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At the close of yesterday, April 18, 3,337 patients are admitted to hospitals for clinical epidemiological surveillance. Another 8 thousand 134 people are watched in their homes, from the Primary Health Care.

One thousand 770 cases were studied for COVID-19, resulting in 49 positive samples. The country accumulates 26 thousand 982 samples made and thousand 035 positive (3.83%). Therefore, at the close of yesterday, 49 new cases are confirmed, for a cumulative thousand 1,035 in the country.

The 49 new confirmed cases were Cuban. Of these, 41 were confirmed case contacts and 8 did not specify the source of infection.

Of the 49 diagnosed cases, 24 were women for 48.9% and 25 men (51.0%). Of the total number of diagnosed cases (49), the most affected age groups were: those under 40 years of age with 23 cases (46.9%), followed by the group of 40 to 60 years with 19 cases (38.7%). 51.0% (25) of the positive cases were asymptomatic.

Havana: 18 (3 from the municipality of Diez de Octubre; Habana Vieja, San Miguel del Padrón, Habana del Este, Boyeros, Cerro and Guanabacoa with 2 each, and Plaza de la Revolución, Marianao and Regla with 1 each)
Villa Clara: 8 (7 from the Santa Clara municipality and 1 from Corralillo)
Sancti Spíritus: 2 (from the municipalities Sancti Spíritus and Taguasco)
Ciego de Ávila: 4 (2 from the municipality of Venezuela, Baraguá and Ciego de Ávila with 1 each)
Holguín: 12 (the municipalities of Gibara and Holguín with 4 each, and Cueto, Banes, Báguanos and Mayarí with 1 each)
Santiago de Cuba: 3 (2 from the municipality of Santiago de Cuba and 1 from Contramaestre)
Isle of Youth: 2
Details of the 49 confirmed cases:

Havana

8-year-old Cuban citizen, resident in the Guanabacoa municipality, Havana province. Previously confirmed case contact. 9 contacts are kept under surveillance.
15-year-old Cuban citizen, resident in the Plaza de la Revolución municipality, Havana province. Contact of previously confirmed cases. 12 contacts are kept under surveillance.
54-year-old Cuban citizen, resident in the municipality of Diez de Octubre, province of Havana. Previously confirmed case contact. 18 contacts are kept under surveillance.
53-year-old Cuban citizen, resident in the municipality of Diez de Octubre, province of Havana. Previously confirmed case contact. 10 contacts are kept under surveillance.
29-year-old Cuban citizen, resident in the Marianao municipality, Havana province. Previously confirmed case contact. 13 contacts are kept under surveillance.
22-year-old Cuban citizen, resident in the Habana Vieja municipality, Havana province. Previously confirmed case contact. 17 contacts are kept under surveillance.
29-year-old Cuban citizen, resident in the Habana Vieja municipality, Havana province. Previously confirmed case contact. 17 contacts are kept under surveillance.
33-year-old Cuban citizen, resident in the municipality of Habana del Este, province of Havana. Previously confirmed case contact. 14 contacts are kept under surveillance.
58-year-old Cuban citizen, resident in the Boyeros municipality, Havana province. Infection source investigated. 17 contacts are kept under surveillance.
51-year-old Cuban citizen, resident in the Cerro municipality, Havana province. Contact of previously confirmed cases. 12 contacts are kept under surveillance.
42-year-old Cuban citizen, resident in the municipality of Diez de Octubre, province of Havana. The source of infection is investigated. 15 contacts are kept under surveillance.
74-year-old Cuban citizen, resident in the municipality of Habana del Este, province of Havana. Previously confirmed case contact. 8 contacts are kept under surveillance.
43-year-old Cuban citizen, resident in the Guanabacoa municipality, Havana province. Contact of previously confirmed cases. 12 contacts are kept under surveillance.
39-year-old Cuban citizen, resident in the Boyeros municipality, Havana province. Contact of previously confirmed cases. 15 contacts are kept under surveillance.
55-year-old Cuban citizen, resident in the San Miguel del Padrón municipality, Havana province. Infection source investigated. 12 contacts are kept under surveillance.
36-year-old Cuban citizen, resident in the Cerro municipality, Havana province. Maintained contact with foreigners for work reasons. 12 contacts are kept under surveillance.
51-year-old Cuban citizen, resident in the San Miguel del Padrón municipality, Havana province. Previously confirmed case contact. 12 contacts are kept under surveillance.
54-year-old Cuban citizen, resident in the municipality of Regla, province of Havana. Infection source investigated. 15 contacts are kept under surveillance.

Villa Clara

24-year-old Cuban citizen, resident in the Corralillo municipality, Villa Clara province. Previously confirmed case contact. 12 contacts are kept under surveillance.
24-year-old Cuban citizen, resident in the Santa Clara municipality, Villa Clara province. Confirmed case contact associated with the event that occurred in the Nursing Home. 18 contacts are kept under surveillance.
69-year-old Cuban citizen, resident in the Santa Clara municipality, Villa Clara province. Confirmed case contact associated with the event that occurred in the Nursing Home. 33 contacts are kept under surveillance.
66-year-old Cuban citizen, resident in the Santa Clara municipality, Villa Clara province. Confirmed case contact associated with the event that occurred in the Nursing Home. 33 contacts are kept under surveillance.
61-year-old Cuban citizen, resident in the Santa Clara municipality, Villa Clara province. Confirmed case contact associated with the event that occurred in the Nursing Home. 42 contacts are kept under surveillance.
61-year-old Cuban citizen, resident in the Santa Clara municipality, Villa Clara province. Confirmed case contact associated with the event that occurred in the Nursing Home. 12 contacts are kept under surveillance.
57-year-old Cuban citizen, resident in the Santa Clara municipality, Villa Clara province. Confirmed case contact associated with the event that occurred in the Nursing Home. 34 contacts are kept under surveillance.
46-year-old Cuban citizen, resident in the Santa Clara municipality, Villa Clara province. Previously confirmed case contact. 11 contacts are kept under surveillance.
Sancti Spíritus
52-year-old Cuban citizen, resident in the municipality of Sancti Spíritus, province of the same name. Previously confirmed case contact. 17 contacts are kept under surveillance.
54-year-old Cuban citizen, resident in the Taguasco municipality, Sancti Spíritus province. Previously confirmed case contact. 14 contacts are kept under surveillance.

Ciego de Avila

23-year-old Cuban citizen, resident in the municipality of Venezuela, Ciego de Ávila province. Previously confirmed case contact. 16 contacts are kept under surveillance.
9-month-old Cuban citizen, resident in the Venezuela municipality, Ciego de Ávila province. Infection source investigated. 15 contacts are kept under surveillance.
49-year-old Cuban citizen, resident in the Baraguá municipality, Ciego de Ávila province. Contact of previously confirmed cases. 11 contacts are kept under surveillance.
52-year-old Cuban citizen, resident in the Ciego de Ávila municipality, province of the same name. Previously confirmed case contact. 15 contacts are kept under surveillance.
Holguin
17-year-old Cuban citizen, resident in the Cueto municipality, Holguín province. Previously confirmed case contact. 33 contacts are kept under surveillance.
33-year-old Cuban citizen, resident in the Gibara municipality, Holguín province. Contact of previously confirmed cases. 9 contacts are kept under surveillance.
49-year-old Cuban citizen, resident in the Gibara municipality, Holguín province. Contact of previously confirmed cases. 11 contacts are kept under surveillance.
52-year-old Cuban citizen, resident in the Gibara municipality, Holguín province. Contact of previously confirmed cases. 11 contacts are kept under surveillance.
52-year-old Cuban citizen, resident in the Holguín municipality, province of the same name. Previously confirmed case contact. 12 contacts are kept under surveillance.
10-year-old Cuban citizen, resident in the Holguín municipality, province of the same name. Previously confirmed case contact. 13 contacts are kept under surveillance.
47-year-old Cuban citizen, resident in the Holguín municipality, province of the same name. Contact of previously confirmed cases. 13 contacts are kept under surveillance.
74-year-old Cuban citizen, resident in the Gibara municipality, Holguín province. Contact of previously confirmed cases. 4 contacts are kept under surveillance.
11-year-old Cuban citizen, resident in the Banes municipality, Holguín province. Contact of previously confirmed cases. 10 contacts are kept under surveillance.
35-year-old Cuban citizen, resident in the Báguanos municipality, Holguín province. Previously confirmed case contact. 19 contacts are kept under surveillance.
28-year-old Cuban citizen, resident in the Mayarí municipality, Holguín province. Previously confirmed case contact. 13 contacts are kept under surveillance.
28-year-old Cuban citizen, resident in the municipality of Holguín, province of the same name. Previously confirmed case contact. 10 contacts are kept under surveillance.

Santiago de Cuba

77-year-old Cuban citizen, resident in the Contramaestre municipality, Santiago de Cuba province. Infection source investigated. 17 contacts are kept under surveillance.
23-year-old Cuban citizen, resident in the Santiago de Cuba municipality, province of the same name. Previously confirmed case contact. 15 contacts are kept under surveillance.
5-month-old Cuban citizen, resident in the Santiago de Cuba municipality, province of the same name. Infection source investigated. 13 contacts are kept under surveillance.
Isla de la Juventud 9-year-old Cuban citizen, resident in the Isla de la Juventud municipality. Previously confirmed case contact. 24 contacts are kept under surveillance.
29-year-old Cuban citizen, resident in the Isla de la Juventud municipality. Previously confirmed case contact. 13 contacts are kept under surveillance.

Of the 1,035 patients diagnosed with the disease, 728 have stable clinical evolution, 34 deaths are reported (two in the day), two evacuated and 255 discharges (28 more yesterday). Nine critically ill patients and seven critically ill patients are reported.

Critical and serious movement

Two critically ill patients and three seriously ill patients were incorporated.
They go from the report of critics to serious, two patients and the report of serious for "care"
Critically ill patients reported:

41-year-old Cuban citizen, resident in Havana. He has a history of Diabetes Mellitus, Hypertension, Obesity, Cushing's Syndrome. She is admitted to the Luis Díaz Soto Hospital. He presented ischemic arterial lesion of the left lower limb without changes, on mechanical ventilation, with moderate respiratory distress, tendency to arterial hypotension, chest X-ray that maintained radiological worsening. It is still reported in critical condition.
67-year-old Cuban citizen, resident in Centro Habana, Havana. She is admitted to the Salvador Allende Hospital. It is maintained with mechanical ventilation, hemodynamically unstable. Rx thorax bilateral diffuse inflammatory infiltrate, predominantly bibasal. It is still reported in critical condition.
62-year-old Cuban citizen. He has a history of high blood pressure, diabetes mellitus and psoriasis. Enter by desaturation of oxygen, requires mechanical ventilation. Remains afebrile, with light respiratory distress, chest with bilateral interstitial inflammatory lesions, hemodynamically stable. Still reported in critical condition.
84-year-old Cuban citizen, resident in the Plaza de la Revolución municipality. Ventilated with moderate respiratory distress. Rx thorax inflammatory lesions in both lung fields. It is still reported in critical condition.
60-year-old Cuban citizen residing in Marianao, Havana. He has a history of Diabetes Mellitus and Morbid Obesity. He is admitted to the Salvador Allende Hospital with dyspnea, which increases during the early morning, it is necessary to intubate and ventilate, being transferred to Intensive Care. It is mechanically unstable and hemodynamically unstable. It is reported in critical condition.
Cuban citizen of 53 years, admitted to the "Manuel Piti Fajardo" Hospital, in Villa Clara. With a history of Diabetes Mellitus. With mechanical ventilation and light respiratory distress. It is still reported in critical condition.
85-year-old Cuban citizen from Placetas. With a personal pathological history of Hypothyroidism, Diabetes Mellitus, Chronic renal failure and Hypertension. He is conscious, afebrile, required hemodialysis yesterday, improving his disorder of the internal environment and reversing atrial fibrillation, spontaneously ventilating. Rx thorax. Infiltrated to bilateral hilar. It is still reported in critical condition.
73-year-old Cuban citizen, resident in the Santa Clara municipality, Villa Clara province. History of Hypertension, Diabetes Mellitus, Ischemic Heart Disease and Ischemic Stroke, with motor sequelae of Right Hemiplegia. Patient who made a suicide attempt, incomplete hanging, for which he was admitted to the Arnaldo Milián Hospital, where he began with respiratory symptoms, a positive PCR sample was taken and he was transferred to the Manuel Fajardo Hospital. It is found with mechanical ventilation and light respiratory distress. Rx thorax with interstitial opacities. It is reported in critical condition.
49-year-old Cuban citizen, resident in the Santiago de Cuba municipality. With a history of high blood pressure. He presented a feverish peak of 38ºC during the day, he is under mechanical ventilation, Rx. chest with disseminated inflammatory lesions. It is reported in critical condition.
Patients reported in serious condition:

78-year-old Cuban citizen, residing in Eastern Havana, Havana. He is admitted to the "Luis Díaz Soto" Hospital. He has a history of Diabetes Millitus and an operation for Bladder Neoplasia. Hemodynamically stable, ultrasound with recurrent bladder tumor, dilatation of the pyelocaliceal system. Chest x-ray with radiological improvement. It is reported in serious condition.
80-year-old Cuban citizen, resident in the Cotorro municipality, Havana. Background Ischemic Heart Disease and Arterial Hypertension. Rx. chest with inflammatory interstitial lesions of both hemithorax. It is reported in serious condition.

86-year-old Cuban citizen, resident in the Cerro municipality, Havana. Admitted to the Salvador Allende Hospital. He has a history of Bronchial Asthma and Senile Dementia. He is haemodynamically unstable, chest Rx with bilateral interstitial inflammatory lesions. It is reported in serious condition.
Cuban citizen, 84 years old, from the Cárdenas municipality, Matanzas. He has a history of Vascular Dementia and Respiratory Sepsis. It begins with a picture of progressive respiratory failure and is transferred to the Mario Muñoz Hospital. It is found with light polypnea, Rx thorax with inflammatory lesions in both lung bases. It is reported in serious condition.
An 85-year-old Cuban citizen, resides in the Santa Clara municipality, Villa Clara. It comes from the Nursing Home No 3. No comorbidities. Has respiratory worsening. X-ray of the chest with interstitial opacities in the infra clavicular vertex and for the right hilar, as well as in the external region of the left hemithorax. It is reported in serious condition.
Cuban citizen, 81 years old, resides in the special municipality of Isla de la Juventud. History of Ischemic Heart Disease without treatment. It is found with frequent wet cough, hemodynamically stable and Rx. chest with radiological improvement. It is reported in serious condition.
9-month-old Cuban citizen, resident in the municipality of Venezuela, Ciego de Ávila. Infant who is admitted due to a seizure crisis, is placed on treatment and the next day returns to seizure, taking general condition, ventilatory compromise, and is transferred to the Pediatric Intensive Care Unit, so it is ventilated, a CT scan of the skull is performed. simple which reports imaging signs of cerebritis, and is interpreted as a viral Meningoencephalitis. Without having respiratory symptoms on admission but taking into account the behavior of the clinic, it was decided to take a sample for PCR, due to the suspicion of cerebral manifestations due to the virus. Today, April 18, is reported positive to COVID19. At this time, the girl is in a favorable, stable, non-ventilated course. It is reported in serious condition.
Unfortunately two deaths occurred:

81-year-old Cuban citizen, resided in the Cerro municipality, Havana. With a history of Immunodeficiency, chronic obstructive pulmonary disease, Diabetes Mellitus and Chronic Renal Insufficiency. He was on the eleventh day in Intensive Care, unstable with clinical and gasometric worsening, with exacerbated chronic renal failure without response to the therapeutic measures and procedures carried out. He died with a diagnosis of Respiratory Distress, Septic Shock and Viral Bronchopneumonia. We deeply regret what happened and we convey to your family and friends our deepest condolences.

Cuban citizen, 88 years old, lived in the Santa Clara municipality, Villa Clara. With a history of Ischemic Heart Disease, Diabetes Mellitus and Obesity. COVID-19 was diagnosed as a confirmed case, at the point of departure of the investigation carried out in the Santa Clara nursing home No. 3, it was asymptomatic. She remained admitted to the Manuel Fajardo Hospital with a favorable evolution. Hemoglobin, leukogram and Rx studies were performed. all being negative. In the afternoon of April 18, he suddenly started with an attack of polypnea, generalized cyanosis, falling into cardiorespiratory arrest which did not pass after applying resuscitation maneuvers. It is diagnosed as a cause of death: pulmonary thromboembolism. We deeply regret what happened and we convey to your family and friends our deepest condolences.
As of April 18, 182 countries with cases of COVID-19 are reported with 2 million 197 thousand 593 confirmed cases (+ 83 thousand 324) and 153 thousand 090 deaths (+ 7 thousand 946) for a fatality of 6.96% (+ 0.1).

In the Americas region, 826 thousand 282 confirmed cases are reported (+39 thousand 203), 37.59% of the total cases reported in the world, with 42 thousand 751 deaths (+4 thousand 255) and a lethality of 5 , 17% (+0.28). (Taken from salud.msp.gob.cu)