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Chikungunya : Light resumption of ḻepidemy
One had feared it for two weeks that l?on speaks about compressing. Ḻepidemy indeed began again of ḻamplor. A light increase but c?est the first time that, since more d?un month, the epidemiologic curve changes form. Diwa Effect. Principal victims : inhabitants of l?Ouest. On the whole, 230 000 people were infected and 174 people died.
<!-- [1er avril 2006 - 07h20]-->[ April 1, 2006 ]
<!-- ================ titres des articles liés ================ -->174 died, chut...
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Since the beginning of ḻepidemy, 230 000 people were pricked by the female aedes carrying the CHIK, that is to say 30 % of Réunionnais. The number of cases estimated for week 12 (week going from the 20 to March 26), s?élève with 6 000. One week front, one entered 4 500 of them. The resumption of ḻepidemy is thus light. The new patients are perhaps more numerous this week, but it is advisable to remain careful on these figures. Indeed, the 6 000 cases announced for this last epidemiologic point are not consolidated yet and could reach the 8 or 10 000 in reality. However, the 4 500 weekly cases declared for week 11, re-examined and corrected aujourd?hui, reach the 8 000. It is thus difficult to still speak about massive recovery. D?où the reserve of Dr. Ilef, epidemiologist and person in charge for Wax by interim : ?Ce figure translates a stagnation, which can make fear with a resumption of l?épidémie.? The notable reduction in the number of patients since the mid-February has seemed to be stabilized for two weeks on a high level (approximately 8 000 new weekly cases). The recent tropical depression Diwa could contribute to modify ḻecology of the vectors and thus the epidemic curve. As explains the prefect, Laurent Cayrel : ?On has an obvious problem in l?Ouest.? C?est indeed in this sector that l?on records the rates d?hospitalisations and the passages to the urgencies for chikungunya highest (2 times higher qu?ailleurs). C?est as in l?Ouest as the d?attaque rate is strongest (cf graph).
TRANSFER OF RESPONSIBILITIES
The prefect refuses with any implication of the mayor of Saint-Paul in this history, estimating that ?s?il refused démoustiquer the schools, the anti-vectorial fight s?est as for it never stopped in the remainder of the ville?. The prefect made a point of recalling that the prospect for l?hiver southern did not have therefore cause a drop in the guard : ?Il is not necessary absolutely to slacken the efforts of fight, quite to the contrary. I wish that ḻimplication necessary of l?ensemble of the continuous population and s?intensifie?. Laurent Cayrel of s?appuyer on the report/ratio of l?OMS noting ?l?insuffisance fight communautaire?. To touch the population with the individual actions more supporting the destruction of the larval lodgings, the prefect sent to thousand associations a document taking again principal information on the disease in a popularized way. ?Ce that j?attends of qu?elles associations c?est retranscribes in proximity the institutional speech in each Réunionnais.? Thus ?gîtes them larvaires? became ?nids with moustiques? and l?on jusqu?? will explain to the plebs what a mosquito resembles : ?il has six legs, two antennas and a pair d?ailes?. And Réunionnais have also eyes and a brain ! All the speech of the prefect had as a background the will to show that if ḻepidemy became such extensive, c?est because the Community fight n?a be rather fast ?car the message did not n?était passé?. There is like a transfer of responsibility which floats in l?air...
A new plan of fight
Drass currently studies a new device of anti-vectorial fight (LAV) for l?hiver southern which should be ready in three weeks. The prefect nevertheless revealed yesterday the broad outline of the actions which will be carried out in the long run. After the demoustication of the 250 000 hearths (to date, 150 000 houses were treated), which should end the first week of June, the ?plan ravine? will s?achèvera at the same time as ḏefficacity measurements of treatment. The selected device will then consist in intervening systematically when the average number of larval lodgings is high. ?En d?effectifs term, we will need still military forces in a significant number in June, July and August, explains Laurent Cayrel. We will continue the anti-vectorial fight but with a new protocol on the suitable zones for resumption of l?épidémie.? September, a new evaluation will make it possible to measure ḻefficacity of l?action. ?Si l?indice of Breteau * reveals an epidemic risk extremely, it will be necessary to continue the anti-vectorial fight. If not, we will return in phase d?entretien as to the Antilles or New Caledonia with a Community fight. The service will be less important but the anti-vectorial fight will not s?arrêtera for autant?, insist the prefect. It should be confined with the 4X4 and larvicides, in complement of the collection of waste managed by the communities of communes. When we pass d?un epidemiologic mode to an endemic mode, the transfer of competences of the demoustication would owe s?effectuer between State and general council.
Marie Payrard
Index of Breteau (IB) : numbers average positive larval lodgings for 100 houses. When l?IB is lower than 10, the epidemic risk is very limited and lorsqu?il is higher than 50, the epidemic risk is strong. The first d?IB evaluations carried out by comparing the counting of larval lodgings before and after l?intervention of the démoustiqueurs, revealed an abatement of 60% of l?IB. There would be 40 % of houses with vectors in less.
Two measurements for tourism : Two more targeted measurements were registered with the decree d?avance published with the Official Journal of March 30, 2006. The first relates to the releasing d?une envelope of 200 000 euros for the reinforcement of the capacity d?expertise d?ODIT France and the second allots 250 000 euros for a promotional revival campaign of the Réunion destination. An operation of communication which should not be launched as long as ḻepidemy is still strong.
Environmental impact : The first results of ḻevaluation of l?impact on the marine environments reveal qu?il n?y has any trace of Téméphos, Fénitrothion or Deltaméthrine in the analyses carried out on the samples d?eau of sea.
Chikungunya : Light resumption of ḻepidemy
One had feared it for two weeks that l?on speaks about compressing. Ḻepidemy indeed began again of ḻamplor. A light increase but c?est the first time that, since more d?un month, the epidemiologic curve changes form. Diwa Effect. Principal victims : inhabitants of l?Ouest. On the whole, 230 000 people were infected and 174 people died.
<!-- [1er avril 2006 - 07h20]-->[ April 1, 2006 ]
<!-- ================ titres des articles liés ================ -->174 died, chut...
<!-- ================ texte de l'article principal ================ -->
The service is completely free until April 9, 2006
Since the beginning of ḻepidemy, 230 000 people were pricked by the female aedes carrying the CHIK, that is to say 30 % of Réunionnais. The number of cases estimated for week 12 (week going from the 20 to March 26), s?élève with 6 000. One week front, one entered 4 500 of them. The resumption of ḻepidemy is thus light. The new patients are perhaps more numerous this week, but it is advisable to remain careful on these figures. Indeed, the 6 000 cases announced for this last epidemiologic point are not consolidated yet and could reach the 8 or 10 000 in reality. However, the 4 500 weekly cases declared for week 11, re-examined and corrected aujourd?hui, reach the 8 000. It is thus difficult to still speak about massive recovery. D?où the reserve of Dr. Ilef, epidemiologist and person in charge for Wax by interim : ?Ce figure translates a stagnation, which can make fear with a resumption of l?épidémie.? The notable reduction in the number of patients since the mid-February has seemed to be stabilized for two weeks on a high level (approximately 8 000 new weekly cases). The recent tropical depression Diwa could contribute to modify ḻecology of the vectors and thus the epidemic curve. As explains the prefect, Laurent Cayrel : ?On has an obvious problem in l?Ouest.? C?est indeed in this sector that l?on records the rates d?hospitalisations and the passages to the urgencies for chikungunya highest (2 times higher qu?ailleurs). C?est as in l?Ouest as the d?attaque rate is strongest (cf graph).
TRANSFER OF RESPONSIBILITIES
The prefect refuses with any implication of the mayor of Saint-Paul in this history, estimating that ?s?il refused démoustiquer the schools, the anti-vectorial fight s?est as for it never stopped in the remainder of the ville?. The prefect made a point of recalling that the prospect for l?hiver southern did not have therefore cause a drop in the guard : ?Il is not necessary absolutely to slacken the efforts of fight, quite to the contrary. I wish that ḻimplication necessary of l?ensemble of the continuous population and s?intensifie?. Laurent Cayrel of s?appuyer on the report/ratio of l?OMS noting ?l?insuffisance fight communautaire?. To touch the population with the individual actions more supporting the destruction of the larval lodgings, the prefect sent to thousand associations a document taking again principal information on the disease in a popularized way. ?Ce that j?attends of qu?elles associations c?est retranscribes in proximity the institutional speech in each Réunionnais.? Thus ?gîtes them larvaires? became ?nids with moustiques? and l?on jusqu?? will explain to the plebs what a mosquito resembles : ?il has six legs, two antennas and a pair d?ailes?. And Réunionnais have also eyes and a brain ! All the speech of the prefect had as a background the will to show that if ḻepidemy became such extensive, c?est because the Community fight n?a be rather fast ?car the message did not n?était passé?. There is like a transfer of responsibility which floats in l?air...
A new plan of fight
Drass currently studies a new device of anti-vectorial fight (LAV) for l?hiver southern which should be ready in three weeks. The prefect nevertheless revealed yesterday the broad outline of the actions which will be carried out in the long run. After the demoustication of the 250 000 hearths (to date, 150 000 houses were treated), which should end the first week of June, the ?plan ravine? will s?achèvera at the same time as ḏefficacity measurements of treatment. The selected device will then consist in intervening systematically when the average number of larval lodgings is high. ?En d?effectifs term, we will need still military forces in a significant number in June, July and August, explains Laurent Cayrel. We will continue the anti-vectorial fight but with a new protocol on the suitable zones for resumption of l?épidémie.? September, a new evaluation will make it possible to measure ḻefficacity of l?action. ?Si l?indice of Breteau * reveals an epidemic risk extremely, it will be necessary to continue the anti-vectorial fight. If not, we will return in phase d?entretien as to the Antilles or New Caledonia with a Community fight. The service will be less important but the anti-vectorial fight will not s?arrêtera for autant?, insist the prefect. It should be confined with the 4X4 and larvicides, in complement of the collection of waste managed by the communities of communes. When we pass d?un epidemiologic mode to an endemic mode, the transfer of competences of the demoustication would owe s?effectuer between State and general council.
Marie Payrard