Ministry of Health reports 1,819 dengue cases in just one week

Over the week, the Ministry of Health reported 1,819 cases. cases of dengue feverwhich corresponds to the 43rd week of the year, which ran from October 20 to 26. The increase was greater in the province of San José, where 890 new cases were reported, almost half (48.93%).

The Epidemiological Bulletin, published on the afternoon of November 8, indicates that 29,003 cases have already been reported to the Ministry of Health this year, amounting to 546.2 cases per 100,000 inhabitants.

These numbers exceed those observed in 2023 on the same date by 148%, when 19,527 cases were reported. These numbers are even higher than all of last year (28,420 cases) and make 2024 the fourth year with the highest number of dengue cases on record in Costa Rica.

Nine weeks before the end of the year (based on data available to date), only three years have seen more dengue cases than 2024: 2010 (31,484), 2005 (37,798) and 2013 (49,993).

September 7, 2024. Zapote. Health Department officials conducted an anti-dengue campaign in homes and condominiums in Zapota. They went door to door talking to the owners, warning them about the dangers of having containers and all types of rainwater containers because they are essentially breeding grounds for mosquitoes. They also took it upon themselves to fill all these containers with water, identify mosquito breeding sites, and take samples for the laboratory. There is noticeable concern over the rising number of dengue cases and the deaths of several people. Photo: Health officials met for a few minutes to plan routes and explain inspection details. Photo: Albert Marin for the Nation.
Health authorities are mindful of the importance of eliminating dengue breeding grounds. All containers that may accumulate water are potential breeding sites and should be monitored and emptied daily, especially during the rainy season.

Of the 1819 patients at week 43, 147 (8.08%) had warning signs. They are given this name because they indicate complications of the disease that require immediate attention to avoid severe dengue.

These symptoms usually begin after the fever subsides and the patient feels better:

  • Stomach ache
  • Swelling
  • Vomit
  • Bleeding
  • Change in state of consciousness

Periodic pain in the stomach, which is difficult to go unnoticed, is the most characteristic manifestation of these symptoms.

Between 38 and 43 weeks (mid-September to late October), Salud counted 816 patients with the disease, an average of 136 per week. That is, 11.88% of people with dengue fever show warning signs.

The region with the most cases in the country is the Central South, which clusters densely populated urban areas of San José and Cartago. A total of 8,924 cases were recorded there. If you look at it by canton, the biggest influences are:

  • San Jose: 3473.
  • Alajuela: 3004.
  • Turrialba: 2907.
  • San Carlos: 1516.
  • Homeless: 1,342 people.

If we take population into account and analyze the rates per 100,000 inhabitants, the most affected region is Brunca (South Pacific) with 943.4 per 100,000 inhabitants. By canton, the area with the highest incidence:

  • Turrialba: 3,962.8 cases per 100,000 inhabitants.
  • Athens: 3,868 cases per 100,000.
  • Jimenez: 3440.7.
  • Bear: 2928.3.
  • Santa Ana: 2116.3.

Despite the rise in cases, a recent study by the Costa Rican Institute for Research and Teaching in Nutrition and Health (Inciensa) ruled out that a more aggressive virus is circulating in the country.

The study was motivated by the fact that five dead up to this point they were infected with serotype 3 (DENV-3). However, the analysis showed that this serotype variant has been circulating since last year and is not more aggressive. The serotype of the virus that infected sixth person to die.

Given the rains of recent days and the accumulation of water, prevention of this disease must be carried out at several levels.

On the one hand, there is part of the responsibility of health authorities; on the other hand, the actions that every person should perform in his home.

According to the bulletin, the Ministry of Health disinfected 1,161,186 houses. In addition, 1,651,089 potential transfer deposits were processed and 1,084,768 deposits were eliminated.

In addition, 634,248 homes were visited across the country for education, larvicide application and breeding site eradication. In each home, measures are aimed at eliminating mosquito breeding sites. Aedes aegypticarrier of the disease.

At the population level, it is important to remember how dengue fever is transmitted. Woman from Aedes Lays eggs in clean water. Any container that collects water, no matter how small, can be an ideal place for new mosquitoes to develop.

It is also necessary to emphasize that one mosquito with the virus can infect several people in the same or nearby places.

Here are some recommendations:

  • Remove containers, buckets, pet waterers and plastic that collect water.
  • Place unused tires indoors or take them to collection points.
  • Check your yard after rains to remove water from all possible containers.
  • Use repellents outdoors, especially in areas with high transmission rates.
  • I prefer to wear long-sleeved shirts and long trousers.
  • Consider using mosquito nets, especially in areas with the highest incidence.

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