Epidemiological Approach to the Hantavirus Outbreak and the Role of the Social Dimension of Health Care

Jorge Elias; Emiliano Biondo; Jorge Diaz

doi:doi:10.11648/j.jher.20210701.21

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Epidemiological Approach to the Hantavirus Outbreak and the Role of the Social Dimension of Health Care

Jorge Elias, Emiliano Biondo, Jorge Diaz

Published in Journal of Health and Environmental Research (Volume 7, Issue 1)

Received: 4 January 2021 Accepted: 20 February 2021 Published: 26 March 2021

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Abstract

In late 2018, in the town of Epuyén, Argentine Patagonia, the outbreak of Andes hantavirus begins. Evidence led to the interhuman transmission hypothesis. The comparative analysis carried out by the National Administration of Laboratories and Health Institutes (ANLIS, Administración Nacional de Laboratorios e Institutos de Salud) Malbrán of Argentina showed that the viral genotype was Andes Sur. The percentage of genetic identity reached 99.9% and confirmed, univocally, that the transmission mechanism was from person to person. This finding indicates a unique and extraordinary event that required a multidimensional approach, incorporating the collective health approach to transform biomedical therapeutics through an intersectoral, interinstitutional and intercultural work based on the dynamics of social determination and its impact on the health/disease/attention/care process. The chain of contagion had 4 clusters with 34 confirmed cases and 11 deaths. Overall mortality was 32.4%, women doubling the number of deaths compared to men. This article presents not only the hard data of the outbreak, but also the observation of the socio-cultural context in which it took place and the value of social determination in the health care process, criteria without which selective respiratory isolation (ARS, aislamiento respiratorio selectivo), the main tool for containing the outbreak, would not have been possible in the multiethnic and multicultural context of the Patagonian region. Incidentally, 8.7% of the population of Chubut province recognizes itself as indigenous and more than half of the 100 communities are distributed in the area where the outbreak occurred. The concept of indigenous health is linked to a holistic view of balance between the individual and the universe, confronting the hegemony of the bio-model. This confrontation challenged the health team to look more deeply into the social collective and to find there the agreements and synergies that allowed the successful continuation of the intervention until the resolution and conclusion of the outbreak.

Published in	Journal of Health and Environmental Research (Volume 7, Issue 1) This article belongs to the Special Issue Health and the Environment as a Resource for the Reduction of Social Inequalities in Argentina
DOI	10.11648/j.jher.20210701.21
Page(s)	69-75
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Epuyén, Andes Sur Virus, Person-to-person Transmission, Social Determination, Interculturality

References

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[8]	INDEC. Censo Nacional de Población, Hogares y Viviendas 2010: Censo del Bicentenario. Pueblos originarios: región Patagonia. Bs. As.: E-Book 2015; [Retrieved August 13, 2019] Available at: http://trabajo.gob.ar/downloads/pueblosindigenas/pueblos_originarios_Patagonia.pdf.
[9]	Narváez H, Nayip F. Interculturalidad en Salud: Competencias en Prácticas de Salud con Población Indígena. Ciencia y enfermería 2012; 18 (3), 17-24. [Retrieved August 19, 2019] Available at: https://dx.doi.org/10.4067/S0717-95532012000300003.
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[15]	Vidal C, Valdivieso F, Cuiza A, Delgado I, Riveiro G, Llop E, et al. Factores de riesgo socio-demográficos del síndrome cardiopulmonar por hantavirus. Revista Chilena de Infectología 2019; 36 (4). [Retrieved December 14, 2020] Available at: http://revinf.cl/.php/revinf/article/view/302/216.
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APA Style

Jorge Elias, Emiliano Biondo, Jorge Diaz. (2021). Epidemiological Approach to the Hantavirus Outbreak and the Role of the Social Dimension of Health Care. Journal of Health and Environmental Research, 7(1), 69-75. https://doi.org/10.11648/j.jher.20210701.21

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ACS Style

Jorge Elias; Emiliano Biondo; Jorge Diaz. Epidemiological Approach to the Hantavirus Outbreak and the Role of the Social Dimension of Health Care. J. Health Environ. Res. 2021, 7(1), 69-75. doi: 10.11648/j.jher.20210701.21

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AMA Style

Jorge Elias, Emiliano Biondo, Jorge Diaz. Epidemiological Approach to the Hantavirus Outbreak and the Role of the Social Dimension of Health Care. J Health Environ Res. 2021;7(1):69-75. doi: 10.11648/j.jher.20210701.21

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@article{10.11648/j.jher.20210701.21,
  author = {Jorge Elias and Emiliano Biondo and Jorge Diaz},
  title = {Epidemiological Approach to the Hantavirus Outbreak and the Role of the Social Dimension of Health Care},
  journal = {Journal of Health and Environmental Research},
  volume = {7},
  number = {1},
  pages = {69-75},
  doi = {10.11648/j.jher.20210701.21},
  url = {https://doi.org/10.11648/j.jher.20210701.21},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jher.20210701.21},
  abstract = {In late 2018, in the town of Epuyén, Argentine Patagonia, the outbreak of Andes hantavirus begins. Evidence led to the interhuman transmission hypothesis. The comparative analysis carried out by the National Administration of Laboratories and Health Institutes (ANLIS, Administración Nacional de Laboratorios e Institutos de Salud) Malbrán of Argentina showed that the viral genotype was Andes Sur. The percentage of genetic identity reached 99.9% and confirmed, univocally, that the transmission mechanism was from person to person. This finding indicates a unique and extraordinary event that required a multidimensional approach, incorporating the collective health approach to transform biomedical therapeutics through an intersectoral, interinstitutional and intercultural work based on the dynamics of social determination and its impact on the health/disease/attention/care process. The chain of contagion had 4 clusters with 34 confirmed cases and 11 deaths. Overall mortality was 32.4%, women doubling the number of deaths compared to men. This article presents not only the hard data of the outbreak, but also the observation of the socio-cultural context in which it took place and the value of social determination in the health care process, criteria without which selective respiratory isolation (ARS, aislamiento respiratorio selectivo), the main tool for containing the outbreak, would not have been possible in the multiethnic and multicultural context of the Patagonian region. Incidentally, 8.7% of the population of Chubut province recognizes itself as indigenous and more than half of the 100 communities are distributed in the area where the outbreak occurred. The concept of indigenous health is linked to a holistic view of balance between the individual and the universe, confronting the hegemony of the bio-model. This confrontation challenged the health team to look more deeply into the social collective and to find there the agreements and synergies that allowed the successful continuation of the intervention until the resolution and conclusion of the outbreak.},
 year = {2021}
}

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TY  - JOUR
T1  - Epidemiological Approach to the Hantavirus Outbreak and the Role of the Social Dimension of Health Care
AU  - Jorge Elias
AU  - Emiliano Biondo
AU  - Jorge Diaz
Y1  - 2021/03/26
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T2  - Journal of Health and Environmental Research
JF  - Journal of Health and Environmental Research
JO  - Journal of Health and Environmental Research
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AB  - In late 2018, in the town of Epuyén, Argentine Patagonia, the outbreak of Andes hantavirus begins. Evidence led to the interhuman transmission hypothesis. The comparative analysis carried out by the National Administration of Laboratories and Health Institutes (ANLIS, Administración Nacional de Laboratorios e Institutos de Salud) Malbrán of Argentina showed that the viral genotype was Andes Sur. The percentage of genetic identity reached 99.9% and confirmed, univocally, that the transmission mechanism was from person to person. This finding indicates a unique and extraordinary event that required a multidimensional approach, incorporating the collective health approach to transform biomedical therapeutics through an intersectoral, interinstitutional and intercultural work based on the dynamics of social determination and its impact on the health/disease/attention/care process. The chain of contagion had 4 clusters with 34 confirmed cases and 11 deaths. Overall mortality was 32.4%, women doubling the number of deaths compared to men. This article presents not only the hard data of the outbreak, but also the observation of the socio-cultural context in which it took place and the value of social determination in the health care process, criteria without which selective respiratory isolation (ARS, aislamiento respiratorio selectivo), the main tool for containing the outbreak, would not have been possible in the multiethnic and multicultural context of the Patagonian region. Incidentally, 8.7% of the population of Chubut province recognizes itself as indigenous and more than half of the 100 communities are distributed in the area where the outbreak occurred. The concept of indigenous health is linked to a holistic view of balance between the individual and the universe, confronting the hegemony of the bio-model. This confrontation challenged the health team to look more deeply into the social collective and to find there the agreements and synergies that allowed the successful continuation of the intervention until the resolution and conclusion of the outbreak.
VL  - 7
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Author Information

Jorge Elias

Esquel Program Area, Ministry of Health, Government of the Province of Chubut, Esquel, Argentina
Emiliano Biondo

Esquel Program Area, Ministry of Health, Government of the Province of Chubut, Esquel, Argentina
Jorge Diaz

Esquel Program Area, Ministry of Health, Government of the Province of Chubut, Esquel, Argentina

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APA Style

Jorge Elias, Emiliano Biondo, Jorge Diaz. (2021). Epidemiological Approach to the Hantavirus Outbreak and the Role of the Social Dimension of Health Care. Journal of Health and Environmental Research, 7(1), 69-75. https://doi.org/10.11648/j.jher.20210701.21

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ACS Style

Jorge Elias; Emiliano Biondo; Jorge Diaz. Epidemiological Approach to the Hantavirus Outbreak and the Role of the Social Dimension of Health Care. J. Health Environ. Res. 2021, 7(1), 69-75. doi: 10.11648/j.jher.20210701.21

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AMA Style

Jorge Elias, Emiliano Biondo, Jorge Diaz. Epidemiological Approach to the Hantavirus Outbreak and the Role of the Social Dimension of Health Care. J Health Environ Res. 2021;7(1):69-75. doi: 10.11648/j.jher.20210701.21

Copy | Download

@article{10.11648/j.jher.20210701.21,
  author = {Jorge Elias and Emiliano Biondo and Jorge Diaz},
  title = {Epidemiological Approach to the Hantavirus Outbreak and the Role of the Social Dimension of Health Care},
  journal = {Journal of Health and Environmental Research},
  volume = {7},
  number = {1},
  pages = {69-75},
  doi = {10.11648/j.jher.20210701.21},
  url = {https://doi.org/10.11648/j.jher.20210701.21},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jher.20210701.21},
  abstract = {In late 2018, in the town of Epuyén, Argentine Patagonia, the outbreak of Andes hantavirus begins. Evidence led to the interhuman transmission hypothesis. The comparative analysis carried out by the National Administration of Laboratories and Health Institutes (ANLIS, Administración Nacional de Laboratorios e Institutos de Salud) Malbrán of Argentina showed that the viral genotype was Andes Sur. The percentage of genetic identity reached 99.9% and confirmed, univocally, that the transmission mechanism was from person to person. This finding indicates a unique and extraordinary event that required a multidimensional approach, incorporating the collective health approach to transform biomedical therapeutics through an intersectoral, interinstitutional and intercultural work based on the dynamics of social determination and its impact on the health/disease/attention/care process. The chain of contagion had 4 clusters with 34 confirmed cases and 11 deaths. Overall mortality was 32.4%, women doubling the number of deaths compared to men. This article presents not only the hard data of the outbreak, but also the observation of the socio-cultural context in which it took place and the value of social determination in the health care process, criteria without which selective respiratory isolation (ARS, aislamiento respiratorio selectivo), the main tool for containing the outbreak, would not have been possible in the multiethnic and multicultural context of the Patagonian region. Incidentally, 8.7% of the population of Chubut province recognizes itself as indigenous and more than half of the 100 communities are distributed in the area where the outbreak occurred. The concept of indigenous health is linked to a holistic view of balance between the individual and the universe, confronting the hegemony of the bio-model. This confrontation challenged the health team to look more deeply into the social collective and to find there the agreements and synergies that allowed the successful continuation of the intervention until the resolution and conclusion of the outbreak.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - Epidemiological Approach to the Hantavirus Outbreak and the Role of the Social Dimension of Health Care
AU  - Jorge Elias
AU  - Emiliano Biondo
AU  - Jorge Diaz
Y1  - 2021/03/26
PY  - 2021
N1  - https://doi.org/10.11648/j.jher.20210701.21
DO  - 10.11648/j.jher.20210701.21
T2  - Journal of Health and Environmental Research
JF  - Journal of Health and Environmental Research
JO  - Journal of Health and Environmental Research
SP  - 69
EP  - 75
PB  - Science Publishing Group
SN  - 2472-3592
UR  - https://doi.org/10.11648/j.jher.20210701.21
AB  - In late 2018, in the town of Epuyén, Argentine Patagonia, the outbreak of Andes hantavirus begins. Evidence led to the interhuman transmission hypothesis. The comparative analysis carried out by the National Administration of Laboratories and Health Institutes (ANLIS, Administración Nacional de Laboratorios e Institutos de Salud) Malbrán of Argentina showed that the viral genotype was Andes Sur. The percentage of genetic identity reached 99.9% and confirmed, univocally, that the transmission mechanism was from person to person. This finding indicates a unique and extraordinary event that required a multidimensional approach, incorporating the collective health approach to transform biomedical therapeutics through an intersectoral, interinstitutional and intercultural work based on the dynamics of social determination and its impact on the health/disease/attention/care process. The chain of contagion had 4 clusters with 34 confirmed cases and 11 deaths. Overall mortality was 32.4%, women doubling the number of deaths compared to men. This article presents not only the hard data of the outbreak, but also the observation of the socio-cultural context in which it took place and the value of social determination in the health care process, criteria without which selective respiratory isolation (ARS, aislamiento respiratorio selectivo), the main tool for containing the outbreak, would not have been possible in the multiethnic and multicultural context of the Patagonian region. Incidentally, 8.7% of the population of Chubut province recognizes itself as indigenous and more than half of the 100 communities are distributed in the area where the outbreak occurred. The concept of indigenous health is linked to a holistic view of balance between the individual and the universe, confronting the hegemony of the bio-model. This confrontation challenged the health team to look more deeply into the social collective and to find there the agreements and synergies that allowed the successful continuation of the intervention until the resolution and conclusion of the outbreak.
VL  - 7
IS  - 1
ER  -

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