On Tuesday (16/4) during a meeting of the Center for Emergency Operations (COE), the São Paulo government announced new measures to combat dengue fever in the state. As part of the measures adopted, it is planned to purchase 6 thousand liters of adulticide (an insecticide used to combat adult forms of the Aedes aegypti mosquito) for delivery to 645 municipalities in São Paulo.
Of this total, 4,000 liters are expected to arrive on Friday (April 19) to begin distributing them to cities. The remaining 2,000 liters are in the process of being imported. In total, R$4.3 million was invested to purchase inputs.
State Ministry of Health (SES-SPIt also invested R$9.7 million in medicines and supplies needed to combat the disease. Currently, distribution to 108 municipalities is being prioritized under the Public Health Emergency Decree, with expansion to other areas.
In addition, R$ 5.1 million will be transferred to municipalities for the purchase of specific repellents for the pregnant population, which will serve approximately 50 thousand women in the state, as stipulated in SS Resolution No. 76, of April 12, 2024.
SES also announced the purchase of 133 portable fogging devices and six other environmental fogging equipment attached to vehicles. This equipment is in the emergency tender stage and will assist all regions of the state in urban arbovirus control measures.
During the meeting, 28 new beds were also announced for the Emilio Ribas Infectious Diseases Institute, with a total of 56 beds for the treatment of patients diagnosed with dengue, ten of which are in the intensive care unit. The entire network of hospital beds is monitored to handle very serious and complex cases of illness.
“These are complementary measures, but equally essential to strengthen prevention against the dengue vector and, at the same time, ensure specialized assistance for patients with the most serious cases of the disease in the government health network,” he says. Eleusis PaivaSecretary of State for Health of São Paulo.
Integrated procedures
Among the main actions, the SES provided training to health workers in 645 municipalities through online courses, training in clinical management, service organization and arbovirus care. Educational activities were also promoted in schools, highways, high-traffic points such as train and subway stations, and carnival campaigns.
On 6 February, the government established the Center for Emergency Operations (COE) and the Operations Room, with the participation of eight secretariats, COSMS and the army. In the same month, it expected to pay R$205 million from IGM SUS Paulista to 645 municipalities.
To increase transparency in access to data, the government has launched two important tools: the Dengue Surveillance Team (dengue.saude.sp.gov.br) and the portal www.dengue100dúvidas.sp.gov.br.
SES has also invested in accelerating test results by up to 70% at the Instituto Adolfo Lutz (IAL), automating tests using new equipment.
In order to raise awareness among residents, the advertising campaign “The Deadliest Water Could Be in Your Backyard” was broadcast in various media.
Following the announcement at the last meeting of the Council of Europe, the first government committee to investigate deaths caused by arboviruses in urban areas has already held two meetings.
The training was carried out during the month of February with Civil DefenseWhich is in partnership with SES until the end of May for weekly events at bus stations, CPTM that it subway. Furthermore, the SES had the support of the Army and Civil Defense in urban cleaning activities and population guidance.
An online conference on “Clinical management of dengue patients”, among other actions, was developed in collaboration with the Health District Coordination, Disease Control Coordination, Regional Health Departments, Epidemiological Surveillance Center and Epidemiological Surveillance Group.
A joint information note has been prepared between the Adolfo Lutz Institute and the Epidemiological Surveillance Center on notification and information flows, investigation, timely closure and laboratory procedures.
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