Baixada Santista has six confirmed cases of dengue every day

                                  They reach 1. 710 records of the disease in the region between January and September; municipalities prepare various actions                                                                                                                                                   Matheus Müller                           From the Newsroom                                                                                   10. 11. 19 15 h 02 – Updated at 10. 11. 19 15H14                                                                                                                                Santos agents participate in joint visits to homes in search of mosquito larvae (Press Release / Santos City Hall)                                                                                                                                                                                     Between January and September this year, six cases of dengue were confirmed per day on average in Baixada Santista. This represents 1. 710 infected people. Data from the State Department of Health points to an increase of 14 times in disease records in the region, compared to the same period of 2018 , when confirmed 123 occurrences. Given the numbers, the municipalities are preparing or are already taking actions to reverse the picture, especially with the approach of summer. That is when the rates usually increase due to the favorable climate for the development of Aedes aegypti, mosquito transmitting the disease. Intensified home visits, hiring of agents, investment in awareness and special measures are foreseen. One is the biological control being adopted by Bertioga, where larval-eating fish will be placed in places like abandoned pools. The other is a pilot project adopted by Santos, with a trap that infects and kills mosquitoes and larvae. Mobilization Still in Santos, the Municipal Health Department reports that it is about to complete a contingency plan for arboviruses (dengue, chikungunya, zika virus and yellow fever) for 2020. Today, at 9 am, there will be a mobilization walk against Aedes aegypti. The concentration will be in Embaré Church. Another municipality that cites measures is São Vicente. The City informs that the agents conduct inspections throughout the City, in homes, schools, health units, churches and points such as junkyards, rubber shops and cemeteries, places with high density of breeding sites. It also says to carry out a communication work with lectures and guidance in the health sector. In Bertioga, the Municipal Administration informs that the Association Friends of Riviera de São Lourenço will hire temporary agents for the summer season. In addition, said that will intensify visits at strategic points and visit to real estate. It also informs that it will begin a biological control, with larvophagous fish, which are predators of Aedes aegypti larvae. Public tender In Guarujá, there is already an ongoing study of the budgetary impact, in the municipal coffers, for the holding of public tender that allows the hiring of more agents. After the call is posted, the expectation is to hire 15 professionals. The City directs that population receive the agents and eliminate the breeding sites indoors. In turn, Praia Grande will intensify actions in homes to eliminate mosquito breeding sites and will intervene at strategic points such as cemeteries, vehicle breakdowns and rubber. South coast In Itanhaém, Endemic Control ensures daily home visits, educational activities and fogging in neighborhoods. In addition, there are constant visits to special properties and resolution of complaints and demands pointed out by the population and basic health units. In Mongaguá, City Hall promises to intensify visits to real estate in neighborhoods with higher larval index. In Peruíbe, agents make visits to homes and businesses seeking breeding sites directing residents to eliminate objects that may accumulate water. No reply The City of Cubatão did not answer the questions made by the Report until the close of this edition. Return of virus 2 to Baixada explains boom Infectious doctor Marcos Caseiro does not believe that Baixada Santista has a new dengue epidemic, despite the increase in cases. According to him, the records may be related to the greater circulation of the Aedes aegypti mosquito with the type 2 virus – there are four types. Caseiro explains that virus 2 had not circulated in the region for some time. This means that many people had no immunity to the agent. “Santos has been greatly affected since 1997 by epidemics (dengue). We had practically every epidemic year. With this circulation and viral variety, I find it interesting to say that we have herd immunity (for most viruses). ” The doctor warns, however, that it is important to pay more attention to children. “They are born and do not have this immunity” and therefore are vulnerable to the disease. Homemaker advises that the population should maintain awareness to avoid the accumulation of standing water. “We have to work all the time to reduce the vector. The care is very important, because Aedes not only transmits dengue, but zika, chikungunya and emerging viruses such as mayaro and oropouche, which may circulate in the future. ” Larvicide equipment is in the area of ​​Hospital dos Estivadores (Press Release / Santos City Hall) Trap is new mosquito weapon Fifty traps with a larvicide and a fungus to kill the larvae and the Aedes aegypti mosquitoes were set up in the region of the Hospital dos Estivadores, in Santos. The pilot project started on 18 in October and will be valid until 15 in January (90 days). The equipment, from the American company Truly Nolen, which operates in urban pest control, works with Dutch (In2Care trap) and German (vector counter) technologies. Both instruments are already in operation. According to Marco Antonio Bertussi, agronomist and executive director of Truly Nolen in Brazil, the In2Care trap was designed to be the best mosquito breeding facility, “a maternity ward”. “Aedes female enters the trap, lands on a screen above a float, which is in water with a mosquito attractant. The screen throws at the insect two active ingredients, a fungus (Beauveria bassiana) and a larvicide (Piriproxifem). ” He explains that the mosquito larvicide comes into contact with the contaminated water and will kill Aedes’ pupae (last stage). This is because eggs and larvae also attract mosquitoes. Regarding the fungus, it will kill the virus inside the mosquito and the vector after eight to ten days. “We want him (the mosquito) to continue visiting other breeding sites, because the female will have larvicide in her body and will visit other sites that will be contaminated,” explains Bertussi. According to him, both larvicide and fungus do not harm animals, only mosquitoes and larvae.                                                                                                                                           
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