Integrated Actions between Vigilance, Assistance and Vectors assuring control of epidemic dengue in the municipality of Campo Grande-MS 2013

Wednesday, 20 August 2014
Exhibit hall (Dena'ina Center)
Marcia Maria Dal Fabbro, PhD , Municipal Public Health, Campo Grande, Brazil
Erci Harumi Hirota , Municipal Public Health, Campo Grande, Brazil
Elias Monteiro , Municipal Public Health, Campo Grande, Brazil
Ivandro Fonseca, PhD , Municipal Public Health, Campo Grande, Brazil
Alcides Divino , Municipal Public Health, Campo Grande, Brazil
Victor Rocha, MD , Municipal Public Health, Campo Grande, Brazil
Neuma Rocha , Municipal Public Health, Campo Grande, Brazil
INTRODUCTION:  The town of Campo Grande- MS, Brazil, has 796.252 inhabitants, tropical climate that contributs for the spread of the dengue vector. Around the epidemiological week 50 noted an increase in the number of reported dengue. This fact associated with the introduction of DENV 4 in February 2012, the high rates of positivity detected, and co-circulation of three serotypes simultaneously (DENV 1.2 e4), indicating the onset of an epidemic.The month of January ended with 23.497 cases. As in the last two epidemics (2007 and 2010) the highest concentration of cases occurred historically in the month of February with the average increase of 45% from one month to the other, one would expect more than 30,000 cases in February.

METHODS: The actions in the field with vector control were heightened by task force of community health workers, increase in personal action planning in neighborhoods with higher incidence, social mobilization and participation of partners from public, private, NGOs and military character, as churches and associations. For patient care units were opened in 8 primary care services with extended hours facilitating access to care.

RESULTS: With all the control measures adopted was possible to drastically reduce the number of cases, closing the month of February with a 50% reduction in the number of cases, while maintaining positivity of about 85%, which demonstrated the persistence of movement of virus . The shares and the reduction was maintained in subsequent months, and closed June with 443 cases, next to the already endemic patterns

 CONCLUSIONS: Thus, we can conclude that with efficient combat actions is possible to perform an adequate comtrole this disease, even when the epidemic is already installed, but the ideal is continuing actions, avoiding the occurrence of the same.

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