Bordetella pertussis transmission has been detected in Navarra since September, with 10 confirmed cases and 2 Suspected cases of whooping cough, aged between 6 months and 13 years. Report. The week of October 9th to 15th.
The disease begins with an irritating cough that becomes paroxysmal within a week or two and may be accompanied by inspiratory wheezing. Episodes usually end with mucus discharge. This will last for several weeks. It can spread from person to person within the first 10-20 days.
The clinical manifestations of pertussis vary with age and vaccination history. In infants younger than 6 months old, the typical symptoms of stridor may not appear, and apnea may occur after the spasm. Children under six months of age, particularly those who have not completed their primary vaccination series, are “at risk of complications and death,” Public Health said.
Therefore, the ISPLN recommends that childhood vaccination be carried out according to the recommended schedule and start with the 27th week of gestation, preferably at the 27th or 28th week, with one dose of dTpa vaccine per pregnancy, with the aim of transferring antibodies to Newborn. People who are experiencing cough or other respiratory symptoms “should avoid contact with infants who have not completed their vaccinations.” When it is necessary to be in close proximity to infants, using a mask when symptoms are present or when a respiratory infection cycle is present can reduce the risk of infection.
Antibiotic prophylaxis to control transmission “will be evaluated individually” and when high-risk groups are present in the setting (children under 1 year old, pregnant women in their last weeks of pregnancy, people with immunosuppression, asthma, cystic fibrosis or congenital heart disease) .
The incidence of acute gastroenteritis remains high
The number of acute gastroenteritis cases remains high, with 259 cases reported in primary care last week. “The incidence is within the range recorded for the same period in other years,” the public health department said, noting that “the causative factors are diverse.”
Recommendations for preventing and controlling gastroenteritis include practicing good hand hygiene regularly and always after using the toilet and before eating or handling food.
Children with symptoms of acute gastroenteritis should not go to day care until their symptoms have completely resolved. People with symptoms of acute gastroenteritis should avoid handling food or cooking for others until symptoms completely resolve.
Respiratory infection consultations reduced
The number of presentations for acute respiratory infections in primary care fell last week, as did cases of covid-19 and influenza syndrome. The rate is 452 cases per 100,000 inhabitants, including 6 cases of influenza syndrome per 100,000 inhabitants and 38 cases of COVID-19 per 100,000 inhabitants.
Seven people have been hospitalized with covid-19 and three have died. Three cases of influenza A have been confirmed this week, one of which required hospitalization. Two cases of respiratory syncytial virus have been confirmed this week, but none required hospitalization.
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High circulation of rhinoviruses, and to a lesser extent other viruses such as enteroviruses, adenoviruses, and parainfluenza viruses, is found in patients with acute respiratory infections.
Therefore, the ISPLN notes that “different respiratory viruses can spread throughout the year” and recommends maintaining preventive measures to avoid severe cases in susceptible populations due to advanced age or chronic illness.
general mortality
There were 98 deaths recorded in the week of October 2-8 (complete data was available last week), a value “within what would be expected for this time of year”.
Preliminary estimates for the week of October 9-15 suggest that the death toll remains at a similar figure. So far this year, the cumulative death rate is below the median of the previous five years.
The death toll is estimated to be about 130 fewer than expected due to a “mild respiratory virus season and moderate heatwave impact.”