World Phase

However, in contrast of the common grippe that costuma to present light clinical picture and to evolve for the cure, the Influenza It can cause the atony and provoke the death of patient. 1,6 Writs of prevention Had to the great danger of this pandemic if to spread in Brazil and to vitimar many people, the Health department, aiming at to reduce the contamination for virus H1N1, developed a preventive program and implanted, in the year of 2010, the National Strategy of Vaccination Against the Virus of Influenza Pandmica (H1N1) 2009. This action was successful, therefore it was based on the analysis of some factors, such as the situation epidemiologist in Brazil, the validity of the second wave of the pandemic in the hemisphere north, the gravity of the illness, the risk of adoecer and dying and the availability of the vaccine. On the gravity of this pandemic in domestic territory, the Health department (2010) affirms: According to bulletin n 88 of the World-wide Organization of Sade (OMS), available in the site, up to 19 of February of 2010, more than 212 countries has cases confirmed of influenza (H1N1) 2009, with, at least, 15,921 deaths. (BRAZIL, 2010, P. 3) the pandemic was divided in two phases distinct operational epidemiologists and: the phase of containment and the phase of mitigao. In summarized way, them thus they are characterized: Phase of containment: period where the virus was if spreading in the world and the cases is related to the international trips or contact with sick people who have carried through international trips. In this phase, it had action of monitoring in entry points of the country, that is, in ports, airports and tickets of border. In accordance with the Health department (2010): Epidemiologicamente, this phase understood of the week epidemiologist (IF) 16, period of identification of the first suspected cases, IF the 28, period of the declaration of supported transmission.

Brazilian Institute

The UTIs is units that require equipment of high technology, highly qualified appropriate and personal space physical, studies from there point that the cost of the specialized man power of nursing is one of the main sources of consumption of resources in this environment, the necessity of adjusted sizing of staff who has taken in account the demands of cares of the patients, with sights to the rational use of resources, studies in this direction, aims at to know which is the participation of the aged ones in this context and until point the patients of this group, of gradual etrias bands, consume greater load of work of nursing for its cares (3). In Brazil, the ratio of people with 60 years or more increased of 6,7% in 1990 for 8,1% in 2000; the projections of the Brazilian Institute of Geography and Statistics suggest that this population arrives the 64 million people in 2050, what it would correspond 24.6% of the total of inhabitants. This world-wide trend comes alerting for the necessity to improve the resources in health, mainly in what it refers to the considered measures of high cost, one time that the aged ones are the consuming greaters. With regard to the costs in UTIs, in the United States, of 989 billion dollar expenses in services of health, 14%, that is, 70 billion dollar are expenses with intensive cares. Patients with more than 65 years add 28% of the total of costs in the UTIs, being that 77% of these costs occur in the last year and 40% in the last one life month (4). In this context, the admission of aged patients in UTIs is controversial subject, being the age, in some centers, considered criterion for the refusal of these sick people in the Unit (5-6). In occidental countries, the percentage of individuals above of 65 years represents 18% of the general population, answering for 45,5% of the hospital admissions.