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Chikungunya, Dengue and Cholera

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Sereno
4/28/2014 08:48 EST

I thought that I'd start a new thread concerning these diseases.

www.dominicantoday.com

Public Health reports 3,690 suspected chikungunya cases.

Santo Domingo.- The Public Health Ministry on Sunday reported 3,690 suspected chikungunya cases in San Cristobal alone, and called on the population to eliminate the sites where the mosquito breeds in yards, alleyways and streets.

It said the investigation into the chikungunya outbreak in greater Santo Domingo and San Cristobal province (south) has identified 2,348 suspected cases, and 1,142 in the towns of Los Bajos de Haina, Nigua and Barsequillo.

Pubilc Health also reported around 200 possible cases in the municipality of San Cristobal, totalling 3,690 suspected cases in that province.

It also confirmed new cases of the fever in Hato Mayor, Santo Domingo and the National District.
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Chikungunya and Dengue are very similar and spread by the Aedes mosquito; a rather large mosquito with white markings on its legs.

Dengue was a problem this last year in many areas. I had it and it's NOT NICE. It appears that Chikunguya has taken it's place in some areas at this time.

Cholera? The WHO came out with a report that cholera may re-emerge in Haiti due to the drought. This usually spreads into different parts of the D.R. as Haitians immigrate into the D.R.

Stay well people. ; ) Sereno

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Planner
4/28/2014 09:00 EST

It has also been identified in Boca Chica as of this past weekend!

I had dengue in early February and it is brutal.

Be careful, use mosquito repellent in the day time! these mosquitoes are the ones out during the day! Remove any standing water where they may breed, spray your yards and inside your houses as needed. It is not to be taken lightly.

While Chikungunya is less deadly then dengue it is all the same mosquito. Either illness is bad so better to prevent!

Lets hope that the "drought" does not cause any more issues in Haiti! Or here for that matter!

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Sereno
4/28/2014 09:17 EST

Thanks Planner.

It took me just about a year to fully recover my the Dengue that I had. 1 of 4 types of Dengue.

We had made several trips to Santo Domingo in early 2013 and think that I was bitten/infected there. That outbreak was a large concern and cases lessened.

Let's hope that this new virus gets under control fast.

Their are no vaccinations for either of these and treatment is about the same with no known cure. Hydration, pain relievers and muscle relaxes only treat the symptoms but does not kill the virus. It runs it's course.

And you are very correct.
"It is not to be taken lightly."

I would recommend that others in the D.R. do at least some basic Google research.

; ) Sereno

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Planner
4/28/2014 09:30 EST

I got mine when I visited the north coast, there was an outbreak of about 12 of us. Dengue is serious and no fun! 3 months later I am still recovering and I have complications!

So much better to work on prevention!!!! And there is no vaccine, only thing we can do is help prevent the mosquitoes! So we all need to do our part.

ALSO of note is a major outbreak of tics this year. Check your dogs, cats daily and keep them medicated. vets are overrun with cases of street dogs and cats becoming very very sick and many dying from multiple tic bites! Be vigilant.

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Sereno
4/28/2014 10:07 EST

We have a tic problem every year with our dogs and horses. Usually Feb. and March are the worse months.

We worm our horses every 3 months, rotating 4 different brands but all have Intermectin that kills the ticks in a couple of days.

We think that the ticks come in with every load of hay that we order. Ticks like tall grass so they can latch onto their meal more easily. I also keep our pastures cut to keep the taller weeds down for this reason.

We also use oral Intermectin on the dogs when we see more ticks then the other preventative things don't keep up with them.

Just more things for me to do along with keeping water buckets clean and finding fresh water, electrical repairs, repairing insect screens, getting the help to shut the doors and solving our great mystery of why do half of my tires keep loosing air. lol.

Like I don't have enough to do?

Anyway. As we said. Stay well!

; ) Sereno

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Planner
4/28/2014 10:57 EST

Loved your post, you made me laugh......

I just cut back all the growth in my back patio to keep the tics down! And the front gets done this week too!

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Sereno
5/1/2014 08:36 EST

I TO try to find some good stuff but when I do so much of it is such a farce that it not worth talking about.

www.dominicantoday.com

Public Health makes it official: chikungunya epidemic.

Santo Domingo.- The country faces a chikungunya epidemic, Public Health minister Freddy Hidalgo warned Wednesday and demanded that various City councils improve their trash collection to eliminate mosquito breeding sites.

The official said despite that the outbreaks are centered in Nigua and Haina, in southern San Cristóbal province, cases began to be detected in other provinces after Easter Week, “so technically speaking, the country faces an epidemic.”

He said it’s a new virus against which the Dominican population has no immunity, and it’s expected to expand and affect a large number of people, so the best measure are to eliminate deposits of water that breed mosquitoes, the same one that transmits dengue.

Hidalgo said it’s important to abide by the recommended measures to halst the spread of the mosquito nationwide
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Stay safe.

Glad u enjoy some of my off humor Planner. lol.

Sereno.... the "I don't want to get bit".

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Planner
5/1/2014 09:54 EST

If we do not find the good and the humor we might go crazy......

Chikungunya is already an epidemic here. Hundreds are sick, more have been sick and were never diagnosed properly.

the good news is that this is far less deadly then dengue! But it makes people very very sick! So take this seriously and protect yourselves.

If you are here on vacation - know that the resorts and hotels are spraying. Use mosquito repellent during the day too!

If you live here remove any standing water that acts as a breeding ground! If you find mosquitos during the day spray the bastards and kill them......

As someone who recently had dengue - under discussion as my doctor is positive I in fact had chikungunya because of the complications I am left with - i can tell you that you do not want to deal with this!!!

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Sereno
5/10/2014 10:07 EST

Not to worry!

www.dominicantoday.com

Health authorities to develop a plan against chikungunya virus

Santo Domingo.– Medical groups and experts from the Health Ministry are working together to develop a management plan against the chikungunya epidemic that has spread to several parts of the country.

The Rominican Republic's Society of Internal Medicine president Fausto Hiraldo Zabala said guidance will allow a more effective approach in cases of the virus. He noted that febrile patients may also be presenting coinfection, either dengue or malaria, which are also transmitted by mosquito Aedes aegypti.

Hiraldo Zabala raised the issue in Bavaro-Punta Cana during the XII National Congress of Internal Medicine and the II Symposium of the Latin American Society of Internal Medicine (SOLAMI).
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It's nice that they are now working on a plan.

Sheeesh. Sereno

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Sereno
5/14/2014 08:37 EST

OK. NOW you can worry.

Add to the list? Leptospirosis and malaria.

www.dominicantoday.com

Specialists: Public Health’s work to halt chikungunya “very timid”

Santo Domingo.- Several specialists call the Public Health Ministry’s work to halt the spread of the chikungunya virus “very timid," and their concern is further stoked by the approaching hurricane season, whose downpours which can aggravate it even more.

Infectious disease specialist Clemente Terrero said the mobilization to stop the spread of the mosquito vector has been timid, and because it also transmits other diseases, poses a two-fold risk. "Faced with such a reality the authorities should engage in more forceful activities, to halt the advance of the vector and avert a difficult epidemiological situation, because dengue fever is lethal, whereas chikungunya can affect many."

He said the rains of May can further increase dengue fever and "a coinciding epidemic of the two diseases can occur," warning that the virus will continue to expand.

Resident Physician Society president Fausto Zabala also cautioned that the rains help proliferate the mosquitoes and frequently cause a rise in tropical diseases, such as leptospirosis, dengue, chikungunya and malaria.
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I have not read anything about other Caribbean countries, other then Haiti, having any problems. Maybe someone in the D.R. should talk with them?

Stay well. Sereno

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Sereno
5/23/2014 10:21 EST

I have not seen anything in the news ............ but..

Spraying for mosquitoes and flies today. Also our second complete cleaning and sanitizing of horse stalls for this month when usually once a month is fine.

With all the rain we have taller grass/vegetation and puddles that don't dry up so an over abundance of both.

PLUS the rat population has increased. Chewed wires in my car last week and one joined me on our upper pouch just before daybreak this morning with my first cup of coffee. Not sure which one of us was "dancing" more as it ran around my feet and it took awhile for me to figure out... what the heck it was.

Our main man says that his younger brother has dengue along with others in his area near Gasper Hernandez.

The spray must be working cause I can smell it and I'm getting dizzy. Or do I just need more coffee.

8-) Sereno

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Sereno
5/28/2014 08:32 EST

www.dominicantoday.com

Medina orders all Government agencies to fight chikungunya

Santo Domingo.- President Danilo Medina on Tuesday instructed all Government agencies to join the fight against the chikungunya virus, which has sickened more than 32,000 people in just two months.

Concerned with mounting chikungunya cases across the country, Medina ordered all staff from nearly most departments to take part on Friday in the nationwide push to eliminate the breeding sites of the mosquito that transmits the disease in all households.

Around 400,000 government workers will visit households to orient families about the disease and eliminate the tanks and other water recipients to store water, where the mosquito breeds.
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Planner
5/28/2014 10:54 EST

And those are the reported cases my friends. There are many many more. In my neighborhood there are dozens of people sick.

I had it 3 weeks ago - went to emergency where I was told I had an allergy. Really!

The test is not covered by insurance and costs 1,300RD or about US 25, most will not pay for this test. I got my own done after the fact and came back positive for Chikungunya.

Thousands have this mosquito born disease, it is debilitating but only for 1 to 2 weeks. It does not kill like dengue but must be stopped.

I am glad Medina is doing something about it! Be careful, use mosquito spray on yourself, spray your yards!

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Sereno
5/28/2014 18:56 EST

Thanks for your reply Planner and sorry that you got it. Not nice.

But since WE are so negative concerning everything in the D.R. I'm not reporting nuttin anymore for awhile.

Like posting D.R. reports reflects on the poster?

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Sereno
5/30/2014 17:26 EST

Something positive with action.

www.dominicantoday.com

Thousands confront chikungunya in nationwide push

Santo Domingo.- Starting 8am Friday today, thousands of Dominicans will join the nationwide mobilization to prevent chikungunya, announced Wednesday by president Danilo Medina, to halt the spread of the epidemic.

The workers and officials of numerous government agencies headed by the Public Health Ministry have been instructed to mobilize their neighborhoods and communities with house to house orientation about the disease and dengue fever.

Medina’s call to rally against the mosquito that transmits the disease was also praised by private institutions, non-government organizations and professional guilds such as the Dominican Medical Guild, the Teachers Association and universities.
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I hope that the educational part really gets pushed.

We sprayed our yards and gardens last week and noticed a reduction of mosquitoes but most of our neighbors our gone so no one to treat their places... as they usually do.

One step at a time.

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Sereno
6/3/2014 17:20 EST

I delayed posting this hoping to see another story that has pulled everyone together put have not found that type of story.

www.dominicantoday.com

Mobilization against chikungunya shy in Greater Santo Domingo

Santo Domingo.– The nationwide mobilization to prevent the chikungunya virus convened by President Danilo Medina did not received the expected support from volunteers, workers and public employees in Greater Santo Domingo.



The presence of employees in most of the districts of Greater Santo Domingo was low, and in some sectors there was no presence, as in the case of Katanga and Vietnam, in Los Mina, where neighbors reported no one had visited them.
The increased presence of public employees was observed in La Fe sector, where Public Health minister Freddy Hidalgo, Education minister Carlos Amarante PAHO representative in the country Lilian Reneau-Vernon headed the campaign's opening ceremony and visited some homes.
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I've read other stories that I can not find saying that the chikungunya virus is spreading rapidly.

I worry that Dengue will follow also since they are both transmitted via the same mosquito and both are a virus with no vaccination nor cure.

Google and read up about them and DO what you can for yourself and others.

Sereno

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Kiskeyanos
6/3/2014 18:15 EST

A family member who lives in the capital and works for the Navy on the base, came down with a confirmed case. Sounds aweful.

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Sereno
6/3/2014 18:25 EST

Sorry about your family member.

I had Dengue last year and I think Planner did too plus the Chi.. virus and a broken foot.

I know many others that have had one or the other but many don't get the blood test to confirm.

I don't wish to alarm! I hope to educate and by talking about the situation helps others learn, protect and perhaps prevents others from being infected.

Yawww. It's pretty dang awful when you almost wish to die rather then endure the effects from Dengue. It took about a year to fully recuperate in my case.

Now I will reverse coarse and I HOPE that I've scared ya...

Best wishes to your family member.

:/ Sereno

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Kiskeyanos
6/3/2014 19:19 EST

Dengue is called "break bone fever" for a reason. I have been told it feels like your bones are shattering. My son came down with Dengue while trapsing through the Amazon during a summer of service for his college. Imagine how scared I was, him somewhere in the Jungles with Dengue and unable to go down to make sure he was ok. He is definitely an adventurer...but I digress.

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Sereno
6/3/2014 19:39 EST

To digress? I was on expeditions in the unknown upper Xingu regions in the mid 1960's. Weeks of exploring and living off the land. First to encounter new tribes.

You would NOT believe the inoculations that I had back then.

Unfortunately, it was what the invaders brought in that killed thousands and wiped out whole tribes from disease and what followed.

I still hang my head.

But I digress.

It does not take much to protect yourself from the D.R. mosquitoes here BUT you do have to do it.

Sorry. Sereno

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Kiskeyanos
6/3/2014 19:46 EST

Well, they say the best repellent contains DEET? I am not really one to spray chemicals on my skin,so there are alternatives that are natural...and smell better.
Citronella Oil
Lemon Eucalyptus Oil
Cinnamon Oil
Castor Oil
Rosemary Oil
Lemongrass Oil
Cedar Oil
Peppermint Oil
Clove Oil
Geranium Oil
Possibly Oils from Verbena, Pennyroyal, Lavender, Pine, Cajeput, Basil, Thyme, Allspice, Soybean, and Garlic (also helps repel vampires)

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Sereno
6/3/2014 20:40 EST

Nice job Kiske. But at times I WISH a vampire would suck my neck.

Simple insect screens and keeping none screened doors/windows closed. (Dominicans don't like screening since it cut down on the ventilation/breeze.) Getting rid of the breeding areas or standing water and dense damp vegetation. Long pants, socks and real shoes. Mosquito netting over beds. Not leaving fruits out on the counters that they also live on. A fan blowing on a person also is a big mosquito deterrent day and night.

IMHO: it takes just about everyone to help due their part to get rid of this mosquito and thus the two viruses.

http://www.listindiario.com In Spanish.

Casos de Chikungunya ascienden a 52,976
LA CLÍNICA DE CHIKUNGUNYA DEL HOSPITAL GENERAL DE LA PLAZA DE LA SALUD LUCÍA ABARROTADA DE PACIENTES

Lilian Tejeda
Santo Domingo
El Ministerio de Salud Pública informó ayer que los casos registrados de Chikungunya ascienden a 52,976, mientras que la Clínica de Chikungunya del Hospital General de la Plaza de la Salud lucía abarrotada de pacientes con síntomas de la enfermedad.


El ministro de Salud Pública, Freddy Hidalgo, indicó que las entidades públicas y sociales continuarán con la jornada de movilización nacional para educar a la población y eliminar los criaderos del mosquito transmisor del virus.


Dijo que este sábado se reforzará la movilización social en el Gran Santo Domingo, el Distrito Nacional, San Pedro de Macorís, Hato Mayor y San Cristóbal, en esta última provincia los casos ascendieron a 28,281. Agregó que mañana miércoles cerca de 600 empleados de la Cámara de Diputados desarrollarán la campaña en el sector Villas Agrícolas.


Destacó sin embargo que lo más importante es la eliminación de los posibles criaderos de mosquitos desde los hogares.


“Las jornadas deben ser permanentes desde el hogar, debemos generar una cultura de que la gente sepa que el mosquito lo criamos nosotros mismos, en nuestro entorno, y que eliminar los posibles criaderos es la clave”, precisó.


Aunque el Ministerio informó que durante la jornada de movilización nacional realizada la semana pasada, en la que participaron unos 77 mil voluntarios, se visitaron más 430 mil viviendas y se eliminaron más de 122 mil criaderos, es necesario continuar con las actividades de orientación y eliminación de criaderos de manera permanente.


“Todas las direcciones provinciales de salud tienen que seguir con la estrategia. También estamos reabasteciendo todas las unidades de atención primaria de medicamentos, sobre todo de acetaminofén”, aseguró Hidalgo.


Promese/Cal asegura disponibilidad de medicamentos
Por otro lado, el Programa de Medicamentos Esenciales/Central de Apoyo Logístico (Promese/cal) aseguró que el mes pasado entregó a todos los centros de la red pública de servicios de salud los medicamentos necesarios para enfrentar la Chikungunya.


Según la directora de la institución, Elena Fernández, fueron distribuidos analgésicos, antiinflamatorios, sales de rehidratación oral y otros fármacos para combatir los síntomas de la enfermedad. Resaltó que el costo de la terapia completa para controlar el virus oscila entre seis y 30 pesos por persona en las Farmacias del Pueblo hospitalarias y comunitarias.


“El Estado garantiza a través de Promese/cal los medicamentos para contrarrestar la sintomatología de la artritis epidémica. Confiamos en que esta medida, unida a las iniciativas del Ministerio de Salud Pública, contribuirá a combatir la enfermedad y a disminuir el número de casos”, indicó.
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Let's hope that education and doing continue.

Sereno

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Planner
6/4/2014 09:45 EST

Most of these other oils and creams will NOT work here. I have no idea why.

But 11 years here can tell you - stick to DEET. you do not want to chance getting Dengue or Chikungunya! Its a short term solution to a short term issue.

Soon this will clear thru, with help from fumigation etc, things will go back to our version of normal.

For now - use the repellent, spray for mosquitoes, remove standing water of all kinds (damn hard it rained last night) etc etc.

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Ltindal
6/4/2014 10:02 EST

@Sereno. Good information you and OP are posting about the Chikungunya outbreak. www.diario.com posted information about the action plan to go into the neighborhoods to explain the dangers to residents of Santo Domingo. I had all of the windows in our condo replaced with sound proof and screened windows a few months ago. You are correct about 95% of the locals not having screens covering the doors and windows. Protection from insects here seems to be an after thought for most; much like playing Russian Roulette with your life. Even after being warned by officials about the danger of Chikungunya, life goes on here as I walk through parts of the city and see people eating/selling fruit near the metro stations and dropping peels of fruit and other garbage on the ground. This happens even in usa, but here it is a way of life, even when being warned of the health hazard. You're going to my old town of Jarabacoa. Many horse owners ride their mounts on Ave La Confluenza on their way to dos rio's. My home was there #74 the blue ranch house in the rear. Rancho Dos Rios is on the same side of the street. You can stop there for a good lunch and relax while you enjoy the view. Also check out the Jarabacoa River Club for lunch/dinner.

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Sereno
6/14/2014 10:55 EST

More good news? Sorry.

www.dominicantoday.com

Chikungunya fever victims total 77,320

Santo Domingo.- Chikungunya victims already total 77,320 across the country, as the 20,382 new cases place the rate at 745 per 100,000 population.

According to the Public Health Ministry’s Epidemiology Dept., suspected cases of the disease are present in all but two of the country’s provinces, Mao and Montecristi (northwest).

Chikungunya has been detected in 18 countries in the region totalling 130,941 cases, according to the Pan-American Health Organization (PAHO), of which Dominican Republic reported 53,621.
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More chikungunya cases reported in U.S.

New York.– Health authorities in North Carolina, Nebraska, Tennessee and Indiana reported their first confirmed chikungunya cases on Friday, while Florida remains with the most number of cases in the United States with 25.

The cases in the U.S. have not been transmitted by local mosquitoes, but rather carried by recent travelers to the Caribbean where the virus is raging, where at least 20 countries and territories have been affected. The Dominican Republic has the largest outbreak of suspected cases.

According to the U.S. Center for Disease Control and Prevention, health officials are monitoring suspected chikungunya cases in the states of New York, California, Arkansas, Maryland, Connecticut, Nevada, Minnesota, Virginia, Puerto Rico and the U.S. Virgin Islands.
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Planner
7/3/2014 11:21 EST

Update for everyone:

The count is now well over 170,000 and growing. It is spreading everywhere on this island and in fact is all over the Caribbean.

Again, it will not kill you but it is not nice at all. Do everything you can to prevent it. Get rid of standing water, put cloro (bleach) in any water you store and you need to do that 2 times a week.

Make sure to use insect repellent. The good stuff!

Spray your house and yard.

And if you get it - expect fever, nausea, a rash and joint pain. The pain can be pretty horrible.

All you can take is acetomenophen and fluids, lots of rest. Do not rush returning to normal activities. This virus will cone back and bite you in the ass again. And it is the same virus just goes dormant and then reignites!!!!! So be aware.

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Sereno
7/4/2014 10:20 EST

Hi. Planner is correct. This has gone way out of control. I've been told that clinics and hospitals are standing room only and 4 to a bed.

No area is unaffected. The D.R. appears to have the highest number of infected per capita then any were else.

Funny that we are in a major drought so most natural water "puddles" should have dried up a long time ago.

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Planner
7/7/2014 16:47 EST

It is partly due to the drought that people are "storing" water incorrectly......

Yes it is spreading. Most in hospital or going to hospital really don't need to. They need to go home take the meds and ride it out.

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Sereno
7/9/2014 10:55 EST

I had just over 2 inches of rain this last week. That helped put some water into our cistern since we harvest from our roof. STILL nothing from Corraplata other then.... promises.

We have been in another "dust storm" from Africa. The Second one in the last couple of months. Looks like it is about done.

Nothing noted on any maps or weather stations that show any rain. The systems that keep trying to form and move this way from Africa disappear faster then they form.
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I have added another water plan? Our guest pool has a faucet on the return side of the filter so I can hook up a garden hose and pump that water into our main pool and set up an outdoor shower.

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Sereno
7/9/2014 11:01 EST

^^^^^ OH DANG... wrong thread. Ooops.

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And NOW the Virus report?

Some have reported a decrease in the Chikun Y virus while reporting and increase in Dengue. Same mosquito spreads both virus'.

In Spanish, but most can figure it out.

www.listindiario.com

Bajan casos de chikun y suben los de dengue
LA SUBDIRECTORA DEL HOSPITAL, VIRGEN GÓMEZ DIJO QUE ESTE FIN DE SEMANA NO HUBO INGRESO DE RECIÉN NACIDO AFECTADOS DE CHIKUNGUNYA

La subdirectora del hospital infantil Robert Reid Cabral, Virgen Gómez, informó ayer que se ha producido una disminución en los casos de recién nacidos afectados con el virus de la chikungunya, sin embargo, reportó que los casos de dengue están aumentando.

Sostuvo que la semana pasada se registraban entre cuatro y seis casos de niños recién nacidos, pero que este fin de semana no se presentó ningún ingreso por chikungunya. “Hemos visto una reducción leve con relación a las semanas anteriores”, aseguró.

Manifestó que hasta ayer se habían registrado unos 296 casos de la artritis epidérmica, de los cuales 219 pertenecen a los empleados del centro médico, lo que se traduce en 74% de toda la empleomanía del hospital.

Gómez estimó que nadie está exento de contraer la enfermedad debido a que la tasa promedio de ataque es de 60% a 70 % de la población, por lo que enfatizó que es necesario que se continúen las campañas de eliminación de criaderos del mosquito, porque la fumigación no es la medida ideal para la prevención, debido a que solo mata a los mosquitos adultos.

“La única forma de prevenir la enfermedad es eliminando los criaderos de mosquitos, evitando la formación de los mosquitos”, precisó.

La subdirectora del centro aconsejó untar cloro en la parte superior interna de los tanques y otros utensilios para almacenar el agua, antes de taparlos, ya que esto ayuda a eliminar los huevos que el mosquito pone en los recipientes, los cuales pueden durar hasta un año para desarrollarse.

Dengue
Gómez informó que la semana pasada se produjo un aumento en los casos de dengue ya que se estaban diagnosticando entre tres y cinco casos, y solo ese domingo se presentaron 13 personas con la enfermedad. Durante lo que va de año, especificó que en ese centro el número de personas afectadas por este virus es de 326. Advirtió que esta temporada de julio a septiembre es la más propensa para que la enfermedad aumente, por lo que también sugirió tener cuidado con los desechos y no lanzar vasos o recipientes plásticos donde se puedan criar los vectores.

“Tenemos que tomar en cuenta que podemos confundir dengue con chikungunya porque dan síntomas parecidos, entonces hay que definir bien cuál es cuál, porque podemos tener mayor mortalidad”, alertó.

En tanto, en el hospital Luis Eduardo Aybar, el cuadro de descenso del virus chikungunya continúa. El médico emergenciólogo, José Reyes Santana, indicó que de los 200 casos que llegan diario al centro, en la actualidad solo se registran algunos 50.

Diferencias
Las diferencias que se identifican entre el dengue y la chikungunya, ambas enfermedades transmitidas por el mosquito Aedes aegypti, son marcadas, según apuntó Gómez. La historia clínica es básica para este proceso.

Las dos afecciones producen fiebre de inicio brusco y dolor, pero destaca que en el caso del dengue las dolencias son musculares; mientras que en la chikungunya el dolor en las articulaciones es más fuerte.

En el caso de las erupciones en la piel, en el dengue pueden aparecer en dos vertientes, una temprana o una tardía; sin embargo, en la chikungunya solo se presenta una alergia, y de acuerdo a la doctora, se da luego del tercer al quinto día.

“Con chikungunya, cuando pasa la fiebre persisten muchos dolores articulares, mientras que con dengue, cuando pasa la fiebre ese es el día de peligro que se puede evolucionar a la severidad, entonces aparecen los signos de alarma: vómitos, dolor abdominal intenso y continuo, el paciente se puede marear”, detalló.

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Planner
7/11/2014 16:49 EST

Latest guess they are publicizing is more then 500,000 in the Districto Nacional alone. We have a population here of 2 million so 1/4 of the population have it or had it.

In greater Santo Domingo then you can extrapolate over a million people have it or had it. Hell at least 1/2 of everyone I know have had it or have it now......

And it is continuing to spread.

In addition we see an increase in dengue this year. So, be careful people!!!! It is the same mosquito that carries both!

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Sereno
7/12/2014 09:18 EST

Oh let's give some credit. The D.R. DID do a eradication and education program.

Almost 3 days in ... 2 towns.

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Planner
7/12/2014 11:53 EST

They have actually done a whole lot more then just that!!!

But this thing is huge and won't go away anytime soon. It will run its course and then be done......

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Sereno
8/4/2014 11:07 EST

This virus isn't done. I don't see much about it BUT indicators point to it still a major problem and spreading and I'm always hearing about more people with it.

This article states that there is a "cover-up".

www.diariolibre.com

SANTIAGO. Un joven que presentaba síntomas similares a los de la chikungunya murió ayer en el hospital Regional Universitario José María Cabral y Báez de esta ciudad, según informaron sus familiares.

Se trata de José Ramón Ortiz Camacho, de 19 años de edad, quien fue enviado al referido centro de salud desde el hospital público de Cotuí, donde permaneció ingresado por espacio de ocho días.

El cuerpo sin vida de José Ramón será sepultado en horas de la tarde de este viernes en el cementerio municipal del municipio de la provincia Juan Sánchez Ramírez, de donde era oriundo.

Sus parientes informaron a DL que al ser ingresado en el centro asistencial de Cotuí los médicos le indicaron los medicamentos que se usan para tratar a los afectados de la fiebre viral. "El doctor que lo atendió nos informó que era la chikungunya que tenia, pero aquí nos dicen que hay que esperar que estén los resultados de la autopsia", dijo Melvin de la Cruz, primo de la víctima.

Este caso, al igual que otros cuatro decesos que se han registrado de personas con los síntomas de esa enfermedad lo han manejado con hermetismo desde el Ministerio de Salud Pública. Dl ha tratado de establecer contactos con funcionarios locales para confirmar la información, pero no fue posible.

Durante el recién concluido mes de julio, se reportó la muerte de tres personas que padecían síntomas similares a los de la fiebre viral, que se transmite a las personas mediante la picadura de los mosquitos portadores Aedes Aegypti y el Aedes Albopitus.
--------------
I "borrowed" this translation.
----------------
A young man died, who had presented symptoms of chikungunya

In July the deaths of three people were reported with similar symptoms.

SANTIAGO. A young man who had symptoms similar to those of Chikungunya died yesterday at the Regional Hospital Universitario José María Cabral y Báez of this city, as reported by his relatives.

This is José Ramón Ortiz Camacho, 19-year-old, who was referred to health center from Cotuí public hospital, where he remained hospitalized for eight days.

The body of José Ramón will be buried in the afternoon on Friday in the municipal cemetery of the town of Juan Sánchez Ramírez province, where he was born.

His relatives told DL that being admitted to the hospital in Cotuí doctors indicated the medications used to treat those suffering from viral fever. "The doctor who examined him told us it was chikungunya that he had, but here they have told us to wait for the autopsy results." Melvin de la Cruz, the victim's cousin said.

This case, along with four other deaths that have occurred in people with symptoms of the disease were handled with secrecy from the Ministry of Public Health. Dl has tried to establish contacts with local officials to confirm the information, but was unsuccessful.

During the recently concluded month of July, three deaths were reported, three people who suffered similar symptoms like viral fever, which is transmitted to people through the bite of the Aedes aegypti and Aedes Albopictus mosquitoes who are the transporters.

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Sereno
8/6/2014 18:30 EST

OH MAN!!! I just had all our insect screens gone over again. Our housekeeper is really good and beats the heck out of them every week to clean them so repairs are needed. (We DO love our housekeeper.)

Anyway? I'm sure that everyone has followed this virus and how it can/is spreading. I don't know how one would "screen" for it since the incubation period takes awhile. But at least the awareness and putting a screening process in place is a good thing.

www.dominicantoday.com

Ports, airports on high alert for Ebola

Santo Domingo.- Public Health minister Freddy Hidalgo on Wednesday announced reinforced surveillance at ports and airports to prevent the Ebola virus from entering the country.

He said everything international agreements and protocols stipulate against the disease will be implemented, and affirmed that the population will be oriented about Ebola.

Hidalgo spoke at the Public Works Club in a meeting with health sector NGOs, who requested their permanent integration in prevention, as the only way to control dengue and chikungunya outbreaks.
----------------
Oh... Like they have done much to prevent and control the dengue and chikV outbreaks.

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Ltindal
8/6/2014 19:25 EST

Sereno; I have two words for you. VACUME CLEANER ! A small vacume cleaner with an adapter will solve your screen cleaning issue, as long as the housekeeper knows how to use a vacume cleaner. On the other hand; The DR government doing something to prevent Ebola from entering the country? Let's just say that I would feel safer in Africa if Ebola entered DR. At least the doctors in Africa would diagnose me faster, giving me a chance to fly back to Philly for treatment. In DR, they would under report and in some cases deny about Ebola outbreaks, much like they did with Chikungunya.

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Sereno
8/7/2014 07:07 EST

www.cnn.com

Has several articles about the Ebola virus. This is a long but does explain a few things. The article has a lot of video and things so trying to clean this up is difficult.

Bottom line? Don't you dare sneeze of cough on me.
---------------------
What is the risk of catching Ebola on a plane?

By Madison Park, CNN
August 1, 2014 -- Updated 0337 GMT (1137 HKT

(CNN) -- Deadly diseases like Ebola are only a plane ride away. In today's interconnected world, linked by transoceanic flights, one infected person can trigger a domino effect that pays no attention to borders.

"The concern that people are going to get on these flights and fly from West Africa, where these cases are, to anywhere in the world is ... a real possibility," said Dr. Sanjay Gupta, CNN's chief medical correspondent.

"I think for a long time people didn't think that that was going to happen because Ebola was sort of relegated to very remote areas of Africa. Things have changed with our globalized world."

Could outbreak spread to U.S.?

Ebola patient on West African flights

Ebola triggers CDC travel warning

Earlier this month, a Liberian government official who had Ebola symptoms collapsed after getting off his flight in Lagos, Nigeria on July 20. Patrick Sawyer, 40, died five days later. He had been taking care care of his Ebola-stricken sister, in Liberia, although he didn't know she had the disease, his wife told CNN.

Health workers identified 59 people who came in contact with him including 15 in the airport staff and 44 from the hospital. He had traveled by plane via Lomé, Togo and Accra, Ghana. His case sparked concerns that the virus could disperse through air travel.

At this point, the World Health Organization does not recommend any travel or trade restrictions on Guinea, Liberia or Sierra Leone. However, the U.S. Centers for Disease Control and Prevention issued warnings Thursday to avoid nonessential travel to the three West African countries.

The WHO, the International Civil Aviation Organzation and the International Air Transport Association have been coordinating efforts to fight the spread of the disease. According to an ICAO statement, they are considering passenger screenings: "The Organization remains in contact with the WHO on potential efforts which may be required to facilitate repatriation flights, as well as matters relating to air ambulance services in the affected areas."

Can plane passengers become infected?

While the CDC acknowledges it's possible a person infected with Ebola in West Africa could get on a plane and arrive in another country like the United States, the chances of the virus spreading during the journey are low.

"It's very unlikely that they would be able to spread the disease to fellow passengers," said Stephen Monroe, deputy director of CDC's National Center for Emerging Zoonotic and Infectious Diseases. "The Ebola virus spreads through direct contact with the blood, secretions, or other body fluids of ill people, and indirect contact -- for example with needles and other things that may be contaminated with these fluids.

Ebola crisis is an international problem

Could Ebola makes its way to the U.S.?

He added that most people who have become infected with Ebola lived with or cared for an ill patient.

"This is not an airborne transmission," said Dr. Marty Cetron, director of CDC's Division of Global Migration and Quarantine. "There needs to be direct contact frequently with body fluids or blood."

Travelers should take precautions by avoiding areas experiencing outbreaks and avoid contact with Ebola patients.

Ebola symptoms include fever, intense weakness, muscle pain, headache and sore throat; followed by vomiting, diarrhea, rash, impaired kidney and liver function, and at advanced stage, both internal and external bleeding, according to the WHO.

"It is highly unlikely that someone suffering such symptoms would feel well enough to travel," IATA said in a statement.

"In the rare event that a person infected with the Ebola virus was unknowingly transported by air, WHO advises that the risks to other passengers are low. Nonetheless, WHO does advise public health authorities to carry out contact tracing in such instances."

This means determining who had contact with the affected person.

What should flight crew do if Ebola infection is suspected?

The CDC issued interim guidance for airline crews on Ebola virus infections.

Ebola doctor killed by virus

"As with many other global infectious disease outbreaks, airline carriers, crew members, airports can be very important partners in that front line," said Cetron. "Being educated, knowing the symptoms, recognizing what to do, having a response protocol, knowing who to call, those are really, really important parts of the global containment strategy to deal with threats like this."

The CDC advises that when flight crew members encounter a passenger with symptoms that they suspect could be Ebola, such as fever and bleeding, that they keep the sick person away from other passengers. They've been instructed to wear disposable gloves and to provide the sickened person with a surgical mask to prevent fluids from spreading through talking, sneezing or coughing.

The airline cleaning crew are also instructed to wear disposable gloves, wipe down surfaces including armrests, seat backs, trays and light switches. The CDC says that packages and cargo should not pose a risk, unless the items have been soiled with blood or bodily fluids.

When someone becomes ill on a flight, the captain is required by aviation regulations to report the suspected case to air traffic control, according to IATA.

How it's affecting flights

Nigeria-based airline companies ASKY and Arik Air suspended operations at the end of July into Monrovia and Freetown, the capitals of Liberia and Sierra Leone, respectively. ASKY said passengers departing from Conakry, Guinea, would be screened for signs of the virus.

Most of the international flights from Sierra Leone, Guinea and Liberia have flights to other West African destinations like Senegal, Ghana and Cote d'Ivoire. There are several flights a week to Belgium, France and the United Kingdom too, according to data from Flightstats.com.

Passengers could get anywhere through connecting flights.

The UK Department of Health said in a statement that it is monitoring Ebola, but that the risk is still low for British citizens. "We do not, at the moment, think this is an issue that affects the UK directly," said Foreign Secretary Philip Hammond, who held a high-level meeting about the disease on Wednesday.

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Ladybug10er
8/11/2014 21:11 EST

Is this in the cities and towns or more in the countryside? What would you recommend as a repellent?

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Sereno
8/12/2014 06:35 EST

It's in the cities and out in the campos. Mosquitoes don't have any boarders.

Long pants. Socks and real shoes. Any good repellant with DEET.

Most hotels are spraying the grounds but very few have insect screens. I would recommend that you bring some spray to do your room before going to bed keeping all the doors/windows closed after a quick airing out then use the AC. Fans blowing on you at night also help to keep them away.

This mosquito is active day and night.

Sereno

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