Ortiz-Prado Esteban, Izquierdo-Condoy Juan S, Vásconez-González Jorge
One Health Research Group, Faculty of Health Science, Universidad de Las Americas, Quito, Ecuador.
Am J Trop Med Hyg. 2024 Aug 6;111(4):714-718. doi: 10.4269/ajtmh.24-0178. Print 2024 Oct 2.
The dengue crisis in the Latin American region is currently intensifying, exacerbated by heavy rains, widespread flooding, and the onset of the El Niño-Southern Oscillation. The indirect consequences of the COVID-19 pandemic, which weakened healthcare systems, have further compounded the situation. Comparing the first 15 weeks of 2023 with the same period in 2024, we observed a significant average increase of 600% in the number of new cases. This translates to a 536% rise in the composite rate per 100,000 inhabitants across all countries. Brazil experienced a staggering surge from 1,425,000 cases in the initial 15 weeks of 2023 to 5,177,989 cases in the corresponding period of 2024. Similarly, Paraguay witnessed a notable escalation, with cases soaring from 12,497 in 2023 to more than 240,000 thus far in 2024, marking an increase of more than 1,825%. Bolivia, however, witnessed a reduction in cases, though the cause remains unclear. Urgent action is imperative to address this escalating crisis. Strengthening surveillance systems, enhancing vector control programs, and implementing effective public health campaigns are critical. Immediate and coordinated action by regional governments and health authorities is essential to mitigate the growing dengue crisis and safeguard public health in the region.
拉丁美洲地区的登革热危机目前正在加剧,暴雨、广泛的洪水以及厄尔尼诺-南方涛动的出现使其进一步恶化。新冠疫情削弱了医疗系统,其间接后果使情况更加复杂。将2023年的前15周与2024年同期进行比较,我们观察到新病例数量平均显著增加了600%。这相当于所有国家每10万居民的综合发病率上升了536%。巴西经历了惊人增长,从2023年最初15周的142.5万例增至2024年同期的517.7989万例。同样,巴拉圭也出现显著上升,病例从2023年的12497例飙升至2024年至今的24万多例,增长超过1825%。然而,玻利维亚的病例数有所减少,但其原因尚不清楚。必须采取紧急行动应对这一不断升级的危机。加强监测系统、强化病媒控制项目以及开展有效的公共卫生运动至关重要。地区政府和卫生当局立即采取协调行动对于缓解日益严重的登革热危机并保障该地区公众健康至关重要。