Announcement

**Shiloh** · March 23, 2019, 11:12 AM

Source: http://www.jujuyalmomento.com/post/9...-en-jujuy.html

Se confirmaron 20 casos de Dengue en Jujuy
La informaci?n fue difundida desde el Ministerio de Salud de la provincia confirmando que a la fecha son 20 las personas con Dengue, de un total de 242 casos sospechosos.
viernes, 22 de marzo de 2019 18:59

Google translation:
We confirmed 20 cases of Dengue in Jujuy
The information was disseminated from the Ministry of Health of the province confirming that to date there are 20 people with Dengue, out of a total of 242 suspected cases.
Friday, March 22, 2019 6:59 PM
We confirmed 20 cases of Dengue in the province
Given the situation, authorities recommended attending the nearest health center in case of high fever and muscle pain.
Do not self-medicate

The registered cases are 10 in Aguas Calientes, 4 in Fraile Pintado, 4 in El Acheral, 1 in Libertador and 1 in Manantiales.
In view of the situation, authorities recommended attending the nearest health center if the following symptoms were present, fever equal to or greater than 38?, investigate suspicious cases by referring to travel history and others, immediate notification of suspicion and filling out a complete epidemiological record. Do not self-medicate

In addition, extreme vector surveillance must be maintained with environmental control measures, discarding and elimination of any container that may contain water.

According to Dr. Ver?nica Serra, Undersecretary of Promotion and Prevention of the Ministry of Health, "all cases have a good evolution, some had complications but improved their condition" .

**Shiloh** · April 2, 2019, 05:16 PM

Source: https://misionesonline.net/2019/04/0...epidemiologia/

?La aparici?n del serotipo 4 del dengue cambia el paisaje epidemiol?gico de la provincia?, advirti? el Director de Epidemiolog?a
Abril 1, 2019 8:41 pm

Google translation:

"The appearance of serotype 4 of dengue changes the epidemiological landscape of the province", warned the Director of Epidemiology
April 1, 2019 8:41 pm
"The appearance of serotype 4 of dengue changes the epidemiological landscape of the province", warned the Director of Epidemiology
RELATED

The Minister of Health recommends not to go to Encarnaci?n for the admission of new dengue serotype to Argentina
From Health recommends not to go to Paraguay for the entry of new dengue serotype to Argentina
The tasks of discarding and awareness continue after the confirmation of 19 cases of dengue serotype 4 in Itap?a

The Director of Epidemiology of the Ministry of Public Health of the province, Jorge Guti?rrez, warned on Monday that there is concern about the appearance in Paraguay of serotype 4 of dengue, for which he recommended not to go to the neighboring country and in case of doing so take all precautions of the case to avoid the bite of the Aedes, warning that if one already had dengue of another serotype contract type 4 can be of the severe or hemorrhagic type.

He explained that Misiones as a border province has a complex scenario, "we share with Brazil that it has, in terms of dengue, the four circulating serotypes and that Paraguay had a few years ago with one like us, but as of last year He introduced type 4 and started to have cases of hemorrhagic dengue, so it was to be expected that at some point he would get us because we have too much circulation with our neighbors. "

In a dialogue with Radio Rep?blica, Guti?rrez commented that "both in the north with Ciudad del Este and here with Itap?a, in recent weeks there has been a notable increase in patients with type 4, before it was the type 1 that was normally had, to the point such that in Itap?a have been mentioned 14 cases from one week to the other and the same is happening in the north and now, in the last weeks we are confirmed, first a case type 4 in Iguaz? and six more cases. In general, it is more towards the north of the province, but we have to announce that type 4 has entered the province, which means that on a base of notified patients we will have the possibility that some patients who already had serotype 1 with a new infection with serotype 4 with the possibility of having a severe dengue form. "

The official explained that dengue has 4 serotypes and stressed that there is seriousness when "a patient, and that can happen every 5 years, that at the time had a serotype, any of them, the one that is what was circulating for decades here and another serotype is incorporated into the circulation of this territory, and in the superposition it has a 15 percent greater chance of doing serious forms. When it is the type that is if one has a previous infection by any of the three types, the person can get to have the dengue shock that is the most serious form, it is possible that it has the hemorrhagic form ".

Before the consultation to cross or not to Paraguay, Guti?rrez said that the advice is that they do not go "within the possible thing, because we have that serotype installed, those 7 patients that I am saying to him, all have verified that they traveled to Paraguay, we have the possibility of extending a couple of years without hemorrhagic forms, we have to statistically reduce which people bring the serotype ".

About the care to have before this situation the official said that they are the same ones that have been spreading, take care of the bite, because it is still the same vector, "we have to avoid the bite of the aedes, work on the vector", and recommended intensify the household preventions of containers with water and descacharrizaci?n ".

He stressed that, "we must continue working on having low larval indexes, the usual recommendations, to emphasize that" the appearance of type 4 changes the epidemiological landscape of the province. "

EP / E.J.

**Shiloh** · April 3, 2019, 03:14 PM

Source: https://misionesonline.net/2019/04/0...rragico-grave/

Misiones: confirman que son siete los casos del serotipo DEN 4, que causa dengue hemorr?gico o grave
Abril 3, 2019 2:50 pm

Google translation:

Missions: confirm that there are seven cases of serotype DEN 4, which causes hemorrhagic or severe dengue
April 3, 2019 2:50 pm

It is the serotype of dengue that can cause severe or hemorrhagic infection, it is a serotype that did not circulate in our province until now, but in neighboring countries. Six of the cases were registered in Puerto Libertad, one in Puerto Iguaz?. All are imported, said the Health Minister of the province, Walter Villalba.

"They are all imported, people who have traveled and have contracted the disease but not necessarily turned into serious cases, all are out of risk," said Walter Villalba before the admission of dengue serotype 4. He explained that historically in our province there was circulation of serotypes -DEN- 1 and the population that has been in contact with this group, is immune for life to this type of dengue, but with a greater predisposition to have severe or hemorrhagic disease due to infection with DEN 4. Minister pointed out that this does not mean that if they have it, yes or yes they develop serious or hemorrhagic disease, but it does have more possibilities.

He indicated that several years ago in neighboring countries circulates DEN 2,3 and 4, "which in our country had been avoided thanks to the intense work of municipalities and province," said Villalba. Now this situation could no longer be contained and attributed to the intense border traffic. He specified that seven cases were detected in Misiones.

On what depends that the infection becomes serious

Villalba explained that basically depends on previous infection with another serotype. "That is what makes the risk of hemorrhagic or serious diseases substantially increase, it also depends on the guest, it is not the same for a person over 70 years of age, for a younger and healthier person," he said. He also clarified that DEN 2 is the one that most produces hemorrhagic diseases. To the respect said that this serotype occurred in Corrientes, Salta and some isolated case.

Before the recommendations to avoid traveling to neighboring countries, he said that the priority is prevention and health care. "It is a recommendation, not a prohibition," he said, suggesting once again that travel to Paraguay, where the disease is endemic, should be avoided as much as possible.

On the recommendations of how to prevent, he reminded that they are the same: to keep the yards clean, to avoid containers that accumulate water, clean vacant lots, enumerated and remembered that 80 percent of the hatcheries are in the homes, not in the public sphere.

**Shiloh** · April 12, 2019, 06:27 PM

Source: https://www.airedesantafe.com.ar/not...d-de-santa-fe/

El brote de dengue aument? a 186 casos confirmados en la ciudad de Santa Fe
11 de abril de 2019 | 20:06 hs.

Google translation:

The dengue outbreak increased to 186 confirmed cases in the city of Santa Fe
April 11, 2019 | 8:06 p.m.

The cases began in January in two neighborhoods in the south of the city: Chalet and Centennial. In the province there are 273 people with dengue and another important outbreak in Rosario, with 72 people who tested positive for dengue.

The Ministry of Health of the province reported on the current status of the study of febrile syndromes, including dengue, hantavirus and leptospirosis, with updated data. From the first case of dengue confirmed in the province on January 17, to date 273 were detected, all with good evolution. Of these, 186 belong to the city of Santa Fe. Only one of the cases has a travel history, with the other natives linked to the index case.

Another 72 cases were registered in the city of Rosario, of which two have travel backgrounds. Meanwhile, two cases are observed in Villa Gobernador G?lvez, Rinc?n, Santo Tom? (autochthonous), Helvecia and Las Tocas. In the same way, a case was detected in the following places: Avellaneda, Humberto Primo, Roldan and Romang, all with travel backgrounds.

From the Ministry of Health said that in all populations are still taking blocking and prevention measures to prevent the spread of the disease and avoid reaching the figures of 2009, 2011 and 2016. In the three years there were major outbreaks of dengue, reaching 2000 cases with outbreaks in the northwest of the province, the Rosario node and a smaller number in Santa Fe, Laguna Paiva, Governor of Crespo and Reconquista, among other cities.

On the other hand, the report highlights that there were no cases of hantavirus from the one detected in Esperanza. While the number of affected by leptospirosis went from 15 to 22 in a week.

**Shiloh** · April 18, 2019, 04:06 PM

Source: https://www.elterritorio.com.ar/naci...-a-70-26461-et

Naci?n dispar? una alerta por dengue y en Misiones los casos ya llegan a 70
Jueves 18 de abril de 2019 | 06:00hs.
Esteban Bueseck

Google translation:
Nation fired an alert for dengue and in Misiones cases already reach 70
Thursday, April 18, 2019 | 06:00 hs.
Esteban Bueseck

By Esteban Bueseck interior@elterritorio.com.ar
So far this year, Misiones has registered 70 confirmed cases of dengue, of which 63 are of serotype DEN-1 and 7 cases are imported with DEN-4. In addition, there are 150 cases under study and 300 were discarded, confirmed El Territorio Jorge Guti?rrez, director of Epidemiological Surveillance of the province.
In addition, in that context and in the context of the tourist movement for Holy Week, the Ministry of Health of the Nation yesterday issued an epidemiological alert for "intensification of the surveillance of acute non-specific febrile syndrome and recommendations for the circulation of dengue and other arboviruses in Argentina and bordering countries ".
The circular circulated in all provincial ministries states that "in the presence of outbreaks of different arboviruses in neighboring countries, the circulation of dengue virus in different Argentine provinces and taking into account the expected increase in flows of people who will move from and to those areas on the occasion of the upcoming Holy Week holidays, "the part that urges" the health teams to intensify the epidemiological surveillance of cases, sensitize the clinical suspicion of dengue and other arboviruses, as well as disseminate the recommendations to the population for the prevention and early consultation in case of presenting symptoms ".
The same document explains that Argentina presents circulation of the dengue virus in six provinces (Misiones, Jujuy, Salta, Santa Fe, Formosa and Buenos Aires), predominantly of serotype DEN-1 and identification of serotype DEN-4 in the red earth but in "Low proportion".
"In the countries bordering the NOA and NEA regions there is a circulation of different arboviruses: in the Republic of Paraguay (DEN-1, DEN-2, DEN-4, chikungunya) and in Brazil (DEN-1, DEN-2, yellow fever, chikungunya and zika).
Given this scenario, the situation becomes complex if one takes into account that in the epidemics of 2009 and 2016, a large number of missionaries contracted the serotype DEN-1 of the disease, so that they become ill again with a different serotype, as it is DEN-4, it can lead the person to a serious condition that could lead to hemorrhaging or hypovolemic shock.

Four municipalities
The national health document also reports that there are currently 21 localities with dengue virus transmission in the six provinces mentioned, "in all of them the serotype DEN-1 was identified and in the province of Misiones, cases of DEN-4 were also identified".
The missionary localities where there is transmission of the disease are Posadas, Andresito, Puerto Iguaz? and Puerto Libertad. This information is not less if it is considered that they are urban centers that border the Paraguayan departments of Itap?a and Alto Paran?, where the greatest number of dengue cases have occurred.
On the other hand, the epidemiologist Guti?rrez indicated that the outlook is as expected since last November, when it was estimated that most cases of the disease would occur in mid-February and during Holy Week.
"The cases are not going to be just this week but the following week, when they will begin to appear as many dengue pictures," he said. And analyzed that this will be given by the large flow of travelers to areas of Paraguay where there are strong outbreaks of the disease.
In another order, the official asked people not to go to Paraguay or Brazil if it was not necessary. "But if they have to do it, we ask that they take all the necessary precautionary measures: that they wear repellent, long-sleeved clothing and long pants," he said.
"We are facing this risk and if we do not need to cross, we will not cross. It is a situation similar to what happens with those who are not vaccinated and will go to places in Brazil where there is yellow fever. And it is sometimes unfortunate that one has to give this kind of advice, but it is the most reasonable, "insisted the health professional.
Asked if it will be fumigated at the borders, he maintained that "it does not make sense with the level of migratory flow that there is. What you have to do is fight the hatcheries in the houses. "

They ask to eliminate hatcheries before "an epidemic explodes"
The Minister of Public Health of Paraguay, Julio Mazzoleni, spoke yesterday and indicated that you should not lower your guard against the circulation of dengue and other arboviruses.
He said that in Paraguay the four dengue serotypes are already circulating and "it is important that we do not lower our guard. That we are attentive to the possibility that this can explode, that's why we insist on prevention. "
In the neighboring country, the departments of Alto Paran? (in front of Wanda, Libertad and Iguaz?) and Amambay are considered critical areas at present,

**Shiloh** · April 28, 2019, 06:12 AM

Source: http://www.primeraedicion.com.ar/not...n-4-a-posadas/

Admiten que es inminente la entrada del serotipo DEN 4 a Posadas
Se confirmaron casos de DEN 4 en Misiones (7), Jujuy (1) y CABA (2). En Itap?a (Paraguay) hay 33 casos de DEN 4, la mayor?a de ellos en Encarnaci?n. La Naci?n confirm? transmisi?n sostenida del DEN 1 en Iguaz?, Libertad, Andresito y Posadas.
27/04/2019 10:20

Google translation:
They admit that the entry of serotype DEN 4 to Posadas is imminent
Cases of DEN 4 were confirmed in Misiones (7), Jujuy (1) and CABA (2). In Itap?a (Paraguay) there are 33 cases of DEN 4, most of them in Encarnaci?n. The Nation confirmed sustained transmission of DEN 1 in Iguaz?, Libertad, Andresito and Posadas.
04/27/2019 10:20

Until Friday, the cases of dengue in Misiones continued being 75, of which 7 are of serotype DEN 4. But the authorities of Public Health of the province await the results of the 150 cases under study and remain alert to cases that may appear in the two weeks after Easter, which is the period of infection.

In a dialogue with FIRST EDITION, the director of Epidemiology, Jorge Abel Guti?rrez, indicated that "the increase of cases in Itap?a (Paraguay), mostly concentrated in Encarnaci?n, added to the number of people who permanently cross Posadas to that Paraguayan city it allows us to infer that the entry of the first cases of DEN 4 to Posadas is imminent. "

Guti?rrez explained that "Encarnaci?n is increasing the number and proportion of cases of DEN 4 compared to those of DEN 1, at this time, according to the health authorities of the Seventh Health Region, practically for every case of DEN 1. that confirm there is another one of DEN 4 ".

It is worth remembering that, in Misiones, so far there are only seven confirmed cases of DEN 4 (6 from Puerto Libertad and 1 from Iguaz?). In Posadas there are cases in studies but, according to Guti?rrez, "the situation in this city is quite calm, but the truth is that very few days of Holy Week passed and we believe that positive cases will appear in the coming days, this is the second wave we expected and we are attentive. "

They add 33 the DEN 4 in Encarnaci?n

Meanwhile, according to the Chief of Epidemiology of the Seventh Sanitary Region, Miguel Ruiz, Itap?a has 182 probable cases of dengue with rapid test diagnosis and 33 correspond to serotype DEN 4.

"Between suspects and probable we have 215 cases, the majority corresponds to the municipality of Encarnaci?n," said the official of the neighboring country who expressed concern about the large number of people who get sick and do not go to health centers, or go directly to a laboratory, but they never present the file of denunciation of the case so that the State can make the sanitary blockade.

"There are people who complain on the radio or before the authorities of their municipalities but did not go to hospitals. Unfortunately, we are encountering many of these cases, that is why we urge citizens to go to a health center when they are sick. When a person does not feel well, the first thing he has to do is go to a medical assistance service, whether public or private, and from that clinical suspicion or if the laboratory was already done, the clinical record is raised and from there the epidemiological blockade by SENEPA, which includes fumigation in the neighborhoods of the affected people. Obviously, if a person becomes a laboratory that gives positive and does not deliver the file there is no way we know and we can make the epidemiological block.

Situation in Argentina

In the country, according to the last Integrated Bulletin of the Nation, there were 904 positive cases of dengue (confirmed and probable) until April 20 without travel registration.

The viral circulation of DEN 1 occurs in Buenos Aires, Formosa, Jujuy, Misiones, Salta and Santa Fe.

Meanwhile, there are areas with sustained transmission of DEN 1 in four provinces, Jujuy (Aguas Calientes, El Acheral and Fraile Pintado), Salta (localities of the departments General Jos? de San Mart?n, Or?n and Rivadavia), Santa Fe (city of Santa Fe y Rosario) and Misiones (Puerto Iguaz?, Puerto Libertad, Andresito and Posadas).

In addition, areas of localized transmission of serotype DEN 1 are identified in Buenos Aires (General San Mart?n and Ituzaing? parties) and Formosa (Ingeniero Ju?rez).

According to the last Integrated Surveillance Bulletin, Misiones has 61 confirmed cases and 81 probable cases of dengue without a record of travel history.

Regional situation

So far this year, Brazil registered 320 cases of severe dengue and 122 deaths due to dengue. In that country there are 210,339 confirmed cases in the first four months of the year.

In Paraguay there are more than 2,569 cases of dengue, between positive and probable. Officially, there was only one death for dengue.

**Shiloh** · May 23, 2019, 05:23 PM

Source: https://www.cronica.com.ar/info-gene...0522-0052.html

Alarma en Catamarca por un caso de dengue tipo 4, el m?s grave
Es la primera vez que se registra este serotipo de la enfermedad en la provincia. El afectado es un hombre que hab?a viajado a las Cataratas del Iguaz?, en Misiones.

Google translation:

General Info 05-22-2019 18:40
Alarm in Catamarca for a case of dengue type 4, the most serious
It is the first time that this serotype of the disease is registered in the province. The affected one is a man who had traveled to the Iguazu Falls, in Misiones.

This Wednesday an imported case of dengue type 4 was detected, the most serious of the disease. This was confirmed by the Ministry of Health of Catamarca. In addition, they said that it affected a man who had traveled to the Iguazu Falls, in Misiones.

The authorities also remarked that it was the first case of the dengue serotype reported in the province.

"Yesterday we received a notification of a patient with a possible diagnosis of dengue, which was confirmed yesterday at noon, since then we are working on the blockades and mainly the search for febrile," the undersecretary told the press on Wednesday. of Preventive Medicine and Health Promotion, Gloria Barrionuevo.

The official explained that "this disease commonly has serotype 1, which is type that is in the country from the first of January in week one in several provinces." "The one we have now diagnosed is type 4," he said.

And, he explained that "that's why it's important that we accompany the community because we have not had this serotype in Catamarca since 2009 and all the cases that occurred until March 2016 were serotype 1".

The Ministry added that the patient is "under surveillance" and "gradually recovers," at the same time that he asked the citizens to maintain cleanliness in their homes.

Announcement

Argentina: 2019 Dengue

Argentina: 2019 Dengue

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