With the exception of Pedernales, María Trinidad Sánchez, Samaná, El Seibo and La Altagracia, the rest of the territory is declared in yellow awareness of the dengue epidemic that continues to rise in the country.
This means that in 27 provinces, one to ten cases per year have been reported. 1,000 inhabitants.
From July 27, the number of people affected by the disease transmitted by Aedes Aegyti mosquitoes increased from 5,548 to 6,383, of which ten are deaths reviewed by the Clinical Audit Committee and confirmed by the National Public Health Laboratory. Defilló, who also detected the presence of dengue circulation subtypes 1 and 3, the latter identified in San José de Ocoa and the great Santo Domingo.
According to the Epidemiological Bulletin 30 published yesterday by the Epidemiology Directorate-General (Digepi), 723 suspicious cases were reported in a single week for a cumulative number over the last four weeks of 2,509 cases, of which more than half are under 15 years old
During this period, the disease experienced a higher increase than expected compared to the same period in the last five years.
Across the country, the cumulative incidence is 106.81 cases per 100,000 population, that is, ten times more than reported in the same period of 2018.
The Pan American Health Organization (PAHO) warned this week that the region of America and the Caribbean is undergoing an epidemic cycle, namely Nicaragua, Brazil, Honduras, Belize, Colombia, El Salvador, Paraguay, Guatemala, Mexico and Venezuela, ten countries with the highest number cases.
A sanitation problem
"Dengue is an issue with sanitation within the home and community," said José Luis San Martín, regional dengue adviser at PAHO, who explained that the most effective way to combat it is by removing its breeding grounds to prevent mosquito breeding.
San Martín asked for the community as a whole to get rid of all used items that can collect water, such as drums, old tires, cans, bottles and vases. Household water tanks must be sealed tightly. "Removing the hatcheries means hitting the mosquito hard by cutting its breeding cycle and reducing its population in the room," he said.
The PAHO also asked to ensure that health professionals are trained to diagnose and adequately manage patients with dengue or other arbovirosis such as Zika and Chikungunya.
"Proper management of patients is a priority that can save lives," said San Martín, urging people not to self-medicate and go to a health care early in case there are symptoms of the disease.
The most common symptoms of the disease are high fever (40 ° C), very severe headaches, pain behind the eyeballs and joint and muscle pain; while the warning signs of dengue requiring emergency medical care are severe abdominal pain, persistent vomiting, rapid breathing, bleeding from the mucous membranes, fatigue, irritability and presence of blood in the vomit.
Authorities are urging families to smear inside walls of tanks with chlorine each week to prevent mosquito reproduction.
SNS increased staff in pediatric hospitals
Facing the expansion of the endemic disease, the National Health Service (SNS) said it increased the staff specializing in dengue, as well as the periodicity of the cleaning and scrapping operations at health facilities in addition to other preventive measures. The new partners are about a hundred people, including doctors and nurses, at the pediatric hospitals Robert Reid Cabral and Hugo Mendoza in Santo Domingo, in addition to Arturo Grullón in Santiago.
They will train doctors from the southern part of the country
The Department of Health arranged to train the doctors at Region IV hospitals in the south of the country, from which most of the patients arriving at Robert Reid Cabral hospital are referred and at the same time to improve the conditions for transfers. According to Minister Rafael Sánchez Cárdenas, these are the two main causes of most deaths, as children are sent under very critical conditions after inadequate hydration and hypotension management by doctors.