Espírito Santo has 28 municipalities in a state of alert or at risk of dengue, zika and chikungunya In the state of Espírito Santo, 28 cities are in a state of alert or at risk of dengue, zika and chikungunya epidemic, according to the new survey of drug prices. infestation with Aedes aegypti (LIRAa).



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Photo: Divulgação / Pexel

The capital of the state, Vitória, is in a state of alert.

Besides the capital, 26 municipalities are on the alert and one in risk of epidemic. In Espírito Santo, most breeding sites were found in household deposits (1,771), followed by waste (705) and water (458) deposits. On Wednesday, in Brasilia (DF), President Michel Temer and Health Minister Gilberto Occhi delivered a thousand trucks for different regions of the country, as an effective force in the fight against mosquitoes, in the risk scenario municipalities, compared to the Aedes aegypti mosquito. In total, the Ministry of Health invested R $ 109.4 million in vehicle purchases.

Thanks to these trucks, states and municipalities can badociate smoke-free equipment with local actions. On this occasion, the Minister of Health, Gilberto Occhi, presented the data of the LIRAa and launched the Integrated Vector Control System (SIVector), which will replace the National Dengue Control Program (NDVIS) system with georeferenced information for the fight against the disease. Aedes aegypti and Aedes albopictus

Surveillance

All capitals of the country carried out one of the mosquito surveillance operations: 25 performed the LIRAa; and two, traps. The municipalities of Curitiba (PR), Teresina (PI), Florianópolis (SC), São Paulo (SP), Macapá (AP), Maceió (AL), Fortaleza (CE) and Aracaju (SE). The capitals with indicators on alert are: Manaus (AM), Belo Horizonte (MG) Recife (PE), Rio de Janeiro (RJ), Brasilia (DF), São Luís (MA), Belém. ES), Salvador (BA), Porto Velho (RO), Goiania (GO) and Campo Grande (MS).

Palmas (TO), Boa Vista (RR), Cuiabá (MT) and Rio Branco capitals are threatened by epidemics of dengue, zika and chikungunya because they have a pre-infestation index (PII) ) equal to or greater than 4%. Natal (RN) and Porto Alegre (RS) capitals conducted the trap survey.

National Data

Across the country, 5,358 municipalities, or 96.2% of all cities, conducted some sort of data collection between October and November of this year . type of mosquito surveillance transmitting these diseases, ie 5,013 per infestation survey (LIRAa / LIA) and 345 per trap. The trap method is used when mosquito infestation is very low or non-existent.

The Ministry of Health recommends that municipalities implement LIRAa at least four times a year. In January 2017, the file issued Resolution 12, which mandates the entomological investigation of Aedes aegypti infestations by municipalities and the sending of information to state secretaries at the health and, in the Ministry of Health, to them. receive the second payment of the variable health monitoring base, an additional resource exclusively reserved for mosquito control actions. Dengue – As of 10 November, 228,042 cases of dengue fever had been reported in all countries of the world. the country, a slight increase over the same period in 2017 (226,675). The incidence rate, which takes into account the proportion of cases per inhabitant, is 109.4 cases / 100,000 inhabitants. In comparison with the number of deaths, the decrease is 21% compared to the same period of the previous year, rising from 173 deaths in 2017 to 136 this year.

Chikungunya – Until November 10 reported 82,382 cases of chikungunya throughout the country, a reduction of 55% over the same period in 2017 (183,281). The incidence rate, which takes into account the proportion of cases per inhabitant, is 39.5 cases / 100,000 inhabitants. In comparison with the number of deaths, the decline is 81% over the same period of the previous year, rising from 189 deaths in 2017 to 35 this year.

Zika – Until November 10, reported 7,544 cases of zika nationwide, a reduction of 54% over the same period in 2017 (16 616). The incidence rate, which takes into account the proportion of cases per inhabitant, is 3.6 cases / 100,000 inhabitants. In this year, there were two deaths by Zika

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