{"id":120039,"date":"2009-06-11T19:30:00","date_gmt":"2009-06-11T19:30:00","guid":{"rendered":"http:\/\/weblogs.madrimasd.org\/\/salud_publica\/archive\/2009\/06\/11\/120039.aspx"},"modified":"2009-06-11T19:30:00","modified_gmt":"2009-06-11T19:30:00","slug":"la-nueva-gripe-a-h1-n1-o-swine-flu-se-constituye-como-la-primera-pandemia-del-siglo-xxi-la-oms-eleva-la-alerta-de-la-gripe-a-al-nivel-6","status":"publish","type":"post","link":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/2009\/06\/11\/120039","title":{"rendered":"La nueva gripe A H1 N1 o swine flu, se constituye como la primera pandemia del siglo XXI: La OMS eleva la alerta de la gripe A al nivel 6."},"content":{"rendered":"<link rel=\"File-List\" href=\"file:\/\/\/C:%5CDOCUME%7E1%5Cuser%5CLOCALS%7E1%5CTemp%5Cmsohtml1%5C01%5Cclip_filelist.xml\"><!--  <w:WordDocument>   <w:View>Normal<\/w:View>   <w:Zoom>0<\/w:Zoom>   <w:Compatibility>    <w:BreakWrappedTables\/>    <w:SnapToGridInCell\/>    <w:WrapTextWithPunct\/>    <w:UseAsianBreakRules\/>   <\/w:Compatibility>   <w:BrowserLevel>MicrosoftInternetExplorer4<\/w:BrowserLevel>  <\/w:WordDocument> --><br \/>\n<style> <!--  \/* Font Definitions *\/  @font-face \t{font-family:\"Comic Sans MS\"; \tpanose-1:3 15 7 2 3 3 2 2 2 4; \tmso-font-charset:0; \tmso-generic-font-family:script; \tmso-font-pitch:variable; \tmso-font-signature:647 0 0 0 159 0;}  \/* Style Definitions *\/  p.MsoNormal, li.MsoNormal, div.MsoNormal \t{mso-style-parent:\"\"; \tmargin:0in; \tmargin-bottom:.0001pt; \tmso-pagination:widow-orphan; \tfont-size:12.0pt; \tfont-family:\"Times New Roman\"; \tmso-fareast-font-family:\"Times New Roman\"; \tmso-ansi-language:ES;} a:link, span.MsoHyperlink \t{\ttext-decoration:underline; \ttext-underline:single;} a:visited, span.MsoHyperlinkFollowed \t{color:purple; \ttext-decoration:underline; \ttext-underline:single;} @page Section1 \t{size:8.5in 11.0in; \tmargin:70.85pt 85.05pt 70.85pt 85.05pt; \tmso-header-margin:.5in; \tmso-footer-margin:.5in; \tmso-paper-source:0;} div.Section1 \t{page:Section1;} --> <\/style>\n<p><!--  \/* Style Definitions *\/  table.MsoNormalTable \t{mso-style-name:\"Tabla normal\"; \tmso-tstyle-rowband-size:0; \tmso-tstyle-colband-size:0; \tmso-style-noshow:yes; \tmso-style-parent:\"\"; \tmso-padding-alt:0in 5.4pt 0in 5.4pt; \tmso-para-margin:0in; \tmso-para-margin-bottom:.0001pt; \tmso-pagination:widow-orphan; \tfont-size:10.0pt; \tfont-family:\"Times New Roman\";} -->  <\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify;\"><span style=\"font-size: 10pt; font-family: &quot;Comic Sans MS&quot;;\" lang=\"ES\">Como ya hemos comprobado que esta nueva gripe es leve podemos hacer alguna broma y anunciar a bombo y platillo: <b style=\"\"><span style=\"color: blue;\">Se\u00f1oras y Se\u00f1ores \u201cTenemos el dudoso honor de anunciar la primera pandemia del siglo XXI\u201d.<\/span><\/b> <o:p><\/o:p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify;\"><span style=\"font-size: 10pt; font-family: &quot;Comic Sans MS&quot;;\" lang=\"ES\"><o:p>&nbsp;<\/o:p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify;\"><span style=\"font-size: 10pt; font-family: &quot;Comic Sans MS&quot;;\" lang=\"ES\">Hace tiempo esper\u00e1bamos que la OMS declarara la fase 6 de pandemia porque se hab\u00edan cumplido las condiciones para hacerlo, es decir, que la propagaci\u00f3n del virus afectara a m\u00e1s de una regi\u00f3n de la OMS y que exista transmisi\u00f3n de persona a persona sin contacto con los focos primarios de la enfermedad ( M\u00e9xico y EEUU) y que aparezcan <span style=\"\">brotes comunitarios en, al menos, otro pa\u00eds de otra regi\u00f3n de la OMS<\/span>. <o:p><\/o:p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify;\"><span style=\"font-size: 10pt; font-family: &quot;Comic Sans MS&quot;;\" lang=\"ES\"><o:p>&nbsp;<\/o:p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify;\"><span style=\"font-size: 10pt; font-family: &quot;Comic Sans MS&quot;;\" lang=\"ES\">Esto es lo que tiene el utilizar en la clasificaci\u00f3n \u00fanicamente criterios geogr\u00e1ficos; <A href=\"http:\/\/weblogs.madrimasd.org\/salud_publica\/archive\/2009\/06\/06\/119696.aspx\">como ya dijimos en un post anterior<\/a> esperamos que la OMS haga una revisi\u00f3n de las fases de pandemia e incluya otros criterios (como ya reclaman muchos expertos) entre los que se incluya la gravedad de la enfermedad.<o:p><\/o:p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify;\"><span style=\"font-size: 10pt; font-family: &quot;Comic Sans MS&quot;;\" lang=\"ES\"><o:p>&nbsp;<\/o:p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify;\"><span style=\"font-size: 10pt; font-family: &quot;Comic Sans MS&quot;;\" lang=\"ES\">La directora de la Organizaci\u00f3n Mundial de la Salud (OMS), Margaret Chan, ha anunciado el aumento del nivel de alerta. <b style=\"\"><span style=\"color: blue;\">\u00abEl virus se transmite f\u00e1cilmente entre personas y entre pa\u00edses. Por eso he decidido elevar el nivel de alerta\u00bb, dijo Chan<\/span><\/b>. <o:p><\/o:p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify;\"><span style=\"font-size: 10pt; font-family: &quot;Comic Sans MS&quot;;\" lang=\"ES\"><o:p>&nbsp;<\/o:p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-align: justify;\"><span style=\"font-size: 10pt; font-family: &quot;Comic Sans MS&quot;;\" lang=\"ES\">Hay que dejar claro que <b style=\"\"><span style=\"color: blue;\">el aumento de la fase de alerta responde a cuestiones de extensi\u00f3n del virus y de su facilidad de transmisi\u00f3n<\/span><\/b>, no porque haya empeorado el diagn\u00f3stico, ni haya aumentado la mortalidad.<o:p><\/o:p><\/span><\/p>\n<p>  <!--more--> <META content=Word.Document name=ProgId> <META content=\"Microsoft Word 10\" name=Generator> <META content=\"Microsoft Word 10\" name=Originator><LINK href=\"file:\/\/\/C:%5CDOCUME%7E1%5Cuser%5CLOCALS%7E1%5CTemp%5Cmsohtml1%5C01%5Cclip_filelist.xml\" rel=File-List> <STYLE> <!--  \/* Font Definitions *\/  @font-face \t{font-family:\"Comic Sans MS\"; \tpanose-1:3 15 7 2 3 3 2 2 2 4; \tmso-font-charset:0; \tmso-generic-font-family:script; \tmso-font-pitch:variable; \tmso-font-signature:647 0 0 0 159 0;}  \/* Style Definitions *\/  p.MsoNormal, li.MsoNormal, div.MsoNormal \t{mso-style-parent:\"\"; \tmargin:0in; \tmargin-bottom:.0001pt; \tmso-pagination:widow-orphan; \tfont-size:12.0pt; \tfont-family:\"Times New Roman\"; \tmso-fareast-font-family:\"Times New Roman\"; \tmso-ansi-language:ES;} a:link, span.MsoHyperlink \t{\ttext-decoration:underline; \ttext-underline:single;} a:visited, span.MsoHyperlinkFollowed \t{color:purple; \ttext-decoration:underline; \ttext-underline:single;} p \t{mso-margin-top-alt:auto; \tmargin-right:0in; \tmso-margin-bottom-alt:auto; \tmargin-left:0in; \tmso-pagination:widow-orphan; \tfont-size:12.0pt; \tfont-family:\"Times New Roman\"; \tmso-fareast-font-family:\"Times New Roman\";} @page Section1 \t{size:8.5in 11.0in; \tmargin:70.85pt 85.05pt 70.85pt 85.05pt; \tmso-header-margin:.5in; \tmso-footer-margin:.5in; \tmso-paper-source:0;} div.Section1 \t{page:Section1;} --> <\/STYLE>  <P style=\"TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 10pt; FONT-FAMILY: 'Comic Sans MS'\">La directora de la OMS Margaret Chan nos recuerda que: \u00abPandemia quiere decir una enfermedad que se propaga r\u00e1pidamente\u00bb y a\u00f1ad\u00eda que la decisi\u00f3n refleja la propagaci\u00f3n geogr\u00e1fica del virus, pero no es un indicativo de la gravedad de la gripe A o H1N1, m\u00e1s conocida como gripe porcina y precis\u00f3 que la evaluaci\u00f3n global de la OMS es que la pandemia es moderada. <B><SPAN style=\"COLOR: blue\">\u00abQueremos que se entienda muy bien que si declaramos la fase 6 de pandemia, eso significa que el virus se extiende y que hay contagios estables en comunidades en pa\u00edses de distintas regiones\u00bb, ha se\u00f1alado Fukuda, quien ha aclarado que \u00abeso no significa que el virus se haya hecho m\u00e1s grave, que la enfermedad sea m\u00e1s severa o que haya aumentado la tasa de mortalidad\u00bb.<x:namespace prefix = o \/><o:p><\/o:p><\/SPAN><\/B><\/SPAN><\/P> <P style=\"TEXT-ALIGN: justify\"><B><SPAN lang=ES style=\"FONT-SIZE: 10pt; COLOR: blue; FONT-FAMILY: 'Comic Sans MS'\"><A href=\"http:\/\/www.who.int\/mediacentre\/news\/statements\/2009\/h1n1_pandemic_phase6_20090611\/en\/index.html\">Estas son las declaraciones de la Directora de la OMS Margaret Chan<\/A>:<o:p><\/o:p><\/SPAN><\/B><\/P> <P class=MsoNormal><B><SPAN lang=ES style=\"FONT-SIZE: 9pt; COLOR: blue; FONT-FAMILY: 'Comic Sans MS'\">World now at the start of 2009 influenza pandemic<o:p><\/o:p><\/SPAN><\/B><\/P> <P class=MsoNormal><B><SPAN style=\"FONT-SIZE: 9pt; COLOR: blue; FONT-FAMILY: 'Comic Sans MS'\">Dr Margaret Chan Director-General of the World Health Organization<o:p><\/o:p><\/SPAN><\/B><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">Ladies and gentlemen,<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">In late April, WHO announced the emergence of a novel influenza A virus. <o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">This particular H1N1 strain has not circulated previously in humans. The virus is entirely new.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><B><SPAN lang=ES style=\"FONT-SIZE: 9pt; COLOR: blue; FONT-FAMILY: 'Comic Sans MS'\">The virus is contagious, spreading easily from one person to another, and from one country to another. As of today, nearly 30,000 confirmed cases have been reported in 74 countries.<o:p><\/o:p><\/SPAN><\/B><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">This is only part of the picture. With few exceptions, countries with large numbers of cases are those with good surveillance and testing procedures in place.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">Spread in several countries can no longer be traced to clearly-defined chains of human-to-human transmission. Further spread is considered inevitable.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">I have conferred with leading influenza experts, virologists, and public health officials. In line with procedures set out in the International Health Regulations, I have sought guidance and advice from an Emergency Committee established for this purpose.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">On the basis of available evidence, and these expert assessments of the evidence, the scientific criteria for an influenza pandemic have been met. <o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><B><SPAN lang=ES style=\"FONT-SIZE: 9pt; COLOR: blue; FONT-FAMILY: 'Comic Sans MS'\">I have therefore decided to raise the level of influenza pandemic alert from phase 5 to phase 6.<o:p><\/o:p><\/SPAN><\/B><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><B><SPAN lang=ES style=\"FONT-SIZE: 9pt; COLOR: blue; FONT-FAMILY: 'Comic Sans MS'\">The world is now at the start of the 2009 influenza pandemic.<o:p><\/o:p><\/SPAN><\/B><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">We are in the earliest days of the pandemic. The virus is spreading under a close and careful watch. <o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">No previous pandemic has been detected so early or watched so closely, in real-time, right at the very beginning. The world can now reap the benefits of investments, over the last five years, in pandemic preparedness.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">We have a head start. This places us in a strong position. But it also creates a demand for advice and reassurance in the midst of limited data and considerable scientific uncertainty. <o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">Thanks to close monitoring, thorough investigations, and frank reporting from countries, we have some early snapshots depicting spread of the virus and the range of illness it can cause. <o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">We know, too, that this early, patchy picture can change very quickly. The virus writes the rules and this one, like all influenza viruses, can change the rules, without rhyme or reason, at any time.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">Globally, we have good reason to believe that this pandemic, at least in its early days, will be of moderate severity. As we know from experience, severity can vary, depending on many factors, from one country to another.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">On present evidence, the overwhelming majority of patients experience mild symptoms and make a rapid and full recovery, often in the absence of any form of medical treatment.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">Worldwide, the number of deaths is small. Each and every one of these deaths is tragic, and we have to brace ourselves to see more. However, we do not expect to see a sudden and dramatic jump in the number of severe or fatal infections.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">We know that the novel H1N1 virus preferentially infects younger people. In nearly all areas with large and sustained outbreaks, the majority of cases have occurred in people under the age of 25 years.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">In some of these countries, around 2% of cases have developed severe illness, often with very rapid progression to life-threatening pneumonia.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">Most cases of severe and fatal infections have been in adults between the ages of 30 and 50 years.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">This pattern is significantly different from that seen during epidemics of seasonal influenza, when most deaths occur in frail elderly people.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">Many, though not all, severe cases have occurred in people with underlying chronic conditions. Based on limited, preliminary data, conditions most frequently seen include respiratory diseases, notably asthma, cardiovascular disease, diabetes, autoimmune disorders, and obesity.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">At the same time, it is important to note that around one third to half of the severe and fatal infections are occurring in previously healthy young and middle-aged people.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">Without question, pregnant women are at increased risk of complications. This heightened risk takes on added importance for a virus, like this one, that preferentially infects younger age groups.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">Finally, and perhaps of greatest concern, we do not know how this virus will behave under conditions typically found in the developing world. To date, the vast majority of cases have been detected and investigated in comparatively well-off countries. <o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">Let me underscore two of many reasons for this concern. First, more than 99% of maternal deaths, which are a marker of poor quality care during pregnancy and childbirth, occurs in the developing world.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">Second, around 85% of the burden of chronic diseases is concentrated in low- and middle-income countries.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">Although the pandemic appears to have moderate severity in comparatively well-off countries, it is prudent to anticipate a bleaker picture as the virus spreads to areas with limited resources, poor health care, and a high prevalence of underlying medical problems.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">Ladies and gentlemen,<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">A characteristic feature of pandemics is their rapid spread to all parts of the world. In the previous century, this spread has typically taken around 6 to 9 months, even during times when most international travel was by ship or rail.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">Countries should prepare to see cases, or the further spread of cases, in the near future. Countries where outbreaks appear to have peaked should prepare for a second wave of infection.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">Guidance on specific protective and precautionary measures has been sent to ministries of health in all countries. Countries with no or only a few cases should remain vigilant. <o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">Countries with widespread transmission should focus on the appropriate management of patients. The testing and investigation of patients should be limited, as such measures are resource intensive and can very quickly strain capacities. <o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">WHO has been in close dialogue with influenza vaccine manufacturers. I understand that production of vaccines for seasonal influenza will be completed soon, and that full capacity will be available to ensure the largest possible supply of pandemic vaccine in the months to come. <o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">Pending the availability of vaccines, several non-pharmaceutical interventions can confer some protection.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">WHO continues to recommend no restrictions on travel and no border closures.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">Influenza pandemics, whether moderate or severe, are remarkable events because of the almost universal susceptibility of the world\u2019s population to infection.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">We are all in this together, and we will all get through this, together.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">Thank you.<o:p><\/o:p><\/SPAN><\/P> <P style=\"MARGIN-LEFT: 0.5in\"><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\"><A href=\"http:\/\/www.elpais.com\/articulo\/sociedad\/OMS\/declara\/pandemia\/gripe\/elpepusoc\/20090611elpepusoc_8\/Tes\">El diario el Pa\u00eds refiere<\/A>: <I>Los \u00faltimos datos son que <B><SPAN style=\"COLOR: blue\">en el mundo hay confirmados casi 28.000 casos<\/SPAN><\/B> (este n\u00famero incluye todos los diagn\u00f3sticos desde que a finales de abril se detect\u00f3 al enfermedad, por lo que la mayor\u00eda est\u00e1n ya fuera de peligro, aunque tambi\u00e9n se registran los 141 fallecidos). <B><SPAN style=\"COLOR: blue\">Esta cifra es s\u00f3lo la de los enfermos m\u00e1s graves o los que han ido a un servicio m\u00e9dico donde se han molestado en hacerle los an\u00e1lisis correspondientes.<\/SPAN><\/B> Por eso lo m\u00e1s seguro es que, en verdad, la cifra de infectados, incluidos los que han pasado una enfermedad tan leve que no han ido al m\u00e9dico o los que se han infectado pero ni se han enterado, sea muy superior. En EE UU <B><SPAN style=\"COLOR: blue\">los Centros de Control de Enfermedades<\/SPAN><\/B> (el organismo cient\u00edfico de referencia) <B><SPAN style=\"COLOR: blue\">calcula que por cada diagn\u00f3stico hay otros 3.000 afectados que quedan sin registrar<\/SPAN><\/B>. Esta proporci\u00f3n es conservadora (es un pa\u00eds puntero donde las alertas saltaron desde el principio), por lo que <B><SPAN style=\"COLOR: blue\">aventurar que ya ha habido 90 millones de infectados no parece una exageraci\u00f3n.<o:p><\/o:p><\/SPAN><\/B><\/I><\/SPAN><\/P> <P style=\"MARGIN-LEFT: 1in; TEXT-ALIGN: justify\"><B><I><SPAN lang=ES style=\"FONT-SIZE: 9pt; COLOR: blue; FONT-FAMILY: 'Comic Sans MS'\">\u00c9sta es la primera pandemia de gripe que se declara en 40 a\u00f1os<\/SPAN><\/I><\/B><I><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\">. La anterior empez\u00f3 en Hong Kong en 1967, y se sald\u00f3 con medio mill\u00f3n de muertos. <\/SPAN><\/I><SPAN lang=ES style=\"FONT-SIZE: 9pt; FONT-FAMILY: 'Comic Sans MS'\"><o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-FAMILY: 'Comic Sans MS'\"><o:p>&nbsp;<\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Comic Sans MS'\">Este quiere ser un post breve anunciando que hemos alcanzado la fase 6, m\u00e1s adelante ahondaremos en este tema.<o:p><\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"TEXT-ALIGN: justify\"><SPAN lang=ES style=\"FONT-SIZE: 11pt; FONT-FAMILY: 'Comic Sans MS'\"><o:p>&nbsp;<\/o:p><\/SPAN><\/P> <P class=MsoNormal style=\"TEXT-ALIGN: justify\"><B><SPAN lang=ES style=\"COLOR: green; FONT-FAMILY: 'Comic Sans MS'\">Consuelo Ib\u00e1\u00f1ez Mart\u00ed<o:p><\/o:p><\/SPAN><\/B><\/P> <P class=MsoNormal style=\"TEXT-ALIGN: justify\"><B><SPAN lang=ES style=\"COLOR: green; FONT-FAMILY: 'Comic Sans MS'\">M\u00e9dico salubrista<\/SPAN><\/B><\/P><SPAN lang=ES style=\"COLOR: green; FONT-FAMILY: 'Comic Sans MS'\"> <H2 style=\"BACKGROUND: white; MARGIN: auto 0cm\"><SPAN style=\"FONT-SIZE: 11pt; COLOR: blue; FONT-FAMILY: 'Comic Sans MS'\">Otros post sobre gripe pand\u00e9mica<o:p><\/o:p><\/SPAN><\/H2> <UL style=\"MARGIN-TOP: 0cm\" type=square> <LI class=MsoNormal style=\"BACKGROUND: white; MARGIN: 0cm 0cm 0pt; COLOR: #222222; tab-stops: list 36.0pt; mso-list: l0 level1 lfo1; mso-outline-level: 3\"><SPAN style=\"FONT-SIZE: 10pt; FONT-FAMILY: 'Comic Sans MS'; LETTER-SPACING: 0.5pt\"><A href=\"http:\/\/weblogs.madrimasd.org\/salud_publica\/archive\/2009\/08\/23\/123586.aspx\"><STRONG>Nueva Gripe A H1N1, Gripe pand\u00e9mica: la OMS lanza una llamada a la acci\u00f3n <\/STRONG><\/A><o:p><\/o:p><\/SPAN><\/LI> <LI class=MsoNormal style=\"BACKGROUND: white; MARGIN: 0cm 0cm 0pt; COLOR: #222222; tab-stops: list 36.0pt; mso-list: l0 level1 lfo1; mso-outline-level: 3\"><SPAN style=\"FONT-SIZE: 10pt; FONT-FAMILY: 'Comic Sans MS'; LETTER-SPACING: 0.5pt\"><A href=\"http:\/\/weblogs.madrimasd.org\/salud_publica\/archive\/2009\/08\/19\/123424.aspx\"><STRONG>Nueva Gripe A H1 N1, Gripe pand\u00e9mica: Como se realiza la vigilancia a trav\u00e9s de la Red de M\u00e9dicos centinela<\/STRONG><\/A><STRONG> <o:p><\/o:p><\/STRONG><\/SPAN><\/LI> <LI class=MsoNormal style=\"BACKGROUND: white; MARGIN: 0cm 0cm 0pt; COLOR: #222222; tab-stops: list 36.0pt; mso-list: l0 level1 lfo1; mso-outline-level: 3\"><SPAN style=\"FONT-SIZE: 10pt; FONT-FAMILY: 'Comic Sans MS'; LETTER-SPACING: 0.5pt\"><A href=\"http:\/\/weblogs.madrimasd.org\/salud_publica\/archive\/2009\/08\/07\/122829.aspx\"><STRONG>Nueva Gripe A H1 N1, Gripe pand\u00e9mica A H1 N1: Diferencias entre la Gripe pand\u00e9mica A H1 N1 y la gripe com\u00fan o estacional<\/STRONG><\/A><STRONG> <o:p><\/o:p><\/STRONG><\/SPAN><\/LI> <LI class=MsoNormal style=\"BACKGROUND: white; MARGIN: 0cm 0cm 0pt; COLOR: #222222; tab-stops: list 36.0pt; mso-list: l0 level1 lfo1; mso-outline-level: 3\"><SPAN style=\"FONT-SIZE: 10pt; FONT-FAMILY: 'Comic Sans MS'; LETTER-SPACING: 0.5pt\"><A href=\"http:\/\/weblogs.madrimasd.org\/salud_publica\/archive\/2009\/07\/26\/122338.aspx\"><STRONG>Gripe pand\u00e9mica A H1, N1 Prevenci\u00f3n de la transmisi\u00f3n y de todas las enfermedades de transmisi\u00f3n respiratoria y fecal oral: Lavado de manos<\/STRONG><\/A><STRONG> <o:p><\/o:p><\/STRONG><\/SPAN><\/LI> <LI class=MsoNormal style=\"BACKGROUND: white; MARGIN: 0cm 0cm 0pt; COLOR: #222222; tab-stops: list 36.0pt; mso-list: l0 level1 lfo1; mso-outline-level: 3\"><SPAN style=\"FONT-SIZE: 10pt; FONT-FAMILY: 'Comic Sans MS'; LETTER-SPACING: 0.5pt\"><A href=\"http:\/\/weblogs.madrimasd.org\/salud_publica\/archive\/2009\/07\/17\/121917.aspx\"><STRONG>Gripe Pand\u00e9mica A H1, N1, 4 fallecidos en Espa\u00f1a. Las fases de la Pandemia en gr\u00e1ficos<\/STRONG><\/A><STRONG> <o:p><\/o:p><\/STRONG><\/SPAN><\/LI> <LI class=MsoNormal style=\"BACKGROUND: white; MARGIN: 0cm 0cm 0pt; COLOR: #222222; tab-stops: list 36.0pt; mso-list: l0 level1 lfo1; mso-outline-level: 3\"><SPAN style=\"FONT-SIZE: 10pt; FONT-FAMILY: 'Comic Sans MS'; LETTER-SPACING: 0.5pt\"><A href=\"http:\/\/weblogs.madrimasd.org\/salud_publica\/archive\/2009\/06\/15\/120212.aspx\"><STRONG>Aportaciones de un epidemi\u00f3logo que est\u00e1 viviendo la epidemia de gripe A H1N1<\/STRONG><\/A><STRONG> <o:p><\/o:p><\/STRONG><\/SPAN><\/LI> <LI class=MsoNormal style=\"BACKGROUND: white; MARGIN: 0cm 0cm 0pt; COLOR: #222222; tab-stops: list 36.0pt; mso-list: l0 level1 lfo1; mso-outline-level: 3\"><SPAN style=\"FONT-SIZE: 10pt; FONT-FAMILY: 'Comic Sans MS'; LETTER-SPACING: 0.5pt\"><A href=\"http:\/\/weblogs.madrimasd.org\/salud_publica\/archive\/2009\/06\/11\/120039.aspx\"><STRONG>La nueva gripe A H1 N1 o swine flu, se constituye como la primera pandemia del siglo XXI: La OMS eleva la alerta de la gripe A al nivel 6.<\/STRONG><\/A><STRONG> <o:p><\/o:p><\/STRONG><\/SPAN><\/LI> <LI class=MsoNormal style=\"BACKGROUND: white; MARGIN: 0cm 0cm 0pt; COLOR: #222222; tab-stops: list 36.0pt; mso-list: l0 level1 lfo1; mso-outline-level: 3\"><SPAN style=\"FONT-SIZE: 10pt; FONT-FAMILY: 'Comic Sans MS'; LETTER-SPACING: 0.5pt\"><A href=\"http:\/\/weblogs.madrimasd.org\/salud_publica\/archive\/2009\/06\/06\/119696.aspx\"><STRONG>Swine flu, Nueva gripe A H1N1. Reflexiones en medio de la pandemia <\/STRONG><\/A><o:p><\/o:p><\/SPAN><\/LI> <LI class=MsoNormal style=\"BACKGROUND: white; MARGIN: 0cm 0cm 0pt; COLOR: #222222; tab-stops: list 36.0pt; mso-list: l0 level1 lfo1; mso-outline-level: 3\"><SPAN style=\"FONT-SIZE: 10pt; FONT-FAMILY: 'Comic Sans MS'; LETTER-SPACING: 0.5pt\"><A href=\"http:\/\/weblogs.madrimasd.org\/salud_publica\/archive\/2009\/05\/24\/118784.aspx\"><STRONG>\u00bfSon inevitables las pandemias de gripe y el capitalismo?: los determinantes sociales de la gripe porcina (swine flu o H1N1)<\/STRONG><\/A><STRONG> <o:p><\/o:p><\/STRONG><\/SPAN><\/LI> <LI class=MsoNormal style=\"BACKGROUND: white; MARGIN: 0cm 0cm 0pt; COLOR: #222222; tab-stops: list 36.0pt; mso-list: l0 level1 lfo1; mso-outline-level: 3\"><SPAN style=\"FONT-SIZE: 10pt; FONT-FAMILY: 'Comic Sans MS'; LETTER-SPACING: 0.5pt\"><A href=\"http:\/\/weblogs.madrimasd.org\/salud_publica\/archive\/2009\/05\/22\/118692.aspx\"><STRONG>Nueva gripe humana (swine flu) Influenza A\/H1,N1: Como evaluar la gravedad de una pandemia de gripe<\/STRONG><\/A><STRONG> <o:p><\/o:p><\/STRONG><\/SPAN><\/LI> <LI class=MsoNormal style=\"BACKGROUND: white; MARGIN: 0cm 0cm 0pt; COLOR: #222222; tab-stops: list 36.0pt; mso-list: l0 level1 lfo1; mso-outline-level: 3\"><SPAN style=\"FONT-SIZE: 10pt; FONT-FAMILY: 'Comic Sans MS'; LETTER-SPACING: 0.5pt\"><A href=\"http:\/\/weblogs.madrimasd.org\/salud_publica\/archive\/2009\/05\/14\/118271.aspx\"><STRONG>Gripe (flu) A\/H1,N1; Nueva gripe humana A\/H1, N1. La OMS investiga si el nuevo virus de la gripe pudo salir de un laboratorio<\/STRONG><\/A><STRONG> <o:p><\/o:p><\/STRONG><\/SPAN><\/LI> <LI class=MsoNormal style=\"BACKGROUND: white; MARGIN: 0cm 0cm 0pt; COLOR: #222222; tab-stops: list 36.0pt; mso-list: l0 level1 lfo1; mso-outline-level: 3\"><SPAN style=\"FONT-SIZE: 10pt; FONT-FAMILY: 'Comic Sans MS'; LETTER-SPACING: 0.5pt\"><A href=\"http:\/\/weblogs.madrimasd.org\/salud_publica\/archive\/2009\/05\/09\/117930.aspx\"><STRONG>Gripe (flu) A (H1N1), Influenza A (H1N1), infecci\u00f3n humana por virus gripal A(H1N1), Nueva gripe: Guerra de nombres. Actualizaci\u00f3n a 8 de mayo de 2009<\/STRONG><\/A><STRONG> <o:p><\/o:p><\/STRONG><\/SPAN><\/LI> <LI class=MsoNormal style=\"BACKGROUND: white; MARGIN: 0cm 0cm 0pt; COLOR: #222222; tab-stops: list 36.0pt; mso-list: l0 level1 lfo1; mso-outline-level: 3\"><SPAN style=\"FONT-SIZE: 10pt; FONT-FAMILY: 'Comic Sans MS'; LETTER-SPACING: 0.5pt\"><A href=\"http:\/\/weblogs.madrimasd.org\/salud_publica\/archive\/2009\/04\/30\/117413.aspx\"><STRONG>Se eleva el nivel de alerta de pandemia de gripe desde la actual fase 4 a la fase 5, situaci\u00f3n en Espa\u00f1a y en la Regi\u00f3n de las Am\u00e9ricas <\/STRONG><\/A><o:p><\/o:p><\/SPAN><\/LI> <LI class=MsoNormal style=\"BACKGROUND: white; MARGIN: 0cm 0cm 0pt; COLOR: #222222; tab-stops: list 36.0pt; mso-list: l0 level1 lfo1; mso-outline-level: 3\"><SPAN style=\"FONT-SIZE: 10pt; FONT-FAMILY: 'Comic Sans MS'; LETTER-SPACING: 0.5pt\"><A href=\"http:\/\/weblogs.madrimasd.org\/salud_publica\/archive\/2009\/04\/29\/117323.aspx\"><STRONG>Swine Influenza (Flu), Influenza porcina, CDC 29 abril, informe de la OMS y situaci\u00f3n en Espa\u00f1a<\/STRONG><\/A><STRONG> <o:p><\/o:p><\/STRONG><\/SPAN><\/LI> <LI class=MsoNormal style=\"BACKGROUND: white; MARGIN: 0cm 0cm 0pt; COLOR: #222222; tab-stops: list 36.0pt; mso-list: l0 level1 lfo1; mso-outline-level: 3\"><SPAN style=\"FONT-SIZE: 10pt; FONT-FAMILY: 'Comic Sans MS'; LETTER-SPACING: 0.5pt\"><A href=\"http:\/\/weblogs.madrimasd.org\/salud_publica\/archive\/2009\/04\/28\/117271.aspx\"><STRONG>La situaci\u00f3n actual en relaci\u00f3n con el brote de peste porcina gripe A (H1N1) est\u00e1 evolucionando r\u00e1pidamente. Actualizaci\u00f3n de la OMS de 27 de abril de 2009 <\/STRONG><\/A><o:p><\/o:p><\/SPAN><\/LI> <LI class=MsoNormal style=\"BACKGROUND: white; MARGIN: 0cm 0cm 0pt; COLOR: #222222; tab-stops: list 36.0pt; mso-list: l0 level1 lfo1; mso-outline-level: 3\"><SPAN style=\"FONT-SIZE: 10pt; FONT-FAMILY: 'Comic Sans MS'; LETTER-SPACING: 0.5pt\"><A href=\"http:\/\/weblogs.madrimasd.org\/salud_publica\/archive\/2009\/04\/28\/117253.aspx\"><STRONG>Que significan las Fases de Alerta Pand\u00e9mica de la OMS<\/STRONG><\/A><STRONG> <o:p><\/o:p><\/STRONG><\/SPAN><\/LI> <LI class=MsoNormal style=\"BACKGROUND: white; MARGIN: 0cm 0cm 0pt; COLOR: #222222; tab-stops: list 36.0pt; mso-list: l0 level1 lfo1; mso-outline-level: 3\"><SPAN style=\"FONT-SIZE: 10pt; FONT-FAMILY: 'Comic Sans MS'; LETTER-SPACING: 0.5pt\"><A href=\"http:\/\/weblogs.madrimasd.org\/salud_publica\/archive\/2009\/04\/26\/117100.aspx\"><STRONG>Enfermedad similar a la gripe, Influenza-like ilnes (ILI), infecci\u00f3n por una mutaci\u00f3n del virus de la gripe porcina en Estados Unidos y M\u00e9xico: Informe de la OMS de 24 de abril<\/STRONG><\/A><STRONG> <o:p><\/o:p><\/STRONG><\/SPAN><\/LI> <LI class=MsoNormal style=\"BACKGROUND: white; MARGIN: 0cm 0cm 0pt; COLOR: #222222; tab-stops: list 36.0pt; mso-list: l0 level1 lfo1; mso-outline-level: 3\"><SPAN style=\"FONT-SIZE: 10pt; FONT-FAMILY: 'Comic Sans MS'; LETTER-SPACING: 0.5pt\"><A href=\"http:\/\/weblogs.madrimasd.org\/salud_publica\/archive\/2009\/04\/25\/117077.aspx\"><STRONG>Medidas Preventivas para el control de la infecci\u00f3n por el virus de la gripe porcina<\/STRONG><\/A><STRONG> <o:p><\/o:p><\/STRONG><\/SPAN><\/LI><\/UL> <P class=MsoNormal style=\"MARGIN: 0cm 0cm 0pt\"><SPAN style=\"FONT-SIZE: 10pt; FONT-FAMILY: 'Comic Sans MS'\"><o:p><FONT color=#000000>&nbsp;<\/FONT><\/o:p><\/SPAN><\/P><o:p><\/o:p><\/SPAN><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Como ya hemos comprobado que esta nueva gripe es leve podemos hacer alguna broma y anunciar a bombo y platillo: Se\u00f1oras y Se\u00f1ores \u201cTenemos el dudoso honor de anunciar la primera pandemia del siglo XXI\u201d. &nbsp; Hace tiempo esper\u00e1bamos que la OMS declarara la fase 6 de pandemia porque se hab\u00edan cumplido las condiciones para hacerlo, es decir, que la propagaci\u00f3n del virus afectara a m\u00e1s de una regi\u00f3n de la OMS y que exista transmisi\u00f3n de persona a persona sin contacto con los focos primarios de la enfermedad ( M\u00e9xico y EEUU) y que aparezcan brotes comunitarios en, al\u2026<\/p>\n","protected":false},"author":74,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0},"categories":[689,667,676,693,697],"tags":[],"blocksy_meta":{"styles_descriptor":{"styles":{"desktop":"","tablet":"","mobile":""},"google_fonts":[],"version":4}},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/posts\/120039"}],"collection":[{"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/users\/74"}],"replies":[{"embeddable":true,"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/comments?post=120039"}],"version-history":[{"count":0,"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/posts\/120039\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/media?parent=120039"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/categories?post=120039"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.madrimasd.org\/blogs\/salud_publica\/wp-json\/wp\/v2\/tags?post=120039"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}