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86 dead of flu, 1,400 infected in Mexico

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http://www.naplesnews.com/news/2009/apr/26/mexico-city-streets-empty-swine-flu-t\

oll-climbs/

Mexico City streets empty as swine flu toll climbs

Associated Press

Originally published 3:17 p.m., Sunday, April 26, 2009

Updated 3:17 p.m., Sunday, April 26, 2009

MEXICO CITY — Churches stood empty Sunday in predominantly Roman Catholic Mexico

City after services were canceled, and health workers screened airports and bus

stations for people sickened by a new strain of swine flu that experts fear

could become a global epidemic.

Mayor Marcelo Ebrard said two more people died of swine flu overnight in the

overcrowded capital, and three other deaths are suspected to have been caused by

the strain. Another 73 more people were hospitalized with influenza, possibly

swine flu.

President Felipe Calderon has assumed new powers to isolate people infected with

the deadly swine flu strain that health officials say has killed up to 86 people

and likely sickened about 1,400 in the country since April 13.

Six million masks have been handed out by soldiers, Calderon said, urging

Mexicans to use in public and take other precautions, such as avoiding

traditional greetings with a handshake and a kiss on the cheek. If you have flu

symptons " and you don't go the doctor right away, it could have grave

consequences, " the president said.

Calderon also pledged to continuously update the public " with openness and

truthful information, " in an attempt to defuse public anger that authorities did

not act soon enough to contain the epidemic.

The flu has spread far beyond Mexico's borders with 20 confirmed cases in five

U.S. states and suspected cases as far away as New Zealand, Canada and France.

The U.S. declared a public health emergency, providing for easier access to flu

tests and medications, and enhanced surveillance along the U.S.-Mexico border.

In Mexico, soldiers and health workers patrolled the capital's subway system,

looking for possible flu cases. People were advised to seek medical attention if

they suffered from symptoms including a fever of more than 100 degrees, body

aches, coughing, a sore throat, respiratory congestion and, in some cases,

vomiting and diarrhea.

Markets and restaurants were nearly empty and all school-related activities were

suspended in the capital and the states of Mexico and San Potosi until May

6. Hundreds of public events from concerts to sports matches to were called off

to keep people from congregating and spreading the virus in crowds. Zoos were

closed and visits to juvenile correction centers were suspended.

About a dozen federal police in blue surgical masks stood in front of Mexico

City's Metropolitan Cathedral, which was nearly empty after a measure canceling

services to avoid large concentrations of people. Mass was delivered over

television and radio, with a sermon urging all faithful to pray for divine

intervention against the epidemic.

Johana Chavez, 22, said she showed up for her confirmation only to find a sign

advising that all Masses, baptisms and confirmations were canceled until further

notice.

" We are all Catholic so this is a big step, closing the cathedral, " she said,

cradling a squirming infant in her arms. " The flu must be bad. I guess I'll have

to come back later. "

Mexico City Health Secretary Ahued said most of the fatalities involve

victims who only sought medical help after the disease was well advanced.

By Sunday, throngs of Mexicans were rushing to hospitals, some with just a

fever.

Mexico appears to have lost valuable days or weeks in detecting the new flu

strain, a combination of pig, bird and human viruses that humans may have no

natural immunity to. Health officials have since found cases across 16 states,

half of Mexico.

The first death was in southern Oaxaca state on April 13, but Mexico didn't send

the first of 14 mucus samples to the Centers for Disease Control and Prevention

until April 18, around the same time it dispatched health teams to hospitals

looking for patients with severe flu or pnuemonia-like symptoms.

Those teams noticed something strange: The flu was killing people aged 20 to 40.

Flu victims are usually either infants or the elderly. The Spanish flu pandemic,

which killed at least 40 million people worldwide in 1918-19, also first struck

otherwise healthy young adults.

The World Health Organization on Saturday asked all countries to step up

reporting and surveillance of the disease, as airports around the world were

screening travelers from Mexico for flu symptoms. New Zealand's 10 students who

were found " likely " to have swine flu had just come back from a school trip to

Mexico.

A team from the CDC was in Mexico to help set up detection testing for the swine

flu strain, something Mexico previously lacked.

Health authorities noticed a threefold spike in flu cases in late March and

early April, but thought it was a late rebound in the December-February flu

season.

Testing at domestic labs did not alert doctors to the new strain. Health

Secretary Cordova acknowledged Mexican labs lacked the profiling data

needed to detect the previously unknown strain.

Even though U.S. labs detected the swine flu in California and Texas before last

weekend, Mexican authorities as recently as Wednesday were referring to it as a

late-season flu.

But mid-afternoon Thursday, Mexico City Health Secretary Dr. Ahued said,

officials got a call " from the United States and Canada, the most important

laboratories in the field, telling us this was a new virus. "

Asked why there were so many deaths in Mexico, and none so far among the U.S.

cases, Cordova noted that the U.S. cases involved children — who haven't been

among the fatal cases in Mexico, either.

" There are immune factors that are giving children some sort of defense, that is

the only explanation we have, " he said.

Another factor may be that some Mexican patients may have delayed seeking

medical help too long, Cordova said.

Others are forced to work and leave their homes despite health concerns.

Wearing two dirty, blue surgical masks she says she found and a heavy coat,

a Briseno swept garbage early Sunday morning from the streets in Mexico

City.

" This chill air must be doing me harm. I should be at home but I have a family

to support, " the 31-year-old said.

Scientists have warned for years about the potential for a pandemic from viruses

that mix genetic material from humans and animals.

___

Associated Press writers Mark son and Olga R. in Mexico City;

Jordans in Geneva; Mike Stobbe in Atlanta; Malcolm Ritter in New York; and

Cheng in London contributed to this report.

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