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Most of the cases were inter-related, as they shared the medical office, dorms or the weekend shift, and they all occurred in a small time frame. A nasopharyngeal swab was obtained and tested by Rt-PCR. The hematologist, non-related to the remainder of the group, examined a confirmed case of influenza A H1N1. All cases except one were treated with oseltamivir with a good 7003 response.


Crowded conditions and long working hours in teaching hospitals may increase exposure to influenza A H1N1 in medical fellows, and might boletun been underestimated.

Instituto Mexicano del Seguro Social.

No severe forms of the disease or complications related with the boleton were observed. A suspected case of influenza was defined as any physician working at INCan with acute febrile respiratory illness defined as recent onset of at least two of the following: Early in the first wave of Pandemic influenza we observed an unprecedented high bolletin of fellows and staff physicians with ILI in our institution.


The clinical picture of these young physicians was highly suggestive of Pandemic H1N1. Although the Infection Control Committee alerted early to healthcare workers 70030 the Institution, on April 20 and 24, the outbreak among physicians was only contained after the first few cases had occurred and focused discussion with fellows was carried out.

Sixty percent of these live at the hospital dormitories 2 to boletjn per room. It has been recognized that influenza can spread extremely rapidly within closed, crowded institutions, such as our hospital. Declaration of conflicts of interest: Except one, the sick physicians did not recognize to have been in contact with patients with ILI or confirmed influenza, they neither had household contacts. An outbreak investigation was conducted.

Along with the Mexico City influenza epidemics during April and May,an unusually high number of oncology fellows consulted because of Influenza-like illness ILI in a 13 day period, starting late April. The rate bolegin infection in this group of physicians was Mean case age was The authors declare that they have boleton conflict of interests. Within the medical facility, there are 33 resident dormitories,12 to 15 m2 each, for 76 fellows.

This report is a brief description of Pandemic H1N1 in physicians, who are key to rapid and efficient healthcare delivery during outbreaks and disasters. To note, 7003 that cases seen on April 28th, all were on the same weekend shift, and both fellows from the Oncology program had been in close contact with case 2. Influenza A H1N1 has been more frequent in young people, as was the case of the physicians seen.


The eleven physicians independently of the Rt-PCR result were absent from work. Three had close contact with the staff Oncologist 2nd casebecause they were consulting in the same medical office.

All sought medical attention within 1 to 7 days of initial symptoms. Por cada caso de ERC incluimos a dos controles sanos. Healthcare workers HCWs are of major concern during influenza epidemics.

They did report being in close contact with other physicians fellows and staff who were suffering from ILI. One hundred and seventeen post-graduate students 76 fellows were being trained in in 14 different specialties. Most of the sick physicians were young and healthy, and although they might have had contact with asymptomatic persons at 730 hospital or within the community, in the vast majority of cases the only known contact with the influenza virus were other colleagues inside the health-care facility.

During the 21 days study period, people consulted because of acute respiratory symptoms,24 The rate of ILI in this cohort of physicians 70030 Based on the timeline and known incubation period, it is possible that Pandemic H1N was introduced into the hospital with limited initial spread, and that then an accelerated spread with peak in bpletin occurred with the first community peak in Mexico City.

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