Venezuela: Chikungunya virus spreads across the country

[Gert van der Hoek]

Re: Venezuela: Chikungunya virus spreads across the country

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Patients with symptoms of chikungunya congested health centers

In the Valles del Tuy attended last week 276 people with fever. In Vargas there are at least 580 suspected cases

SEPTEMBER 6, 2014 - 12:01 AM

Hospitals and outpatient Vargas remain congested for a couple of weeks ago by the proliferation of cases of chikungunya virus. 9 out of 10 patients attending centers Catia La Mar, Urimare, Maiquetia, Messenger and Caravalleda have symptoms: high fever and joint pains. In each family at least one person has been affected and absenteeism has increased.

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In this center the 4 pediatricians who treated nearly 100 patients, reported in 95% of cases the symptoms of fever transmitted by the same mosquito of dengue. "The fumigations are few and have no effect. What's the point if you do not have to fumigate abatizan? The larvae remain in the containers and the transmitting agent continues to rage. "

More: El Nácional

 

[Gert van der Hoek]

Re: Venezuela: Chikungunya virus spreads across the country

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Some pictures of chikungunya are similar to those of Maracay

Patients who died presented a general picture of fever, joint pain, rash, which then lead to the general deterioration of the body

EMILY AVENDA?O
SEPTEMBER 16, 2014 - 12:01 AM

Between 2005 and 2006, Reunion Island, located in the French Indian there were 244,000 cases of chikungunya, which ended with 203 deaths. The figure represents 0.1% of patients. The Institute of Tropical Medicine Central University of Venezuela reported on his Twitter account this year, during the epidemic of the disease in America, in Martinique were 55 deaths, with 61,860 cases reported and 49 in Guadalupe with 77,240 cases. In 140 characters spanning the tweet, the institute asks: "Are we living in Venezuela something similar?".

For the former health minister Rafael Orihuela, the answer to the question is yes. Notes that the cases have occurred in areas of the country where they are going as many cases of dengue and chikungunya Miranda (Valles del Tuy), Aragua, Carabobo, Vargas, Distrito Capital-so does not rule out that the deaths could respond to an atypical version of the African fever. "Some of those who died in Reunion had any pre-condition, others not. The problem is you do not have how to map cases because there are no specific figures for chikungunya. What is clear is that the number of fever increased from 60,000 in July to 90,000 in August. Chikungunya virus entered with great force and are now in the expansion phase of the epidemic. "

Since the first case of chikungunya was reported in June, it's been 16 weeks. Since then the Ministry of Health has confirmed diagnoses general reports so far have not filed distribution. The latest tally gave him on 29 August when 243 cases were reported. In the Bulletin of the Pan American Health Organization of the second week of September 303 indigenous cases referred in the country and 77 imported.

The specialist said that 85% of cases of dengue and chikungunya are presented with few symptoms, 15% with many symptoms and 0.1% or less of those suffering from these diseases die. Although health officials reported that the state of Aragua in the region have only presented 54 cases of the disease.

Do not rule out anything. Samples were taken and the medical community is waiting for the results. Edgar Capriles, first director of Corposalud that were in Aragua State, said that in the cases of patients who have had a hemorrhagic fever that ended in his death, a list of possibilities is handled and until we have some results will be impossible to rule out anything. Capriles said that samples were taken from the viscera and bodily fluids whose results could be in 10 days. "Health authorities are obliged to say what is" Capriles said.

Orihuela stressed the priority rule meningococcemia: "It's very contagious and transmissible from human to human, also warrants immediate treatment of anyone who has come into contact with the patient and other control measures."

Patients who died presented a general picture of fever, joint pain, rash or rash, which then leads to the general deterioration of patients with inflammation of the whole body, leukocytosis, bleeding, phlyctenules (skin lesions) and respiratory failure, cardiovascular, liver and kidney.



El Nacional

 

[Gert van der Hoek]

Re: Venezuela: Chikungunya virus spreads across the country

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Chikungunya is located in 12 states in the country

Sep 18, 2014

Since 5 June at the National Institute of Health conducted the appropriate tests and confirmed the first case of chikungunya in the country , the "African fever" has spread across 12 states.

The patient came from Dominican Republic so it was considered an imported case. However, in July the Ministry of Health reported that the number of cases exceeded 50 infected and 7 patients had not traveled abroad , so it is considered "transmitted locally."

In early August, the then Minister for Health, Francisco Armada, said as the number affected by chikungunya fever was over 200 and local broadcasts began to gain ground on the numbers of "imported" cases.

The new Minister for Health, Nancy Perez, said that until the second half of September have confirmed more than 398 confirmed cases of chikungunya fever, a total of 1,239 suspects.

Following the statements of the President of the College of Physicians of Aragua, Angel Sarmiento, on the death of 8 patients at the Central Hospital of Maracay for "unknown causes," the authority said on September 17 that only 2 of these patients had the virus . However, he clarified that these had "underlying disease and its outcome could not for chikungunya."

More: Globovision

 

[Gert van der Hoek]

Re: Venezuela: Chikungunya virus spreads across the country

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A doctor says that ten of the dead in Maracay had the chikungunya virus in their blood

23/09/14 | 12. 00h EUROPA PRESS | MADRID

An epidemiologist has said on Tuesday that "at least ten" of the thirteen dead in Maracay by an "unknown disease" chikunguya had the virus in the blood, while another noted case has been dismissed and still waiting the results of the two other samples.

In a press conference at the Central University of Venezuela, representatives of several medical organizations have estimated that there may be at least 65,000 cases of chikungunya in Venezuela, compared to 398 cases announced by Health Minister Nancy Perez Sierra, last week.

Epidemiologist Julio Castro reported that the figures in this latest outbreak of chikungunya fever are the highest since this condition is fixed as a parameter makes seven epidemiological surveillance. As reported by the Venezuelan newspaper El Nacional ', doctors assume that the disease will remain in the country between 40 and 60 weeks.

It has also ensured that the thirteen people who died with hemorrhagic fever, joint pain and skin lesions in Maracay last week did not contract the virus in the Central Hospital of Maracay. "There is no infection in the hospital", he underlined.

However, Castro has placed as 'Patient Zero' a man of the Valles del Tuy who spent three days in a primary care center in the area and was later transferred to a clinic in Caracas, where he was treated for "symptoms of fever , joint pain four days of evolution "and" clear skin lesions with involvement of edema and swelling in the face and vasculitis lesions very important. "

"SEVERE OUTBREAK"

The doctor also pointed out that this virus is not transmitted between humans without the presence of vector transmission, which in this case are the Aedes aegypti and Aedes albopictus mosquitoes. He also explained that, because of the level of involvement --of 0.3 to 1 per 1,000 people develop the disease so grave--, it could prove the theory that the country faces "a very serious outbreak of chikungunya ".

For its part, the Ministry of Health has reported that there has been a 22.7 percent increase in the number of cases of chikungunya diagnosed last week regarding the above, which means that only between 7 and 13 September 128,209 patients with fever were recorded.

Doctors who have participated in the press conference, members of the National Academy of Medicine, the Venezuelan Society of Infectious Diseases, the Network of Scientific Medical Societies and the Venezuelan Institute of Tropical Medicine, UCV, among others, have asked the Executive to change the type of diagnosis, serological clinically, "as established by the World Health Organization (WHO)."

A NECESSARY Differentiation

Doctors have proposed a system of assessment and diagnosis of the virus from the application of an algorithm which uses symptoms and scores them to differentiate between cases of chikungunya and dengue fever, another disease that also spans the country and has already affected 48,687 people throughout the year according to the latest report from the Ministry.

The parameters necessary to differentiate between these two diseases, the vector of transmission is the same, renal, hepatic, coagulation and altered states of consciousness include data.

ALLEGATIONS OF HIDING

About a hundred doctors met on September 17 night in Ottawa to denounce the government of Nicolas Maduro "hidden data" on the death of these thirteen patients by an 'unknown disease'.

Beyond the political controversies raised by the complaint, the network of Medical Scientific Societies has expressed support to the College of Physicians of Aragua respect of judicial proceedings that the state governor, Tarek el Aissami, announced it will open against president of the trade association, Angel Sarmiento.

"We are deeply concerned by the fact that hundreds of doctors today raised their voice for patients to be criminalized," he assured.

So, it has also revealed that physicians have a legal obligation to report "any unknown disease" going public and notify authorities what happened.

TeleCinco.es

 

[Shiloh]

Re: Venezuela: Chikungunya virus spreads across the country

Source: http://english.eluniversal.com/naci...ever-cases-in-venezuela-total-26451-this-year

Chikungunya fever cases in Venezuela total 26,451 this year
Venezuelan Vice-President of Social Development and Missions H?ctor Rodr?guez said 80,335 dengue fever cases have been reported so far in 2014


EL UNIVERSAL
Monday November 24, 2014 05:44 PM
Venezuelan Vice-President of Social Development and Missions H?ctor Rodr?guez announced on Monday that the growth curve of dengue fever and chikungunya fever cases slowed down nationwide this week, for the first time since their outbreak...