Experience of Assisting Paraguay with Local Dengue Control

							Experience of Assisting Paraguay
   with Local Dengue Control
                General Info
 Geography & People
  –   Location: Central-South America
  –   Land Boundaries:11times as big as Taiwan
  –   Population: About 6 million
  –   Language: Spanish
 Climate
  – Subtropical to Temperate
 Government
  – Constitutional Republic
Dengue Cases in Paraguay
   Year      Cases
    2000             24,282
    2001                38
    2002              1,871
    2003               137
    2004               164
    2005               405
    2006              4,271
              ２００７ Dengue Epidemic
        18,723 cases confirmed before 12th March ( 46
           cases in dengue hemorrhagic fever, DHF)
          Most cases focused around the Asuncion Region

           CASOS DE DENGUE                  ACUMULADOS       Epidemic of adjoining
                                              AL 12/03/07         countries
Dengue Clásico
Total de casos de Dengue
                                                             Country      Cases
                                                  18.723
Muertes por dengue sin determinar                       2   Argentina         541
Muertes por formas atípicas                             5
Dengue Hemorrágico
                                                            Bolivia         1,549
Dengue hemorrágico confirmados                         46
                                                            Brazil         67,847
Sospecha de Dengue hemorrágico                         40
Fallecidos por SHOCK FHD                               3    Chile                 4
Tasas de letalidad por dengue hemorrágico            6,5%
２００７Epidemic Distribution
                                                          N


                                                    W             E


                                                          S
                     ALTO PARAG UAY




     BO QU ERO N




                                          CO NCEP CIO N
                                                          AM AM BAY

                    PRE SID ENTE HAYE S



                                                SAN P EDRO
                                                                  CAN INDE YU

       Pydpto.shp
             0
                                                            CAAG UAZU
             1 - 183                         CO RDILLER A

             184 - 367                    CENTRAL
                                                                 ALTO PARANA

             368 - 449                              GU AIR A
                                            PARAGU ARI
             450 - 1266
                                                          CAAZAPA

                                   ÑEE MBU CU
                                             MIS IO NES       ITAP UA
             100
                   200
                         300
                               400
                                     500
                                           600
                                                 700
                                                       800




         0
02-Ene
04-Ene
06-Ene
08-Ene
10-Ene
12-Ene
14-Ene
16-Ene
18-Ene
20-Ene
22-Ene
24-Ene
26-Ene
28-Ene
30-Ene
01-Feb
03-Feb
05-Feb
                                                             2007. N=




07-Feb
09-Feb
11-Feb
13-Feb
15-Feb
17-Feb
19-Feb
21-Feb
23-Feb
25-Feb
27-Feb
                                                             22.383(3/23)




01-Mar
03-Mar
05-Mar
07-Mar
09-Mar
11-Mar
13-Mar
15-Mar
17-Mar
                                                                            Casos de dengue notificados según fecha de consulta. Paraguay,




19-Mar
21-Mar
           Visit Ambassador David C.Y. Hu                   Visit the minister of the Public Health
                                                            and Social Welfare, Oscar Martinez




Visit the dengue control related staff to know the current situation and to discuss CDC experts’ future plan.
            Media Reports




Local media reported on the suggestions raised by our experts
                   Results
 Help Paraguay use the self-made screen reagent
  to carry out IgM and IgG screen.
 Instruct them that the root ofdengue control is to
  change the public’s behavior and to ask the media
  broadcast the health education campaign
 The minister of health appreciate our instruction
  and assistance
 Financial Support VS Disease Control Support
Hand in the evaluation report to the Minister of Health of Paraguay


             Mission Complete!