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Brazil: 2018/2019 Dengue

Shiloh

Editor, Senior Moderator
Source: https://www.folhadelondrina.com.br/...e-tipo-2-saude-intensifica-acoes-1025735.html

FEV. 01, 2019
Ap?s confirma??o de dengue tipo 2, Sa?de intensifica a??es
Registro de casos mais agressivos da doen?a preocupa autoridades; zona leste ter? mutir?o na pr?xima semana

Google translation:

FEV. 01, 2019
After confirmation of dengue type 2, Health intensifies actions
Registry of more aggressive cases of the disease worries authorities; east zone will have a joint work next week

The identification of cases of dengue type 2 in the eastern zone of Londrina motivated the city to intensify the actions to combat the mosquito Aedes aegypti. This type of virus increases the severity of the disease and the risk of death. An emergency action plan was launched this Thursday (31) by the municipal administration. Among the measures envisaged are the application of smoke and the carrying out of cleaning work.

Circulation of type 2 virus was not registered in the city for about ten years. According to a bulletin released by Sesa (State Department of Health), 28 cases of dengue have been registered in Londrina since the beginning of the epidemiological year in August 2018. Until this Wednesday (30), there were 21 confirmations. Throughout the year 2018, the municipality counted 40 cases of the disease.

Health Secretary Felippe Machado pointed out that the main concern is the focus of the dengue virus type 2. "Serotype 2 is the most aggressive and circulates in more advanced states of epidemic. There is a risk of people contracting in a short the two types of dengue. As it happens, it worsens in the second infection, "he explained.

With the presence of type 2, which can cause more deaths, the city is using emergency actions. "There is a dengue-fighting plan to try to minimize the impact of a possible epidemic in the city. Action in the eastern zone, where type 2 has been found, will be reinforced with more than 100 endemic agents starting Monday. ), when almost 25,000 real estate will be searched. "

Machado said that other secretariats will be asked to support possible efforts to collect garbage. In addition, the county asked the state government ten cars for the application of smoke. "We are getting ready so that if this number of notifications leads to an increase in positive cases, we will be prepared for this confrontation," he said. For now, the only city in an epidemic situation in Paran? is Ura? (North).

"The LIRAa (Rapid Survey of Aedes aegypti Indexes) showed that 80% of the breeding sites are in houses and in garbage discarded irregularly," recalled Machado. The secretary calls for the support of the population to survey the residences and remove mosquitoes. "It's no use going to the people's house and picking up the breeding grounds if it comes back every ten days," he said. This is because, in times of heat and humidity, the eggs of the mosquito may hatch in five days, according to the director of health surveillance of the Municipal Health Department, S?nia Fernandes.

Fernandes recalled that it is important that the population leave the house open during the passage of the smoke so that the insecticide can reach the mosquito. Although the chemical kills Aedes aegypti, it also strikes other insects, such as dragonflies, which are natural predators of mosquitoes. Asked about the increase in cases even with the application of dengue vaccines, Fernandes said that even with the three doses taken, the vaccine has effectiveness of 65%.

Health guidance, according to the director, is that cleaning is frequent in pots of plants and animal feed containers. The coping plan now focuses on the east. According to Fernandes, in the southern zone, where most dengue notifications were made, "we have already done the work we could do." "We are preparing for the health units to be able to receive patients, acquiring more sera," said Machado.
Isabela Fleischmann
Reportage
 
Source: https://www.correio24horas.com.br/n...cem-134-na-bahia-feira-de-santana-vive-surto/

Casos de dengue crescem 134% na Bahia; Feira de Santana vive surto
Cidade registrou um caso de morte por dengue hemorr?gica
M?rio Bittencourt e Vin?cius Nascimento*
07.02.2019, 21:00:00
Atualizado: 07.02.2019, 22:02:50


Google translation:

Dengue cases grow 134% in Bahia; Santana Fair lives outbreak
City recorded a case of dengue hemorrhagic death
M?rio Bittencourt and Vin?cius Nascimento *
07.02.2019, 21:00:00
Updated: 07.02.2019, 22:02:50


The second largest city in Bahia, Feira de Santana, with 609 thousand inhabitants, is already experiencing a dengue outbreak in 2019. This year alone, 782 suspected cases were reported, with 370 confirmed and one death due to dengue hemorrhagic fever or severe dengue fever, prefers to classify the Epidemiological Surveillance of the prefecture of Feira de Santana. It is the only city in the outbreak in Bahia, according to the State Department of Health (Sesab).

By the fifth epidemiological week of 2019, Feira concentrated 51% of all 1,533 suspected cases of dengue in the state, distributed in 82 municipalities. Throughout Bahia, the number of notifications is already 134% higher than in the same period of 2018, according to data released yesterday by Sesab ...
 
Source: https://www.otempo.com.br/o-tempo-b...-já-chegam-a-mais-de-5-000-em-betim-1.2139921

Cases suspeitos de dengue j? chegam a mais de 5,000 em Betim
More than 80% two spotlights do vetor est?o nas casas; s?o 1.512 confirma??es da doen?a
PUBLISHED EM 21/02/19 - 23h12
Lisley Alvarenga



Google translation:
Cases suspected of dengue already reach more than 5,000 in Betim
More than 80% two vector spotlights are in houses; are 1,512 confirmations of the disease
PUBLISHED ON 2/21/1919 - 11:12 AM
Lisley Alvarenga


In spite of all the efforts of preference, Betim is ready to face new dengue epidemic this year. In all or state, there are already 23,893 probable cases (soma of cases in investigation and of those confirmed) of the disease. In the city until the last Thursday (21), there were 5,344 notifications - 305% more than a week ago - and 1,512 confirmed cases, in addition to three deaths in the investigation. The statements are given Municipal Secretary of Health and gives Secretary of State of Health.

Last Survey of the Aedes Aegypti Rapid Index (LIRAa), done between 7 and 18 January, pointed out that in 2.8% two real estate surveyed in the city were found larvae of mosquito transmitter of dengue, zika virus and chikungunya, plus fever amare in urban areas - or Ministry of Health recommends that or larvaria infestation index be ata 1%. In the previous rise, done in October, or index was 1.7%.

Or result placed or municipality in disease epidemic alert, mainly because more than 80% two breeding grounds were found in residences visited. The regional ones with the highest risk are: North, Alterosas, Imbiru?u and Centro, which presented index higher than 4%. "The major part of two reservoirs found were those that can be removed, the plates of plant glass, animal drinkers and dishes with water. Not at all advance the actions of the city, there is no support and support from the population. We are doing our part, but the population needs to be aware and take care of your own home, "warned or director of Health Surveillance, Nilvan Baeta.

To combat disease, the Dengue Coping Committee was bred, all Tuesdays, is meeting to define the actions that will be carried out. Besides eliminating the mosquito breeding grounds, as a treatment, two foci give dengue and fence two water deposits, such as drums and water bowls, to inform you that you are doing cleaning workouts, giving lectures of awareness and educational blitze. "We are also doing manual spraying of two breeding sites, and the smoke cart is traveling more places to reduce the quantity of mosquito transmitters," he said.

In addition, it also intensifies the appearance of uncultivated lands, with the application of R $ 3,200 for lots that are not properly fenced and fenced. Not comparative of 2016 with 2018, the shares augmented by 73%. In 2016, 1,207 lots were inspected, as in 2018, they were 2,083.

Hydration unit
In order to expedite and provide more comfort, no attention is given to infected pests with a mosquito-contaminated Aedes aegypti mosquito; in addition to reducing overload of care in the Units of Emergency Care (UPA), the city also opened, not last day 14, a unit of venous hydration in the city.

Until early afternoon of Thursday (21), or space, located at Asmube Clinic (Mato Grosso street, 926, not in Esp?rito Santo), received 416 patients. "Or virus that is currently circulating in Betim this year is type 2, which is quite agressive. In 2015, when the last epidemic The hydration of the patient contaminated is of extreme importance to avoid that complication two cases, "said municipal health secretary, Guilherme Carvalho.
 
Source: https://www.campograndenews.com.br/...po-2-volta-apos-10-anos-e-junto-traz-epidemia

Mais agressiva, dengue tipo 2 volta ap?s 10 anos e junto traz epidemia
A Prefeitura anunciou ontem (25) em coletiva de imprensa que pode decretar estado de emerg?ncia
Viviane Oliveira

Google translation:
More aggressive, dengue type 2 back after 10 years and together brings epidemic
The City Hall announced yesterday (25) at a press conference that can decree a state of emergency
Viviane Oliveira

According to the Superintendent of Health Surveillance, Veruska Lahdo, isolated samples of the disease indicate the presence of serotype 2 - more severe and aggressive manifestation of the disease when compared to three other serotypes (serotype 1, serotype 3 and serotype 4). "The population has a false idea of ​​who has already got dengue, can not take it anymore. This is not true. On the contrary, the attention must be redoubled ", he explains. The serotypes that were most active in the municipality in previous years were 1 and 3.

Dengue epidemics, according to Veruska, follow a pattern of occurrence, which occur every 3 years. The last registered in the municipality was in 2016 with 32,964 cases. It is considered an epidemic when the disease attacks, at the same time, a large number of residents in several neighborhoods.

Sesau has created a task force to fight the disease. One of the measures taken was to add 15 more physicians to the emergency team that normally has 15 professionals, who are sent to the health units that have higher demand. The smoke, for example, went from 3 to 9 equipment in operation, being currently covered 600 blocks / day. "The main prevention measure is to eliminate the breeding ground of the Aedes aegypti mosquito," says Veruska. "We do not do anything alone.

The sites with the most outbreaks of the Aedes aegypti mosquito are the regions of Lageado, Morenoinha, Noroeste, Alves Pereira, Universit?rio, Cidade Morena, Jardim Veraneio, Lagoa Itatiaia, Jardim Paradiso, Vida Nova, Amamba?, Autonomista, Estrela Dalva, Maria Aparecida Predrossian , Tiradentes, Cohab, Jockey Club and Lebanese Syrian.

The City Hall announced yesterday (25) at a press conference that it can order a state of emergency, due to the increase in the number of notifications of dengue fever. The city has 294 notifications for every 100 thousand inhabitants - the Ministry of Health ranks as an epidemic when it reaches 300 for every 100 thousand.

Data - According to Sesau, from January to now, there were 6,027 notifications. The number means 111% more compared to 2018, which was 2,847 cases throughout the year. A 72-year-old man died of dengue fever and the death of Sidney dos Reis Nantes, 5, is believed to have been the second death from dengue in the city.

The symptoms of hemorrhagic dengue are the same symptoms of classical dengue. The difference is that the fever decreases after the third or fourth day of the disease and hemorrhages appear due to bleeding of small vessels in the internal organs.
 
Source: https://www1.folha.uol.com.br/inter...cline-dengue-cases-rise-149-in-one-year.shtml


After Two Years In Decline, Dengue Cases Rise 149% In One Year
So far this year, there were 55,000 cases registered against 22,000 during the same period in 2018
Feb.27.2019 10:24AM
Nat?lia Cancian
Bras?lia

After two years in decline, dengue is spreading again in Brazil. New government data shows that there were 54,777 probable cases from January 1st to February 2nd. That's more than double the amount of 21,992 cases registered during the same period last year, an increase of 149%.

The rise is happening all over the country, except for the central states. The Southeast leads with 32,000 cases, 60% of all registered occurrences...
 
Source: https://www.em.com.br/app/noticia/g...as-mortes-por-dengue-em-2019-uma-na-gra.shtml

Minas registra as duas primeiras mortes por dengue em 2019; uma na Grande BH
Ainda h? 18 ?bitos de pessoas que apresentaram sintomas da enfermidade. Esses casos est?o sendo investigados. O n?mero de casos prov?veis, que engloba os confirmados e os suspeitos, j? ultrapassa 44 mil
Jo?o Henrique do Vale
postado em 12/03/2019 15:03 / atualizado em 12/03/2019 17:45

Google translation:
Minas registers the first two dengue deaths in 2019; one in the Grande BH
There are still 18 deaths from people who had symptoms of the disease. These cases are being investigated. The number of probable cases, which includes those confirmed and suspected, already exceeds 44 thousand
Jo?o Henrique do Vale
posted 12/03/2019 15:03 / updated on 03/03/2019 17:45


Dengue continues to kill in Minas Gerais. The state confirmed the first two deaths of the disease in 2019. The victims lived in Betim, in the Metropolitan Region of Belo Horizonte, and in Uberl?ndia, in the Tri?ngulo Mineiro. The situation can be even worse. There are still 18 deaths from people who had symptoms of the disease. These cases are being investigated. The number of probable cases, which includes those confirmed and suspected, already exceeds 44 thousand. Value greater than the record in the last two years.

The situation in Minas Gerais is a warning against dengue fever. By 2019, the disease follows the trend of epidemic years. However, according to the State Department of Health (SES / MG), "with less intensity than the last two epidemics." Every three years, the disease registers peaks of contamination. In 2016, 519 thousand probable cases were registered in the state. Three years earlier, there were 414 thousand records, and in 2010, 212 thousand.

This year, contamination only increases. There are already 44,230 probable cases registered. The value is already higher than the last two years. In the twelve months of 2018 and 2017, 30,022 and 25,933 cases were reported, respectively.

According to SES / MG, 39 municipalities had a very high incidence of probable cases of dengue, 30 with high incidence and 83 with average incidence. Another 283 cities are of low incidence and 418 are without probable cases.

Deaths

Minas Gerais recorded the first two dengue deaths this year. Deaths were recorded in residents of Betim and Uberl?ndia. SES is still investigating 18 other deaths. Exams are being analyzed. In 2018, nine confirmed deaths were reported in Ara?jos, Arcos, Concei??o do Par?, Contagem, Ituiutaba (two), Lagoa da Prata, Moema and Uberaba. Another 14 deaths are still being investigated.

Zika and chikungunya

Other diseases transmitted by Aedes aegypti are also discharged. Minas Gerais has registered, this year, 640 probable cases of chikungunya fever. Among them, 18 pregnant women, three confirmations. In 2018, there were 11,765 notifications and two confirmed deaths. A death is still being investigated. There is no death register for the disease in 2019.

In the case of zika, 187 probable cases of the disease were recorded this year. Among them, 46 pregnant women. Three pregnant women had confirmation of the disease. Last year, there were 176 probable cases of the disease.
 
Source: https://riotimesonline.com/brazil-n...fficials-on-alert-due-to-rising-dengue-cases/


Rio Health Officials on Alert Due to Rising Dengue Cases

Officials reveal that cases in January and February rose by more than 45 percent this year and dengue 'season' is just beginning.
By Lise Alves -
March 18, 2019

RIO DE JANEIRO, BRAZIL ? Rio de Janeiro city health officials are on alert. The number of dengue cases in January and February in the city increased by 45 percent compared to the first two months of 2018, with already more than one thousand cases reported. Officials have launched a campaign to reduce the infestation of mosquito-borne diseases...
 
Source: https://www.bemparana.com.br/notici...upera-ultimo-ano-e-saude-confirma-duas-mortes

N?mero de casos de dengue supera ?ltimo ano e sa?de confirma duas mortes
19/03/19 ?s 22:30 Atualizado ?s 09:25

Google translation:

Number of dengue cases exceeds last year and health confirms two deaths
19/03/19 at 22:30 Updated at 09:25

The number of dengue cases confirmed in Paran? this year exceeded the past period. According to the bulletin of the Secretary of State for Health released on Tuesday (19), in the epidemiological year of 2018/2019, and that goes up to July this year, there are 1,197 cases. In the previous year (2017/2018) there were 992 chaos. The epidemiological year runs from August of one year to July of the following year. Two deaths were also confirmed as a result of dengue, both in Londrina.

The number of municipalities with confirmed cases of the disease rose from 108 to 116. Last week the bulletin pointed to 290 cities with notifications. This week are 299. Lupion?polis, Ura?, Itamb? and Santa Mariana are considered municipalities in epidemic and Moreira Sales, Rancho Alegre, Santo Ant?nio do Para?so, Abati?, Capanema and Nova Londrina are on alert.

Deaths
The two deaths due to dengue occurred between March 3 and 7, in Londrina (17th Regional Health), an area considered to be highly infested, and were under investigation. They are two men. One of 89 years, with no comorbidities (health problems) recorded, and another 60 years old, with hypertension. The two cases are autochthonous, that is, people were contaminated in the municipality where they lived.

The secretariat warns that the population will adopt care, avoiding the accumulation of still water, garbage and debris in backyards, and cleaning up land and water tanks. "Any container with still water can become a breeding ground. The smoke kills the flying mosquito, but not the eggs, "explains Ivana Belmonte, veterinarian of the Environmental Surveillance of the Department of Health.
 
Source: https://www.terra.com.br/vida-e-est...c07cf4afd9261d5ef23c48443a7e19bc6a75nxnz.html


SP: Mortes por dengue j? ? quase 10 vezes maior que em 2018
Ao menos 29 pessoas j? morreram com a doen?a em todo o Estado; no passado, foram 10 v?timas fatais
Jos? Maria Tomazela
20 mar 2019
19h17
atualizado ?s 19h28

Google translation:

SP: Deaths from dengue are already almost 10 times greater than in 2018
At least 29 people have died of the disease throughout the state; in the past, there were 10 fatalities
Jos? Maria Tomazela
20 may 2019
7:17 pm
updated at 7:28 PM


SOROCABA - At least 29 people have died after contracting dengue this year in the state of S?o Paulo, according to the State Department of Health. The number is almost ten times higher than the three deaths recorded in the same period of 2018 - dengue fever killed 10 people. As reported on Wednesday, 20 other 16 deaths are being investigated, with the possibility that the majority will be confirmed.
know more

The number of confirmed cases of the disease in the first two months of this year is also more than twice the total of 2018. There were 36,791 cases in January and February, compared to 15,050 in the whole of last year. In the first two months of 2018 there were only 1,947 cases.

Machines known as 'fumes' are used in the application of insecticides on streets of Araraquara, in the interior of S?o Paulo; city ​​recorded 3,800 cases and 4 dengue deaths
Machines known as 'fumes' are used in the application of insecticides on streets of Araraquara, in the interior of S?o Paulo; city ​​recorded 3,800 cases and 4 dengue deaths
Photo: Prefeitura de Araraquara / Disclosure / Estad?o Content

Of the 645 municipalities in S?o Paulo, 603 have reported cases of dengue this year. In the capital, the confirmed cases in the first two months of this year are already 665, surpassing the total confirmed cases in every year of 2018, which was 560.

The large number of cases and the highest lethality this year, according to the Coordinator of Disease Control of the Secretariat, Marcos Boulos, are due to the circulation of a new type of virus, mainly in the north and northwest regions of the State.

"In previous years, only the serotype 1 was circulating in the State, which was the main agent of the great epidemic of 2015 and 2016, when almost 1 million people were infected.In 2017 and 2018, we had fewer cases because people who had had dengue were immune to the same virus, "explained the coordinator. "The problem is that serotype 2 appeared, and when reinfection occurs with a different virus, the person is not immune and there is potential for greater severity."

The fear is that, this year, the serotype 2 virus will spread throughout the Metropolitan Region of S?o Paulo. "Next summer, we will be under the influence of the El Ni?o phenomenon, making conditions more conducive to the transmitting mosquito, as happened in the epidemics of 2015 and 2011. Type 2 is spreading and the risk is that it reaches the regions The current outbreak is expected to decline in the early fall, but there is a risk of a very strong return in November and December, so we need to keep fighting the mosquito. "
Epidemic

The interior is already experiencing a new dengue epidemic. The cities with the most confirmed cases are Bauru (6,008), Araraquara (3,824), S?o Jos? do Rio Preto (3,239), Andradina (2,401), Barretos (1,900), Fernand?polis (1,260) and S?o Joaquim da Barra (1,251). According to the Secretary of Health of S?o Joaquim, Rangel Lu?s de Melo, when the bulletins are released, the numbers are already outdated due to the occurrence of new cases.

Smaller cities also have high infection rates, according to the State Department bulletin. Palestine, with 11 thousand inhabitants, has 636 confirmed cases, while Ituverava, with 41 thousand inhabitants, already adds 618 and Pereira Barreto (25 thousand inhabitants) has 510 confirmed patients.

The cities with the most confirmed deaths are Bauru (10), S?o Jos? do Rio Preto (4), S?o Joaquim da Barra (4), Araraquara (4) and Andradina (2). In Bauru, nine other deaths are under investigation. Three suspicious deaths are investigated in Birigui.

The prefectures have set up dedicated care facilities for patients with dengue fever and are using insecticides on the streets against the transmitting mosquito. In Guararapes, with 214 cases, the municipality denounced to the State Public Ministry 12 property owners who did not allow the entry of anti-dengue agents. Another 293 refusals are being cleared.
 
Source: https://noticias.r7.com/minas-gerai...a-4-epidemia-de-dengue-em-uma-decada-26032019

Minas caminha para sua 4? epidemia de dengue em uma d?cada
Casos registrados em 2019 j? superam a soma das ocorr?ncias da doen?a nos ?ltimos dois anos; ?ltima epidemia de dengue foi registrada em 2016
Minas Gerais
Lucas Pavanelli, do R7
26/03/2019 - 04h00 (Atualizado em 26/03/2019 - 08h23)

Google translation:
The State of Minas Gerais is heading for its fourth dengue epidemic in 10 years. The most up-to-date data released by SES shows an explosion in the number of occurrences of the disease in 2019. To give you an idea, in the first 84 days of the year, the folder has registered 66,629 cases of the disease, a number 20% higher than the sum of all the occurrences of dengue recorded in the last two years.

According to information from SES, Minas Gerais experienced three major dengue epidemics in the years 2010, 2013 and 2016.

"The number of cases in 2019 has surpassed the number of cases registered in non-epidemic years. So far, 2019 has followed the trend of epidemic years, however, with less intensity than the last two epidemics," the report said.

In 2010, the State registered 212,502 cases, equivalent to 582 occurrences per day. In 2013, the total number of cases was 414,719, or 1,136 each day. In 2016, records reached a record in the last decade: 519,050 occurrences in total, equivalent to more than 1,400 per day. In 2019, up to the latest SES release on Monday (25), there are 793 new registrations every day.

If the average is maintained throughout this year, the number of occurrences of dengue in the state will reach 289,445 cases.


According to the secretariat, "a greater number of cases are expected for this period (hot and rainy months) due to the seasonality of the disease." Thus, the state is alert to this increase in the number of cases of diseases transmitted by the disease. Aedes (dengue, chikungunya and zika). " Historically, there has been a drop in the number of new cases since the month of July, increasing again from the month of November.
See too


Counties

According to the State Department of Health, 53 municipalities have a very high incidence of probable cases of dengue, 40 have high incidence and 89 municipalities with average incidence. The most serious situation to date has been recorded in Una?, 600 km from Belo Horizonte. The city has already registered two deaths due to the disease.

To date, six people have died as a result of complications caused by dengue in Minas. The other deaths were registered in Arcos, Betim, Passos and Uberl?ndia.

The municipality with the highest incidence of cases in relation to the population is Felixl?ndia, 193 km from Belo Horizonte. So far, the city of only 15 thousand inhabitants has registered 337 occurrences of the disease. With this, the incidence of cases in the municipality is already 2,206 for every 100 thousand inhabitants. The city of S?o Jo?o Nepomuceno, 311 km from the mining capital, has 2,008 cases for every 100 thousand inhabitants.
 
Source: https://g1.globo.com/sp/campinas-re...ina-prioridade-no-atendimento-em-postos.ghtml

Com 799 casos de dengue, Campinas determina prioridade no atendimento em postos

Google translation:
With 799 cases of dengue fever, Campinas determines priority in
According to the city hall, the region most affected is the Northwest, with 370 confirmations. All cases are from serotype 2 of the disease.
By G1 Campinas & Region
01/04/2019 18h50 Last modified 23 hours ago

Six days after confirming that Campinas (SP) is facing a new dengue epidemic, the city said on Monday (1) that the number of confirmed cases reached 799 and determined that the 65 health centers in the city prioritize the reception of patients with symptoms of the disease.

The most affected region of the city is the Northwest, with 370 confirmations. The number of patients with dengue increased 43% in six days: from 556 to 799. All cases are of serotype 2.

Main symptoms

High and sudden fever
Body pain
Red spots
Vomiting or diarrhea

According to the city hall, two reference units were established in the network: the S?o Bernardo Health Center, near the Dr. M?rio Gatti Municipal Hospital, and the Campo Grande Emergency Care Unit (UPA), in the region most affected by dengue.

"The two services will each have an exclusive team to attend cases of the disease, with nursing, medical, collection of examination and hydration room. The first one (S?o Bernardo) is already in operation and the second is in the organizing phase," says the note.

Despite confirming the opening of hydration rooms in the two posts, the health secretary, Carmino de Souza, had promised last week to open three rooms for patients infected with the virus - the third service station has not yet been disclosed.

Among the groups that are most concerned are the elderly (mainly comorbidities) and children (because they do not have adequate immunity).
Aedes aegypti, mosquito transmitting dengue fever - Photo: Divulgaç? ? o / AEN Aedes aegypti, mosquito transmitting dengue fever - Photo: Divulgaç? ? o / AEN

Aedes aegypti, mosquito transmitting dengue fever - Photo: Divulgaç? ? o / AEN

Type 2

During the announcement that the city faces a new dengue epidemic, the director of the Department of Health Surveillance (Devisa), Andrea Von Zuben, explained that there are no differences between dengue serotypes - 1 to 4 - regarding treatment, care and symptoms.

For the department, however, care is needed because the serotype 2 has not circulated expressively in the city since 2009 and, with that, the entire population is susceptible. Therefore, those who fell ill because of another serotype in previous years may be infected again, including the chance of having a more serious illness.

Prevention

The City of Campinas announced measures and care for the population to prevent the proliferation of the mosquito Aedes aegypti, transmitter of the dengue virus:

Avoid accumulation of water in cans, tires and other objects;
Flower pots must have water changed every two days;
Water tanks and other containers used to store the liquid must be sealed;
Unused toilet flasks should remain closed.
 
Source: https://www.diariodaregiao.com.br/_...saude-confirma-mais-uma-morte-por-dengue.html

Sa?de confirma mais uma morte por dengue
Tamb?m foram confirmados mais 1.310 casos da doen?a, o maior n?mero registrado em uma semana at? agora
Millena Grigoleti
12/04/2019 - 11h54min

Google translation:

Health confirms one more dengue death
Also confirmed were another 1,310 cases of the disease, the largest number recorded in a week so far
Millena Grigoleti
04/04/2019 - 11:54 a.m.

Another death from dengue was confirmed by the Rio Preto Health Department on Friday morning, the 12th of 2019 and the sixth since the outbreak began in December of last year. The patient died in March.

A further 1,310 cases of the disease were confirmed, reaching a total of 7,026 diagnoses this year. Another 6,603 are still under investigation. This was the highest number of recorded dengue cases in a week to date.
 
Source: https://noticias.r7.com/saude/sp-te...2-a-mais-grave-em-mais-de-57-cidades-12042019

SP tem circula??o da dengue tipo 2, a mais grave, em mais de 57 cidades
Interior do Estado passa por epidemia da doen?a devido ao clima "agrad?vel ao mosquito" e predomin?ncia do tipo de v?rus diferente de surtos anteriores
Deborah Giannini, do R7
12/04/2019 - 04h00 (Atualizado em 12/04/2019 - 15h21)

Google translation:
SP has circulation of dengue type 2, the most serious, in more than 57 cities
Interior of the State goes through an epidemic of the disease due to the "mosquito-friendly" climate and predominance of the type of virus different from previous outbreaks
Deborah Giannini, from R7
04/04/2019 - 04h00 (Updated 12/04/2019 - 03:21 PM)

The State of S?o Paulo has circulation of type 2 dengue, the most serious, in more than 57 cities, according to the director of the CVE (State Epidemiological Surveillance Center), Regiane de Paula. The dengue virus has 4 types.

According to the State Department of Health, the State registered more than 49 thousand confirmed cases and 39 deaths until the last bulletin, of 25 of March.

"There is high Aedes Aegypti infestation in these regions," he says. "It is worth mentioning that 80% of the breeding sites are inside the houses," he adds.

Ten cities account for 54% of the confirmed cases, which is equivalent to 27 thousand occurrences. S?o Jos? do Rio Preto, Andradina, Barretos, S?o Joaquim da Barra, Fernand?polis, S?o Paulo, Agudos and Ipu?.

The Bauru leader counts 10,207 cases and 12 confirmed deaths, according to the Bauru Municipal Health Secretariat.

Climate inside is "nice" to the mosquito

"The interior of S?o Paulo is a climatically pleasant region for the mosquito, with heat and humidity. In addition, there is a predominance of serotype 2, which has not circulated in large proportions for some time. says the doctor and doctor in microbiology Maur?cio Nogueira, president of the Brazilian Society of Virology (SBV).

The last dengue epidemic occurred in 2015. According to Regiane, every three or four years there is an increase in the number of cases. "What worsened this year was the type 2 circulation. In the previous years, there was the predominant circulation of type 1. This reduced the number of people susceptible to this virus. However, in relation to type 2 , people are unprotected, "he points out.

The doctor explains that there is a greater frequency of severe cases the second time the disease is contracted. "This is due to a complex immune phenomenon in which the antibodies from the first infection, instead of protecting it from the second, end up facilitating the multiplication of the virus."

According to him, most people are having the second dengue infection, for that reason, the highest incidence of severe cases. "Theoretically, a person can get dengue fever four times, since there are four serotypes of the virus, but the third and fourth infections are usually asymptomatic," he says.

Only big cold front should stop epidemic

Nogueira points out that the epidemic continues to grow. "We are experiencing its peak," he says. He points out that controlling the problem depends on weather conditions. "The epidemic that affects the interior of S?o Paulo lasts, and this is historic, until the first great cold front, which usually happens at the end of May."

After it passes, the president of the Brazilian Society of Virology stresses that it will generate immunity in the population. "We will live in this cycle until one of the things is achieved: control the mosquito, which is already known that it is not possible, or create a vaccine that is really effective," he concludes.

Regiane points out that while it is not possible to eliminate the mosquito, some practices can help control its proliferation such as washing the water box every six months with soap and water and keeping it capped, checking gutters and refrigerator trays. "It's important to take 15 minutes a week to look at possible breeding grounds in the house," he says.
 
Source: https://www1.folha.uol.com.br/inter...alth/2019/04/dengue-fever-cases-surging.shtml


Dengue Fever Cases Surging
Despite the increase, number of cases still less than last epidemic in 2016
Apr.17.2019 2:43PM
Nat?lia Cancian
Bras?lia

Between March 16 and March 30, Brazil registered at 323 thousand cases of dengue fever, a 303% increase from the same period last year, according to the Ministry of Health. But the population level of 154.5 cases per 100 thousand people, is still considered moderate and not yet epidemic levels.

The data represents a 40% increase from two weeks prior, which registered 229 thousand cases...
 
Source: https://noticias.r7.com/minas-gerai...no-bh-amplia-atendimento-a-pacientes-22042019

Com 11 mil casos de dengue no ano, BH amplia atendimento a pacientes
Capital mineira concentra 10% de todos os casos prov?veis da doen?a em MG, que j? registra 121 mil casos e pode ter a terceira pior epidemia da d?cada

Google translation:

With 11 thousand cases of dengue in the year, BH extends care to patients
Mining capital concentrates 10% of all probable cases of the disease in MG, which already registers 121 thousand cases and may have the third worst epidemic of the decade

Minas Gerais
Lucas Pavanelli of R7
04/22/2019 - 04h00


The City of Belo Horizonte inaugurates, on Monday (22), a special unit to receive patients suspected of dengue that need to receive serum for hydration.

The Voluntary Replacement Unit will operate from 7:00 pm at the UPA (Central Emergency Response Unit), located at Rua Domingos Vieira, 488, in the neighborhood of Santa Efig?nia. It will have 25 beds, operate 24 hours and receive patients who are routed from other units.

On Saturday (20), the city hall opened four health centers in the Northeast, Pampulha, Barreiro and Venda Nova areas during the morning and afternoon, for exclusive care for patients with dengue symptoms. According to the municipal health department, the choice of places was based on the number of cases in regions with the highest incidence of disease.

The city council reports that since April 11, 70 professionals have been hired, 37 of them doctors, and there are still 68 openings for doctors and 87 for other categories that work in the health area.

Epidemic

According to the epidemiological bulletin of dengue, published by the State Department of Health, Belo Horizonte already has 11,454 probable cases of dengue, which represents the incidence of one case for every 457 inhabitants.

The total number of occurrences in the mining capital is about 10% of that registered in the entire state of Minas Gerais. So far, the Secretariat has already recorded 121 thousand cases in the 853 municipalities of Minas Gerais, and 14
 
Source: https://www.otempo.com.br/cidades/g...ergência-por-dengue-em-minas-gerais-1.2171942

Governo decreta situa??o de emerg?ncia por dengue em Minas Gerais
Mais de R$ 4 milh?es ser?o destinados aos munic?pios com alta incid?ncia de dengue para ajudar no combate ? doen?a
Por Lara Alves
23/04/19 - 14h24
J? foram registrados 140.754 casos prov?veis de dengue em Minas Gerais

Google translation:
Government decrees dengue emergency in Minas Gerais
More than R $ 4 million will be allocated to municipalities with a high incidence of dengue to help combat the disease
By Lara Alves
04/23/19 - 02h24
140,754 probable cases of dengue have been recorded in Minas Gerais

In a decree published in the State Official Gazette, on Tuesday morning (23), governor Romeu Zema decreed an emergency public health situation in most of the municipalities of Minas Gerais, for the next 120 days, due to the serious epidemic of dengue that plaguing the Central, Northwest, North, West and Triangle regions.

The Ministry of Health (SES-MG) reported that the measure is a way to mobilize financial resources in an agile way to cope with mosquito proliferation and improve care services for infected people. More than R $ 4 million will be allocated to prefectures of municipalities with a high incidence of dengue. In its official website, the Secretariat said that the measure aims to prevent further deaths, since up to now 14 people died as a result of dengue in 2019.

To date, 140,754 probable cases of dengue fever have been reported, confirmed and suspected, and the Metropolitan Region of Belo Horizonte is one of the areas leading the incidence of the disease.

At first, after the publication of the decree, 93 prefectures will receive resources through parcels to hire new agents and train their health professionals to work during the epidemiological crisis. The situation is so serious that, on Monday night (22), the Hospital and Regional Maternity of Ibirit? recorded an overcrowding to meet the demand of people with symptoms of dengue.

Other measures to be adopted after the allocation of the public funds will be the preparation and reproduction of informative graphic material to instruct the population to act in order to avoid the proliferation of Aedes Aegypti, as well as the acquisition of support material for cleaning groups in priority areas .

Based on the bi-weekly analysis of the epidemiological bulletin, the Secretariat may still allocate additional financial incentives to municipalities with a high incidence of the disease. This decision is valid until June 30.

A next resolution to be published in the next few days should contemplate another 46 municipalities in the state of Minas Gerais. The prefectures of these localities will receive almost R $ 2 million reais, in total, to combat the disease.

Alert alert balance

An epidemiological bulletin released by SES-MG on the evening of Monday (22) points out that the number of probable cases of dengue fever has surpassed 140,000 and this time increased by almost 20,000 compared to the last report published in the day 15.

According to the agency, the number of cases in 2019 more than quadrupled in relation to the entire year of 2018, when there were only 29,369 records. The metropolitan region of Belo Horizonte, the Minas Triangle and the North and Northwest regions are the ones that concentrate the largest number of cases.

So far, 14 people have died as a result of the disease in seven different municipalities. The number could rise to 57 if confirmed that the deaths under investigation were triggered by dengue.
 
Source: https://www.hojeemdia.com.br/horizo...-em-75-os-óbitos-pela-doença-em-2018-1.710603


Mortes por dengue em Minas neste ano j? superam em 75% os ?bitos pela doen?a em 2018
Simon Nascimento
29/04/2019 - 12h18 - Atualizado 15h46

Google translation:

Deaths from dengue in Minas Gerais this year already surpass in 75% the deaths by the disease in 2018
Simon Nascimento
04/29/2019 - 12:18 PM - Updated 3:46 PM

In the first four months of 2019, the number of deaths due to dengue in Minas Gerais increased by 75% compared to 12 months last year. Twenty-one confirmed deaths, compared to 12 in 2018. Balance released Monday morning by the State Health Department (SES / MG) still reports that there are 66 deaths under investigation.

In seven days, the state registered 25,000 new probable cases of the disease. In the bulletin released last week, there were 140,754 records. In the report on Monday, 165,853 suspect records were submitted. According to SES, 577 cities in Minas have already registered at least one case of the disease.

One hundred and twenty-three municipalities have a very high incidence for dengue. Among these cities is Belo Horizonte. The mining capital appears in the bulletin with more than 17 thousand probable cases of the illness. Other municipalities with a very high incidence are Contagem, with 7,304 suspects, and Betim, with another 5,167.

Deaths

According to the secretary, the municipality that registered the most deaths was Uberl?ndia, in the Tri?ngulo Mineiro, with eight confirmations. In second place appears Betim, with seven deaths. The other records occurred in Una?, with two deaths and Arcos, Frutal, Ibirit? and Paracatu registered one death each.

Zika virus and Chikungunya fever

In the bulletin this Monday, the folder also updated the information on chickungunya fever and zika virus. The two diseases, as well as dengue, are also caused by the action of the mosquito Aedes aegypti. In the case of fever, there are 1,414 diagnoses. However, so far, no deaths from the disease have been confirmed. Already on the zika virus are 497 likely cases that were reported. Of these 164 cases occurred in pregnant women.

In a statement, the State Department of Health reported that Minas had three major dengue epidemics (in 2010, 2013 and 2016) and that the number of cases in 2019 exceeded those in non-epidemic years. "To date, 2019 follows the trend of epidemic years, however, with less intensity than the last two epidemics."

Among the measures taken to contain the disease's progress, it was declared an Emergency Situation in Public Health in municipalities of the macro-regions of health Center, Northwest, North, West, Triangle of the North and South Triangle of the State. With the action it will be possible to mobilize resources in a more agile way to confront Aedes and structuring patient care services.

It was also approved the release of funds, which total more than $ 8 million for measures in municipalities with high or very high incidence of the disease. A task force was assembled elaborate State and Municipal contingency plans for prevention and control of mosquito-borne diseases.
 
Source: https://g1.globo.com/sp/campinas-re...-1o-macaco-com-febre-amarela-desde-2017.ghtml

Casos de dengue sobem 45% e Campinas registra 1? macaco com febre amarela desde 2017
Boletim divulgado nesta segunda (29) aponta 7.971 infectados pela doen?a e confirma que primata encontrado morto em mar?o testou positivo para febre amarela.
Por G1 Campinas e Regi?o e EPTV
29/04/2019 17h33 Atualizado h? uma hora

Google translation:

Dengue cases rise 45% and Campinas registers 1st monkey with yellow fever since 2017
Bulletin released on Monday (29) points out 7,971 infected by the disease and confirms that primate found dead in March tested positive for yellow fever.
By G1 Campinas and Region and EPTV
29/04/2019 17h33 Updated one hour ago

Campinas registers 7,900 cases of dengue fever

Campinas (SP) reported Monday that the number of patients infected with dengue fever reached 7,971, up 45% from the previous week, when the Department of Health Surveillance (Devisa) had 5,493 confirmed cases. In addition, the municipality registered the first monkey with yellow fever since 2017. At the time, nine primates tested positive for the disease.

The balance shows that the Northwest region, where the Campo Grande district is located, is the most affected in Campinas, with 2,463 positive cases. The southern region comes in sequence, with 2,061 infected. The number of cases under investigation is 1,252.

Director of Devisa, Andrea Von Zuben argues that the municipality has registered a decrease in new cases in recent weeks. "We started to reduce the number, but the cases are increasing because we are confirming suspects," he explained.

According to Andrea, the number of infected this year is "higher than expected" and that the city does not speak more in projection. A week ago, the director said she estimated that the city could reach up to 10,000 cases, given the speed of virus transmission in the city.

Mutir?o

An anti-dengue campaign carried out in Campinas (SP) this Monday (29) removed about 210 tons of garbage and debris that were in a public area in Jardim Fernanda, which serves as a route for aircraft arriving and departing from the airport of Viracopos. Organic garbage, above all, attracts vultures and the presence of animals can create risk of accidents during flights in the region.

Items such as toilet bowls, tires, which can be used as a breeding ground for the Aedes aegypti mosquito, were removed from the ground during work supported by a tractor. "The population needs to collaborate with the situation, stop bringing garbage here, ecoponto is very close to here, regular collection," said public services advisor Paulo Ribeiro Filho.
Fernanda has been the target of a joint effort in Campinas, this Monday - Photo: Reproduction / EPTV

The cleaning action continues until the sixth (3) and includes the neighborhoods Campo Belo 1 and 2, Singer City 1 and 2, Jardim Itagua?u 1 and 2, Jardim Marisa, S?o Domingos, Vila Palmeiras and Dom Gilberto, among others. Papers will be interrupted only during the May 1 holiday.

According to the administration, 170 people, including public servants and reeducers, will work on the removal of rubbish in neighborhoods, with cleaning of streams, services of capping and clearing of wolf's mouth. The idea is to eliminate possible breeding sites of the Aedes aegypti mosquito.

Yellow fever

The epidemiological bulletin of Devisa released on Monday also confirmed the first positive case of yellow fever in primates since 2017, when nine monkeys were infected. The animal was found dead on March 20, near a forest belonging to the Guarani and the tests confirmed the presence of the disease.

In the statement, the Health Department highlights that it carries out actions in the region, with the research to analyze the presence of wild mosquitoes, vectors of the disease, and educational actions with residents, guiding vaccination.

According to the City Hall, since the year 2000, 1.2 million doses of the vaccine against yellow fever have been applied, and the dose is available in all health centers in the municipality.

There are no records of human cases in Campinas this year. The city had an autochthonous case (contracted in the municipality) in 2017, and another imported in 2018.
 
Source: https://riotimesonline.com/brazil-n...a-thousand-cities-are-at-risk-of-an-outbreak/

Dengue Cases Grow 339 Percent in Brazil in 2019; Almost a Thousand Cities are at Risk of an Outbreak
"65 percent of registered cases are in the Southeast region, mainly in the regions of S?o Paulo and Minas Gerais."
By Xiu Ying - May 2, 2019

RIO DE JANEIRO, BRAZIL ? The Ministry of Health released on Tuesday (30th ) new data on dengue, zika, and chikungunya.

As of April 13th, 2019, 451,685 probable cases of dengue were registered in Brazil, an increase of 339.9 percent over the same period last year. In the same period of 2018, the recorded cases reached 102,681, says G1 in its latest report.

Rodrigo Said, General Coordinator of National Programs for the Control and Prevention of Malaria and Diseases Transmitted by Aedes, informed during a press conference that ?65 percent of registered cases are in the Southeast region, mainly in the regions of S?o Paulo and Minas Gerais.?...
 
Source: https://noticias.r7.com/minas-gerai...s-gerais-tem-surto-de-dengue-em-2019-22052019


Um ter?o das 853 cidades de Minas Gerais tem surto de dengue em 2019
At? o momento, 289 mil casos prov?veis j? foram notificados nas unidades de sa?de do Estado; 48 mortes foram registradas e outras 97 s?o investigados
Minas Gerais
Lucas Pavanelli, do R7
22/05/2019 - 04h00

google translation:

One third of the 853 cities in Minas Gerais have a dengue outbreak in 2019
To date, 289 thousand probable cases have already been reported in state health units; 48 deaths were recorded and another 97 were investigated
Minas Gerais
Lucas Pavanelli of R7
05/22/2019 - 04h00

One in three cities in Minas Gerais has a very high or high incidence of dengue, according to SES (State Health Department of Minas Gerais).

The most up-to-date report on the folder, released on Tuesday (21), shows that 176 municipalities report a very high incidence of the disease (when more than 500 cases are reported to each 100,000 population). Another 88 have a high incidence (between 300 and 499 cases per 100 thousand inhabitants).

That is, in all, 264 of the 853 municipalities of Minas Gerais are in this situation, which is considered an outbreak.

The municipality of Cristais, in the Center-West region of Minas, distant 227 km from Belo Horizonte is the one that presents the most serious situation. With 12,660 inhabitants, the city has already registered 438 cases of dengue, which gives an incidence of 3,459 to each group of 100 thousand inhabitants.

In the same region, the municipality of Pimenta has already notified 257 cases of the disease. As the population of the city is of little more than 8 thousand inhabitants, the incidence of the dengue in the place is of which 3 thousand cases for 100 thousand inhabitants.

According to SES, 49 deaths have been recorded as a result of dengue throughout the State, 11 more than in the last week. Another 97 deaths are being investigated by the binder. The deaths were confirmed in the following cities: Arcos (1), Belo Horizonte (6), Betim (10), Contagem (2), Curvelo (1), Frutal (1), Ibirit? (1), Jo?o Monlevade S?o Gon?alo do Par? (1), Rio de Janeiro State (1), Rio de Janeiro State (1), Rio de Janeiro State University (1), Rio de Janeiro State University They are Gotard (1), Uberaba (1), Uberl?ndia (9), Una? (2) and Vazante (2).

Since the beginning of the year, 289,500 probable cases of dengue have been registered throughout the State. To give you an idea, in the epidemiological bulletin released by SES last Monday (13), there were 247,602 cases. That is, in the interval of only one week, the dengue fpo responsible for about 42 thousand occurrences.
 
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