Africa yellow fever kufalikira komanso kuwopseza kuyenda ndi zokopa alendo

Kuphulika kwa yellow fever kunapezeka ku Angola kumapeto kwa December 2015 ndipo kutsimikiziridwa ndi Institut Pasteur Dakar (IP-D) pa January 20, 2016. Pambuyo pake, kuwonjezeka kofulumira kwa chiwerengero cha milandu kwawonedwa.

- Kuyambira pa May 19, 2016, Angola yanena kuti 2420 akuwakayikira kuti ali ndi yellow fever ndi 298 imfa. Mwa milanduyi, 736 adatsimikiziridwa ndi labotale. Ngakhale kampeni yopereka katemera ku Luanda, Huambo ndi Benguela kufalitsa kachilomboka m'maboma ena kukupitilirabe.

- Maiko atatu anena za milandu ya yellow fever yomwe idatumizidwa kuchokera ku Angola: Democratic Republic of The Congo (DRC) (milandu 42), Kenya (milandu iwiri) ndi People's Republic of China (milandu 11). Izi zikuwonetsa kuopsa kwa kufalikira kwa mayiko kudzera kwa omwe alibe katemera.


- Pa Marichi 22, 2016, Unduna wa Zaumoyo ku DRC udatsimikizira milandu ya yellow fever yokhudzana ndi Angola. Boma lidalengeza kuti kuphulika kwa yellow fever kunachitika pa Epulo 23. Kuyambira pa Meyi 19, DRC idanenanso milandu isanu yomwe ingathe kuchitika komanso milandu 44 yotsimikizika ya labotale: 42 yotumizidwa kuchokera ku Angola, idanenedwa kuchigawo chapakati cha Kongo ndi Kinshasa ndi milandu iwiri ya autochthonous ku Ndjili, Kinshasa ndi Matadi, Kongo Central Province. Kuthekera kwa matenda omwe amapezeka kwanuko akufufuzidwa pamilandu yosachepera isanu ndi itatu yosadziwika m'maboma onse a Kinshasa ndi Kongo.

- Ku Uganda, Unduna wa Zaumoyo udalengeza za matenda a yellow fever m'chigawo cha Masaka pa Epulo 9, 2016. Kuyambira pa Meyi 19, milandu 60 yomwe akukayikira, pomwe asanu ndi awiri ndi ma laboratory atsimikiziridwa, adanenedwa kuchokera m'maboma atatu: Masaka, Rukungiri ndi Kalangala. Malinga ndi zotsatira zotsatizana, maguluwa sakulumikizana ndi Angola.

- Kachilomboka ku Angola ndi DRC nthawi zambiri kumakhala m'mizinda ikuluikulu. Chiwopsezo cha kufalikira ndi kufalikira kwanuko kupita ku zigawo zina ku Angola, DRC ndi Uganda chidakali chodetsa nkhawa kwambiri. Chiwopsezochi chimakhalanso chachikulu pakufalikira kumayiko akumalire makamaka omwe ali pachiwopsezo chochepa cha matenda a yellow fever (ie Namibia, Zambia) komwe anthu, apaulendo ndi ogwira ntchito akunja salandira katemera wa yellow fever.

- Komiti Yodzidzimutsa (EC) yokhudzana ndi yellow fever inakhazikitsidwa ndi Director-General wa WHO pansi pa International Health Regulations (IHR 2005) pa May 19, 2016. Potsatira malangizo a EC, Director-General adaganiza kuti kuphulika kwa urban yellow fever ku Angola ndi ku DRC ndizochitika zazikulu zaumoyo zomwe zikuyenera kulimbikitsa dziko lonse ndikupititsa patsogolo thandizo la mayiko. Zomwe zikuchitika pakadali pano ZIKA VIRUS SITUATION REPORT YEELLOW FVER 20 MAY 2016 zimapanga Public Health Emergency of International Concern (PHEIC). Mawuwa atha kupezeka patsamba la WHO.

SURVEILLANCE

Angola

Kuyambira pa Disembala 5, 2015 mpaka pa 19 Meyi, 2016, Unduna wa Zaumoyo wanena kuti pali anthu 2420 omwe akuganiziridwa kuti ndi omwe amwalira ndi 298 komanso 736 omwe adatsimikizika ku laboratories. Pali milandu yotsimikizika mu 14 mwa zigawo 18 (mkuyu 1) ndipo milandu yokayikira ilipo m'zigawo zonse. Kutumiza kwapanyumba kulipo m'zigawo zisanu ndi ziwiri, m'maboma 20. Makumi XNUMX pa XNUMX alionse a milandu imeneyi akusimbidwa m’chigawo cha Luanda.

- Ngakhale kutsika kwapang'onopang'ono (mkuyu 3), kufalikira ku Angola kumakhalabe kodetsa nkhawa kwambiri chifukwa cha kufalikira kosalekeza komweko ku Luanda. Ngakhale kuti ntchito ya katemera yafika kwa anthu oposa XNUMX miliyoni, kufalikira kwa m'deralo kwanenedwa m'zigawo zisanu ndi chimodzi (matawuni ndi madoko akuluakulu) ndipo pali chiopsezo chachikulu cha kufalikira ku mayiko oyandikana nawo.

-Chiwopsezo chokhazikitsa kufalikira kwapadziko lonse m'zigawo zina pomwe palibe milandu ya autochthonous yomwe imanenedwa ndi yayikulu. DRC yanena za milandu yomwe idatumizidwa kuchokera ku zigawo ziwiri ku Angola komwe kulibe kufalikira komweko komwe kumanenedwa (Cabinda ndi Zaire). Cabinda ndi chigawo cha Angola ndipo ndi chosiyana ndi ena onse

Angola ndi kachigawo kakang'ono ka gawo la DRC ndipo kumalire kumpoto ndi Republic of Congo. Izi zikubweretsanso chiopsezo chowonjezereka ku DRC ndi Republic of the Congo.

Deta yoperekedwa ndi lipoti la Angola yellow fever lipoti kuyambira pa Meyi 15, 2016.2 Zambiri za masabata awiri apitawa sizinakwaniritsidwe chifukwa chakuchedwa pakati pa kuyambika kwa zizindikiro ndi kupereka lipoti.

Democratic Republic of the Congo

-Pa Marichi 22, 2016, Unduna wa Zaumoyo ku DRC, udadziwitsa anthu za yellow fever zokhudzana ndi Angola. Kuphulika kwa yellow fever kudalengezedwa mwalamulo pa 23 Epulo.

-Pofika pa Meyi 19, DRC idanenanso za milandu 49 ya Yellow Fever yolumikizidwa ku Angola, 44 mwa iwo ndi milandu yotsimikizika ya labotale pomwe 42 idatumizidwa kuchokera ku Angola, yomwe idanenedwa m'chigawo chapakati cha Kongo ndi Kinshasa, komanso milandu iwiri ya autochthonous ku Ndjili, Kinshasa ndi Matadi, Kongo. chigawo chapakati.

-Kuthekera kwa matenda omwe amapezeka kwanuko akufufuzidwa pamilandu yosachepera isanu ndi itatu yosadziwika m'maboma onse a Kinshasa ndi Kongo. Pamilandu ina isanu zotsatira zikadali pa IP-D.

-Poganizira za anthu ambiri a ku Angola ku Kinshasa, kuphatikizapo kupezeka ndi ntchito za udzudzu wa Aedes, chiopsezo chotenga kachilombo ka HIV ku DRC makamaka makamaka ku Kinshasa chonse, ndi chachikulu. Mkhalidwewu uyenera kuyang'aniridwa mosamala.

uganda

-Pa Epulo 9, 2016, Uganda idadziwitsa WHO za matenda a yellow fever m'chigawo chakumwera chakumadzulo kwa Masaka. Pofika pa Meyi 19, anthu 60 omwe akuganiziridwa kuti ali ndi matenda a yellow fever adanenedwa m'maboma asanu ndi awiri. Mwa iwo, milandu isanu ndi iwiri yatsimikiziridwa mu laboratory (XNUMX ku Masaka, wina ku Rukungiri ndi wina ku Kalangala).

Uganda ikukumana ndi kufalikira kwa matenda a yellow fever. Malinga ndi zotsatira zotsatizana, mliriwu sunagwirizane ndi Angola ndipo ukuwonetsa kufanana kwakukulu ndi kachilomboka komwe kudayambitsa kufalikira ku Uganda mu 2010.

Mayiko ena omwe ali kumalire ndi Angola

-Palibe anthu omwe akuganiziridwa kuti ali ndi matenda a yellow fever omwe adanenedwa ku Republic of the Congo kapena Zambia. Komabe, Namibia ndi Zambia zimagawana malire aatali ndi a Angola ndipo kuwongolera kusamuka kwa anthu pakati pa mayiko atatuwa kudzakhala kovuta.

- Maiko atatu anena za milandu ya yellow fever yomwe idatumizidwa kuchokera ku Angola: DRC (milandu 42), Kenya (milandu iwiri) ndi People's Republic of China (milandu 11). Izi zikuwonetsa kuopsa kwa kufalikira kwa mayiko kudzera kwa omwe alibe katemera.

Kuyesa kwa ngozi

-Kufalikira ku Angola kumakhalabe kodetsa nkhawa kwambiri chifukwa cha:

-Kupatsirana kwa kachilomboka ku Luanda ngakhale kuti anthu opitilira 7 miliyoni alandira katemera.

-Kufalitsa kwa m'deralo kudanenedwa m'zigawo zisanu ndi ziwiri zomwe zili ndi anthu ambiri kuphatikiza Luanda.

-Kupitilira kukula kwa mliriwu ku zigawo zatsopano ndi zigawo zatsopano.

-Chiwopsezo chachikulu chofalikira kumayiko oyandikana nawo. Milandu yotsimikizika yayamba kale kuchokera ku Angola kupita ku DRC, Kenya ndi People's Republic of China. Popeza malire ali odzaza ndi zochitika zambiri zamagulu ndi zachuma, kufalitsa kwina sikungachotsedwe. Odwala omwe ali ndi ma virus omwe akuyenda amakhala pachiwopsezo cha kukhazikitsidwa kwa matenda am'deralo makamaka m'maiko momwe ma vectors okwanira ndi anthu omwe atengeka nawo amapezeka.

-Kusakwanira koyang'anira komwe kumatha kuzindikira zatsopano kapena madera omwe akutuluka.

-Mlozera waukulu wakukayikira kufalikira komwe kumachitika m'malo ovuta kufikira ngati Cabinda.

-Kwa DRC, kafukufuku wam'munda yemwe adachitika mu Epulo adatsimikiza kuti pali chiopsezo chachikulu chakufalikira kwa yellow fever mdziko muno. Chifukwa cha kupezeka kochepa kwa katemera, anthu ambiri a ku Angola ku Kinshasa, malire apakati pakati pa Angola ndi DRC ndi kukhalapo ndi ntchito ya vector Aedes m'dzikoli, zinthu ziyenera kuyang'aniridwa mosamala.

-Kachilomboka ku Angola ndi DRC kumapezeka kwambiri m'mizinda ikuluikulu. Chiwopsezo cha kufalikira ndi kufalikira kwawoko m'zigawo zina m'maiko atatuwa ndizovuta kwambiri. Chiwopsezochi ndi chochuluka cha kufalikira kumayiko akumalire makamaka omwe ali pachiwopsezo chochepa (monga Namibia, Zambia) komanso komwe anthu, apaulendo ndi ogwira ntchito akunja salandira katemera wa yellow fever.

-Uganda ndi mayiko ena ku South America (Brazil ndi Peru) akukumana ndi matenda a yellow fever kapena matenda a yellow fever. Zochitika izi sizikukhudzana ndi kufalikira kwa ku Angola koma pakufunika katemera m'maiko amenewo malinga ndi kuchuluka kwa katemera wa YF.

TSOGOLO

-Komiti Yodzidzimutsa (EC) yokhudzana ndi yellow fever inaitanidwa ndi Director-General wa WHO pansi pa International Health Regulations (IHR 2005) pa 19 May 2016. Potsatira malangizo a EC, Director-General adaganiza kuti kuphulika kwa urban yellow fever ku Angola ndi DRC ndizochitika zazikulu zaumoyo zomwe zikuyenera kulimbikitsa kuchitapo kanthu kwa dziko ndikupititsa patsogolo thandizo la mayiko. Zomwe zikuchitika pakadali pano sizikupanga Public Health Emergency of International Concern (PHEIC). Director-General anapereka malangizo otsatirawa kwa Mayiko omwe ali mamembala;

-kufulumira kwa kuwunika, katemera wa anthu ambiri, kulumikizana ndi zoopsa, kulimbikitsa anthu, kuwongolera ma vector ndi njira zoyendetsera milandu ku Angola ndi DRC;

- chitsimikizo cha katemera wa yellow fever kwa onse apaulendo, makamaka ogwira ntchito osamukira kumayiko ena, kupita ndi kuchokera ku Angola ndi DRC;

-kuwonjezereka kwa ntchito zoyang'anira ndi kukonzekera, kuphatikizapo kutsimikizira katemera wa yellow fever kwa apaulendo ndi mauthenga owopsa, m'mayiko omwe ali pachiopsezo ndi mayiko omwe ali ndi malire ndi mayiko omwe akhudzidwa.

-Kampeni ya katemera inayamba koyamba m'chigawo cha Luanda kumayambiriro kwa February ndi pakati pa mwezi wa April ku Benguela ndi Huambo (mkuyu 4).

-Pofika pa Meyi 18, milingo 11.7 miliyoni idatumizidwa ku Angola.

-DRC ndi Uganda ndi maiko oyenerera ku GAVI Alliance motero ntchito zopezera katemera m'maikowa zidzakhudzidwa ndi GAVI Alliance.

-Akatemera ndi othandizira 2.2 miliyoni afika ku DRC pakati pa mwezi wa Meyi kuti achite kampeni yopereka katemera wadzidzidzi wolunjika kumadera asanu ndi awiri azaumoyo (zones de santé) m'chigawo chapakati cha Kongo ndi madera azaumoyo a N'djili m'chigawo cha Kinshasa.

-Makatemera 700 000 a yellow fever adafika ku Uganda ndipo kampeni ya katemera iyamba pa 19 May.

-Namibia idapempha 450,000 Mlingo (10 dosing vials) ya katemera wa yellow fever kwa apaulendo ndi othawa kwawo. Dziko la Zambia lapemphanso 50,000 mlingo wa katemera wa yellow fever kwa apaulendo.

-Pakhala kuwonjezeka kwa chidwi cha atolankhani pa yellow fever, makamaka pakupereka katemera, upangiri waulendo komanso kuyitanitsa Komiti Yowopsa.

-Msonkhano wa atolankhani ukuchitika nthawi yomweyo kutsatira Komiti Yowopsa ya yellow fever (May 19).

-Q&As pa mliri wapano akupitilizabe kusinthidwa patsamba la WHO.3

-WHO imauza anzawo a UN pazokambirana zokhudzana ndi mliriwu sabata iliyonse ndikugawana zothandizira kuti agwirizane.

-Mayitanidwe ogwirizanitsa akuchitika kawiri mlungu uliwonse pakati pa gulu la WHO HQ lolankhulana ndi utsogoleri wolumikizana ndi Regional.