Dominican Republic: 2014 outbreak of Chikungunya virus

[Gert van der Hoek]

27 March 2014

Country under alert on possible chikungunya fever outbreak

Santo Domingo.- Health minister Freddy Hidalgo on Wednesday warned that the country is under a heightened alert from a possible outbreak of chikungunya fever.

He said since it?s possible the fever is already in the national territory, the Health Ministry?s epidemiology measures have been in since January, when several Caribbean islands reported the spread of the virus.

Hidalgo said in cases detected in San Crist?bal (south) and San Pedro (east) public health has bolstered prevention and control measures, according to Pan-American Health Organization guidelines. "The epidemiological investigations? preliminary results show a clinical pattern similar to infection by the chikungunya virus, but this Ministry awaits the laboratory results for confirmation."

In said a press conference at the Public Health Ministry, the official added that the chikungunya virus is spread by the Aedes aegypti, mosquito, the same one which causes dengue, and characterized by fever followed by severe joint and muscular pain.

Dominican Today

[Gert van der Hoek]

Re: Dominican Republic: Country Under Alert on Possible Chikungunya Fever Outbreak

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Teen in hospital with symptoms of Chikungunya

| Fri, Mar 28 14:07

The symptoms of Chikungunya virus are present in a 13-year-old detained in hospital Robert Reid Cabral, whose suspicious symptoms has worried the authorities of the center, as revealed by the Deputy Virgin Gomez.

The patient arrived in the country on Saturday from San Martin Island, fever, edema and rash on the feet, so the doctor says Gomez is a suggestive picture and is awaiting the final diagnosis to determine whether of said virus is.

Also that a child of Nigua, San Cristobal is also under observation, with febrile symptoms said, but is being treated as a case of pneumonia and evolves.

Dominicanos Hoy

[Gert van der Hoek]

Re: Dominican Republic: Country Under Alert on Possible Chikungunya Fever Outbreak

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Sat March 29, 2014

SAN CRISTOBAL, Dominican Republic -. Dozens of people attended the evening Friday night to Barcequillo Haina hospital with suspected symptoms of Chikungunya fever.

Noticias Sin


Univision41

[Gert van der Hoek]

Re: Dominican Republic: Country Under Alert on Possible Chikungunya Fever Outbreak

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31 MAR 2014, 12:00 AM

Chikungunya continues to expand in San Cristobal

A daily receive between 150 and 200 fever cases suspected virus



SANTO DOMINGO. The disease is believed to be spreading Chikungunya San Cristobal, where suspected cases are doubling every day.

This was announced yesterday by the Director of Health in the province, Manuel Antonio Hilario, noting that cases have more than doubled and patients from outlying areas of Los Galindos chigger, where the virus was detected initially received.

Hilario said an average of 25 to 30 febrile patients arriving daily, currently receive between 150 and 200 patients, the presenting symptoms makes them think that this is the Chikungunya.

He said they have already reported patients Yogoyogo sectors, the chigger Invi, White Gate, the city center, among others.

"In most neighborhoods there have been cases that come to the city, that's why we say that have spread to all sectors of the community of chigger". Only yesterday, the hospital had received Nigua 80 patients, of which 80% were febrile, reportedly.

Hilario said they are still waiting for the test results are studied in Atlanta, to determine whether or not the chikungunya virus.

He stressed the need for all people make situational awareness and try to avoid the spread of the virus by eliminating mosquito breeding. With respect to the Ministry of Public Health, said he continues with days of spraying and going door to door to assess the stored water.

Diario Libre

[Gert van der Hoek]

Re: Dominican Republic: Country Under Alert on Possible Chikungunya Fever Outbreak

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Public Health confirms there is Chikungunya in the Dominican Republic

Posted On: April 4, 2014

The Ministry of Health confirmed an outbreak of Chikungunya virus in the town Nigua in San Cristóbal Province.

Health Minister, Dr. Freddy Hidalgo Núñez reported that blood samples of people affected by severe joint pains, fever and sent to the CDC, the Chikungunya virus were positive.

The official information offered on Friday and said he sought support Public Health Laboratory diagnosis of antivirus Center for Disease Control of the United States (CDC) to confirm the existence of the virus in the country.

Nunez Hidalgo said the Ministry of Health maintains and intensify throughout the country the prevention and containment of outbreaks of mosquito-borne diseases Aedes aegypti.

Recommended that people assume the culture of the elimination of mosquito breeding sites and spreads chlorine on the water level in the tank walls or other base plates, and cover them properly. He also reminded people not self-medicate.

He also reiterated that to prevent Chikungunya virus there are no specific treatments or vaccines.

In January, the authorities of Public Health, to the possible introduction in the country of the disease issued an epidemiological alert and launched the cross-sectoral preparedness and response plan.

El Viajero Digital

[Ronan Kelly]

Re: Dominican Republic: Ministry of Health confirmed an outbreak of Chikungunya virus

Dominican Republic Reports 17 Confirmed Chikungunya Cases, 767 Suspected

The Department of Health in the Dominican Republic has reported 17 confirmed and 767 suspected chikungunya cases in San Cristobol province during the past week, adding to the already ballooning total of cases in the Caribbean and South America.

As of Apr. 17, there are 3,972 confirmed and probable cases in 13 countries and 25,021 suspected cases, according to the European Centre for Disease Control and Prevention (ECDC).

While the number of new cases in the French Antilles is generally decreasing or constant, other countries like French Guiana, Dominica and Anguilla,
...

http://www.theglobaldispatch.com/dominican-republic-reports-17-confirmed-chikungunya-cases-767-suspected-85732/

[Ronan Kelly]

Re: Dominican Republic: Ministry of Health confirmed an outbreak of Chikungunya virus

The Republic April 23, 2014

INVESTIGATE SOURCE OF INFECTION
Chikungunya affects Reid Cabral hospital doctors
12 AMONG DOCTORS ARE AFFECTED, AND TWO THREE NURSES bioanalysts

Doris Pantaleon
Santo Domingo
An outbreak of chikungunya fever has broken out between the health staff at Children's Hospital Robert Reid Cabral, affecting up yesterday to at least 12 doctors, three nurses and two laboratory technicians.

The outbreak, which is being studied to determine if the source of infection is within the same hospital, has forced authorities to issue labor license center five to six days anyone with suspected symptoms of the disease, which manifested by fever and severe joint pains. Most affected are medical residents. Yesterday, experts from the National Center for Control of Tropical Diseases (CENCET) rushed to the hospital where they took samples of mosquitoes and water to be analyzed and sprayed the rooms of medical residents.
...

http://www.listindiario.com/la-republica/2014/4/22/319191/Brote-de-chikungunya-afecta-a-medicos-del-hospital-Reid-Cabral

[Shiloh]

Re: Dominican Republic: Ministry of Health confirmed an outbreak of Chikungunya virus

Source: http://www.dominicantoday.com/dr/loc...kungunya-cases

Local - 28 April 2014, 7:58 AM
Public Health reports 3,690 suspected chikungunya cases

Santo Domingo.- The Public Health Ministry on Sunday reported 3,690 suspected chikungunya cases in San Cristobal alone, and called on the population to eliminate the sites where the mosquito breeds in yards, alleyways and streets...

[Pathfinder]

Re: Dominican Republic: Ministry of Health confirmed an outbreak of Chikungunya virus

Translation Google

The chikungunya affected districts of Santo Domingo

May 19, 2014 |

Santo Domingo

From about three weeks ago , chikungunya fever has begun to wreak havoc in the most populous parts of the capital , forcing residents to turn for attention to major hospitals , where high demand for care is further accentuating the precariousness with operating centers .

The number of febrile patients and other characteristics of the receiving chikungunya , ranging between 100 and 150 patients daily features, remains concerned health personnel , who claims to be forced to work practically with " bare hands."

Hospitals , especially the traditional system , which are the most massive , not only have limited space , medicines, disposable materials , laboratory reagents and basic inputs , but are accumulating large debts to the budget shortfall , exacerbated after elimination of charging the fee recovery in August last year.

" Here are scarce up the gloves ," say doctors Luis Eduardo Aybar Hospital , where every day an average of 60 adults and 43 children with symptoms of chikungunya is received . This fact is supported by patients who claim that they often have to go out and buy up the syringe to be used for injection.

A relative of a woman in labor criticized having to buy a kit that cost 3,000 pesos for a relative could be subjected to a cesarean because the hospital, but no recovery fee charged , the patient should take the materials used in the surgery .

Listin Diario learned unofficially that, so far this year, the hospital Luis E. Aybar has only received two state grants, aggravated situation that does not receive any extra resource deleted after the recovery rate .

This leaves unarmed to manage day to day expenses . Although the government announced that it would spend 600 million pesos extra funds to cover these hospitals would be forgone in these allege that they are not represented solutions.

Serious deprivations , including high debt and closed areas for lack of water service, is also affecting the Robert Reid Cabral Children's Hospital , which has prompted the Dominican Medical Association (CMD ) has today called for a meeting with the press at the headquarters of the health center .

This hospital, sponsored by Dr. Margarita Cede?o de Fern?ndez during his tenure as First Lady , which even led him to undergo extensive remodeling of its physical plant , apparently is not receiving adequate support and adequate financial resources to meet the high demand for care that is daily, because it is a national referral center .

Under similar conditions the hospital Dar?o Contreras, Francisco Moscoso Puello , Maternity of Our Lady of Altagracia maternal and child San Lorenzo de Los Mina also operate .

It was reported that hospitals self-management called , they had removed the collection of fee recovery in areas such as emergency and consultation contemplating reset it again , given the difficulties that record to meet its commitments to suppliers due to the budget receiving it is insufficient.

NEIGHBORHOOD RESIDENTS CRAM HOSPITALS

Populated neighborhoods as Swamp , Mary Help The Pigeon peas , Villa Mella , Las Americas , Los Tres Brazos , February 27 , Villa Maria , Guachupita , Los Mina , Los Frailes , Luperon , Capotillo Darn , April 24 Villas and Agricultural are the largest number of patients with fever , joint pain and skin rash , typical features of chikungunya , bring to hospitals as Luis Eduardo Aybar, Francisco Moscoso Puello and San Lorenzo de Los Mina.

Cases were also reported in different neighborhoods of Los Alcarrizos and Herrera , including Fe and Buenos Aires , which are treated in hospitals and Marcelino V?lez Vinicio Calventi Santana. The Maternal and Child San Lorenzo de Los Mina is daily getting about 150 febrile patients , including adults and children. Patients are also coming from communities like Boca Chica and Caleta.

Last Friday in the hospital Aybar were nine patients from the district on February 27 . The virus , whose first outbreak occurred last February in chigger , San Crist?bal, the hospital remains in dire Juan Pablo Pina and other health conditions in the area , because the number of patients receiving daily overflow capacity.

Source : Listindiario

http://www.elmasacre.com/?m=noticias&s=nacionales&articulo=24046

[Shiloh]

Re: Dominican Republic: Ministry of Health confirmed an outbreak of Chikungunya virus

Source: http://hoy.com.do/suben-a-32519-los-...000-en-semana/

Suben a 32,519 los casos chikungunya; 8,000 en semana
Por Odalis Mejía

Google translation:

Up to 32,519 cases of chikungunya ; 8,000 weekday
By Odalis Mejia
o.mejia [ @] hoy.com.do
2:00 a.m.

The Ministry of Public Health reported amounting to 32,519 cases of chikungunya fever reported throughout the country , 8,059 of which have occurred in a single week. Of the latter, 68 % was detected in San Cristobal.

Furthermore , we detected three cases of co- infection of chikungunya and dengue in Santo Domingo Norte municipalities , Nigua and Boca Chica. According to the bulletin of the epidemiological week 17 ( SE- 17), the total registered cases represent an increase of 16,584 visits per foot compared to the first eight weeks of this year.

The report indicates that twenty provinces have reported suspected outbreaks of CHIKV , confirming indigenous transmission of the virus in San Cristóbal, San Pedro de Macoris , Santo Domingo, Hato Mayor, Monte Plata and Barahona. Also reports of imported cases in Puerto Plata and María Trinidad Sánchez .

He notes that the spread of chikungunya is explained by the lack of population immunity against the virus , the mosquito Aedes aegypti transmits infection from sick people to healthy and high mobility during the Easter holiday . Make that field investigations provide evidence for a number of suspected cases of the disease that does not require health care centers , which could be related to the recommendations defined in the epidemiological alert for the treatment of people with no warning signs or severity .

[Treyfish]

Re: Dominican Republic: Ministry of Health confirmed an outbreak of Chikungunya virus

Over 32,000 suspected chikungunya cases in Dominican Republic

May 20, 2014

snip

Illnesses caused by the chikungunya virus were first confirmed in the Dominican Republic April 4. Numerous Spanish language media outlets, including HOY Digital, are quoting officials in the country's Ministry of Public Health as saying that there have been reported 32,519 suspected cases of the mosquito borne illness. This is a far larger number than the 8,017 reported by both the Pan American Health Organization and the European Centre for Disease Prevention and Control for the week ending May 17.
A lag in reporting data to public health authorities is not unusual, especially with countries that have limited resources. The latest numbers lend credence to media reports about crowded hospitals. The Ministry, late last week, did state that chikungunya was affecting ten percent of all Dominican households.

http://www.examiner.com/article/over-32-000-suspected-chikungunya-cases-dominican-republic

[Gert van der Hoek]

Re: Dominican Republic: Ministry of Health confirmed an outbreak of Chikungunya virus

Caribbean hospitals overwhelmed with painful and rapidly spreading virus new to region

May 21, 2014 -

SAN CRISTOBAL, Dominican Republic — They suffer searing headaches, a burning fever and so much pain in their joints they can barely walk or use their hands. It's like having a terrible flu combined with an abrupt case of arthritis.

Hospitals and clinics throughout the Caribbean are seeing thousands of people with the same symptoms, victims of a virus with a long and unfamiliar name that has been spread rapidly by mosquitoes across the islands after the first locally transmitted case was confirmed in December.

"You feel it in your bones, your fingers and your hands. It's like everything is coming apart," said 34-year-old Sahira Francisco as she and her daughter waited for treatment at a hospital in San Cristobal, a town in the southern Dominican Republic that has seen a surge of the cases in recent days.

The virus is chikungunya, derived from an African word that loosely translates as "contorted with pain." People encountering it in the Caribbean for the first time say the description is fitting. While the virus is rarely fatal it is extremely debilitating.

"It is terrible, I have never in my life gotten such an illness," said Maria Norde, a 66-year-old woman confined to bed at her home on the lush eastern Caribbean island of Dominica. "All my joints are in pain."

"It's building up like a snowball because of the constant movement of people," said Jacqueline Medina, a specialist at the Instituto Technologico university in the Dominican Republic, where some hospitals report more than 100 new cases per day.

More: Star Tribune

[Ronan Kelly]

Re: Dominican Republic: Ministry of Health confirmed an outbreak of Chikungunya virus

Nearly 53,000 affected by chikungunya fever in Dominican Republic
3 junio, 2014

Nearly 53,000 people have been affected by chikungunya fever in Dominican Republic, according to the Health Minister, Freddy Hidalgo.
Although there have been no deaths from fever, the reasons for the death of a victim who had symptoms in the days before, among them are investigated: high fever, headache, joints and muscles, as well as also rash.
...

http://lainfo.es/en/2014/06/03/nearly-53000-affected-by-chikungunya-fever-in-dominican-republic/

[Gert van der Hoek]

Re: Dominican Republic: Ministry of Health confirmed an outbreak of Chikungunya virus - 193.000 affected

July 10, 2014

computertranslation

193,395 affected by Chikungunya in Dominican Republic

The fever remains active in the Capital District and 18 of the 31 provinces of the Caribbean island. The greatest negative impact remains in San Cristobal, south of Dominican Republic

A 193,395 rose on Thursday the number of people affected by Chikungunya fever in the Dominican Republic, according to the latest report of the Ministry of Public Health.

The fever remains active in the Capital District and 18 of the 31 provinces of Cuba. The greatest negative impact remains in San Cristobal, south of Dominican Republic.

In response, the Health Minister Freddy Hidalgo, called to develop work hygiene and eliminate potential mosquito breeding Aedes aegypti and Aedes albopictus, transmitters of disease.

Hidalgo met with representatives of the National Council of Private Enterprise, who pledged to support the health control.

Leer más en: http://www.ultimasnoticias.com.ve/no...#ixzz37616Mdkh

[Gert van der Hoek]

Re: Dominican Republic: Ministry of Health confirmed an outbreak of Chikungunya virus

15 JUL 2014

Hospitals receive fewer cases of chikungunya

People prefer to self-medicate with acetaminophen in their homes


SANTO DOMINGO. Rosmery Colar, a resident in the Los Girasoles sector of the town of North Santo Domingo, came out of her house worried and headed towards the Dr. Robert Reid Cabral Childrens' Hospital, because her three year old daughter has a high fever and pains in her body since last Sunday night.

This young person was one of the few cases of fever in children that were found yesterday morning in the waiting room of the emergency room of the hospital. Respiratory problems and injuries from falls were notable.

This panorama corroborates the statements by the deputy director of the hospital, Virgen Gomez, who said last week that the suspicious cases were showing a downturn due to the fact that the evolution of the virus was entering a stage of stabilization.

More: Diario Libre