Confirmed death of malaria in Valença; patient died on the night of 24



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Rio has five suspected cases of the disease; a group of missionaries from a church and reportedly returned to Brazil on December 23, when they began to present the symptoms of the disease

Valença – The Secretary of State for Health of Rio de Janeiro ( SES) confirmed today (26) that five suspected cases of malaria have been notified. According to a note from the Superintendent of Environmental and Epidemiological Surveillance of the SSE, the five people were reportedly taken to Mozambique where they contracted the disease.

Two cases have already been confirmed, including that of Robinson Natanael Teodoro, who died last night. 24, in Valença, where he was hospitalized. The other confirmed case is a man hospitalized at the Oswaldo Cruz Foundation (Fiocruz), with a good evolution. According to preliminary information, the group would be a missionary of a church and would have returned to Brazil on Dec. 23, when it began to present the symptoms of the disease.

According to the infectious doctor Alexandre Chieppe, counselor of the SES, the other three cases, unconfirmed to date, are not serious. "We still do not have details on the cytopathology of the clinical picture of these three patients.But in the beginning, it is a suspected case of malaria, both because of the symptoms presented and the epidemiological link, as they traveled to the area at the same time as the infection in the other two confirmed cases.

According to Chieppe, SES investigates the three cases and should have more information Throughout the day, he stated that malaria notification in Rio de Janeiro was infrequent and of low severity

"The malaria we have here has a low potential for severity. The serious cases we have of the disease are usually imported from people who contract this infection outside of Rio de Janeiro. There is therefore no reason for the population to be worried, firstly because it is not a disease transmitted from person to person and then because we do not have the circulation of Plasmodium

types [protozoário que causa a doença] that cause major malaria "

Symptoms

Malaria is transmitted by the Anopheles mosquito, which exists only in forest areas and is a typically wild disease. the primer of Fiocruz, after the bite of a mosquito infected with Plasmodium the parasites lodge in the liver, where they multiply.Then they go to the blood, where they The symptoms can take eight to 30 days after the onset of the bite.Malaria causes a fever that can be accompanied by chills, tremor, sweating, headache and stiffness. other symptoms include vomiting ents, diarrhea, abdominal pain, lack of appetite, dizziness and fatigue.

At present, 88 countries are considered as natural malaria transmission areas, most in the tropical zone, such as sub-Saharan Africa; Central and Caribbean Americas; center, South and Southeast Asia; Middle East and Far East (China); Papua New Guinea, Solomon Islands and Vanuatu; in addition to Paraguay and all the Amazonian countries of South America (Brazil, Bolivia, Peru, Ecuador, Colombia, Venezuela, Guyana, Suriname, French Guiana). In Brazil, the endemic area is formed by the states of Legal Amazon and the areas west of Maranhão, north-west of Tocantins and north of Mato Grosso.

There is no vaccine against malaria. According to Chieppe, prevention is done through the use of personal protection and chemoprophylaxis, that is to say to take drugs to avoid and infections, according to the medical indication. "People who are going to leave the country, in areas where malaria is present, need to undergo a medical badessment to determine the need for chemoprophylaxis that will depend greatly on where and when the visit will take place." individual protection measures, we have no way of controlling the vector, the mosquito, so you must avoid any exposure. "

In November, a World Health Organization report warned against a resurgence of diseases in the world. . In 2017, there were an estimated 219 million cases, a number that increased further in 2015 after five years of decline, with the African continent being the most affected. Brazil was not left out, with about 217,000 people infected in 2017 and 133,000 in 2016, mainly in the Amazon region.

From Akemi Nitahara – journalist Agência Brasil ]

* Contribution of Raquel Júnia, journalist with EBC Radio Journalism

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