August 2009アーカイブ

A new influenza: Okinawa Prefecture is 662 in the first alarm herd infection and the whole country last week.

Okinawa Prefecture that had gone out the dead due to the first new influenza domestically announced the influenza fashion alarm officially on the 19th. It is the first time in the whole country that this alarm is put out by the new model. Because between 10-16, there is a patient report from the fixed point medical institution 58 to 1717 people that reports on the number of patients to the prefecture, and it reached 29.60 near 30 a fixed point of the official announcement basises.

This prefecture is requesting wearing the face mask though calls to avoid going out of nonessential to the person, the pregnant woman, and the baby who has the undorlying disease, and there is no symptom in the class of which the patient went out in addition for the school.

Moreover, Ministry of Health, Labour and Welfare announced that the report of the herd infection of a new influenza would go up to 662 in one week of 10-16 on the 19th, and they increased more than last week (3-9) by 109.

This ministry has been requesting advices to administrative divisions about number of herd infection and inpatient's accruals since the end of July when the complement grasp was discontinued because of new patient's extension. On the number of (unit for one week) of herd infection * 20th - 26th in July * July 27 171 - *3-9 of August 553 on August 2 348--And this 662 are most. Patients newly reported were 2522 people including the suspected case, and the mass infection of 59 people was affirmed in child's Rugby Circle in Kanagawa Prefecture Yokosukashi.

There is a report in whole administrative divisions, and 10 or more in 23 capital prefecture such as Tokyo, Ibaraki, and Kyoto though the fixed point report projects in 20.36 and the whole country and a lot of Okinawa that is is most in 103 in regional.

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and professor of Jichi Medical School, School of Medicine Shigeru Omi (chairman of the council of the specialist of the new influenza task force) describes after it cuts off with the opinion, "..the first.. target of the vaccination of a new influenza decreases the death toll".   (1) It was assumed that baby's parents etc. of less than six months who did not become objects of the medical follower who hit caring of the high‐risk person and the (2) high‐risk, etc. and the (3) vaccination became objects of the priority inoculation.

 ｢It increases up to extent to be able to say, 'The fashion started' the number of patients of influenzas for each fixed point, and it will worry about the bird clapper about a large-scale fashion in the future. It enters manufacturing in this July it will be supplied sequentially about the vaccine of a new influenza in autumn. Whether it inoculates it for any person is future tasks. ｣(Mr. Hirozo, that is, healthy director of a bureau Ueda of Ministry of Health, Labour and Welfare)｡The 32nd week (August 3rd - August 9th) is 0.99, and 8-90 percent is a new influenza though care is roused to the influenza as "The fashion started" if the number of patients for each fixed point exceeded "1" at the ordinary year.

There are a setback and infection enlargement prevention etc. of the deterioration into serious illness prevention and the death toll as a purpose of vaccination. It differed from the H5N 1 type bird flu for this H1N 1 type, it aimed at the setback of not the infection enlargement prevention by a skill practice on this day but the deterioration into serious illness prevention and the death toll because no high virulent type etc. , and the concord was seen decide the priority of inoculation.

Immune strength enumerated five horn in total group named some medical followers as an indirect precaution besides some (1) medical high‐risk group and (2) pregnant woman and (3) baby and (4) senior citizens an immediate precaution to the person who decreased the group that had to give priority ..(5)...  University of Tokyo medicine system research course professor Akira Akabayashi

However, the vaccine is expected to become shape arbitrarily inoculated though the government decides such a priority. ｢It cannot obligate the inoculation of a new influenza vaccine, and people will inoculate it arbitrarily because it cannot clearly say it is useful though the infection enlargement prevention is expected. The government collects evidences as much as possible, and prevents the side reaction from occurring. Moreover, when the side reaction occurs, the redress based on the adverse drug reaction damage salvation system or the preventive inoculation is done. It will be entrusted to the public judgment whether finally inoculate it though various information services are done about such respect. ｣

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Three people come one after another the dead due to new influenza domestically. It was a person who made both a severely ill and had the Yasui undorlying disease (old ailment). The infection enlargement did not stop at the midsummer, and the spurt and Health Minister Yoichi Masuzoe declared "Real fashion" to the number of reports of flu victims thought that the majority were new models in fact. It doesn't seem to be avoided that the number of patients increases further aiming at the winter of autumn, and the severely ill person and the dead go out. The construction of the medical treatment situation that prevented the deterioration into serious illness became urgent (urgency) sudden due to progression of the disease of a situation that was far earlier than the expectation.

- Okinawa projects.

"Situation not amusing even if the dead went out stochastically when. "Health Minister Masuzoe who got off to the Naha airport for the assistance of House of Representatives election called calm correspondence in the emergency press briefing held in the airport on the 15th when man (57) in Okinawa Prefecture became the first dead due to new influenza domestically.

The flu victims reported in one week from the fixed point medical institution in whole country about 5,000 to the 9th this month are 4630 people. In an increase in serial for five weeks, the spurt linguas from 2655 of last week. It almost reached 1.0 people who became standards of a nationwide fashion start by 0.99 people an institution. Okinawa Prefecture especially ..20.36 person.. projects.

The possibility that the severely ill person and the dead go out rises, too, if the number of patients increases. Okinawa was exactly in such a situation. However, not only Okinawa. Man (77) in Kobeshi and woman (81) in Nagoyashi also died in only four days afterwards.

- Fashion that is late

Why is the patient a spurt lingua in summer?The first general manager in Cheongju Taniguchi (and Kiyosu) of the National Institute of Infectious Diseases infectious disease information center｢The fashion may occur also in Southeast Asia and Hong Kong of the high temperature and humidity in the summer of Japan because the influenza goes around. Japan (The patient is originally an accrual lingua) is who has made the time work in the school closure etc. in May. It is impossible to enclose it in any case though the countermeasure was taken hard. A late fashion will become soon and it has gone out. ｣It sees.  However, why Okinawa is Iu , saying that "I don't get it".

If summer vacation ends and the school resumes, increasing further is specialist's accordance lingua perception in the patient. Then, how can I prevent the deterioration into serious illness and the death?

It makes it to the severely ill by a new influenza, and Yasui's is a person, and a pregnant woman, etc. who have asthma, the heart disease, and the chronic case and the immunologic disease such as the sugar diabeteses. Two men in this Okinawa and Kobe are the renal insufficiencies and the dialysis therapy inside. The woman in Nagoya also was holding the multiple myeloma and the ventricular failure. It can be said the classic example of three people and the deterioration into serious illnesses.

And the center head of) Kahoku general hospital dialysis ..Toshio Shinoda (.. explain, "The dialysis patient is ..infection because of the decrease of immune strength.. Yasui". If a usual medical condition is good, worried Hanai is too dangerous when physical fitness has decreased because of morbus of Kano old age Yaho. When about 10 percent of the dialysis patient falls under this, it is Iu. "A usual self-management is important as the dialysis therapy is neatly received and the medical condition is kept" and Mr./Ms. Shinoda stress it.

- The encephalopathia is seven.

The report of child's influenza encephalopathia comes one after another domestically, too. A heavy trouble that the infection lingua baby twangs suddenly, and the consciousness disturbance progresses to the influenza rapidly. It is expected that about 100 people a year will have gotten sick domestically. It was possible to report even by seven new models. A well informed health care practitioner about the encephalopathia speaks, "It is necessary to treat doubting the encephalopathia from an early stage when there is a consciousness disturbance".

The pregnant woman's death is reported by six examples in the United States though it is not domestically yet. Pregnant woman's hazard of the deterioration into serious illness is high at all periods of the pregnancy according to the professor of Shigeru Saito (Dice light and grow thick) Toyama University who serves as the chairman of the Japan Society of Obstetrics and Gynecology perinatal period committee. Immune strength has decreased, and the exoergic increases the hazard of the miscarriage. The late pregnancy ..pulmonitis.. develops especially, and there is heavily a bird clapper and care is necessary.

The maintenance of the medical treatment situation corresponding to increases of the number of patients is indispensable to defend serious case's life in the future. Professor Akira Yasuoka (leaving the spear and getting tired) at the Nagasaki University hospital infection control teaching center specifies, "The general practice place and the severely ill should do habitat segregation of serious illness academy to the trifling ailment".

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Almost reaching a fashion level nationwide a domestic new influenza infection has understood the 18th from examining National Institute of Infectious Diseases.

4630 people report from the fixed point medical institution in whole country about 4700 the influenza infection in 3-9 this month, and it has approached average "1" judged, the infection laboratory is "Fashion" by 0.99 on the average an institution. Health Minister Yoichi Masuzoe urgent has an interview on the 19th, and asks at the summer time calm correspondence to people for the inhibition of infection a lot of the exception.

The report of the number of patients is received from the fixed point medical institution in the whole country as "Infectious disease surveillance (surveillance)" every week, and the report of the infection an institution judges the infection laboratory to be a national fad when there will be one average or more in one week. It became a abundance pattern in July, and 0.28 or 27 day - August 2 reached 0.56 on July 20-26 this year though less than 0.1 continued to the number of reports in about 6 - October at the ordinary year. 3-9 that became 0.99 estimate consultation patients go up to 60,000 people. The possibility of increasing after that is high.

Besides, 17 prefectures are already 0.5 or more in each administrative divisions in six capital prefecture in * Okinawa (20・36) * Nara (1・85) * Osaka (1・80) * Tokyo (1・68) * Nagasaki (1・50) * Nagano (1・44) exceeding average 1. When one is exceeded in 139 regions of 34 capital prefecture in each jurisdiction in the public health center, it is Iu.

The new model accounts for the type of the analysis lingua virus for about 80 percent in local Research Laboratory of Public Health in the whole country, and the majority of the remainder are A Hong Kong types. The infection laboratory is guessing that the nearly everyone is a new model in the infected person since July. It reports on 1066 herd infection as of nine days this month, and 119 people are hospitalized according to Ministry of Health, Labour and Welfare after July 24 when the complement grasp of the new infected person was discontinued by the 11th.

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Nagoyashi was announced that unemployed woman (81) in the infection lingua city died of severely ill pulmonitis in a new influenza around 1:30AM on the 19th. Health Minister Yoichi Masuzoe had a press conference, and called for the fear of a new influenza , saying that "You may think that a real fashion had already started".

The third person of the death case in the country following man (77) in man (57) in Okinawa Prefecture Ginowanshi and Kobeshi Tarumiku. Health Minister Masuzoe hardened the information service to the person and the pregnant woman, etc. who had the old ailment, and showed the intention that promoted the approach for the deterioration into serious illness prevention.

The woman has the undorlying disease of the multiple myeloma and the ventricular failure made the cancer of blood (old ailment), and it is thought by a new influenza that the infection lingua led to the death according to Nagoyashi immune strength has decreased.

The woman doesn't have making a passage Reki, and the source of infection is unclear and Iu. In the hospital where the woman was being hospitalized, besides, if neither is a heavy symptom, it is Iu though six people (two inpatients, one resident doctor, and three nursing masters) in total have the doubt of a new influenza infection.

It moves in the nursing care for elderly people facilities in the city, and the woman consults a physician the emergency room in the city on the 13th and is hospitalized. It moves from four person room to the private room on the 15th because 39.5 hyperpyrexias are put out, and the cough is awful. The simple test was done on the 17th, and the positive reaction of a new influenza was affirmed by detail (PCR) inspection on the 18th. In the hospital, after turning out the infection, woman's condition is Iu if neither progression of the disease lingua straightening nor full Tami administered it though the exoergic judges that the old ailment is a cause and administered the antimicrobial drug at first.

Health Minister Masuzoe｢The infected person was not able to be expected to increase here at the midsummer. Pathogenesis is and there is a possibility that there is a low, too and the self-conceit's having come out in people causes the infection enlargement. ｣With the indication. Washroom Yaso requested the face mask wearing and the voluntary ban on leaving home etc. of the person who had gone out thoroughness and the symptom it was.

The number of patients for each fixed point medical institution reported in one week until the ninth this month went up to 0.99 people on the average, and almost reached "One person on the average" that became the indicator of a nationwide fashion start according to the investigation of National Institute of Infectious Diseases.

- New influenza

New influenza (H1N 1 type) swine influenza virus infected easily the person, the character was changed, and it was born. The patient in Mexico and the United States increased rapidly, it hiked to phase 6 of the warning level in recognition and June the accrual in April World Health Organization (WHO), and it declared for worldwide Onagare (bread Demick). The number of infected persons increases even if it differs from seasonality, and summer comes though the cardinal symptom is assumed to be a seasonality influenza and the same like the hyperpyrexia, the soreness of the throat, and the myalgia, etc.It is specified that there is fear of the deterioration into serious illness the person and the pregnant woman who has the chronic case such as the sugar diabetes and asthma.
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Cabinet Office is a dissemination lingua on August 10 as for "Public opinion poll concerning a national life" (investigation in June, 2009). The purpose of this investigation widely catches sensorium and the demand like sensorium of sensorium of present life and the life in the future and the family and homes etc. concerning the people' lives by various angles, and goes out ..assumption as the basic data of administration general.. and sees (P5. )

According to the report, next, "Life design at old age" (54.9%) continues a lot , saying that "Revenue in the future and outlook of assets" (43.9%) of "Health of me" (49.2%) "Health of the family" (41.4%) when the contents was asked to the person who answered, "Worry and the anxiety are felt in daily life" (P57-P63 is seen). 70.8%, and moreover, the proportion of the person who gives "Social welfare structural reforms of the medical treatment and the pension, etc." is the highest, and order such as "Old age social countermeasure" (58.1%) of "Anticyclic measures" (62.5%) "Employment and labour problem" (51.1%) (P119-P127 is seen) as for the desire that it wants you to make efforts to the government.

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How to whom is the vaccine that becomes the trump card of the new influenza countermeasure inoculated, and an immediate argument is necessary domestically.

 - The government estimates the amount of a necessary new influenza vaccine to be 53 million people.

 - In what order to the inside where the infection enlargement doesn't stop and whom inoculate, and the argument is immediately necessary.

The inoculation order argument of the vaccine

The man who had received artificial dialyses by the renal failure chronic died in Okinawa Prefecture on the 15th and infection Shite died in a new influenza. The power of the infection enlargement of a new influenza doesn't stop after World Health Organization (WHO) declares for worldwide Onagare in June. The infected persons were 177,457 world people on the sixth, and the dead reached 1462 people. The infection expands domestically at a dash in winter when the influenza becomes full-scale, and adverse effects are feared to the rendition also by a social function.

In such and each country's expecting as a trump card, and locating it in the pillar of the countermeasure are the vaccines. The effect that prevents the infection and the deterioration into serious illness can be expected unlike the remedy that cannot head off infection. The outlook that will begin inoculating in an overseas part next month. Manufacturing starts, and the government thinks that they want to start inoculating in October also in the country.

However, the breeding potentiality of the virus that becomes the seed of the vaccine is lower than that of the expectation, and it is a difficult situation that WHO attains the volume of the entire world of 4.9 billion trial lingua batches at first. Britain..Netherlands..Israel..whole nation..amount..secure..assertion..vaccine..buy..farmer..call..multi-national..major..pharmaceutical firm..conference..enter..competition..start.

"An insufficient vaccine is imported and secured only by domestic manufacturing worth. "

Health Minister Masuzoe repeats and is appealing concerning various places by the assistance turned to the general election that it will not be late for such a competition.

The government has the idea to estimate the requirement of the vaccine to be 53 million people, and for about 20 million people with whom manufacturing doesn't catch up to import.

However, the argument with an essential in what order to whom to inoculate the vaccine remains becoming deserting. It is not clear how the figure of 53 million people who become rationales of the import was calculated.

Fortunately, many of infected persons with a new influenza have the rule like the trifling ailment up to the present. However, most of the victim is different from a usual seasonality influenza of the senior citizen, a healthy adult has the pulmonitis's being made severity in the United States etc. , and the dying case has gone out, too. The person who has the old ailments such as the pregnant woman, the sugar diabetes, and asthma especially makes to the severely ill and Yasui has been understood. WHO recommends that it is necessary to give priority to the people that such a risk is high as the inoculation object of the vaccine. To sustain the health care system at the same time, inoculation to the medical follower is needed.

Japan should also hurry up the argument considering such a recommendation, the toxicity, and the infectivity to whom the vaccine it inoculates it.

The United States also discussed also by the citizens representative besides the pundit in the participation lingua open session, and set the object that did the priority inoculation the home and the infected person who had the pregnant woman and the baby as 159 million people such as the people who had a lot of young people who were and the old ailments.

Beginning that Japan the process of the argument can be opened to the public, people understand, and agree on is indispensable for the preparation for the vaccine for all people before it becomes popular of this winter because it is difficult.

Moreover, domestic production and the manufacturing method are different as an overseas vaccine uses adjuvant. It is a big difficulty how to be going to affirm safety in a limited time when the vaccine is imported in the emergency evacuation by the exception approval.

In addition, it has the production performance of the vaccine internally and domestically in calling of WHO for the donation of the vaccine to the developing country, and the health care system also has the criticism "It has the surprise from the international society and it is caught" (Kuniko of Shindo and WHO medical affairs government) by the import of enrichment lingua Japan at random.

The international cooperation like the capture etc. of the virus is indispensable for the confrontation to a new influenza that greatly goes around globally. As for the government, I want you to advance the argument of the vaccine while thinking about international Valence.


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New influenza: About lethality 0.5% "Asian cold"--Researcher estimate

New influenza "Asian cold" about 0.5% of the level at that time at the time of became popular higher than the seasonality influenza in Asia in 1957 and researcher Hiroshi Nishiura (theoretical epidemiology) as big as Netherlands Utrecht et al. estimated the lethality of a new influenza of which the dead went out domestically. It is published near the U.S. science magazine pros- one.

The research team is a calculation lingua from the number of lock-in infected persons and the death toll affirmed to the first stage of the new influenza fashion of the United States and Canada like 1.2% as for the lethality of the United States, and 0.18% as for Canada. However, the possibility to be calculated low because there were a lot of patients of the attack time unclear processed Canada from an actual lethality to improving to the United States in high, and statistics because the dead had gone out at first of the fashion, and an actual lethality was estimated to be about 0.5%.

On the other hand, the lethality of the seasonality influenza is less than 0.1%. The lethality of an Asian cold that about two million people died is assumed to be about 0.5%, and the lethality of this new influenza is a grider with the Asian cold level and the conclusion.

The research team : about the lethality of Japan. ｢Expectation that falls below 0.5%. Because proper treatment of the person who has the old ailment, and the anti‐influenza agent 'Full Tami' are administered by a lot of cases, it is likely to become low. ｣It analyzes it. 

Moreover, researcher Nishiura :. ｢There is a possibility that the number of infected persons increases without waiting for winter in Japan. It is necessary to prepare it determining that toxicities are higher than seasonality, the person who has the pregnant woman and the old ailment makes to the severely ill a lot, and the dead of the considerable amount go out. ｣It calls. 

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In the lethality of a new influenza that was going around now, the fashions started higher than the seasonality influenzas in 1957 and researcher Hiroshi's Nishiura (It was and was wide)(theoretical epidemiology) et al. team as big as Netherlands Utrecht brought research results assumed to be about 0.5% of about "Asian flu" in which about two million people had died in the world together by the 17th. The data of becoming popular initial in the United States and Canada was analyzed. It is shortly published in the U.S. science magazine pros- one.

The research team calculates the lethality based on the data of the United States until June 10 of Canada until May 1. Then, the result of 0・21-3・76%(1.2% on the average) in the United States and 0・05-0・41%(0.2% on the average) in Canada came out.

When having discussed it, features of data depended actually in the United States, there were a possibility to be presumed low a little high in Canada, and were thought to be estimate value of Mexico estimated to be 0.5% and an almost equivalent by the detail. The new model is assumed whether the lethality of seasonality is 0.1% to deflect, and is Iu when presumed the Asian cold level of 0.5% higher than seasonality. By the way, it will become popular until 19 years the next day since 1918, and the lethality of "Spanish flu" called worst-ever is about 2%.

Mr./Ms. Nishiura｢(since autumn)It is necessary to prepare in the situation in which a considerable sickbed is occupied by the flu victim in the medical institution. It is necessary to prepare it determining that the serious case who needs cordial management such as pregnant women and the asthma patient goes out a lot, and the deceased person of the considerable amount goes out. ｣It speaks. 

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Full Dipterocarpus tuberculatus in summer, 200 time new violence, and main point fear of new school term
The infection enlargement of the influenza doesn't stop though the midsummer. end of July- The number of patients of weeklies reported to National Institute of Infectious Diseases reached 200 times at the ordinary year by the the greatest in the beginning of August. It is not easy to think that the seasonality influenza goes around like this in summer, and is thought most to be a new model. Child's serious case begins also to show up, and the spread after autumn is feared. The dead have already reached about 1500 people in the world, and each country is tightening one's guard.

Flu victim's accrual is installed in summer at the ordinary year. It is thought that it is because the activity of the virus becomes duller in the environment of humidity the high temperature. However, the aspect is different this year.

The number of patients that "Influenza fixed point medical institution" in about 5000 places in the whole country had reported to National Institute of Infectious Diseases on July 27 - August 2 went up to 2655 people, and doubled from 1312 of last week. This time of the ordinary year remains in 13-500 people every week, and is many of the exception.

 ｢It is features of a new influenza that a lot of people do not have immunity that patient's accrual continue in summer. The Spanish flu (1918-19 years) and Asian flus (57 years) were so. ｣｡The bioresource Director of Laboratonies Kuniaki specifies detailed Nerome (..sleep.. the furnace) to the influenza. A new patient seems to be sure to be the majority though the report distinguishes neither seasonality nor the new model.

Reports of the inside between synchronization are 0.56 people though judged that the national fad starts when the number of reports a medical institution exceeds one. It increased from 0.16 of the one week until July 5 by serial for four weeks.

The current state is a situation and Iu where 20,000-30,000 estimate patients have been generated in the whole country each week though the country stopped the grasp of the number of all patients about the new model in the end of July. Herd infection in student's extracurricular activities etc. stands out recently, too and the herd infection on August 3-9 has gone up to 554 according to Ministry of Health, Labour and Welfare.

Oshie Tagaya Jisuke of Kitasato University Department of Medicine (public hygiene) : what the situation is. ｢The cause of the infection is fumigated in various places. The national fad starts suddenly after September where summer vacation ends and children return to the school and the temporary closing of classes might happen frequently. ｣It speaks.  The Nerome head also specifies, "It is not amusing in this winter even if becoming it for Onagare where one million new patients or more a week are generated".

 - The southern hemisphere and new model > seasonality

The infection of a new influenza has extended more than the region 170countries according to World Health Organization (WHO). Patients reported on the sixth are 177,457 people, and the dead are 1462 people. When he or she is more, an actual patient is Iu because there are a lot of countries that waiver all patients' laboratory test implementations. The new model was furious in shape to suppress seasonality this year in the southern hemisphere. WHO assumes that it is likely to become popular in the same trend and is tightening one's guard also in the northern hemisphere that becomes a fashion season in the future.

The infection to a still new region has expanded in North America and Europe in the northern hemisphere. A new infection has extended in some countries such as Thailand and India now also by the tropical zone where the fashion of seasonality occurs to the age several times. The southern hemisphere already seemed to have been receiving the end of seasonality at the season, and to have exceeded the peak by the fashion of the new model.

It is Iu so far in case of about "Symptoms are more slightly than seasonality heavy" though WHO is advancing analysis concerning the weight etc. of the symptom now.

On the other hand, there are surpass with 1274 people a lot of dead of North America and Latin America where the first fashion ground is held by the new model. Asia Pacific region is 126 people in total, and Europe is 53 people. Africa has stayed in one example.

Charge government of WHO｢The dead have gone out when seeing compared with the population by the rate that any country looks alike. Japan that has not gone out the dead though there are a lot of patients is a very unusual case. It is likely to relate to the full Tami positive handle. ｣It speaks. 

 - "No natural cold. "--Though the majority is a trifling ailment ...

There is a research that about 10,000 people a year have died in Japan when the complication is included in case of the seasonality influenza, too. The fear that the patient from whom the new model where the almost everyone doesn't have immunity exceeds the lingua situation and seasonality for Onagare makes a severely ill is specified. The specialist is calling for vigilance , saying that "No natural cold".

The new mortality led from an overseas situation is about 0.45% according to Okabe Nobuhiko and the head of the National Institute of Infectious Diseases infectious disease information center, and it is higher than "Less than 0.1%" of seasonality. When the death case is analyzed, it is ..virus pneumonia.. major. Many of severely ill people are the person it who has the undorlying diseases such as asthmas and the sugar diabeteses, the person with the obesity, and pregnant women, etc.Basic control of infection plans of these people with a high risk such as treatment, the washroom, gargle, and the vaccination of the old ailment are especially important.

New patients with the severely ill that the respirator is needed domestically are at least four people according to Ministry of Health, Labour and Welfare and the municipality. There was one infant who complicated the encephalopathy acute and the pulmonitis.

Urashima Mitslcai and the associate professor of JIKEI University School of Medicine (epidemiology) roused care about the encephalopathy acute , saying that "There are comparatively a lot of appearances of disease up to about 1-7 years old" , saying that" "The majority whether ended due to trifling ailment or was not a subclinical, etc. in a new infected person stressing did not have the excessive fear.

Norio Sugaya and Kei glaze hospital pediatrics department Director-General also｢Infant's encephalopathia is not avoided by the stable fraction. The receiving treatment ..as early as possible.. is important if there is a questionable symptom like the spasm and the consciousness disturbance, etc. because progress is early. ｣It calls. 

It begins to supply the vaccine for the new model of the trump card domestically in October, and the amount of the home manufacture is an outlook of 14 million-17 million. The deficiency is expected, and the priority of inoculation becomes a difficulty. Ministry of Health, Labour and Welfare assumes, "People want to done an argument open by the inoculation time and from whom preferentially inoculate it to decide it" (Tuberculosis and Infectious Disease Control Division) though WHO is recommending that the medical follower is prioritized.

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Okinawa Prefecture announced that man (57) in infection lingua Okinawa Prefecture Ginowanshi died in a new influenza in the hospital in the hospitalization destination on the 15th. After the first infected person is affirmed domestically in May, the dead are the first time according to Ministry of Health, Labour and Welfare.

The man was treatment Reki of the cardiac infarct (infarction), and had received artificial dialyses by the renal failure chronic according to the prefecture. It is thought by a new influenza that it is a cause of death to complicate the pulmonitis by the infection lingua, and to have caused the septicemia afterwards. The prefecture is describing, "It is infected with a new influenza while immune strength's there is an old ailment of the heart disorder and the renal failure chronic, and it having fallen, and the condition progression of the disease lingua in rapidity".

Health Minister Yoichi Masuzoe had a press conference in the Naha airport on the same day, brought the specimen of the man who had died in to National Institute of Infectious Diseases, and showed the idea of affirming the presence of the mutation of the virus.

The man had been appealing for the bad health such as the sorenesses of the throat since the afternoon of the ninth. The consequence was negative though the simple test had been received because there were 37-degree exoergic of the level when the dialysis was received in the hospital on the tenth.

However, when the temperature received the inspection from the advance lingua up to 39 times again when being dialyzing it on the 12th, it is the influenza A positive and turns out. The condition worsened before dawn of the 14th, and it died at 6:54AM of the 15th though full Tami was administered and it was hospitalized in central part morality state association hospital (this prefecture Okinawashi).

It has been understood to be infected with a new influenza around 4:00PM of the consequence and 15 when the prefecture did detail (PCR) inspection for the infection confirmation in the emergency.

The source of infection is unclear though a new influenza has the incubation period of several days, and the infection time is thought to be about 5-6, of this month. It is Iu if there is no symptom in the family etc. , and is not information that shows the nosocomial infection either. It is Hanai overseas making a passage Reki in the man.

The country revised the management guideline of a domestic countermeasure concerning a new influenza on June 19, and was infecting the emphasis of the countermeasure with the severely ill person.

The infected person is examined in all the general medical treatment institutions, and the trifling ailment person assumes the recuperation at home now. It is assumed that administering and the PCR inspection of the anti‐influenza agent are preferentially executed to the person who has the fear of the deterioration into serious illness such as asthma, and prompt correspondence is taken.

- New influenza

New influenza (H1N 1 type) swine influenza virus infected easily the person, the character was changed, and it was born. A new virus and it recognizes it to World Health Organization (WHO) in receiving the patient spurt in Mexico and the United States, and there are hazards caused for worldwide Onagare (bread Demick). The warning level was hiked to phase 6 on June 11(local time), and bread Demick was declared. The cardinal symptom is the same as an influenza usual like the hyperpyrexia, the soreness of the throat, and the myalgia, etc.It was specified that there was fear of the deterioration into serious illness the person and the pregnant woman who had the chronic case such as the sugar diabetes and asthma.

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Nippon Meat Packers of the professional baseball to which players' new influenza herd infection turned out decided the correspondence such as making all one martial players receive the inspection on the 19th.
On the same day, discontinuance is decision in 10:00AM because of significant meteorology in the optimism war scheduled in Hokkaido Asahikawashi.
The team headed for Sapporoshi in preparation for the game on the 20th.
However, six people such as pitcher Tomoya of Yagi and infielder of Tomohiro Futaoka of negative players had it stand by in the Asahikawashi internal lodgings to avoid contact as the healthy subject because there was a slight fever in the simple test on the 18th.

The team of Risho Shimada generalization general manager｢Administering for prevention has been received from six person Haki pus.
　　(One army :. )The person who doesn't have the rational symptom either is made to receive the inspection in Sapporo while providing it. ｣It talked. 
Moreover, two pitchers join from two armies for the war potential supplement. Two fielders are instruction linguas as for the confluence.
The supervision of Masataka Nashida｢)When hearing it, I did not think that it extended by the shock any further. It can do nothing but fight as all energetic players. ｣It spoke. 
Pacific League consults as Ryozo Kato commissioners, and will bring the countermeasure in the future etc. together by the 20th.

http://www.jiji.com/jc/c?g=soc_30&k=2009081900368

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It becomes an influenza encephalopathia, two people understand, and pulmonitis (ARDS) of the severely ill has been understood.
It was reported in the influenza encephalopathia study group of Ministry of Health, Labour and Welfare that had been opened on the 18th.

It is an infant of 1-11 years that became an encephalopathia. The Adult respiratory distress syndrome is a school child who is going home to Fukushima Prefecture, and in East Japan, an infant. The following child is Iu now in case of being, too.  ..severity.. Joutai

Tsuneo Morishima and the professor of Okayama University of the representative of the study group｢In the seasonality influenza, the frequency to which the Adult respiratory distress syndrome occurs is not so high. It grows with lungs and no do be known of Yasui as a new Dipterocarpus tuberculatus full virus was specified by the animal study either. ｣It says. 


Source: Asahi Shimbun
http://www.asahi.com/national/update/0818/TKY200908180373.html

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Medicine society company "Beijing Cacouo product" of China is the 18th according to Shincasha.
It was announced that safety and the effectiveness of the vaccine had been affirmed by the clinical test of the vaccine for the new influenza that this company had manufactured.
This company is assuming that it completed the clinical test of the initial stage for the first time in the world.

When the clinical test started on July 22, and inoculated the vaccine to 1614 of three years old or more, a strong side reaction did not occur, the antibody was made, and it was affirmed by the calositas and the blood test. (cooperation)

http://www.nikkansports.com/general/news/f-gn-tp1-20090818-532411.html

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･It was received that the infected person with a new influenza increased rapidly on a nationwide scale, and three people had died so far, and Health Minister Masuzoe held the conference on the 19th, and spoke, "You may think that a real fashion started".
It is done that the severely ill person was not able to correspond in the medical institution if the infection expanded as it is by the ingluvies food It was called, "In the enlargement prevention of the infection, it is exhausted ..the practice of one person one of the countermeasure..".

As for the expansion of the infection at the midsummer against the expectation conventionally at the time of assumed becoming full-scale the fashion after autumn, Mr. Masuzoe is a clarification , saying that "I did not expect it either".
It was specified that "Pathogenesis was a low, and you had forgotten, too" and "The entire people' self-conceits" became causes of the infection enlargement.
Mr. Masuzoe｢Do not solve the fear to a new virus. Feelings that I stop the infection are important. ｣Washroom Yaso called for enforcing it was etc. as speaking.
 http://www.asahi.com/national/update/0819/TKY200908190167.html

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  2010 was announced, and the net profit was 2.2 billion yen of corresponding ratio to the previous year 19% increase according to it.
Sales of the anti-virus related product that makes the face mask a nucleus expand from the rise of preventive sensorium by the accrual of a new influenza, and the achievement lingua of increase both in sales and profits.

The top line was 96.8 billion yen of 3% increase, the operating income was four billion yen of 1% increase, and the ordinary income was 4.5 billion yen of 5% increase.

There was no amendment in the consolidation forecast of performance results at the period on March, 2010.

The source
Http://news.livedoor.com/article/detail/4295396 /Matsumotokiyoshi Holdings http://www.matsumotokiyoshi-hd.co.jp/

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The conference of the mode of transportation was started with the major nations government the agreement ahead for the first supply.
It became the first mass production and a supply earlier than Novartis in Switzerland in which it aimed at the supply in the autumn of this year etc. in the world.

Baxter is connecting Britain and a New Zealand government with supply arrangements.
The vaccine mass-produces in the shop of Czecho and is the final processing lingua in Wien in Austria.
The each country government in preparation for the autumn of a real fashion period is speeding up the treatment of the vaccine in the northern hemisphere.

The method of growing the virus by Gallus gallus var. domesticus's ovum to manufacture the vaccine is general.
It had the cell technology technology that was able to make it early compared with earlier methods, and authorities in Europe etc. were obtaining authorization for Baxter.

The source
http://www.nikkei.co.jp/news/kaigai/20090806AT2M0601306082009.html


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Okinawa Prefecture announced that man (57) in infection lingua Okinawa Prefecture Ginowanshi died in a new influenza in the hospital in the hospitalization destination on the 15th. After the first infected person is affirmed domestically in May, the dead are the first time according to Ministry of Health, Labour and Welfare.

The man was treatment Reki of the cardiac infarct (infarction), and had received artificial dialyses by the renal failure chronic according to the prefecture. It is thought by a new influenza that it is a cause of death to complicate the pulmonitis by the infection lingua, and to have caused the septicemia afterwards. The prefecture is describing, "It is infected with a new influenza while immune strength's there is an old ailment of the heart disorder and the renal failure chronic, and it having fallen, and the condition progression of the disease lingua in rapidity".

Health Minister Yoichi Masuzoe had a press conference in the Naha airport on the same day, brought the specimen of the man who had died in to National Institute of Infectious Diseases, and showed the idea of affirming the presence of the mutation of the virus.

The man had been appealing for the bad health such as the sorenesses of the throat since the afternoon of the ninth. The consequence was negative though the simple test had been received because there were 37-degree exoergic of the level when the dialysis was received in the hospital on the tenth.

However, when the temperature received the inspection from the advance lingua up to 39 times again when being dialyzing it on the 12th, it is the influenza A positive and turns out. The condition worsened before dawn of the 14th, and it died at 6:54AM of the 15th though full Tami was administered and it was hospitalized in central part morality state association hospital (this prefecture Okinawashi).

It has been understood to be infected with a new influenza around 4:00PM of the consequence and 15 when the prefecture did detail (PCR) inspection for the infection confirmation in the emergency.

The source of infection is unclear though a new influenza has the incubation period of several days, and the infection time is thought to be about 5-6, of this month. It is Iu if there is no symptom in the family etc. , and is not information that shows the nosocomial infection either. It is Hanai overseas making a passage Reki in the man.

The country revised the management guideline of a domestic countermeasure concerning a new influenza on June 19, and was infecting the emphasis of the countermeasure with the severely ill person.

The infected person is examined in all the general medical treatment institutions, and the trifling ailment person assumes the recuperation at home now. It is assumed that administering and the PCR inspection of the anti‐influenza agent are preferentially executed to the person who has the fear of the deterioration into serious illness such as asthma, and prompt correspondence is taken.

- New influenza

New influenza (H1N 1 type) swine influenza virus infected easily the person, the character was changed, and it was born. A new virus and it recognizes it to World Health Organization (WHO) in receiving the patient spurt in Mexico and the United States, and there are hazards caused for worldwide Onagare (bread Demick). The warning level was hiked to phase 6 on June 11(local time), and bread Demick was declared. The cardinal symptom is the same as an influenza usual like the hyperpyrexia, the soreness of the throat, and the myalgia, etc.It was specified that there was fear of the deterioration into serious illness the person and the pregnant woman who had the chronic case such as the sugar diabetes and asthma.

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Yamagata University Department of Medicine started the training that read the electrocardiogram that used portable game machine "NINTENDO DS" by the curriculum of the nursing department. The aim of the hospital practice to harden the practice power. It seems to say first-ever national approach, and to be popular also among students.

It is software that uses that a medical treatment system publisher developed. The waveform of about 180 kinds of electrocardiograms appears at random on the screen, and the modality of the arrhythmia is applied from among that. The modality of the waveform is more than that of the textbook, and the answer consequence is shown by 100 point full marks. Because there is an explanation, too own reach is understood and it is Yasui.

This software and 70 DS were bought, and the nursing department was lent to 61 grader of three all people. It will test three times in total with software by September when the hospital practice starts, and the reach of the student is assessed. It is scheduled to loan it until February when the hospital practice ends.

Mr. (22) sheathing Hiroshie for ..nursing department.. three years｢Being possible to carry about is welcome. The electrocardiogram is seen if there is a leave like the interval etc. of the house and the byte. It seems to be able to face it with confidence in the practice. ｣It speaks. 

The nursing master who resigns within one year after it finds employment is Iu according to the nursing department when it goes up to about 10 percent in the whole country, and a lot of people who worry because of the gap with the technology requested in knowledge and the clinical setting learnt at the school were being in that, too. Offering Junko (basic nursing study)｢It is very difficult to read the extraordinary wave type from the waveform of the electrocardiogram instantaneously. Power might adhere while touching the image that suits the practice as though it were a game every day, and confidence deepen, too. ｣It solves and the expectation is put.

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  the government to import the product to which making to the severely ill like the pregnant woman on the 12th, inoculation from the Yasui infected person, and safety were affirmed enough for the supply of the vaccine for a new influenza.

Home manufacturer..new model..Dipterocarpus tuberculatus..full..for..vaccine..within the year..the greatest..for..producible..government..foreign countries..import..discuss.However, the giving Tau do ..The University of Tokyo team.. food of the difficulty because the object etc. of the priority inoculation are not concretely shown, and the urged shape in the government.  ..becoming it.. do Gi theory enough

In the proposal, it is demanded to squeeze the import quantity only to a necessary amount so that the developing country should not fall into the vaccine deficiency.

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New influenza: Homecoming in family from nine-years old boy and severely ill metropolitan area/Fukushima

The prefecture was infected with a new influenza at midnight of the 12th of the school child boy of nine years who had gone home from the metropolitan area to the prefecture Kitaji person with the family, and announced that the severely ill. It becomes a respiratory distress due to pulmonitis, the respirator is mounted, and treatment has been received. It is the first time in the prefecture that new influenza patient's example of the severely ill was affirmed.

The boy went home according to the prefecture on the ninth. The symptom such as the vomituritions was appealed on the tenth, and 38.5 febrises occurred on the afternoon of the 11th. It is hospitalized around 11PM the same day because it developed pneumonia. Because positive reaction of the infection of the influenza virus of the a type went out by the simple test at the morning of the 12th, an implementation ..detailed genetic screening.. lingua and new confirmation lingua of the infection.

It becomes ..a half.. respiratory distress at 7PM the same day, and the respirator is put up.

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The prefecture announced that there was a mass outbreak of a new influenza in a municipal Kanonji junior high school (principal Takeo Gyoten and 423 people of the number of students) in Kanonjishi Yawatamachi on the 13th. It is 14 students of 1-3 years (12 men and 2 females) that the infection affirmed who belong to an inside the same five horn motion part. Both of the symptom home is lightly recuperated. The herd infection of ten people or more in the prefecture is the third example.

22 students appeal for symptoms such as the exoergic and coughs by 9-12, and consult a physician the medical institution according to the prefecture. The prefecture environmental health research center became three people and the implementation lingua ..the genetic screening (PCR inspection).. and two people became positive. 14 people in total were considered to be an infected person of a new full Dipterocarpus tuberculatus by the morning of the 13th including the student who showed a similar symptom.

The same city educational commitee is an instruction lingua in the same as for the discontinuance of all extracurricular activities etc. until the 16th.

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It was announced that Miyazakishi was infected with a new influenza on the 14th of schoolboy (14) in the second grade of junior high-school the city, and became an influenza encephalopathia. Restitution trend and Iu though it is in hospital.

The schoolboy has the nasal discharge and the cough, etc. on the 11th, and consults a physician in the nearby clinic the next day according to the city. Because the exoergic and the spasm symptom of 40 time level had gone out early morning of the 13th, it was hospitalized in another hospital though the cold medicine was formulated. It turned out a new influenza, and took remedy Rirenza.

When the spasm already calms down, and the febris has fallen on the level by 38 degrees, too it is Iu.

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The prefecture changes the outpatient health care system of a new influenza on the 17th. It is made to stop the exoergic outpatient who provides it in an exoergic consultation center in the public health center and a specific hospital, and to consult a physician in all medical institutions. The confirmation is needed whether each medical institution can consult a physician beforehand because it coordinates the consultation time etc. so as not to infect hospitalization and the outpatient.

Each public health center provides the window and it corresponds to the inquiry concerning a new influenza. The system amendment is distribution, television CM of the leaflet, and well-known.

The prefecture was waiting for time when the preparation for reception was in order in the medical institution in prefecture about 1040 since the end of July. The prefecture academy of medicine acknowledged it on the eighth.
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It has been understood that the diagnosis and treatment revenue in May that provided the exoergic outpatient with a new influenza had dropped in three public hospitals (Osaka, Kyoto, and Kobe 3 city) for 300 million yen or more in total since the previous month. As for three cities and the exoergic outpatients, the consultation concentrates the plurality place on the government hospital though it provided. It is thought that it is because of keeping by "Harmful rumor" at a distance other patients are not accepted. Ministry of Health, Labour and Welfare assumes, "The compensation is impossible" though the damage compensation is requested from the country as three cities etc. cooperate.

1181 people whom the total of the city of those who consult a physician is 80 percent near concentrate on the exoergic outpatient of Kyoto City Hospital (Nakagyoku)(At the end of June). The acceptance restriction of a general patient at nighttime is done through necessity, and about 2700 people decrease more than April, and the diagnosis and treatment revenue is a small lingua in hospitalization and the outpatient in May from the calositas and the so on from about 828 million to about 88 million yen down. The same city health service section analyzes, "Because City Hospital also had set up of the exoergic outpatient early, and confidence, those who consulted a physician might concentrate (It was Iu when it was infected), and the harmful rumor be caused".

In a Kobe municipal medical center central community hospital (Chuoku), the diagnosis and treatment revenue in May became about 1.75 billion yen of month-on-month 10 percent (about 200 million yen) decrease. The fellow citizen hospital mechanism is spoken with "Not only the harmful rumor but also having opened the sickbed in preparation for a new influenza seems also to have affected it".

Moreover, Osaka municipal General Hospital (Miyakojimaku) is decreased receipts of about 64 million yen. The same city public health center assumes, "Because the exoergic consultation center that received citizens' inquiries had dispersed those who consulted a physician, decreased receipts might have been comparatively few".

Three cities and Sakaishi demand "Foundation of the compensation system to the hospital that provided the exoergic outpatient damage" from the country at the late-May. Kyotoshi is spoken, "I want to be going to unite with other municipalities in the future and to demand".

Other Ministry of Health, Labour and Welfare is careful , saying that "Even the compensation of decreased receipts is not thought in the sickbed maintenance etc. though I want to assist immediately".
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Ministry of Economy, Trade and Industry starts the empirical investigation by the hospital and Travel Agent, etc. in autumn to back up "Medical treatment sightseeing" in which the foreigner receives the medical check up and treatment in the medical institution in Japan. The difficulty according to the acceptance like the information service etc. to the interpreter and foreign countries is dug up, and it uses it for environmental considerations of "Medical treatment sightseeing".

South Korea and Singapore, etc. are making efforts to "Medical treatment sightseeing" that combines the medical service of the medical check up etc. , the spa, and leisure of golf as a powerful attracting plan of the foreigner guest.

For instance, the government was completely backing up attracting to South Korea as the medical service law was revised and the foreigner's treatment expense discount was enabled, and about 25,000 people were accepted for 08 years around the Japanese. The strategy expanded to the dimension 100,000 people 12 year.

When it is few, the hospital that works is positively Iu from the incompleteness of the preparation for reception and the low degree in foreign countries according to the multipara ministry.  there is a high iatrotechnique JapanIt has a hard time in the difficulty excluding the medical service such as the Pulmonary regurgitations in foreign countries though there are a part of hospital and a travel agency that started attracting by an original medical treatment plan, too.

The multipara ministry judges that it leads to the activation of the medical treatment as the service industry if foreigner guest's acceptance increases. The society by which a Tokyo internal main hospital such as National Cancer Center and The University of Tokyo hospitals participated was made to be started, and the implementation of the empirical investigation was decided.

The support center that makes it from the joint venture and Travel Agent, etc. by plural medical institutions is established in September. After the foreigner guest who centers on the well-to-do population is actually accepted from China and Russia, etc. within the range where it doesn't influence the diagnosis and treatment of the domestic patient, and the difficulty is probat, the report is put together in the fiscal year.

The multipara ministry｢The medical treatment may become one pillar of the service industry. I want to tie to development in the international marketplace the empirical investigation. ｣It speaks. 
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The shipment of the vaccine for the new model is the first in the world. This company is connecting five countries such as Britain with supply arrangements, and the initial shipment is delivered to the agreement country. It is not scheduled to export to Japan.

When the manufacturing period when it takes half a year will end in about three months in case of usually because the egg is not used for the vaccine manufacturing, this company is Iu.

Four enterprises will manufacture it domestically by the end on February next year for 30 million(inoculation of one person twice). The shipment start is an outlook that becomes October. Health Minister Masuzoe shows the policy of importing about 20 million people.

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A new influenza: Herd infection such as doctors or/Gunma in the Gunma University affiliated hospital.

Man's two resident doctors and woman's four six nursing masters in total announced on the tenth that there was an infection lingua misdoubt in a new influenza the Gunma University Department of Medicine affiliated hospital (Ishikawa rule director). To prevent the infection enlargement in congressional, this hospital set up the crisis task force by the of even date, and reported to the prefecture and the Maebashishi public health center.

Six people worked for the digestive surgery, went out 38 times on the eighth the symptom of the exoergic etc. of the level, showed the simple test according to this hospital, and the positive reaction of the implementation lingua and the a type influenza was shown. To prevent the infection enlargement because the infection to a new influenza was doubted, six people were made a layoff.

In addition, the correspondence of the acceptance of a certain urgency patient in the floor besides the floor where six people exist etc. of the novel inpatient is taken in the digestive surgery. Up to now, the infection to the patient in congressional is Iu if not affirmed.

This hospital is an infectious disease specification medical institution that examines it specializing in the infectious disease such as new influenzas.

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  and had been diagnosed as the influenza encephalopathia. The example of the severely ill of a domestic new influenza patient is the first time.

Ministry of Health, Labour and Welfare judged the severely ill from the mounting of the boy of the respirator, and receiving treatment in intensive care unit (ICU). The boy continues, receives treatment with ICU, and when the consciousness disturbance continues, is Iu.

The boy had the symptom of the non productive cough on the morning of the ninth, and had 38.5 febrises on the morning of the tenth. It transports it to the hospital the ambulance on the afternoon of the same day. There were a seizure and a consciousness disturbance, and administering the anticonvulsant was received.

As for the influenza encephalopathia, the infection lingua baby twangs suddenly, and the consciousness disturbance progresses to the influenza rapidly. The seasonality influenza, about 100 people a year report domestically, and there is a dying case, too.

Ministry of Health, Labour and Welfare is speaking, "Because the encephalopathia happens, the new model wants you to note it".

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