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The vaccine is the most effective protection against the disease.The threat of measles strikes the door of Minas Gerais and finds a legion of unprotected people. There are 6 million unvaccinated people and unaware of the most effective way of avoiding contagion, which creates a worrying scenario. The disease, declared eradicated in the country in 2016, threatens again. There are cases of contamination this year in almost all Brazilian regions, including the southeast and the neighboring state of Rio de Janeiro. With a vaccine coverage below target of 95%, Minas has a huge contingent of highly infectious and virus-sensitive people who can seriously settle in and even kill. With more than 50 suspected cases under badysis in the mining territory, the national campaign in August will try to reverse the low coverage rates. In Belo Horizonte, starting next week, the health teams will try to find vaccinated children in the vaccination rooms to ensure the protection of the most sensitive group.
According to the Ministry of Health, the country is facing two outbreaks of measles, in Roraima and Amazonas. In the latter State, until the last day, 27 cases had been confirmed 265 cases, 1,693 remained under investigation and 137 had been rejected. Roraima has confirmed 200 diagnoses, 179 are still under badysis and 35 have been rejected. To date, Rio de Janeiro has reported 18 suspected cases and two confirmed cases. In addition, isolated cases of patients contaminated in other sites were identified in the states of São Paulo (1), Rio Grande do Sul (6) and Rondônia (1). The portfolio added that blocking vaccination measures, even in the face of suspicious images, has been done in all states.
With the virus in the national vaccination schedule since 1980 and in vaccination campaigns since 1990, the percentage of vaccinated is decreasing, which triggers the warning signal. According to the Ministry of Health of Minas Gerais, last year, the vaccination coverage of triviral (which also protects against mumps and rubella) as the first dose (for children of 1 year) was 83.69% . The second dose for children aged 15 months was even lower (74.84%).
Already this year, up to May, the first dose reached 77.56% of the target audience, while the second only protected 61.21% of babies – a percentage well below the target coverage of 95%. Despite the vulnerable population, there is no confirmed case of the disease in the state. According to data from the Sinan Reporting System, there have been 66 suspected cases of measles in the past year, but all have been scrapped. By 2018, 56 notifications are being revised.
The Director of Health Promotion and Epidemiological Surveillance of the Municipal Department of Health, Lúcia Pbadion, points out that both the first dose (taken at 1 year) and the recall (1 year and 3 months), the coverage should remain around 95%. "One explanation is that since the disease was not" Children are the most at risk group, but young people are the most vulnerable, "said Lúcia, and adults must also be vaccinated against measles It is recommended that people under 29 years of age have at least two doses of the vaccine, then at least one dose at age 30. "If it is not protected,"
Lúcia Paixão does note that coverage is deteriorating In recent years, the number of 1-year-old vaccinated children has varied between 85% and 93%. On the other hand, reinforcement doses were between 70% and 85% of boys and girls at 1 year and 3 months, even further from the target. The guidance given by the secretariat, which should take effect from Monday, is to look for children who have not been vaccinated. Health center teams will try to locate families by phone or through community agents.
Eva Lídia Arcoverde, immunization coordinator of the State Department for Health (SES), warns of the risks of measles. "Virulence is high because contagion occurs through person-to-person contact, for example, yellow fever, which also has a group of people who may not have been vaccinated. 39, a reservoir, a vector and an unvaccinated .Therefore, there is a much higher risk of a measles outbreak than a vector-borne disease, "says he said: "We need all the entities come together to change this scenario: the municipalities, by carrying out vaccination actions, the state, supporting these actions, all with the support of the Ministry of Health" The state has launched campaigns to update the immunization booklet for children, adolescents, adults and the elderly and will provide financial badistance to municipalities that need to improve immunization coverage. August, between 6 and 31 years old, the national app campaign It will take children 1 to 4 years old to take the measles vaccine. In Minas, 6 million reais will be invested in this action. DISEASE Measles is a highly infectious viral infectious disease
Although that the only effective vaccine against measles is effective, SES is careful to prevent respiratory transmission diseases: hand hygiene with soap and water; avoid touching the eyes, nose or mouth after contact with surfaces; wear disposable tissues; protect your mouth and nose with coughing or sneezing to prevent the spread of droplets; avoid agglomerations and closed environments. The patient should also avoid leaving the house during the transmission of the disease (up to seven days after the onset of symptoms).
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