COVID-19: Cuba reports 714 medical discharges and 36 new cases

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At the close of yesterday, April 30, 2 thousand 897 patients are admitted to hospitals for clinical epidemiological surveillance. Another 3,892 people are monitored in their homes, from the Primary Health Care.

For COVID-19, 2,062 samples were studied, resulting in 36 positive samples. The country accumulates 49 thousand 409 samples made and thousand 537 positive (3.1%). Therefore, at the close of yesterday, 36 new cases were confirmed, for a cumulative of 1,587 in the country.

The 36 new confirmed cases were Cuban. Of these, 31 (86.1%) were contacts of confirmed cases and 5 (13.8%) did not specify the source of infection.

Of the 36 diagnosed cases, 29 (80.5%) were and 7 (19.4%), women. The most affected age groups were: the group of 40 to 60 years with 16 cases (44.4%), followed by those over 60 with 13 cases (36.1%). 66.6% (24) of the positive cases were asymptomatic.

The residence by provinces and municipalities of the 36 confirmed cases is:

• Havana: 29 cases (14 from the Cotorro municipality; 5 from the Centro Habana municipality; 4 from the San Miguel del Padrón municipality. The Boyeros, Arroyo Naranjo, Habana Vieja, Cerro, Guanabacoa, Habana del Este municipalities, with 1 each)

• Matanzas: 3 cases (Martí, Matanzas and Jovellanos municipalities with 1 each)

• Villa Clara: 1 case (1 from the municipality of Manicaragua)

• Sancti Spíritus: 3 cases (3 from the Cabaiguán municipality)

Details of the 36 confirmed cases:

Havana

• 29-year-old Cuban citizen residing in San Miguel del Padrón, Havana province. Previously confirmed case contact. 10 contacts are kept under surveillance.

• 56-year-old Cuban citizen residing in Boyeros, Havana province. Contact of previously confirmed cases. 11 contacts are kept under surveillance.

• 43-year-old Cuban citizen residing in San Miguel del Padrón, Havana province. Previously confirmed case contact. 12 contacts are kept under surveillance.

• 51-year-old Cuban citizen residing in Arroyo Naranjo, Havana province. Previously confirmed case contact. 14 contacts are kept under surveillance.

• 41-year-old Cuban citizen residing in San Miguel del Padrón, Havana province. The source of infection is investigated. 8 contacts are kept under surveillance.

• 51-year-old Cuban citizen residing in San Miguel del Padrón, Havana province. Previously confirmed case contact. 10 contacts are kept under surveillance.

• 31-year-old Cuban citizen residing in Centro Habana, Havana province. Previously confirmed case contact. 14 contacts are kept under surveillance.

• 63-year-old Cuban citizen residing in Centro Habana, Havana province. Previously confirmed case contact. 15 contacts are kept under surveillance.

• 33-year-old Cuban citizen residing in Centro Habana, Havana province. Previously confirmed case contact. 14 contacts are kept under surveillance.

• 30-year-old Cuban citizen residing in Centro Habana, Havana province. Previously confirmed case contact. 10 contacts are kept under surveillance.

• 72-year-old Cuban citizen residing in Old Havana, Havana province. Contact of previously confirmed cases. 12 contacts are kept under surveillance.

• 42-year-old Cuban citizen residing in Cerro, Havana province. The source of infection is investigated. 14 contacts are kept under surveillance.

• 69-year-old Cuban citizen residing in Cotorro, Havana province. Contact of confirmed cases related to the Provincial Social Protection Center. 277 contacts are kept under surveillance.

• 49-year-old Cuban citizen residing in Cotorro, Havana province. Contact of confirmed cases related to the Provincial Social Protection Center. 277 contacts are kept under surveillance.

• 79-year-old Cuban citizen residing in Cotorro, Havana province. Contact of confirmed cases related to the Provincial Social Protection Center. 277 contacts are kept under surveillance.

• 72-year-old Cuban citizen residing in Cotorro, Havana province. Contact of confirmed cases related to the Provincial Social Protection Center. 277 contacts are kept under surveillance.

• 77-year-old Cuban citizen residing in Cotorro, Havana province. Contact of confirmed cases related to the Provincial Social Protection Center. 277 contacts are kept under surveillance.

• 67-year-old Cuban citizen residing in Cotorro, Havana province. Contact of confirmed cases related to the Provincial Social Protection Center. 277 contacts are kept under surveillance.

• 57-year-old Cuban citizen residing in Cotorro, Havana province. Contact of confirmed cases related to the Provincial Social Protection Center. 277 contacts are kept under surveillance.

• 60-year-old Cuban citizen residing in Cotorro, Havana province. Contact of confirmed cases related to the Provincial Social Protection Center. 277 contacts are kept under surveillance.

• 72-year-old Cuban citizen residing in Cotorro, Havana province. Contact of confirmed cases related to the Provincial Social Protection Center. 65 contacts are kept under surveillance.

• 28-year-old Cuban citizen residing in Centro Habana, Havana province. Contact of confirmed cases. 12 contacts are kept under surveillance.

• 54-year-old Cuban citizen residing in Cotorro, Havana province. Contact of confirmed cases related to the Provincial Social Protection Center. 152 contacts are kept under surveillance.

• 80-year-old Cuban citizen residing in Cotorro, Havana province. Contact of confirmed cases related to the Provincial Social Protection Center. 277 contacts are kept under surveillance.

• 75-year-old Cuban citizen residing in Cotorro, Havana province. Contact of confirmed cases related to the Provincial Social Protection Center. 65 contacts are kept under surveillance.

• 52-year-old Cuban citizen residing in Guanabacoa, Havana province. The source of infection is investigated. 14 contacts are kept under surveillance.

• 59-year-old Cuban citizen residing in Cotorro, Havana province. Contact of confirmed cases related to the Provincial Social Protection Center. 65 contacts are kept under surveillance.

• 43-year-old Cuban citizen residing in Habana del Este, Havana province. The source of infection is investigated. 18 contacts are kept under surveillance.

• 78-year-old Cuban citizen residing in Cotorro, Havana province. Contact of confirmed cases related to the Provincial Social Protection Center. 277 contacts are kept under surveillance.

Killings

• 53-year-old Cuban citizen residing in Martí, Matanzas province. Previously confirmed case contact. 12 contacts are kept under surveillance.

• 75-year-old Cuban citizen residing in Matanzas, province of the same name. The source of infection is investigated. 10 contacts are kept under surveillance.

• 51-year-old Cuban citizen residing in Jovellanos, Matanzas province. Confirmed case contact. 15 contacts are kept under surveillance.

Villa Clara

• 53-year-old Cuban citizen residing in Manicaragua, Villa Clara province. Previously confirmed case contact. 14 contacts are kept under surveillance.

Sancti Spíritus

• 30-year-old Cuban citizen residing in Cabaiguán, Sancti Spíritus province. Contact of previously confirmed cases. 14 contacts are kept under surveillance.

• 64-year-old Cuban citizen residing in Cabaiguán, Sancti Spíritus province. Previously confirmed case contact. 24 contacts are kept under surveillance.

• 31-year-old Cuban citizen residing in Cabaiguán, Sancti Spíritus province. Previously confirmed case contact. 24 contacts are kept under surveillance.

Of the thousand 537 patients diagnosed with the disease, 757 remain active cases, and of these, 747 present stable clinical evolution, 64 deaths are reported (three in the day), two evacuated and 714 discharges (33 more on the day of Yesterday). Six critically ill patients and four critically ill patients are reported.

Critically ill patients reported:

• 59-year-old Cuban citizen, lives in Havana. History of Bronchial Asthma and morbid obesity. He did cardio-respiratory arrest in the morning, resuscitation maneuvers were performed that were effective, and he left with marked hemodynamic instability and blood gas with moderate hypoxemia. Rx. Chest with inflammatory lesions predominantly right. It continues to be reported in critical condition.

• 77-year-old Cuban citizen from the nursing home. History of senile dementia. He received intensive care from the feverish ward with symptoms of respiratory failure and significant dehydration, progressively stabilized hemodynamics, and began with mechanical ventilation. It is afebrile, thick bronchial secretions, without sedation, removable, mechanical ventilation. Moderate respiratory distress Rx. Chest with light veil for right hilar. It is still reported in critical condition.

• 85-year-old Cuban citizen from the Nursing Home, Santa Clara. History of High Blood Pressure, Ischemic Heart Disease, Chronic Kidney Failure and Senile Dementia. He presented a general state, polypnea and perioral cyanosis, presented blood gas with severe hypoxemia and was transferred to intensive care, with mechanical ventilation, and light respiratory distress. Remains afebrile, with mechanical ventilation, light respiratory distress. Rx. radiologically better chest. Hemodynamically stable. Still reported in critical condition.

• 75-year-old Cuban citizen. He resides in Villa Clara. With a history of High Blood Pressure and Diabetes Mellitus. He encounters unstable respiratory dynamics without response with non-invasive ventilation, with mechanical ventilation, afebrile. Hemodynamically stable. Rx. chest with radiological worsening. Inflammatory interstitial lesions in both bases. It is reported in critical condition.

• 69-year-old Cuban citizen, admitted to the Fermín Valdes Domínguez hospital in Holguín. Personal Pathological Background: Diabetes Mellitus and Ischemic Heart Disease. He is afebrile, continues sedated without respiratory secretions, on mechanical ventilation, moderate respiratory distress. Hemodynamically unstable, chest X-ray maintains localized cotton-like opacity in the right cardiac region and a 25% right pneumothorax appears, right pleurotomy is performed. Still reported in critical condition.

• 49-year-old Cuban citizen, resident in the Santiago de Cuba municipality. With a history of high blood pressure. It is hemodynamically stable. Blood gas with metabolic acidosis. Rx. Chest No changes, disseminated inflammatory lesions in both hemithorax, left predominance. Still reported in critical condition.

Patients reported in serious condition:

• 54-year-old Cuban citizen, resides in the Plaza de la Revolución municipality, Havana. History of High Blood Pressure. He entered with a cough, fever, decay, and progressive shortness of breath. He is afebrile, spontaneously ventilating with supplemental oxygen. Hemodynamically stable. Rx. Chest with inflammatory lesions in the lower 2/3 of the left hemithorax and middle lobe of the right lung. It is reported in serious condition.

• 23-year-old Cuban citizen, lives in Havana. He has a history of high blood pressure. He was admitted to Intensive Care for presenting chest pain and shortness of breath. He is afebrile, spontaneously ventilating with oxygen supply. Hemodynamically stable. It is reported in serious condition.

• 53-year-old Cuban citizen. With a history of Diabetes Mellitus. It is found on the 38th day of evolution and on the 36th day in the Intensive Care, cooperative radiological improvement, without fever, cooperative, ventilated through a Hemodynamically stable tracheostomy, Rx. thorax unchanged. It is reported in serious condition.

• 69-year-old Cuban citizen, from the Guantánamo municipality. With a history of High Blood Pressure, Diabetes Mellitus, Chronic Kidney Failure, Ischemic and Vascular Cerebrovascular Disease. It started with severe shortness of breath, tachycardia, and low blood pressure, is interpreted as fine branch pulmonary thromboembolism, and is transferred to Intensive Care. He is conscious, oriented, afebrile, spontaneously ventilates with oxygen supplementation. Hemodynamically stable. Gasometry with compensated respiratory alkalosis. Rx. normal.normal chest. It is reported in serious condition.

Unfortunately three deaths occurred:

• 86-year-old Cuban citizen. He lived in Habana del Este, Havana. Background Arterial Hypertension, Ischemic Heart Disease and Chronic Brain Disease. He was admitted due to shortness of breath, persistent dry cough, decay, vomiting, diarrhea and fever. Dyspnea was intensified, crackles were heard in both lung fields, high fever, hemodynamic instability due to atrial fibrillation with variable ventricular response and obnubilation, leukocytosis of 18 thousand, predominantly polymorphonuclear. He was intubated and ventilated in a controlled mode, with persistent hemodynamic instability, supported by high-dose amines. He passed away in refractory septic shock. We deeply regret what happened and we convey to your family and friends our deepest condolences.

• 72-year-old Cuban citizen. He lived in Old Havana, Havana. Background: Arterial Hypertension and Diabetes Mellitus. The patient came from the Freyre Andrade hospital, presenting dyspnea, fever and disoriented. He presented progressive clinical deterioration, intubated and ventilated in a controlled mode. In the complementary ones, slight anemia of 9.0 g / l and Leukocytosis of 14 thousand appear, with a predominance of polymorphonuclear cells, in the Rx there are diffuse infiltrate lesions in both lung fields. It continued with progressive worsening, intensification of dyspnea, hemodynamic instability. He did cardio-respiratory arrest, cardiopulmonary resuscitation maneuvers were performed that were not effective. We deeply regret what happened and we convey to your family and friends our deepest condolences.

• 58-year-old Cuban citizen. It came from the Social Protection Center in the Cotorro municipality, Havana. Wandering. With a history of alcoholism. On the 29th, a PCR sample was taken to detect COVID-19 because it belonged to a high-risk center, where it was performed on all users and workers. At noon, he was taken to the medical post for presenting liquid stools, cough, and respiratory distress. He made cardio-respiratory arrest, cardiopulmonary resuscitation maneuvers were performed that were not effective, declaring himself deceased before his transfer. We deeply regret what happened and we convey to your family and friends our deepest condolences. We deeply regret what happened and we convey to your family and friends our deepest condolences.

As of April 30, 183 countries with cases of COVID-19 are reported with 3 million 130 thousand 800 confirmed cases (+ 78 thousand 430) and 227 thousand 051 deaths (+ 10 thousand 488) with a lethality of 7.25% (0 , 16).

In the region of the Americas, one million 293 thousand 607 confirmed cases are reported (+ 41 thousand 006), 41.32% of the total cases reported in the world with 74 thousand 591 deaths (+3 thousand 506) with a lethality of 5.7% (+0.09).

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