MEXICO CITY — Two weeks after the first known swine flu death, Mexico still hasn’t given medicine to the families of the dead. It hasn’t determined where the outbreak began or how it spread. And while the government urges anyone who feels sick to go to hospitals, feverish people complain ambulance workers are scared to pick them up.
A portrait is emerging of a slow and confused response by Mexico to the gathering swine flu epidemic. And that could mean the world is flying blind into a global health storm.
Despite an annual budget of more than $5 billion, Mexico’s health secretary said Monday that his agency hasn’t had the resources to visit the families of the dead. That means doctors haven’t begun treatment for the population most exposed to swine flu, and most apt to spread it.
It also means medical sleuths don’t know how the victims were infected — key to understanding how the epidemic began and how it can be contained.
Slow information
The government acknowledged the outbreak began earlier than April 12, the date it had previously linked to the first case. Health Secretary Jose Angel Cordova confirmed Monday that a 4-year-old boy who was part of an outbreak in eastern Veracruz state that began in February had swine flu. He later recovered.
Residents of the town of Perote said at the time that they had a new, aggressive bug — even taking to the streets to demonstrate against the pig farm they blamed for their illness — but were told they were suffering from a typical flu. It was only after U.S. labs confirmed a swine flu outbreak that Mexican officials sent the boy’s sample in for swine flu testing.
Cordova was defensive at a news conference Monday as he was peppered with questions about why Mexico took so long to identify the outbreak, attempt to contain its spread and provide information.
“We never had this kind of epidemic in the world,” he said. “This is the first time we have this kind of virus.”
Mexico canceled school at all levels nationwide until May 6, and the Mexico City government said it was considering a complete shutdown, including all public transportation, if the death toll keeps rising.
Mexicans angry
But the government has yet to take some basic steps critical to containing any outbreak, such as quick treatment of people who had contact with the victims.
In the town of Xonacatlan, just west of Mexico City, Antonia Cortes Borbolla said nobody has given her medicine in the week since her husband succumbed to raging fever and weakened lungs that a lab has confirmed as swine flu.
No health workers have inspected her home, asked how her husband might have contracted the illness or tested the neighbors’ pigs, she said.
Mexico’s Agriculture Department said Monday that no infected pigs have been found yet anywhere in Mexico.
Some people complained that health workers were turning them away, even as officials urged people to seek treatment quickly if they felt symptoms of flu coming on.
Elias Camacho, a 31-year-old truck driver with fever, cough and body aches, was ordered out of a government ambulance Sunday because paramedics complained he might be contagious, his father-in-law said. When family members took him to a hospital in a taxi, Jorge Martinez Cruz said, a doctor told him he wasn’t sick.
Camacho was finally admitted to the hospital — and placed in an area marked “restricted” — after a doctor at a private clinic notified state health authorities, Martinez said.
In Mexico City, Jose Isaac Cepeda said two hospitals refused to treat his fever, diarrhea and joint pains. The first turned him away because he wasn’t registered in the public health system, he said.
The second, he said, didn’t let him in “because they say they’re too busy.”
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