Ministry announces actions to cope with influenza

The Ministry of Health is adopting a series of measures to cope withinfluenza thisyear. In addition to the national vaccination campaign, which has immunized more than 32 million people and exceeded the target of 80% of the target audience, several ongoing actions aim to prevent and reduce the number of cases and deaths due to worsening of the disease.

The measures were announced on Tuesday (21) by the Minister of Health, Alexandre Padilha, and cover the availability of R 30 million) will expand the capacity of hospitalizations, with the creation of extra beds for the treatment of influenza, according to local need. The estimate is the creation of approximately 450 beds for the treatment of influenza, distributed in the four states, enabling 1,800 hospitalizations per month.

The amount will allow the purchase or rental of about 450 respiratory ventilators and 555 heart monitors to equip intermediate or intensive care beds. In addition, 1,500 oximeters should be purchased for the first care facilities and 24-hour units of clinical and pediatric emergency care. The equipment is used in the risk classification of patients with flu-like syndrome and facilitates early identification of severe forms of the disease.

The transfer of the resource was based on the analysis of the sites with the highest number of influenza cases in 2009. R 5.6 million were allocated to the state of São Paulo; Santa Catarina R 6.7 million. The states will articulate with the municipalities the use of the resource, according to the epidemiological situation predicted or detected. In these four states, 310,895 hospitalizations were made for SRAG in 2009.

COURSE– Also as part of the measures to prepare the public network, the Ministry of Health will offer, in partnership with the Open University of SUS (UNA-SUS), a Distance Education (EAD) course on the influenza protocol 2013. Aimed at physicians working in the health care network, the training aims to reinforce the correct management of influenza, according to updated protocols.

The course presents interactive clinical cases, with explanations about the errors and correct answers to each decision that the doctor takes. At the end of each case, the professional will be able to watch a video with comments from medical experts on the subject addressed. In addition, the course allows access to supporting materials such as treatment flowchart, respiratory label guidelines and links to other content. Other health professionals may take the course as a visitor, but will not receive a declaration of completion. Entries can be made at link:

The Ministry of Health will also distribute 680,000 informative and educational materials to guide professionals in the area and also to the population, such as posters on treatment and prevention of influenza, table display on treatment, filipeta guiding the dilution of oseltamivir for children, care algorithm.

PROTOCOL– Guidance to physicians to prescribe oseltamivir phosphate (Tamiflu), without waiting for laboratory results or signs of worsening, in all people who are part of the risk group and who have symptoms of Influenza Syndrome and Severe Acute Respiratory Syndrome (SRAG) – such as children under two years of age, pregnant, puerperal, indigenous people living in villages, elderly, obese and chronically ill – is one of the recommendations of the Influenza Treatment Protocol 2013. The protocol also directs special attention to pregnant women, reiterating the need for the use of antiviral within 48 hours after the onset of symptoms even for those who received the vaccine, in addition to investigating the case with complementary tests. Those who do not belong to the most vulnerable groups, but show signs of worsening of flu-like syndrome, treatment with antiviral should be started urgently.

DISTRIBUTION– The drug is offered free of charge in the public network and reduces complications and deaths from the disease. To withdraw the drug, the patient must present a medical prescription issued by both public and private network professionals. The adoption of personal hygiene actions, such as washing hands several times a day, covering the nose and mouth when coughing and sneezing, avoiding touching the face and not sharing objects of personal use are some of the recommendations for the prevention of influenza. In case of flu-like syndrome, a health service should be searched as soon as possible. The Ministry of Health distributed to the states 1,066,082 treatments of oseltamivir in adult formula (75mg) and 141,900 pediatric treatments.

EXPANSION: The validity of the antiviral used in the treatment of Influenza was extended, according to the resolution of the National Health Surveillance Agency (Anvisa). The measure complied with the request of the producing laboratory (Roche) and the Ministry of Health, since the term of the antiviral registered in Brazil was two years. The same drug has a four-year expiration date in European countries and the United States.

With the resolution, the period of validity of Tamiflu with concentration 30mg and 45mg (infant formula) will pass from two to four years, from the date of manufacture. The modification is supported by stability studies carried out by the manufacturing laboratory. The extension applies to all batches of the drug held by the Ministry of Health. The initiative will contribute to ensuring adequate treatment for patients.

The change will be shown on labels on the packaging, which will also keep the original factory seal to demonstrate the integrity of the product. The Ministry of Health monitors the amount in stock and assesses the need to send new shipments of the medicine.

IMMUNIZATION:  The national balance shows that the goal of the 15th National Vaccination Campaign against  Influenzawas surpassed . Until 11 am this Monday (20), 32.4 million people throughout Brazil were vaccinated. The number represents a coverage of 83.7% of the target public, excluding doses applied to chronically ill people and people deprived of liberty. The goal was to vaccinate 80%, out of a total of 39.2 million.

Nineteen states and the Federal District reached 80% or more of vaccination coverage. The Ministry of Health (MS) recommends states and municipalities that have not reached the target to continue vaccinating those who are part of the priority groups. In the analysis by priority group, the campaign had better adherence among postpartum women (45 days after childbirth) with 100% coverage, followed by health workers 93%, children 88.4% and people over 60 years old 82, 3%. The indigenous population had 74.7% immunization and pregnant women reached the lowest rate with 73.6%. Pregnant women can still get vaccinated. The vaccine is safe and the best form of prevention before winter. 5.7 million doses were also applied to chronically ill people and 226.1 thousand doses to people deprived of liberty.

X-RAY OF THE DISEASE: From January 1 to May 12, 2013, 4,713 hospitalized cases of Severe Acute Respiratory Syndrome (RSS) were reported, of which 388 cases were confirmed for influenza A (H1N1) virus. In the same period of this year, 391 deaths due to SSA were confirmed, 61 due to A(H1N1). During 2012, 20,539 cases of SRAG were recorded, with 2,614 confirmed for A (H1N1). Last year, 1,931 deaths were recorded, 351 of them from the pandemic virus.

Jeanne Kenney
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I’m a stylist trainer, a content creator, and an entrepreneur passion. Virgo sign and Pisces ascendant, I move easily between my dreams, the crazy world I want, and my feet on the ground to carry out my projects.

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