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Brazil - Ebola 2026 - 2 suspected cases test positive for meningitis, malaria, respectively - Ebola ruled out in both cases

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  • Brazil - Ebola 2026 - 2 suspected cases test positive for meningitis, malaria, respectively - Ebola ruled out in both cases

    Brazil -

    Translation Google


    São Paulo investigates suspected Ebola case in 37-year-old man.

    The patient had been in the Democratic Republic of Congo, an outbreak zone.

    Guilherme Jeronymo - Reporter for Agência Brasil
    Published on 05/30/2026 - 1:57 PM
    São Paulo

    A 37-year-old man with symptoms consistent with Ebola is hospitalized at the Emílio Ribas Institute of Infectious Diseases in São Paulo. The results to confirm or rule out the diagnosis are still pending.

    According to information from the São Paulo State Health Department (SES), the case of the patient, a native of the Democratic Republic of Congo, was registered this Saturday. He recently traveled to his country of origin and presented symptoms of the disease, such as a high fever.

    The country is experiencing an outbreak of the disease , classified by the World Health Organization as being of international concern. There is no information about the patient's itinerary or even the date of their trip.

    Given the symptoms consistent with the definition of a suspected case of viral hemorrhagic fever, the measures foreseen in the National Contingency Plan were adopted, including isolation of the patient and initiation of epidemiological and laboratory investigation.

    According to a statement from the Ministry of Health, before being transferred to Emílio Ribas Hospital, the patient was treated at an Emergency Care Unit (UPA), where he presented with a high fever and inconclusive malaria tests. He arrived at the referral unit in serious condition, with diarrhea, disorientation, and rapid clinical deterioration, requiring intubation.

    According to the state secretariat, the analysis of the suspected case is carried out by the Disease Control Coordination (CCD) and the Epidemiological Surveillance Center (CVE-SP).

    Regiane de Paula, the Health Coordinator at the Disease Control Coordination Office of the São Paulo State Health Department, emphasizes that this is a case under investigation.

    "The measures outlined were adopted based on the identification of clinical and epidemiological criteria. The procedure includes isolation, immediate notification, laboratory investigation, and monitoring in accordance with current protocols."

    Protocol

    In the state of São Paulo, suspected cases must be immediately reported to the municipal epidemiological surveillance and the CVE (Center for Epidemiological Surveillance). The Emílio Ribas Institute of Infectology is the state reference unit for the care of suspected or confirmed cases, and the Adolfo Lutz Institute is responsible for laboratory investigation and differential diagnosis.

    In a statement, the secretary also said that she assesses the risk of the disease being introduced into Brazil and South America as very low.

    "Among the factors considered are the historical absence of autochthonous transmission in the South American continent, the lack of direct flights between the affected region and South America, and the way the disease is transmitted, which requires direct contact with blood, secretions, bodily fluids, or tissues of symptomatic infected individuals."

    The disease is only transmitted after the onset of symptoms, which include high fever, severe headache, muscle aches, fatigue, nausea, vomiting, diarrhea, and abdominal pain.

    In severe cases, it can progress to hemorrhagic manifestations, shock, and multiple organ failure. The incubation period ranges from two to 21 days. Transmission occurs through bodily fluids.

    According to the SES (State Health Secretariat), there are no licensed vaccines or specific therapies approved for the Bundibugyo strain, responsible for the current outbreak. The available vaccines and treatments were developed for the Zaire strain and have no proven efficacy against this variant.

    This week, the WHO announced that there are treatments and vaccines being tested against the disease.

    In a statement, the Ministry of Health said that it is continuously monitoring the international epidemiological situation and reinforcing its guidance to health services throughout the country for the early identification and appropriate management of suspected cases.

    Article updated at 4:55 PM.



    ---------------------------------------------------------------------------------------------
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    São Paulo is investigating a suspected case of Ebola and maintaining health surveillance in the state.

    The patient is in isolation at the Emílio Ribas Institute of Infectious Diseases, a state-run referral center for suspected cases.

    Published in 30/05/2026 - 11:38

    The São Paulo State Health Department is investigating a suspected case of Ebola virus disease, registered this Saturday (30), in the city of São Paulo. The analysis is being carried out by the Disease Control Coordination (CCD) and the Epidemiological Surveillance Center (CVE-SP). The patient, a 37-year-old man, from the Democratic Republic of Congo, a country with areas of disease transmission, and who recently traveled to the territory, presented symptoms such as fever, fulfilling the definition of a suspected case.

    He is hospitalized in isolation at the Emílio Ribas Institute of Infectology, a state-run referral unit for the care of suspected or confirmed cases, following the established biosafety protocols. To date, there is no laboratory confirmation of the disease.

    The investigation was initiated preventively after the identification of clinical and epidemiological criteria consistent with a suspected case, in accordance with national and state protocols.

    “This is a suspected case under investigation. The planned measures were adopted based on the identification of clinical and epidemiological criteria. The procedure includes isolation, immediate notification, laboratory investigation, and monitoring according to current protocols,” says Regiane de Paula, Health Coordinator at the Disease Control Coordination Office of the SES-SP (São Paulo State Health Department).

    Last week, the State Disease Control Coordination updated Information Note No. 01/2026, prepared in conjunction with CVE-SP and the Adolfo Lutz Institute (IAL), with guidelines for the health network regarding the outbreak of Ebola virus disease, Bundibugyo strain, currently underway in the Democratic Republic of Congo. The document reinforces surveillance measures, case definition, immediate notification, isolation, initial management, care flows, and laboratory investigation in the state.

    In the state of São Paulo, suspected cases must be immediately reported to the municipal epidemiological surveillance and the CVE (Center for Epidemiological Surveillance). The Emílio Ribas Institute of Infectology is the state reference unit for the care of suspected or confirmed cases, having acted in 2014 during the Public Health Emergency of International Concern. At that time, the institute received and monitored three suspected cases, which were later ruled out. The Adolfo Lutz Institute is responsible for laboratory investigation and differential diagnosis.

    The technical assessment by SES-SP indicates that the risk of the disease being introduced into Brazil and South America remains very low. Among the factors considered are the historical absence of autochthonous transmission in the South American continent, the lack of direct flights between the affected region and South America, and the disease's transmission method, which requires direct contact with blood, secretions, bodily fluids, or tissues of symptomatic infected individuals.

    Even with the low risk, the recommendation is for health services to remain vigilant with people who have a fever and a history of travel, within the last 21 days, to areas with circulation of the virus. Cases of direct contact with bodily fluids of suspected or confirmed cases should also be evaluated.

    Symptoms and care

    Ebola virus disease can begin suddenly, with high fever, intense headache, muscle aches, fatigue, nausea, vomiting, diarrhea, and abdominal pain. In severe cases, it can progress to hemorrhagic manifestations, shock, and multiple organ failure. The incubation period ranges from two to 21 days.

    The São Paulo State Health Department (SES-SP) also emphasizes that Ebola transmission does not occur before the onset of symptoms. The greatest risk is associated with direct contact with bodily fluids of infected individuals, especially in the later stages of the disease. Asymptomatic individuals with exposure considered at risk should be monitored daily for 21 days.

    To date, there are no licensed vaccines or specific therapies approved for the Bundibugyo strain. The vaccines and treatments available were developed for the Zaire strain and have not been proven effective against the variant related to the current outbreak.

    Notification of suspected cases

    Suspected cases should be reported immediately to the Epidemiological Surveillance Center at CIEVS. The complete Information Note is available here .


  • #2
    Translation Google

    The State Health Department confirms meningococcal meningitis in a patient hospitalized with suspected Ebola virus.

    Following protocol, samples continue to be analyzed for Ebola and other viral differential diagnoses; the patient remains in isolation at the Emílio Ribas Institute of Infectious Diseases.

    Emílio Ribas Institute continues investigations into suspected Ebola case. Photo: Pablo Jacob/Government of São Paulo
    SP Agency
    Published in 31/05/2026 - 09:44

    The São Paulo State Health Department reports that the Adolfo Lutz Institute (IAL) confirmed, this Saturday (30), a detectable result for Neisseria meningitidis, the bacterium that causes meningococcal meningitis, in a qPCR reaction test performed on the patient initially classified as a suspected case of Ebola virus disease, in the city of São Paulo. The investigation for Ebola continues, as does the investigation of other differential viral diagnoses, until the conclusion of laboratory and genomic analyses.

    The patient, a 37-year-old man from the Democratic Republic of Congo, a country with areas of Ebola virus transmission, and who had recently traveled to the territory, presented symptoms such as fever, meeting the definition of a suspected case. He is hospitalized in isolation at the Emílio Ribas Institute of Infectology, a state reference unit for the care of suspected or confirmed cases, following the established biosafety protocols.

    The investigation was initiated preventively after the identification of clinical and epidemiological criteria consistent with a suspected case, according to national and state protocols. Even with laboratory confirmation of meningococcal meningitis, the teams are maintaining clinical and epidemiological management of the case until the analyses for Ebola and other viral differentials are completed.

    “There is laboratory confirmation of the bacteria that causes meningococcal meningitis by the Adolfo Lutz Institute, within the differential diagnosis process. Even so, the investigation for Ebola remains ongoing until the specific analyses are completed,” states Regiane de Paula, Health Coordinator at the Disease Control Coordination Office of the São Paulo State Health Department.

    Last week, the State Disease Control Coordination updated Information Note No. 01/2026, prepared in conjunction with CVE-SP and the Adolfo Lutz Institute, with guidelines for the health network regarding the outbreak of Ebola virus disease, Bundibugyo strain, currently underway in the Democratic Republic of Congo. The document reinforces surveillance measures, case definition, immediate notification, isolation, initial management, care flows, and laboratory investigation in the state.

    In the state of São Paulo, suspected cases must be immediately reported to the municipal epidemiological surveillance and the CVE (Center for Epidemiological Surveillance). The Emílio Ribas Institute of Infectology is the state reference unit for the care of suspected or confirmed cases, having acted in 2014 during the Public Health Emergency of International Concern. At that time, the institute received and monitored three suspected cases, which were later ruled out. The Adolfo Lutz Institute is responsible for laboratory investigation and differential diagnosis.

    The technical assessment by SES-SP indicates that the risk of the disease being introduced into Brazil and South America remains very low. Among the factors considered are the historical absence of autochthonous transmission in the South American continent, the lack of direct flights between the affected region and South America, and the disease's transmission method, which requires direct contact with blood, secretions, bodily fluids, or tissues of symptomatic infected individuals.

    Even with the low risk, the recommendation is for health services to remain vigilant with people who have a fever and a history of travel, within the last 21 days, to areas with circulation of the virus. Cases of direct contact with bodily fluids of suspected or confirmed cases should also be evaluated.

    Symptoms and care

    Ebola virus disease can begin suddenly, with high fever, intense headache, muscle aches, fatigue, nausea, vomiting, diarrhea, and abdominal pain. In severe cases, it can progress to hemorrhagic manifestations, shock, and multiple organ failure. The incubation period ranges from two to 21 days.

    The São Paulo State Health Department (SES-SP) also emphasizes that Ebola transmission does not occur before the onset of symptoms. The greatest risk is associated with direct contact with bodily fluids of infected individuals, especially in the later stages of the disease. Asymptomatic individuals with exposure considered at risk should be monitored daily for 21 days.

    To date, there are no licensed vaccines or specific therapies approved for the Bundibugyo strain. The vaccines and treatments available were developed for the Zaire strain and have not been proven effective against the variant related to the current outbreak.

    https://www.agenciasp.sp.gov.br/secretaria-de-estado-da-saude-confirma-meningite-meningococica-em-paciente-internado-com-suspeita-do-virus-ebola/​
    Last edited by Pathfinder; June 1, 2026, 10:08 AM.

    Comment


    • #3
      Brazil probes two suspected Ebola cases as patients test positive for other diseases
      By Reuters
      Updated May 31, 2026 9:34 AM
      RIO DE JANEIRO - A man with a suspected case of Ebola in Brazil's Sao Paulo state tested positive for meningitis, as another suspected case of Ebola emerged in Rio de Janeiro state, local health authorities said on Sunday. In Rio de Janeiro, the patient tested positive for malaria, but in neither case does the diagnosis of other diseases rule out the possibility of Ebola, said authorities, adding that both cases are still under investigation.

      ….In a separate statement, Brazil's Health Ministry added that the man in Sao Paulo has been intubated and his condition is serious.
      ….
      Read more at: https://www.sanluisobispo.com/living...orylink=cpy​
      CSI:WORLD http://swineflumagazine.blogspot.com/

      treyfish2004@yahoo.com

      Comment


      • #4
        Translation Google

        PRESS RELEASE

        Update on the Ebola investigation.


        Published on 05/31/2026 at 3:32 PM

        The Ministry of Health reports that it was notified, this Saturday (May 30), about two suspected cases of Ebola Virus Disease (EVD), currently under investigation in Rio de Janeiro and São Paulo.

        In Rio de Janeiro, the patient is a traveler from Uganda, staying in the Vila Isabel neighborhood, who presented with chills, cough, and diarrhea. The patient is under the care of the Evandro Chagas National Institute of Infectious Diseases (INI/Fiocruz), a reference unit for infectious diseases. During the investigation, laboratory tests confirmed a positive result for malaria. On Sunday (May 31), analyses performed on saliva and urine samples showed a negative result for Ebola. The tests were conducted by the Oswaldo Cruz Institute (IOC/Fiocruz), and the blood sample is still under analysis. The possibility of confirming the disease after initial negative results is considered very low.

        The patient did not travel internally within Uganda nor was he in other countries with reported Ebola outbreaks. He also reported having no known contact with sick individuals. Nevertheless, due to his origin and the symptoms presented, he remains in isolation until the investigation is concluded. He entered Brazil on May 22, 2026, on a flight from Johannesburg arriving in Guarulhos. Subsequently, he traveled to Rio de Janeiro by road. Five other people residing in the same location are being monitored and remain asymptomatic.

        In São Paulo, the case involves a 37-year-old patient hospitalized at the Emílio Ribas Institute of Infectology, a reference center for infectious diseases in the state. During the investigation, laboratory tests confirmed a positive result for meningococcal meningitis. The case is also under investigation for Ebola, according to epidemiological surveillance protocols.


        The patient had recently been in the Democratic Republic of Congo and presented symptoms consistent with the definition of a suspected case of viral hemorrhagic fever. Before being transferred to the Emílio Ribas Institute, he was seen at an Emergency Care Unit (UPA), where he presented with a high fever and inconclusive malaria tests . Upon arrival at the referral unit, he was in serious condition, with diarrhea, disorientation, and rapid clinical deterioration, requiring intubation. To date, it has not been possible to confirm the patient's province of origin in the Democratic Republic of Congo, important information for assessing the epidemiological risk.

        The investigation of both cases is being conducted jointly by the health surveillance teams of the federal, state, and municipal governments.
        There is no laboratory confirmation of Ebola Virus Disease in any of the cases investigated. Tests are still being analyzed, and all measures outlined in national surveillance and response protocols have been adopted.

        It should be clarified that the viruses that cause Ebola are not transmissible during the incubation period, nor are they transmitted through the respiratory route.

        The Ministry of Health emphasizes that the risk of disease transmission in Brazil and South America is considered low. The country has surveillance, assistance, and response protocols in place for the timely identification, investigation, and management of suspected cases.

        Ministry of Health



        Comment


        • #5
          Translation Google

          Test rules out Ebola in patient hospitalized at Emílio Ribas Hospital in São Paulo.

          The case was being investigated because the 37-year-old man had recently been in the Democratic Republic of Congo and presented symptoms consistent with the disease.

          By TV Globo and g1 SP newsroom — São Paulo

          01/06/2026 08:17 Updatedhá 2 horas

          An examination ruled out Ebola in the 37-year-old man hospitalized at Emílio Ribas, in the city of São Paulo . According to the Adolfo Lutz Institute, which reported this Monday morning (1st), no genetic material from the virus was detected in the sample collected from the patient .

          It had already been confirmed that he has meningococcal meningitis, but the case was also being investigated as a suspected case of Ebola because the patient is an immigrant from the Democratic Republic of Congo, had recently been there, and presented symptoms consistent with the disease.

          Representatives from the Ministry of Health, the State Health Secretariat, and the Emílio Ribas Hospital met on Monday morning to decide whether to conduct a confirmatory test, as was done with another patient in Rio de Janeiro. The decision has not yet been released.

          The patient is hospitalized in isolation at the referral unit, following the biosafety protocols established for this type of case.

          According to the Ministry of Health, the suspicion arose from the combination of the patient's recent history of international travel and his clinical presentation. Before being transferred to Emílio Ribas Hospital, he was treated at an Emergency Care Unit (UPA), where he presented with a high fever and inconclusive malaria tests.

          Upon arrival at the institute, he was in serious condition, with diarrhea, disorientation, and a rapidly deteriorating clinical state, and required intubation.

          According to infectious disease specialist Raulcion Teixeira, from Emílio Ribas Hospital, who is following the case, the patient is being treated with antibiotics and hydration. People who had contact with him on the plane and at the emergency care unit are being monitored.

          The technical assessment by the State Health Secretariat indicates that the risk of Ebola being introduced into Brazil and South America remains very low. Among the factors considered are the historical absence of autochthonous (local) transmission in the South American continent, the lack of direct flights between the affected region and South America, and the disease's transmission method, which requires direct contact with blood, secretions, bodily fluids, or tissues of symptomatic infected individuals.

          According to the ministry, the patient was included in the preventive protocol because he presented with a fever and had recently traveled to a country with areas of disease transmission.

          Professor and infectious disease specialist Álvaro Furtado, from the Hospital das Clínicas of USP (University of São Paulo), emphasizes that there is no reason to panic.

          "Brazil and São Paulo have an extremely well-equipped network, both for hospitalization and evaluation, and also for molecular biology, which is the test we will use to obtain a differential diagnosis and reassure the population."


          Disease transmission

          Some of the symptoms of Ebola include high fever, intense headache, muscle aches, fatigue, nausea, vomiting, diarrhea, and abdominal pain, according to the health department. "The greatest risk is associated with direct contact with bodily fluids of infected individuals, especially in the more advanced stages of the disease," says the statement published by the department.

          This is because Ebola is transmitted through direct contact with blood, secretions, bodily fluids, or tissues of symptomatic individuals carrying the disease. The infected person only transmits the virus during the acute phase, when severe symptoms are present.

          Last week, the Disease Control Coordination Office (CCD) updated a note with guidelines for the health network regarding the outbreak of Ebola virus disease, specifically the Bundibugyo strain. The document highlights, among other factors, the importance of isolation in this type of case.

          In São Paulo, suspected cases must be immediately reported to the municipal epidemiological surveillance and the Center for Epidemiological Surveillance (CVE), according to the State Health Department.
          ...

          O caso era investigado porque o homem de 37 anos esteve recentemente na República Democrática do Congo e apresentou sintomas compatíveis com a doença.

          Comment


          • #6
            Translation Google

            Click image for larger version

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            After investigation, the São Paulo state government rules out suspected case of Ebola virus in hospitalized patient.

            The case was dismissed by the State of São Paulo after the Adolfo Lutz Institute concluded its analysis and found no genetic material from the virus in the patient.
            .

            SP Agency
            Published in 01/06/2026 - 12:31

            The São Paulo State Health Department (SES-SP) reports that the case of the 37-year-old patient was ruled out for the Ebola virus this Monday (1st). The conclusion came after epidemiological and laboratory investigation, conducted by the Strategic Information Center for Health Surveillance of São Paulo (CIEVS-SP) and analysis of samples carried out by the Adolfo Lutz Institute (IAL), which did not detect genetic material from the Ebola virus.

            Last Saturday (30), SES-SP released the results of analyses performed on the patient, which detected Neisseria meningitidis, the bacterium that causes meningococcal meningitis, through a quantitative polymerase chain reaction (qPCR) test. The patient, a 37-year-old man, remains hospitalized at the Emílio Ribas Institute of Infectology, in an ICU bed, with a serious health condition. The state unit is a reference for the care of suspected or confirmed cases of the Ebola virus.

            READ ALSO: State Health Department confirms meningococcal meningitis in patient hospitalized with suspected Ebola virus.

            Originating from the Democratic Republic of Congo, a country with areas of Ebola virus transmission, and having recently traveled to the territory, the patient was transferred to the Emílio Ribas Institute of Infectology on Saturday (May 30th), with symptoms such as fever and diarrhea. The CIEVS-SP confirmed that the patient had not traveled to risk areas in the DRC.

            As soon as the CIEVS (Center for Epidemiological Surveillance) received notification of the case, the investigation was initiated preventively, due to the identification of clinical and epidemiological criteria compatible with a suspected case, according to current national and state protocols.

            In the state of São Paulo, suspected cases of Ebola must be immediately reported to the municipal epidemiological surveillance and to the São Paulo State Epidemiological Surveillance Center (CVE-SP).

            The technical assessment by the Disease Control Coordination (CCD-SES-SP) indicates that the risk of the disease being introduced into Brazil and South America remains very low. Among the factors considered are the historical absence of autochthonous transmission in the South American continent, the lack of direct flights between the affected region and South America, and the disease's transmission method, which requires direct contact with blood, secretions, bodily fluids, or tissues of symptomatic infected individuals.

            Even with the low risk, the recommendation is for health services to remain vigilant with people who have a fever and a history of travel, within the last 21 days, to areas with circulation of the virus. Cases of direct contact with bodily fluids of suspected or confirmed cases should also be evaluated.

            Notification of suspected cases

            Last week, the Disease Control Coordination updated Information Note No. 01/2026, prepared in conjunction with the Epidemiological Surveillance Center and the Adolfo Lutz Institute, containing guidelines for the health network regarding the outbreak of Ebola virus disease, Bundibugyo strain, currently underway in the Democratic Republic of Congo. The document reinforces surveillance measures, case definition, immediate notification, isolation, initial management, care flows, and laboratory investigation in the state.

            Suspected cases should be reported immediately to the Epidemiological Surveillance Center, through CIEVS-SP. The complete Information Note is available at: https://portal.saude.sp.gov.br/resou...taebola.pdf​

            Comment


            • #7
              Translation Google

              PRESS RELEASE


              Two suspected cases of Ebola have been ruled out in Brazil.


              Published on 01/06/2026 at 18:15 Updated on 01/06/2026 at 18:25

              The Ministry of Health confirms that the two suspected cases of Ebola Virus Disease (EVD) reported in Brazil, one in Rio de Janeiro and the other in São Paulo, have been ruled out. The investigation followed national protocols for viral hemorrhagic fevers, adopted since May 16 after the declaration of a Public Health Emergency of International Concern (PHEIC) by the World Health Organization (WHO), due to the outbreak registered in the Democratic Republic of Congo. This Monday (June 1st), the ministry published a technical note to reinforce, together with states and municipalities, the actions of surveillance, preparation and response to the disease.

              In Rio de Janeiro, a traveler from Uganda staying in the Vila Isabel neighborhood, who presented with chills, cough and diarrhea, tested negative for Ebola after tests performed on saliva, urine and blood samples by the Oswaldo Cruz Institute (IOC/Fiocruz). The diagnosis was confirmed as malaria. The rapid response of the SUS allowed the immediate start of appropriate treatment for the case. With favorable clinical evolution, the patient was discharged this Monday (1st) and will continue treatment for malaria .

              In São Paulo, the suspicion of Ebola was also ruled out in a 37-year-old patient hospitalized at the Emílio Ribas Institute of Infectology. Tests performed by the Adolfo Lutz Institute (IAL) confirmed the diagnosis of meningococcal disease. Thanks to the immediate action of the health teams, the patient received a diagnosis and quickly began treatment for the disease. He continues to receive all necessary care and is already showing clinical improvement.

              Brazil has protocols in place for the detection, investigation, and response to suspected cases of viral hemorrhagic fever. The guidelines include immediate isolation of the patient upon initial medical attention, notification of suspected cases to the Strategic Information Centers for Health Surveillance (CIEVS) within 24 hours, and active monitoring of contacts for 21 days. Laboratory exclusion requires two negative results when the first sample is collected within three days of the onset of symptoms. In cases of sustained transmission, the plan includes expanding healthcare capacity with the opening of new beds and reinforcing teams and supplies.

              Suspected cases are referred to national reference hospitals, INI/Fiocruz (Rio de Janeiro) and Instituto de Infectologia Emílio Ribas (São Paulo), and laboratory tests are performed exclusively in reference laboratories defined by the Ministry of Health.

              The Ministry of Health emphasizes that the risk of disease transmission in Brazil and South America is considered low. Travelers to affected areas should follow the guidelines of local health authorities, maintain frequent hand hygiene, avoid contact with sick people and wild animals, and seek information from official sources.

              Ministry of Health



              https://www.gov.br/saude/pt-br/canai...ados-no-brasil

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