Panorama da dengue na região sul do brasil de 2001 a 2017 / Panorama de la dengue en la región sur de brasil de 2001 a 2017 / An overview of dengue in the southern region of brazil from 2001 to 2017

Objetivo: inventariar casos notificados por dengue clássica e óbitos na região Sul do Brasil entre 2001 e 2017. Método: estudo descritivo-retrospectivo a partir de dados secundários do DATASUS/SINAN e das Secretarias de Saúde, analisados através de estatística descritiva. Resultados: observou-se aumento dos casos nos três estados: Paraná (PR) elevou casos autóctones para 94% nos últimos quatro anos, Santa Catarina (SC) para 95%, e Rio Grande do Sul (RS) para 83%, respectivamente, em 2015 e 2016. Observou-se crescente aumento de óbitos por dengue hemorrágica, principalmente no PR; em 2016, o primeiro óbito em SC; e aumento nos últimos dois anos no RS, mais de 90% em adultos. Conclusão: a região requer atenção dos órgãos de saúde, devido ao aumento de casos e óbitos por dengue, embora apresente a menor incidência da doença do país. Este estudo contribuiu para o conhecimento do cenário atual e da evolução da dengue na região Sul do Brasil.

ABSTRACT Objetivo: inventariar casos notificados por dengue clásica y óbitos en la región Sur de Brasil entre 2001 y 2017. Método: estudio descriptivo retrospectivo con base en datos secundarios del DATASUS/SINAN y de las Secretarías de Salud, analizados por medio de estadística descriptiva. Resultados: se observó crecimiento de los casos en los tres estados: Paraná (PR) tuvo elevación de casos autóctonos para 94% en los últimos cuatro años, Santa Catarina (SC) para 95%, y Rio Grande do Sul (RS) para 83%, respectivamente, en 2015 y 2016. Se observó todavía creciente aumento de óbitos por dengue hemorrágico, principalmente en PR; en 2016; el primero óbito en SC; y crecimiento en los últimos dos años en RS, más de 90% en adultos. Conclusión: la región necesita atención de los organismos de salud, a causa del crecimiento de casos y óbitos por dengue, a pesar de presentar la menor incidencia de la enfermedad del país. Este estudio contribuyó para el conocimiento del escenario actual y de la evolución de la dengue en la región Sur de Brasil.

Objective: To record cases reported as classical dengue fever and deaths in the southern region of Brazil between 2001 and 2017. Method: Descriptive-retrospective study using secondary data from DATASUS/ SINAN and State Departments, analyzed through descriptive statistics. Results: An increase in the percentage of cases of the disease in the three states was observed in the three Brazilian southern states: in Paraná (PR) the percentage of autochthonous cases reached 94% in the last four years; in Santa Catarina (SC), the percentage was 95%, and in Rio Grande do Sul (RS), 83%, respectively, in 2015 and 2016. There was an increase in the number of deaths by severe dengue (dengue hemorrhagic fever), mainly in PR; in 2016, the first death caused by dengue was observed in SC; and an increase of more than 90% in the cases of dengue among adults in the last two years in Rio Grande do Sul. Conclusion: Despite the fact the Southern region of Brazil has the lowest incidence of dengue, special attention should be paid by health agencies to the situation in the southern states due to the increase in the number of cases and deaths caused by dengue.

Enteroparasites and commensals in students aged 7 to 14 years in rural and urban areas of Campos Novos, west of Santa Catarina, Brazil

Intestinal diseases caused by parasites are a worldwide public health problem and contribute to social and economic problems, especially among low-income populations, which lack basic conditions and hygiene. This study aimed to evaluate the occurrence of intestinal parasites in students between 7 and 14 years of age from rural and urban areas of Campos Novos, Santa Catarina. A total of 109 fecal samples, stored in SAF solution, were analyzed by spontaneous sedimentation and centrifuge-fluctuation methods. Twenty-four (58.5%) and 21 (30.9%) samples were positive for the presence of parasites in the rural and urban areas, respectively, indicating a higher prevalence in rural areas. Among 8 distinct parasites identified in samples, Ancylostomatidae (hookworm) (35%) and Ascaris lumbricoides (28.3%) were the most abundant, followed by Entamoeba coli (25%), Giardia lamblia (5%), Balantidium coli (1.6%), Iodamoeda sp. (1.6%), Isospora belli (1.6%) and Trichuris trichiura (1.6%). Polyparasitism (hookworm and A. lumbricoides) was identified in one student from a rural area. Also, B. coli was identified in one sample and could indicate contamination of the human water supplies with pig manure. Moreover, the sanitary conditions in the rural and urban areas were very distinct, which may have contributed to the difference between the numbers of students infected with those parasites. In conclusion, these data suggest a higher prevalence of parasites in students from rural areas and that an improvement in sanitary conditions in rural areas is necessary in order to reduce parasitism in this population.

Envenomation by the neotropical colubrid Boiruna maculata (Boulenger, 1896): a case report

This is a case report of a Boiruna maculata snake bite in a child admitted to the Hospital Municipal de Pronto Socorro de Porto Alegre, Porto Alegre, RS, Brazil. The patient was bitten on the lower left limb, and exhibited pronounced local manifestations of envenomation. She was treated with Bothrops antivenom and was discharged from the hospital five days later with marked improvement of envenomation