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Date Registered: 11/05/2017 at 13:05:54 Changed on 05/11/2017 at 13:05:30
SURVEILLANCE
Ministry of Health declares end of National Emergency for Zika and microcephaly
The measurement occurs due to the decrease in the number of cases of Zika and microcephaly. Actions to cope with the Aedes Aegypti mosquito and the care of children and mothers will be maintained
The Ministry of Health said on Thursday (11) the end of the National Public Health Emergency (ESPIN) due to the Zika virus and its association with microcephaly and other neurological changes. The decision, informed to the World Health Organization (WHO) through a new risk assessment, occurs 18 months after the emergency decree, at a time of decline in cases of Zika and microcephaly throughout the country.
The set of actions aimed at the elimination of the Aedes aegypti mosquito implanted by the Federal Government contributed - together with the mobilization of the population - to reduce the cases.
Check out the presentation here
During the announcement, the Secretary of Health Surveillance of the Ministry of Health, Ade?lson Cavalcante, stressed that the confrontation with Aedes aegypti will be maintained at all levels of surveillance. "The end of the emergency does not mean the end of surveillance or assistance. The Ministry of Health and other bodies involved in the issue will maintain the policy to combat Zika, dengue and chikungunya, as well as states and municipalities. " The secretary also said that the Ministry team is already working on actions for the next seasonality of diseases, which occurs in the summer, with intensified home visits. "The main axis to avoid the cases of the three diseases is to maintain the combat to the mosquito Aedes aegypti ", clarified the secretary.
As of April 15 of this year, 7,911 Zika cases were registered nationwide, a reduction of 95.3% over 2016, when 170,535 notifications occurred. Microcephaly data have shown a significant reduction in the number of new cases reported each week since May 2016. New monthly cases have remained at 2% since January 2017. At the peak of microcephaly cases in December In 2015, there was a 135% increase in notifications.
In addition, at this moment, Brazil no longer meets the requirements required to maintain the state of emergency. One of the four points of the WHO risk assessment is that the event is considered to be unusual or unexpected, which is no longer the case, as there is sufficient scientific evidence to support Zika's relationship and neurological changes. The Federal Government will continue to address the issue as a priority, encouraging research and maintaining vigilance and assistance to victims.
At the time, the director of the Department of Surveillance of Communicable Diseases of the Ministry of Health, Jo?o Paulo Toledo, explained that Brazil is strengthened after the experiences and knowledge built with the discovery of the relationship between Zika and neurological changes. "Everything that has been done so far will be an inheritance for the improvement of strategies that already existed in the fight against mosquitoes," he said.
During the 18 months of the national public health emergency, there was a strengthening of the national and local response capacity, through collaboration between the three spheres of management of the Unified Health System (SUS). Measures to cope with the Aedes aegypti mosquito have been intensified since the end of 2015 and will be maintained with the identification of the Zika virus and its consequences such as microcephaly and other changes in infants whose mothers are infected with the virus during pregnancy.
The National Coordination and Control Room was created in December 2015 to manage and monitor initiatives to mobilize and combat the vector, as well as the implementation of the actions of the National Plan to Combat Microcephaly. Currently, in addition to the national hall, there are 27 state halls and 2,029 municipal halls.
RISK ASSESSMENT - Risk assessment is part of the International Health Regulations (IHR) as a decision for the evaluation and notification of events that may constitute Public Health Emergencies. The decision can be made based on four aspects: the impact of the event on public health; If the event is unusual or unexpected; Whether there is a significant risk of international spread; And whether there is a significant risk of restrictions on international trade or travel. These issues support and guide decision-making in relation to public health events.
MOBILIZATION - The last epidemiological bulletin, from January 1 to April 15 of this year, indicates a 90.3% reduction in dengue cases; 95.3% of Zika and 68.1% of chikungunya in relation to the same period of 2016. However, the period of highest incidence of the three diseases continues until the end of May. Therefore, all efforts to prevent and combat Aedes aegypti should be maintained.
The reduction in disease cases can be attributed to a number of factors, such as national mobilization against diseases and increased personal protection of the population, the scarcity of rainfall in certain regions of the country, which is detrimental to mosquito Natural protection that people acquire by having any of the diseases in previous years.
The participation of the population in this process is fundamental, since no public power can alone face the elimination of the outbreaks of the transmitting mosquito, Aedes Aegypti . Care should be taken, especially the elimination of places with standing water and mosquito breeding sites.
ZIKA - This year, up to April 15, 7,911 Zika cases were registered throughout the country, representing a reduction of 95.3% over the same period last year (170,535 cases). The incidence went from 82.8 in 2016 to 3.8 this year. The analysis of the likely case rate shows a low incidence in all geographic regions to date. In relation to pregnant women, 1,079 probable cases were registered throughout the country, of which 293 were confirmed.
MICROCEFALIA - The cases of microcephaly have not registered an expressive increase since May 2016. However, it should be clarified that it is not possible to make comparisons of the data, since the criteria and protocols for the definition of cases of microcephaly and other central nervous system changes have passed By various adaptations over the last year, according to the evolution of the studies and discoveries that were made in this period.
In 2017, 230 cases of microcephaly and other nervous system disorders, suggestive of congenital infection, were confirmed. Remaining under investigation by the Ministry of Health and the states 2,837 suspected cases throughout the country. In total, 3,651 cases were reported to the Ministry of Health by the states.
Since the beginning of the investigations in November 2015, 13,490 cases were notified to the Ministry of Health, with 2,653 confirmations. Another 5,712 cases were discarded and 105 were considered probable. Another 1,784 were excluded from the system because they did not comply with the existing case definitions.
By Amanda Mendes, Ag?ncia Sa?de
Press Service
(61) 3315-3580 / 2351/2745
http://portalsaude.saude.gov.br/inde...e-microcefalia
SURVEILLANCE
Ministry of Health declares end of National Emergency for Zika and microcephaly
The measurement occurs due to the decrease in the number of cases of Zika and microcephaly. Actions to cope with the Aedes Aegypti mosquito and the care of children and mothers will be maintained
The Ministry of Health said on Thursday (11) the end of the National Public Health Emergency (ESPIN) due to the Zika virus and its association with microcephaly and other neurological changes. The decision, informed to the World Health Organization (WHO) through a new risk assessment, occurs 18 months after the emergency decree, at a time of decline in cases of Zika and microcephaly throughout the country.
The set of actions aimed at the elimination of the Aedes aegypti mosquito implanted by the Federal Government contributed - together with the mobilization of the population - to reduce the cases.
Check out the presentation here
During the announcement, the Secretary of Health Surveillance of the Ministry of Health, Ade?lson Cavalcante, stressed that the confrontation with Aedes aegypti will be maintained at all levels of surveillance. "The end of the emergency does not mean the end of surveillance or assistance. The Ministry of Health and other bodies involved in the issue will maintain the policy to combat Zika, dengue and chikungunya, as well as states and municipalities. " The secretary also said that the Ministry team is already working on actions for the next seasonality of diseases, which occurs in the summer, with intensified home visits. "The main axis to avoid the cases of the three diseases is to maintain the combat to the mosquito Aedes aegypti ", clarified the secretary.
As of April 15 of this year, 7,911 Zika cases were registered nationwide, a reduction of 95.3% over 2016, when 170,535 notifications occurred. Microcephaly data have shown a significant reduction in the number of new cases reported each week since May 2016. New monthly cases have remained at 2% since January 2017. At the peak of microcephaly cases in December In 2015, there was a 135% increase in notifications.
In addition, at this moment, Brazil no longer meets the requirements required to maintain the state of emergency. One of the four points of the WHO risk assessment is that the event is considered to be unusual or unexpected, which is no longer the case, as there is sufficient scientific evidence to support Zika's relationship and neurological changes. The Federal Government will continue to address the issue as a priority, encouraging research and maintaining vigilance and assistance to victims.
At the time, the director of the Department of Surveillance of Communicable Diseases of the Ministry of Health, Jo?o Paulo Toledo, explained that Brazil is strengthened after the experiences and knowledge built with the discovery of the relationship between Zika and neurological changes. "Everything that has been done so far will be an inheritance for the improvement of strategies that already existed in the fight against mosquitoes," he said.
During the 18 months of the national public health emergency, there was a strengthening of the national and local response capacity, through collaboration between the three spheres of management of the Unified Health System (SUS). Measures to cope with the Aedes aegypti mosquito have been intensified since the end of 2015 and will be maintained with the identification of the Zika virus and its consequences such as microcephaly and other changes in infants whose mothers are infected with the virus during pregnancy.
The National Coordination and Control Room was created in December 2015 to manage and monitor initiatives to mobilize and combat the vector, as well as the implementation of the actions of the National Plan to Combat Microcephaly. Currently, in addition to the national hall, there are 27 state halls and 2,029 municipal halls.
RISK ASSESSMENT - Risk assessment is part of the International Health Regulations (IHR) as a decision for the evaluation and notification of events that may constitute Public Health Emergencies. The decision can be made based on four aspects: the impact of the event on public health; If the event is unusual or unexpected; Whether there is a significant risk of international spread; And whether there is a significant risk of restrictions on international trade or travel. These issues support and guide decision-making in relation to public health events.
MOBILIZATION - The last epidemiological bulletin, from January 1 to April 15 of this year, indicates a 90.3% reduction in dengue cases; 95.3% of Zika and 68.1% of chikungunya in relation to the same period of 2016. However, the period of highest incidence of the three diseases continues until the end of May. Therefore, all efforts to prevent and combat Aedes aegypti should be maintained.
The reduction in disease cases can be attributed to a number of factors, such as national mobilization against diseases and increased personal protection of the population, the scarcity of rainfall in certain regions of the country, which is detrimental to mosquito Natural protection that people acquire by having any of the diseases in previous years.
The participation of the population in this process is fundamental, since no public power can alone face the elimination of the outbreaks of the transmitting mosquito, Aedes Aegypti . Care should be taken, especially the elimination of places with standing water and mosquito breeding sites.
ZIKA - This year, up to April 15, 7,911 Zika cases were registered throughout the country, representing a reduction of 95.3% over the same period last year (170,535 cases). The incidence went from 82.8 in 2016 to 3.8 this year. The analysis of the likely case rate shows a low incidence in all geographic regions to date. In relation to pregnant women, 1,079 probable cases were registered throughout the country, of which 293 were confirmed.
MICROCEFALIA - The cases of microcephaly have not registered an expressive increase since May 2016. However, it should be clarified that it is not possible to make comparisons of the data, since the criteria and protocols for the definition of cases of microcephaly and other central nervous system changes have passed By various adaptations over the last year, according to the evolution of the studies and discoveries that were made in this period.
In 2017, 230 cases of microcephaly and other nervous system disorders, suggestive of congenital infection, were confirmed. Remaining under investigation by the Ministry of Health and the states 2,837 suspected cases throughout the country. In total, 3,651 cases were reported to the Ministry of Health by the states.
Since the beginning of the investigations in November 2015, 13,490 cases were notified to the Ministry of Health, with 2,653 confirmations. Another 5,712 cases were discarded and 105 were considered probable. Another 1,784 were excluded from the system because they did not comply with the existing case definitions.
By Amanda Mendes, Ag?ncia Sa?de
Press Service
(61) 3315-3580 / 2351/2745
http://portalsaude.saude.gov.br/inde...e-microcefalia