Vector-borne diseases and their relationship with the ... · Peru Juan C. Huamani Adela Celis...
Transcript of Vector-borne diseases and their relationship with the ... · Peru Juan C. Huamani Adela Celis...
WCRP VAMOS/CORDEX Workshop on Latin-America and Caribbean CORDEX LAC: Phase I - South America
WCRP VAMOS/CORDEX Workshop on Latin-America and Caribbean CORDEX LAC: Phase I - South America
Lima, September 11-13, 2013 Lima, September 11-13, 2013
Vector-borne diseases and their Vector-borne diseases and their Vector-borne diseases and their relationship with the
climate in the region of Huanuco
Vector-borne diseases and their relationship with the
climate in the region of Huanuco climate in the region of Huanuco, Peru
climate in the region of Huanuco, Peru
Juan C. HuamaniJuan C. Huamani Adela CelisAdela CelisNational Service of Met. and Hydrology
SENAMHI – HuanucoNational Service of Met. and Hydrology
SENAMHI – Huanuco
Adela CelisRegional Direction of Health,
DIRESA – Huanuco
Adela CelisRegional Direction of Health,
DIRESA – Huanuco
OutlineOutlineOutlineOutline
(1) Introduction(2) Concepts(3) General information(3) General information(4) Results(5) Pending tasks
IntroductionIntroduction
According to Ministry of Health of Peru, vector-borne diseases in the last decades is the main health problems affecting thein the last decades is the main health problems affecting the poorest populations of less access and are ranked among the reemerging, affecting large proportions of the population, with g g, g g p p p p ,great impact on public health national.
Malaria, Dengue, Bartonellosis, Leishmaniasis and Trypanosomiasis are the 05 health problems addressed from the NHS on the prevention and control of vector-bornethe NHS on the prevention and control of vector borne diseases, whose increased transmission and increased risk factors, has become a priority its approach.
ConceptsConceptsEPIDEMIOLOGICAL CALENDARThe calendar includes 52 epidemiological weeks that divide the 365 da s a ear Its se d ring s r eillance acti ities isthe 365 days a year. Its use during surveillance activities is important because the time variable standardization allows comparison of epidemiological events.p p g
Epidemiological weekDay period between Sunday and the following Saturday.
Epidemiological periodIt is the set of time comprised four epidemiological weeks.
VECTORA host that carries a pathogen without injury to itself andA host that carries a pathogen without injury to itself and spreads the pathogen to susceptible organisms.
Huanuco Region
Huanuco region has a population of 847.714 inhabitants,2.2% of the population are less than 1 year. The averagepopulation density is 22.4 inhab./Km2, with a variation inPuerto Inca 3 hab/Km2 to 66.3 inhab./Km2 in Huanucodistrictdistrict.
Altitude: Queropalca 3832 masl
Yuyapichis 250 msnm
Hydrometeorological Network StationsRegion of Huanuco
Hydrometeorological Network StationsRegion of Huanuco
Health Network of Huanuco RegionR.E.R.746-2011-GRH/PR
Health Network of Huanuco RegionR.E.R.746-2011-GRH/PR
LA LIBERTADSAN MARTIN N
EW
UCAYALI
S
Marañón
ANCASHLeoncio Prado
Huacaybamba
Huamalies
Province NetworkPuerto Inca
Huánuco
Dos de Mayo
Yarowilca
Pachitea
AmboLauricocha
LIMA
PASCOa
Source: Dirección Ejecutiva de Epidemiologia.
Geographic distribution of Vectors Huanuco Region - 2013
Geographic distribution of Vectors Huanuco Region - 2013
LA LIBERTADLA LIBERTADSAN MARTINSAN MARTIN
LEGEND1. Aedes aegypti2. Ae. cuadrivittatus3 A d
MARAÑONUCAYALIUCAYALIN
3. Aedes spp.4. An. benarrochi5. An. Duhami6. An. mattogrossensis7. An. evansae8. An. oswaldoi
1,3,5,10,12,14,15,27 al 36
LEONCIO PRADO
HUACAYBAMBAEW
S
9. An. rangeli10. An. Pseudopunctipennis11. An. mediopunctatus12. Anopheles spp.13. Lu. tejadai14 Lu verrucarum
1 al 3,5 al 10, 27 al 3510,13 al 15, 34
PUERTO INCA
HUAMALIESANCASHANCASH 14. Lu. verrucarum
15. Lu. fisheri16. Lu. peruensis17. Lu. serrana18. Lu. odax19. Lu. nevesi1,2,3,5 al 11, 10,27 al 35
1,3,4,5,7 al 10,12,13 al 36
HUANUCO
DOS DE MAYO
YAROWILCA
20. Lu. sinuosa21. Lu. sherlocki22. Lu. monzonensis23. Lu. gonzaloi24. Lu. tuberculata25. Lu. octavioi
1,3,10,12 al 17,27 al 3514 al 16, 34
AMBO
PACHITEA
LAURICOCHA
26. Lu. sallesi27. Lutzomyia spp.28. Sabethes belisarioi29. Haemagogus jantinomis30. Culex coronator31 Cu corniger
1,3,5,10,12,13,27, 28 al 31,34
10, 13 , 14
LIMALIMAPASCOPASCO
31. Cu. corniger32. Cu. Fatigans33. Psorophora ferox34. Psorophora spp.35. Limatus spp.36. Panstrongilus chinaeLaboratorio de Entomología de la Red de Salud Leoncio Prado.
Economical activities Economical activities
Incidencia de pobreza extrema Región Huánuco -2010
Incidencia de pobreza extrema Región Huánuco -2010
Fuente: INEI - 2011
% De Población Emigrante a la Región Huánuco – 2002-2007
% De Población Emigrante a la Región Huánuco – 2002-2007
% De Población Inmigrante a la Región Huánuco – 2002-2007
% De Población Inmigrante a la Región Huánuco – 2002-2007
Distribución de casos de dengue por (grupo de edad, sexo) DIRESA Huánuco 2013 (SE 01 30)
Distribución de casos de dengue por (grupo de edad, sexo) DIRESA Huánuco 2013 (SE 01 30)Huánuco 2013 (SE.01-30).Huánuco 2013 (SE.01-30).
Subsistema de Vigilancia Epidemiológica de Enfermedades Metaxenicas y OTVs-DIRESASubs s e a de g a c a p de o óg ca de e edades e a e cas y O s S
SAN MARTIN
Tasa de Incidencia de Dengue x 10,000 Hab, según Distritos . Tasa de Incidencia de Dengue x 10,000 Hab, según Distritos . DIRESA Huánuco DIRESA Huánuco --2013 (SE 01 2013 (SE 01 -- 30)30)
N
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SAN MARTIN N
EW
JOSÉ CRESPO YS
JOSÉ CRESPO Y CASTILLO
07 casos confirmado01 caso probable
TIA X 10000 Hab. 2.1
LUYANDO
RUPA RUPA22 casos confirmados
03 casos probables
LUYANDO01 caso confirmado
01 caso probableTIA X 10000 Hab. 2.1
ANCASHTIA X 10000Hab. 4.0
MONZÓN05 casos confirmados
04 casos probablesTIA X 10000Hab 3 4
PUERTO INCATIA X 10000Hab. 3.4
MARIANO DAMASO BERAUN
02 casos confirmados01 caso probable
TIA X 10000Hab. 3.1
06 casos confirmados01 caso probable
TIA X 10000Hab. 8.6
Dengue sin señales de Alarma
Leyenda
Dengue con señales de AlarmaDANIEL ALOMIA
ROBLES02 casos confirmados
01 caso probable
LIMA PASCO
Dengue sin señales de AlarmaDengue sin señales de AlarmaDengue con señales de Alarma
01 caso probableTIA X 10000Hab. 4.0
Estratificación epidemiológica de Dengue-DIRESA Huánuco – 2013(SE 01-30)DIRESA Huánuco – 2013(SE.01-30)
Alto riesgo (7)
(Mediano riesgo (6)
Bajo riesgo (2)
Sin riesgoSin riesgo
Comparison of Dengue cases with pp and Temp.
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Station Tingo Maria. Weekly Values of Temperatures and PrecipitationPeriod: 2000 ‐ 2013
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Comparison of Dengue cases with pp and Temp.
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Station Puerto Inca. Weekly Values of Temperatures and PrecipitationPeriod: 2000 ‐ 2013
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Tasa de Incidencia de Tasa de Incidencia de LeishmaniasisLeishmaniasis x 10,000 Hab, según x 10,000 Hab, según Distritos . DIRESA Huánuco Distritos . DIRESA Huánuco --2013 (SE 01 2013 (SE 01 -- 30)30)
Tasa de Incidencia de Tasa de Incidencia de LeishmaniasisLeishmaniasis x 10,000 Hab, según x 10,000 Hab, según Distritos . DIRESA Huánuco Distritos . DIRESA Huánuco --2013 (SE 01 2013 (SE 01 -- 30)30)
Subsistema de Vigilancia Epidemiológica de Enfermedades Metaxenicas y OTVs-DIRESA
Casos de Malaria P.vivax por Provincias y distritos Según años 1999-2013 ( SE.01-30
Casos de Malaria P.vivax por Provincias y distritos Según años 1999-2013 ( SE.01-30((
Subsistema de Vigilancia Epidemiológica de Enfermedades Metaxenicas y OTVs-DIRESA
FINAL OBSERVATIONSFINAL OBSERVATIONS1) Multiple factors concur Dengue incidence and climatic variables are part of them.
2) It is importante the involvement ofentomologists concerning to reproduction andgrowth rate of the vectors.
NEXT TASKS3) G ti f li t i f i t l ( i b i3) Generation of climate scenarios for a convenient scale (province, basin,
influence area of the health center) for the Region of Huanuco.
4) Developing strategies in the health sector regarding to the occurrence of4) Developing strategies in the health sector regarding to the occurrence ofprobable scenarios:- Incidence of heat/cold waves.- Incidence of vector-borne diseasesIncidence of vector borne diseases.- Incidence of wáter-borne diseases.- Special treatment for endemic zones.
Thanks for your attention!Thanks for your attention!