Foz do Iguaçu has not yet reached the dengue epidemic situation. But it's coming dangerously close.
The number of confirmed cases in the city rose to 691 (were 515 last week), below just Londrina, with 891.
In Paraná, 31 municipalities suffer from dengue epidemics. In these cities, there are proportionally more than 300 confirmed cases per 100 thousand inhabitants.
Dividing the population of Foz (262 thousand inhabitants) by the number of cases, it reaches 379. It is not an epidemic, but it can reach this situation if the combat of the dengue mosquito (Aedes aegypti) is not even more incisive.
This depends not only on the public power, but also – and especially – on the population, which must avoid mosquito breeding sites.
Always be aware of places and objects that accumulate water, such as plant pots, tires, bottles, cans and the like. Do not accumulate litter. And denounce the neighbor who does this. It is everyone's health that is at stake.
Cold does not solve
The cold is not enough to eliminate the mosquito. The veterinarian of the Center for Environmental Surveillance of the State Department of Health (Sesa), Ivana Belmonte, warns: "We can not relax in control due to the arrival of cold days; the breeding grounds must be disposed of at all times, for they resist for a long time, and at any turn of time the eggs will hatch, become a larva and then a mosquito. "
And he concludes: "Eliminating the outbreaks is the recommendation we transmit daily. At no time can we relax in the fight against dengue fever."
In the neighbors
According to the epidemiological bulletin released by Sesa, here near Foz there are two municipalities in an epidemic situation: Santa Terezinha de Itaipu and Medianeira.
The others are: Japurá, Francisco Alves, Puerto Rico, Leopolis, Uraí, Lupionópolis, Arapuã, Loanda, Itambé, Santa Mariana, Terra Roxa, Alvorada do Sul, Abatiá, Florida, Nova Londrina, Missal, Moreira Sales, Rancho Alegre, Santo Antônio do Paraíso, Anahy, Cafeara, Lindoeste, Andirá, São Pedro do Ivaí, Santa Isabel do Ivaí, Paranacity, Bandeirantes, Nova Olímpia and Cianorte.
Dengue fever has killed three more people in Paraná, according to the bulletin released on Tuesday, 14: two in Loanda (a 51-year-old woman and a 65-year-old man); and one in Londrina (a 71-year-old man).
There are now 13 deaths from dengue in Paraná. The 10 previous cases occurred in the municipalities of Londrina (5), Cascavel (3) and Maringá (2).
Dr. José Carlos Leite, from the Vector-borne Diseases Sector, says that the team that visited the regional health centers detected many problems.
"Mosquito breeding sites and outbreaks Aedes aegypti are in backyards and empty lots, at garbage accumulation points, in containers with standing water, and are still in the dishes of plant pots that also accumulate still water, including inside the homes, "he says.
According to the doctor, the elimination of breeding grounds is the most effective measure to end dengue.
"As long as we do not end the outbreaks, the deposited eggs will continue to be transformed into larvae, and the larvae in mosquitoes transmitting dengue, chikungunya and zika virus," he explains.
The most serious, he says, is that the eggs remain alive for more than a year. And as soon as they get some water, they become the mosquito. It is therefore important that the population make a concentrated effort to eliminate the vector.
Already the physician Enéas Cordeiro de Souza Filho, who also works in the Division of Diseases Transmitted by Vectors, says that the smoke is not decisive in the fight against dengue.
"The poison helps, but it does not solve the problem of proliferation, because it only eliminates the mosquito that is in the adult phase; the larvae that will become the mosquito only end up with the removal of the breeding ground, the garbage and the accumulation of still water, "he explains.
The bulletin released by Sesa totals 6,772 confirmed cases of dengue fever in Paraná, 834 cases more than last week, which had 5,938 cases. The confirmed cases are in 203 municipalities.
The municipalities with the highest incidence rates are Japurá, Francisco Alves, Puerto Rico, Leópolis, Uraí, Lupionópolis, Arapuã, Loanda, Itambé, Santa Mariana and Terra Roxa.