ドイツの電脳冊子のSPIEGEL:ONLINEの病原性大腸菌(EHEC)の記事
Der Spiegel
http://www.spiegel.de/
E.coli
http://www.spiegel.de/such/index.html?suchbegriff=e.coli
English translation from german by Google
http://translate.googleusercontent.com/translate_c?hl=es&ie=UTF8&prev=_t&rurl=translate.google.es&sl=de&tl=en&twu=1&u=http://www.spiegel.de/suche/index.html%3Fsuchbegriff%3De.coli&usg=ALkJrhj4DojUh49XQD5k0b1yWfXydZK_Cw
Treatment of infections : Clinics introduce EHEC database
SPIEGEL ONLINE - Science - 03/06/2011
A database is to improve the treatment of EHEC- infected indivisuals. 15 hospitals reported in want, as her HUS.patients respond to certain therapies. Meanwhile , at least 18 people have died from the infection.
http://translate.googleusercontent.com/translate_c?hl=es&ie=UTF8&prev=_t&rurl=translate.google.es&sl=de&tl=en&twu=1&u=http://www.spiegel.de/wissenschaft/medizin/0,1518,766475,00.html&usg=ALkJrhgWb7tmeuBcwU1eZ-cQTCt7KAQOMQ
How to spread the Ehec bacteria that have infected hundreds of people? And what is the origin of the pathogen? Previously, researchers could not clarify these issues. But now there is possibly a new track.
For privacy reasons, your IP address will be saved only if you are a registered and logged-in Facebook users. If you want to know more about privacy, click on the i. How did it come to the Ehec outbreak in northern Germany, there are also a number of assumptions - and to new activities every day. While 1526 people have been infected with Ehec 627 on life-threatening ill-Hu syndrome and 21 people died as a result of infection, yet lack clear answers to where the pathogen is and how it could spread.
DISPLAY The idea of this special Ehec pathogen may have originated in biogas plants, makes the rounds as the latest suspect, after the medical laboratory Bernd Schottdorf in "online world" presented. In the biogas digesters would arise bacteria, which have never existed before, he is quoted as saying. Schottdorf, founder of Schott MVZ village, which asks aloud, "Welt Online" largest private medical laboratory in Europe, the biogas plants in Germany to investigate quickly to potential pathogens.
Refute can not only once, that the strain might have come from a biogas plant, from where he would have come via manure on fields and vegetables. But no concrete evidence to do so. The bacteria could also in the digestive tract of a ruminant, settling where the so-called enterohemorrhagic E. coli bacteria that have found their current form. That can be formed in a biogas plant Ehec one strain of bacteria would thus never arise in Kuhdarm is simply nonsensical.
The theory that terrorists had the outbreak strain cultured in the laboratory as a biological weapon hold, experts highly unlikely.
Where exactly the outbreak strain, serotype O104: H4, but now comes, researchers can not say yet - and maybe never really answered. When deciphered the genome of the pathogen was present, said the University Hospital of Münster, after all, that it was not for the bacterium in question was a completely new type. However some O104: H4 strains are extremely rare and indeed worldwide. As the formerly rare pathogen causing an outbreak now? Unclear.
Fear of bioterrorism
More urgent than to determine the origin of the pathogen, is the search for the method of distribution. But even after several weeks of search, the search has revealed nothing definite source of infection. To the early success of the Hamburg authorities have found on Spanish cucumbers Ehec bacteria has changed for the failure: There were not Ehec pathogens on vegetables, but not of the tribe that just makes patients sick. Spain's fruit and vegetable traders want to pull against the Hamburg Health Authority to court. When the allegation that the office had neglected the legal duty of care, it's about millions of dollars in damages.
The Federal Institute for Risk Assessment and the Robert Koch Institute further recommend that in North Germany on the consumption of raw tomatoes, cucumbers and lettuce to forego. These foods are based on interviews with patients suspected of transferring germs Ehec. If this is the case, even thorough washing might be insufficient to remove all the germs - and since the Ehec bacteria very well survive the trip through the stomach, after which they settle in the gut, even a small number of germs . sicken
It is also possible that the pathogen would deliberately put into circulation, said the chief doctor of hygiene at the hospital Vivantes Berlin, Klaus-Dieter Zastrow. "It may well be that the road is an idiot and thinks, sometimes I get to miss a few people or 10,000 people diarrhea." With this statement of hygiene expert attracted international attention, it quotes him, among other things, the British "Daily Telegraph". According to British media, the Centre for the Protection of National Infrastructure, food manufacturers and retailers have warned of attacks. The companies should increase the safety in factories and warehouses and identify possible weaknesses identified. "The outbreak in Germany have shown how vulnerable the food production and distribution for bioterrorism," the paper quoted the researcher Richard Byrne from Harper Adams University College in Shropshire.
New track in Lower Saxony
A newer track in search of Ehec source leads to a restaurant in Lübeck, several guests who had eaten there, stuck in mid-May, in with Ehec, some of them fell ill at the hemolytic-uremic syndrome (HUS). The operator explained that it related to the goods of this and two other local Lübeck from a dealer from Mölln which are supplied by a wholesaler from Hamburg. In a study in its local authorities had found nothing. Of all his employees also stool samples were taken. So far nobody had fallen ill.
display much of this easily leads to local but Ehec Source: Lower Saxony's Consumer Protection Minister Gert Lindemann (CDU) wants to comment on Sunday evening at a hastily called press conference on new findings. Accordingly, the sprouts could cause the epidemic to be serious, the news agency dpa on Sunday from authorities learned circles. The findings were rated as "pretty hot track," said one expert. The new track of the origin of the pathogen should result in the district of Uelzen. Sprouts were also a trigger to a Ehec epidemic, when in 1996 infected more than 12,000 people in Japan.
In the run up to no details were known. But it is obviously a company in Texas, with the last could be brought into the Lübeck occurring disorders.
Regardless of these new findings has it managed to break the Ehec short on the agenda of EU health ministers meeting in Luxembourg on Monday. If necessary, also wants EU Commissioner for Agriculture, Dacian Ciolos quickly convene an extraordinary meeting of Agriculture Ministers to advise on assistance to farmers.
With material from Reuters and DAPD
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ラベル ドイツの電脳冊子のSPIEGEL:ONLINEの病原性大腸菌(EHEC)の記事 の投稿を表示しています。 すべての投稿を表示
2011年6月22日水曜日
ドイツの電脳冊子のSPIEGEL:ONLINEの病原性大腸菌(EHEC)の記事
ドイツの電脳冊子のSPIEGEL:ONLINEの病原性大腸菌(EHEC)の記事
Der Spiegel
http://www.spiegel.de/
E.coli
http://www.spiegel.de/such/index.html?suchbegriff=e.coli
English translation from german by Google
http://translate.googleusercontent.com/translate_c?hl=es&ie=UTF8&prev=_t&rurl=translate.google.es&sl=de&tl=en&twu=1&u=http://www.spiegel.de/suche/index.html%3Fsuchbegriff%3De.coli&usg=ALkJrhj4DojUh49XQD5k0b1yWfXydZK_Cw
EHEC outbreak, epidemic poses a double mystery experts
SPIEGEL ONLINE _ Science - 05/06/2011
How to spread the EHEC bacteria that have infectedhundreds of people? And what is the origin of the pathogen? previously, researchers could not clarify these issues. But now there is possibly a new track.
http://translate.googleusercontent.com/translate_c?hl=es&ie=UTF8&prev=_t&rurl=translate.google.es&sl=de&tl=en&twu=1&u=http://www.spiegel.de/wissenschaft/medizin/0,1518,766739,00.html&usg=ALkJrhjbUESRUr30ZZwm6R4yZvPDEH3R5g
How to spread the Ehec bacteria that have infected hundreds of people? And what is the origin of the pathogen? Previously, researchers could not clarify these issues. But now there is possibly a new track.
For privacy reasons, your IP address will be saved only if you are a registered and logged-in Facebook users. If you want to know more about privacy, click on the i. How did it come to the Ehec outbreak in northern Germany, there are also a number of assumptions - and to new activities every day. While 1526 people have been infected with Ehec 627 on life-threatening ill-Hu syndrome and 21 people died as a result of infection, yet lack clear answers to where the pathogen is and how it could spread.
DISPLAY The idea of this special Ehec pathogen may have originated in biogas plants, makes the rounds as the latest suspect, after the medical laboratory Bernd Schottdorf in "online world" presented. In the biogas digesters would arise bacteria, which have never existed before, he is quoted as saying. Schottdorf, founder of Schott MVZ village, which asks aloud, "Welt Online" largest private medical laboratory in Europe, the biogas plants in Germany to investigate quickly to potential pathogens.
Refute can not only once, that the strain might have come from a biogas plant, from where he would have come via manure on fields and vegetables. But no concrete evidence to do so. The bacteria could also in the digestive tract of a ruminant, settling where the so-called enterohemorrhagic E. coli bacteria that have found their current form. That can be formed in a biogas plant Ehec one strain of bacteria would thus never arise in Kuhdarm is simply nonsensical.
The theory that terrorists had the outbreak strain cultured in the laboratory as a biological weapon hold, experts highly unlikely.
Where exactly the outbreak strain, serotype O104: H4, but now comes, researchers can not say yet - and maybe never really answered. When deciphered the genome of the pathogen was present, said the University Hospital of Münster, after all, that it was not for the bacterium in question was a completely new type. However some O104: H4 strains are extremely rare and indeed worldwide. As the formerly rare pathogen causing an outbreak now? Unclear.
Fear of bioterrorism
More urgent than to determine the origin of the pathogen, is the search for the method of distribution. But even after several weeks of search, the search has revealed nothing definite source of infection. To the early success of the Hamburg authorities have found on Spanish cucumbers Ehec bacteria has changed for the failure: There were not Ehec pathogens on vegetables, but not of the tribe that just makes patients sick. Spain's fruit and vegetable traders want to pull against the Hamburg Health Authority to court. When the allegation that the office had neglected the legal duty of care, it's about millions of dollars in damages.
The Federal Institute for Risk Assessment and the Robert Koch Institute further recommend that in North Germany on the consumption of raw tomatoes, cucumbers and lettuce to forego. These foods are based on interviews with patients suspected of transferring germs Ehec. If this is the case, even thorough washing might be insufficient to remove all the germs - and since the Ehec bacteria very well survive the trip through the stomach, after which they settle in the gut, even a small number of germs . sicken
It is also possible that the pathogen would deliberately put into circulation, said the chief doctor of hygiene at the hospital Vivantes Berlin, Klaus-Dieter Zastrow. "It may well be that the road is an idiot and thinks, sometimes I get to miss a few people or 10,000 people diarrhea." With this statement of hygiene expert attracted international attention, it quotes him, among other things, the British "Daily Telegraph". According to British media, the Centre for the Protection of National Infrastructure, food manufacturers and retailers have warned of attacks. The companies should increase the safety in factories and warehouses and identify possible weaknesses identified. "The outbreak in Germany have shown how vulnerable the food production and distribution for bioterrorism," the paper quoted the researcher Richard Byrne from Harper Adams University College in Shropshire.
New track in Lower Saxony
A newer track in search of Ehec source leads to a restaurant in Lübeck, several guests who had eaten there, stuck in mid-May, in with Ehec, some of them fell ill at the hemolytic-uremic syndrome (HUS). The operator explained that it related to the goods of this and two other local Lübeck from a dealer from Mölln which are supplied by a wholesaler from Hamburg. In a study in its local authorities had found nothing. Of all his employees also stool samples were taken. So far nobody had fallen ill.
display much of this easily leads to local but Ehec Source: Lower Saxony's Consumer Protection Minister Gert Lindemann (CDU) wants to comment on Sunday evening at a hastily called press conference on new findings. Accordingly, the sprouts could cause the epidemic to be serious, the news agency dpa on Sunday from authorities learned circles. The findings were rated as "pretty hot track," said one expert. The new track of the origin of the pathogen should result in the district of Uelzen. Sprouts were also a trigger to a Ehec epidemic, when in 1996 infected more than 12,000 people in Japan.
In the run up to no details were known. But it is obviously a company in Texas, with the last could be brought into the Lübeck occurring disorders.
Regardless of these new findings has it managed to break the Ehec short on the agenda of EU health ministers meeting in Luxembourg on Monday. If necessary, also wants EU Commissioner for Agriculture, Dacian Ciolos quickly convene an extraordinary meeting of Agriculture Ministers to advise on assistance to farmers.
With material from Reuters and DAPD
Der Spiegel
http://www.spiegel.de/
E.coli
http://www.spiegel.de/such/index.html?suchbegriff=e.coli
English translation from german by Google
http://translate.googleusercontent.com/translate_c?hl=es&ie=UTF8&prev=_t&rurl=translate.google.es&sl=de&tl=en&twu=1&u=http://www.spiegel.de/suche/index.html%3Fsuchbegriff%3De.coli&usg=ALkJrhj4DojUh49XQD5k0b1yWfXydZK_Cw
EHEC outbreak, epidemic poses a double mystery experts
SPIEGEL ONLINE _ Science - 05/06/2011
How to spread the EHEC bacteria that have infectedhundreds of people? And what is the origin of the pathogen? previously, researchers could not clarify these issues. But now there is possibly a new track.
http://translate.googleusercontent.com/translate_c?hl=es&ie=UTF8&prev=_t&rurl=translate.google.es&sl=de&tl=en&twu=1&u=http://www.spiegel.de/wissenschaft/medizin/0,1518,766739,00.html&usg=ALkJrhjbUESRUr30ZZwm6R4yZvPDEH3R5g
How to spread the Ehec bacteria that have infected hundreds of people? And what is the origin of the pathogen? Previously, researchers could not clarify these issues. But now there is possibly a new track.
For privacy reasons, your IP address will be saved only if you are a registered and logged-in Facebook users. If you want to know more about privacy, click on the i. How did it come to the Ehec outbreak in northern Germany, there are also a number of assumptions - and to new activities every day. While 1526 people have been infected with Ehec 627 on life-threatening ill-Hu syndrome and 21 people died as a result of infection, yet lack clear answers to where the pathogen is and how it could spread.
DISPLAY The idea of this special Ehec pathogen may have originated in biogas plants, makes the rounds as the latest suspect, after the medical laboratory Bernd Schottdorf in "online world" presented. In the biogas digesters would arise bacteria, which have never existed before, he is quoted as saying. Schottdorf, founder of Schott MVZ village, which asks aloud, "Welt Online" largest private medical laboratory in Europe, the biogas plants in Germany to investigate quickly to potential pathogens.
Refute can not only once, that the strain might have come from a biogas plant, from where he would have come via manure on fields and vegetables. But no concrete evidence to do so. The bacteria could also in the digestive tract of a ruminant, settling where the so-called enterohemorrhagic E. coli bacteria that have found their current form. That can be formed in a biogas plant Ehec one strain of bacteria would thus never arise in Kuhdarm is simply nonsensical.
The theory that terrorists had the outbreak strain cultured in the laboratory as a biological weapon hold, experts highly unlikely.
Where exactly the outbreak strain, serotype O104: H4, but now comes, researchers can not say yet - and maybe never really answered. When deciphered the genome of the pathogen was present, said the University Hospital of Münster, after all, that it was not for the bacterium in question was a completely new type. However some O104: H4 strains are extremely rare and indeed worldwide. As the formerly rare pathogen causing an outbreak now? Unclear.
Fear of bioterrorism
More urgent than to determine the origin of the pathogen, is the search for the method of distribution. But even after several weeks of search, the search has revealed nothing definite source of infection. To the early success of the Hamburg authorities have found on Spanish cucumbers Ehec bacteria has changed for the failure: There were not Ehec pathogens on vegetables, but not of the tribe that just makes patients sick. Spain's fruit and vegetable traders want to pull against the Hamburg Health Authority to court. When the allegation that the office had neglected the legal duty of care, it's about millions of dollars in damages.
The Federal Institute for Risk Assessment and the Robert Koch Institute further recommend that in North Germany on the consumption of raw tomatoes, cucumbers and lettuce to forego. These foods are based on interviews with patients suspected of transferring germs Ehec. If this is the case, even thorough washing might be insufficient to remove all the germs - and since the Ehec bacteria very well survive the trip through the stomach, after which they settle in the gut, even a small number of germs . sicken
It is also possible that the pathogen would deliberately put into circulation, said the chief doctor of hygiene at the hospital Vivantes Berlin, Klaus-Dieter Zastrow. "It may well be that the road is an idiot and thinks, sometimes I get to miss a few people or 10,000 people diarrhea." With this statement of hygiene expert attracted international attention, it quotes him, among other things, the British "Daily Telegraph". According to British media, the Centre for the Protection of National Infrastructure, food manufacturers and retailers have warned of attacks. The companies should increase the safety in factories and warehouses and identify possible weaknesses identified. "The outbreak in Germany have shown how vulnerable the food production and distribution for bioterrorism," the paper quoted the researcher Richard Byrne from Harper Adams University College in Shropshire.
New track in Lower Saxony
A newer track in search of Ehec source leads to a restaurant in Lübeck, several guests who had eaten there, stuck in mid-May, in with Ehec, some of them fell ill at the hemolytic-uremic syndrome (HUS). The operator explained that it related to the goods of this and two other local Lübeck from a dealer from Mölln which are supplied by a wholesaler from Hamburg. In a study in its local authorities had found nothing. Of all his employees also stool samples were taken. So far nobody had fallen ill.
display much of this easily leads to local but Ehec Source: Lower Saxony's Consumer Protection Minister Gert Lindemann (CDU) wants to comment on Sunday evening at a hastily called press conference on new findings. Accordingly, the sprouts could cause the epidemic to be serious, the news agency dpa on Sunday from authorities learned circles. The findings were rated as "pretty hot track," said one expert. The new track of the origin of the pathogen should result in the district of Uelzen. Sprouts were also a trigger to a Ehec epidemic, when in 1996 infected more than 12,000 people in Japan.
In the run up to no details were known. But it is obviously a company in Texas, with the last could be brought into the Lübeck occurring disorders.
Regardless of these new findings has it managed to break the Ehec short on the agenda of EU health ministers meeting in Luxembourg on Monday. If necessary, also wants EU Commissioner for Agriculture, Dacian Ciolos quickly convene an extraordinary meeting of Agriculture Ministers to advise on assistance to farmers.
With material from Reuters and DAPD
ドイツの電脳冊子のSPIEGEL:ONLINEの病原性大腸菌(EHEC)の記事
ドイツの電脳冊子のSPIEGEL:ONLINEの病原性大腸菌(EHEC)の記事
Der Spiegel
http://www.spiegel.de/
E.coli
http://www.spiegel.de/such/index.html?suchbegriff=e.coli
English translation from german by Google
http://translate.googleusercontent.com/translate_c?hl=es&ie=UTF8&prev=_t&rurl=translate.google.es&sl=de&tl=en&twu=1&u=http://www.spiegel.de/suche/index.html%3Fsuchbegriff%3De.coli&usg=ALkJrhj4DojUh49XQD5k0b1yWfXydZK_Cw
http://translate.googleusercontent.com/translate_c?hl=es&ie=UTF8&prev=_t&rurl=translate.google.es&sl=de&tl=en&twu=1&u=http://www.spiegel.de/wissenschaft/medizin/0,1518,766699,00.html&usg=ALkJrhhbw0X0h6uAmmXuizGWmUuXKQxaRQ
Doctors say such a thing they had ever experienced. Authorities remain silent spokesman. Patients complain of panic and uncertainty. The Ehec outbreak has put many clinics in northern Germany in a state of emergency.
For privacy reasons, your IP address will be saved only if you are a registered and logged-in Facebook users. If you want to know more about privacy, click on the i. The Regional Hospital on Saturday Pinneberg, Hamburg commuter belt in consultation infection: More than 40 patients come, as every day, most will test positive for EHEC. For two weeks worked by the workforce, up from some 7 23 clock. Two complete stations now serve as an isolation area. "We have never experienced anything like it," says the assignment manager. And the Director. And the care manager. And the doctor at the emergency room for more than 20 years.
DISPLAY A professor of internal medicine, renal specialist at another clinic hesitates when he is asked when he was the last time something like Ehec. The comparison he would not even dare, you should write about it rather not. But that would be the polio epidemic. More than 50 years, since he was still in high school.
Was still no cause for panic, he said. But for concern. Each flu meet more people that would say so. But the flu meet old, already weakened, however, catch this disease young people, pattern: woman, young, intelligent, and as I call it? Health conscious.
1428 people in Germany have the world since early May with one of the worst outbreaks Ehec infected with the bacteria, most of them in northern Germany. 573 patients have developed the dangerous hemolytic-uremic syndrome (HUS) - 70 percent of whom are women. In some hospitals there were already shortages. It is still a mystery where the people infected with dangerous pathogens.
In the hallway outside the office hours in the hospital Pinneberger all seats are occupied, some are. Inside, doctors take blood from arrange the specimen one, calm down, explaining that reference. Can I work? What about my family? Can I have a sunbed?
Outside, some patients complain about the media, will once again made a lot of panic, every year you think of something new. It's funny, SARS, swine flu, bird flu, and now, clearly, in the silly season. And nowhere is that one of Ehec also could simply just get diarrhea, and that's it.
"Worse than the swine flu"
As the friends react to the diagnosis? A young blond woman laughs briefly. But it no longer come to visit, and they would not even invited. "We are all outlawed, including children, I think it's cruel." You could even people there do not even blame them. "We just have our peace," growled her husband, but what was with her child, she wonders, do they take it on the arm, press again?
Another young woman sitting next five places, she was already quite mad, she says quietly. For two nights she had not slept. At home, she had a baby, she had Ehec what it should do it now? In one hospital it was said, immediately disconnect and isolation. Nothing to do: In the other: weaning, in the third. "Nobody knew what had happened to the mother's milk. This is much worse than swine flu," she says.
Her it was not noticed that she was infected with Ehec no blood in stools, no diarrhea, it was not that bad. They've struck a bit of felt, but the disease was first noticed in a routine blood checks. "That surely means that very many people can have who do not know. Scary, huh?"
Subclinical course that means in technical terms - and is a known phenomenon from a medical point of view. But that is no comfort for the patient precisely.
"Do you have any other idea that could arise where your condition?"
"Dear Madam, dear Sir," it says on the questionnaires from the health authorities who had to fill the young woman, "you is a disease occurred, which was (probably) caused by bacteria called Ehec. This is a special type of E. coli bacteria. over the transmission routes and sources of infection for these bacteria is Ehec been very little known. "
Then come questions like: "Have you eaten in the week before the start of your diarrhea raw tomatoes, if so, how often Purchased call market / farmer's market, please, including district, state names, if any?." Same for the mozzarella, asparagus, goat and sheep cheese, cucumber salad, raw carrots, green salad, ground beef and strawberries. Item 12: "Do you have any other idea that could arise where your condition?" Many speculate all day if they are on isolation. Watching television for distraction is pointless, says a young couple who have just released. Because the television run so well Ehec. Just trying to figure out whether they can work, even though they have to do with food. Packaged candy, retail.
"So far, very little is known": Much more, no one can tell, no patient, no doctor, no speaker authorities, no newspaper. The crisis management by the authorities has already come under criticism. "The Ehec cases are well supplied, the system works. But the Robert Koch Institute in its information policy is very economical. The document indeed very good cases, but you get to not know what they are about to find the source of infection ", says Ulrich Frei, medical director of the Charité. A spokeswoman for the Robert Koch Institute, sighs, yes, unfortunately they could let in anyone, even at the head of the ARD have hesitated.
Disease can cause personality changes
A strange disease is it, in at least everyone agrees. Maybe it's the weirdest that the pathogen belongs to the most trivial of all species, of which every man has a few billion in the gut: E. coli bacteria. For more than a hundred years umforscht, "The most famous bacterium" is a book about them.
But only certain strains trigger a disease that can in severe course of diarrhea lead to renal failure, personality changes, and to death within a few days.
Of aggressive patients report neurologists, from confused, of sad, even from a patient with locked-in syndrome, a woman with retained consciousness, but paralyzed almost completely, and another who speak can not anymore and the only salivary runs from the mouth.
The most severe cases with HU's syndrome are at the Hamburg University Hospital Eppendorf, in the ICU on the first floor. A young man comes down the hall. Behind him, a meter-long painting hangs from the ocean. A picture, as they often depend on where it is no longer felt like family to Ocean. Somewhere behind his girlfriend, 26 years is old.
indicator calculated on Friday the 13th May have started it. Since they still skyping. Of abdominal pain, she said, but since you'll join first from gastrointestinal stories. Then, blood in stool, was dismissed by taxi at night in the university clinic. Ehec then would still have been an issue. Then, the correct diagnosis by general practitioners, training, dialysis, plasma exchange, antibody treatment.
"Two or three times the point was reached where I thought the exitus is there now," he says. When his girlfriend was there, where one only comes with mask, gown and gloves, so disoriented and have found the wrong words. Since she had withdrawn into a world of anxiety, he says, and then it got worse. Now she is back in the old head, fortunately.
She was healthy, always healthy, no pre-existing conditions. Of course they ate tomatoes and cucumbers, but if that was the cause should, then half of Hamburg are not here?
Der Spiegel
http://www.spiegel.de/
E.coli
http://www.spiegel.de/such/index.html?suchbegriff=e.coli
English translation from german by Google
http://translate.googleusercontent.com/translate_c?hl=es&ie=UTF8&prev=_t&rurl=translate.google.es&sl=de&tl=en&twu=1&u=http://www.spiegel.de/suche/index.html%3Fsuchbegriff%3De.coli&usg=ALkJrhj4DojUh49XQD5k0b1yWfXydZK_Cw
http://translate.googleusercontent.com/translate_c?hl=es&ie=UTF8&prev=_t&rurl=translate.google.es&sl=de&tl=en&twu=1&u=http://www.spiegel.de/wissenschaft/medizin/0,1518,766699,00.html&usg=ALkJrhhbw0X0h6uAmmXuizGWmUuXKQxaRQ
Doctors say such a thing they had ever experienced. Authorities remain silent spokesman. Patients complain of panic and uncertainty. The Ehec outbreak has put many clinics in northern Germany in a state of emergency.
For privacy reasons, your IP address will be saved only if you are a registered and logged-in Facebook users. If you want to know more about privacy, click on the i. The Regional Hospital on Saturday Pinneberg, Hamburg commuter belt in consultation infection: More than 40 patients come, as every day, most will test positive for EHEC. For two weeks worked by the workforce, up from some 7 23 clock. Two complete stations now serve as an isolation area. "We have never experienced anything like it," says the assignment manager. And the Director. And the care manager. And the doctor at the emergency room for more than 20 years.
DISPLAY A professor of internal medicine, renal specialist at another clinic hesitates when he is asked when he was the last time something like Ehec. The comparison he would not even dare, you should write about it rather not. But that would be the polio epidemic. More than 50 years, since he was still in high school.
Was still no cause for panic, he said. But for concern. Each flu meet more people that would say so. But the flu meet old, already weakened, however, catch this disease young people, pattern: woman, young, intelligent, and as I call it? Health conscious.
1428 people in Germany have the world since early May with one of the worst outbreaks Ehec infected with the bacteria, most of them in northern Germany. 573 patients have developed the dangerous hemolytic-uremic syndrome (HUS) - 70 percent of whom are women. In some hospitals there were already shortages. It is still a mystery where the people infected with dangerous pathogens.
In the hallway outside the office hours in the hospital Pinneberger all seats are occupied, some are. Inside, doctors take blood from arrange the specimen one, calm down, explaining that reference. Can I work? What about my family? Can I have a sunbed?
Outside, some patients complain about the media, will once again made a lot of panic, every year you think of something new. It's funny, SARS, swine flu, bird flu, and now, clearly, in the silly season. And nowhere is that one of Ehec also could simply just get diarrhea, and that's it.
"Worse than the swine flu"
As the friends react to the diagnosis? A young blond woman laughs briefly. But it no longer come to visit, and they would not even invited. "We are all outlawed, including children, I think it's cruel." You could even people there do not even blame them. "We just have our peace," growled her husband, but what was with her child, she wonders, do they take it on the arm, press again?
Another young woman sitting next five places, she was already quite mad, she says quietly. For two nights she had not slept. At home, she had a baby, she had Ehec what it should do it now? In one hospital it was said, immediately disconnect and isolation. Nothing to do: In the other: weaning, in the third. "Nobody knew what had happened to the mother's milk. This is much worse than swine flu," she says.
Her it was not noticed that she was infected with Ehec no blood in stools, no diarrhea, it was not that bad. They've struck a bit of felt, but the disease was first noticed in a routine blood checks. "That surely means that very many people can have who do not know. Scary, huh?"
Subclinical course that means in technical terms - and is a known phenomenon from a medical point of view. But that is no comfort for the patient precisely.
"Do you have any other idea that could arise where your condition?"
"Dear Madam, dear Sir," it says on the questionnaires from the health authorities who had to fill the young woman, "you is a disease occurred, which was (probably) caused by bacteria called Ehec. This is a special type of E. coli bacteria. over the transmission routes and sources of infection for these bacteria is Ehec been very little known. "
Then come questions like: "Have you eaten in the week before the start of your diarrhea raw tomatoes, if so, how often Purchased call market / farmer's market, please, including district, state names, if any?." Same for the mozzarella, asparagus, goat and sheep cheese, cucumber salad, raw carrots, green salad, ground beef and strawberries. Item 12: "Do you have any other idea that could arise where your condition?" Many speculate all day if they are on isolation. Watching television for distraction is pointless, says a young couple who have just released. Because the television run so well Ehec. Just trying to figure out whether they can work, even though they have to do with food. Packaged candy, retail.
"So far, very little is known": Much more, no one can tell, no patient, no doctor, no speaker authorities, no newspaper. The crisis management by the authorities has already come under criticism. "The Ehec cases are well supplied, the system works. But the Robert Koch Institute in its information policy is very economical. The document indeed very good cases, but you get to not know what they are about to find the source of infection ", says Ulrich Frei, medical director of the Charité. A spokeswoman for the Robert Koch Institute, sighs, yes, unfortunately they could let in anyone, even at the head of the ARD have hesitated.
Disease can cause personality changes
A strange disease is it, in at least everyone agrees. Maybe it's the weirdest that the pathogen belongs to the most trivial of all species, of which every man has a few billion in the gut: E. coli bacteria. For more than a hundred years umforscht, "The most famous bacterium" is a book about them.
But only certain strains trigger a disease that can in severe course of diarrhea lead to renal failure, personality changes, and to death within a few days.
Of aggressive patients report neurologists, from confused, of sad, even from a patient with locked-in syndrome, a woman with retained consciousness, but paralyzed almost completely, and another who speak can not anymore and the only salivary runs from the mouth.
The most severe cases with HU's syndrome are at the Hamburg University Hospital Eppendorf, in the ICU on the first floor. A young man comes down the hall. Behind him, a meter-long painting hangs from the ocean. A picture, as they often depend on where it is no longer felt like family to Ocean. Somewhere behind his girlfriend, 26 years is old.
indicator calculated on Friday the 13th May have started it. Since they still skyping. Of abdominal pain, she said, but since you'll join first from gastrointestinal stories. Then, blood in stool, was dismissed by taxi at night in the university clinic. Ehec then would still have been an issue. Then, the correct diagnosis by general practitioners, training, dialysis, plasma exchange, antibody treatment.
"Two or three times the point was reached where I thought the exitus is there now," he says. When his girlfriend was there, where one only comes with mask, gown and gloves, so disoriented and have found the wrong words. Since she had withdrawn into a world of anxiety, he says, and then it got worse. Now she is back in the old head, fortunately.
She was healthy, always healthy, no pre-existing conditions. Of course they ate tomatoes and cucumbers, but if that was the cause should, then half of Hamburg are not here?
ドイツの電脳冊子のSPIEGEL:ONLINEの病原性大腸菌(EHEC)の記事
ドイツの電脳冊子のSPIEGEL:ONLINEの病原性大腸菌(EHEC)の記事
Der Spiegel
http://www.spiegel.de/
E.coli
http://www.spiegel.de/such/index.html?suchbegriff=e.coli
English translation from german by Google
http://translate.googleusercontent.com/translate_c?hl=es&ie=UTF8&prev=_t&rurl=translate.google.es&sl=de&tl=en&twu=1&u=http://www.spiegel.de/suche/index.html%3Fsuchbegriff%3De.coli&usg=ALkJrhj4DojUh49XQD5k0b1yWfXydZK_Cw
http://translate.googleusercontent.com/translate_chl=es&ie=UTF8&prev=_t&rurl=translate.google.es&sl=de&tl=en&twu=1&u=http://www.spiegel.de/politik/deutschland/0,1518,766839,00.html&usg=ALkJrhi6XrM55bOLw2yqYD7W_sedClAVvQ
It was not until cucumber, sprouts then - and now? Germany's top managers Ehec Daniel Bahr unsuccessfully chasing after the enemy in the food. Rather than show leadership, to see the FDP ministers, as findings are stuck in the thicket authorities.
For privacy reasons, your IP address will be saved only if you are a registered and logged-in Facebook users. If you want to know more about privacy, click on the i. Berlin - He was so well prepared for the new job: bank clerk and studying economics and then an MBA with a focus on "International public health and hospital management," in the Bundestag qualified Daniel Bahr, a health policy spokesman of the FDP parliamentary group, eventually two years State Secretary in the Ministry of Health . Bahr, 34, is a federal health minister and from the kit.
DISPLAY But then came Ehec. And suddenly, the Minister must determine that it lacks a module for it - the crash course in crisis management, leadership.
21 people have died so far in Germany as a result of infection, it should only be to blame Spanish cucumbers, now you tap on sprouts from North Germany - even if initial laboratory tests have not confirmed the suspicion. "The enemy is in the eating" was the headline of the Spiegel, the nation asks itself: What can we eat? Bahr has no answer, of course, that would be too much to ask of him. But the feeling urges to know that the FDP politician - term of office nearly a month - in the Ehec crisis is a bit overwhelmed.
"The crisis management of health minister Bahr is not very convincing," says Thomas Oppermann, Group Manager of the SPD parliamentary group. Renate Kuenast, the Green Party boss, is given the Ehec wave even more basic: "I wonder what the Health Minister actually."
Bahr was the case in Hamburg-Eppendorf, on Sunday he met at the local University Hospital (UKE) with doctors and visited Ehec patients. That was impressive photos of the minister with a mask and protective gowns. Bahr knows that he is not these days as the top health managers can hide the Republic. But then came the press conference and the eternal questions of new knowledge. "We just again on Friday, the latest findings of recent studies have evaluated, and it has confirmed that the source of infection can be narrowed down to raw tomatoes, raw cucumber and raw salads."
The warnings of the Lower Saxony Ministry of Agriculture as a potential pathogen from sprouts were already there on the agencies.
Bahr and the authorities confusion
Bahr praised the UKE, once more, the Robert Koch Institute. "The RKI has done a very good job, because unlike in most cases Ehec world we can narrow the focus of infection," he said. Many experts see the different now, and harshly criticize the actions of the RKI.
Above all, they complain in the fight against Ehec the confusion of the authorities. The responsibilities in the Ehec crisis are to see through hard indeed: they are distributed among the health authorities in the provinces, the provincial governments, the Federal Health Ministry and the Federal Ministry of Food, Agriculture and Consumer Protection Ilse Aigner (CSU). Then there are the advisory and research-based institutions - the Robert Koch Institute and the Federal Institute for Risk Assessment (BFR). There is no single information does not exist.
The main responsibilities lie with the countries that they will issue warnings, the food control and market monitoring are the states. Their countries to send the alerts to the Federal Office for Consumer Protection, the warnings continue from there go to Brussels.
In this specific case, even when Ehec runs the chain of information as follows:
■ Hospitals in touch with the local health departments. ■ The employees are on their way to the clinics and take the first sample. ■ Are there indications that it could be a disease that is of national importance, the health authorities to contact the RKI. It acts as an epidemic, federal agency, which the Federal Ministry of Health has assumed. ■ The RKI then helps with the search, in the case of the Institute Ehec sent reconnaissance teams to Hamburg, Lübeck.
Sidetracked with Spanish Cucumber
So it came to the wrong track with the Spanish cucumber: On 19 May triggered samples from the Hamburg UKE alarm at the Robert Koch Institute in - passed a night, then four staff members traveled to Hamburg and the RKI Ehec asked the patients what they had just eaten in the last days. The result: cucumbers, tomatoes and salads. A week later, on 26 May, told Hamburg's Senator for Health Examiner Cornelia Storck: "You can tell the people clearly, cucumbers are a source", its origin lies clearly in Spain. Newspaper headlines read: "Cucumbers are for hazardous waste" or "manure Biogurken Spain?" Five days later, the denial: Spanish cucumbers are not the source of the germ.
Since Spanish farmers, however, was already a million of damage caused - and their anger at the huge German authorities. Vegetable producers from Spain so prepare now, litigation.
indicator was also in the fight against the germ, and the search for the outbreak may give away valuable time. Not later than 1 May fell ill the first German to the new wave Ehec - but GPs often appear in the dangerous germ diarrhea not to be considered. Often, however, also helps the physician is not extremely vigilant, because the ways of the health authorities are long and very old fashioned. According to information obtained by SPIEGEL, the health authorities any reports of illness or even death at the third working day until the following week to notify the competent national authority - which may in turn allow one weeks time, until they report to the RKI passes. Anything by post. It is said that such reports may contain up to two weeks in dusty drawers.
Künast criticized Summit Show
Even if the first sample tests were negative - the rungs of the Gärtnerhof in Lower Saxony Bienenbüttel considered as a possible source of Ehec seed. But why this source was not already taken into account? Radish sprouts in Japan in 1996 have triggered a Ehec epidemic, which was known. But in Germany the suspect shoot until five weeks after the first Ehec case was announced. Germs that multiply in prepacked sprouts and seedlings very quickly, warning against the Federal Institute for Risk Assessment a year ago. Even if the rungs "are kept refrigerated, there is the possibility of a rapid microbial spoilage and the risk of contamination with pathogenic bacteria such as listeria, salmonella, E. coli bacteria or viruses such as noroviruses and hepatitis A viruses," says the report.
Looking at the top rungs of the ministerial crisis Bahr are still cautious, he would wait for further results. On Wednesday will consult with the FDP politician Consumer Protection Minister Ilse Aigner and the responsible state ministers. Even the Green Party politician Kuenast speaks of the "Summit Show." She calls instead for a national control plan for Germany with a checklist of possible transmission paths from the farm to processing in the hospitality industry.
Assistants: Jonathan Stock
Print this article ... remember to send feedback. For privacy reasons, your IP address will be saved only if you are a registered and logged-in Facebook users. If you want to know more about privacy, click on the i. Share on other social networks: . Your forum to discuss this product a total of 343 posts to the forum ... Latest posts: 12.06.2011 by spiegelleser987: Sorry ... I do not have that feeling. I've seen them several times on TV (there are also a number of YouTube videos). It can be others who disagree with them finish, and not pushing themselves with their opinions and prejudices [...] more ...
10.06.2011 by Eva B: ... Again, veeery slow: I by no (in numbers: 0) expect politicians that he finds the source of the pathogen. I have no idea how you got the idea that I would expect. I expect professional [...] more ...
10.06.2011 by CS2001: With math you have not, right? kwt more ...
09.06.2011 by mats123: Illogical Eva, if you do not believe that the SPD and Greens would quickly find the virus, then why do you criticize the current crisis management of the federal government? If the pathogen simply not be found, ie by [...] more ...
08.06.2011 Republic of colorful: Rubbish This is simply nonsense. Would you have preferred that no warnings had been published in suspicious circumstances, but only when the source is detected? Then we would not be so far no warnings [...] more ...
Der Spiegel
http://www.spiegel.de/
E.coli
http://www.spiegel.de/such/index.html?suchbegriff=e.coli
English translation from german by Google
http://translate.googleusercontent.com/translate_c?hl=es&ie=UTF8&prev=_t&rurl=translate.google.es&sl=de&tl=en&twu=1&u=http://www.spiegel.de/suche/index.html%3Fsuchbegriff%3De.coli&usg=ALkJrhj4DojUh49XQD5k0b1yWfXydZK_Cw
http://translate.googleusercontent.com/translate_chl=es&ie=UTF8&prev=_t&rurl=translate.google.es&sl=de&tl=en&twu=1&u=http://www.spiegel.de/politik/deutschland/0,1518,766839,00.html&usg=ALkJrhi6XrM55bOLw2yqYD7W_sedClAVvQ
It was not until cucumber, sprouts then - and now? Germany's top managers Ehec Daniel Bahr unsuccessfully chasing after the enemy in the food. Rather than show leadership, to see the FDP ministers, as findings are stuck in the thicket authorities.
For privacy reasons, your IP address will be saved only if you are a registered and logged-in Facebook users. If you want to know more about privacy, click on the i. Berlin - He was so well prepared for the new job: bank clerk and studying economics and then an MBA with a focus on "International public health and hospital management," in the Bundestag qualified Daniel Bahr, a health policy spokesman of the FDP parliamentary group, eventually two years State Secretary in the Ministry of Health . Bahr, 34, is a federal health minister and from the kit.
DISPLAY But then came Ehec. And suddenly, the Minister must determine that it lacks a module for it - the crash course in crisis management, leadership.
21 people have died so far in Germany as a result of infection, it should only be to blame Spanish cucumbers, now you tap on sprouts from North Germany - even if initial laboratory tests have not confirmed the suspicion. "The enemy is in the eating" was the headline of the Spiegel, the nation asks itself: What can we eat? Bahr has no answer, of course, that would be too much to ask of him. But the feeling urges to know that the FDP politician - term of office nearly a month - in the Ehec crisis is a bit overwhelmed.
"The crisis management of health minister Bahr is not very convincing," says Thomas Oppermann, Group Manager of the SPD parliamentary group. Renate Kuenast, the Green Party boss, is given the Ehec wave even more basic: "I wonder what the Health Minister actually."
Bahr was the case in Hamburg-Eppendorf, on Sunday he met at the local University Hospital (UKE) with doctors and visited Ehec patients. That was impressive photos of the minister with a mask and protective gowns. Bahr knows that he is not these days as the top health managers can hide the Republic. But then came the press conference and the eternal questions of new knowledge. "We just again on Friday, the latest findings of recent studies have evaluated, and it has confirmed that the source of infection can be narrowed down to raw tomatoes, raw cucumber and raw salads."
The warnings of the Lower Saxony Ministry of Agriculture as a potential pathogen from sprouts were already there on the agencies.
Bahr and the authorities confusion
Bahr praised the UKE, once more, the Robert Koch Institute. "The RKI has done a very good job, because unlike in most cases Ehec world we can narrow the focus of infection," he said. Many experts see the different now, and harshly criticize the actions of the RKI.
Above all, they complain in the fight against Ehec the confusion of the authorities. The responsibilities in the Ehec crisis are to see through hard indeed: they are distributed among the health authorities in the provinces, the provincial governments, the Federal Health Ministry and the Federal Ministry of Food, Agriculture and Consumer Protection Ilse Aigner (CSU). Then there are the advisory and research-based institutions - the Robert Koch Institute and the Federal Institute for Risk Assessment (BFR). There is no single information does not exist.
The main responsibilities lie with the countries that they will issue warnings, the food control and market monitoring are the states. Their countries to send the alerts to the Federal Office for Consumer Protection, the warnings continue from there go to Brussels.
In this specific case, even when Ehec runs the chain of information as follows:
■ Hospitals in touch with the local health departments. ■ The employees are on their way to the clinics and take the first sample. ■ Are there indications that it could be a disease that is of national importance, the health authorities to contact the RKI. It acts as an epidemic, federal agency, which the Federal Ministry of Health has assumed. ■ The RKI then helps with the search, in the case of the Institute Ehec sent reconnaissance teams to Hamburg, Lübeck.
Sidetracked with Spanish Cucumber
So it came to the wrong track with the Spanish cucumber: On 19 May triggered samples from the Hamburg UKE alarm at the Robert Koch Institute in - passed a night, then four staff members traveled to Hamburg and the RKI Ehec asked the patients what they had just eaten in the last days. The result: cucumbers, tomatoes and salads. A week later, on 26 May, told Hamburg's Senator for Health Examiner Cornelia Storck: "You can tell the people clearly, cucumbers are a source", its origin lies clearly in Spain. Newspaper headlines read: "Cucumbers are for hazardous waste" or "manure Biogurken Spain?" Five days later, the denial: Spanish cucumbers are not the source of the germ.
Since Spanish farmers, however, was already a million of damage caused - and their anger at the huge German authorities. Vegetable producers from Spain so prepare now, litigation.
indicator was also in the fight against the germ, and the search for the outbreak may give away valuable time. Not later than 1 May fell ill the first German to the new wave Ehec - but GPs often appear in the dangerous germ diarrhea not to be considered. Often, however, also helps the physician is not extremely vigilant, because the ways of the health authorities are long and very old fashioned. According to information obtained by SPIEGEL, the health authorities any reports of illness or even death at the third working day until the following week to notify the competent national authority - which may in turn allow one weeks time, until they report to the RKI passes. Anything by post. It is said that such reports may contain up to two weeks in dusty drawers.
Künast criticized Summit Show
Even if the first sample tests were negative - the rungs of the Gärtnerhof in Lower Saxony Bienenbüttel considered as a possible source of Ehec seed. But why this source was not already taken into account? Radish sprouts in Japan in 1996 have triggered a Ehec epidemic, which was known. But in Germany the suspect shoot until five weeks after the first Ehec case was announced. Germs that multiply in prepacked sprouts and seedlings very quickly, warning against the Federal Institute for Risk Assessment a year ago. Even if the rungs "are kept refrigerated, there is the possibility of a rapid microbial spoilage and the risk of contamination with pathogenic bacteria such as listeria, salmonella, E. coli bacteria or viruses such as noroviruses and hepatitis A viruses," says the report.
Looking at the top rungs of the ministerial crisis Bahr are still cautious, he would wait for further results. On Wednesday will consult with the FDP politician Consumer Protection Minister Ilse Aigner and the responsible state ministers. Even the Green Party politician Kuenast speaks of the "Summit Show." She calls instead for a national control plan for Germany with a checklist of possible transmission paths from the farm to processing in the hospitality industry.
Assistants: Jonathan Stock
Print this article ... remember to send feedback. For privacy reasons, your IP address will be saved only if you are a registered and logged-in Facebook users. If you want to know more about privacy, click on the i. Share on other social networks: . Your forum to discuss this product a total of 343 posts to the forum ... Latest posts: 12.06.2011 by spiegelleser987: Sorry ... I do not have that feeling. I've seen them several times on TV (there are also a number of YouTube videos). It can be others who disagree with them finish, and not pushing themselves with their opinions and prejudices [...] more ...
10.06.2011 by Eva B: ... Again, veeery slow: I by no (in numbers: 0) expect politicians that he finds the source of the pathogen. I have no idea how you got the idea that I would expect. I expect professional [...] more ...
10.06.2011 by CS2001: With math you have not, right? kwt more ...
09.06.2011 by mats123: Illogical Eva, if you do not believe that the SPD and Greens would quickly find the virus, then why do you criticize the current crisis management of the federal government? If the pathogen simply not be found, ie by [...] more ...
08.06.2011 Republic of colorful: Rubbish This is simply nonsense. Would you have preferred that no warnings had been published in suspicious circumstances, but only when the source is detected? Then we would not be so far no warnings [...] more ...
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