31 Jul 2014

#FAO advierte del posible #contagio de #ébola por consumo de #murciélago de fruta (@PrensaLatina_cu, July 31 2014)

[Source: La Prensa Latina, full page: (LINK).]

FAO advierte del posible contagio de ébola por consumo de murciélago de fruta [      ][      ]

by Lic. Heidy Ramírez Vázquez  

La Organización de las Naciones Unidas para la Alimentación y la Agricultura (FAO) alertó recientemente en Roma del riesgo que tienen las comunidades del  África occidental de contraer el ébola que consuman especies como los murciélagos de la fruta.

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#Ebola virus #disease, West #Africa – #update 29 July 2014 (@WHO AFRO, edited)

[Source: World Health Organization, Regional Office for Africa, full page: (LINK).]

Ebola virus disease, West Africa – update 29 July 2014 [      ]

 

Epidemiology and surveillance

The World Health Organization (WHO) continues to monitor the evolution of the Ebola virus disease (EVD) outbreak in Sierra Leone, Liberia, Guinea and Nigeria. The Ebola epidemic trend in Sierra Leone, Liberia, and Guinea remains precarious, with continuing community and health-facility transmissions of infection.

Between 24 and 27 July 2014, a total of 122 new cases (suspect, probable, and laboratory-confirmed cases) as well as 57 deaths were reported from Liberia, Sierra Leone, Guinea and Nigeria.

The surge in the number of new EVD cases especially in Liberia, Sierra Leone and Guinea calls for concentrated efforts by all to address the identified problems such as health facility transmission and effective contact tracing.

In Nigeria, IHR focal person report confirms that the probable case notified was symptomatic at the time of arrival in Nigeria and that 59 contacts (15 from among the airport staff and 44 from the hospital) have been identified so far. The report also confirms that the patient travelled by air and arrived in Lagos, Nigeria, on 20th July via Lomé, Togo and Accra, Ghana.

The sample from this case is yet to be sent to the WHO Collaborating Centre at the Institute Pasteur in Dakar, Senegal, due to refusal by courier companies to transport this sample. Though only one probable case has been detected so far in Nigeria, Ebola virus infection in this country represents a significant development in the course of this outbreak.

The national authority in Nigeria, Togo and Ghana continue to work closely with WHO and partners in identification of contact and contact tracing as well as in preparing response plans.

 

Health sector response

In an effort to accelerate the response to the current EVD outbreak in West Africa, the Director General of WHO and other senior managers continue to hold discussions with the donor community, development partners as well as international agencies at a global level. Focus of discussion has centered among others on the need to rapidly deploy additional resources (human and financial) that will help interrupt Ebola transmission.

Efforts are currently ongoing to scale up and strengthen all aspects of the response in the four countries, including epidemiologic investigations, contact tracing, public information and community mobilization, case management and infection prevention and control, coordination and staff security. WHO is also working closely with various partners to finalize the national response plans that define urgent response needs in line with the Accra’s strategy adopted by Member States.

WHO and Partners (CDC, MSF, UNICEF, IFRC, Institute Pasteur of Dakar, Save the Children, Plan Guinea and others) continue to work together through the Sub-regional Ebola Outbreak Coordination Center (SEOCC) in Conakry in accelerating the control of this outbreak.

WHO does not recommend any travel or trade restrictions is applied to Guinea, Liberia, Sierra Leone or Nigeria, based on the current information available for this event.

 

Disease update

New cases and deaths attributable to EVD continue to be reported by the Ministries of Health in the four West African countries of Guinea, Liberia, Nigeria and Sierra Leone.

Between 24 and 27 July 2014, 122 new cases (laboratory-confirmed, probable, and suspect cases) of EVD, and 57 deaths, were reported from the four countries as follows:

  • Guinea,
    • 33 new cases and
    • 20 deaths;
  • Liberia,
    • 80 new cases and
    • 27 deaths;
  • Sierra Leone,
    • 8 new cases and
    • 9 deaths; and
  • Nigeria,
    • 1 new case who died.

As of 27 July 2014, the cumulative number of cases attributed to EVD in the four countries stands at 1323 including 729 deaths.

The distribution and classification of the cases are as follows:

  • Guinea,
    • 460 cases
      • 336 confirmed,
      • 109 probable, and
      • 15 suspected
    • 339 deaths;
  • Liberia,
    • 329 cases
      • 100 confirmed,
      • 128 probable, and
      • 101 suspected
    • including 156 deaths;
  • Sierra Leone,
    • 533 cases
      • 473 confirmed,
      • 38 probable, and
      • 22 suspected
    • 233 deaths;
  • Nigeria,
    • 1 probable case who died.

 

Confirmed, probable, and suspect cases and deaths from Ebola virus disease in Guinea, Liberia, Sierra Leone and Nigeria as of 27 July 2014

[New 1 – Confirmed – Probable – Suspect – Totals (by Country)]

  • Guinea
    • Cases – 33 – 336 – 109 – 15 – 460
    • Deaths – 20 – 218 – 109 – 12 – 339
  • Liberia
    • Cases – 80 – 100 – 128 – 101 – 329
    • Deaths – 27 – 72 – 62 – 22 – 156
  • Sierra Leone
    • Cases – 8 – 473 – 38 – 22 – 533
    • Deaths – 9 – 195 – 33 – 5 – 233
  • Nigeria
    • Cases – 1 – 0 – 1 – 0 – 1
    • Deaths – 1 – 0 – 1 – 0 – 1
  • Totals
    • Cases – 122 – 909 – 276 – 138 – 1323
    • Deaths – 57 – 485 – 205 – 39  - 729

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1. New cases were reported between 24 and 27 July 2014.

The total number of cases is subject to change due to ongoing reclassification, retrospective investigation and availability of laboratory results. Data reported in the Disease Outbreak News are based on official information reported by Ministries of Health.

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30 Jul 2014

Public Health #England #Ebola #support and #surveillance continues but #risk remains low in England (@PHE_uk, July 30 2014)

[Source: Public Health England, full page: (LINK).]

News story: Public Health England Ebola support and surveillance continues but risk remains low in England [      ]

No cases of imported Ebola have ever been reported in the UK. Ebola is a form of viral haemorrhagic fever and currently more than 1000 cases have been reported in Guinea, Liberia and Sierra Leone, of which there have been more than 650 deaths. This is the first documented Ebola outbreak in West Africa, and it is the largest ever known outbreak of this disease.

PHE continues to work with the World Health Organisation and a wide range of partners including UNICEF, Médecins Sans Frontières, to provide support to the affected countries. By the end of August, PHE will have deployed 10 staff to the affected areas, providing virological and epidemiological support.

Within the UK, PHE has informed medical practitioners about the situation in West Africa and requested they remain vigilant for unexplained illness in those who have visited the affected area, and actions to take in the event of a possible case.

PHE has also provided advice for humanitarian workers planning to work in areas affected, and continues to engage with the Sierra Leone diaspora in England.

Advice has already been issued Immigration Removal Centres on carrying out health assessments for people who may have previously been in Ebola outbreak areas within the preceding 21 days.

In light of the ongoing outbreak, PHE will continue to liaise with the Border Agency and Port Health, to update guidance for staff working in airports and ports.

‘’Cabin crew identifying a sick passenger with suspicion of infectious disease on board, as well as ground staff receiving the passenger at the destination, should follow the International Air Transport Association (IATA) guidelines for suspected communicable diseases.

Dr Brian McCloskey, director of global health at Public Health England, said:

‘’The risk to UK travellers and people working in these countries of contracting Ebola is very low but we have alerted UK medical practitioners about the situation in West Africa and requested they remain vigilant for unexplained illness in those who have visited the affected area.

‘’People who have returned from affected areas who have a sudden onset of symptoms such as fever, headache, sore throat and general malaise within three weeks of their return should immediately seek medical assistance.

Dr Paul Cosford, director for health protection at Public Health England said:

‘’As we have seen with Middle Eastern Respiratory Syndrome, we have robust mechanisms in place for detecting and responding to any usual infections within the UK.

‘’It is important to stress that no cases of imported Ebola have ever been reported in the UK, and the risk of any traveller to West Africa contracting Ebola is very low without direct contact with the blood or body fluids of an infected person.

 

Timeline of events:

  • February 2014 - Outbreak of a haemorrhagic illness in south-east Guinea
  • March 2014 - Outbreak of Ebola confirmed in south-east Guinea
  • Later that month, tests confirm Ebola has spread into Liberia
  • May 2014 - Sierra Leone confirms Ebola has spread to the Kailahun district, east of the country
  • June 2014 - MSF declares the Ebola outbreak is out of control
  • July 2014 – First case of Ebola confirmed in Nigeria

PHE has published a risk assessment of the current Ebola outbreak for the UK resident population and UK citizens in West Africa. PHE has also published advice for humanitarian workers working in the affected areas and also a general information factsheet.

 

Notes to editors

PHE exists to protect and improve the nation’s health and wellbeing, and reduce health inequalities. It does this through advocacy, partnerships, world-class science, knowledge and intelligence, and the delivery of specialist public health services. PHE is an operationally autonomous agency of the Department of Health.

Public Health England Press Office, tel: 020 8327 7901, Out of hours: 020 8327 7901, Email: infections-pressoffice@phe.gov.uk

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#US #Peace #Corps #volunteers exposed to #Ebola (@CBSNews, July 30 2014)

[Source: CBS News, full page: (LINK).]

U.S. Peace Corps volunteers exposed to Ebola [      ]

Last Updated Jul 30, 2014 3:15 PM EDT

Two Peace Corps volunteers in Liberia have been isolated for exposure to the Ebola virus, CBS News has learned. They are currently showing no signs of sickness.

(…)

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#Gaza: Le #marché de Choujaaiya bombardé, 17 #morts dont 1 #journaliste et 160 blessés (Huffington Post Maghreb, July 30 2014)

[Source: Huffington Post Maghreb, full page: (LINK).]

Gaza: Le marché de Choujaaiya bombardé, 17 morts dont 1 journaliste et 160 blessés [      ]

by Ghada Hamrouche  

Le marché de Choujaaiya à Gaza vien d'être bombardé. 17 morts dont 1 journaliste et 160 blessés pour le moment dans ce nouveau carnage. Des images sont diffusées en direct sur la chaine Al-Jazira, relayant la Télévision palestinienne, Al Aqsa.

(…)

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#Risk #assessment of the #Ebola #outbreak in West #Africa, 30 June 2014 (@PHE_uk, edited)

[Source: Public Health England, full PDF document: (LINK). Edited.]

30 June 2014

Risk assessment of the Ebola outbreak in West Africa, 30 June 2014

The outbreak of Ebola virus disease (EVD) in West Africa was first reported in March 2014 in Guinea and since late May has involved three countries: Guinea, Liberia and Sierra Leone.

This is the first documented EVD outbreak in these countries, and is already the largest known outbreak of this disease.

There had been earlier expectation that the outbreak would be brought under control.

However, at the end of May 2014, there was an unexpected surge in the number of new cases, and the outbreak spread to previously unaffected areas in Guinea and Sierra Leone as well as showing a resurgence in other areas.

It is considered that all recent cases have a documented epidemiological link to previous human cases.

The increase in confirmed cases and expansion into new areas are cause for concern in West Africa as this indicates that the outbreak is not yet under control.

Three patterns of transmission have been identified by WHO:

  • a) in rural communities, facilitated by strong cultural practices and traditional beliefs;
  • b) in densely populated peri-urban communities; and
  • c) cross-border transmission.

In addition, the situation is being driven by the failure to gain trust and community support that is essential to effectively trace, monitor or isolate contacts of EVD patients.

Inadequate treatment facilities and insufficient human resources are also contributing to the problems of control.

The latest WHO risk assessment (24 June 2014) states that the capital cities of all three countries have been affected: Conakry (Guinea), Monrovia (Liberia) and Freetown (Sierra Leone).

However, as of today, WHO still does not recommend any travel or trade restrictions be applied to Guinea, Liberia, or Sierra Leone based on currently available information.

No other country has reported confirmed cases.

 

Epidemiological summary to 30 June (note that figures change almost daily)

  • Guinea
    • the cumulative number of cases and deaths reported from Guinea is 390 (260 confirmed, 87 probable and 43 suspected) and 270 deaths; no new areas have been reported compared with previous weeks
  • Liberia
    • the cumulative number of cases is 61 (35 confirmed), including 37 deaths. Cases are currently being reported from Lofa and Montserrado counties, the latter including communities on the outskirts of Monrovia
  • Sierra Leone
    • the Ministry of Health and Sanitation reported that there are 191 confirmed cases, of which 63 have died

_____

 

Risk assessment for UK nationals:

Increasing case numbers and extended geographical spread may increase the risk for UK citizens engaged in humanitarian aid and healthcare delivery.

This is because most human infections result from direct contact with the bodily fluids or secretions of infected patients, particularly in hospitals (nosocomial transmission) and as a result of unsafe procedures, use of contaminated medical devices (including needles and syringes) and unprotected exposure to contaminated bodily fluids.

However, the risk for tourists, visitors or expatriate residents in affected areas, is still considered very low if elementary precautions are followed.

The Ebola pages of the HPA legacy website has been regularly updated with information and maps as the outbreak has unfolded and this will continue for as long as necessary.

 

Risk of importation

Although there have been several previous outbreaks of Ebola, exportation of the virus from an outbreak to a non-endemic country has historically been an exceptionally rare event, and has never occurred in Europe.

 

Diagnostic facilities:

In the event of a symptomatic person with a relevant travel history presenting to health care, the Imported Fever Service (0844 7788990) should be contacted by infectious disease clinicians or microbiologists in order to discuss testing.

The Rare and Imported Pathogens Laboratory will test patient samples if appropriate

 

Actions in the event of a possible case:

 

Other information:

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First published: June 2014 - © Crown copyright 2014

Re-use of Crown copyright material (excluding logos) is allowed under the terms of the Open Government Licence, visit www.nationalarchives.gov.uk/doc/open-government-licence/version/2/ for terms and conditions.

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#UK, #Ebola: #government #response (updated) (@PHE_uk, July 30 2014)

[Source: Public Health England, full page: (LINK). Edited.]

Ebola: government response [      ]

From: Foreign & Commonwealth Office, Department for International Development, Department of Health and Public Health England

History: Published 30 July 2014

Part of: Foreign affairs, Public health, Sierra Leone, Liberia and Guinea

The UK government is closely monitoring the spread of the Ebola virus in Sierra Leone, Liberia and Guinea. This page will be updated regularly.

______

An Ebola outbreak was confirmed in Guinea in March 2014 and quickly spread to Liberia.

Ebola haemorrhagic fever is a rare but severe disease caused by the Ebola virus. Like HIV, Ebola is highly transmissible by direct contact with organs or bodily fluids of living or dead infected persons and animals.

The UK government is closely monitoring the outbreak in Sierra Leone, Liberia and Guinea. This is the largest outbreak of the Ebola virus in recent times and there are no reports of British citizens being infected.

 

Should I be worried about this outbreak?

‘’This is not an issue that affects the UK directly.

‘’We have experienced scientists and doctors – the Royal Free Infectious Disease Unit, the Liverpool School of Tropical Medicine and the London School of Hygiene and Tropical Medicine – and a lot of experience of dealing with dangerous diseases.

‘’The risk of this disease spreading fast in the UK is much lower because of that.

The UK government is taking precautionary measures and looking at capability but is confident that the UK has experienced people who are ready to deal with anything if it were to arrive here.

Read the latest assessment of the outbreak in West Africa.

Following a meeting of government committee COBR, Foreign Secretary Philip Hammond said:

‘’We’ve looked at how we are co-ordinating with our French and American colleagues under the World Health Organisation; we’ve considered what additional measures the UK could take to help control the outbreak in West Africa; and we’ve also looked at what measures we need to put in place on a precautionary basis in case any UK nationals in West Africa should become affected by the disease.

‘’We do not, at the moment, think this is an issue that affects the UK directly.’’

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#UK, #Ebola: #government #response (@PHE_uk, July 30 2014)

[Source: Public Health England, full page: (LINK).]

News story: Ebola: government response [      ]

An Ebola outbreak was confirmed in Guinea in March 2014 and quickly spread to Liberia.

Ebola haemorrhagic fever is a rare but severe disease caused by the Ebola virus. Like HIV, Ebola is highly transmissible by direct contact with organs or bodily fluids of living or dead infected persons and animals.

The UK government is closely monitoring the outbreak in Sierra Leone, Liberia and Guinea. This is the largest outbreak of the Ebola virus in recent times and there are no reports of British citizens being infected.

Read the latest assessment of the outbreak in West Africa.

 

Travel advice

Travellers to Sierra Leone, Liberia and Guinea are advised to follow the health advice issued by the National Travel Health Network and Centre.

Get the latest travel advice for Sierra Leone, Liberia and Guinea.

 

Government actions to help affected countries

In Liberia and Sierra Leone, the Department for International Development is supporting agencies on the ground to help ensure that new cases are identified quickly and given the appropriate health care.

This includes working with the World Health Organization (WHO) to train health workers and provide the supplies they need to tackle the outbreak.

In Sierra Leone, the UK is helping to improve the national response to the outbreak, including support for radio messaging on Ebola prevention and control in affected districts.

In Liberia, the UK has provided chlorine and other materials for hygiene and sanitising and training in their appropriate use.

 

Other organisations helping to contain the outbreak

International agencies such as Médecins Sans Frontières, UNICEF, WHO, the UN Population Fund, USAID and the Red Cross have all been on the ground helping the health services of the countries affected. The international community has contributed more than £2 million in aid, including £300,000 from the EU.

Get the latest advice and information if you are a humanitarian aid worker.

On 2 and 3 July WHO convened a meeting in Accra to coordinate regional activity and develop an Ebola virus response strategy. The UK government is supporting this process.

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#Chikungunya virus in the #US, #update as of July 29 2014 (@CDCgov, edited)

[Source: US Centers for Disease Control and Prevention (CDC), full page: (LINK).]

Chikungunya virus in the United States [      ]

Updates of chikungunya case counts are publically released every Tuesday evening (MT).

  • Chikungunya is not a nationally notifiable disease in the United States. However, chikungunya cases can be reported to ArboNET, the national surveillance system for arthropod-borne diseases.
  • From 2006‒2013, studies identified an average of 28 people per year in the United States with positive tests for recent chikungunya virus infection (Range 5‒65 per year). All were travelers visiting or returning to the United States from affected areas, mostly in Asia. Only a quarter of the cases were reported to ArboNET.
  • Beginning in 2014, cases have been identified in travelers returning from the Caribbean.
  • As of July 29, a total of 601 chikungunya cases have been reported to ArboNET from U.S. states and territories (Table).
  • Two hundred and three locally-transmitted cases have been reported from Florida, Puerto Rico, and the US Virgin Islands.
  • All other cases occurred in travelers returning from affected areas in the Caribbean and South America (N=391), the Pacific Islands (N=5), or Asia (N=2).
  • With the recent outbreaks in the Caribbean and the Pacific, the number of chikungunya cases among travelers visiting or returning to the United States from affected areas will continue to increase. These imported cases could result in local spread of the virus in the continental United States.

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Chikungunya virus disease cases reported by state or territory – United States, 2014 (as of July 29, 2014)

Map of the United States showing locally acquired cases of Chikungunya in Florida and travel-associated cases reported in Arizona, Arkansas, California, Connecticut, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Nebraska, Nevada, New Hampshire, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Puerto Rico, Rhode Island, Tennessee, Texas, US Virgin Islands, Virginia, West Virginia, and Wisconsin

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Table. Chikungunya virus disease cases reported to ArboNET — United States, 2014 (as of July 29)*

[State or territory - Travel-associated cases†‡  (N=398): No. - (%) / Locally-transmitted cases (N=203): No. - (%)]

  1. Arizona – 1 - (<1) / 0 - (0)
  2. Arkansas – 3 - (1) / 0 - (0)
  3. California – 19 - (5) / 0 - (0)
  4. Connecticut – 11 - (3) / 0 - (0)
  5. Delaware – 1 - (<1) / 0 - (0)
  6. Florida – 105 - (26) / 2 - (1)
  7. Georgia – 8 - (2) / 0 - (0)
  8. Hawaii – 1 - (<1) / 0 - (0)
  9. Idaho – 1 - (<1) / 0 - (0)
  10. Illinois – 1 - (<1) / 0 - (0)
  11. Indiana – 7  - (2) / 0 - (0)
  12. Kansas – 2 - (1) / 0 - (0)
  13. Kentucky – 7 - (2) / 0 - (0)
  14. Louisiana – 6 - (2) / 0 - (0)
  15. Maine – 1 - (<1) / 0 - (0)
  16. Maryland – 8 - (2) / 0 - (0)
  17. Massachusetts – 2 - (1) / 0 - (0)
  18. Michigan – 8 - (2) / 0 - (0)
  19. Minnesota  - 10 - (3) / 0 - (0)
  20. Mississippi – 5 - (1) / 0 - (0)
  21. Missouri – 1 - (<1) / 0 - (0)
  22. Nebraska  - 4 - (1) / 0 - (0)
  23. Nevada – 1 - (<1) / 0 - (0)
  24. New Hampshire – 3 - (1) / 0 - (0)
  25. New Jersey – 25 - (6) / 0 - (0)
  26. New York – 44 - (11) / 0 - (0)
  27. North Carolina – 12 - (3) / 0 - (0)
  28. Ohio – 12 - (3) / 0 - (0)
  29. Oklahoma – 7 - (2) / 0 - (0)
  30. Oregon – 3 - (1) / 0  - (0)
  31. Pennsylvania – 11 - (3) / 0 - (0)
  32. Puerto Rico – 16 - (4) / 199 - (98)
  33. Rhode Island – 14 - (4) / 0 - (0)
  34. Tennessee – 18 - (5) / 0 - (0)
  35. Texas – 4 - (1) / 0 - (0)
  36. US Virgin Islands – 2 - (1) / 2 - (1)
  37. Virginia – 11 - (3) / 0 - (0)
  38. West Virginia – 1 - (<1) / 0 - (0)
  39. Wisconsin – 2 - (1) / 0 - (0)

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*Chikungunya is not a nationally notifiable disease.

†Countries or territories visited include Anguilla, Antigua and Barbuda, Dominica, Dominican Republic, Guyana, Haiti, Indonesia, Martinique, Puerto Rico, Saint Barthelemy, Saint Kitts and Nevis, Saint Lucia, Saint Martin, Sint Maarten, Tonga and US Virgin Islands.

 

Recent Postings

 

Additional Resources

Contact Us: Centers for Disease Control and Prevention, 1600 Clifton Rd, Atlanta, GA 30333 - 800-CDC-INFO, (800-232-4636), TTY: (888) 232-6348

Page last reviewed: May 27, 2014 - Page last updated: July 29, 2014

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Face à #evolução da #epidemia do vírus #ÉBOLA nas regiões da #África Ocidental, SS apelam aos cidadãos que tomem medidas rigorosas de precaução da saúde e higiene quando viajem (DoH Macau PRC SAR, July 30 2014)

[Source: Department of Health, Macau PRC SAR, full page: (LINK).]

Face à evolução da epidemia do vírus ÉBOLA nas regiões da África Ocidental, Serviços de Saúde apelam aos cidadãos que tomem medidas rigorosas de precaução da saúde e higiene quando viajem  [      ]

2014-07-30 22:38:00 - Fonte : Serviços de Saúde

Face à situação epidemiológica e grave do vírus ÉBOLA nas regiões da África Ocidental, o Director substituto dos Serviços de Saúde, Dr. Chan Wai Sin realizou hoje (dia 30 de Julho) uma reunião de avaliação da epidemia.

Os participantes abordaram as questões mais importantes sobre a evolução e propagação do vírus bem como as medidas de precaução que devem ser tomadas. Participaram ainda na reunião o Director substituto do Centro Hospitalar Conde de São Januário (CHCSJ), o Médico Adjunto da Direcção do CHCSJ, Dr. Lei Wai Seng, o Coordenador do Centro de Prevenção e Controlo da Doença, Dr. Lam Chong, e a enfermeira adjunta substituta do CHCSJ, enf.ª Chao Ana Maria.

Apesar de Macau ter, mercê da sua localização, pouco contacto com os países até agora afectados, e de não haver um risco elevado de poder ser afectado, os Serviços de Saúde desde a notificação efectuada pela OMS, têm estado atentos ao desenvolvimento epidemiológica das regiões envolvidas.

Daí que seja importante alertar que os Serviços de Saúde da RAEM dispõem de instalações de isolamento que podem ser utilizadas com segurança para a prestação de todos os cuidados de saúde das pessoas infectadas com vírus Ébola, encontrando-se previstos dispositivos de protecção que garantem total isolamento pelo menos durante três meses. Em simultâneo, os Serviços de Saúde vão aplicar as respectivas medidas para corresponder a mudança epidemiológica.

Como esta situação merece toda a atenção os Serviços de Saúde recomendam, ainda, aos cidadãos que pretendam viajar para as regiões infectadas que devem proceder a uma rigorosa avaliação de todos os seus movimentos em zonas de contágio.

Em caso de permanecerem nas regiões afectadas, devem prestar atenção à higiene individual e ambiental, lavar com frequência as mãos seguindo os procedimentos correctos, evitando ao máximo ter contacto com animais, não comer carne que não esteja totalmente cozida, consumir as frutas e vegetais descascados e limpos.

Caso não seja estritamente necessário devem abster-se de entrar em hospitais ou efectuar visitas a famílias que possam ser consideradas de risco.

Ao mesmo tempo, evite contactar com o doente suspeito e o seu sangue ou fluidos corporais, assim como com os produtos que pode ter conctacto com o sangue ou fluidos corporais do doente suspeito; caso contacte descuidadosamente com o sangue ou os produtos individuais do doente, leve de imediato as mãos, e quando seja necessário, pergunta ao médico.

Caso tenha viajado para as zonas de risco e se notar sintomas de febre, diarreia, vómitos, erupção ou sangramento num espaço de 21 dias após o regresso deve imediatamente recorrer ao médico, informando-o sobre o percurso da sua viagem.

Em caso de dúvidas, podem ligar para a linha aberta de informações das doenças transmissíveis dos Serviços de Saúde, através de número 28 700 800.

-- Fim --

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