The Health Secretary (SES), through the Health Surveillance Council, demands that the 75 Sergipe municipalities step up their efforts to fight Kalasari, also known as visceral leishmaniasis, are considered one of the worst parasitic diseases in the world. Sergipe is considered an endemic country and inspires constant vigilance. In 2017, 74 confirmed cases were registered, of which 9 were fatal cases. In 2018 there were 55 confirmed cases and nine deaths between January and October. The average is five cases per month.
SES Health Director Mary Feitosa informs that the role of the state is to monitor the activities of local governments, to lead, formulate with the central laboratory, to promote the training of professionals, and to provide the necessary resources to the hospital network to treat things. It also reports that in some municipalities there is a visceral leihmanasis control program, through which they develop their activities.
"If a human case is confirmed, it is necessary to activate the activities and to formulate. This entomological part of the vector control, part of the case study of young people with the same symptoms that is an active search, part of the animal to find out if the animals are sick to check these animals in addition to the education part of the population, because the environment must be valued as a whole, "says Mercia.
The training of health professionals is very important so that they can get to know Leishmania early, and each year SES carries out regular education with primary care professionals with doctors and nurses. "They need to become as sensitive as a patient arriving at a clinic, analyzing patient reports, thinking about the possibility of being leihmaniosis. To do this, they need to know if the municipality is endemic or not, if it is an intensive or sporadic illness and as we know it. "In addition to the number of events in people," reports Mercia.
According to the director, there are three potential municipalities: Aracaju, Nossa Senhora do Socorro and São Cristóvão, where cases are recorded annually. "In these municipalities, transmission is intense, so all activities need to be continued, as this disease has a potential fatal outcome, and in 90% of cases it can be fatal. The prerequisite for the Leishmania program is early diagnosis and timely treatment. We can reduce deaths and, in order to we must always be in control, "concludes Feitosa.
Visceral leishmaniasis or Calazar is a disease caused by the genus Trypanosomatidae and belongs to the genus Leishmania. Transmission of the disease is carried out using hematophagic insects, coding for the blood of the genus Lutzomya and the Phlebotomus genus. This leishmaniasis is considered to be the most serious and if left untreated it is fatal in more than 90% of cases.
Illness and symptoms
The parasite migrates to the visceral organs of the host, reaching the liver, spleen and bone marrow, causing severe symptoms that can lead to death. An individual may have fever, weight loss, weakness, increased spleen and liver, swollen lymph nodes, anemia, kidney problems, lung changes, dry cough, peeling and hair loss. The incubation period of the disease is very variable: from ten days to 24 months.
Diagnosis and treatment
Diagnosis is performed by combining clinical signs with serological and parasitological tests.
Kalahari is a curable and curable disease. All diagnosed patients require prompt and complete treatment, and those who are being treated have almost always developed life-long immunity.
Individual protection with the use of repellents, use of mosquito nets, determination of window sizes, use of insecticides; building of houses 500 meters from the forest, destruction of tanks, processing.