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Brazil - MoH: 4,222 Suspected microcephaly cases with 641 confirmed, local spread in 22 states - March 1, 2016

sharon sanders

Editor-in-Chief & President
Registration Date: 03/01/2016 19:03:45 the amended 03/01/2016 19:03:30 the
INQUIRE

[h=1]Health investigates 4,222 suspected cases of microcephaly in the country[/h]
They are being investigated all cases of microcephaly and other disorders of the central nervous system, including the possible relationship with the Zika virus and other congenital infections
The Ministry of Health and the states investigating 4,222 suspected cases of microcephaly across the country.This represents 71.5% of reported cases. The new report released on Tuesday (1st) also points to 1,046 notifications have been discarded and 641 confirmed for microcephaly and other nervous system disorders, suggestive of congenital infection. In all, 5,909 suspected cases of microcephaly were recorded until 27 February.
The 641 confirmed cases occurred in 250 municipalities located in 15 Brazilian states: Alagoas, Bahia, Cear?, Maranh?o, Para?ba, Pernambuco, Piau?, Rio Grande do Norte, Espirito Santo, Rio de Janeiro, Par?, Rond?nia, Goi?s, Mato Grosso South and Rio Grande do Sul. Already 1,046 cases were discarded because of normal examinations or submit microcefalias and / or changes in the central nervous system by an infectious causes.
It should be noted that the Ministry of Health is investigating all cases of microcephaly and other disorders of the central nervous system, informed by the states and the possible relationship with the Zika virus and other congenital infections. Microcephaly can be caused by various infectious agents beyond Zika as Syphilis, Toxoplasmosis, Other Infectious Agents, Rubella, Cytomegalovirus and Herpes Viral.
According to the report, the 5,909 cases reported since the beginning of the investigation on 22 October last year - were recorded in 1,143 municipalities in 25 Brazilian states. The Northeast region has 81% of reported cases, and Pernambuco continues with the greatest number of cases that remain under investigation (1672), followed by the states of Bahia (817), Para?ba (810), Rio Grande do Norte (383), Cear? (352), Rio de Janeiro (261), Alagoas (222), Sergipe (192) and Maranhao (192).
In all, 139 deaths were reported by microcephaly and / or alteration of the central nervous system after birth (stillbirth) or during pregnancy (miscarriage or stillbirth). Of these, 31 were confirmed to microcephaly and / or alteration of the central nervous system. Other research continue 96 and 12 have been discarded.
Of the total confirmed cases of microcephaly, 82 were reported by specific laboratory criteria for Zika virus.However, the Ministry of Health points out that this figure does not represent adequately the total number of cases related to the virus. The folder considers that there was infection Zika most of the mothers who had babies, whose final diagnosis was microcephaly.
To date, are with indigenous circulation of Zika virus 22 Brazilian states: Goi?s, Minas Gerais, Federal District, Mato Grosso do Sul, Roraima, Amazonas, Par?, Rond?nia, Mato Grosso, Tocantins, Maranhao, Piaui, Ceara, Rio Grande do Norte, Paraiba, Pernambuco, Alagoas, Bahia, Espirito Santo, Rio de Janeiro, S?o Paulo and Paran?.
ORIENTATION - The Ministry of Health advises pregnant women to adopt measures to reduce the presence of Aedes aegypti, with the elimination of breeding sites , and protect themselves from mosquito exposure, keeping doors and closed or screened windows, wear pants and shirt sleeve and use repellents allowed for pregnant women.
Distribution of reported cases of microcephaly by UF until February 27, 2016
[TABLE="border: 1, cellpadding: 0, cellspacing: 0, width: 100%"]
[TR]
[TD="width: 199"]
Regions and Federative Units
[/TD]
[TD="width: 355, colspan: 3"]
Microcephaly cases and / or malformations suggestive of congenital infection
[/TD]
[TD="width: 142"]
Total accumulated 1of reported cases from 2015 to 2016
[/TD]
[/TR]
[TR]
[TD="width: 112"]
research
[/TD]
[TD="width: 125"]
confirmed 2.3
[/TD]
[TD="width: 118"]
discarded 4
[/TD]
[/TR]
[TR]
[TD="width: 199"]
Brazil
[/TD]
[TD="width: 112"]
4,222
[/TD]
[TD="width: 125"]
641
[/TD]
[TD="width: 118"]
1,046
[/TD]
[TD="width: 142"]
5,909
[/TD]
[/TR]
[TR]
[TD="width: 199"]
Alagoas​
[/TD]
[TD="width: 112"]
92​
[/TD]
[TD="width: 125"]
30​
[/TD]
[TD="width: 118"]
100​
[/TD]
[TD="width: 142"]
222​
[/TD]
[/TR]
[TR]
[TD="width: 199"]
Bahia​
[/TD]
[TD="width: 112"]
603​
[/TD]
[TD="width: 125"]
136​
[/TD]
[TD="width: 118"]
78​
[/TD]
[TD="width: 142"]
817​
[/TD]
[/TR]
[TR]
[TD="width: 199"]
Cear?​
[/TD]
[TD="width: 112"]
271​
[/TD]
[TD="width: 125"]
33​
[/TD]
[TD="width: 118"]
48​
[/TD]
[TD="width: 142"]
352​
[/TD]
[/TR]
[TR]
[TD="width: 199"]
Maranh?o​
[/TD]
[TD="width: 112"]
148​
[/TD]
[TD="width: 125"]
25​
[/TD]
[TD="width: 118"]
19​
[/TD]
[TD="width: 142"]
192​
[/TD]
[/TR]
[TR]
[TD="width: 199"]
Para?ba​
[/TD]
[TD="width: 112"]
441​
[/TD]
[TD="width: 125"]
63​
[/TD]
[TD="width: 118"]
306​
[/TD]
[TD="width: 142"]
810​
[/TD]
[/TR]
[TR]
[TD="width: 199"]
Pernambuco​
[/TD]
[TD="width: 112"]
1,232​
[/TD]
[TD="width: 125"]
215​
[/TD]
[TD="width: 118"]
225​
[/TD]
[TD="width: 142"]
1,672​
[/TD]
[/TR]
[TR]
[TD="width: 199"]
Piau?​
[/TD]
[TD="width: 112"]
77​
[/TD]
[TD="width: 125"]
46​
[/TD]
[TD="width: 118"]
15​
[/TD]
[TD="width: 142"]
138​
[/TD]
[/TR]
[TR]
[TD="width: 199"]
large northern river​
[/TD]
[TD="width: 112"]
281​
[/TD]
[TD="width: 125"]
77​
[/TD]
[TD="width: 118"]
25​
[/TD]
[TD="width: 142"]
383​
[/TD]
[/TR]
[TR]
[TD="width: 199"]
Sergipe​
[/TD]
[TD="width: 112"]
180​
[/TD]
[TD="width: 125"] [/TD]
[TD="width: 118"]
12​
[/TD]
[TD="width: 142"]
192​
[/TD]
[/TR]
[TR]
[TD="width: 199"]
Northeast
[/TD]
[TD="width: 112"]
3,325
[/TD]
[TD="width: 125"]
625
[/TD]
[TD="width: 118"]
828
[/TD]
[TD="width: 142"]
4,778
[/TD]
[/TR]
[TR]
[TD="width: 199"]
Holy Spirit​
[/TD]
[TD="width: 112"]
69​
[/TD]
[TD="width: 125"]
3​
[/TD]
[TD="width: 118"]
8​
[/TD]
[TD="width: 142"]
80​
[/TD]
[/TR]
[TR]
[TD="width: 199"]
Minas Gerais​
[/TD]
[TD="width: 112"]
28​
[/TD]
[TD="width: 125"] [/TD]
[TD="width: 118"]
39​
[/TD]
[TD="width: 142"]
67​
[/TD]
[/TR]
[TR]
[TD="width: 199"]
Rio de Janeiro​
[/TD]
[TD="width: 112"]
255​
[/TD]
[TD="width: 125"]
two​
[/TD]
[TD="width: 118"]
4​
[/TD]
[TD="width: 142"]
261​
[/TD]
[/TR]
[TR]
[TD="width: 199"]
Sao Paulo​
[/TD]
[TD="width: 112"]
125 * 5
[/TD]
[TD="width: 125"] [/TD]
[TD="width: 118"]
41​
[/TD]
[TD="width: 142"]
166​
[/TD]
[/TR]
[TR]
[TD="width: 199"]
Southeast region
[/TD]
[TD="width: 112"]
477
[/TD]
[TD="width: 125"]
5
[/TD]
[TD="width: 118"]
92
[/TD]
[TD="width: 142"]
574
[/TD]
[/TR]
[TR]
[TD="width: 199"]
Acre​
[/TD]
[TD="width: 112"]
24​
[/TD]
[TD="width: 125"] [/TD]
[TD="width: 118"] [/TD]
[TD="width: 142"]
24​
[/TD]
[/TR]
[TR]
[TD="width: 199"]
Amap?​
[/TD]
[TD="width: 112"]
No registry​
[/TD]
[TD="width: 125"]
No registry​
[/TD]
[TD="width: 118"]
No registry​
[/TD]
[TD="width: 142"]
No registry​
[/TD]
[/TR]
[TR]
[TD="width: 199"]
Amazon​
[/TD]
[TD="width: 112"]
7​
[/TD]
[TD="width: 125"] [/TD]
[TD="width: 118"] [/TD]
[TD="width: 142"]
7​
[/TD]
[/TR]
[TR]
[TD="width: 199"]
For​
[/TD]
[TD="width: 112"]
15​
[/TD]
[TD="width: 125"]
1​
[/TD]
[TD="width: 118"] [/TD]
[TD="width: 142"]
16​
[/TD]
[/TR]
[TR]
[TD="width: 199"]
Rond?nia​
[/TD]
[TD="width: 112"]
6​
[/TD]
[TD="width: 125"]
two​
[/TD]
[TD="width: 118"]
3​
[/TD]
[TD="width: 142"]
11​
[/TD]
[/TR]
[TR]
[TD="width: 199"]
Roraima​
[/TD]
[TD="width: 112"]
13​
[/TD]
[TD="width: 125"] [/TD]
[TD="width: 118"] [/TD]
[TD="width: 142"]
13​
[/TD]
[/TR]
[TR]
[TD="width: 199"]
Tocantins​
[/TD]
[TD="width: 112"]
99​
[/TD]
[TD="width: 125"] [/TD]
[TD="width: 118"]
17​
[/TD]
[TD="width: 142"]
116​
[/TD]
[/TR]
[TR]
[TD="width: 199"]
North region
[/TD]
[TD="width: 112"]
164
[/TD]
[TD="width: 125"]
3
[/TD]
[TD="width: 118"]
20
[/TD]
[TD="width: 142"]
187
[/TD]
[/TR]
[TR]
[TD="width: 199"]
Federal district​
[/TD]
[TD="width: 112"]
8​
[/TD]
[TD="width: 125"] [/TD]
[TD="width: 118"]
18​
[/TD]
[TD="width: 142"]
26​
[/TD]
[/TR]
[TR]
[TD="width: 199"]
Goi?s​
[/TD]
[TD="width: 112"]
79​
[/TD]
[TD="width: 125"]
6​
[/TD]
[TD="width: 118"]
14​
[/TD]
[TD="width: 142"]
99​
[/TD]
[/TR]
[TR]
[TD="width: 199"]
Mato Grosso​
[/TD]
[TD="width: 112"]
125​
[/TD]
[TD="width: 125"] [/TD]
[TD="width: 118"]
52​
[/TD]
[TD="width: 142"]
177​
[/TD]
[/TR]
[TR]
[TD="width: 199"]
Mato Grosso do Sul​
[/TD]
[TD="width: 112"]
6​
[/TD]
[TD="width: 125"]
1​
[/TD]
[TD="width: 118"]
5​
[/TD]
[TD="width: 142"]
12​
[/TD]
[/TR]
[TR]
[TD="width: 199"]
Midwest region
[/TD]
[TD="width: 112"]
218
[/TD]
[TD="width: 125"]
7
[/TD]
[TD="width: 118"]
89
[/TD]
[TD="width: 142"]
314
[/TD]
[/TR]
[TR]
[TD="width: 199"]
Paran?​
[/TD]
[TD="width: 112"]
3​
[/TD]
[TD="width: 125"] [/TD]
[TD="width: 118"]
15​
[/TD]
[TD="width: 142"]
18​
[/TD]
[/TR]
[TR]
[TD="width: 199"]
Santa Catarina​
[/TD]
[TD="width: 112"] [/TD]
[TD="width: 125"] [/TD]
[TD="width: 118"]
1​
[/TD]
[TD="width: 142"]
1​
[/TD]
[/TR]
[TR]
[TD="width: 199"]
Rio Grande do Sul​
[/TD]
[TD="width: 112"]
35​
[/TD]
[TD="width: 125"]
1​
[/TD]
[TD="width: 118"]
1​
[/TD]
[TD="width: 142"]
37​
[/TD]
[/TR]
[TR]
[TD="width: 199"]
South region
[/TD]
[TD="width: 112"]
38
[/TD]
[TD="width: 125"]
1
[/TD]
[TD="width: 118"]
17
[/TD]
[TD="width: 142"]
56
[/TD]
[/TR]
[/TABLE]

Source: Health Departments of the States and the Federal District (updated data until 02/27/2016).
1 Cumulative number of reported cases that met the definition of previous operating case (33 cm), and the definitions adopted in Surveillance Protocol (from 12/09/2015) that defined the Head Circumference 32 cm for newborns 37 or more weeks of gestation and other protocol definitions.
2 present typical changes: indicative of congenital infection, such as intracranial calcifications, dilation of cerebral ventricles or changes in posterior fossa and other clinical signs observed by any imaging method or identification of Zika virus in laboratory tests.
3 were confirmed 82 cases by specific laboratory criteria for Zika (PCR and serology technique) virus.
4 Discarded have normal exams by presenting microcephaly and / or congenital malformations by non-infectious causes or does not meet the case definitions.
* 5 As stated by the Epidemiological Surveillance Center "Prof. Alexandre Vranjac ", the State Secretary of Health of S?o Paulo, 125 cases are under investigation for congenital infection. Of these, 29 are possibly associated with infection by Zika virus, but have not yet been finalized investigations.
Source: Health Departments of the States and the Federal District (updated data until 02/27/2016).
 
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