Dengue - Sao Tome and Principe 26 Mayu 2022 Halin da ake ciki a kallo A ranar 13 ga Mayu 2022, Ma'aikatar Lafiya (MoH) na São Tomé da Principe ta sanar da WHO game da barkewar cutar dengue a São Tomé da Príncipe.Daga 15 ga Afrilu zuwa 17 ga Mayu, mutane 103 sun kamu da zazzabin dengue kuma ba a sami rahoton mace-mace ba.Wannan shi ne karon farko da aka bayar da rahoton bullar cutar dengue a kasar.Bayanin shari'o'in Daga 15 ga Afrilu zuwa 17 ga Mayu 2022, mutane 103 na zazzabin dengue, an tabbatar da su ta hanyar gwajin gaggawa na gaggawa (RDT), kuma ba a sami rahoton mace-mace daga gundumomin lafiya biyar a cikin São Tomé da Principe (hoto na 1).Mafi yawan lokuta (90, 87%) an ruwaito su daga gundumar lafiya ta Água Grande sai Mézochi (7, 7%), Lobata (4, 4%);Cantagalo (1, 1%);da Yanki mai cin gashin kansa na Principe (1, 1%) (hoto na 2).Ƙungiyoyin shekarun da suka fi shafa su ne: 10-19 shekaru (5.9 lokuta a kowace 10 000), 30-39 shekaru (7.3 lokuta da 10 000), 40-49 shekaru (5.1 lokuta da 10 000) da 50-59 shekaru (6.1). kaso 10000).Mafi yawan alamun asibiti sune zazzabi (97, 94%), ciwon kai (78, 76%) da myalgia (64, 62%).
Hoto 1. An tabbatar da shari'ar dengue a cikin São Tomé da Principe ta kwanan wata sanarwa, 15 ga Afrilu zuwa 17 ga Mayu 2022
An aika wani yanki na samfurori 30 da RDT ya tabbatar zuwa dakin gwaje-gwaje na duniya a Lisbon, Portugal, waɗanda aka karɓa a ranar 29 ga Afrilu.Karin gwaje-gwajen dakin gwaje-gwaje sun tabbatar da cewa samfuran sun kasance masu inganci don kamuwa da cutar dengue mai saurin gaske, kuma cewa mafi girman serotype shine kwayar cutar dengue serotype 3 (DENV-3).Sakamakon farko ya nuna yiwuwar wasu serotypes da ke cikin rukunin samfurori.
An fara faɗakar da barkewar cutar Dengue lokacin da aka ba da rahoton wani da ake zargi da kamuwa da cutar dengue a wani asibiti a São Tomé da Principe a ranar 11 ga Afrilu.Wannan shari'ar, wanda ya gabatar da alamun da ke nuna kamuwa da cutar dengue, yana da tarihin tafiya kuma daga baya an gano shi a matsayin ciwon dengue na baya.
Hoto 2. Rarraba tabbatar da shari'o'in dengue a São Tomé da Principe ta gundumomi, 15 ga Afrilu zuwa 17 ga Mayu 2022
Epidemiology na cutar
Dengue cuta ce ta kwayar cuta da ake yadawa ga mutane ta hanyar cizon sauro masu kamuwa da cuta.Ana samun Dengue a cikin yanayi masu zafi da na wurare masu zafi a duniya, galibi a cikin birane da yankunan birni.Abubuwan farko da ke yada cutar sune sauro Aedes aegypti kuma, a takaice, Ae.albopictus.Kwayar cutar da ke haifar da dengue, ana kiranta cutar dengue (DENV).Akwai nau'ikan serotypes na DENV guda huɗu kuma yana yiwuwa a kamu da cutar sau huɗu.Yawancin cututtuka na DENV suna haifar da rashin lafiya mai sauƙi kawai, kuma fiye da 80% na lokuta ba sa nuna alamun (asymptomatic).DENV na iya haifar da rashin lafiya mai kama da mura.Wani lokaci wannan yana tasowa zuwa wani mawuyacin hali, wanda ake kira dengue mai tsanani.
Martanin lafiyar jama'a
Hukumomin kiwon lafiya na kasa sun fara kuma suna daukar matakai masu zuwa don mayar da martani ga barkewar:
Gudanar da tarurrukan mako-mako tsakanin MOH da WHO don tattauna abubuwan fasaha na barkewar cutar
Ƙirƙira, ingantacce da watsa shirin amsawar dengue
Gudanar da bincike-bincike na annoba da yawa da kuma gano shari'o'in aiki a yankuna da yawa na kiwon lafiya
Gudanar da binciken ilimin halittu don gano wuraren kiwo da gudanar da hazo da matakan rage tushen a wasu yankunan da abin ya shafa.
Buga bulletin yau da kullun akan cutar da rabawa akai-akai tare da WHO
Shirya-cikin kwararru na masana na waje don karfafa karfin dakin gwaje-gwaje zuwa São Tomé da Príccipe, da sauran masana na shari'a, sadarwa mai haɗari da sarrafa hadari.
Kima hadarin WHO
A halin yanzu ana kimanta haɗarin a matakin ƙasa da girma saboda kasancewar (i) kasancewar vector vector Aedes aegypti da Aedes albopictus;(ii) yanayi mai kyau ga wuraren kiwon sauro biyo bayan ruwan sama mai yawa da ambaliya tun Disamba 2021;(iii) barkewar cutar gudawa, zazzabin cizon sauro, COVID-19 a tsakanin sauran kalubalen lafiya;da (iv) rage ayyukan tsaftar muhalli da tsarin kula da ruwa a wuraren kiwon lafiya saboda lalacewar tsarin bayan ambaliyar ruwa.Lambobin da aka ruwaito wataƙila ba su da ƙima saboda yawancin adadin cututtukan dengue ba su da asymptomatic, kuma akwai iyakance ga ikon gudanar da sa ido da gano lamuran.Gudanar da asibiti na lokuta masu tsanani na dengue shima kalubale ne.Sanin al'umma a cikin ƙasa yana da ƙasa, kuma ayyukan sadarwar haɗari ba su isa ba.
An ƙididdige haɗarin gaba ɗaya a matakan yanki da na duniya a matsayin ƙasa.Yiwuwar ci gaba da yaduwa daga São Tomé da Principe zuwa wasu ƙasashe ba abu ne mai yiwuwa ba saboda ƙasar tsibiri ce da ba ta raba kan iyakokin ƙasa kuma tana buƙatar kasancewar masu saurin kamuwa da cuta.
• Shawarar WHO
Gano harka
Yana da mahimmanci ga wuraren kiwon lafiya su sami damar yin gwajin gwaji don ganowa da/ko tabbatar da lamuran dengue.
Ya kamata a sanar da cibiyoyin kiwon lafiya a tsibirin São Tomé da Principe game da barkewar cutar kuma a ba su RDTs don gano lokuta.
Yakamata a inganta ayyukan sarrafa Vector Integrated Vector Management (IVM) don kawar da yuwuwar wuraren kiwo, rage yawan jama'a, da kuma rage bayyanar mutum.Wannan yakamata ya haɗa da dabarun sarrafa tsutsa da manya, kamar kula da muhalli, rage tushe da matakan sarrafa sinadarai.
Ya kamata a aiwatar da matakan sarrafa vector a gidaje, wuraren aiki, makarantu, da wuraren kiwon lafiya, da sauransu, don hana hulɗa da mutum-mutumi.
Ya kamata a fara matakan rage tushen tallafi na al'umma, da kuma sa ido kan yanayin.
Matakan kariya na sirri
Ana ba da shawarar yin amfani da tufafin kariya waɗanda ke rage girman fatar jiki da kuma shafa magungunan da za a iya shafa wa fata mai fallasa ko a kan tufafi.Dole ne amfani da masu tunkudawa ya kasance mai tsauri daidai da umarnin lakabin.
Taga da ƙofa, da gidan sauro (wanda aka yi ciki ko a'a tare da maganin kwari), na iya zama da amfani don rage hulɗar vector-mutum a rufaffiyar wurare da rana ko dare.
Tafiya da kasuwanci
WHO ba ta ba da shawarar kowane hani kan tafiye-tafiye da kasuwanci zuwa São Tomé da Principe dangane da bayanan da ake da su a halin yanzu.
Karin bayani
WHO dengue da tsanani dengue factsheet https://www.who.int/news-room/fact-sheets/detail/dengue-and-severe-dengue
Ofishin Yanki na WHO na Afirka, Dengue na gaskiya https://www.afro.who.int/health-topics/dengue
Ofishin Yanki na WHO na Amurka / Ƙungiyar Lafiya ta Pan American, Kayan aiki don ganowa da kula da marasa lafiya da ake zargi da cututtukan arboviral https://iris.paho.org/handle/10665.2/33895
Abubuwan da aka ambata: Hukumar Lafiya ta Duniya (26 Mayu 2022).Labaran Cutar Cutar;Dengue a cikin Sao Tomé da Principe.Akwai a: https://www.who.int/emergencies/disease-outbreak-news/item/2022-DON387
Lokacin aikawa: Agusta-26-2022