Puno, Peru: Yellow fever kills three and five are sick

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Published Date: 2012-02-11 14:02:53
Subject: PRO/AH/EDR> Yellow fever -South America: Peru (PU)
Archive Number: 20120211.1039339

YELLOW FEVER - SOUTH AMERICA: PERU (PUNO)
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Date: Fri 10 Feb 2012
Source: Pachamama [in Spanish, trans & summ. Mod. TY, edited]

http://www.pachamamaradio.org/10-02-2012/diresa-puno-moviliza-personal-de-salud-para-controlar-brote-de-fiebre-amarilla-en-sandia.html

DIRESA [Office of the Director of the Regional Health] is ready to mobilize health personnel to control an outbreak of yellow fever in Sandia
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This fatal disease returned to Sandia (12 Jan 2012) and took the life of a 45 year male old farmer, in the Huyncalla community, Alto Inambari district, who died at home with symptoms of yellow fever, which was confirmed by the National Institute of Health (INS).

Similarly, a 57 year old farmer from the same area, when presenting with yellow fever was hospitalized in Sandia, is receiving symptomatic treatment and progressing favorably, as a suspected [yellow fever] case although still not confirmed by the INS.

Given this health situation occurring in Sandia, DIRESA designed a contingency plan to control the yellow fever outbreak. The head of the Puno DIRESA, Jose Francisco Irigoyen Arbieto, released [information] about what occurred and considering that yellow fever is a threat for Sandia, thus provided the shipment of a total of 27 500 doses of the vaccine to the area and is awaiting a lot of 50 000 additional doses of yellow fever vaccine from the Ministry of Health.

On his side, the DIRESA head ordered the strengthening of the green alert in the Sandia REDESS [National Network of Education, Sexual Health and Development], to guarantee effective control of the yellow fever outbreak as well as to mobilize 7 health brigades made up of 35 health professionals who are in charge of vaccinations and education of the population about prevention and recognition of signs and symptoms of the disease. This intervention will be a priority in the Sandia, Mashiapo, San Juan del Oro and Putina Punco districts. The strategies consist of organizing a vaccination sweep in the Huncalla community, and vaccination house to house in the area of risk.

The population to be vaccinated will be between 2 - 59 years of age. Finally, the head calls for the populace who have not been vaccinated against yellow fever to do so 10 days before traveling to forested areas and for an effort to encourage foreign tourists to receive their dose of yellow fever vaccine.

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[The ecological setting where this confirmed and suspected cases acquired their yellow fever virus infection is not stated. Presumably these are infections acquired in tropical forested areas where the sylvan (jungle) cycle occurs. Although the Alto Inambari district is relatively high (1340 m or 4396 ft) it may be a bit under the altitudinal limit of _Aedes aegypti_. Clearly, the health authorities are concerned about the risk of initiation of the urban cycle of YF virus transmission by _Ae. aegypti_, so presumably that vector may be present. Should that be the case, the rapid response by the health authorities is prudent.

A map showing the terrain of Sandia district can be accessed at http://www.maplandia.com/peru/puno/sandia/.
A HealthMap/ProMED-mail interactive map showing the location of the Sandia district and province, in the Puno region can be accessed at http://healthmap.org/r/1Mj9. - Mod. TY.]

[Tonka]

Re: Puno, Peru: One confirmed and one suspected case of yellow fever

http://www.larepublica.pe/11-02-2012/diresa-confirma-peligroso-rebrote-de-fiebre-amarilla-en-selva-de-sandia

Spanish-English translation

Diresa confirms outbreak of jungle yellow fever in Sandia
Saturday, February 11, 2012 | 5:00 a.m.

Case. This is a district resident Mashiapo who died after several days of agony in the local hospital. Director of Health said it is a public health problem
Puno
Regional Health Director of Puno (Diresa), Francisco Jos? Irigoyen Arbieto, confirmed the outbreak of jungle yellow fever in the Puna of Sandia, north of the city of Puno.
So far a male older than 40 years , natural Isilluma sector, Mashiapo district, was killed for having contracted the disease after several days of agony in the hospital Sandia.
The National Institute of Health confirmed that the victim was carrying the virus a day before losing his life by a strong cadre of vomiting and diarrhea.
The case has managed to bring two problems for the authorities are in a dilemma.
First, the emergence of the epidemic has become a public health problem because farmers live Mashiapo isolated are in an area rife with mosquitoes carrying the virus.
A second factor is that health personnel in the area can not be mobilized to deliver vaccines, because they are harassed by gunmen presumed to have links with drug trafficking or informal mining. Over 27 thousand shots Francisco Irigoyen said that a batch of 27,500 doses of vaccine to be applied to the inhabitants of the jungle Sandia for 35 health professionals. The doctor said to persist the threat or harassment health professionals to make a multi-sectoral collective communal authorities to ensure that they meet all the objectives of vaccination. be a priority intervention in the districts of Sandia Mashiapo, San Juan del Oro and Putina Punco. The strategies are to organize vaccination sweep Huncalla community, and vaccinate every house. people were vaccinated between 02 years to 59 years old. Finally the owner called on the people without yellow fever vaccine, do 10 days before traveling to jungle areas. To set an example for people, Jos? Irigoyen and foreign tourists received their dose of yellow fever vaccine. Green alert Irigoyen, said the Sandia Health Network, declared a green alert to take all measures to control the regrowth of evil. He said there are an inpatient you need to confirm whether or not the virus carrier. The National Institute of Health, the analysis must send the following days. According to the Epidemiology Unit of the Diresa in 1995 was the death of 52 people infected with yellow fever. 96, the death toll was reduced to 41. Between 2005 and 2006, the number of victims was significantly reduced to seven. "We will do everything possible to control the disease. We can not let that yellow fever is increased in a case, "said Irigoyen. ? KEY RECOMMENDATIONS. Irigoyen Francisco, said that should avoid containers with standing water, both inside and outside your home. He called discard all useless objects that are outdoors and in which can collect rainwater: cans, bottles, tires, toys, etc.. Urged to be upside down containers not in use: buckets, bottles, cans, jars, pots and planters, among others.

[Tonka]

Re: Puno, Peru: One confirmed and one suspected case of yellow fever

http://www.larepublica.pe/17-02-2012/fiebre-amarilla-mata-tres-y-otros-cinco-estan-enfermos

Spanish-English translation

Yellow fever kills three and five are sick
Friday, February 17, 2012 | 5:00 a.m.

Puno. Health brigades moved to Puna rainforest Sandia to immunize residents. Disease became a public health problem.
Liubomir Fernandez

Puno

Eight increased the number of people who contracted yellow fever in the jungle Sandia Puno, according to the Department of Epidemiology, Regional Health Directorate of Puno (Diresa).

Three of the victims died because of a severe fever and diarrhea that afflicted for several days. The doctors at the hospital in Sandia, where they were interned, they could not do anything to save their lives.

Two of those killed are men between 45 and 57 years and a woman of 24 years. The five others are under observation and symptomatic treatment in hospital Sandia, north of Puno.

The National Institute of Health confirmed that those who remain hospitalized carriers themselves are wrong and they got it when they entered the river to bathe.

In other patients is unknown how they acquired the disease, because they claim they were never in contact with water. Neither came to the weather.

The outbreak had arisen from Punco Putina district, San Juan del Oro then spread to the villages of Santa Fe, Pampa Grande, Moho and Chocal Pampa, Rio Blanco, and Pampa Palmerani Yanamayo.

Vaccination

The Diresa mobilized the zone 55 integrated brigades of doctors and nursing staff at the head of Fredy P?ssara Zevallos, director of the Department of Epidemiology.

Each working group's mission is to vaccinate more than 100 people. In this first stage will be provided 26 000 87 doses to a similar number of people. The vaccine is applied to people from two to 59 years old. The goal is to protect 47 000 210 people in the year.

The intervention is a priority in the districts of Sandia Mashiapo, San Juan del Oro and Putina Punco.

The strategy is to organize a vaccination sweep Huncalla community and house to house vaccination in high risk areas.

Concern

The director of the Diresa, Francisco Jos? Irigoyen, said there is a risk that the disease spread in the coming weeks. He said the case has become a public health problem.

He explained that the measures taken so far point to prevent the number of cases increases.

He remembered that years before the disease took the lives of tens of inhabitants of the jungle.

He called the people to organize themselves in order to attend health centers and receive the vaccine.

They seek the support of the lieutenant governors to organize the population vulnerable. He said that if necessary create a multisectoral commission.

Yellow fever is a mosquito-borne infection characterized by hepatic failure, renal, myocardial and generalized hemorrhages with a high fatality rate. It is produced by the yellow fever virus, belonging to the Flaviviridae family.

KEY

People who get yellow fever may develop jaundice, bleeding, fever and severe albuminuria. During incubation, which lasts three to six days, the virus lies dormant. The first phase, lasting three to four days, is characterized by fever, chills, muscle aches, headache, loss of appetite, nausea, vomiting and Faget's sign, normal heart rate in the presence of high fever. After this period the patient improves and the symptoms disappear.

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Re: Puno, Peru: Yellow fever kills three and five are sick

http://www.promedmail.org/

Published Date: 2012-02-29 14:32:32
Subject: PRO/AH/EDR> Yellow fever - South America (02): Peru (PU)
Archive Number: 20120229.1056417

YELLOW FEVER - SOUTH AMERICA (02): PERU (PUNO)
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Date: Mon 27 Feb 2012
Source: Enlace Nacional [in Spanish, trans. Mod.TY, edited]

http://enlacenacional.com/2012/02/27/puno-tres-muertes-por-fiebre-amarilla-se-han-registrado-en-zona-de-selva/

In Puno to date, 3 yellow fever fatalities have been registered, stated the Puno Regional Health Director, Jose Irigoyen.

"With respect to yellow fever, we now have it controlled; since 20 Jan [2012] to date, we have had the same cases as before. There has not been an increase -- 3 deaths and 6 suspected cases," said the Director.

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[This is an update of the ProMED-mail report posted on 11 Feb 2012 (see archive no 20120211.1039339). Fortunately, the prompt response seems to have halted the number of cases. The cases were most likely due to the sylvan (jungle) cycle. Halting the number of cases before an urban cycle can be initiated is good news.

A HealthMap/ProMED-mail interactive map showing the location of the Sandia district and province, in the Puno region can be accessed at http://healthmap.org/r/1Mja. - Mod.TY

A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/r/1Mja.]