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Paraguay: 2019/2020 Dengue

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  • Paraguay: 2019/2020 Dengue


    Muerte por dengue dispara alarmas en Paraguay
    Asunción, 9 mar (Prensa Latina) La primera muerte por dengue este año disparó hoy las alarmas del Ministerio de Salud Pública y Bienestar Social paraguayo en su lucha contra la enfermedad y en la educación de la población.

    Google translation:

    Death by dengue triggers alarms in Paraguay
    Asunción, March 9 (Prensa Latina) The first dengue death this year triggered alarms from the Paraguayan Ministry of Public Health and Social Welfare in its fight against the disease and in the education of the population.

    The Directorate of Health Surveillance confirmed the death of a 31-year-old girl from Minga Guazú, Alto Paraná, the day before, as the first fatal victim to be charged for dengue so far in 2019.

    The head of that entity, Dr. Guillermo Sequera, pointed to the conclusion of the investigation that resulted in that first case of death from this ailment in the season.

    He stressed that it is now in Minga Guazú where the largest number of cases of the disease is confirmed. Of the 255 confirmed cases of dengue, 183 correspond to that territory.

    He stressed that there are very few cases confirmed of dengue per week compared to previous years, so that more deaths can be avoided.

    He explained that deaths can be prevented if doctors are quickly consulted for fever or other serious symptoms, and that patients stop self-medicating. "Do not minimize what is dengue," he stressed.

    Sequera added that the other active dengue outbreak is in the area of ​​Pedro Juan Caballero, capital of the Amambay department.

    There were confirmed 29 cases of serotype 2 that are historically considered the most serious of the disease, he said.

  • #2

    Un 15% de quienes ya tuvieron dengue podría llegar a un cuadro hemorrágico
    Sábado 23 de marzo de 2019 | 00:00hs.

    Google translation: 15% of those who already had dengue could reach a hemorrhagic condition
    Saturday, March 23, 2019 | 00: 00hs.

    After the confirmation of the circulation of dengue serotype DEN-4 by the sanitary authorities of Encarnación, Paraguay, alarms were lit throughout the area, bearing in mind that Posadas is the mirror city with the Pearl of the South of Paraguay. The situation is even more serious since in late 2015 and early 2016 there was an outbreak of dengue in the country, with Misiones being the epicenter of the cases. The missionary capital and Puerto Iguazú represented the localities with the highest febrile denunciation at that time.
    In this regard, the Chief of Epidemiological Surveillance of the Ministry of Public Health of Misiones, Jorge Gutiérrez, spoke with the program Acá te lo Contamos por Radioactiva and referred to the situation in the neighboring country and how it could affect the red earth. .
    In the first instance, the health official commented that weeks ago there was a first alert when cases of serotype DEN-4 were detected in the neighboring country. He pointed out that in Paraguay cases of serotype 1 and 4 are under evaluation, while in Brazil the four variants are circulating. That is why he insisted that the constant migration that exists in the border context in which Misiones is located does not rule out the entry of other serotypes other than 1, which already circulates in the province, which could complicate the outlook for these sides, considering that a significant number of people contracted the pathology years ago.
    "In that 2015/2016 season that was where we had more cases and all these years there have been others, more cases that were asymptomatic, created a carpet of people already infected. And the question is this: in general we have two moments in any patient. When one becomes infected for the first time, in this case with DEN-1, it has the clinical form of dengue, which can be a common clinical form or dengue shock, which is the strongest dengue that leads to hospitalization. What we were not going to have that time was the hemorrhagic form, because to have that shape we need two infections. A first, for example, a couple of years ago when a patient had an infection with serotype 1 and spend a couple of years and have a new infection now with serotype 4. So, there is currently a group, they are not all , about 10% or 15% that will make the hemorrhagic form, "warned the epidemiologist.
    But he clarified that what happens in the neighboring city is for the moment "a wake-up call" and remarked that it was something that was expected because the DEN-4 is the serotype that was circulating in Paraguay. "It is the step forward of the different steps that the dengue is going to take in the region as in Misiones," he said.
    He also anticipated that sooner or later that serotype will reach the red earth. "Serotype 4 is the next one that will appear. We have had a history of more than five years of serotype DEN-1 and we have a large number of patients who have obviously been having the disease to that serotype and that is going to make a kind of carpet on which in time they will go the patients of another serotype appear. And we knew it was going to be 4 because it is already in the region, "he said and again clarified that in Paraguay are circulating serotypes 1 and 4 of the disease and in Brazil on 1, 2, 3 and 4." So that We will not be exempt from this because we have too much migration of people who come and go to these places, "he said.
    Given that compromised sanitary panorama, the person in charge of the Epidemiological Surveillance in Missions commented that cases of hemorrhagic dengue in the zone will appear. "If we have more cases of serotype DEN-4, we will see that cases of hemorrhagic dengue begin to appear in the region and it is something that will be installed almost unfailingly in time, that is, that's why we have to continue in the fight against the aedes, "he said.
    On the other hand, he regretted that there are people who do not take to the state of affairs with the seriousness that merits and asked the community to keep eliminating potential breeding sites and avoid being bitten by Aedes aegypti using repellents, shirts and long pants. "We all have to take care of ourselves. But how do you take care of yourself if in your neighborhood there are people who do not take care of themselves and who have containers with water and it gives rise to the appearance of eggs and larvae, that's why it's everyone's problem. Apart from the situation of crossing borders, no matter how much one warns the population about the risks, people cross the same. That is why what we have to say is that we are facing this risk and if we do not need to cross, we do 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 type of advice, but it is the most reasonable, "said the health professional.
    Finally, he explained that the peak of occurrence of dengue cases in Misiones occurs historically in mid-February, then enters a plateau until the week following Holy Week, when another peak of infected again. "On that date the crossing to Paraguay is inevitable. Because we are going to cross to see the relatives in front and on the way back the disease is brought, it is something that happened every year and then it starts to descend until it almost disappears in June. Here we have the luck, because that is how dengue behaves and because we work hard, that the cases disappear in June and July. Something that has not happened in Brazil for many decades and in Paraguay for about five years, they still have cases in winter. So we have to keep working to maintain that winter gap that allows us to be epidemic and not endemic. "
    Asked if the disease can be eradicated, he said no. "Dengue came to stay, at this time we have the largest cases in Iguazú, but the entire Paraná coast may have dengue due to its proximity to Paraguay," he said.
    Also consulted by El Territorio, Miguel Ruiz, Chief of Epidemiological Surveillance for the VII Sanitary Region of Paraguay, gave a new health part for the department of Itapúa and said that there are already 19 cases of dengue serotype DEN-4 in the department Paraguayan border with the province of Misiones, a sick more than yesterday. Of that total, 14 are in neighborhoods of Encarnación, 3 in Natalio, 1 in Cambyretá and 1 in Trinidad. In the study there are 125 febrile and 35 probable cases, which were positive in a first analysis.
    Also from the commune obereña issued a "dengue alert" and affirmed the risk for those who have contracted the classic dengue serotype DEN-1. "It is recommended to maximize preventive measures avoiding stings when traveling to neighboring countries such as Paraguay and Brazil," they said.

    A deceased in Paraguay

    On March 8, the general director of Health Surveillance of Paraguay, Guillermo Sequera, confirmed the first case of death by dengue in 2019. The fatal victim, a woman of 31 years, from the department of Alto Paraná (opposite Puerto Libertad, Iguazú and Wanda), entered the system with suspected severe dengue. The result of the Paraguayan Public Health Central Laboratory showed that the serotype was DEN-4. Sequera said that mortality can be prevented through timely consultation, so he asked the public not to minimize the tables and resort to the nearest health facility before any symptoms of fever or discomfort. The person with dengue may present fever, headache, retroocular pain, body aches, skin rashes (rash) and decay. The patient may worsen suddenly and show signs of alarm, including severe abdominal pain, persistent vomiting, even blood, rapid breathing, bleeding gums and fatigue.

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    • #3

      Ascienden a 1.675 los casos de personas infectadas por dengue en Paraguay
      Salud April 6, 2019

      Google translation:

      There are 1,675 cases of people infected with dengue in Paraguay
      Health April 6, 2019

      Asunción, Apr 6 (EFE) .- The Ministry of Public Health and Social Welfare of Paraguay reported Saturday that the number of people infected with the dengue virus rose to 1,675 this week, of which 69.1% are concentrated in the department of Alto Paraná (southeast), border with Brazil.
      According to the health portfolio report, 6,278 "reports of suspected cases of arbovirosis" have been registered in the country, including dengue, zika and chikungunya infections, caused by the Aedes mosquito. aegypti, as well as a death by dengue in Alto Paraná.
      After Alto Paraná, the departments of Amambay (east) and Itapúa (south), are those that concentrate a greater number of infected by dengue at present, with 237 and 119 cases respectively.
      The Ministry keeps in force in both departments the epidemiological alert, declared on March 29.
      In addition, in Guairá there were 45 infections, in Caaguazú 36, in Central 29 and in Caazapá 7 (all of them in the center of the country), while in the capital, Asunción, there are 8 patients.
      Likewise, the report warns that active dengue outbreaks persist in Minga Guazú and Ciudad del Este, (Alto Paraná), as well as in Pedro Juan Caballero (Amambay).
      The ministry reiterated its recommendation to the public to avoid traveling to the most affected areas, for fear that the number of infected may increase during the Easter holidays.
      In addition to dengue, Public Health reported that in the last week there was a new case of chikungunya in the district of Caballero, in the department of Paraguarí, bringing the total of 6 affected in that region and 11 throughout the country, with 4 in the Central department and one in Alto Paraná.
      The Ministry of Public Health recommends regular monitoring of potential mosquito breeding sites, as well as the use of protection elements against stings such as repellents and mosquito nets.


      • #4

        Nueva epidemia de dengue amenaza con ser más agresiva
        10 de agosto de 2019 - 11:40
        El Ministerio de Salud Pública alertó sobre la posibilidad de que una nueva epidemia de dengue sea de proporciones superiores a las registradas en los años anteriores. La institución se aboca a las tareas para mitigar el impacto de la enfermedad.

        Google translation:

        New Dengue epidemic threatens to be more aggressive
        August 10, 2019 - 11:40
        The Ministry of Public Health warned about the possibility that a new dengue epidemic may be higher than those recorded in previous years. The institution focuses on tasks to mitigate the impact of the disease.

        Health authorities are preparing to face an epidemic of arbovirosis that, taking into account the background of recent years, promises to be more aggressive. The increase in the impact of dengue is expected to occur regionally.

        From the Ministry of Public Health, they reported that the situation, according to the epidemiological behavior of the last six years and considering the circulating serotypes, will be of great magnitude and will begin before the end of 2019.

        According to the Pan American Health Organization (PAHO) and the World Health Organization (WHO), in its epidemiological update of dengue, between late 2018 and early 2019 there is a growing trend, both in the number of reported dengue cases , as in the number of cases of severe dengue.

        You may be interested: Dengue cases descend, but respiratory conditions increase

        “Currently, the four dengue serotypes are circulating simultaneously in the Region of the Americas (DENV 1, DENV 2, DENV 3 and DENV 4), which increases the risk of serious cases, with the consequent burden on care for services of health ”, the report refers.

        The latest update, dated June 25 of this year, places Brazil, Nicaragua, Colombia and Honduras as the countries with the highest incidence of reported cases. Statistics positioned the neighboring country as the first on the list, with more than 1,000,000 reports of the disease.

        Given this situation, the health portfolio in Paraguay is focused on strengthening the health system to mitigate the impact that the epidemic can cause.

        To this end, an international PAHO / WHO Arbovirosis advisory team arrived in the country to evaluate the implementation of the Integrated Management Strategy (EGI) and leave recommendations to strengthen this process.

        As part of the preparation, organizations suggested intensifying disease surveillance, including laboratory diagnosis, reviewing emergency plans and ensuring monitoring and systematization of response performance in each outbreak.
        Decrease in cases of arbovirosis

        Notifications for diseases linked to Aedes aegyptiregistrated a decrease in Paraguayan territory, during the low temperatures. Of 1,000 suspicious notifications per week, the figure dropped to 445, according to official data.

        So far in 2019, there were 18,460 notifications of suspicious cases. Dengue leads the arbovirosis table with 8,183 cases. Nine deaths were recorded because of the disease.

        In the case of chikungunya, 50 affected are counted. There is also a suspected case of Zika, always according to the reports of the Ministry of Health.


        • #5

          Paraguay issues health emergency over dengue fever outbreak
          OAN Newsroom
          UPDATED 7:58 AM PT — Friday, January 17, 2020

          Paraguay has called for a health emergency as a dengue fever outbreak spirals out of control. The alert was issued this week after hospitals have seen an overflow of patients in the country’s capital.

          500 health care workers will be sent to help assist with treatments, following the declaration. According to officials, at least 1,700 cases have been reported since October and at least one person has died...


          • #6

            Paraguay reports 35K dengue cases in January
            by News Desk
            February 1, 2020

            In a follow-up on the dengue fever outbreak in Paraguay, the Ministry of Health now reports 35,801 suspect cases through the fourth week of 2020, three times the number of cases reported in all of 2019 (11,811). 927 cases are confirmed.

            All neighborhoods in Asunción register notifications of suspicious cases, to a greater extent in Barrio Obrero, San Vicente, Saxony, Zeballos Cué, Holy Trinity and Republican. More than half of these neighborhoods (54.4%) have dengue. Circulation of DEN-4 is verified in 35 neighborhoods and cocirculation of DEN-2 and DEN-4, in the Botanic and Bella Vista neighborhood...


            • #7

              February 14, 2020 / 11:23 AM / Updated 9 minutes ago
              Deaths from dengue fever in Paraguay spike to 16 under strained health system
              Daniela Desantis
              2 Min Read

              ASUNCION (Reuters) - Paraguay health officials said on Friday that deaths from dengue fever increased to 16 in the South American country’s worst outbreak of the disease in the last decade, severely straining its health system.

              There are also 89 deaths under review to determine if they were caused by dengue. The death toll indicates a sharp increase from the previous week, when the Public Health Ministry registered six deaths from dengue with 50 other deaths under review since the start of the year.

              The outbreak led the Senate to call for a 90-day health emergency, which is expected to be endorsed by the Chamber of Deputies on Monday. The government has said the emergency measure is not necessary and that it has adequate resources to cope.


              • #8

                Paraguay dengue fever death toll rises to 34
                / The Mighty 790 KFGO | KFGO
                Thomson Reuters
                February 28, 2020 09:12 am

                By Daniela Desantis

                ASUNCION (Reuters) - The death toll from a dengue fever outbreak in Paraguay rose to 34, the Public Health Ministry said on Friday, warning that the virus is spreading beyond the capital Asuncion.

                The number of fatalities was up from 20 last week, officials said. Confirmed cases spiked to 137,000 from 100,000 in the South American country of 6.8 million people.

                On Wednesday, a 5-year-old girl with dengue symptoms died in the northern city of Concepcion.

                Her death shocked the country because fatalities from the disease - also known as "breakbone fever" due to its severe muscle aches - are typically elderly people suffering from other ailments and because most of the cases have been concentrated around Asuncion to the south.

                Another 90 deaths were under investigation to determine whether they were due to dengue fever...


                • #9

                  Paraguay: Dengue Outbreak (MDRPY021) DREF Plan of Action
                  Source IFRC
                  Published 2 Mar 2020
                  A. Situation analysis

                  Description of the disaster

                  A significant increase in dengue cases has been reported in Paraguay in recent weeks. According to the Pan American Health Organization's report for Epidemiology Week No. 7 (EW7 until February 15), dengue cases have increased to 106,127 suspected cases, 20,837 new cases (EW7) and 20 people who have died from the disease1. These figures have surpassed the security ranges and epidemiological trends of past years, with the cases drastically increasing in the first seven weeks of 2020...


                  • #10

                    Paraguay: Dengue outbreak, DREF operation n° MDRPY021 Update n° 1

                    Source: IFRC
                    Posted 20 May 2020
                    Originally published 19 May 2020

                    A. Situation analysis

                    Description of the disaster

                    Between January and 2 May 2020, a total of 42,710 cases of dengue were registered in Paraguay. This recent outbreak has led to the death of 64 people across 19 of the country's health regions, mainly in the departments of Asunción and Central departments. A total of 175,082 suspected cases1 were reported - 70.74 per cent in the Metropolitan Area consisting of Central (111,104) and Asunción (12,750). Three serotypes (DEN-1, DEN-2 and DEN-4) are currently in circulation across the country, although the most commonly identified at the country level is the DEN-4 serotype. The number of dengue cases reported dropped in the last week of April (week 18) compared to initial weekly epidemiological statistical numbers for arbovirus. This could be attributed to the current COVID-19 context, considering that government recommendations and prevention measures suggest people refrain from going to health centres or referral hospitals if they present symptoms and instead use the hotline established for reporting these symptoms. As dengue and COVID-19 share certain symptoms from an epidemic health management standpoint, people presenting fevers are considered as possibly suffering from COVID-19 and are not being treated as having dengue. This could lead to the loss of the actual dengue threshold in the general population...