Monday, April 7, 2008

More information on the dengue outbreak in Rio de Janiero

During the weekend, CNN ran two additional articles on the dengue outbreak in Rio de Janiero containing some additional information. According to the first report, 2000 soldiers and firefighters joined the fight against dengue, some of them going door-to-door to educate the public about source-reduction. Additional to the 67 fatalities already reported, 58 suspected deaths are also investigated. An average of 1.4 cases of dengue are reported per minute (that's 2016 cases per day). 400 patients are admitted to one of the field hospitals, of which 65% have dengue. The reported fatalities are also broken down with 21 due to DHF, 14 due to DSS, while 32 due to the 'more common form of the disease' [possibly these cases do not satisfy all the requirements of the WHO DHF/DSS classification]. According to an article in the newspaper O Globo and ProMedMail, the public health infrastructure in Rio de Janeiro has collapsed under the pressure of the dengue outbreak, amplified by an influx of patients from the countryside. CNN also reports of the difficulty in vector control in Caxias neighborhood of Rio, which is ruled by drug dealers who don't let authorities and outsiders into their territory. Residents are feeling neglected and probably in need of basic public health services.

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