A ProMED-mail post
ProMED-mail is a program of the
International Society for Infectious Diseases
In this update:
[1] Bolivia (Santa Cruz, Beni, La Paz)
[2] Cases in various countries:
Brazil (Paraibo)
Brazil (Rio de Janeiro state)
Brazil (Ceara)
Brazil (Alagoas)
Brazil (Sao Paulo state)
Brazil (Ribeirao Preto, Sao Paulo state)
Brazil (Campinas, Sao Paulo state)
Brazil (Sorocaba, Sao Paulo state)
Brazil (Parana)
Paraguay (Health Regions IX and XII)
Paraguay (national)
Argentina (Chaco)
Maldives
Barbados
USA (Maui, Hawaii)
******
[1] Bolivia (Santa Cruz, Beni, La Paz)
Date: Tue 12 Apr 2011
From: Juan Saavedra Quintanilla
trans. Mod.TY, edited]
Up to 8 Apr [2011] (13th epidemiological week), 11 341 probable
dengue cases have been reported, with 2280 confirmed and 27 deaths.
These numbers exceed the total numbers of dengue cases of 2010, which
were more than 9000 cases.
The departments [state or province equivalent] most affected are
Santa Cruz de la Sierra with 5727 probable cases, 1404 confirmed cases
and 11 deaths; Beni with 3269 probable cases, 314 confirmed cases and
14 deaths, and La Paz reports 993 probable cases, 308 confirmed cases
and one death.
More than 80 per cent are due to [dengue virus] serotype 2 and the
rest for serotypes 1 and 3. In the Caja Petrolera de Salud (Santa
Cruz) Hospital, more than 80 per cent of admitted patients have a
positive tourniquet test, minor mucosal bleeding, thrombocytopenia and
ascites, vascular wall edema and/or plural leakage as a manifestation
of increased capillary permeability. According to the WHO
classification, this corresponds with DHF grades I and II; more than
50 per cent have elevated transaminases, and about 75 per cent of the
admitted patients indicate that this is their 1st dengue episode.
Vector control and other measures are being intensified to deal with
this [situation].
--
Dr Juan Saavedra Quintanilla
Jefe Servicio Infectologia
Caja Petrolera de Salud
Santa Cruz de la Sierra, Bolivia
[ProMED-mail thanks Dr Saavedra for this firsthand report of the
dengue outbreak in Santa Cruz and La Paz departments. One hopes that
this epidemic in the Santa Cruz department is not as severe as ones in
the recent past, which have filled hospital beds there and overtaxed
health care systems.
A HealthMap/ProMED-mail interactive map of Bolivia showing the
location of Santa Cruz department can be accessed at
location of the Beni department can be accessed at
of Bolivia showing the location of La Paz department can be accessed
at
******
[2] Cases in various countries:
- Brazil (Paraiba). 13 Apr 2011. The director of epidemiological
surveillance of the Joao Pessoa municipality indicated in a new
bulletin that there is an increase in the number of dengue cases.
Joao Pessoa has a total of 893 reported dengue cases, which
represents an increase of 249 cases in 15 days. Confirmed cases of
classical dengue fever from (type 1 [virus]) increased from 126 to 199
in the past 2 weeks. There is an alert situation in the capital with a
current incidence of 113 cases per 100 000 population; this is not
characterized as an epidemic.
in Portuguese, trans. Mod.TY.
[A HealthMap/ProMED-mail interactive map of Brazil showing the
location of Paraiba state can be accessed at
- Brazil (Rio de Janeiro state). 14 Apr 2011. Almost 20 per cent of
Rio de Janeiro state is having a dengue epidemic. According to the
statement issued yesterday [13 Apr 2011] by the state Secretariat of
Health, residents in 17 municipalities run the risk of being hit by
the disease. There are 3 more cities [at risk] than last week, when 14
faced this situation. The bulletin also stated that since January
[2011], 35 dengue deaths were confirmed, most in the capital, with 11
deaths. The Rio [de Janeiro] municipality is not under an epidemic,
but the situation is complicated. According to the bulletin, of the 45
489 [dengue] cases reported in 2011 [in the state], 48 per cent are
concentrated in the capital.
[A HealthMap/ProMED-mail interactive map of Brazil showing the
location of Rio de Janeiro state can be accessed at
- Brazil (Ceara). 16 Apr 2011. In all of Ceara, the number of
confirmed dengue cases has reached 11 807. There are more than 1000
cases confirmed in this past week. One case was confirmed as dengue
[virus] type 4. In 2010, there were 13 196 dengue cases in the state.
The number of dengue deaths increases each week in Ceara. This past
week, 3 deaths were confirmed, and now there are 25 deaths due to the
disease with 38 still under investigation.
in Portuguese, trans. Mod.TY.
[A HealthMap/ProMED-mail interactive map of Brazil showing the
location of Ceara state can be accessed at
- Brazil (Alagoas). 13 Apr 2011. In the last 3 months [January
through March 2011], Alagoas registered 6240 fewer dengue cases than
in the same period last year [2010], representing a decrease of 70 per
cent. During the same period of 2010, 9672 [dengue] cases were
registered, whereas between 1 Jan - 2 Apr [2011], there were 3432
cases.
Portuguese, trans. Mod.TY.
[A HealthMap/ProMED-mail interactive map of Brazil showing the
location of Alagoas state can be accessed at
- Brazil (Sao Paulo state). 12 Apr 2011. The Sao Paulo state
Secretariat of Health confirmed 10 cases of dengue [virus] type 4
[infections] in the state as of this Monday [11 Apr 2011]. According
to this agency, the cases are concentrated in the Sao Jose do Rio
Preto region (438 km [272 mi] from Sao Paulo city).
in Portuguese, trans. Mod.TY]
[A HealthMap/ProMED-mail interactive map of Brazil showing the
location of Sao Paulo state can be accessed at
- Brazil (Ribeirao Preto, Sao Paulo state). 13 Apr 2011. Ribeirao
Preto confirmed an additional 853 dengue cases this past week. The
city now has 8256 confirmed cases of the disease, according to the
bulletin issued by the Secretariat of Health this Wednesday (13 [Apr
2011]). The city is undergoing a [dengue] epidemic. Despite these
large numbers, there has been a decline in relation to last year
[2010], when almost 14 000 cases were registered up to the last week
of March 2010. In all of 2010, the city had 30 000 cases with 9
deaths. This year [2011], the city has one confirmed [dengue] death,
in January 2011. Another 2 [deaths] are under investigation.
in Portuguese, trans. Mod.TY.
[A HealthMap/ProMED-mail interactive map of Brazil showing the
location of Ribeirao Preto, Sao Paulo state can be accessed at
- Brazil (Campinas, Sao Paulo state). 13 Apr 2011. In just 15 days,
the number of confirmed dengue cases climbed 17 per cent, going from
480 people with the disease to 562. According to data from the
[health] office, 4 people had complications from the disease, and
another 3 presented with DHF symptoms. No deaths have been registered.
in Portuguese, trans. Mod.TY.
[A HealthMap/ProMED-mail interactive map of Brazil showing the
location of Campinas, Sao Paulo state can be accessed at
- Brazil (Sorocaba, Sao Paulo state). 11 Apr 2011. As of the end of
this weekend, the number of confirmed dengue cases in Sorocaba totaled
609, according to a bulletin issued by the municipal Secretariat of
Health. Of this total, 583 are patients who contracted the disease in
the city, and 26 were imported [from elsewhere].
in Portuguese, trans. Mod TY.
[A HealthMap/ProMED-mail interactive map of Brazil showing the
location of Sorocaba, Sao Paulo state can be accessed at
- Brazil (Parana). 10 Apr 2011. The number of confirmed dengue cases
in health area 10 have reached 393, but according to information from
this agency, the total could exceed 400, once laboratory results for
181 [more cases] become available.
Portuguese, trans. Mod.TY.
[A HealthMap/ProMED-mail interactive map of Brazil showing the
location of Parana state can be accessed at
- Paraguay (Health Regions IX and XII). 17 Apr 2011. According to
Health Region XII, 24 dengue cases have been confirmed. The region was
considered practically free of the disease up until the present.
Health Region IX yesterday [16 Apr 2011] registered 250 positive
dengue cases, with another 150 with samples awaiting [test results].
in Spanish, trans. Mod.TY.
[A HealthMap/ProMED-mail interactive map of Paraguay can be accessed
at
- Paraguay (national). 16 Apr 2011. The minister of public health and
social welfare, Esperanza Martinez, admitted that this is the worst
dengue epidemic in the history of this South American country. From
January 2011 to the present, 26 792 people with febrile syndromes have
been registered, and the reported incidence rate has increased to 157
cases per 100 000 population. Ivan Allende, director of health
surveillance, stated to reporters that there are 62 deaths associated
with the disease, of which 30 were confirmed, 13 were discarded, and
another 19 continue under investigation. Allende stated that the
greatest outbreaks were in Asuncion and its metropolitan area, and the
serious situation will continue for another 2 or 3 weeks more.
in Spanish, trans. Mod.TY.
- Argentina (Chaco). 16 Apr 2011. The minister of health, Francisco
Baquero, indicated that to date Chaco registered 5 confirmed cases and
7 probable cases of dengue fever, and there are another 5 under study.
The patients with confirmed diagnoses were released [from health care]
and are in perfect condition. There is concern in Choco because of the
serious epidemics in the neighboring countries of Paraguay, Brazil and
Bolivia.
Spanish, trans. Mod.TY.
[A HealthMap/ProMED-mail interactive map of Argentina showing the
location of Chaco province can be accessed at
- Saudi Arabia (Jeddah). 16 Apr 2011. There have been 26 suspected
cases of dengue fever since the floods, 6 of which were confirmed,
Sami Badawood, director of health affairs in Jeddah, said in a phone
interview
[A HealthMap/ProMED-mail interactive map of Saudi Arabia showing the
location of Jeddah can be accessed at
Mod.TY]
- Maldives. 12 Apr 2011. The Maldives is battling a growing epidemic
of dengue fever which is believed to have contributed to the deaths of
at least 5 people this year [2011]. More than 300 cases were reported
in the 1st 2 months of 2011, compared with 737 cases and 2 fatalities
reported last year [2010]. The more serious cases have
disproportionately affected children.
[A HealthMap/ProMED-mail interactive map showing the location of the
Maldive Islands in the Indian Ocean can be accessed at
- Barbados. 11 Apr 2011. A recent release issued by the Ministry of
Health has revealed that over the 1st 9 weeks of this year [2011], 135
cases of dengue fever were confirmed by laboratory testing, and one
death was recorded. The ministry also revealed that 570 cases of
dengue fever and 4 deaths were recorded in 2010. This compares with
2008 when, during the 1st 9 weeks of the year, 2 deaths were verified,
and 212 cases were documented, following an epidemic in 2007
[A HealthMap/ProMED-mail interactive map showing the location of
Barbados in the Caribbean can be accessed at
- USA (Maui, Hawaii). 13 Apr 2011. Three new cases of dengue fever
are suspected in Hana, along with a possible case in Haliimaile and an
additional 2 or 3 Upcountry, according to health officials. Maui
district health officer Dr Lorrin Pang also said at least one of 2
cases previously suspected in Keanae has been confirmed by a
laboratory in Hawaii, although he was still waiting for official
verification from a Center for Disease Control lab in Puerto Rico
[David Duffy
focus of the 2001 outbreak, very wet and rural on the windward side.
Haliimaile is near the Kahului Airport in dry sugar cane country on
the leeward side.
A HealthMap/ProMED-mail interactive map of the USA showing the
location of Maui in Hawaii state can be accessed at
[see also:
Dengue/DHF update 2011 (15) 20110411.1146
Dengue/DHF update 2011 (12) 20110325.0938
Dengue/DHF update 2011 (10) 20110306.0743
2010
---
Dengue/DHF update 2010 (53) 20101018.3777
Dengue/DHF update 2010 (38) 20100727.2520
---
Dengue - USA (Hawaii) (04) 20011006.2424
Dengue - USA (Hawaii) 20010922.2296]
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