556359844138348695

Total Positivos6717472233212811910229

32.9496402878


0 a 4 aos28.275696211.7641.61% Positivos28.2737.3346.6134.2725.3223.81

5 a 19 aos37.331791211.564.19Tasa posi (0/000)11.761.563.154.745.4718.76

20 a 39 aos46.611748193.156.75Tasa notif (0/000)41.614.196.7513.8321.6178.80

40 a 59 aos34.271034224.7413.83

60 a 79 aos25.32365545.4721.61

80 y ms23.81533018.7678.80

Grfico1

95.326709034114.3955619536

6.25275651651.7306736787

9.15232326013.2605151614

17.88787685415.2213262169

30.91316955745.744925316

105.065666041318.7617260788

Tasa noti (0/000)

Tasa posi (0/000)

grupo de edad

tasa 0/000


Grfico3

54382

4717

376

288

8023

8034

8023

10531

5612

579

4710

90

Total

Positivos

Grupo de edad

N caso

Distribucin por grupo de edad del total de internados por IRAG (AH1N1). Pcia del Neuquen. SE 24 a 38). N=1169

edad y sexo

4 sexo desconocido


H1N1 (RT-PCR)


0 a 4 aos61201490412530 a 4 aos61824141253290

5 a 9 aos11009010305 a 9 aos1151073017

10 a 14 aos6008021610 a 14 aos66241621

15 a 19 aos6005041515 a 19 aos64441513

20 a 29 aos2310110134820 a 29 aos231013104832

30 a 39 aos100080143230 a 39 aos101414203248

40 a 49 aos111014083440 a 49 aos11178153446

50 a 59 aos2401120195650 a 59 aos242119125649

60 a 69 aos11004062160 a 69 aos1114662135

70 a 79 aos70011052370 a 79 aos79542334

80 a 89 aos9007042080 a 89 aos98462027

90 y ms400400890 y ms400081


TOTAL183412510140579TOTAL183192140139579636


H1N1 (RT-PCR)


0 a 4 aos82501611412900 a 4 aos8241290

5 a 9 aos500507175 a 9 aos5717

10 a 14 aos60011042110 a 14 aos6421

15 a 19 aos4104041315 a 19 aos4413

20 a 29 aos1000120103220 a 29 aos101032

30 a 39 aos1400140204830 a 39 aos142048

40 a 49 aos1700140154640 a 49 aos171546

50 a 59 aos2100160124950 a 59 aos211249

60 a 69 aos141014063560 a 69 aos14635

70 a 79 aos91020043470 a 79 aos9434

80 a 89 aos80013062780 a 89 aos8627

90 y ms000100190 y ms001


TOTAL192902951139636TOTAL192139636


0 a 4 aos618241412532900 a 4 aos6182414125329015.105696295.3314.408254395.33

5 a 9 aos11510730175 a 19 aos23151615615127.681791216.251.73311126.25

10 a 14 aos6624162120 a 39 aos33242730808035.631748199.153.26571609.15

15 a 19 aos6444151340 a 59 aos35382727909529.1910342217.895.225418517.89

20 a 29 aos23101310483260 a 79 aos18231110446918.583655430.915.742111330.91

30 a 39 aos10141420324880 y ms13846282817.865330105.0718.761056105.07

40 a 49 aos111781534461261295566131169.00556208





90 y ms40008110 a 14Neuqun31902311566305840 a 59 aos5418529.19



25 a 29Neuqun222092287045079Total255116921.81

30 a 34Neuqun208142068641500

35 a 39Neuqun187581928238040

40 a 44Neuqun173961632533721Grupo de edad0 a 4 aos5 a 19 aos20 a 39 aos40 a 59 aos60 a 79 aos80 y msTotal

45 a 49Neuqun145601389928459casos positivos823157542110255

50 a 54Neuqun122701176924039casos notif543112160185113561169

55 a 59Neuqun8702850117203% Positivos15.101289134427.678571428635.62529.189189189218.584070796517.857142857121.8135158255

60 a 64Neuqun6896662113517

65 a 69Neuqun5077513910216

70 a 74Neuqun346942357704

75 a 79Neuqun219229255117

80 y msNeuqun190534255330

Grupo de edadPositivosTotalPositivo (M)Positivo (H)TOTAL (M)TOTAL (H)

0 a 4 aos825434141253290

5 a 9 aos17471073017

10 a 14 aos637241621

15 a 19 aos828441513

20 a 29 aos238013104832

30 a 39 aos348014203248

40 a 49 aos23808153446

50 a 59 aos3110519125649

60 a 69 aos1256662135

70 a 79 aos957542334

80 a 89 aos1047462027

90 y ms090081

ignorado244614102323

TOTAL140139579636

Descripcin de principal factor de riesgo y gravedad (SE 24 a 29)13% (31/229) del total de personas confirmadas AH1N1 con IRAG requirieron ARM

Casos positivos de AH1N1 internados (IRAG)Factores de riesgoNRango edadARMbitosEmbarazadas520 a 49 aos10Purperas320 a 49 aos00Mayores de 64 aos*2265 a 89 aos24Asma grave1712 de 20 a 59 aos21Epoc/enfisema140 a 89 aos41Diabetes640 a 89 aos10Cardiopatias450 a 89 aos11Obesidad240 a 49 aos10Etilismo230 a 49 aos11Neuromuscular50 a 59 aos43Inmunosup farmacologica60 a 59 aos22Total861913* 38 de este grupo tienen otros factores de riesgo, 4 fallecen > 80 aos y 1 EPOC y 1 cardipata

Mortalidad por grupo de edad y sexo durante el pico epidmico (SE 24 a 29)Sexo femenino=10 Sin factores de riesgo= 6 Rango das= 1 a 33 das (3/19 entre 21 y 33 das; son menores de 20 aos) 2/3 con patologa crnica

ARM pico

total



ARMARMARM


0 a 4 aos40670 a 4 aos31630 a 4 aos112237

10 a 14 aos10410 a 14 aos00310 a 14 aos1019

15 a 19 aos10715 a 19 aos10615 a 19 aos2123

20 a 29 aos302220 a 29 aos00520 a 29 aos3055

30 a 39 aos703330 a 39 aos20930 a 39 aos11063

40 a 49 aos202140 a 49 aos001340 a 49 aos3059

5 a 9 aos30175 a 9 aos0045 a 9 aos3033

50 a 59 aos502850 a 59 aos001550 a 59 aos8084

60 a 69 aos301160 a 69 aos00560 a 69 aos3041

70 a 79 aos00970 a 79 aos201470 a 79 aos4038

80 a 89 aos201080 a 89 aos001280 a 89 aos3034

90 y ms00090 y ms00490 y ms008





ARMARMARM




BDP000BDP001BDP105






















TBC000TBC000TBC001



Grfico2

3

4

2

4

6

Fallecidos

Fallecidos durante pico epidmico con diagnstico (+) AH1N1 nuevo subtipo. Pcia del Neuquen- SE 24 a 29 (N=19)

fallecidos

positivos

EVOLUCIN A LA FECHA



Asma Grave1172404

















Grupos de edadFallecidos

0 a 4 aos3

5 a 19 aos4

20 a 39 aos2

40 a 59 aos4

60 a 89 aos6

Total19


pico

SEXO

SEfemmascTOTAL

24224

25261642

26117124241

2788115203

286363126

29384179

TOTAL334361695

GRUPO_EDAD


241100020000004

25113217934110042

26761457252220341510111241

277386111616212412862203

2843442411121771192126

29333223335688379

TOTAL237331923556359844138348695

Positivos

GRUPO_EDAD


24110001000003

255110561301023

263293412161119646122

2719401478442255

287101031212119

29310110000017

TOTAL6717472233212811910229





















TOTAL6717472233212811910229

Grfico1

95.326709034114.3955619536

6.25275651651.7306736787

9.15232326013.2605151614

17.88787685415.2213262169

30.91316955745.744925316

105.065666041318.7617260788

Tasa noti (0/000)

Tasa posi (0/000)

grupo de edad

tasa 0/000


edad y sexo

4 sexo desconocido


H1N1 (RT-PCR)


0 a 4 aos61201490412530 a 4 aos61824141253290

5 a 9 aos11009010305 a 9 aos1151073017

10 a 14 aos6008021610 a 14 aos66241621

15 a 19 aos6005041515 a 19 aos64441513

20 a 29 aos2310110134820 a 29 aos231013104832

30 a 39 aos100080143230 a 39 aos101414203248

40 a 49 aos111014083440 a 49 aos11178153446

50 a 59 aos2401120195650 a 59 aos242119125649

60 a 69 aos11004062160 a 69 aos1114662135

70 a 79 aos70011052370 a 79 aos79542334

80 a 89 aos9007042080 a 89 aos98462027

90 y ms400400890 y ms400081


TOTAL183412510140579TOTAL183192140139579636


H1N1 (RT-PCR)


0 a 4 aos82501611412900 a 4 aos8241290

5 a 9 aos500507175 a 9 aos5717

10 a 14 aos60011042110 a 14 aos6421

15 a 19 aos4104041315 a 19 aos4413

20 a 29 aos1000120103220 a 29 aos101032

30 a 39 aos1400140204830 a 39 aos142048

40 a 49 aos1700140154640 a 49 aos171546

50 a 59 aos2100160124950 a 59 aos211249

60 a 69 aos141014063560 a 69 aos14635

70 a 79 aos91020043470 a 79 aos9434

80 a 89 aos80013062780 a 89 aos8627

90 y ms000100190 y ms001


TOTAL192902951139636TOTAL192139636


0 a 4 aos618241412532900 a 4 aos6182414125329015.105696295.3314.408254395.33

5 a 9 aos11510730175 a 19 aos23151615615127.681791216.251.73311126.25

10 a 14 aos6624162120 a 39 aos33242730808035.631748199.153.26571609.15

15 a 19 aos6444151340 a 59 aos35382727909529.1910342217.895.225418517.89

20 a 29 aos23101310483260 a 79 aos18231110446918.583655430.915.742111330.91

30 a 39 aos10141420324880 y ms13846282817.865330105.0718.761056105.07

40 a 49 aos111781534461261295566131169.00556208





90 y ms40008110 a 14Neuqun31902311566305840 a 59 aos5418529.19



25 a 29Neuqun222092287045079

30 a 34Neuqun208142068641500

35 a 39Neuqun187581928238040

40 a 44Neuqun173961632533721

45 a 49Neuqun145601389928459

50 a 54Neuqun122701176924039

55 a 59Neuqun8702850117203

60 a 64Neuqun6896662113517

65 a 69Neuqun5077513910216

70 a 74Neuqun346942357704

75 a 79Neuqun219229255117

80 y msNeuqun190534255330

G1

5.84292030335.48506832129.888325691214

4.83833122254.21259975437.257515907322

4.43532991414.14976167687.324008941720

5.22088432315.07767486579.229068756123

7.64788150794.39408683786.629424095240

7.87082958224.5353641516.856829643237

9.9548673632.43489074712.976591110241

16.99303054816.05563354498.094846725530

12.87348079686.925414085410.385026931833

17.628641128512.043945312519.83498573328

25.814336776712.473081588718.277324676551

29.474050521910.88942146314.781902313250

41.137256622315.470455169721.151718139684

36.98907470710.301696777313.096004486182

39.160842895514.019016265918.91389846856

50.774345397916.553283691421.846771240292

46.573101043718.648899078425.9609222412116

51.38310241712.569950103815.5868339539126

62.967857360815.20873260518.825279235859

63.919956207323.644176483232.256874084565

64.60015106233.505332946850.620895385770

67.413650512761.8771362305117.8506469727105

83.529190063582.596496582163.3143157959109

100.1199264526132.1927185059305.0239562988236

114.4444580078149.385345459342.70748901371363

93.3701705933115.0010757446255.15856933591635

112.315231323265.0428009033102.3806762695642

112.149375915534.049873352144.2973632812212

109.188758850132.564155578642.1887664795102

101.901618957536.419197082549.310028076279

72.271011352530.655349731443.482818603568

67.520622253438.697074890160.5545501709104

66.931129455650.14369964687.1631317139126

67.301147460945.480705261275.7701644897138

61.993133544942.986167907772.3244705297

45.163642883337.097427368266.915809631394

44.975620269834.540462493960.495742797962

51.259067535429.651233673146.4783248901

53.751579284727.253913879440.8227310181

43.879081726125.800788879440.63697052

28.623548507726.045469284148.9529762268

31.101913452129.64669799857.0346984863

24.313774108925.085727691749.9555397034

26.393131256118.109394073530.0858840942

20.191818237317.943386077933.1436653137

23.50849914558.527164459211.4952354431

20.67989730839.469995498713.6085414886

26.40642166144.73371124275.5516357422

14.50865554816.4978828439.2221946716

15.2332592015.78244972237.8435153961

12.41008090974.97002696996.8134212494

5.50384235383.93789768226.3259544373

Fuente: SINAVE

Exito

Seguridad

Alerta

Casos Nuevos

Semanas

Casos

Corredor Endmico Semanal de 2009Enfermedad Tipo Influenza (ETI). Zona Sanitaria 1 Histricos de 7 aos: 2002 a 2008

D1

Casos AnualesIntervalos CasosAreas Grafico

Semanas20022003200420052006200720082009IC Inf (casos)Media (casos)IC Sup (casos)ExitoSeguridadAlerta

117944251612145.842920303311.327988624621.21631431585.84292030335.48506832129.8883256912

21573416815224.83833122259.050930976916.30844688424.83833122254.21259975437.2575159073

313104212149204.43532991418.585091590915.90910053254.43532991414.14976167687.3240089417

4161210721911235.220884323110.298559188819.52762794495.22088432315.07767486579.2290687561

5151441091715407.647881507912.041968345618.67139244087.64788150794.39408683786.6294240952

6205147121712377.870829582212.406193733219.26302337657.87082958224.5353641516.8568296432

71071116121412419.95486736312.3897581115.36634922039.9548673632.43489074712.9765911102

8241828191435173016.993030548123.04866409331.143510818516.99303054816.05563354498.0948467255

932825151815253312.873480796819.798894882230.18392181412.87348079686.925414085410.3850269318

10381773171728292817.628641128529.67258644149.507572174117.628641128512.043945312519.834985733

11322779223728435125.814336776738.287418365556.56474304225.814336776712.473081588718.2773246765

12512938215738385029.474050521940.363471984955.145374298129.474050521910.88942146314.7819023132

13575829429251558441.137256622356.60771179277.759429931641.137256622315.470455169721.1517181396

14395625474153538236.98907470747.290771484460.386775970536.98907470710.301696777313.0960044861

15397431523752755639.160842895553.179859161472.093757629439.160842895514.019016265918.913898468

16737535656251899250.774345397967.327629089489.174400329650.774345397916.553283691421.8467712402

1751111497641476911646.573101043765.222000122191.182922363346.573101043718.648899078425.9609222412

184165537375447212651.38310241763.953052520879.539886474651.38310241712.569950103815.5868339539

194863631108471805962.967857360878.176589965897.001869201762.967857360815.20873260518.8252792358

2054577314699103666563.919956207387.5641326904119.821006774963.919956207323.644176483232.2568740845

2156651401869097597064.60015106298.1054840088148.726379394564.60015106233.505332946850.6208953857

228479221344681815410567.4136505127129.2907867432247.141433715867.413650512761.8771362305117.8506469727

2396127417308692537110983.5291900635166.1256866455329.440002441483.529190063582.596496582163.3143157959

241373636212486951175236100.1199264526232.3126525879537.3366088867100.1199264526132.1927185059305.0239562988

2537538355618069579861363114.4444580078263.8298034668606.5372924805114.4444580078149.385345459342.7074890137

26347326379995943487163593.3701705933208.3712463379463.529815673893.3701705933115.0010757446255.1585693359

2725623320511389246102642112.3152313232177.3580322266279.7387084961112.315231323265.0428009033102.3806762695

2812817511815690196110212112.1493759155146.1992492676190.4966125488112.149375915534.049873352144.2973632812

2973154134111141136201102109.1887588501141.7529144287183.9416809082109.188758850132.564155578642.1887664795

30931557012015514120579101.9016189575138.32081604187.6308441162101.901618957536.419197082549.3100280762

3167849175131672036872.2710113525102.926361084146.409179687572.271011352530.655349731443.4828186035

32887378652677213610467.5206222534106.2176971436166.772247314567.520622253438.697074890160.5545501709

33967583653216620412666.9311294556117.0748291016204.237960815466.931129455650.14369964687.1631317139

34856094692927418113867.3011474609112.7818527222188.552017211967.301147460945.480705261275.7701644897

3565576965230912259761.9931335449104.9793014526177.303771972761.993133544942.986167907772.32447052

3683355343205631659445.163642883382.2610702515149.176879882845.163642883337.097427368266.9158096313

3765346658193441556244.975620269879.5160827637140.011825561544.975620269834.540462493960.4957427979

38524082731514814051.259067535480.9103012085127.388626098651.259067535429.651233673146.4783248901

39613474781426212153.751579284781.0054931641121.828224182153.751579284727.253913879440.8227310181

4013127587177478443.879081726169.6798706055110.316841125543.879081726125.800788879440.63697052

4113329671885365628.623548507754.6690177917103.621994018628.623548507726.045469284148.9529762268

42111141214369486231.101913452160.7486114502117.783309936531.101913452129.64669799857.0346984863

4311712935138305124.313774108949.399501800599.355041503924.313774108925.085727691749.9555397034

447414713142464326.393131256144.502525329674.588409423826.393131256118.109394073530.0858840942

455015954630154320.191818237338.135204315271.278869628920.191818237317.943386077933.1436653137

462721552630223623.508499145532.035663604743.530899047923.50849914558.527164459211.4952354431

472820532616392620.679897308330.14989280743.758434295720.67989730839.469995498713.6085414886

482628343825262626.406421661431.140132904136.691768646226.40642166144.73371124275.5516357422

491122252911271914.508655548121.006538391130.228733062714.50865554816.4978828439.2221946716

502021223010201815.23325920121.015708923328.859224319515.2332592015.78244972237.8435153961

51121716179173112.410080909717.380107879624.19352912912.41008090974.97002696996.8134212494

5284154813175.50384235389.44174003615.76769447335.50384235383.93789768226.3259544373

G2

8.16028881076.132555007910.39885616311

7.78308248526.16134214410.660307884213

9.89857196817.025979042111.70353126537

9.70442581186.961112976111.638746261610

7.20200490954.36040544516.7803363817

8.97783279428.072441101114.837335586510

8.123644828810.602236747723.407056808516

7.41282987598.697935104418.075315475515

9.79851245889.666991233818.606731414810

13.83374023448.366537094113.197843551611

20.429166793810.917549133316.570775985735

20.29990577715.009977340725.761646270825

35.234725952119.725120544430.5661544830

23.028100967418.833501815833.810531616217

21.93147087118.436609268233.485900878922

32.308967590318.081634521527.999931335435

41.035720825212.858036041316.823657989528

27.391763687122.705068588341.085876464844

36.896587371820.004066467330.660442352322

60.339771270820.446926116927.301239013718

36.333942413327.164176940947.113224029533

51.737934112524.961627960236.85413360643

53.937889099145.284118652382.84682464631

52.744041442971.5663833618167.481170654346

59.354148864777.4905014038177.5550689697290

52.790809631360.2093505859128.0382995605805

74.449783325263.1186981201116.1642608643463

65.375762939548.652328491284.5000457764135

78.391738891632.464828491245.798309326242

69.978195190425.467948913634.650825500524

59.251796722423.668270111133.019264221223

60.25556945830.062843322844.900596618756

60.992431640639.655845642165.165245056257

55.996150970538.899791717565.610572814955

57.925422668534.262023925854.300941467345

50.321861267126.166450500539.597724914617

53.140991210919.855194091827.183410644552

47.169486999517.11444091823.2390213013

45.252918243419.509784698527.8010025024

47.577613830620.99967193630.1425933838

28.160512924225.396177291947.7788734436

35.255989074721.514556884834.4041519165

33.008708953920.860839843833.7879676819

29.957395553618.677381515530.0729637146

20.156116485617.481746673632.1668167114

16.757904052715.077608108528.1331958771

27.159269332916.96534156827.3134231567

18.231460571314.783966064526.3566627502

16.08965873728.915330886813.6621437073

13.59374523168.651541709913.9046268463

10.847933769212.117457389824.882390976

11.9324779518.856834411615.0887622833

Fuente: SINAVE

Exito

Seguridad

Alerta

Casos Nuevos

Semanas

Casos


D2



1142723814516118.160288810714.292843818724.69169998178.16028881076.132555007910.398856163

2351112112496137.783082485213.944424629224.60473251347.78308248526.16134214410.6603078842

3293011131082679.898571968116.924551010128.62808227549.89857196817.025979042111.7035312653

43526101420713109.704425811816.665538787828.30428504949.70442581186.961112976111.6387462616

525118810617177.202004909511.562410354618.34274673467.20200490954.36040544516.78033638

639271792688108.977832794217.050273895331.88760948188.97783279428.072441101114.8373355865

74240101118437168.123644828818.725881576542.1329383858.123644828810.602236747723.4070568085

833372771876157.412829875916.110765457234.18608093267.41282987598.697935104418.0753154755

92826391817419109.798512458819.465503692638.07223510749.79851245889.666991233818.6067314148

1036322518251591113.833740234422.200277328535.398120880113.83374023448.366537094113.1978435516

11512358272518243520.429166793831.346715927147.917491912820.429166793810.917549133316.5707759857

12884340263620162520.29990577735.309883117761.071529388420.29990577715.009977340725.7616462708

131007952455930313035.234725952154.959846496685.526000976635.234725952119.725120544430.56615448

14697827475413311723.028100967441.861602783275.672134399423.028100967418.833501815833.8105316162

15759057232227222221.93147087140.368080139273.853981018121.93147087118.436609268233.4859008789

16887846403823503532.308967590350.390602111878.390533447332.308967590318.081634521527.9999313354

17717347345345452841.035720825253.893756866570.71741485641.035720825212.858036041316.8236579895

18838377593417294427.391763687150.096832275491.182708740227.391763687122.705068588341.0858764648

195412568503845332236.896587371856.900653839187.561096191436.896587371820.004066467330.6604423523

208911098658258511860.339771270880.7866973877108.087936401460.339771270820.446926116927.3012390137

2174126116613936303336.333942413363.4981193542110.611343383836.333942413327.164176940947.1132240295

229076146754965444351.737934112576.6995620728113.553695678751.737934112524.961627960236.854133606

2311513916912533132433153.937889099199.2220077515182.068832397553.937889099145.284118652382.846824646

247632721217540243344652.7440414429124.3104248047291.79159545952.744041442971.5663833618167.4811706543

2561578165158602224929059.3541488647136.8446502686314.399719238359.354148864777.4905014038177.5550689697

265438717464642115080552.7908096313113.0001602173241.038467407252.790809631360.2093505859128.0382995605

2712240512767782308346374.4497833252137.5684814453253.732742309674.449783325263.1186981201116.1642608643

281172898654761887513565.3757629395114.0280914307198.52813720765.375762939548.652328491284.5000457764

291401798164102126834278.3917388916110.8565673828156.65487670978.391738891632.464828491245.7983093262

3012614678749864732469.978195190495.446144104130.096969604569.978195190425.467948913634.6508255005

3111413459598664622359.251796722482.9200668335115.939331054759.251796722423.668270111133.0192642212

32123126643810981995660.25556945890.3184127808135.219009399460.25556945830.062843322844.9005966187

33169120764319173765760.9924316406100.6482772827165.813522338960.992431640639.655845642165.1652450562

341491145635167721165555.996150970594.895942688160.506515502955.996150970538.899791717565.6105728149

35172874349122831194557.925422668592.1874465942146.488388061557.925422668534.262023925854.3009414673

361459646509348721750.321861267176.4883117676116.086036682150.321861267126.166450500539.5977249146

379259497181431135253.140991210972.9961853027100.179595947353.140991210919.855194091827.1834106445

388942435799516647.169486999564.283927917587.522949218847.169486999517.11444091823.2390213013

3910438607063378345.252918243464.762702941992.563705444345.252918243419.509784698527.8010025024

40110565845113554847.577613830668.577285766698.719879150447.577613830620.99967193630.1425933838

4115747365486203428.160512924253.5566902161101.335563659728.160512924225.396177291947.7788734436

4211636883467384035.255989074756.770545959591.17469787635.255989074721.514556884834.4041519165

4395451113844373033.008708953953.869548797687.657516479533.008708953920.860839843833.7879676819

4479411003740233929.957395553648.634777069178.707740783729.957395553618.677381515530.0729637146

458733803131162020.156116485637.637863159269.804679870620.156116485617.481746673632.1668167114

467425633319271116.757904052731.835512161359.968708038316.757904052715.077608108528.1331958771

479447682932302627.159269332944.124610900971.438034057627.159269332916.96534156827.3134231567

485577342419331318.231460571333.015426635759.37208938618.231460571314.783966064526.3566627502

495621253016161816.089658737225.00498962438.667133331316.08965873728.915330886813.6621437073

50374120199191813.593745231622.245286941536.149913787813.59374523168.651541709913.9046268463

514973141824101010.847933769222.965391159147.84778213510.847933769212.117457389824.882390976

52463418161619811.93247795120.789312362735.87807464611.9324779518.856834411615.0887622833

G3

7.14209699633.9218955045.976162910522

3.59094095234.775468349510.568981170716

1.53504848484.798670768717.04441070569

3.04397320754.489410400410.435914039622

5.0904088023.45996141435.662278175413

5.70251560213.00723361974.50253868118

5.78243923195.26233768469.781435012819

8.28189563755.33779621128.640348434413

9.25096607215.71326732649.114706039413

13.11514854435.14229774487.10680389411

12.6596612939.769190788317.107662200910

18.605882644710.321735382115.943422317515

22.23021125799.917497634914.274276733434

25.31118583686.85940361028.693294525120

24.222154617313.391584396420.691234588622

22.562261581414.745355606124.236759185814

26.693346023613.290472030619.823196411138

22.79978561411.257266998316.732536315946

28.604776382414.624113082922.011459350634

37.343326568615.391849517821.677787780820

33.963443756118.787349700929.075210571332

40.735237121618.67249298127.159759521532

32.874023437533.685684204167.844207763728

30.272464752240.930385589695.646713256849

36.341484069848.8144302368113.7654266357204

46.694484710743.342891693183.2793502808452

33.069877624546.2984924316110.4473648071180

31.481637954735.513557434175.140655517682

33.781013488824.711299896242.605022430436

46.007328033418.269924163825.471008300824

37.029655456512.656417846716.942298889210

58.773345947319.728645324726.312339782728

55.532627105733.823917388954.298118591334

76.128494262728.003547668538.257987976135

54.739967346233.288177490253.404289245623

52.659500122133.025482177753.602523803724

41.308547973624.874053955139.72783660899

34.96563720720.887184143133.2423782349

44.454051971424.226032257137.3266601562

34.055641174322.711875915537.7064666748

27.285757064818.242994308530.2876167297

20.03523826614.188261032124.0656204224

26.779531478917.581968307528.9783363342

25.53661537179.297430038512.6372871399

13.036738395715.063704490732.0203170776

12.126278877311.662907600422.5695095062

14.50100898747.529018402111.347196579

14.95922470099.709558486915.8695163727

9.61478996288.857196807916.7335720062

10.13440418247.602156639113.116853714

7.19255542765.72128009810.0637207031

5.12409210214.46175193798.1014480591

Fuente: SINAVE

Exito

Seguridad

Alerta

Casos Nuevos

Semanas

Casos


D3



110102371096227.142096996311.063992500317.04015541087.14209699633.9218955045.9761629105

213126171610163.59094095238.366409301818.93539047243.59094095234.775468349510.5689811707

319950118991.53504848486.333719253523.37812995911.53504848484.798670768717.0444107056

4122261975223.04397320757.533383369417.96929740913.04397320754.489410400410.4359140396

5681061839135.0904088028.550370216414.21264839175.0904088023.45996141435.6622781754

6129661384185.70251560218.709749221813.21228790285.70251560213.00723361974.502538681

710231461864195.782439231911.044776916520.82621192935.78243923195.26233768469.7814350128

816279713157138.281895637513.619691848822.26004028328.28189563755.33779621128.6403484344

9827171014207139.250966072114.964233398424.07893943799.25096607215.71326732649.1147060394

1081523172024131113.115148544318.257446289125.364250183113.11514854435.14229774487.106803894

1144202610918331012.65966129322.428852081339.536514282212.6596612939.769190788317.1076622009

12423433221713321518.605882644728.927618026744.871040344218.605882644710.321735382115.9434223175

13483734182521273422.230211257932.147708892846.421985626222.23021125799.917497634914.2742767334

14344225252524292025.311185836832.17058944740.863883972225.31118583686.85940361028.6932945251

15387440292322282224.222154617337.613739013758.304973602324.222154617313.391584396420.6912345886

16325578252324231422.562261581437.307617187561.544376373322.562261581414.745355606124.2367591858

17445952242834233826.693346023639.983818054259.807014465326.693346023613.290472030619.8231964111

18253960172231344622.79978561434.057052612350.789588928222.79978561411.257266998316.7325363159

19466757252637293428.604776382443.228889465365.240348815928.604776382414.624113082922.0114593506

20419443403556382037.343326568652.735176086474.412963867237.343326568615.391849517821.6777877808

21559754413844253233.963443756152.75079345781.826004028333.963443756118.787349700929.0752105713

22349266633964353240.735237121659.407730102586.56748962440.735237121618.67249298127.1597595215

235483841582383222832.874023437566.5597076416134.403915405332.874023437533.685684204167.8442077637

2441761462312576204930.272464752271.2028503418166.849563598630.272464752240.930385589695.6467132568

256013619817620823020436.341484069885.1559143066198.921340942436.341484069848.8144302368113.7654266357

267911220678411232945246.694484710790.0373764038173.316726684646.694484710743.342891693183.2793502808

276519315938241742718033.069877624579.3683700562189.815734863333.069877624546.2984924316110.4473648071

2897122583721169298231.481637954766.9951934814142.13584899931.481637954735.513557434175.1406555176

291047943383489253633.781013488858.492313385101.097335815433.781013488824.711299896242.6050224304

30669158493673442446.007328033464.277252197389.74826049846.007328033418.269924163825.4710083008

31524839263872471037.029655456549.686073303266.628372192437.029655456512.656417846716.9422988892

327351714311786702858.773345947378.501991272104.814331054758.773345947319.728645324726.3123397827

3310249604220390863455.532627105789.3565444946143.654663085955.532627105733.823917388954.2981185913

3495626278176119973576.1284942627104.1320419312142.390029907276.128494262728.003547668538.2579879761

35141573846135931012354.739967346288.0281448364141.43243408254.739967346233.288177490253.4042892456

3612040378516580742452.659500122185.6849822998139.287506103552.659500122133.025482177753.6025238037

37123372752795784941.308547973666.1826019287105.910438537641.308547973624.874053955139.7278366089

389431495837278934.96563720755.852821350189.09519958534.96563720720.887184143133.2423782349

3994466827517110944.454051971468.6800842285106.006744384844.454051971424.226032257137.3266601562

408238953262236134.055641174356.767517089894.473983764634.055641174322.711875915537.7064666748

416829822149244427.285757064845.528751373375.81636810327.285757064818.242994308530.2876167297

424012612655212720.03523826634.223499298158.289119720520.03523826614.188261032124.0656204224

438732584036183526.779531478944.361499786473.339836120626.779531478917.581968307528.9783363342

445222383131242725.536615371734.834045410247.4713325525.53661537179.297430038512.6372871399

45782152222814813.036738395728.100442886460.120758056613.036738395715.063704490732.0203170776

46562131192022612.126278877323.789186477746.358695983912.126278877311.662907600422.5695095062

473122311222151314.501008987422.030027389533.377223968514.50100898747.529018402111.347196579

485814201422301614.959224700924.668783187940.538299560514.95922470099.709558486915.8695163727

4955152014615159.614789962818.471986770635.20555877699.61478996288.857196807916.7335720062

50447171812191110.134404182417.736560821530.853414535510.13440418247.602156639113.116853714

51198491430117.192555427612.913835525522.97755622867.19255542765.72128009810.0637207031

52182812118105.12409210219.585844039917.6872920995.12409210214.46175193798.1014480591

G4

15.04636573794.547788625.861370086719

8.993557935.36832141888.341730117814

14.11701965334.31852149965.577295303310

10.16598510746.942438125611.37861633310

9.69495296486.353909492510.238235473616

12.9689636237.994688034112.671068191523

12.17906856548.748690605214.692258834810

16.08594894417.694374084511.221618652321

16.04245376598.842161178613.512334823623

18.98462867749.384481430113.858768463122

23.968727111812.594142913819.024196624839

27.331209182714.182355880721.358264923128

31.255409240720.410999298133.448749542238

34.831882476816.340824127223.856101989728

44.664112091112.7

Experiencia provincial relacionada a la pandemia de gripe por virus A H1N1 nuevo subtipo

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