ABSTRACT
As arboviroses transmitidas pelo mosquito Aedes aegypti são um dos principais problemas de saúde pública no Estado de Goiás. O boletim epidemiológico das arboviroses tem o objetivo de apresentar a situação epidemiológica dos casos no estado, utilizando como fonte de dados os registros de casos suspeitos e confirmados ocorridos nos últimos anos, disponíveis no Sinan Online e Sinan Net. Também são apresentados dados relativos à síndrome congênita associada à infecção pelo Zika Vírus, disponíveis no Sistema de Registro de Eventos em Saúde Pública (RESP) - Microcefalias
Arboviruses transmitted by the Aedes aegypti mosquito are one of the main public health problems in the State of Goiás. The arbovirus epidemiological bulletin aims to present the epidemiological situation of cases in the state, using records of suspected and confirmed cases as a data source. occurred in recent years, available on Sinan Online and Sinan Net. Data relating to congenital syndrome associated with Zika Virus infection are also presented, available on the Public Health Event Registration System (RESP) - Microcephalies
Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Aged , Arbovirus Infections/epidemiology , Arbovirus Infections/diagnosis , Arbovirus Infections/drug therapy , Dengue/complications , Dengue/mortality , Chikungunya Fever/epidemiology , Zika Virus Infection/epidemiologyABSTRACT
As arboviroses transmitidas pelo mosquito Aedes aegypti são um dos principais problemas de saúde pública no Estado de Goiás. O boletim epidemiológico das arboviroses tem o objetivo de apresentar a situação epidemiológica dos casos no estado, utilizando como fonte de dados os registros de casos suspeitos e confirmados ocorridos nos últimos anos, disponíveis no Sinan Online e Sinan Net. Também são apresentados dados relativos à síndrome congênita associada à infecção pelo Zika Vírus, disponíveis no Sistema de Registro de Eventos em Saúde Pública (RESP) - Microcefalias
Arboviruses transmitted by the Aedes aegypti mosquito are one of the main public health problems in the State of Goiás. The arbovirus epidemiological bulletin aims to present the epidemiological situation of cases in the state, using records of suspected and confirmed cases as a data source. occurred in recent years, available on Sinan Online and Sinan Net. Data relating to congenital syndrome associated with Zika Virus infection are also presented, available on the Public Health Event Registration System (RESP) - Microcephalies
Subject(s)
Humans , Male , Female , Infant, Newborn , Infant , Child, Preschool , Child , Adolescent , Adult , Middle Aged , Aged , Aged, 80 and over , Arbovirus Infections/epidemiology , Arbovirus Infections/diagnosis , Arbovirus Infections/drug therapy , Dengue/complications , Dengue/mortality , Chikungunya Fever/epidemiology , Zika Virus Infection/epidemiologyABSTRACT
Durante el verano del 2022 y 2023 ocurrió la mayor epidemia de Chikungunya en Paraguay, y una de las más grandes reportadas en la región. Estuvo centralizada en el área metropolitana de Asunción en una primera etapa, pero se expandió al resto del país durante los primeros meses del 2023. Este trabajo tiene el objetivo de describir epidemiológica y clínicamente la epidemia desde su inicio en la semana epidemiológica 40 del 2022 hasta la semana 20 del 2023. Metodología: es un estudio descriptivo que utiliza los datos públicos disponibles en la página de la Dirección General de Vigilancia de la Salud. Fueron confirmados 86.761 casos, 58% femenino, 8227 ingresos hospitalarios y 248 fallecidos. La letalidad global es de 2.8 por mil casos confirmados. Los grupos etarios más afectados corresponden a la franja de 0 a 4 años (9%), sin embargo, la mayor incidencia de casos se da en mayores de 80 años. Los principales desafíos de esta enfermedad son el abordaje multidisciplinario en la gestión del manejo del vector, la evaluación de las causas de esta alta letalidad y la necesidad de una vacuna de uso poblacional.
During the summer of 2022 and 2023, the largest Chikungunya epidemic occurred in Paraguay, and one of the largest reported in the region. It was centralized in the metropolitan area of Asunción in a first stage, but it expanded to the rest of the country during the first months of 2023. This work has the objective of describing the epidemic epidemiologically and clinically from its beginning in epidemiological week 40 of 2022 to week 20 of 2023. Methodology: it is a descriptive study that uses the public data available on the page of the General Directorate of Health Surveillance. 86,761 cases were confirmed, 58% female, 8,227 hospital admissions, and 248 deaths. The global lethality is 2.8 per thousand confirmed cases. The most affected age groups correspond to the 0 to 4-year-old group (9%), however, the highest incidence of cases occurs in people over 80 years of age. The main challenges of this disease are the multidisciplinary approach in the management of the vector, the evaluation of the causes of this high lethality and the need for a vaccine for population use.
Subject(s)
Chikungunya Fever/epidemiologyABSTRACT
As arboviroses transmitidas pelo mosquito Aedes aegypti são um dos principais problemas de saúde pública no Estado de Goiás. O boletim epidemiológico das arboviroses tem o objetivo de apresentar a situação epidemiológica dos casos no estado, utilizando como fonte de dados os registros de casos suspeitos e confirmados ocorridos nos últimos anos, disponíveis no Sinan Online e Sinan Net. Também é apresentado dados relativos à síndrome congênita associada à infecção pelo Zika Vírus, disponíveis no Sistema de Registro de Eventos em Saúde Pública (RESP) - Microcefalias
Arboviruses transmitted by the Aedes aegypti mosquito are one of the main public health problems in the State of Goiás. The epidemiological bulletin of arboviruses aims to present the epidemiological situation of cases in the state, using as a data source the records of suspected and confirmed cases that occurred in recent years, available on Sinan Online and Sinan Net. It also presents data related to the congenital syndrome associated with Zika Virus infection, available in the Public Health Event Registration System (RESP) - Microcephaly
Subject(s)
Humans , Male , Female , Infant, Newborn , Infant , Child, Preschool , Child , Adolescent , Adult , Middle Aged , Aged , Aged, 80 and over , Arbovirus Infections/epidemiology , Arbovirus Infections/diagnosis , Arbovirus Infections/drug therapy , Dengue/complications , Dengue/mortality , Chikungunya Fever/epidemiology , Zika Virus Infection/epidemiologyABSTRACT
As arboviroses transmitidas pelo mosquito Aedes aegypti são um dos principais problemas de saúde pública no Estado de Goiás. O boletim epidemiológico das arboviroses tem o objetivo de apresentar a situação epidemiológica dos casos no estado, e utiliza como fonte de dados os registros de casos suspeitos e confirmados ocorridos nos últimos anos, disponíveis no Sinan Online e Sinan Net. Também é apresentado dados relativos à Síndrome Congênita associada à infecção pelo Zika Vírus, disponíveis no Sistema de Registro de Eventos em Saúde Pública (RESP) Microcefalias
Arboviruses transmitted by the Aedes aegypti mosquito are one of the main public health problems in the State of Goiás. The epidemiological bulletin of arboviruses aims to present the epidemiological situation of cases in the state, and uses as a data source the records of suspected and confirmed cases that occurred in recent years, available on Sinan Online and Sinan Net. It also presents data related to Congenital Syndrome associated with Zika Virus infection, available in the Public Health Event Registration System (RESP) Microcephaly
Subject(s)
Humans , Male , Female , Pregnancy , Infant, Newborn , Infant , Child, Preschool , Child , Adolescent , Adult , Middle Aged , Aged , Aged, 80 and over , Arbovirus Infections/epidemiology , Arbovirus Infections/diagnosis , Arbovirus Infections/drug therapy , Dengue/classification , Dengue/mortality , Chikungunya Fever/epidemiology , Zika Virus Infection/epidemiologyABSTRACT
As arboviroses transmitidas pelo mosquito Aedes aegypti são um dos principais problemas de saúde pública no Estado de Goiás. Este boletim uma produção mensal, com o objetivo de apresentar a situação epidemiológica dos casos no estado, utilizando como fonte de dados os registros de casos suspeitos e confirmados ocorridos nos últimos anos, disponíveis no Sinan Online e Sinan Net. Adicionalmente, também é apresentado dados relativos à Síndrome Congênita associada à infecção pelo Zika Vírus, disponíveis no Sistema de Registro de Eventos em Saúde Pública (RESP) Microcefalias
The arboviruses transmitted by the Aedes aegypti mosquito are one of the main public health problems in the State of Goiás. This bulletin is a monthly production, with the objective of presenting the epidemiological situation of the cases in the state, using as a source of data the records of suspected cases and confirmed occurrences in recent years, available on Sinan Online and Sinan Net. In addition, data on the Congenital Syndrome associated with Zika Virus infection are also presented, available on the Public Health Event Registration System (RESP) Microcephaly
Subject(s)
Humans , Adult , Middle Aged , Arbovirus Infections/epidemiology , Arbovirus Infections/diagnosis , Arbovirus Infections/prevention & control , Arbovirus Infections/drug therapy , Dengue/classification , Dengue/mortality , Chikungunya Fever/epidemiology , Zika Virus Infection/epidemiologyABSTRACT
As arboviroses transmitidas pelo mosquito Aedes aegypti são um dos principais problemas de saúde pública no Estado de Goiás. Este boletim é uma produção mensal, com o objetivo de apresentar a situação epidemiológica dos casos no estado de Goiás, utilizando como fonte de dados os registros de casos suspeitos e confirmados ocorridos nos últimos anos, disponíveis no Sinan Online e Sinan Net. Adicionalmente, foi apresentado dados relativos à Síndrome Congênita associada à infecção pelo Zika Vírus, disponíveis no Sistema de Registro de Eventos em Saúde Pública (RESP) Microcefalias
The arboviruses transmitted by the Aedes aegypti mosquito are one of the main public health problems in the State of Goiás. This bulletin is a monthly production, with the objective of presenting the epidemiological situation of the cases in the state of Goiás, using the records of suspected and confirmed cases that occurred in recent years, available on Sinan Online and Sinan Net. Additionally, data on the Congenital Syndrome associated with Zika Virus infection was presented, available on the Public Health Event Registration System (RESP) Microcephaly
Subject(s)
Humans , Male , Female , Arbovirus Infections/epidemiology , Dengue/epidemiology , Chikungunya Fever/epidemiology , Zika Virus Infection/epidemiology , Dengue/mortality , Chikungunya Fever/mortality , Zika Virus Infection/mortality , Microcephaly/epidemiologyABSTRACT
ABSTRACT Objectives. To characterize the distribution profile of dengue, chikungunya, and Zika virus infections in Latin America and the Caribbean and to identify possible factors associated with the risk of dissemination and severity of these arboviruses. Methods. The protocol of this review was registered on the PROSPERO platform. Searches were carried out in the following databases: Virtual Health Library, MEDLINE/PubMed, and Embase. The search terms were: Zika virus, Zika virus infection, dengue, dengue virus, chikungunya virus, chikungunya fever, epidemiology, observational study, Latin America, and Caribbean region. Studies that addressed the distribution of these arboviruses and the risk factors associated with dengue, Zika virus disease, and chikungunya, published between January 2000 and August 2020 in English, Portuguese, and Spanish, were included. Results. Of 95 studies included, 70 identified risk factors, clinical manifestations, and outcomes for arbovirus infections and 25 described complications and/or deaths. The highest frequency of confirmed cases was for dengue. Brazil reported most cases of the three arboviruses in the period analyzed. Environmental and socioeconomic factors facilitated the proliferation and adaptation of vectors, and host-related factors were reported to aggravate dengue. Most deaths were due to chikungunya, Zika virus disease caused most neurological alterations, and dengue resulted in greater morbidity leading to more frequent hospitalization. Conclusions. The review provides a broad view of the three arboviruses and the intrinsic aspects of infections, and highlights the factors that influence the spread of these viruses in the populations studied.
RESUMEN Objetivos. Caracterizar el perfil de distribución de infecciones por dengue, chikungunya y el virus de Zika en América Latina y el Caribe, y determinar posibles factores relacionados con el riesgo de propagación y gravedad de estas arbovirosis. Métodos. Se registró el protocolo de esta revisión en la plataforma PROSPERO. Se realizaron búsquedas en las siguientes bases de datos: Virtual Health Library, MEDLINE/PubMed y Embase. Los términos de búsqueda fueron: "zika virus" [virus del Zika], "zika virus infection" [infección por el virus del Zika], "dengue", "dengue virus" [virus del dengue], "chikungunya virus" [virus del chikunguña], "chikungunya fever" [fiebre de chikunguña], "epidemiology" [epidemiología], "observational study" [estudio observacional], "Latin America" [América Latina] y "Caribbean región" [Caribe]. Se incluyeron estudios que abordaban la distribución de estas arbovirosis y los factores de riesgo asociados con el dengue, la enfermedad por el virus del Zika y el chikunguña, publicados entre enero del 2000 y agosto del 2020 en español, inglés y portugués. Resultados. De los 95 estudios incluidos, 70 establecieron factores de riesgo, manifestaciones clínicas y resultados de las infecciones por arbovirus y 25 describieron complicaciones o muertes. La mayor frecuencia de casos confirmados fue del dengue. Brasil notificó la mayoría de los casos de infección por los tres arbovirus en el período analizado. Los factores ambientales y socioeconómicos facilitaron la proliferación y adaptación de los vectores, y se notificó que los factores relacionados con el huésped agravaban el dengue. El chikunguña causó la mayor parte de las muertes, la enfermedad por el virus del Zika causó la mayor parte de las alteraciones neurológicas y el dengue fue responsable de una mayor morbilidad, lo que llevó a una hospitalización más frecuente. Conclusiones. Esta revisión ofrece un panorama de las tres arbovirosis y de los aspectos intrínsecos de las infecciones, y pone de relieve los factores que influyen en la propagación de estos virus en las poblaciones estudiadas.
RESUMO Objetivos. Descrever a distribuição das arboviroses causadas pelo vírus da dengue, zika e chikungunya na América Latina e no Caribe e identificar possíveis fatores associados ao potencial de disseminação e à gravidade dessas infecções. Métodos. O protocolo desta revisão sistemática foi registado na plataforma PROSPERO. Foram realizadas buscas nas bases de dados Biblioteca Virtual em Saúde, MEDLINE/PubMed e Embase. Os termos de busca foram: vírus zika, infecção pelo vírus zika, dengue, vírus da dengue, vírus chikungunya, febre chikungunya, epidemiologia, estudo observacional, América Latina e região do Caribe. Foram selecionados estudos publicados em inglês, português e espanhol, entre janeiro de 2000 e agosto de 2020, que tratavam da distribuição desses arbovírus e de fatores de risco associados à dengue, à infecção pelo vírus zika e à febre chikungunya. Resultados. Dos 95 estudos selecionados, 70 descreveram fatores de risco, manifestações clínicas e desfechos das arboviroses e 25 destacaram as complicações e/ou mortes. Houve uma maior taxa de casos confirmados de dengue. O Brasil foi o país onde se registrou a maioria dos casos dessas três arboviroses no período analisado. Fatores ambientais e socioeconômicos facilitaram a proliferação e a adaptação dos vetores dos arbovírus e fatores próprios do hospedeiro são determinantes na gravidade da dengue. As mortes ocorreram principalmente nos casos de febre chikungunya, as manifestações neurológicas foram mais comuns na infecção pelo vírus zika e a dengue resultou em maior morbidade e internação hospitalar. Conclusões. Esta revisão sistemática oferece um panorama destas três arboviroses e de suas peculiaridades destacando os fatores que influenciam a disseminação destes arbovírus nas populações estudadas.
Subject(s)
Humans , Dengue/epidemiology , Chikungunya Fever/epidemiology , Zika Virus Infection/epidemiology , Socioeconomic Factors , Incidence , Risk Factors , Latin America/epidemiologyABSTRACT
As arboviroses transmitidas pelo mosquito Aedes aegypti são um dos principais problemas de saúde pública no Estado de Goiás. O boletim epidemiológico das arboviroses é uma produção mensal, objetivando apresentar a situação epidemiológica dos casos no estado, utilizando como fonte de dados os registros de casos suspeitos e confirmados ocorridos nos últimos anos, disponíveis no Sinan Online e Sinan Net
Arboviruses transmitted by the Aedes aegypti mosquito are one of the main public health problems in the State of Goiás. The epidemiological bulletin of arboviruses is a monthly production, aiming to present the epidemiological situation of cases in the state, using as a data source the records of suspected and confirmed cases that occurred in recent years, available on Sinan Online and Sinan Net
Subject(s)
Humans , Male , Female , Pregnancy , Infant, Newborn , Dengue/epidemiology , Chikungunya Fever/epidemiology , Zika Virus Infection/epidemiology , Arbovirus Infections/epidemiology , Dengue/mortality , Chikungunya Fever/mortality , Zika Virus Infection/mortality , Microcephaly/epidemiologyABSTRACT
As arboviroses transmitidas pelo mosquito Aedes aegypti são um dos principais problemas de saúde pública no Estado de Goiás. O boletim epidemiológico das arboviroses é uma produção mensal, objetivando apresentar a situação epidemiológica dos casos no estado, utilizando como fonte de dados os registros de casos suspeitos e confirmados ocorridos nos últimos anos, disponíveis no Sinan Online e Sinan Net. Adicionalmente, apresentamos dados relativos à Síndrome Congênita associada à infecção pelo Zika Vírus, disponíveis no Sistema de Registro de Eventos em Saúde Pública (RESP) Microcefalias
Arboviruses transmitted by the Aedes aegypti mosquito are one of the main public health problems in the State of Goiás. The epidemiological bulletin of arboviruses is a monthly production, aiming to present the epidemiological situation of cases in the state, using as a data source the records of suspected and confirmed cases that occurred in recent years, available on Sinan Online and Sinan Net. Additionally, we present data related to Congenital Syndrome associated with Zika Virus infection, available in the Event Registration System in Public Health (RESP) Microcephaly
Subject(s)
Humans , Infant , Child, Preschool , Child , Adolescent , Adult , Middle Aged , Aged , Aged, 80 and over , Dengue/epidemiology , Arbovirus Infections/epidemiology , Dengue/mortality , Chikungunya Fever/mortality , Chikungunya Fever/epidemiology , Zika Virus Infection/mortality , Zika Virus Infection/epidemiology , Microcephaly/epidemiologyABSTRACT
O quadro epidemiológico atual das arboviroses no estado de Goiás caracteriza-se pela ampla distribuição do Aedes aegypti em todas as regiões, com circulação simultânea de sorotipos virais 1 e 2 da dengue e confirmação de casos de zika e chikungunya, objetivando a prevenção e controle de epidemias das arboviroses: dengue, chikungunya e zika a Secretaria de Estado da Saúde de Goiás apresenta o Plano de contingência para o controle de arboviroses 2023 - 2024
The current epidemiological picture of arboviruses in the state of Goiás is characterized by the wide distribution of Aedes aegypti in all regions, with simultaneous circulation of viral serotypes 1 and 2 of dengue and confirmation of cases of zika and chikungunya, aiming at the prevention and control of epidemics of arboviruses: dengue, chikungunya and zika the State Department of Health of Goiás presents the Plan of contingency for the control of arboviruses 2023 - 2024
Subject(s)
Humans , Arbovirus Infections/epidemiology , Arbovirus Infections/diagnosis , Arbovirus Infections/prevention & control , Arbovirus Infections/drug therapy , Dengue/classification , Dengue/mortality , Epidemiological Monitoring , Chikungunya Fever/epidemiologyABSTRACT
As arboviroses transmitidas pelo mosquito Aedes aegypti são um dos principais problemas de saúde pública no Estado de Goiás. O boletim epidemiológico produção mensal, objetivando das arboviroses é uma apresentar a situação epidemiológica dos casos no estado, utilizando como fonte de dados os registros de casos suspeitos e confirmados ocorridos nos últimos anos, disponíveis no Sinan Online e Sinan Net. Adicionalmente, apresentamos dados relativos à Síndrome Congênita associada à infecção pelo Zika Vírus, disponíveis no Sistema de Registro de Eventos em Saúde Pública (RESP) Microcefalias
Arboviruses transmitted by the Aedes aegypti mosquito are one of the main public health problems in the State of Goiás. The monthly production epidemiological bulletin, aiming at arboviruses, is to present the epidemiological situation of cases in the state, using as a data source the records of suspected and confirmed cases that occurred in recent years, available on Sinan Online and Sinan Net. Additionally, we present data related to Congenital Syndrome associated with Zika Virus infection, available in the Public Health Event Registration System (RESP) Microcephaly
Subject(s)
Humans , Male , Female , Pregnancy , Infant, Newborn , Dengue/epidemiology , Chikungunya Fever/epidemiology , Zika Virus Infection/epidemiology , Microcephaly/epidemiology , Dengue/mortality , Chikungunya Fever/mortality , Zika Virus Infection/mortalityABSTRACT
As arboviroses transmitidas pelo mosquito Aedes aegypti são um dos principais problemas de saúde pública no Estado de Goiás. O boletim epidemiológico produção mensal, objetivando das arboviroses é uma apresentar a situação epidemiológica dos casos no estado, utilizando como fonte de dados os registros de casos suspeitos e confirmados ocorridos nos últimos anos, disponíveis no Sinan Online e Sinan Net. Adicionalmente, apresentamos dados relativos à Síndrome Congênita associada à infecção pelo Zika Vírus, disponíveis no Sistema de Registro de Eventos em Saúde Pública (RESP) Microcefalias
Arboviruses transmitted by the Aedes aegypti mosquito are one of the main public health problems in the State of Goiás. The monthly production epidemiological bulletin, aiming at arboviruses, is to present the epidemiological situation of cases in the state, using as a data source the records of suspected and confirmed cases that occurred in recent years, available on Sinan Online and Sinan Net. Additionally, we present data related to Congenital Syndrome associated with Zika Virus infection, available in the Public Health Event Registration System (RESP) Microcephaly
Subject(s)
Humans , Male , Female , Pregnancy , Infant, Newborn , Dengue/epidemiology , Chikungunya Fever/epidemiology , Zika Virus Infection/epidemiology , Dengue/mortality , Chikungunya Fever/mortality , Zika Virus Infection/mortality , Microcephaly/epidemiologyABSTRACT
As arboviroses transmitidas pelo mosquito Aedes aegypti são um dos principais problemas de saúde pública no Estado de Goiás. O boletim epidemiológico das arboviroses é uma produção mensal, objetivando apresentar a situação epidemiológica dos casos no estado, utilizando como fonte de dados os registros de casos suspeitos e confirmados ocorridos nos últimos anos, disponíveis no Sinan Online e Sinan Net. Adicionalmente, apresentamos dados relativos à Síndrome Congênita associada à infecção pelo Zika Vírus, disponíveis no Sistema de Registro de Eventos em Saúde Pública (RESP) Microcefalias
Arboviruses transmitted by the Aedes aegypti mosquito are one of the main public health problems in the State of Goiás. The epidemiological bulletin of arboviruses is a monthly production, aiming to present the epidemiological situation of cases in the state, using case records as a data source. Suspected and confirmed events in recent years, available on Sinan Online and Sinan Net. Additionally, we present data related to Congenital Syndrome associated with Zika Virus infection, available in the Public Health Event Registration System (RESP) Microcephaly
Subject(s)
Humans , Male , Female , Pregnancy , Infant, Newborn , Dengue/epidemiology , Chikungunya Fever/epidemiology , Zika Virus Infection/epidemiology , Dengue/mortality , Chikungunya Fever/mortality , Zika Virus Infection/mortality , Microcephaly/epidemiologyABSTRACT
Resumen En países americanos, simultáneas a la pandemia de enfermedad por coronavirus 2019 (COVID-19) se están dando epidemias ocasionadas por diferentes arbovirus (del dengue, chikunguña y virus del Zika). En México, varias de las estrategias para control del mosquito Aedes aegypti, transmisor de arbovirus, involucran la interacción del personal salubrista y los moradores. Debido a la pandemia de COVID-19 se han implementado medidas de distanciamiento social y resguardo domiciliario. Para respetar estas medidas y evitar riesgo de contagio por coronavirus 2 del síndrome respiratorio agudo grave (SARS-CoV-2), el Centro Nacional de Programas Preventivos y Control de Enfermedades (CENAPRECE) ha presentado la estrategia de control de vectores en el escenario de transmisión simultánea por dengue y COVID-19 en México. En este trabajo mencionamos las medidas habituales de manejo integral de mosquito y mencionamos las adaptaciones realizadas. De igual forma, discutimos la relevancia de la capacitación y la supervisión al personal médico, esto debido a la similitud entre la sintomatología entre ambas patologías.
Abstract Countries of Latin America are dealing with a simultaneous COVID-19 and vector borne disease (VBDs, Dengue, Zika and Chikungunya) outbreaks. In Mexico, certain activities to control Aedes aegypti mosquito (the main VBDs vector) comprise community participation through the interaction between householders and vector control personnel. Preventive measures against COVID-19 include social distancing and stay-at-home strategy, to obey these policies, and reduce the risk of infection, the National Center for Preventive Programs and Disease Control of Mexico (CENAPRECE) has adapted the vector control approaches in the country. In this paper we mention routine prevention and control activities to control mosquitoes and show the adapted measures. Because, a number of symptoms of the COVID-19 and dengue fever overlap with each other, we also discuss the relevance of accurate disease surveillance and medics training and supervision.
Subject(s)
Humans , Animals , Arbovirus Infections/epidemiology , Mosquito Control/methods , Aedes/virology , Pandemics , Epidemiological Monitoring , COVID-19/epidemiology , Arbovirus Infections/prevention & control , Dengue/epidemiology , Information Dissemination , Chikungunya Fever/epidemiology , Zika Virus Infection/epidemiology , Physical Distancing , COVID-19/prevention & control , Health PromotionABSTRACT
Abstract INTRODUCTION: Dengue, chikungunya, and Zika are a growing global health problem. This study analyzed the spatial distribution of dengue, chikungunya, and Zika cases in São Luís, Maranhão, from 2015 to 2016 and investigated the association between socio-environmental and economic factors and hotspots for mosquito proliferation. METHODS: This was a socio-ecological study using data from the National Information System of Notifiable Diseases. The spatial units of analysis were census tracts. The incidence rates of the combined cases of the three diseases were calculated and smoothed using empirical local Bayes estimates. The spatial autocorrelation of the smoothed incidence rate was measured using Local Moran's I and Global Moran's I. Multiple linear regression and spatial autoregressive models were fitted using the log of the smoothed disease incidence rate as the dependent variable and socio-environmental factors, demographics, and mosquito hotspots as independent variables. RESULTS: The findings showed a significant spatial autocorrelation of the smoothed incidence rate. The model that best fit the data was the spatial lag model, revealing a positive association between disease incidence and the proportion of households with surrounding garbage accumulation. CONCLUSIONS: The distribution of dengue, chikungunya, and Zika cases showed a significant spatial pattern, in which the high-risk areas for the three diseases were explained by the variable "garbage accumulated in the surrounding environment," demonstrating the need for an intersectoral approach for vector control and prevention that goes beyond health actions.
Subject(s)
Animals , Dengue/epidemiology , Chikungunya Fever/epidemiology , Zika Virus , Zika Virus Infection/epidemiology , Brazil/epidemiology , Incidence , Bayes Theorem , Spatial Analysis , Mosquito VectorsABSTRACT
Abstract INTRODUCTION: This study evaluated the epidemiological implications of arbovirus infections and coronavirus disease (COVID-19) co-occurrences in Espírito Santo, Brazil. METHODS: This ecological study of dengue, chikungunya, zika, and COVID-19 was performed from January 1 to July 31, 2020. RESULTS: Espírito Santo registered 44,614, 8,092, 3,138, and 91,483 cases of dengue, chikungunya, zika, and COVID-19, respectively (January-July, 2020). In the 27 and four municipalities with a high incidence of dengue and chikungunya, respectively, the incidence of COVID-19 was 647.0-3,721.7 and 1,787.2-3,403.0 cases per 100,000 inhabitants, respectively. CONCLUSIONS: Espírito Santo experienced an overlap of epidemics, especially in urban areas.
Subject(s)
Humans , Coronavirus Infections , Coronavirus , Dengue/epidemiology , Epidemics , Chikungunya Fever/epidemiology , Zika Virus , Zika Virus Infection , Zika Virus Infection/complications , Brazil/epidemiology , BetacoronavirusABSTRACT
Abstract Several major epidemics of Zika fever, caused by the ZIKA virus (ZIKV), have emerged in Brazil since early 2015, eventually spreading to other countries on the South American continent. The present study describes the clinical manifestations and laboratory findings of patients with confirmed acute ZIKV infection during the first epidemic that occurred in Salvador, Brazil. All included patients were seen at the emergency room of a private tertiary hospital located in Salvador, Brazil from 2015 through 2017. Patients were considered eligible if signs of systemic viral febrile disease were present. All individuals were tested for ZIKV and Chikungunya infection using PCR, while rapid test was used to detect Dengue virus antibodies or, alternatively, the NS1 antigen. A diagnosis of acute ZIKV infection was confirmed in 78/434 (18%) individuals with systemic viral febrile illness. Positivity was mainly observed in blood, followed by saliva and urine. Coinfection with Chikungunya and/or Dengue virus was detected in 5% of the ZIKV-infected patients. The most frequent clinical findings were myalgia, arthralgia and low-grade fever. Laboratory analysis demonstrated normal levels of hematocrit, platelets and liver enzymes. In summary, in acute settings where molecular testing remains unavailable, clinicians face difficulties to confirm the diagnosis of ZIKV infection, as they rely only on clinical examinations and conventional laboratory tests.
Subject(s)
Humans , Chikungunya virus , Dengue , Dengue Virus , Epidemics , Chikungunya Fever , Zika Virus , Zika Virus Infection , Brazil/epidemiology , Dengue/epidemiology , Chikungunya Fever/epidemiology , Zika Virus Infection/diagnosis , Zika Virus Infection/epidemiologyABSTRACT
Introducción: La infección aguda por chikungunya genera una alta carga de enfermedad y discapacidad dada principalmente por poliartralgias en fase aguda y artritis en fase crónica, sin embargo, presenta una sintomatología similar a otras arbovirosis, particularmente a las del dengue, lo que dificulta su diagnóstico. Objetivos: Caracterizar las manifestaciones clínicas de la infección aguda por chikungunya en los pacientes atendidos en el departamento de urgencias de la ciudad de Ibagué, Colombia, durante el brote epidémico transcurrido entre octubre de 2015 y octubre de 2016. Métodos: Estudio descriptivo, de corte transversal, en el cual se describieron las manifestaciones clínicas de la infección aguda por chikungunya, a través del instrumento desarrollado a partir de la revisión de la literartura que recogía las principales manifestaciones clínicas de la infección en fase aguda por chikungunya, como anexo a las fichas epidemiológicas de notificación obligatoria individual del Instituto Nacional de Salud que se reportan a la Secretaría Municipal de Ibagué-Tolima. Resultados: Se recolectaron 6752 fichas de pacientes atendidos en los servicios de urgencias, los que experimentaron fiebre de 38,5 ºC de 1-7 días (91,3 por ciento), mialgias (81,3 por ciento), eritema maculopapular (74,3 por ciento), artralgias severas (70,6 por ciento), poliartritis (41,1 por ciento) y adenomegalias retroauriculares (8 por ciento). Conclusiones: Los resultados obtenidos en el presente estudio aportan información importante para el diagnóstico clínico del chikungunya en sitios con características similares a las de ciudades hiperendemicas y facilita distinguir la enfermedad en fase aguda entre las diferentes arbovirosis circulantes con signos como las mialgias, adenoapatias retro-auriculares y artralgia severa(AU)
Introduction: The acute infection by Chikungunya generates a high burden of illness and disability mainly due to polyarthralgias in acute phase and artritis in chronic phase. However, it presents symptoms similar to other arboviruses, specially like dengue, which difficults its diagnosis. Objective: To characterize the clinical manifestations of the acute infection by Chikungunya in patients attended in the emergencies service of Ibagué city, Colombia, during the epidemic outbreak that occured from October, 2015 to October, 2016. Methods: Descriptive, cross-sectional study in which were described the clinical manifestations of the acute infection by chikungunya using an instrument developed from the review of the literature that comprises the main clinical manifestations of the infection by chikungunya in its acute phase, as an information attached to the epidemiologic records of individual obligatory notification of the National Institute of Health, which are reported to Ibagué-Tolima Municipal Secretary. Results: There were collected 6752 records of patients attended in emergency services, whom experienced fever of 38,5 ºC from 1 to 7 days (91,3 percent), myalgias (81,3 percent), maculopapular erythema (74,3 percent), severe arthralgias (70,6 percent), polyarthritis (41,1 percent) and retroarticular adenomegalies (8 percent). Conclusions: The results obtained in the present study provide important information for the clinical diagnosis of chikungunya in places with similar characteristics to the hyperepidemic cities and it facilitates to differentiate the disease in its acute phase among the different current arboviruses with signs of myalgia, retroarticular adenopathies and severe arthralgia(AU)