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Citizens of São Paulo who have not yet immunized against yellow fever should be vaccinated before traveling to the north coast and Baixada Santista, in addition to forest and forest areas.
The vaccine should be taken ten days in advance to ensure effective protection. Therefore, those who intend to spend Novembers' holidays – the republican proclamation (15) and the day of black consciousness (20) – have to assess and / or update their vaccination situation last week in those regions.
Instructions also apply to residents of these places. Municipalities intensified immunization measures throughout the year to increase vaccine coverage.
Last Monday (5) Adolfo Lutz confirmed the death of a yellow fever in the Vala do Paraiba region. The victim is a 26-year-old man from Cunha who refused the vaccine and was infected in the countryside where he worked in Caraguatatuba.
"Immunization is the primary form of disease prevention. The current period is pre-seasonal, and the seasonal illness lasts from December to May. It is therefore important that people who have not yet been vaccinated are looking for health services," says Regiane de Paula, director of the Epidemiological Surveillance Center.
The entire territory of Sao Paolo already has a recommendation for a vaccine due to the circulation of the virus. On the northern coast, the vaccination coverage is higher than 85% and 55% in the lower part. It still needs to be resident in other parts of the country before moving to these areas. The doses are available at the vaccination centers throughout Sao Paolo.
Student Nicole Amaral is a resident of Ubatube and has been looking for the closest healthcare job among the first news of the yellow fever in the municipality. "When the relatives and friends of the capital visit me, I always remember them for the vaccine," he says.
The doctor should consult the need for a vaccine for patients with HIV positive, patients with chemotherapy who are closed and transplanted. There are no indications of vaccination for pregnant women, infants up to 6 months of age and immunocompromised persons, such as chemotherapy, radiotherapy or corticosteroids at high doses (such as Lupus and rheumatoid arthritis). In case of doubt, it is urgent to consult your doctor.
By 2018, more than 8 million people have been vaccinated against yellow fever. The number exceeds the vaccination mark in 2017, when 7.4 million doses were used over the past decade, and compared to vaccination in the previous decade – between 2006 and 2016 7 million people were vaccinated.
Balance sheets
In 2018, until 23 October, 502 autochthonous yellow fever cases were confirmed in the country, 175 of which went to death. Out of a total of 30.2% of yellow fever infections, it was concluded in Mairiporã and 9.5% in Atibaia. In these two cities, 39.7% of cases of wild yellow fever in the country, and since 2017, vaccination measures have already taken place.
"We followed a yellow fever, as the first case arose 20 months ago. We have to take care of people living in regions where the disease is a threat," says Marcos Boulos, a specialist in communicable diseases, on the characteristics of illnesses that do not come and go night.
"Vaccination is the main way to protect the population from yellow fever. It is therefore imperative that all people living in the city take part in health jobs," said secretary Marco Antonio Zago.
Among the common cases, 14 were on the north coast, of which 5 went to death – São Sebastião (3 cases with 2 fatalities) and Ubatuba (11 cases with 3 fatalities). In Baixada there were 4 cases and 3 deaths – Guarujá (1 case with 1 death), Itanhaém (1 case with 1 death) and Peruíbe (3 cases with 1 death).
As for epizootics, this year 257 monkeys were ill. The region with the highest concentration is Greater Sao Paulo, with about half of the cases. Of these, two cases involving the monkeys occurred in Baixada Santista, and 33 cases in the Paraiba Valley and on the north coast.
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