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Damage to hospitals due to earthquakes

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Below is an overview of some of the outstanding topics in Mexico from September 16 to 22.

An earthquake destroys hospitals in Michoacán and Colima

The September 19 earthquake, which measured 7.7 on the Richter scale, affected hospitals in Colima and Michoacán. With cut until September 21 Minister of Health reported that 14 medical units of the first and second level in Colima were affected by the earthquake, while in Michoacán damage was measured in 23, with the Maruata Hospital, located in the municipality of Aquila, being the most damaged, for which it was driven out . .

The federal agency mobilized the federal health operation in these states to provide medical care, as well as to carry out prevention and health promotion activities. The Governor of Michoacán, Alfredo Ramírez Bedolla, commented on Aristegui live, that federal authorities must review the infrastructure of hospitals in the state, as several hospitals have equipment that is too heavy for their structure, and most of the damaged wards were more than 30 years old.[1]

In the early hours of Thursday, September 22, an aftershock was measured from the earthquake on Monday, the 19th, this time with a magnitude of 6.9. Director of the Mexican Social Security Institute (IMSS), Zoe Robledo Aburtoreported that no structural damage was reported in any of the hospital’s wards due to the earthquake. As of the close of this publication, no update on hospital damage from the September 22 earthquake has been released.

threads off Twitter and summaries in preparation for ENARM

A week after the National Examination of Applicants for Medical Residency (ENARM) is conducted, doctors post summaries on social networks about the main topics of the exam. through threads of Twitter doctors explain from germ tumors, endometriosis and child keys to kawasaki disease; Some users share infographics that include how to diagnose the condition and what the treatment is.

Through social networks, doctors have expressed their nervousness about the proximity of ENARM 2022, for which 49,802 candidates were registered and 880 candidates for the National Examination of Candidates for Oral Dentistry (ENARE), according to data from Minister of Health.

IMSS-Wellness sets up a board

The new institute IMSS-Well-being set up its State administration, with which it begins operations; Dr. Gisela Lara Saldana took on protests as executive director of the agency, which will serve 35 million people without Social Security. Dr. Lara Saldaña is a surgeon from the Universidad del Noroeste in Tampico, Tamaulipas, she has a specialty in hospital administration from the National Institute of Public Health; Among the positions she has held is department head of the monitoring and evaluation department of IMSS-PROSPERA.

Dr. Jorge Alcocer Varela, Minister of Health, reminded that this new decentralized agency will be autonomous, will have a budget, staff, materials and structures that will be transferred by the state governments.

At a morning conference September 20 Robledo Aburto indicated that with the implementation of the IMSS-Wellness model in the states of Nayarit and Colima, consultation with family medicine, in specialties, surgery and detection of diabetes increased.

Mexico will eliminate measures against COVID-19 in the workplace

Undersecretary of prevention and health promotion, Dr. Hugo López-Gatell Ramírez, reported that next week a decree will be issued, where mandatory preventive measures against COVID-19 in the workplace will be abolished and replaced by other recommendations. At a morning conference on September 20, he explained that health and safety measures to avoid the transmission of this virus in the workplace “are no longer necessary”, so new recommendations will be issued, which will not be mandatory for companies.

On May 29, 2020, the Ministry of Economy, Health, Labor and Welfare and the Mexican Institute of Social Security (IMSS) published in the Official Gazette of the Federation Specific technical instructions for the reopening of business activities, where measures such as the installation of 60% gel alcohol rations, provision of masks, goggles, masks and other protective items, healthy distancing in common spaces and review of air suction, among other prevention measures, were established.

COVID-19 mortality at a minimum

In epidemiological week 37 (September 11 to 17), no deaths from COVID-19 were recorded, so the mortality rate reached a minimum level, said Dr. López-Gatell Ramírez during the morning conference on September 20, where it was reported that the number of hospitals also reached minimum values, registering 3% for general beds and 1% with a mechanical ventilator.

In the technical report of September 20, the Ministry of Health reported that from September 11 to 17, an average of 686 COVID-19 infections were recorded per day, which Mexico adds to ten consecutive weeks with a decrease in the number of cases of this virus, reasons for which reports will only be released weekly.

Regarding the use of a mask, said Dr. López-Gatell Ramírez that with the minimum values ​​that Mexico has reached in COVID-19 infections, it is “less useful”, although he admitted that it could continue to be useful in closed spaces with many people. , as in public transport.

the medical journal The Lancet published that Mexico recorded 5,723 deaths from COVID-19 per million inhabitants, a figure that made the country with the most deaths from this virus, followed by Russia (5,360 per million), Italy (4,891), the United States ( 3,823) and Brazil (3,648), figures from 31 May 2022.[2]

Monkeypox adds 1,367 cases in Mexico

Between September 12 and 19, 316 new cases of monkeypox were recorded, which Mexico adds to the 1,367 cases of this virus, present in 30 states of the country, since the first infection was recorded on May 27. The weekly technical report on epidemiologic control of monkeypox information that no death has been recorded as a result of this condition, detailing that two deaths are still under investigation where medical attention revealed that they were infected with monkeypox, but it has not yet been determined whether the cause of death was due to this. virus.

The states with the most cases are: Mexico City (814), Jalisco (192), State of Mexico (115), Yucatán (61) and Quintana Roo (37).

Severe acute childhood hepatitis of unknown etiology adds 154 probable cases

As of September 19, Mexico records 154 probable cases of severe acute childhood hepatitis of unknown cause in 27 states of the country. The weekly technical report Regarding this situation, he points out that the cases are concentrated in Mexico City (36), Mexico State (24), Veracruz (11) and Hidalgo (10). The Ministry of Health reports in the document that 51% of likely cases are women, but the most affected age group is zero to five years old, where 74% of cases are.

Dr. Enrique Graue: Cuban doctors are a temporary measure while more doctors are trained

Rector of the Autonomous University of Mexico (UNAM), Dr. Enrique Graue Wiechers, admitted that there is a lack of medical experts; bringing health workers from Cuba is thought to be a temporary measure while more specialists are trained in Mexico.[3] Dr. Graue Wiechers, when he visited Havana, Cuba, to sign a cooperation agreement, emphasized that Cuban doctors cannot be relied on, emphasized the need to train specialist doctors, which goes hand in hand with the creation of hospital infrastructure.

The September 13th Zoé Robledo Aburto reported that until that day, 277 doctors had arrived from Cuba working in 35 municipalities in seven states of the country; He predicted another 333 will arrive by the end of September.

Orientation for entry codes begins at the General Hospital of Mexico

On September 17, the policy began code for heart attack at the General Hospital of Mexico “Dr. Eduardo Liceaga”, where immediate attention is given to people without social security who show symptoms of acute myocardial infarction. This strategy aims to reduce complications and avoid mortality from this cause. The director of the General Hospital of Mexico, Dr. Guadalupe Mercedes Lucía Guerrero Avendaño, reported that with the introduction of this code, the institution actively participates in the national program to reduce mortality from acute myocardial infarction AMI-MX ( PREMIA) of the Ministry of Health. Cardiovascular disease is the fourth leading cause of emergency room care.

Appointed interim head of the Faculty of Medicine

After the dismissal of the Director of the University of Medicine, Salvador Lara Franco Dr. José Roberto de Jesus Bastarrachea Sabido as interim director of the organization. The Executive Director of the Polytechnic Institute (IPN), Arturo Reyes Sandoval, made the appointment on September 22 as part of meeting the demands of the students. The Superior School of Medicine has been on indefinite strike since September 7 to demand better facilities, more resources for the program, field practices, more transparency in the use of resources, as well as attention to complaints of sexual harassment. There are a total of 13 study units of the Norwegian Polytechnic after indefinite unemployment.[4]

COFEPRIS warns against scams and counterfeit products of tocilizumab

The Federal Risk Protection Commission (COFEPRIS) alerted the public about the products Adaptoheal marketed by the company Synergy Adaptogens, as they do not have studies that guarantee their safety, efficacy and quality. This brand markets almost 50 products, without having been evaluated by COFEPRIS, which poses a risk to those who consume them, since its composition contains ingredients found in excessive amounts as indicated in the third edition of the Herbal Medicine Register. United States of Mexico (FHEUM).

The health authorities also updated two health warnings regarding the counterfeiting of two formulations of tocilizumab: Actemra and RoActemra.

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