QUINTANA ROO

El Centro de Control y Prevención de Enfermedades (CDC por sus siglas en inglés) emitió un aviso sanitario a los viajeros internacionales para que tomen sus precauciones, vacunas y medicinas preventivas contra el brote de Legionella que se descubrió en México, particularmente en la Isla de Cozumel.

ENFERMEDAD DE LEGIONELLA EN COZUMEL, MÉXICO

Un brote de la enfermedad de Legionella fue contenido en el Regency Club Vacation Resort y en el Wyndham Cozumel Resort and Spa (integrantes del Reef Club Cozumel) en la Isla de Cozumel, México.

Desde mayo de 2008, se habían tenido un total de nueve confirmaciones de casos de la enfermedad de Legionella entre turistas provenientes de Estados Unidos y Holanda quienes estuvieron en esos hoteles.

Basado en esos hallazgos se inició una investigación sanitaria pública en abril del año pasado, donde fueron recomendadas las desinfecciones de los sistemas de agua potable del hotel.

Aunque de esas medidas fueron tomadas para la desinfección en cada hotel del sistema de agua potable, en diciembre del año pasado, CDC fue notificado de otros nueve casos asociados con este hotel, sugiriendo que ahora no es una fuente continua de la exposición a la Legionella.

RECOMENDACIONES A LOS TURISTAS ESTADOUNIDENSES

La Legionella es una enfermedad como una neumonía causada por inhalar agua en aerosol contaminada con la bacteria, dicha enfermedad no es transmitida de persona a persona. La bacteria puede ser transmitida en agua como la emitida por las tinas calientes, de refrigeración, aerosoles nebulizadores, duchas, grifos y es una fuente común de Legionella.

Los viajes pueden ser alto riesgo de infección y deben considerar en su estancia en el hotel evitar exponerse al agua rociada que proporciona el Regency Club Vacation Resort y el Wyndham Cozumel Resort and Spa, especialmente durante la ducha.

Los grupos de alto riesgo son: Fumadores crónicos y personas mayores de 50 años, así como personas con las siguientes enfermedades y condiciones crónicas: Diabetes, Enfisema, Cáncer, con trasplante de órganos o con ciertas prescripciones de drogas. Otras condiciones de peligro son los enfermos del hígado, con asma, enfermedades cardiacas y del riñón.

Raramente, personas sin estas situaciones de riesgo se enferman luego de estar expuestos a la bacteria de la Legionella.

Los síntomas empiezan entre dos y 14 días después de haberse expuesto a la bacteria, lo que incluye fiebre alta, tos y respiraciones cortas. Muchas personas padecen diarrea, dolores de cabeza y musculares.

La enfermedad de la Legionella puede causar severas y mortales consecuencias para personas que no recurrieron a los antibióticos apropiados en su tratamiento. Los turistas que desarrollen estos síntomas durante un viaje o en las dos semanas posteriores al viaje deberán ver al doctor.

Los turistas que son atendidos por un médico en los Estados Unidos deben decirle que viajaron y estuvieron en el Regency Club Vacation o en el Whyndam Resort and Spa en Cozumel.

Un ataque leve de esta bacteria se le llama fiebre de Pontiac y usualmente dura de dos a cinco días, quizá incluya fiebre, dolores de cabeza y musculares; como sea, eso no es una neumonía. Los síntomas de la fiebre de Pontiac se quitan sin tratamiento.

La Legionella es una bacteria que obtuvo su nombre en 1976 cuando mucha gente estuvo en Filadelfia para la Convención de los Legionarios de América, quienes sufrieron de neumonía (infección pulmonar). Cada año, entre ocho mil y 18 mil personas son hospitalizadas con Legionella, enfermedad que en Estados Unidos conocen como la de los Legionarios, misma cuya bacteria sobrevive en el rocío o vapor de agua, y entra al organismo por las vías respiratorias cuando el agua está contaminada.

U.S. Consulate Merida, Mexico
Consular Section
Warden Message dated January 12, 2011

Outbreak of Legionnaire’s Disease Regency Club Vacation Resort and Wyndham Cozumel Resort & Spa, Cozumel, Mexico

The Centers for Disease Control today issued a news brief regarding an outbreak of Legionnaire’s Disease at the Regency Club Vacation Resort and Wyndham Cozumel Resort & Spa (formerly Reef Club Cozumel).

This warning pertains specifically to the above mentioned hotels, not to Cozumel as a whole. There is no generally elevated risk of Legionnaire’s Disease in Cozumel, the Yucatan Peninsula, or other parts of Mexico.

Following is the text of the news brief:

SITUATION INFORMATION
An outbreak of Legionnaires’ disease is ongoing at the Regency Club Vacation Resort and Wyndham Cozumel Resort & Spa (formerly Reef Club Cozumel) on the island of Cozumel, Mexico. Since May 2008, there have been a total of nine confirmed cases of Legionnaires’ disease among tourists from the United States and the Netherlands who have stayed at this resort. Based on findings from a public health investigation in April 2010, disinfection of the resort’s shared potable water system was recommended. Although measures were taken at the resort to disinfect the water system, in December 2010, CDC was notified of the ninth case associated with the resort, suggesting that there is an ongoing source of exposure.

RECOMMENDATIONS FOR U.S. TRAVELERS
Legionnaires’ disease is a pneumonia caused by inhaling aerosolized water contaminated with Legionella bacteria. Legionnaires’ disease is not transmitted from person to person. Misty water such as that given off by hot tubs, cooling towers, spray misters, showerheads, and faucets is a common source of Legionella.

Travelers at high risk of infection should consider staying at another resort or should avoid exposures to misty water at the Regency Club Vacation Resort and the Wyndham Cozumel Resort & Spa, especially showering. High risk groups include:

  • Current or former smokers
  • People aged 50 or older
  • People with any of the following chronic health conditions:
  • Diabetes
  • Chronic lung disease, such as COPD or emphysema
  • Weakened immune system that might be caused by cancer, organ transplant, certain prescription drugs
  • Other chronic conditions, such as chronic kidney disease, asthma, heart disease, or liver disease

Rarely, people without any risk factors develop Legionnaires’ disease after exposure to Legionella.

Symptoms begin 2–14 days after exposure and include high fever, cough, and shortness of breath. Many people also have diarrhea, headaches, or muscle aches. Legionnaires’ disease can be a severe and fatal illness but most persons will recover with appropriate antibiotic treatment. Travelers who develop these symptoms during their trip or in the 2 weeks following their trip should see a doctor. Travelers seeing a doctor in the United States should be sure to tell the doctor that they have traveled to Cozumel and stayed at the Regency Club Vacation Resort or Wyndham Cozumel Resort & Spa in Mexico. A milder illness caused by the same type of Legionella bacteria is called Pontiac fever. The symptoms of Pontiac fever usually last for 2–5 days and may also include fever, headaches, and muscle aches; however, there is no pneumonia. Symptoms of Pontiac fever go away without treatment.

MORE INFORMATION
The Legionella bacteria got its name in 1976 when many people who went to a Philadelphia convention of the American Legion suffered from pneumonia (lung infection). Each year, 8,000 to 18,000 people are hospitalized with Legionnaires’ disease in the United States. People get Legionnaires’ disease when they breathe in a mist or vapor (small droplets of water in the air) that has been contaminated with the bacteria.

For more information about Legionella, visit CDC’s Legionellosis Resource Site.
For additional information about travel to Mexico, visit the Mexico Destination Page on CDC’s Travelers’ Health website.”

For the latest security information, Americans traveling abroad should regularly monitor the State Department’s Internet web site at www.travel.state.gov where the current Worldwide Caution Public Announcement, Travel Warnings and Public Announcements can be found. Up to date information on security can also be obtained by calling 1-888-407-4747 toll free in the United States, or, for callers outside the United States and Canada, a regular toll line at 1-202-501-4444. These numbers are available from 8:00 a.m. to 8:00 p.m. Eastern Time, Monday through Friday (except U.S. federal holidays). The State Department’s main line can be reached at 1-202-647-4000. American citizens traveling or residing overseas are encouraged to register with the appropriate U.S. Embassy or Consulate on the State Department’s travel registration website at https://travelregistration.state.gov/ibrs/ui/. By registering, American citizens make it easier for the Embassy or Consulate to contact them in case of emergency.

The U.S. Consulate in Merida, Yucatan, Mexico, has responsibility for the Mexican States of Quintana Roo, Yucatan, and Campeche. The Consulate can be reached during its regular business hours (M-F, 7:30 a.m. to 4:30 p.m.) by telephone at 999-942-5700; by fax at 999-942-5777; and by email at meridacons@state.gov. After hours, for emergencies involving U.S. citizens, call the Consulate’s main number and follow instructions to be connected to the Merida duty officer.

CONTACT INFORMATION

U.S. Consulate Merida
Calle 60 No. 338-K x 29 y 31 Col. Alcala Martin Merida, Yucatan, Mexico 97050
011-52-999-942-5700 (direct dial from the U.S.)
202-250-3711 (Vonage dialing from the U.S.)
01-999-942-5700 (dialing from within Mexico)
942-5700 (dialing from within Merida)
Open Monday – Friday, 7:30 a.m. – 4:30 p.m.

Consular Agency Cancun
U.S. Consular Agency Cancun
Blvd. Kukulcan Km 13 ZH
Torre La Europea, Despacho 301
Cancun, Quintana Roo, Mexico C.P. 77500
011-52-998-883-0272 (direct dial from the U.S.)
202-640-2511 (Vonage dialing from the U.S.)
01-998-883-0272 (dialing from outside Cancun but within Mexico)
883-0272 (dialing from within Cancun)
Open Monday – Friday, 8:00 a.m. – 1:00 p.m.

Consular Agency Cozumel
Plaza Villa Mar en el Centro, Plaza Principal, (Parque Juárez between Melgar and 5th Avenue) 2nd floor, locales #8 and 9, Cozumel, Quintana Roo, Mexico.
011-52-987-872-4574 (direct dial from the U.S.)
202-459-4661 (Vonage dialing from the U.S.)
01-987-872-4574 (dialing from outside Cozumel but within Mexico)
872-4574 (dialing from within Cozumel)
Open Monday – Friday, 12:00 p.m. – 2:00 p.m.

Consular Agency Playa del Carmen
Plaza Villa Mar en el Centro, Plaza Principal, (Parque Juárez between Melgar and 5th Avenue) 2nd floor, locales #8 and 9, Cozumel, Quintana Roo, Mexico).
011-52-984-873-0303 (direct dial from the U.S.)
202-370-6708 (Vonage dialing from the U.S.)
01-984-873-0303 (dialing from outside Playa Del Carmen but within Mexico)
Open Monday – Thursday, 9:30 a.m. – 12:30 p.m.

Local Authorities (Police, Fire, Ambulance)
Dial 066

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