Brazil- 2017 Yellow Fever

[Shiloh]

Source: http://portalsaude.saude.gov.br/ind...estigacao-de-casos-suspeitos-de-febre-amarela

Data de Cadastro: 09/01/2017 as 11:01:18 alterado em 10/01/2017 as 19:01:49
NOTA ? IMPRENSA
Minist?rio da Sa?de envia equipes a Minas Gerais para apoiar a investiga??o de casos suspeitos de febre amarela

Google translation:

Date Registered: 1/9/2017 at 11:01:18 AM Changed on 10/01/2017 at 19:01:49
PRESS RELEASE
Ministry of Health sends teams to Minas Gerais to support investigation of suspected cases of yellow fever

The Ministry of Health has made available two teams of the Training Program in Applied Epidemiology to the Services of the National Health System (EpiSUS) and technicians of the National Program of Immunization and General Coordination of Communicable Diseases to support the state of Minas Gerais and municipalities in the investigation of Suspected cases of yellow fever. On Monday (09), the Ministry of Health received updated information on the occurrence of cases and deaths suspected of yellow fever from the State Health Department. In total, 10 municipalities registered 23 cases, 16 of which were probable and 7 were under investigation. Of the 23 cases, 14 deaths were recorded. The research is being conducted, jointly, by the Ministry of Health, state of Minas Gerais and municipalities involved.

In addition to assisting in research, EpiSUS teams will work on establishing control measures. Immediately, vaccination will be started from home to home in places where there are case records, preferably rural areas. For individuals not previously immunized, there will be two doses, each 30 days interval. Subsequently, the population will also be vaccinated living in municipalities and neighboring regions to which the cases were registered. At present, the state of Minas Gerais has 280 thousand doses in stock. On Tuesday (10), the Ministry of Health will send another 285 thousand doses to Minas Gerais, totaling 565 thousand units of vaccine to immunize the population of the state. The municipalities with suspected cases of yellow fever (Ladainha, Malacacheta, Frei Gaspar, Caratinga, Piedade de Caratinga, Imb? de Minas, Entre Folhas, Ubaporanga, Ipanema and Inhapim) are already part of the vaccination recommendation area, as well as all The state of Minas Gerais.

On Friday (6), the Ministry of Health communicated to the World Health Organization (WHO), as required by the International Health Regulations, on the occurrence of cases and continues to keep the entity updated. The International Health Regulations foresee that events of importance for public health will be communicated to the WHO, as this cluster of cases and deaths suspected of yellow fever in the state of Minas Gerais. The state reference laboratory, Ezequiel Dias Foundation (FUNED), with the support of the Evandro Chagas Institute, a national reference laboratory, is carrying out tests to diagnose haemorrhagic fevers to identify the disease.

VACCINATION - It is important to point out that the Ministry of Health recommends people living or traveling to wild, rural or forest regions, which are Areas with Recommendation of the vaccine against yellow fever, vaccination against the disease. The months of December to May are the period of greatest number of cases of transmission in much of Brazil. The vaccine against yellow fever is offered in the National Calendar of the Unified Health System (SUS) and is sent monthly to the entire country. In 2016, more than 16 million doses were passed to the states, with more than 3 million for the state of Minas Gerais. All states are supplied with the vaccine and the country has sufficient stock to meet the entire population in the recommended situations.

The vaccine is highly effective and safe for use, from the age of nine months, in residents and travelers to endemic areas or, from six months of age, in outbreak situations. The yellow fever virus is naturally maintained in a wild cycle of transmission, involving non-human primates (animal hosts) and wild mosquitoes. The Ministry of Health has been monitoring animal diseases since 1999, in order to anticipate the occurrence of the disease. Thus it is possible to make the timely intervention to avoid human cases, through the vaccination of the people and also to avoid the urbanization of the disease through the control of vectors in the cities.

Press Release
(61) 3315-3580 / 2745

 

[Shiloh]

Source: http://portalsaude.saude.gov.br/ind...os-suspeitos-de-febre-amarela-em-minas-gerais

Data de Cadastro: 12/01/2017 as 19:01:37 alterado em 12/01/2017 as 19:01:12
NOTA ? IMPRENSA
Minist?rio da Sa?de atualiza casos suspeitos de febre amarela em Minas Gerais

Google translation:


Date Registered: 12/01/2017 at 19:01:37 Changed at 12/01/2017 at 19:01:12
PRESS RELEASE
Ministry of Health updates suspicious cases of yellow fever in Minas Gerais

The Ministry of Health informs that it continues to support the state of Minas Gerais and municipalities in the investigation of suspected cases of Yellow Fever (FA). Two teams of the portfolio are acting in person in the localities with reports of cases and establishing control measures. This Thursday (12), the State Department of Health of Minas Gerais (SES / MG) updated the data of the disease. To date, there are 20 probable cases of wild yellow fever, with 10 probable deaths. In total, 110 reported suspected cases and 30 suspected deaths in 21 counties.

Check it out: Questions and answers about Yellow Fever

The municipalities with suspected cases of yellow fever (Ladainha, Malacacheta, Frei Gaspar, Caratinga, Piedade de Caratinga, Imb? de Minas, Entre Folhas, Ubaporanga, Ipanema, Inhapim, S?o Domingos das Dores, S?o Sebasti?o do Maranh?o, Itambacuri, Pot? , Setubinha, ?gua Boa, S?o Pedro do Sua?u?, Durande, Simon?sia, Te?filo Otoni and Ipatinga) are already part of the vaccination recommendation area, as well as the entire state of Minas Gerais.

The yellow fever virus is naturally maintained in a wild cycle of transmission, involving non-human primates (animal hosts) and wild mosquitoes. The Ministry of Health has been monitoring animal diseases since 1999 in order to verify and anticipate the occurrence of the disease.

Thus it is possible to make the timely intervention to avoid human cases, through the vaccination of the people and also to avoid the urbanization of the disease through the control of vectors in the cities. The monkey, the main host and victim of yellow fever, functions as a sentinel, indicating that the virus is circulating in a particular region...

 

[Shiloh]

Source: http://www.who.int/csr/don/13-january-2017-yellow-fever-brazil/en/
[h=1]Yellow fever ? Brazil[/h] Disease Outbreak News
13 January 2017

On 6 January 2017, the Brazil Ministry of Health (MoH) reported 12 suspected cases of yellow fever from six municipalities in the state of Minas Gerais.
On the same day, the Brazil IHR National Focal Point (NFP) informed PAHO/WHO that the 12 cases are male, residing in rural areas, and have an average age of approximately 37 years (range: 7?53 years). The first of these cases had onset of symptoms on 18 December 2016. Samples from the cases were sent to the State Reference Laboratory (the Ezequiel Dias Foundation) for differential diagnosis, including dengue, hantavirus, leptospirosis, malaria, Rocky Mountain spotted fever, and viral hepatitis (A, B, C, D, and E). Results are pending.
On 12 January, the Brazil IHR NFP provided an update on the event informing that a total of 110 suspected cases, including 30 deaths, had been reported from 15 municipalities of Minas Gerais: Ladainha (31 cases, 11 deaths), Caratinga (20 cases, 1 death), Imbe de Minas (14 cases, 1 death), Piedade de Caratinga (12 cases, 4 deaths), Pot? (6 cases, 3 deaths), Ubaporanga (6 cases, 2 deaths), Itambacuri (5 cases, 3 deaths), Ipanema (4 cases, 1 death), Malacacheta (4 cases, 2 deaths), Entre Folhas (2 cases), Frei Gaspar (1 case), Inhapim (2 cases), S?o Domingos das Dores (1 case), S?o Sebasti?o do Maranh?o (1 fatal case), and Setubinha (1 fatal case). Serological tests for 19 suspected cases were positive for yellow fever. Among them, 10 deaths (CFR: 53%) were reported. The report also confirms that there had been epizootics in 13 municipalities of Minas Gerais. Six of these 13 municipalities have not so far reported human cases of yellow fever: Agua Boa, Durande, Ipatinga, Sao Pedro do Sacui, Simonesia, and Te?filo Otoni.
[h=3]Public Health Response[/h] Health authorities at the federal, state, and municipal levels are implementing several measures to respond to the outbreak:

• The Ministry of Health has deployed technical teams to the state of Minas Gerais to assist the state and municipal secretary of health with surveillance and outbreak investigation, vector control, and coordination of health care services;
• A house-to-house immunization campaign is being conducted in the rural areas of affected municipalities;
• Preparedness activities are being conducted in states bordering Minas Gerais, for a potential introduction of yellow fever;
• The local press is working together with the MoH to keep the public constantly informed on the situation.

[h=3]WHO Risk Assessment[/h] Yellow fever outbreak has previously been detected in Minas Gerais. The most recent outbreak occurred in 2002?2003, when 63 confirmed cases, including 23 deaths (CFR: 37%), were detected.
The current yellow fever outbreak is taking place in an area with relatively low vaccination coverage, which could favor the rapid spread of the disease. The concern is that transmission may extend to areas located in proximity of Minas Gerais, such as the state of Esp?rito Santo and the south of Bahia, which have favorable ecosystems for the transmission of the virus. These areas were previously considered to be at low risk of transmission and, consequently, yellow fever vaccination was not recommended. The introduction of the virus in these areas could potentially trigger large epidemics of yellow fever. There is also a risk that infected humans may travel to affected areas, within or outside of Brazil, where the Aedes mosquitoes are present and initiate local cycles of human-to-human transmission. Response efforts are further complicated by the fact that it is occurring in the context of concomitant outbreaks of Zika virus, chikungunya and dengue.
WHO continues to monitor the epidemiological situation and conduct risk assessment based on the latest available information.
[h=3]WHO Advice[/h] Yellow fever can easily be prevented through immunization provided that vaccination is administered at least 10 days before travel. WHO, therefore, urges Members States especially those where the establishment of a local cycle of transmission is possible (i.e. where the competent vector is present) to strengthen the control of immunisation status of travellers to all potentially endemic areas.
WHO does not recommend any restriction of travel and trade to Brazil based on the current information available.

 

[Gert van der Hoek]

Yellow Fever Outbreak in Brazil Prompts a State of Emergency

By DOM PHILLIPSJAN. 13, 2017


RIO DE JANEIRO — The governor of the Minas Gerais State in southeastern Brazil declared a public health emergency on Friday over an outbreak of yellow fever that appears to have killed at least 10 people so far and led to reports of more than 100 suspected cases of the disease.

The state authorities said Friday they were investigating 133 suspected cases of yellow fever, of which 20 were considered probable, pending further testing. They said they were also looking into reports of 38 deaths, 10 of them suspected of being caused by yellow fever, according to the State Health Secretariat’s website.

The state health authorities said the number of suspected cases had more than doubled in recent days: 48 suspected cases had been reported as of Wednesday, and that figure rose to 110 on Thursday.

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