The Secretary of State for Health (SES), through the Health Monitoring Council, asks that Sergipe's 75 municipalities step up their actions to prevent and combat Clasar, also known as leishmaniasis, which is considered one of the parasitic diseases that have killed the world. Sergipe is considered an endemic and constantly arousing condition. In 2017, 74 confirmed cases of the disease were recorded, with nine deaths. In 2018, between January and October, there were 55 confirmed cases and nine deaths. The average is five cases per month.
The SES Health Monitoring Director, Marcia Feitose, announces that the state's role is to monitor the actions of the municipalities, to guide, to express the central laboratory, to promote the training of professionals, and to provide the necessary inputs for the hospital network to treat cases. He also reports that some municipalities have a control program for leishmaniasis, through which they develop their actions.
"When there is a happy human case, actions should be triggered and expressed." The anatomical part that is control of the vector, part of the study of new human cases with the same symptoms, which is the active search, the part of the animal, to know if there are diseased animals, to examine these animals , Apart from the educational part of the population, that the environment should be evaluated as a whole, "says Mercia.
The training of health care professionals is very important for them so they can identify Lishmania early each year, and carries out the regular education activities with primary care professionals, with training for doctors and nurses. "They need to know if the municipality is endemic or not, whether there is an intense or regular manifestation of the disease, and how we know the It? S on top of a number of occurrences of human cases, "reports Mercia.
According to the director, there are three potential municipalities: Aracaju, Nossa Senhora do Socorro and São Cristóvão, where cases are registered annually. "In these municipalities, the transmission is intense, and therefore all actions should be continued because this disease has potentially lethal, 90% of the cases can go to death." The assumption of the program is: early diagnosis and timely treatment.However, we can reduce death, , We must always be monitoring, "concludes Feitosa.
The visceral leishmaniasis or clasar is a disease caused by the family's Trypososomatidae protozoan and belong to the leishmania type. Transmission of the disease is through a bite of hematophagous insects, those that feed on the blood, of the genus Lutzomya and Phlebotomus. This type of leishmaniasis is considered the most severe and if untreated, it is fatal in more than 90% of cases.
Infection and symptoms
The parasite migrates to the host's host organs that reach the liver, spleen, and bone marrow, causing severe symptoms that can cause death. A person may have fever, weight loss, weakness, enlarged and liver spleen, swollen lymph nodes, anemia, kidney problems, health changes, dry cough, peeling of the skin and hair loss. The incubation period varies greatly from 10 days to 24 months.
Diagnosis and treatment
Diagnosis is done by combining clinical signs with serological and parasitological tests.
Kalahari is a treatable and treatable disease. All patients diagnosed need prompt and complete treatment, and those who are cured almost always develop lifelong immunity.
Personal protection of the use of fuses, use of mosquito nets, window resizing, use of pesticides; Construction of houses 500 meters away from the forest, disposal of tanks, treatment.