Re: Dengue in Brazil (2009)
http://www.sonoticias.com.br/notici...4-dos-municipios-estao-infestados-pela-dengue
Mato Grosso: 96.4% of the cities are plagued by dengue
Source: The Gazette
Infestation by dengue has now risen to 96.4% of the municipalities of Mato Grosso, and in 75% of the State Department of Health (SES) declared a state of alert because they present house index up 1%, which is recommended by the Ministry of Health the number of cases, which historically had an average of 10 thousand is 40 thousand in Mato Grosso - Cuiab? is only in more than 11 thousand cases. The increase in Mato Grosso is 237.97%. The events, which in the first half of this year focused especially in central and southern regions of the state - especially in the capital, Lowland and Great Rondon?polis - have already reached the north and the valleys of the Araguaia and Arinos as the coordinator of the Environmental Monitoring SES Oberdan Lira.
Thirty-five deaths have been confirmed and other 7 are analyzed, a situation that puts the state among the 6 in the country where there was growth and therefore receive special attention from the Ministry of Health (see box), while the other 20 and the Federal District celebrates reduction , and the Rio de Janeiro had the largest drop (95.9%).
To contain the spread of the disease and prevent further deaths, the Health Minister Jos? S?crates launched yesterday in Cuiaba national campaign to mobilize "Brazil United Against Dengue", reinforcing the need for engagement of the whole society. Actions include dissemination of massive advertising campaigns to raise awareness about the necessary precautions to combat the mosquito that transmits the disease, Aedes aegypti, and training of professionals and health workers. "We got the national level from 2008 to 2009, a 80% reduction in serious cases but without the commitment of all it is difficult to deal with a disease like this," said Tempor?o.
For the campaign, the federal government provided $ 1 billion, but the minister did not know what the amount allocated to Mato Grosso.
For the Ministry of Health, 18 municipalities in Mato Grosso are given priority in attendance, including Lowland Grande and Cuiab? (see table). The statement considered location, population and those at risk of introduction of new dengue serotypes. However, for the SES, 70 municipalities are already given priority, where the government is carrying out specific actions that mayors are aware of the importance of getting involved in the campaign.
An example is the case of Rosario Oeste (128 km north of Cuiab?), who has managed to reverse the critical situation faced at the beginning of the year and Paranatinga (373 km south of Cuiab?), which is moving to ease the crisis. "The figure of the mayor is very important. When he speaks, people listen, much more when we speak," says Oberdan Lira.
Temporao stressed the importance of people and governments have an overview about the 3 main breeding sites, being the first one in the house after the cleaning of cities, working with task forces and in partnership with the community and schools as well as investments in sanitation and access to water regularly. "If the person does not have access to water 24 hours a day, it will store and in doing so, depending on conditions, there is the reproduction of the vector there. It's all integrated work", points out, noting that stocks should be maintained the year.
He also notes that the mosquito shows a great capacity for adaptation. "Forget the phrase that says that the mosquito only like clean water and stop, because he is adapting."
Following the same reasoning, the Secretary of State for Health, Augustine More, points out that, unlike previous periods, the records of dengue are being observed throughout the year, even during a drought. She also emphasized the increasing number of cases among young people, especially among those younger than 15 years, and the increase in admissions.
Stocks - Moro submitted to the Minister of Health gave an overview of actions implemented in Ontario in the fight against dengue. He said contrary to popular belief, water tanks are only 1% of the places where outbreaks are found in the mosquito, while landfills account for almost 40%.
He said Tempor?o about making a large-scale in the capital and in Lowland Grande, started last month with means of transport, as well as specific actions, with the smoke and spray distribution of educational pamphlets for prevention. In Mato Grosso, the campaign was called "Mato Grosso against dengue: together we will win this game." The strategy is to make a call to combat dengue with the expectation of the World Cup, to attract the attention of the population and mobilize it.
In the fast lane - The country was reduced from 79.2% in severe cases, from 20,579 in the first 30 weeks of 2008 to 4281 in the same period of 2009. These cases correspond to the sum of the records of complications and dengue hemorrhagic fever. In Mato Grosso, the average of serious cases went up from 14 at 17 knots previous years to 1,200 in 2009, while deaths increased from 2 to 35. The latest data are from the SES and the first MS.
Yesterday, the City of Caceres confirmed the cause of death of the teacher Greice Aparecida do Nascimento, 27, held on Sunday. According to report from the Laboratory of Frontier, she died of shock syndrome, dengue, clinical form of the disease. Greice birth was 38 weeks pregnant to be brought into the hospital, doctors found no fetal heartbeat.
Dengue kills - Tempor?o The minister said that the MS is now studying in partnerships with major national and international laboratories, including strategies for the production of a vaccine against dengue, but noted that it is still far from being achieved. Thereby reinforced the need for people to act with the weapons they have, including the cleanliness of the yards. "Dengue kills."
MS says it is strategic stock of drugs, insecticides and equipment to fight the disease in the country. Are 2.77 million units of paracetamol (drops and tablets), 2.03 million bottles of saline injection and 562.7 thousand envelopes of oral rehydration salts to be used in epidemic situations. This medication is essential to patient care and will be used in epidemic situations in support of states and municipalities.
Another 250 thousand liters of insecticides and 3.5 tons of larvicide will be distributed over the vector control. There are also 6.5 thousand diagnostic kits, sufficient to reach 170 thousand tests. Moreover, if necessary, the Ministry of Health will make available a strategic reserve of 77 coastal fog and 142 motorized equipment with smoke. On November 24, the MS will release the results of national survey Quick Aedes aegypti (LIT) in 169 municipalities, including the Mato Grosso.
