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Three years after the epidemic that occurred in most cities of the state of São Paulo, dengue fever again worries the inhabitants of the region of Ribeirão Preto (SP). Data from the State Department of Health indicate that 19 municipalities in São Paulo have diagnosed patients with type 2 dengue fever, which is generally more severe.
In São Joaquim da Barra (SP), three deaths under investigation are the subject of an investigation, and 104 cases are confirmed. In Itirapuã (SP), 32 people were infected, more than double the number of confirmed cases in 2018, while 14 people had dengue fever.
In Barretos (SP), the number of confirmed cases in January was 75, which represents more than half of the total number of last year, or 120 patients. Franca (SP), meanwhile, has 885 reported cases, against 300 last year.
In Guaíra (SP), 17 people were infected in January, compared to 20 patients in 2018. The number of suspected cases is also high: 66, which represents 40% of the total number of notifications in 2018.
Although the number of notifications in some cities is higher than the number recorded in 2018, we have not yet reached the summit. of the disease, according to Professor of the Center for Research in Virology USP, Benedito Antônio Lopes da Fonseca.
Indeed, the cases progress during the months of December, January and February to reach their peak between March and April, the beginning of autumn and the fall of temperature – the mosquito Aedes aegypti ] dengue transmitter, proliferates during warm periods.
Among the municipalities in the region, São Joaquim da Barra has already declared State of calamity have been confirmed: 158 confirmed cases, 158 suspects and three people died from suspicion of dengue hemorrhagic fever – one child and two elderly persons.
According to the municipal health director , Rangel Luis de Melo, the epidemic state should be confirmed soon, so the government has the Emergency Care Unit (UPA) to become a point of reference for patients suspected of having dengue fever.
"The state of public calamity facilitates the actions of the public power through the problem it is facing.This decree, we accelerate the actions of the government, such as the purchase of drugs, the services outsourcing, machines, people ", explains.
Melo points out that last December, 7,148 people had been treated at the UPA and about 3,500 were suspected of having dengue fever. There has been an increase since the unit usually serves 2,500 patients per month.
"According to this estimate, we calculate that the municipality is in a state of emergency, in addition to the three deaths that we have known.The clinical symptoms of these dead are very strong and characterize a dengue haemorrhagic", explains -t it.
Still according to the director, the UPA, which had two doctors on the day and two others at night, with 12-hour shifts, hired a third professional to strengthen the balance, as well as additional staff at the reception and care.
80 additional agents were urgently hired, in addition to the 10 who had been called in December. Trawlers fighting the mosquito Aedes aegypti also began arriving on Saturday.
"More machines, more trucks and more civil servants, we did the first cycle of smoke in December and we finish the second cycle in January," said Melo.
In France, the number of notifications increased from 300, from January to December 2018, to 885 in the first.
The larvae of Aedes aegypti mosquito – Photo: Reproduction / month of this year, representing an increase of 195% As of Thursday (31), 28 cases were confirmed.In 2018, 200 were infected.
From Monday (4), 21 health units in the city will have spaces reserved for patients suspected of having dengue fever.In addition to the hydration chairs, there will be chairs, beds, desks and chairs. stretchers or beds for patients who arrive with intense pain in the body. Because of this, residents will no longer have to go to the Alvaro Azzuz emergency room.
The Town Hall is also promoting the cleaning of trawlers and smoking applications. This weekend, 55 health workers will visit 11 neighborhoods in the West. In addition, next Thursday (7), the municipal health department will evaluate the resumption of a committee charged with mobilizing residents, universities, churches and other institutions to fight the dengue mosquito.
Smoke application in Franca (SP) – Photo: Franca town hall / In Barretos, 75 people have contracted dengue, which represents more than half of the number recorded in During the last year, 120 patients, in less than one month, the total number of notifications was 312, which is half of last year's total of 632.
"This is not yet clbadified as an epidemic, but we are in a phase of alertness and moderate risk. Vanessa Jodas Nunes, Coordinator of Epidemiological Surveillance, said: "Health, UPA and Santa Casa are equipped to accommodate patients suspected of dengue fever".
Vanessa says that, until now, the town hall has not hired more doctors but hydration seats have been installed in all health facilities. Before the last epidemic, in 2016, only a few had this space.
"The number of reported cases has increased considerably, but we do not clbadify it as an epidemic, and the mosquito tends to reproduce at this time of year. increase in the number of cases during this period, "he says.
Facade of the town hall of Barretos (SP) – Photo: Valdinei Malaguti / EPTV
] In Itirapuã, the number of cases of dengue confirmed in January exceeds already the total recorded last year.In less than a month, 32 people were infected, compared with 14 from January to December 2018, according to the data of the Municipal Secretariat for Health.
"The whole region is struggling with this problem. "Many cities do not notify, so there is incorrect data, but we notify, pbad the exam, we do everything right," said the municipal secretary for health, Maria Helena Moura Faria.
The Town Hall promotes the cleaning and capture of smoke trawlers, including Saturdays. Residents whose homes have mosquito homes again Aedes aegypti will be informed and fined, according to the secretary.
"Let us warn, well, there is no alternative, if the community does not help us, we can not cope with it alone, it is a law of the city.
* Edited by Adriano Oliveira and Rodolfo Tiengo
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