Minas confirma oito mortes por febre amarela e ES inicia vacinação de barreira

febre-amarela-repcapA partir desta quinta (19), os 26 municípios que vão vacinar contra a Febre Amarela podem retirar as doses. As 350 mil doses, enviadas pelo Ministério da Saúde, serão liberadas pela Secretaria de Estado da Saúde (Sesa). Serão vacinados os moradores dos municípios que fazem divisa com Minas Gerais, onde foram confirmadas oito mortes por Febre Amarela e onde outros 200 casos já estão sendo investigados. Dessa forma o estado prepara uma barreira para a doença.  Até esta quarta (18) o Espírito Santo registrou seis casos suspeitos da doença.

O secretário de Estado da Saúde, Ricardo de Oliveira, reforçou que esta é uma vacinação cautelar, medida preventiva adotada pelo Estado e pelo Ministério, uma vez que não há confirmação da doença no Espírito Santo.

“A posição que estamos é de liderança, por isso temos que conduzir com tranquilidade esse cenário, pois não há motivos para pânico. O Espírito Santo não é considerado área de risco para febre amarela. Quem mora nessas 26 cidades serão vacinados preventivamente e este bloqueio irá beneficiar e proteger toda a população do Estado”, ressaltou Oliveira aos prefeitos, secretários municipais de saúde e representes dos municípios presentes na reunião.

Os municípios que irão vacinar a população como medida cautelar são: Água Doce do Norte, Alto Rio Novo, Baixo Guandu, Barra de São Francisco, Brejetuba, Divino de São Lourenço, Dores do Rio Preto, Guaçuí, Ibatiba, Ibitirama, Irupi, Iúna, Laranja da Terra, Mantenópolis, Montanha, Mucurici, Pancas, Afonso Cláudio, Ecoporanga, Colatina, Itaguaçu, Governador Lindenberg, Conceição do Castelo, Venda Nova do Imigrante, São Roque do Canaã e São Gabriel da Palha.

A  coordenadora do Programa Estadual de Imunização, Danielle Grillo, reuniu-se com representantes dos municípios sobre as recomendações para vacinação contra a febre amarela e deu algumas orientações. Segundo ela, a vacinação imediata contra febre amarela deve ser, preferencialmente, para pessoas que vivem em áreas rurais dos municípios e para quem nunca se imunizou contra a doença.

Para o restante do Estado, a recomendação de vacinação continua a mesma: apenas pessoas que vão viajar para regiões silvestres, rurais ou de mata localizadas em áreas de risco para febre amarela. As vacinas para atender a este público – 150 mil doses solicitadas ao Ministério da Saúde – devem chegar ainda nesta semana.

No Brasil, quase todos os estados têm regiões com recomendação de vacinação. Além do Espírito Santo, os estados que não têm recomendação para vacina são Rio de Janeiro, Ceará, Rio Grande do Norte, Paraíba, Pernambuco, Alagoas e Sergipe.

Casos suspeitos

A Secretaria de Estado da Saúde (Sesa) recebeu a notificação de seis casos suspeitos com quadro indicativo de febre amarela, febre maculosa, dengue e outras doenças com sintomas semelhantes. Os casos são de zona rural e estão sendo investigados. Até o momento, não há confirmação da doença no Espírito Santo.febre-amarela-ms

Vacinação

A vacinação contra febre amarela segue critérios recomendados pelo Programa Nacional de Imunizações. O Ministério da Saúde alerta que, nos casos de pacientes com imunodeficiência, a administração da vacina deve ser condicionada à avaliação médica de risco-benefício. Pessoas com histórico de reação alérgica a substâncias presentes na vacina (ovo de galinha e seus derivados, gelatina e outros produtos com proteína bovina), além de pacientes com histórico anterior de doenças do timo (miastenia gravis, timoma, ausência de timo ou remoção cirúrgica) também devem buscar orientação profissional.

O Ministério da Saúde passou a recomendar a aplicação de duas doses da vacina contra febre amarela, válidas para a vida toda. O viajante deve buscar uma unidade municipal de saúde caso ainda não tenha tomado a primeira dose da vacina ou a dose de reforço. Se for a primeira vez que a pessoa é vacinada, a dose deve ser aplicada pelo menos dez dias antes da viagem para que o organismo produza anticorpo contra a doença.

Quanto aos viajantes internacionais, alguns países exigem a apresentação do Certificado Internacional de Vacinação ou Profilaxia (CIVP), que é obtido mediante apresentação do Cartão Nacional de Vacinação – comprovante válido em todo o território brasileiro – em um Centro de Orientação do Viajante da Agência Nacional de Vigilância Sanitária (Anvisa). No Espírito Santo, o Centro de Orientação do Viajante funciona no aeroporto de Vitória.

Orientação para vacinação contra febre amarela para residentes em área com recomendação da vacina ou viajantes para essa área

Contraindicações:

– Crianças menores de 6 meses de idade;

– Pacientes com imunodepressão de qualquer natureza;

– Pacientes infectados pelo HIV com imunossupressão grave;

– Pacientes em tratamento com drogas imunossupressoras (corticosteroides, quimioterapia,radioterapia, imunomoduladores);

– Pacientes submetidos a transplante de órgãos;

– Pacientes com imunodeficiência primária;

– Pacientes com neoplasia;

– Indivíduos com história de reação anafilática relacionada a substâncias presentes na vacina (ovo de galinha e seus derivados, gelatina bovina ou outras);

– Pacientes com história pregressa de doenças do timo (miastenia gravis, timoma, casos de ausência de timo ou remoção cirúrgica);

– A administração deve ser analisada caso a caso na vigência de surtos.

Febre amarela

Uma pessoa com febre amarela apresenta, nos primeiros dias, sintomas parecidos com os de uma gripe. Entretanto, esta é uma doença grave, que pode complicar e levar à morte. Os sintomas mais comuns são febre alta e calafrios, mal-estar, vômito, dores no corpo, pele e olhos amarelados, sangramentos, fezes cor de “borra de café” e diminuição da urina.

A febre amarela silvestre é transmitida pela picada de mosquitos Haemagogus e Sabethes, que vivem em matas e vegetações à beira dos rios. Quando o mosquito pica um macaco doente, torna-se capaz de transmitir o vírus a outros macacos e ao homem. A forma silvestre da doença é endêmica nas regiões tropicais da África e das Américas.

Nas cidades, a doença é transmitida pelo mosquito Aedes aegypti, o mesmo vetor da dengue, zika e chikungunya. Pessoas que fazem ecoturismo ou que entram em matas por algum outro motivo, correm o risco de serem picadas pelo mosquito Haemagogus infectado e contrair a doença. De volta à área urbana, essas pessoas podem ser picadas pelo Aedes aegypti, podendo dar início à reurbanização da doença. O último caso de febre amarela urbana no Brasil ocorreu no Acre em 1942.

Uma vez que a febre amarela no meio urbano é transmitida pelo mosquito Aedes aegypti, eliminar depósitos que possam acumular água é uma das medidas de prevenção. Por isso, é importante que a população eleja um dia fixo da semana para combater o mosquito em casa, e, assim, impedir a proliferação do vetor eliminando seus criadouros.

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  97. Hangzhou Feiqi is a startup company primarily focused on developing mobile games. The core development team consists of some of the first Android developers in China and has already created many innovative and competitive products. -> https://ftzombiefrontier.com/download <- zombie fighting games

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  104. ポーカーの役について、強さや確率、役の一覧などの情報を提供するウェブサイトがあります。ポーカーのやり方やルール、大会情報なども掲載されています。東京や大阪などの都市でポーカーを楽しむこともできます。初心者向けの基礎知識や戦略、強いカードや組み合わせについての情報もあります。オンラインで無料の対戦も可能です。さらに、ポーカー関連のニュースやトピックも提供しています。 -> https://wptjapan.com/oncasi-beebet/ <- ビーベット(beebet)

  105. ポーカーの役について、強さや確率、役の一覧などの情報を提供するウェブサイトがあります。ポーカーのやり方やルール、大会情報なども掲載されています。東京や大阪などの都市でポーカーを楽しむこともできます。初心者向けの基礎知識や戦略、強いカードや組み合わせについての情報もあります。オンラインで無料の対戦も可能です。さらに、ポーカー関連のニュースやトピックも提供しています。 -> https://wptjapan.com/download <- ポーカー やり方 簡単

  106. ポーカーの役について、強さや確率、役の一覧などの情報を提供するウェブサイトがあります。ポーカーのやり方やルール、大会情報なども掲載されています。東京や大阪などの都市でポーカーを楽しむこともできます。初心者向けの基礎知識や戦略、強いカードや組み合わせについての情報もあります。オンラインで無料の対戦も可能です。さらに、ポーカー関連のニュースやトピックも提供しています。 -> https://wptjapan.com/yuugado/ <- 遊雅堂(ゆうがどう)×優雅堂

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