ARTIGO ORIGINAL
Pandemia de gripe A (H1N1) no Norte de Portugal: características da onda de Outono/Inverno
Pandemic influenza A (H1N1) in the North of Portugal: how did the Autumn-Winter wave behave?
A.M. Correia, L. Queirós, J. Dias
Unidade de Vigilância Epidemiológica, Departamento de Saúde Pública, Administraçáo Regional de Saúde do Norte, I.P., Ministério da Saúde, Porto, Portugal
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Duque, E. Cordeiro, V. Mota, J. Vaz, C. Morais, F. Rodrigues, F. Coelho, J. Saraiva da Cunha, A. Meliço-Silvestre" "autores" => array:9 [ 0 => array:2 [ "nombre" => "V." "apellidos" => "Duque" ] 1 => array:2 [ "nombre" => "E." "apellidos" => "Cordeiro" ] 2 => array:2 [ "nombre" => "V." "apellidos" => "Mota" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Vaz" ] 4 => array:2 [ "nombre" => "C." "apellidos" => "Morais" ] 5 => array:2 [ "nombre" => "F." "apellidos" => "Rodrigues" ] 6 => array:2 [ "nombre" => "F." "apellidos" => "Coelho" ] 7 => array:2 [ "nombre" => "J." "apellidos" => "Saraiva da Cunha" ] 8 => array:2 [ "nombre" => "A." "apellidos" => "Meliço-Silvestre" ] ] ] ] ] "idiomaDefecto" => "pt" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915312484?idApp=UINPBA00004E" "url" => "/08732159/0000001600000006/v1_201509151455/S0873215915312484/v1_201509151455/pt/main.assets" ] "pt" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">ARTIGO ORIGINAL</span>" "titulo" => "Pandemia de gripe A (H1N1) no Norte de Portugal: características da onda de Outono/Inverno" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "880" "paginaFinal" => "886" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "A.M. Correia, L. Queirós, J. Dias" "autores" => array:3 [ 0 => array:3 [ "nombre" => "A.M." "apellidos" => "Correia" "email" => array:1 [ 0 => "acorreia@arsnorte.min-saude.pt" ] ] 1 => array:2 [ "nombre" => "L." "apellidos" => "Queirós" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Dias" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Unidade de Vigilância Epidemiológica, Departamento de Saúde Pública, Administraçáo Regional de Saúde do Norte, I.P., Ministério da Saúde, Porto, Portugal" "identificador" => "af0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Pandemic influenza A (H1N1) in the North of Portugal: how did the Autumn-Winter wave behave?" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2010-07-04" "fechaAceptado" => "2010-09-22" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec570232" "palabras" => array:4 [ 0 => "Gripe" 1 => "H1N1" 2 => "Pandemia" 3 => "2009" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec570233" "palabras" => array:4 [ 0 => "Influenza" 1 => "H1N1" 2 => "Pandemics" 3 => "2009" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:3 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st9005">Introduçâo</span><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">Em Abril de 2009 o <span class="elsevierStyleItalic">Centers for Disease Control and Prevention</span> anunciou a identificação de um novo vírus influenza em dois doentes na Califórnia, o qual viria a ser designado como influenza A (H1N1) 2009. No dia 11 de Junho de 2009 o Director-Geral da Organização Mundial de Saúde declarou estarmos perante uma pandemia por vírus influenza A (H1N1). Em Portugal o primeiro caso de gripe por vírus influenza A (H1N1) foi registado no dia 29 de Abril de 2009, tendo na região Norte sido declarado o primeiro caso pouco tempo depois.</p></span> <span id="as0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0010">Objectivos</span><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">Neste artigo pretende-se dar uma visão global sobre as características da onda pandémica de Outono/Inverno no Norte de Portugal.</p></span> <span id="as0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0015">Resultados</span><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Registaram-se 64 195 casos de síndrome gripal nos serviços públicos de saúde da região entre a semana 40 de 2009 e a semana 4 de 2010. A taxa acumulada de casos registados foi de 17,1 por mil habitantes. A maior parte dos casos ocorreu no sexo feminino e em menores de 20 anos de idade. O pico da onda de Outono/Inverno foi atingido na semana 48, mas a distribuição geográfica e temporal da onda pandémica foi muito heterogénea na região. A taxa de hospitalização por síndrome gripal na população foi mais elevada nos menores de 10 anos de idade e decresceu nos grupos etários mais velhos. Registaram-se 44 óbitos em casos confirmados de Gripe A na região (taxa de mortalidade – 1,2/100 000) sendo o risco de morrer mais baixo nos grupos etários mais jovens. O pico dos óbitos ocorreu duas semanas mais tarde do que o pico dos casos.</p></span> <span id="as0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0020">Conclusôes</span><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall">Admitimos que o impacto da onda pandémica de Outono/Inverno no Norte de Portugal foi reduzido. Consideramos, no entanto, a importância de prosseguir e reforçar a vigilân-cia da gripe na região.</p></span>" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "as0005" "titulo" => "Introduçâo" ] 1 => array:2 [ "identificador" => "as0010" "titulo" => "Objectivos" ] 2 => array:2 [ "identificador" => "as0015" "titulo" => "Resultados" ] 3 => array:2 [ "identificador" => "as0020" "titulo" => "Conclusôes" ] ] ] "en" => array:3 [ "titulo" => "Abstract" "resumen" => "<span id="as0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0030">Introduction</span><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall">In April 2009 the Centers for Disease Control and Prevention announced the identification of a novel influenza virus in two patients in California, called influenza A (H1N1) 2009. On 11 June 2009 the Director-General of the World Health Organization declared a pandemic of influenza A (H1N1). In Portugal the first case of pandemic influenza A (H1N1) was reported on 29<span class="elsevierStyleSup">th</span> April and the Northern Region of the country registered the first cases soon after that.</p></span> <span id="as0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0035">Aim</span><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall">This report pretends to give an overview of the characteristics of Autumn/Winter pandemic wave in the North of Portugal.</p></span> <span id="as0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0040">Results</span><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall">A total of 64 195 cases of influenza-like illness were registered in public health services in the region between week 40, 2009 and week 4, 2010. The cumulative attack rate of those cases was 17.1/1 000 inhabitants. Most of the cases occurred in females and in the under 20 years. The peak of the Autumn/Winter wave was attained in week 48, but geographic and time distribution of the pandemic was heterogeneous in the region. Hospitalization rate for influenza-like illness cases in the population was higher for the under 10 years and decreased with age. Forty four deaths in pandemic influenza A (H1N1) laboratory-confirmed cases occurred in the region (mortality rate – 1.2/100 000) and the risk of death was lower in younger age groups. The peak of deaths occurred two weeks latter than the peak of cases.</p></span> <span id="as0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="st0045">Conclusion</span><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall">We can assume that the Autumn/Winter pandemic wave impact was mild in the Northern Region of Portugal. We consider the importance of pursuing and reinforcing influenza surveillance in the region.</p></span>" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "as0025" "titulo" => "Introduction" ] 1 => array:2 [ "identificador" => "as0030" "titulo" => "Aim" ] 2 => array:2 [ "identificador" => "as0035" "titulo" => "Results" ] 3 => array:2 [ "identificador" => "as0040" "titulo" => "Conclusion" ] ] ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bs0005" "bibliografiaReferencia" => array:24 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." 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Yardley" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "BMJ" "fecha" => "2009" "volumen" => "339" "paginaInicial" => "b5213" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20007665" "web" => "Medline" ] ] ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bb0090" "etiqueta" => "18." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Estimating the impact of the 2009 influenza A(H1N1) pandemic on mortality in the elderly in Navarre, Spain" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J. Castilla" 1 => "J. Etxeberria" 2 => "E. Ardanaz" 3 => "Y. Floristán" 4 => "R. López Escudero" 5 => "M. 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Grant" ] ] ] ] ] "host" => array:2 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Euro Surveill" "fecha" => "2009" "volumen" => "14" "numero" => "42" ] ] 1 => array:1 [ "WWW" => array:1 [ "link" => "http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=19368" ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bb0100" "etiqueta" => "20." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Epidemiological summary of pandemic influenza A (H1N1) 2009 virus – Ontario, Canada, June 2009" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "World Health Organization (WHO)" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "WHO, Weekly epidemiological record" "fecha" => "2009" "volumen" => "84" "numero" => "47" "paginaInicial" => "485" "paginaFinal" => "492" ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bb0105" "etiqueta" => "21." 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"referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Surveillance for the 2009 Pandemic Influenza A(H1N1) virus and seasonal influenza viruses-New Zealand, 2009" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "Centre for Disease Control and Prevention (CDC)" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "MMWR Mortal Wkli Rep" "fecha" => "2009" "volumen" => "58" "paginaInicial" => "918" "paginaFinal" => "921" ] ] ] ] ] ] 22 => array:3 [ "identificador" => "bb0115" "etiqueta" => "23." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "Australian Government" 1 => "Department of Health and Ageing" ] ] ] ] ] "host" => array:2 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Australian Influenza Surveillance Report" "fecha" => "2009" "numero" => "33" "itemHostRev" => array:3 [ "pii" => "S0020729207004833" "estado" => "S300" "issn" => "00207292" ] ] ] 1 => array:1 [ "WWW" => array:1 [ "link" => "http://www.healthemergency.gov.au/internet/healthemergency/publishing.nsf/Content/18D06BAC4644C98DCA25763E00823442/ile/ozflu-no33-2009.pdf" ] ] ] ] ] ] 23 => array:3 [ "identificador" => "bb0120" "etiqueta" => "24." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "European Centre for Disease Prevention and Control (ECDC). The 2009 Pandemic. Situation update. 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Article information
ISSN: 08732159Original language: Portuguese
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