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Photo: Leticia Santos / Cidadeverde.com 
The Department of Health Piauí (Sesapi) confirmed this Friday (8) the second case of Nile fever in Piauí. The symptoms of the disease were detected in a woman, in July 2017, in the municipality of Picos, in the south of the country. The result of the examination was completed only on January 14 of this year, a year and a half after his application. Because of this confirmation, Sesapi is alerting municipalities and the public to the measures to be taken to avoid contamination, as the virus circulates in this state.
According to the superintendent of Sesapi, Herlon Guimaraes, it is necessary that people should pay attention to hygiene and cleanliness problems, such as the accumulation of stagnant water. Herlon Guimaraes explained that the disease was transmitted by mosquitoes, whose culex
The first case of the disease in Brazil was recorded in Piauí in 2014. The patient was a shepherd from the municipality of Aroeiras do Itaim , south of the state, treated for about four months but paralyzed. Herlon pointed out that the virus has existed since 2014 in this state and recalled that other cases had been confirmed in horses in the same area and notifications were made that year about the disease. In 2017, Sesapi even reported ten suspected cases of severe neuroinvasive illness caused by West Nile virus. According to this information, the death of a patient in Teresina-PI was confirmed.
Second Case
In the second case of the disease in the state, confirmed today by the Secretary of Health, a 23-year-old woman was diagnosed and admitted at the university hospital to be treated in Teresina. According to Sesapi, the disease would have been confirmed after examination of the material collected by the Evandro Chagas Institute, in the state of Para, and after treatment, the girl would have been discharged and no other sequelae of the disease n & # 39; 39 would have been reported. The Superintendent stated that the woman's application for review had been requested on July 7, 2017 and that the result had only been released on January 14, 2019.
"The truth is that it was It is so much that Sesapi has already made a request to the Ministry of Health for it to perform this type of examination, carried out by this Pará laboratory, in Belém and it is a reference for the North and the Northeast. "
At the time, the patient was treated without a diagnosis of the disease by an arboviruses, whose symptoms were generally very similar, treatment protocol based on the directives of the Ministry of Health, which is followed immediately regardless of any examination result. Thus, according to Guimarães, the disease has not changed in young women.
Warning and vigilance
In the morning of today, a meeting with the presence of IBAMA, municipal secretaries and state health, Adapi, discussed the publication of a municipal reporting on surveillance. According to Hérlon Guimarães, there is no reason to despair of the population. According to him, it is necessary to redouble attention on the mortality of animals such as horses, chickens and birds, which must be communicated by the municipalities for the adoption of the necessary measures.
Disease
FNO is an arbovirosis caused by West Nile virus (WNV), whose transmission to humans occurs primarily through the bite of mosquitoes of the genus Culex (muriçoca common mosquito). The Aedes albopictus mosquito is also considered a potential vector.
Transmission
Transmission of the disease is by means of culex-type mosquitoes, which, once infected by the virus, eventually sting and contaminate animals such as horses, birds and humans. Animals are hosts of the disease, thus contaminating other mosquitoes. The Superintendent emphasizes that the man is a terminal host.
Symptoms
The main symptoms are high fever, headache. Immediately notifiable disease (within 24 hours) throughout the country since 2006, Nile fever affects the neurological system and is manifested by encephalitis, acute flaccid paralysis or aseptic meningitis that can lead to death in 10% of cases . cases or leave neurological sequelae in a significant proportion of the survivors.
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