I-Dengue - Sao Tome and Principe 26 May 2022 Isimo lapho uthi shazi Ngomhla ziyi-13 Meyi 2022, uMnyango Wezempilo (MoH) wase-São Tomé and Príncipe wazisa i-WHO ngokugqashuka kodenga e-São Tomé and Príncipe.Kusukela zingu-15 kuMbasa kuya kumhlaka 17 kuNhlaba, zingu-103 izehlakalo zomkhuhlane wodenga futhi akukho nokufa okubikiwe.Lesi yisifo sokuqala esibikwa ukuthi sibheduke udenga kuleli.Incazelo yamacala Kusukela mhla ziyi-15 kuMbasa kuya kumhla ziyi-17 kuNhlaba wezi-2022, izehlakalo eziyi-103 zomkhuhlane wodenga, okuqinisekiswe ukuhlolwa kokuxilonga okusheshayo (RDT), futhi akukho kufa okubikiwe okuvela ezifundeni ezinhlanu zezempilo eSão Tomé nasePríncipe (umdwebo 1).Amacala amaningi (90, 87%) abikwa evela esifundeni sezempilo sase-Água Grande kulandele uMézochi (7, 7%), Lobata (4, 4%);IsiCantagalo (1, 1%);kanye Nesifunda Esizimelayo Somgomo (1, 1%) (umdwebo 2).Amaqembu obudala athinteke kakhulu kwaba: iminyaka eyi-10-19 (amacala angu-5.9 kwabayi-10 000), iminyaka engu-30-39 (amacala angu-7.3 kwabayizi-10 000), iminyaka engu-40-49 (amacala angu-5.1 kwabayi-10 000) kanye neminyaka engu-50-59 (6.1) amacala angu-10 000).Izimpawu zomtholampilo ezivame kakhulu kwakuyimfiva (97, 94%), ikhanda elibuhlungu (78, 76%) kanye ne-myalgia (64, 62%).
Umfanekiso 1. Amacala aqinisekisiwe odenga e-São Tomé nase-Príncipe ngedethi yokwaziswa, 15 Ephreli kuya ku-17 Meyi 2022
Iqoqo elincane lamasampula angama-30 aqinisekiswe yi-RDT athunyelwa elabhorethri yenkomba yomhlaba wonke e-Lisbon, e-Portugal, atholwa ngomhla zingama-29 kuMbasa.Ukuhlolwa okwengeziwe kwaselabhorethri kuqinisekisile ukuthi amasampula ayenethemba lokutheleleka kodenga oluyingozi kakhulu, nokuthi i-serotype evelele kwakuyi-dengue virus serotype 3 (DENV-3).Imiphumela yokuqala iphakamisa ukuthi kungenzeka amanye ama-serotype akhona phakathi kweqoqo lamasampuli.
Isexwayiso sokuqubuka kodenga saqala lapho kubikwa icala elisolwayo lodenga esibhedlela eSão Tomé nasePríncipe ngomhlaka-11 Ephreli.Lesi sigameko, esaveza izimpawu ezisikisela udenga, sasinomlando wokuhamba futhi kamuva kwatholakala ukuthi sinegciwane lodenga.
Umfanekiso 2. Ukusatshalaliswa kwamacala aqinisekisiwe odenga e-São Tomé nasePríncipe ngokwesifunda, 15 Ephreli kuya ku-17 Meyi 2022
I-Epidemiology yesifo
Udenga yigciwane elidluliselwa kubantu ngokulunywa omiyane abanaleli gciwane.Udenga lutholakala ezindaweni ezishisayo nezishisayo emhlabeni wonke, ikakhulukazi ezindaweni zasemadolobheni nasezindaweni ezingasemadolobheni.Amagciwane ayinhloko asakaza lesi sifo omiyane i-Aedes aegypti futhi, ngokwezinga elincane, i-Ae.i-albopictus.Igciwane elibangela udenga, libizwa ngokuthi igciwane lodenga (DENV).Kunezinhlobo ezine ze-DENV serotypes futhi kungenzeka ukuthi utheleleke izikhathi ezine.Izifo eziningi ze-DENV zikhiqiza ukugula okuncane kuphela, futhi amacala angaphezu kwama-80% awabonisi izimpawu (asymptomatic).I-DENV ingabangela ukugula okufana nomkhuhlane.Ngezinye izikhathi lokhu kuba inkinga engase ibe yingozi, ebizwa ngokuthi udenga olunzima.
Impendulo yezempilo yomphakathi
Iziphathimandla zezempilo zikazwelonke seziqalile futhi zenza lezi zinyathelo ezilandelayo ukuphendula lesi sifo:
Ukubamba imihlangano yamasonto onke phakathi kwe-MoH ne-WHO ukuze kudingidwe izici zobuchwepheshe zokuqubuka kwalesi sifo
Kwakhiwe, kwaqinisekiswa futhi kwasatshalaliswa uhlelo lokuphendula udenga
Ukwenza uphenyo lwe-multidisciplinary epidemiological kanye nokutholwa kwamacala asebenzayo ezifundeni ezimbalwa zezempilo
Ukwenza uphenyo lwe-entomological ukuze kuhlonzwe izindawo zokuzalela kanye nokwenza inkungu kanye nezindlela zokunciphisa umthombo kwezinye izindawo ezithintekile
Ukushicilela umbiko wansuku zonke ngalesi sifo nokwabelana njalo ne-WHO
Ukuhlela ukuthunyelwa kochwepheshe bangaphandle ukuze kuqiniswe amandla elabhorethri e-São Tomé nase-Príncipe, kanye nabanye ochwepheshe abangase babe njengokuphathwa kwamacala, ukuxhumana ngengozi, i-entomology kanye nokulawulwa kwe-vector.
Ukuhlolwa kwengozi ye-WHO
Ingozi ezingeni likazwelonke njengamanje ihlolwa njengephezulu ngenxa (i) yokuba khona kwe-vector yomiyane i-Aedes aegypti ne-Aedes albopictus;(ii) indawo ekahle yezindawo ezizalela kuzo omiyane kulandela izimvula ezinamandla nezikhukhula kusukela ngoDisemba 2021;(iii) ukuqubuka ngesikhathi esisodwa kwesifo sohudo, umalaleveva, i-COVID-19 phakathi kwezinye izinselele zempilo;kanye (iv) nokwehla kokusebenza kokuthuthwa kwendle nezinhlelo zokulawulwa kwamanzi ezikhungweni zezempilo ngenxa yokulimala kwesakhiwo ngemva kwezikhukhula ezinamandla.Izinombolo ezibikiwe cishe azibukelwa phansi ngenxa yokuthi ingxenye enkulu yezifo zodenga azibonakali kahle, futhi kukhona ukulinganiselwa emandleni okuqhuba ukugada nokuxilonga amacala.Ukulawulwa kwezifo zodenga ezinzima nakho kuyinselele.Ukuqwashisa umphakathi ezweni kuphansi, futhi imisebenzi yokuxhumana ngobungozi ayanele.
Ingozi isiyonke emazingeni esifunda nasemhlabeni jikelele ihlolwa njengephansi.Amathuba okusakazeka okwengeziwe ukusuka e-São Tomé nase-Príncipe kuya kwamanye amazwe akunakwenzeka ngenxa yokuthi izwe liyisiqhingi esingahlanganyeli imingcele yomhlaba futhi kungadinga ukuba khona kwama-vectors asengozini.
• Iseluleko se-WHO
Ukutholwa kwecala
Kubalulekile ukuthi izikhungo zezempilo zibe nokufinyelela ekuhlolweni kokuxilonga ukuze zithole kanye/noma ziqinisekise iziguli zodenga.
Izikhungo zezempilo eziqhingini ezingaphandle zaseSão Tomé nasePríncipe kufanele zaziswe ngokugqashuka futhi zinikezwe ama-RDT ukuze bathole amacala.
Ukuphatha amaVektha Imisebenzi Yokulawulwa Okudidiyelwe KweVector (IVM) kufanele ithuthukiswe ukuze kususwe izindawo ezingase zizalela kuzo, kuncishiswe inani lama-vector, futhi kuncishiswe ukuchayeka komuntu ngamunye.Lokhu kufanele kuhlanganise kokubili amasu okulawula izibungu kanye nama-vector omdala, njengokuphathwa kwemvelo, ukunciphisa imithombo kanye nezinyathelo zokulawula amakhemikhali.
Izinyathelo zokulawula ama-Vector kufanele zisetshenziswe ezindlini, ezindaweni zokusebenza, ezikoleni, nasezikhungweni zokunakekelwa kwempilo, phakathi kokunye, ukuvimbela ukuthintana kwe-vector.
Izinyathelo zokunciphisa imithombo ezisekelwa umphakathi kufanele ziqalwe, kanye nokubhekwa kwe-vector.
Izinyathelo zokuzivikela
Kunconywa ukusebenzisa izingubo ezivikelayo ezinciphisa ukuvezwa kwesikhumba futhi ufake izixosha ezingasetshenziswa esikhumbeni esivelile noma ezingutsheni.Ukusetshenziswa kwezidakamizwa kumele kuhambisane ngokuqinile nemiyalelo yelebula.
Izikrini zamafasitela nezicabha, namanethi omiyane (amithiswe noma cha ngesibulali zinambuzane), angaba usizo ekwehliseni ukuthintana kwe-vector ezindaweni ezivaliwe emini noma ebusuku.
Ukuhamba nokuhweba
I-WHO ayincomi noma yimiphi imikhawulo yokuhamba nokuhwebelana e-São Tomé nase-Príncipe ngokusekelwe olwazini olutholakalayo lwamanje.
Ulwazi olunzulu
Iphepha le-WHO lodenga kanye nodenga oluqinile https://www.who.int/news-room/fact-sheets/detail/dengue-and-severe-dengue
Ihhovisi lesifunda sase-Afrika le-WHO, i-Dengue fact sheet https://www.afro.who.int/health-topics/dengue
I-WHO Regional Office for the Americas/Pan American Health Organization, Ithuluzi lokuxilongwa nokunakekelwa kweziguli ezinezifo ezisolwa ngokuba yi-arboviral https://iris.paho.org/handle/10665.2/33895
Inkomba ekhonjiwe: Inhlangano Yezempilo Yomhlaba (26 May 2022).Izindaba Zokuqubuka Kwezifo;Udenga e-São Tomé nasePríncipe.Itholakala ku: https://www.who.int/emergencies/disease-outbreak-news/item/2022-DON387
Isikhathi sokuthumela: Aug-26-2022