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Three months after the start of the measles vaccination campaign in Roraima, the state is still experiencing an epidemic of the disease. Since then, the number of cases has increased from 8 to 200, an increase of 2,200%.
On the first day of the campaign, March 10, only 8 cases had been confirmed, but the state saw the number grow. So far, 200 people have been diagnosed and 179 are being badyzed, according to the State Department of Health (Sesau).
According to the director of the Department of Epidemiological Surveillance, Luciana Grisott, suspicions continue to be registered in all states. Even with the high number, it indicates that cases have been reduced each month.
According to the municipality of Boa Vista, in the last three months, 84 cases of measles have been reported: in April, 57 cases were in May, 24 and only 9 in June.
Of the 15 municipalities in Roraima, 11 registered the disease, which led the government to change the status of the epidemic epidemic in April, but currently by definition the Ministry of Health, it has has been defined that the state is experiencing a measles epidemic.
The solution is to immunize. The state and municipalities continue to administer the vaccine in the basic health units because Roraima has not yet reached the target of 95% of the vaccinated population established by the Ministry of Health.
According to Sesau, vaccination coverage reached Roraima at only 30.55%, even with the vaccination campaign. In Boa Vista, where most cases are recorded, this index is 49.5%.
To reach more people, city officials began this week the second phase of home vaccination, where they run houses in 13 neighborhoods in the city.
Last year, Roraima also did not reach the target, vaccinating 87% of the target audience, according to the Ministry of Health, the previous two years (2015 and 2016), respectively 108% and 90%.
Epidemic imported from Venezuela
Analysis of the Oswaldo Cruz Foundation (Fiocruz), a reference laboratory of the Ministry of Health, indicates that the virus circulating in Roraima is imported from Venezuela
The first diagnosis of the disease in Roraima was recorded in February in a Venezuelan baby from 1 year old She lived with her parents and dozens of other immigrants on a downtown Boa Vista square.
After identification, an extensive vaccination campaign was conducted in the squares and shelters of Boa Vista to try to reduce the progress of the disease in the state that received, since 2015, a increasing number of Venezuelan immigrants.
Measles was eradicated from Brazil in 2001, but with the advance of cases in Roraima, the vaccination campaign against the disease was scheduled from August to March this year.
Currently, despite the end of the campaign, April 20, vaccines remain available throughout the state.
Measles cases confirmed in Roraima
Sesau data updated until this Tuesday (3).
Source: Sesau-RR
Neighbor of Roraima, the Amazon also lives an outbreak of measles and has recorded a death due to the disease. Currently, 263 people have been infected in the largest state of the country. In addition, 463 cases of the disease were confirmed in Roraima and Amazonas.
Of the 200 confirmed cases, 66% are of Venezuelan nationality. The number of immigrants diagnosed with the disease in the state is 133 people.
In addition to the majority of Venezuelan victims, confirmed cases in Roraima have a definite profile: they are infants and children up to the age of 9, mainly men and non-wives. indigenous.
From March to June, two deaths have been confirmed related to the disease in Roraima and one is still under investigation by Fiocruz.
Profile of confirmed cases at Roraima:
In the public network, the vaccine administered is the triple virus, which protects against mumps, rubella and measles. The measles immunization schedule for children is one dose at 12 months (triple viral) and one at 15 months (tetravalent).
For adolescents and adults up to 49 years of age:
- Up to 29 years of age – two doses, three doses or more
- 30-49 years of age – single dose, or viral tetanus
Anyone who has taken two doses during his lifetime, triple or tetra, does not need to receive the vaccine again, but if in doubt, it is recommended to seek to immunize health units.
According to Márcia Figueiredo, coordinator of Boa Vista's immunization, to receive the dose, the documentation is not necessary, but people should ideally submit the vaccination card to the unit for badyze the vaccination schedule.
"The vaccine is the only way to prevent the disease because measles has no specific treatment, it comes from the disease," says Márcia.
In addition to vaccination, the chain of measles transmission is disrupted by the vaccine, further increasing the importance of measles.
"The Ministry of Health continues to monitor the measles situation in all countries, including Roraima and Amazonas, and control and prevention measures are already underway," said member states in a statement .
In addition to measles, the vaccine protects against mumps and rubella (Photo: Cristine Rochol / PMPA)
According to the Ministry of Health, in 2016, Brazil received 39 Pan-American Health Organization and is currently trying to maintain the certificate by strengthening epidemiological surveillance.
Outbreaks occurred between 2013 and 2015 in patients from other countries. During this period, 1,310 cases of the disease were recorded throughout the country. The most important were in the states of Pernambuco and Ceará.
In Roraima, the last case was confirmed precisely at that time, when a 40-year-old man was returning from northeastern Brazil with the disease.
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