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Dengue – Epedemie bringt öffentliche Krankenhäuser zum Kollaps

Gesundheitsministerin zögert noch, den Epedemie-Notstand zu verkünden

Die öffentlichen Hospitäler sind voll von Dengue-Erkrankten.

Die öffentlichen Hospitäler sind voll von Dengue-Erkrankten.

Die Dengue-Epedemie in Paraguay breitet sich weiter aus. Die öffentlichen Krankenhäuser kollabieren vor der grossen Anzahl der Patienten mit
Symphtomen wie Fieber, die die Notaufnahmen aufsuchen, um behandelt zu werden. Die Mehrzahl der staatlichen Krankenhäuser hat nicht genügend
Personal, um diese ordnungsgemäss zu betreuen.

Gesundheitsministerin Esperanza Martínez.

Gesundheitsministerin Esperanza Martínez.

Die Verhältnisse in Krankenhäusern wie z.B. dem in Barrio Obrero in Asunción fördern eher noch die Verbreitung der Krankheit, als sie einzudämmen: während in einem Raum 4 bestätigte Dengue-Fälle liegen, gebähren im Nebenraum Frauen ihre Kinder.

Die Gesundheitsbehörden fordern jedoch immer wieder auf, bei den ersten Anzeichen der Krankheit unbedingt einen Arzt aufzusuchen, obgleich sich dies
bei den derzeitigen Verhältnissen als sehr schwierig erweist. Gesundheitsministerin Esperanza Martínez sieht zur Zeit noch keinen Grund, den Epedemie-Notstand zu verkünden. “Im Jahr 2007 hatten wir 500 Fälle pro Tag, im Moment sind es lediglich 500 Fälle pro Woche”, argumentierte sie.

Die Hauptepedemiezonen sind Asunción und Ciudad del Este, im Inland sind die Fälle noch verhältnismässig selten und fast alle Erkrankten kamen von einer
Reise aus einer der beiden Städte. Das Gesundheitsministerium hat ausserdem die Kontraktierung von weiteren 100 Ärzten angekündigt, um die Behandlungen der Kranken zu garantieren. “Wir werden weitere Ärzte unter Vertrag für das Ministerium nehmen, um die Behandlungen zu garantieren. Es besteht die Möglichkeit, 100 weitere Neuverträge mit dem Ministerium abzuschliessen, um den Service auszuweiten”, sagte die Ministerin.

Die Krankenhäuser haben zu wenig Platz und Personal, um die Flut von Patienten behandeln zu können.

Die Krankenhäuser haben zu wenig Platz und Personal, um die Flut von Patienten behandeln zu können.

Zur Zeit gibt es 5.104 Verdachtsfälle und 1.303 bestätigte Infektionen. Ausserdem sind 9 Todesfälle durch Dengue bestätigt, davon 6 in Ciudad del Este, 1 in Atyrá, 1 in Concepción und 1 in Mariano Roque Alonso bei Asunción. Die Infektionsrate liegt bei 19,86 pro 100.000 Einwohner. Das wichtigste zum Schutz gegen die Krankheit ist die Bekämpfung der Überträgermücke “Aedes Agypti”, die sich in stehenden Wasserstellen wie leeren Flaschen, Reifen, Dosen und Pfützen vermehrt. Bei Besuchen in gefährdeten Gebieten wird zur Nutzung von Mückenabwehrspray wie “Off” geraten, nachts sollten noch zusätzlich Mückennetze oder Abwehrtabletten, Spiralen oder Insektenspray verwendet werden.

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