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Epidemiology and policy
P1-147 Following public health protocols during 2009 pandemic influenza A (H1N1)
  1. S Fernández-Arribas,
  2. E López-García,
  3. A Pérez-Rubio,
  4. C Ruíz-Sopeña,
  5. H Marcos-Rodriguez
  1. Health Ragional Ministry, Castilla y León, Spain

Abstract

Learning about monitoring of public health recommendations is very important, especially in situations as pandemic (H1N1) 2009. By this, the Health Regional Ministry of Castilla y León (Spain) carried on a study to assess the compliance with Public Health indications of the cases studied. Protocols recommended asking for laboratory diagnostic only in cases with serious illness. We analysed requests from epidemiological weeks 44 to 50, both included, and studied different variables. In this period, 588 cases were asked for laboratory diagnostic. Only 247 (42%) applications fulfilled serious ill criterion. Most of them were men (153, 62%). The average age was 41.1 years old in serious illness (SI) and 29.5 years old in non serious illness (NSI). SI was more frequent between 15 and 44 years old and NSI between 0 and 4 years old. Pneumonia was the main reason (27%) for hospitalisation in SI and febrile syndrome (23.5%) was in NSI. 25% of SI and 2.7% of NSI (p value=0.0000) were hospitalised in the ICU. Treatment was given to 26.8% of SI and 13% of NSI (p value 0.0001). Pregnancy was more common in NSI (3%). More than 65% of SI presented any illness risk factor. Smoking, morbid obesity, Diabetes and chronic kind illness were more frequent in SI. 31% of SI and 25% of NSI were AH1N1 2009 positive. Protocols were followed by doctors in <50%. Because of this, a better understanding between Public Health and Sanitary Care System is necessary.

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