Dengue - Sao Tome and Principe 26 Chivabvu 2022 Mamiriro ekunze Musi wa13 Chivabvu 2022, Ministry of Health (MoH) yekuSão Tomé and Príncipe yakazivisa WHO nezvechirwere chedengue muSão Tomé and Príncipe.Kubva 15 Kubvumbi kusvika 17 Chivabvu, zana nemazana matatu ezviitiko zvedengue fever uye hapana kufa kwakataurwa.Aka ndekekutanga kubuda kwechirwere che dengue munyika.Tsanangudzo yezviitiko Kubva 15 Kubvumbi kusvika 17 Chivabvu 2022, 103 zviitiko zve dengue fever, yakasimbiswa nekukurumidza diagnostic test (RDT), uye hapana kufa kwakataurwa kubva kumatunhu mashanu ehutano muSão Tomé uye Príncipe (mufananidzo 1).Zvizhinji zvezviitiko (90, 87%) zvakashumwa kubva kuÁgua Grande health district inoteverwa neMézochi (7, 7%), Lobata (4, 4%);Cantagalo (1, 1%);uye Autonomous Region of Principe (1, 1%) (mufananidzo 2).Mapoka ezera ainyanya kukanganiswa aive: 10-19 makore (5.9 kesi pa10 000), 30-39 makore (7.3 kesi pa10 000), 40-49 makore (5.1 kesi pa10 000) uye 50-59 makore (6.1 nyaya pa 10 000).Chiratidzo chekiriniki chinowanzoitika chaive fivha (97, 94%), kutemwa nemusoro (78, 76%) uye myalgia (64, 62%).
Mufananidzo 1. Mhosva dzedengue dzakasimbiswa muSão Tomé nePríncipe nezuva rekuzivisa, 15 Kubvumbi kusvika 17 Chivabvu 2022
Chikamu chemasampuli makumi matatu chakasimbiswa neRDT chakatumirwa kurabhoritari yepasi rose muLisbon, Portugal, iyo yakagamuchirwa musi wa29 Kubvumbi.Kumwezve ongororo yemurabhoritari yakasimbisa kuti masampuli aive akanaka ekutanga acute dengue utachiona, uye kuti serotype yaive yakawanda yaive dengue virus serotype 3 (DENV-3).Mhedzisiro yekutanga inoratidza mukana wemamwe serotypes aripo mukati mebatch yemasampuli.
Nyevero yekubuda kwedengue yakatanga kukonzeresa apo yaifungidzirwa nyaya yedengue yakashumwa muchipatara muSão Tomé nePríncipe musi wa11 Kubvumbi.Mhosva iyi, yakaratidza zviratidzo zvechirwere chedengue, yaive nenhoroondo yekufamba uye yakazoonekwa kuti yaive nechirwere chedengue.
Mufananidzo 2. Kuparadzirwa kwekesi dzakasimbiswa dzedengue muSão Tomé nePríncipe nedunhu, 15 Kubvumbi kusvika 17 Chivabvu 2022
Epidemiology yechirwere
Dengue chirwere chetachiona chinotapurirwa kuvanhu kuburikidza nekurumwa neumhutu.Dengue inowanikwa munzvimbo dzinopisa nedzepasirese pasirese, kunyanya mumaguta nepakati pemadhorobha.Iwo mavector ekutanga anotapurira chirwere ichi iAedes aegypti mosquito uye, kusvika pamwero mudiki, Ae.albopictus.Utachiona hunokonzera dengue, hunonzi dengue virus (DENV).Kune ina DENV serotypes uye zvinokwanisika kutapukirwa kana.Zvirwere zvakawanda zveDENV zvinongoburitsa chirwere chakapfava, uye pamusoro pe80% yezviitiko hazviratidzi zviratidzo (asymptomatic).DENV inogona kukonzera chirwere chefuruwenza.Pano neapo izvi zvinotanga kuva dambudziko rinouraya, rinonzi dengue yakaoma.
Mhinduro yehutano hweveruzhinji
Vakuru vehutano hwenyika vakatanga uye vari kutora matanho anotevera mukupindura denda iri:
Kuita misangano yevhiki nevhiki pakati peMoH neWHO kukurukura nezvehunyanzvi hwedenda
Yakagadzirwa, yakasimbiswa uye yakaparadzira chirongwa chekupindura dengue
Kuitisa multidisciplinary epidemiological ongororo uye inoshanda yekuongorora nyaya mumatunhu akati wandei ehutano
Kuita ongororo yeentomological kuona nzvimbo dzekuberekesa uye kuita fogging uye matanho ekudzikisa mabviro mune dzimwe nzvimbo dzakakanganisika.
Kuburitsa pepanhau remazuva ese nezvechirwere uye kugara uchigovana neWHO
Kuronga kutumirwa kwenyanzvi dzekunze kuti dzisimbise kugona kwerabhoritari kuSão Tomé nePríncipe, pamwe nedzimwe nyanzvi dzinogona kunge dzakaita sekutarisira nyaya, kutaurirana kwenjodzi, entomology uye vector control.
WHO yengozi yekuongorora
Ngozi padanho renyika parizvino inotariswa sepamusoro nekuda kwe (i) kuvapo kwe mosquito vector Aedes aegypti uye Aedes albopictus;(ii) nharaunda yakanaka yekuberekesa umhutu zvichitevera kunaya kwemvura zhinji nemafashama kubva muna Zvita 2021;(iii) kubuda pamwe chete kwechirwere chemanyoka, marariya, COVID-19 pakati pemamwe matambudziko ehutano;uye (iv) kuderera kwekushanda kwehutsanana uye masisitimu ekutonga kwemvura munzvimbo dzehutano nekuda kwekukuvadzwa kwechimiro mushure memafashamo makuru.Huwandu hwakataurwa hungangove husingakoshesi nekuti huwandu hwakanyanya hwekesi dzedengue hadzisimptomatic, uye pane zvinogumira pakukwanisa kuita ongororo nekuongorora nyaya.Kurapwa kwechirwere chedengue chakanyanya idambudziko zvakare.Ruzivo rwenharaunda munyika rwakaderera, uye zviitiko zvekutaura nezve njodzi hazvina kukwana.
Njodzi yese pamatunhu nepasi rose inotariswa seyakaderera.Mukana wekuwedzera kupararira kubva kuSão Tomé nePríncipe kuenda kune dzimwe nyika hazvigoneke nekuti nyika chitsuwa chisingagovani miganhu yenyika uye zvinoda kuvepo kwemavekita anotapukira.
• Zano reWHO
Kuonekwa kwenyaya
Zvakakosha kuti nzvimbo dzehutano dzikwanise kuwana ongororo dzekuongorora uye/kana kusimbisa nyaya dzedengue.
Nzvimbo dzehutano dziri kunze kwezvitsuwa zveSão Tomé nePríncipe dzinofanirwa kuziviswa nezvechirwere ichi uye dzipihwe maRDT ekuona nyaya.
Vector manejimendi Integrated Vector Management (IVM) zviitiko zvinofanirwa kuvandudzwa kuti zvibvise nzvimbo dzinogona kuberekesa, kuderedza huwandu hwevector, uye kuderedza kuratidzwa kwemunhu.Izvi zvinofanirwa kusanganisira ese ari maviri malarva uye evakuru vector ekudzora marongero, akadai sekutonga kwezvakatipoteredza, kudzikisa masosi uye matanho ekudzora makemikari.
Vector kudzora matanho anofanirwa kuitwa mudzimba, nzvimbo dzebasa, zvikoro, uye nzvimbo dzehutano, pakati pezvimwe, kudzivirira iyo vector-munhu kuonana.
Matanho ekudzikisira masosi anotsigirwa nenharaunda anofanirwa kutangwa, pamwe nekuongorora vheji.
Matanho ekudzivirira ega
Zvinokurudzirwa kushandisa zvipfeko zvinodzivirira izvo zvinoderedza kuratidzwa kweganda uye kushandisa zvinodzinga zvinogona kuiswa paganda rakashama kana pahembe.Kushandiswa kwezvidziviriro kunofanirwa kunyatsoenderana nemirairo yezita.
Mahwindo nemagonhi zvidzitiro, uye mambure eumhutu (akapinzwa kana asina nemushonga wezvipembenene), anogona kubatsira kuderedza kubata kwevector-munhu munzvimbo dzakavharika masikati kana husiku.
Kufamba uye kutengesa
WHO haikurudzire chero zvirambidzo pakufamba uye kutengesa kuSão Tomé nePríncipe zvichibva paruzivo rwuripo.
Rumwe ruzivo
WHO dengue uye yakanyanya dengue factsheet https://www.who.int/news-room/fact-sheets/detail/dengue-and-severe-dengue
WHO African Regional Office, Dengue factsheet https://www.afro.who.int/health-topics/dengue
WHO Dunhu Hofisi yeAmerica/Pan American Health Organisation, Chishandiso chekuongororwa uye kutarisirwa kwevarwere vane fungidziro yezvirwere zveArboviral https://iris.paho.org/handle/10665.2/33895
Citable reference: World Health Organisation (26 Chivabvu 2022).Chirwere Chekuputika Nhau;Dengue muSão Tomé nePríncipe.Inowanikwa pa: https://www.who.int/emergencies/disease-outbreak-news/item/2022-DON387
Nguva yekutumira: Aug-26-2022