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Saturday, April 19 2014 @ 01:16 PM EDT

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Boil, Filter, And Add ChlorineTo Tap Water Before Drinking

HealthcareThe turbidity in the water being supplied by the old water treatment plant in Chilibre has been reduced to a value of 3.4 Nephelometric Turbidity Units (NTU), while the water being produced by the new water treatment plant remain at a higher NTU value. International standards describe water with an NTU value of 5 or less as being fit for human consumption. (more)

Editor's Comment: You've just hit a "pay wall." Panama-Guide subscribers (members) who have logged in to their accounts can see the full text of this article. However non-members can only see this short introduction. In this particular case, you will learn about the current problems with the drinking water supply in Panama City.

If you would like to subscribe, please click on the button below to pay the $20 (cheap) annual subscription fee via PayPal;


Copyright 2012 by Don Winner for Panama-Guide.com. Go ahead and use whatever you like as long as you credit the source. Don't forget to follow Panama Guide on Twitter. Salud.

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Risks Of Disease Increase After Natural Disasters

HealthcareAfter a natural disaster, the risks of unleashing diseases is great, especially gastrointestinal infections, skin rashes and others. The Ministry of Health has deployed personnel, especially in the flood-affected areas of West Panama, to start monitoring the area and prevent outbreaks of disease. (Telemetro)
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Health Alert - Ministry Of Health Recommends That Water Should Be Filtered!

HealthcarePanama's Health Minister Javier Diaz acknowledged there are high levels of turbidity in the drinking water being produced by the water treatment plant in Chilibre due to the constant rains that have occurred in recent days, and he made the following recommendations. (more)

Editor's Comment: You've just hit a "pay wall." Panama-Guide subscribers (members) who have logged in to their accounts can see the full text of this article. However non-members can only see this short introduction. In this particular case, you will learn about the current problems with the drinking water supply in Panama City, and other parts of the country.

If you would like to subscribe, please click on the button below to pay the $20 (cheap) annual subscription fee via PayPal;


This Is Another Test Article: Anonymous users can only see this article - which contains just the headline and the first sentence of the article. Members who have paid the subscription fee and logged in to their user account on this website will see the full text of the article, and my comments. I will be putting up one of these per day between now and 1 December 2012 and the full implementation of the "pay wall."

Copyright 2012 by Don Winner for Panama-Guide.com. Go ahead and use whatever you like as long as you credit the source. Don't forget to follow Panama Guide on Twitter. Salud.

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Antibiotic Resistant KPC Bacteria Killed 24 People in Panama

HealthcareThe Institute of Legal Medicine and Forensic Sciences (IMELCF) determined that the bacterium Klebsiella pneumoniae carbapenemase (KPC) killed 24 patients of the Hospital of the Social Security Fund (CSS).

This was announced by the Third Superior Prosecutor, Sofanor Espinosa, who has been running an official investigation since July of 2011 because of the the infestation and the death of a significant number of policyholders who became infected with this nosocomial bacteria.

As part of the investigation, which according Sofanor is almost done, more than 200 medical records of patients from the CSS rest in the offices of the Third Superior Prosecutor.

The first reports of IMELCF issued in the month of September indicated that 14 deaths had been caused by the KPC bacteria. The last 10 were confirmed between October and November.

A Person To Declare - A doctor from the CSS who belongs to the Committee of Nosocomial Infections still has to make an official statement to provide evidence to the prosecutor handling the case. This officer is one of the nine doctors and two nurses who have been accused of manslaughter, because they were directly responsible for making decisions on containment at the time of the KPC outbreak, explained Espinosa.

They Will Protest on Tuesday - Relatives of the deceased who were killed by the KPC bacteria will protest next Tuesday in the premises of the Supreme Court to demand that the institution authorizes the Attorney General Jose Ayu Prado to investigate the CSS authorities. According to Victor Martinez, the legal representative of 16 families, the Supreme Court must resolve the procedural initiative he filed in September so that the Attorney General Jose Ayu Prado can take the case, because they have filed criminal complaints against the Director of the CSS Guillermo Sáez-Llorens. (Siglo)

Editor's Comment: So, a couple of nurses have been charged with manslaughter, but the Supreme Court is protecting the Director of the CSS, who was actually the one directing the response? Disgusting. When the KPC bacteria outbreak first occurred, the leadership of the CSS issued memos to the doctors at the hospital, ordering them to keep their mouths shut and to not talk to the press. Only after some doctors ignored those orders and the crisis came to light in the media did the CSS actually begin to implement some sort of effective response. And, charging nurses with manslaughter under these circumstances is - criminal.

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Happy Thanksgiving, From Healthcare Alliance

Healthcare
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Visitations Restricted At Hospital in David Due To Antibiotic Resistant Bacteria Deaths

HealthcareBecause of the problem with the bacterium Clostridium Difficile, visits to patients in the Rafael Hernández hospital in the city of David have been restricted as an alternative measure to prevent further increasing cases of people infected.  

"As a health prevention measure for patients who are hospitalized in the Dr. Rafael Hernández regional hospital in David, the medical authorities of this hospital made ​​the decision to restrict visits to one family member per patient, as a temporary measure, starting on Monday 19 November 2012," said the authorities of the Social Security Fund in the province of Chiriqui in press release.

They made this decision to prevent the further spread of the bacterium Clostridium difficile, which is transmitted by contact from person to person by touching the patient, and visitors can be put at risk of acquiring it.  

The press release says at this time they are taking all possible bio security measures to control the outbreak, in accordance with established procedures for the control of nosocomial bacteria.  

In the province of Chiriqui seven people have been killed by this bacteria, and one of them died from Clostridium difficile in the Rafael Hernandez hospital. (Panama America)

Editor's Comment: Clostridium difficile Clostridium difficile, also known as "CDF/cdf", or "C. diff", is a species of Gram-positive bacteria of the genus Clostridium that causes severe diarrhea and other intestinal disease when competing bacteria in the gut flora have been wiped out by antibiotics. Clostridia are anaerobic, spore-forming rods (bacilli). C. difficile is the most serious cause of antibiotic-associated diarrhea (AAD) and can lead to pseudomembranous colitis, a severe inflammation of the colon, often resulting from eradication of the normal gut flora by antibiotics. In layman's terms - people who have been hospitalized for one thing and placed on strong antibiotics can end up with this bacteria resistant Clostridium difficile as the sole survivor, which then kills you anyway.

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Presidency Minister Henriquez Hospitalized With Heart Condition

HealthcareThe Minister of the Presidency Roberto Henriquez did not undergo surgery after suffering a heart attack as first reported on Sunday, October 14, as reported by the communications secretary and by the media in the country, said his wife Penny of Henríquez. The minister's wife said on TVN News that the doctors performed a procedure through the veins, and implanted a device (stent). She also explained that her husband experienced some discomfort upon returning from the gym, and not during the exercise of his functions. She said Henriquez is recovering nicely within the Paitilla Medical Center and there are chances that the doctors will discharge him today or tomorrow. (Estrella)

Editor's Comment: So, he had some chest pains, they checked it out with a cath, placed a stent. Common procedure - happened to me 12 years ago. Hope he gets well soon...

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Breast and Prostate Cancer Awareness Month

Healthcare By DON WINNER for Panama-Guide.com - October is breast and prostate cancer awareness month. There are all sorts of events planned to raise awareness and to remind people of the importance of getting exams, and you'll see pink and blue ribbons hung everywhere. Yesterday president Ricardo Martinelli was at a public event somewhere, and a journalist asked him if he had gotten his prostate exam this year. While it was a good question it caught the politician off guard and he sort of laughed it off - embarrassed because the journalist was clearly implying "have you had a finger up your ass lately?"

Today this political cartoon appeared in the "Mi Diario" newspaper, drawn by "Piwi". The president is sitting on the exam table, wearing his pink ribbon, and the sign behind him identifies this as the Urologist's office. The doctor walks in and says "hello." He's wearing a button that says "I love the Pro Democracy Front" (which leads many of the protests against the administration of Ricardo Martinelli.) The doctor has a sort of evil grin, big hands, and the president has an "oh shit" expression on his face. BOHICA.

All kidding aside, get examined. Most cancers can be treated if they are detected early enough.

Copyright 2012 by Don Winner for Panama-Guide.com. Go ahead and use whatever you like as long as you credit the source. Salud.

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Health Union Leaders Question Decisions Being Made By Public Ministry in KPC Investigation

HealthcareAfter the Third Superior Prosecutor filed manslaughter charges against eleven employees of the Arnulfo Arias Madrid hospital complex of the Social Security Fund in Panama City, for the deaths of 14 people caused by the antibiotic resistant bacterium Klebsiella pneumoniae carbapenemase (KPC), associations in the health sector are concerned. Fernando Castaneda, a spokesman for the National Negotiating Medical Commission (Comenenal) questioned why the prosecutors of the Public Ministry are investigating lower level healthcare workers, and not those who make up the current leadership of the Social Security Fund. According to Castaneda, the Third Superior Prosecutor has managed this investigation, which started in July 2011, in a suspicious manner. In this case the National Nurses Association is also on alert, because the prosecutor filed charges them two of their members. (Siglo)

Editor's Comment: I have the same questions. Nurses on shift do not make command and control decisions in response to the outbreak of a deadly antibiotic resistant bacteria. And, the leadership of the CSS blatantly mishandled the situation, and they only adequately reacted once news of the situation leaked to the press. Prior to that, they were not acting correctly, and were more focused on covering it all up.

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Eleven Charged With Manslaughter Over KPC Infections in Panama

HealthcareAfter a year of investigating, the Third Superior Prosecutor filed charges for manslaughter against nine doctors and two technicians working in the Metropolitan Complex (hospital) of the Social Security Fund, for the deaths of 14 patients who died as a result of the bacteria Klebsiella pneumoniae carbapenemase (KPC). Public Ministry sources reported yesterday that all of the defendants work in areas related to the processes of detecting, monitoring and preventing the spread of bacteria in the hospital, but did not specify their names. The decision did not include, for now, the application for interim measures, but taking statements as part of the inquest was ordered.

The investigation of the case was initiated by the prosecutor Espinoza Sofanor the 29 July 2011, after 16 deaths were reported in the Hospital and contamination of at least 200 people with the KPC bacteria, which forced the closure of several areas of the hospital for the risk of infections spreading to other facilities. Then, the Legal Medicine Institute certified that 14 of the deaths occurred due to bacterial colonization in patients. In another 105 cases, however, the forensic experts suspect the deaths were caused by KPC, but they are not yet confirmed.

During the investigation the prosecutor took sworn statements from 40 CSS physicians who had contact with the patients, as well as infectious disease specialists at the Santo Tomas hospital, and the Gorgas Memorial Institute. Due to the deaths and infections, relatives of the victims filed 16 complaints in 2011 against the director of the CSS, Guillermo Sáez-Llorens, and the then Minister of Health, Franklin Vergara, that were later merged into one single file by order of the Supreme Court in August 2012. Already accumulated, the complaints were sent to the office of the Attorney General Jose Ayu Prado, who is in charge of processing the case. (Prensa)

Editor's Comment: These eleven people do not include the Director of the CSS or the Minister of Health, cases which are being handled separately. They have been charged with manslaughter because supposedly they did not adequately perform their duties of identifying the KPC bacteria, to prevent its spread, to keep it from infecting and killing other people.

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