{"page":"\u003clink rel=\"stylesheet\" href=\"https://lessonplanet.com/assets/packs/css/resources-c03aa079.css\" /\u003e\n\u003clink rel=\"stylesheet\" href=\"https://lessonplanet.com/assets/packs/css/lp_boclips_stylesheets-517835be.css\" media=\"all\" /\u003e\n\u003cdiv data-title='First flu death in Mexico shows why virus has been so difficult to contain' data-url='/boclips/videos/5c54bae7d8eafeecae12103e' data-video-url='/boclips/videos/5c54bae7d8eafeecae12103e' id='bo_player_modal'\u003e\n\u003cdiv class='boclips-resource-page modal-dialog panel-container'\u003e\n\u003cdiv class='react-notifications-root'\u003e\u003c/div\u003e\n\u003cdiv class='rp-header'\u003e\n\u003cdiv class='rp-type'\u003e\n\u003ci aria-hidden='true' class='fai fa-regular fa-circle-play'\u003e\u003c/i\u003e\nVideo\n\u003c/div\u003e\n\u003ch1 class='rp-title' id='video-title'\u003e\nFirst flu death in Mexico shows why virus has been so difficult to contain\n\u003c/h1\u003e\n\u003cdiv class='rp-actions'\u003e\n\u003cdiv class='mr-1'\u003e\n\u003ca class=\"btn btn-success\" data-posthog-event=\"Signup: LP Signup Activity\" data-posthog-location=\"body_link_boclips\" data-remote=\"true\" href=\"/subscription/new\"\u003e\u003cspan\u003e\u003cspan\u003eGet Free Access\u003c/span\u003e\u003cspan class=\"\"\u003e for 10 Days\u003c/span\u003e\u003cspan\u003e!\u003c/span\u003e\u003c/span\u003e\u003c/a\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003cdiv class='rp-body'\u003e\n\u003cdiv class='rp-info'\u003e\n\u003cdiv aria-label='Hide resource details' class='rp-hide-info' role='button' tabindex='0'\u003e\u0026times;\u003c/div\u003e\n\u003ci aria-label='Expand resource details' class='rp-expand-info fai fa-solid fa-up-right-and-down-left-from-center' role='button' tabindex='0'\u003e\u003c/i\u003e\n\u003ci aria-label='Compress resource details' class='rp-compress-info fai fa-solid fa-down-left-and-up-right-to-center' role='button' tabindex='0'\u003e\u003c/i\u003e\n\u003cdiv class='rp-rating'\u003e\n\u003cspan class='resource-pool'\u003e\n\u003cspan class='pool-label'\u003ePublisher:\u003c/span\u003e\n\u003cspan class='pool-name'\u003e\n\u003cspan class='text'\u003e\u003ca data-publisher-id=\"30356011\" href=\"/search?publisher_ids%5B%5D=30356011\"\u003eCurated Video\u003c/a\u003e\u003c/span\u003e\n\u003c/span\u003e\n\u003c/span\u003e\n\u003c/div\u003e\n\u003cdiv class='rp-description'\u003e\n\u003cspan class='short-description'\u003e1. Various exterior shots of hospital, where Mexico's first victim of swine flu, Adela Maria Gutierrez, died 2  Doctors in hospital emergency room3. Woman inside emergency room suspected of having swine flu4. Doctor checking another...\u003c/span\u003e\n\u003cspan class='full-description hide'\u003e1. Various exterior shots of hospital, where Mexico's first victim of swine flu, Adela Maria Gutierrez, died \u003cbr/\u003e2  Doctors in hospital emergency room\u003cbr/\u003e3. Woman inside emergency room suspected of having swine flu\u003cbr/\u003e4. Doctor checking another patient under surveillance suspected of having swine flu\u003cbr/\u003e5. Wide shot of two patients in emergency room suspected of having swine flu  \u003cbr/\u003e6. Mid of woman coughing \u003cbr/\u003e7. SOUNDBITE (Spanish) Hermelinda Leon Gomez, Neighbour of Adela Maria Gutierrez:\u003cbr/\u003e\"In fact, eight to fifteen days before she died my entire family was very sick as well.  It was a terrible illness that we went through. In fact, I think it was the same illness.\"\u003cbr/\u003e8. Close up of cross on Gutierrez's grave \u003cbr/\u003e9. Wide shot of cemetery\u003cbr/\u003e10. SOUNDBITE (Spanish) Jesus Manuel Salcedo, Director of hospital where Gutierrez was treated and died:\u003cbr/\u003e\"Her evolution from day 9 to day 10, and the lab tests that were done, showed that it was not a typical case, as with other pneumonias contracted in the area. She presented altered liver enzyme function and low leukocytes, which implies a different type of problem.\"\u003cbr/\u003e11. House where Gutierrez lived\u003cbr/\u003e12. Wide shot of street  \u003cbr/\u003e13. Wide shot of church\u003cbr/\u003e14. Tourist covered with masks\u003cbr/\u003e15. Family sitting in a bench at the Zocalo of Oaxaca\u003cbr/\u003eA door-to-door tax inspector who was hospitalised with acute respiratory problems in the Mexican state of Oaxaca in early April, infected at least 16 hospital workers before she became Mexico's first confirmed death of swine flu.\u003cbr/\u003eNeighbours of the inspector, Maria Adela Gutierrez, said on Wednesday that she fell ill after pairing up with a temporary worker from Veracruz who seemed to have a very bad cold.\u003cbr/\u003eIn her last days, Gutierrez had worked closely with the temporary employee from Veracruz, the state where Mexico's earliest case of swine flu was confirmed: 5-year-old Edgar Hernandez, who survived.\u003cbr/\u003ePig farming is a key industry in the mountain hamlets in Veracruz, where small clinics provide the only local health care.\u003cbr/\u003eAbout 450 people were diagnosed in the Veracruz town of La Gloria with acute respiratory infections, but only 35 were tested for the new virus.\u003cbr/\u003eDoctors in Oaxaca could not figure out what was wrong with 39-year-old Gutierrez, who arrived at their hospital gasping for air, her hands and feet blue from oxygen-starved blood.\u003cbr/\u003eThey administered antibiotics, but she only got worse. They put her on a ventilator. They sent a saliva sample to a local private lab. \u003cbr/\u003eOn April 12, her third day in the intensive care unit, the test results indicated coronavirus - a highly contagious disease associated with severe acute respiratory syndrome, or SARS.\u003cbr/\u003eDr Jesus Salcedo, director of the Dr. Aurelio Valdivieso General Hospital, realised he had a potential crisis on his hands. \u003cbr/\u003e\"Her evolution from day 9 to day 10, and the lab tests that were done, showed that it was not a typical case, as with other pneumonias contracted in the area. She presented altered liver enzyme function and low leukocytes, which implies a different type of problem,\" he said.\u003cbr/\u003eThe ward Gutierrez shared with at least 20 seriously ill patients had to be quarantined.\u003cbr/\u003eHis terrified staff demanded better protective gear or a transfer.\u003cbr/\u003eA day later, Gutierrez died - just before a second round of tests came back negative for coronavirus.\u003cbr/\u003eHospital and health workers then began a desperate hunt to find the source of the mystery disease and who else may have been contaminated. \u003cbr/\u003eIt has since been identified as a mutated swine flu virus.\u003cbr/\u003eGutierrez's case shows why the virus has been so difficult to contain in Mexico.\u003cbr/\u003eThe medical teams did some of the sleuthing that epidemiologists recommend for tracking a killer bug, interviewing 472 people who may have come into contact with Gutierrez, a mother of three who worked with the public in her job with Mexico's tax collection agency.\u003cbr/\u003eThey took more samples from Gutierrez and sent them to Mexico's National Institute of Epidemiological Diagnosis and Reference, which forwarded them to a lab in Canada.\u003cbr/\u003eThey closed the intensive care unit to new patients until the exposed ones were well enough to leave, telling them they should return immediately if they had flu symptoms. None did, Salcedo said.\u003cbr/\u003eA day after Salcedo learned from the Canadian lab that Gutierrez had swine flu, two other patients died of pneumonia in the Oaxaca hospital. \u003cbr/\u003eThey weren't tested for swine flu because they didn't show atypical symptoms, Salcedo said. Gutierrez's family also never showed any symptoms, he said.\u003cbr/\u003eIn the end, only 18 people - all hospital workers - were tested for swine flu after Gutierrez's sample came back positive around April 20, according to the director of Oaxaca's department of epidemiology.\u003cbr/\u003eGutierrez lived in a two-story home where the family runs a convenience store. Her husband, a welder, declined to be interviewed.\u003cbr/\u003eGutierrez was buried the day she died.\u003cbr/\u003eFour houses away, Hermelinda Leon was too frightened to attend the wake. \u003cbr/\u003eShe, her husband and three children had all been ill with similar symptoms starting April 7. \u003cbr/\u003eLeon had a fever of 104 degrees Fahrenheit and spent several days in bed before her doctor gave her antibiotic injections.\u003cbr/\u003eOaxaca now has 11 suspected cases of swine flu - all unrelated to Gutierrez, health officials say. \u003cbr/\u003eThree victims are still hospitalised and eight went home after receiving anti-viral drugs. 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