The Health Bureau (SES), through its Health Surveillance Board, has conducted a series of preventive and combat activities against the Calazar, which is known as the built-in Lyschmanniae, one of the world's most deadly parasitic diseases in Sergipe, . Sergipe is regarded as a unique country and is constantly vigilant. In 2017, 74 confirmed cases of this disease were registered and nine died. From January to October there were 55 confirmed cases and 9 deaths in 2018. Average is 5 cases a month.
Mércia Feitosa, Director of SES Health Inspection, announced that it is the responsibility of the state to monitor and guide the activities of the municipality, to connect with the central research institute, and to provide the necessary inputs to the hospital network to train experts and treat cases. In addition, some municipalities have a built-in Rishmania program to develop their own behavior.
"When there is a confirmed human case, the behavior must be triggered and articulated: the entomology part of the control of the vector, the study part of a new human case with the same symptoms, active search, part of the animal, It takes about half of the population because it requires a thorough assessment of the environment in addition to learning, inspecting this animal, and education, "Mercia says.
Training of health professionals is very important to enable early detection of Leishmania, and SES conducts perennial educational activities with primary care practitioners through training for doctors and nurses every year. "They need to look at the patients who arrive at the clinic with this sensitive look, analyze what the patient reports, and think about the possibility of Richemannia. To do this, you need to know if there is endemic disease or sporadic manifestations of the disease, Can you? Human cases are the most common, "Mercia reports.
According to the director there are three potential municipalities: Aracaju, Nossa Senhora do Socorro and São Cristóvão. The case is registered every year. "This municipality is so contagious that it is likely to die from it, so we have to continue to do everything, and 90% of our patients can die." The premise of the Leishmania program is early diagnosis and timely treatment, And we need to constantly monitor for these controls, "Feitosa concluded.
The intestinal Leishmaniasis or Calazar is a disease caused by protozoa belonging to the genus Trypanosomatidae and Leishmania. Disease transmission is a bite of many blood-borne insects, blood-eating insects, Lutzomya and Phlebotomus. This type of leishmaniasis is considered the most serious, and if not treated it is fatal over 90%.
Infection and Symptoms
Parasites migrate to the internal organs of the host that reach the liver, spleen, and bone marrow, can cause serious symptoms and can lead to death. Individuals may have high fever, weight loss, weakness, enlarged spleen and liver, lymph node edema, anemia, kidney problems, lung changes, dry cough, skin peeling and hair loss. The incubation period for this disease is very diverse: 10 to 24 months.
Diagnosis and treatment
Diagnosis is a combination of clinical signs and serological and parasitic tests.
Kalahari is a treatable and treatable disease. All diagnosed patients need prompt and complete treatment, and patients who are being treated almost always develop lifelong immunity.
Use of insect repellent, use of mosquito net, window sizing, personal protection by using insecticide. Construction of houses, disposal of tanks, disposal 500 meters from the forest.