Paraguay: Dengue outbreaks

[Shiloh]

Source: http://www.reliefweb.int/rw/rwb.nsf/db900SID/KERN-7QQ2X4?OpenDocument

Paraguay: Dengue outbreak DREF operation no. MDRPY006

Source: International Federation of Red Cross And Red Crescent Societies (IFRC)
Date: 01 Apr 2009
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GLIDE n? EP-2009-000028-PRY

The International Federation's Disaster Relief Emergency Fund (DREF) is a source of un-earmarked money created by the Federation in 1985 to ensure that immediate financial support is available for Red Cross and Red Crescent response to emergencies. The DREF is a vital part of the International Federation's disaster response system and increases the ability of national societies to respond to disasters.

CHF 151,145 (USD 132,519 or EUR 99,818) has been allocated from the Federation's Disaster Relief Emergency Fund (DREF) to support the Paraguayan Red Cross in delivering immediate assistance to some 5,000 families. Unearmarked funds to repay DREF are encouraged.

Summary: Paraguay has been affected by a dengue outbreak since the beginning of 2009. A total of 802 cases have been confirmed in the entire country and some 961 cases are suspected. The dengue outbreak is affecting the population living in the following departments: Central, Amambay, Caaguaz?, Alto Paran?, Concepci?n and Asunci?n. This operation seeks to support the Paraguayan Red Cross (PRC) in providing assistance to 5,000 families during the dengue outbreak through an awareness-raising and community health campaign, fumigations and community cleaning.This operation is expected to be implemented over three months, and will therefore be completed by 1 July 2009; a Final Report will be made available three months after the end of the operation (by 1 October 2009).

The situation

Dengue is an illness that has begun to affect the country in recent years. The first cases were detected between 1988 and 1989, and the disease then gradually became more prevalent, affecting primarily the departments of Asunci?n, Central, Amabay and Alto Paran?. Between February and June 1999, 1,564 cases were confirmed. In April 2000, the country registered 2,273 confirmed cases and reported 21,482 suspected cases country-wide.

Some of the factors that have created conditions for the worsening of the dengue epidemic in Paraguay are population growth without planned or controlled urbanization, as well as the deterioration of water systems, sewer systems and waste disposal systems. The weather conditions in Paraguay during the first months of the year, including a 50 percent chance of daily precipitation and temperatures oscillating between 22? and 35? C, also present ideal breeding conditions for the Aedes aegyptis mosquito which transmits the virus causing infection with dengue.

In January 2009, a significant number of cases were reported in the city of Yvy Ja? in the Concepci?n department. After the initial outbreak in Yvy Ja?, the cities of Pedro Juan Caballero (Amambay department), Concepci?n and Horqueta (Concepci?n department), Cap?at? (Central department) and recently Coronel Oviedo (Caaguaz? department) also recorded dengue outbreaks.

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[Shiloh]

Re: Paraguay: Dengue outbreaks

Source: http://www.soitu.es/soitu/2009/04/10/info/1239318004_018119.html

Los casos de dengue en Paraguay aumentan a 1.146 en lo que va del a?o

Google translation:
Cases of dengue fever in Paraguay in 1146 to increase this year
EFE
Updated 10-04-2009 01:00 CET

Asuncion .- The health authorities of Paraguay today amounted to 1146 cases of dengue so far this year in the country, concentrated mainly in the departments of Alto Paran?, Amambay and Concepcion, all of them at the border with Brazil.

The Ministry of Health reported in a statement that confirmed 45 new cases of the disease, transmitted through mosquito 'Aedes aegypti', in Asunci?n, in the department Caaguaz? (east), Canindey? (northeast), Central, adjacent to the capital and Concepci?n.

In addition, the unit returned to urge the population, in anticipation of the large number of displaced persons mentioned in this Holy Week, to continue with the tasks of eliminating potential breeding grounds for mosquitoes transmitters, which procreate in water due to seasonal rain and heat can be extended until May.

In that sense, the Bus Station of Asuncion, the country's principal, reported the passage of 230,000, which represents an increase compared to 225,000 passengers used the service during the Easter holiday last year.

During 2008 were reported in Paraguay, at least 18 cases of benign or type of classic dengue, after that in 2007 an epidemic of the disease was spread to 27,000 people and killed 17 of them.

The Ministry of Health warned on the occasion of some 600,000 Paraguayans who suffered badly in the recent years are susceptible to the hemorrhagic type, the most virulent of the disease and can be fatal.

 

[Shiloh]

Re: Paraguay: Dengue outbreaks

Source: http://www.reliefweb.int/rw/rwb.nsf/db900SID/MUMA-7SR363?OpenDocument

Paraguay: Dengue outbreak DREF Operation Update No.1 MDRPY006

Source: International Federation of Red Cross And Red Crescent Societies (IFRC)

Date: 05 Jun 2009

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The International Federation's Disaster Relief Emergency Fund (DREF) is a source of un-earmarked money created by the Federation in 1985 to ensure that immediate financial support is available for Red Cross and Red Crescent response to emergencies. The DREF is a vital part of the International Federation's disaster response system and increases the ability of national societies to respond to disasters.

Period covered by this update: 1 April to 29 May 2009.

Summary: CHF 151,145 (USD 132,519 or EUR 99,818) was allocated from the Federation's Disaster Relief Emergency Fund (DREF) to support the plan of action of the Paraguayan Red Cross (PRC) that includes delivering immediate assistance to some 5,000 families.

The Paraguayan Red Cross has been carrying out its plan of action in the communities in the Central Department and in the Department of Concepci?n. The plan of action is benefiting 8 municipalities and 45 communities.

The main activities accomplished and reflected in this operations update no.1 are the preparation and procurement of materials to carry out the awareness-raising campaign as well as the clean-up activities. The Paraguayan Red Cross has mapped the areas that will receive the community talks, and agreements have been made with radio stations for the awareness-raising campaign.

The International Federation wishes to thank the Netherlands Red Cross for generously replenishing DREF in the amount of CHF 22,717. The major donors to the DREF are the Irish, Italian, Netherlands and Norwegian governments and ECHO. Details of all donors can be found on http://www.ifrc.org/what/disasters/responding/drs/tools/dref/donors.asp

This operation is expected to be implemented over three months, and will therefore be completed by 1 July 2009; a Final Report will be made available three months after the end of the operation (by 1 October 2009).

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[Tonka]

Re: Paraguay: Dengue outbreaks

http://www.abc.com.py/abc/nota/80072-Salud-monitorea-por-dengue-a-cerca-de-830-personas/

SUSPECTED CASES
Dengue Health monitors nearly 830 people

The Ministry of Health monitors nearly 830 people who have symptoms of dengue. Deputy Health Minister, Edgar Gimenez, said it is suspected. The official said that at present there are 478 confirmed cases.


The Paraguayan health system received 1,600 notifications of suspected dengue cases nationwide, but is making up close to 830 people. "We have a team, we improve the notification system and locking, which allows us to go conglomerates controlling outbreaks occur," he told the doctor to 780 AM.

He recalled that the country was confirmed in 478 cases of the disease and said that in Paraguay circulating serotypes 1, 2 and 3.

He said the income of type 2 can cause complications. "It increases alertness and is an element of concern," Gimenez said.

He recalled that the patients who had dengue in the past been affected by the types 1 and 3, indicating that almost no resistance to type 2. "This puts us in a state of susceptibility," said the interviewee.

He indicated that type 2 was admitted from Brazil. He argued that Amambay border with that country, reports of 368 cases reported symptoms. In this area there are 51 confirmed cases. Among them, on Monday confirmed a case of dengue hemorrhagic fever.

"We are concerned Alto Parana, where 153 cases are confirmed. We followed 200 people, "said the deputy minister.

According to Dr. Edgar Gimenez, Alto Paran?, Concepci?n and Amambay departments are more notifications. He noted that cases also appear in Central.

He said dengue fever spreads, whereas the first notifications began in November last year.

He said the key to dengue control is to control the vector mosquito inside houses.

He said the Paraguayan health system was tested last year, with serious respiratory problems for normal and variant influenza A H1N1.

He explained that the institutions had to respond to additional queries about 200,000 in three months.

"The problem is we have a permanent crisis of human resources, but the good thing is that there is a work plan. We can respond to provide satisfactory results. We should not have even a lethal event, "he reflected.
February 22, 2010 15:33

 

[Ronan Kelly]

Dengue in Paraguay - 2 fatalities

Dengue in Paraguay - 2 fatalities

Warning, Severe Dengue in Paraguay: PUBLIC HEALTH MAKES RECOMMENDATIONS TO HEALTH AUTHORITIES OF CONCEPCION Y ALTO PARANA
Source: Government of Paraguay (Govt. Paraguay) Source: Government of Paraguay (Paraguay Govt.)

Date: 09 Mar 2010 Date: 09 Mar 2010


Esto, considerando que ambos departamentos tienen poblaci?n, en sus diferentes distritos, con riesgo para dengue grave y muertes por dengue, y que el riesgo de propagaci?n a otras localidades del pa?s es inminente. This, considering that both departments have people in their various districts, with dengue risk for severe dengue deaths, and the risk of spread to other parts of the country is imminent.
Vista la notificaci?n de casos de dengue con signos de alarma y manifestaciones de gravedad; adem?s de la muerte de al menos dos personas, hasta el momento, por dengue, una de ellas procedente de Pedro Juan Caballero y la otra de Concepci?n, pero con antecedentes de desplazamientos frecuentes a Pedro Juan Caballero, el Ministerio de Salud P?blica y Bienestar Social, a trav?s de la Sala de Situaci?n, coordinada por la Direcci?n de Vigilancia de la Salud, emiti? una circular dirigida a profesionales de la salud de los departamentos de Concepci?n y Alto Paran?, espec?ficamente. Vista notification of dengue cases with warning signs and manifestations of gravity apart from the deaths of at least two people, so far, dengue, one from Pedro Juan Caballero and the other in Concepcion, but with a history frequent travel to Pedro Juan Caballero, the Ministry of Health and Welfare, through the Situation Room, coordinated by the Directorate for the Surveillance of Health issued a circular addressed to health professionals in the departments of Concepci?n and Alto Parana, specifically.

A trav?s de la misma se insta a los directores regionales de ambos departamentos, como representantes del poder ejecutivo de la cartera sanitaria, a: Through the same calls to the regional directors of both departments, as representatives of the executive of the health portfolio to:

-Convocar al comit? intersectorial para la prevenci?n y control del dengue, para exponer la delicada situaci?n epidemiol?gica de los departamentos mencionados. Cross-convene the committee for the prevention and control of dengue, to expose the epidemiological status of sensitive departments.

-Declarar una alerta sanitaria departamental para la movilizaci?n adecuada de recursos. -Declare a departmental health alert for adequate mobilization of resources.

-Convocar a los prestadores de servicios de salud del sector p?blico, privado y otros entes (profesionales de la medicina y la enfermer?a) para la capacitaci?n en el manejo adecuado de los casos. -Convene providers of health services in public, private and other entities (medical professionals and nursing) for training in the proper handling of cases.

-Asegurar la notificaci?n de casos sospechosos de dengue desde los establecimientos de salud funcionales en el departamento, independientemente del subsistema de salud al que pertenezcan. -Ensure the reporting of suspected dengue cases from health facilities functioning in the department, regardless of the health subsystem they belong to.

-Asegurar el funcionamiento de la Sala de Situaci?n de la Regi?n Sanitaria para el manejo adecuado de la informaci?n epidemiol?gica y la asesor?a permanente a los prestadores de los establecimientos de salud de todos los subsistemas funcionales en el departamento de Amambay. -Ensure the functioning of the Situation Room of the Health Region for the sound management of epidemiological and ongoing advice to providers of health facilities in all functional subsystems in Amambay.
-Desarrollar el Plan de Contingencia Departamental de acuerdo a los lineamientos de la Estrategia de Gesti?n Integrada para la Prevenci?n y el Control del Dengue. -Develop the Departmental Contingency Plan according to the guidelines of the Integrated Strategy for Prevention and Control of Dengue.
La Sala de Situaci?n de Dengue se ampara en el art?culo 13? del C?digo Sanitario, que dice: "En caso de epidemias o cat?strofes el Poder Ejecutivo est? facultado a declarar en Estado de Emergencia Sanitaria la totalidad o parte afectada del territorio nacional, determinando su car?cter y estableciendo las medidas procedentes, pudiendo exigir acciones espec?ficas extraordinarias a las instituciones p?blicas y privadas, as? como a la poblaci?n en general". The Dengue Situation Room is covered by Article 13 ? of the Health Code, which states: "In case of epidemics or disasters, the Executive is entitled to declare a State of Emergency Health affected all or part of the national territory, determining their character and setting appropriate measures, specific actions may require extraordinary public and private institutions, as well as the general population.

En la circular, firmada por el Director de Vigilancia de la Salud del MSP, Dr. Iv?n Allende, se menciona la posibilidad de que aparezcan m?s casos con requerimientos de hospitalizaci?n por criterios de gravedad, adem?s de m?s muertes por dengue, relacionados a retrasos en la detecci?n o el manejo adecuado. The circular, signed by the Director of Health Surveillance of the MSP, Dr. Ivan Allende, mentions the possibility that more cases appear hospitalization requirements of severity criteria, plus more dengue deaths related to delays in detection or proper management. http://translate.google.com/transla...db900SID/MINE-83DRRS?OpenDocument&sl=es&tl=en

 

[Ronan Kelly]

Re: Paraguay: Dengue outbreaks

Alerta, Dengue Grave en Paraguay: PROPONEN DECLARAR EMERGENCIA SANITARIA EN AMAMBAY, CONCEPCI?N Y ALTO PARAN? Warning, Severe Dengue in Paraguay: Proposes AMAMBAY health emergencies, CONCEPCION Y ALTO PARANA
Source: Government of Paraguay (Govt. Paraguay) Source: Government of Paraguay (Paraguay Govt.)

Date: 09 Mar 2010 Date: 09 Mar 2010


Adem?s de una declaraci?n de Alerta M?xima para los departamentos Central, Canindey? y Caaguaz?. In addition to a declaration of high alert for central departments, Canindey? and Caaguaz?. En tanto, sigue vigente la Alerta Epidemiol?gica Nacional emitida el 29 de enero pasado. Meanwhile, still has the national epidemiological alert issued on 29 January.
La actual epidemia de dengue, que afecta a 16 de los 18 departamentos del pa?s, incluyendo la capital, presenta la circulaci?n de los serotipos 1, 2 y 3, y la hospitalizaci?n de pacientes con signos de alarma y gravedad, adem?s de las muertes registradas el fin de semana. The current dengue epidemic, affecting 16 of the 18 departments, including the capital, has the circulation of serotypes 1, 2 and 3, and the hospitalization of patients with warning signs and severity, in addition to deaths weekend.
Ante esta situaci?n, la Sala de Situaci?n de Dengue, coordinada por la Direcci?n General de Vigilancia de la Salud, recomienda: In this situation, the Situation Room on Dengue, coordinated by the Directorate General of Health Surveillance, recommends:
-Declarar Emergencia Sanitaria en los departamentos de Amambay, Concepci?n y Alto Paran?. -Declares Health Emergency in the departments of Amambay, Conception and Alto Parana. -Declarar Alerta M?xima para los departamentos de Canindey?, Caaguaz? y Central. To declare high alert for the departments of Canindey? Caaguaz? and Central.

Las declaraciones de Emergencia Sanitaria est?n previstas por el C?digo Sanitario, y faculta al Poder Ejecutivo, en este representado por los directores regionales, m?ximos representantes de la Ministra de Salud en los departamentos del pa?s, a ejercer la rector?a de la respuesta estatal en los niveles departamentales. Emergency Health Statements are provided by the Health Code, and authorizes the Executive Branch is represented by regional directors, senior representatives of the Minister of Health on departments, to exercise stewardship of the state response levels department.

La Declaraci?n de Emergencia Sanitaria Departamental implica el abordaje transectorial de la epidemia local, debido a las dificultades para el control de la misma y el riesgo alto para la poblaci?n de enfermedad grave y muerte. Health Emergency Declaration Departmental cross-sectoral approach involving the local epidemic, due to difficulties in controlling it and the population at high risk for serious illness and death. Deben priorizarse estrategias de mitigaci?n (detecci?n precoz de casos, hospitalizaci?n de pacientes con signos de alarma y factores de riesgo, manejo adecuado seg?n protocolo de casos graves) y simult?neamente abordar estrategias de control con miras al corte de circulaci?n viral (estrategias centradas en la destrucci?n de criaderos, combinadas con fumigaci?n espacial, con participaci?n comunitaria, mingas ambientales por ejemplo). Should prioritize mitigation strategies (early detection of cases, hospitalization of patients with warning signs and risk factors, appropriate management of serious cases as per protocol) and simultaneously deal with control strategies with a view to cutting of viral circulation (strategies focused on the destruction breeding sites, combined with space spraying with community participation, environmental sanitation, for example).
La Declaraci?n de Alerta M?xima implica la inminencia de que la epidemia no pueda ser controlada y que requiere de esfuerzos adicionales de control articulados con el intersector en los niveles locales, adem?s de la participaci?n comunitaria. Maximum Alert Declaration implies the imminence of the epidemic can not be controlled and requires additional efforts to control intersector articulated at the local levels, as well as community participation.

Para recordar, el sistema registra alrededor de 2800 casos notificados en este periodo de riesgo, que presenta una epidemia de baja magnitud, pero que tiene la particularidad de la circulaci?n de tres serotipos y la gravedad asociada a la enfermedad. To recall, the system records about 2800 reported cases in this period of risk, which has an epidemic of low magnitude, but which has the particularity of the circulation of three serotypes and associated with disease severity. Se confirmaron 797 casos, y aproximadamente 1500 est?n como sospechosos. 797 cases were confirmed, and about 1500 are as suspects. http://translate.google.com/transla...db900SID/MINE-83DRQQ?OpenDocument&sl=es&tl=en

 

[Tonka]

Re: Paraguay: Dengue outbreaks

http://www.ultimahora.com/notas/304164-Dengue:--Alto---riesgo-de-casos-graves-en-Asunción-y-Central

HEALTH ALERT | Saturday, March 13th, 2010 |

Dengue: High risk of severe cases in Asunci?n and Central

Circulation serotype 2 virus was detected in San Lorenzo and Fernando de la Mora. Public Health recommend the declaration insists on maximum alert in Central, Canindey? Caaguaz? and Asuncion.

By Silvana Molina

silvana@uhora.com.py

The circulation of dengue serotype 2, detected in the cities of Fernando de la Mora and San Lorenzo, puts in epidemiological risk everything to Asuncion and the Central Department, where they can start showing severe cases.

"It is imminent risk to Asunci?n and the metropolitan area," said general manager yesterday Sanitary Surveillance Ministry of Health (MOH), Dr. Ivan Allende, during the presentation of the latest data from the epidemic.

Allende said Asunci?n Metropolitan Area (which corresponds to the Central Department) behave like a big city, from the standpoint of population size.

The fact that these areas are mobilized around 3 million people during the day, puts them at risk for the occurrence of severe cases, by the movement of two or three serotypes simultaneously and the possibility they spread rapidly, according said.

In Asuncion, so far, only showed the presence of dengue type 1. While Central, with the detection of dengue 2 and records the movement of the three serotypes (1, 2 and 3).

DEPARTMENTS. At present, 83% of the country's departments reported dengue cases, said the director of Health Surveillance.

Among them, Amambay is found in most critical situation, with the simultaneous circulation of two types of dengue virus (1 and 2) and a high rate of infestation with larvae of the Aedes aegypti mosquito that transmits the disease (see page 3).

Other departments that are at risk are important Concepci?n, San Pedro and Canindeyu, by its geographical proximity to Amambay.

CASE NO. In addition, three departments so far may be considered out of danger, taking into account that not been reported.

They are Caazap? Boqueron and ?eembuc?. Missions, although recorded 3 cases confirmed, these are imported from Vallem?, so too may be among the departments with low risk.

Low magnitude. From the standpoint of the number of cases -964 to date-the current epidemic of dengue is still considered low magnitude.

However, it is actively due to the persistence of viral transmission, and is considered serious by the circulation of a new serotype of virus (2) increasing the chances of occurrence of severe cases and mortality already recorded, explained Allende.

Two months. The current epidemic of dengue and spent six months in development, since it began in October 2009.

The technicians of the MSP, it probably will be extended for two months (until April).

"We now have ongoing activity of dengue virus, and still waiting for case reporting for several weeks," Allende said.

Therefore stressed the need to eliminate the transmitting vector, ie the potential breeding sites of Aedes aegypti.

According to the epidemiologist, this is the largest and most sustainable strategy to avoid community transmission of dengue.

FUMIGATION. The specialist explained that there is every expectation that focus on aerial spraying, because at this stage of the epidemic has a very low impact, at around 20%. Moreover, the situation with climate-permanent rain-making spraying is ineffective.

The recommendation for areas where there are constant rainfall is the inspection and elimination of breeding sites after each rainfall. "With that we would be reducing the amount of adult mosquitoes with the ability to transmit the disease and we would get the traffic court," said Dr. Allende.

ALERTS AND EMERGENCIES

Alert epidemiological health emergency and alert. These days, the use of these concepts has generated some confusion among the citizens, since many do not understand their scope.

Dr. Ivan Allende explained that in October last year, the Ministry of Public Health launched the first national epidemiological alert for dengue, communicating the beginning of the period of virus circulation, after detecting the first case.

Subsequently, on January 29 issued another warning last national epidemiological and reported the detection of a new serotype of dengue virus (2), Department of Amambay, which predisposes to the occurrence of severe cases.

Since Monday, the MOH has recommended to declare a health emergency in the departments of Amambay, Conception and Alto Parana, which should make the governorates and municipalities. With this aim is for local agencies should be organized and redirect the flow of funding to address the need to control and mitigate the epidemic in their departments.

The statement also advised on high alert (which is a lower level of emergency care) in Canindey? Central Caaguaz? and Assumption. So far, none of these recommendations has been implemented.

The epidemic in numbers

Confirmed dengue cases across the country.

1,700

Tables suspects are awaiting confirmation or disposal.

244

Patients have been hospitalized with dengue in the country.

Severe dengue cases have been filed so far.

People have died from dengue epidemic.

 

[Shiloh]

Re: Paraguay: Dengue outbreaks

Source: http://www.insidecostarica.com/dailynews/2010/april/01/latinamerica10040403.htm

Dengue Worries Paraguay

ASUNCION - Paraguayan authorities are concerned about the number of patients with dengue in the country.

In this sense, on Wednesday they insist on preventing work to avoid this disease transmitted by aegyptis aedes mosquito.

Through some media the Ministry of Public Health and Social Welfare circulate the importance of destroying the breeding sites of the vector.

It warns about a possible spread of the epidemic after Easter, because in this period many people usually moves interior of the country, border areas and abroad.

Just the capital Central Hospital of Social Welfare Institute registers more than 340 suspected dengue cases and 79 confirmed.

In this regard the department of Epidemiology at the medical institution insists on the increase to the maximum the prevention against the disease.

The total of confirmed dengue cases in Paraguay from November through March, rose to 2.511.

 

[Shiloh]

Re: Paraguay: Dengue outbreaks

Source: http://www.laht.com/article.asp?ArticleId=356589&CategoryId=12394

Death Toll from Dengue Rises to 11 in Paraguay

ASUNCION ? A 60-year-old man and a 5-year-old boy died from dengue, raising the death toll from the disease in Paraguay to 11, with most of the deaths reported in areas near the border with Brazil, health officials said Thursday.

?Two new deaths have been added this week: a male patient, age 60, from Pedro Juan (Caballero) and the other, a boy age 5, from Fernando de la Mora,? Health Ministry disease monitoring service specialist Dr. Agueda Aguero said.

Pedro Juan Caballero, located 540 kilometers (335 miles) northeast of Asuncion and on the border with Brazil?s Matto Grosso do Sul state, is the capital of Amambay province, while Fernando de la Mora is a town near Asuncion.

Of the 12,000 notifications sent to health officials, 4,971 dengue cases have been confirmed, the majority of them in Central, Amambay, Concepcion and Alto Parana provinces, Aguero said.

Concepcion and Alto Parana are on the border with Brazil.

?Practically in all the provinces (the virus) is going around,? the health official said.

The disease spread across Paraguay due to the movement of large numbers of people during Holy Week, Aguero said...

...Paraguay did not have any fatal dengue cases in 2008 and 2009, but an epidemic in early 2007 killed 17 people and infected 27,000 others. EFE

 

[Ronan Kelly]

Re: Paraguay: Dengue outbreaks

Google: Spanish to English translation
13/06/2010 | 19:26:00 Health
Two new cases of dengue in Itap?a
The seventh Health Region confirmed two new cases of dengue fever in the department of Itap?a. Although the locks were concerned, the situation is very worrying. The cases are the classic type and one was registered at Incarnation, while the other came in Hohenau.

Comment
New cases of dengue were recorded Itap?a department. Two new cases in the classical form of the disease were confirmed in recent days. One case is the city of Encarnaci?n and another in the city of Hohenau. With this, from the beginning of the year, add up to 33 positive cases. Despite low temperatures, is the proliferation of mosquitoes.
Temperatures are expected to fall enough so that mosquitoes are killed by the same nature.
INFLUENZA A H1N1
Also, health authorities and workers in white, manitenen alert to the possibility of appearance of suspected cases of influenza A H1N1. Likewise, it is reported that vaccines are available to the population at risk, who are the children of 0-6 months, over 60 years, on pregnant women and chronically ill.

At the country level are several suspected cases of influenza A H1N1, but none has been confirmed to date. The department develops Itap?a triage strategy to detect early any suspected case and treat it as positive.

The release of vaccines will be given on 14 June. Once again calls upon the citizens considered at risk, to attend vacunarse.FUENTE: ITAPUA.COM.PY
http://www.primeraedicionweb.com.ar/nota/digital/21115/dos-nuevos-casos-de-dengue-en-itapua.html