COVID-19 in Peru: epidemiological alert is launched due to an increase in cases and hospitalized in 8 regions

The Center for Epidemiology, Prevention and Control of Diseases (CDC), an entity of the Ministry of Health (Minsa), launched an epidemiological alert to public and private health facilities due to the increase in cases and hospitalized in different regions of Peru.

In the alert, the CDC asked the Diris (directorates of integrated health networks of Lima), Diresas (regional health directorates) and Geresas (regional health managements), Health of the Armed Forces and the National Police, as well as public and private medical establishments, strengthen the organization of health services and epidemiological surveillance activities by the National Institute of Health (INS).

According to , in Peru, at November 21, 2,224,344 cases of COVID-19 and 200,767 deaths have been confirmed (4). “In week 45 an increase of 19% (6291) of cases is observed in relation to week 43 (5811), when performing the evaluation according to risk classification (cases and hospitalizations) of COVID-19, it is found that eight regions with eleven of its provinces are located at a high risk level for COVID-19 ″, indicates.

These are the departments of Áncash (Santa), Ayacucho (Huamanga). Huancavelica (Huancavelica), Junin (Concepción), Libertad (Chepén), Piura (Piura, Sechura, Talara), Tacna (Tacna) and Tumbes (Tumbes, Zarumilla).

However, he remarks that the Immunization process continues to advance differently in the regions, reaching a national coverage of 74.5% for the first dose and 58.7% for the second dose.

The coverage ranges for the first dose oscillate between 87.1% (lca) and 49.1% (Mother of God) and the coverage for the second dose is between 70.6% (lca) and 32.6% (Mother of God)

“It is observed that as restrictive measures are being released and economic activities are resumed in the country, it is extremely important to continue promoting behavioral strategies for risk reduction, including the mandatory and appropriate use of masks, frequent hand washing. and the physical distancing between the population “, remarks the alert.

Along these lines, according to the epidemiological analysis, carried out by the National Epidemiology Center, there is a high probability of an increase in cases, which may increase due to the displacement of the population to social gatherings at Christmas and the end of the year.

“In this scenario that is still low transmission, it is ideal to carry out containment activities in the targeted areas of the provinces with increases in cases and hospitalized.Containment activities should be aimed at the timely detection of cases, their isolation and management, according to the degree of affectation, as well as the identification of contacts and subsequent quarantine, in addition to the advancement of vaccination. with house-to-house strategies, concentration and fixed position, which will make it possible to contain the transmission of the virus. In that sense, from this National Center, it issues this alert for its implementation and compliance “, recommends.

THE ACTIONS

Intensify detection and early isolation initiation of suspected, probable, or confirmed COVID-19 cases:

  • Timely identification of cases of acute respiratory infection (ARI) through syndromic surveillance. The start of treatment is not conditioned on the result of the diagnostic tests.
  • Case detection: in health facilities (in the different care services) and at home (through the Eli or their equivalents). The notification of all suspected, probable or confirmed cases of COVID-19 through the clinical epidemiological investigation form of COVID-19 in the Noti web.
  • Case detection through targeted interventions using the heat map, screening the whole family, house by house, closing vaccination gaps with second doses, as well as communication activities and promotion of behaviors to prevent infection.
  • Isolation of suspected, probable, confirmed and confirmed asymptomatic cases.

Identification (census), quarantine and contact tracking:

  • Census and record of direct contacts: family, work and social.
  • Quarantine of contacts.
  • Follow-up of contacts for 14 days from the last day of exposure with the confirmed case.
  • The registration of the “contact identification card” is mandatory.
  • Early detection of secondary cases: – 100% of direct contacts of confirmed cases will be screened with the molecular test at the first contact and on the 7th day.

Consider regarding health care services:

  • Identify and define health facilities in the first level of care that will be places of care for COVID-19 cases, ensuring that they offer the initial diagnosis and management of cases.
  • Expand capacity for sample collection and processing of molecular tests and antigen tests, in accordance with the current epidemiological surveillance strategy.
  • Ensure the availability of resources for the action of the integral intervention teams or equivalent, in order to detect clusters of cases early and carry out the control of the outbreak with the provision of isolation, quarantine and follow-up of contacts.
  • Health establishments with the capacity for hospitalization must evaluate the capacity to offer their services, evaluating the activation and / or reactivation of hospital beds according to the increase in their demand. Also, evaluate oxygen requirements based on your current consumption, and keep track of consumption.
  • Health facilities must comply with biosecurity measures and have personal protective equipment for health and support staff.

Consider in vaccination:

  • Closing gaps in the population programmed with the two doses.
  • Intensify the communication strategy and risk communication for the population, on preventive measures and safe behavior.
  • Using two masks or one KN95
  • Adequate and frequent hand washing for at least 20 seconds.
  • Maintain a physical distance. • Maintain the social and family bubble.
  • Avoid going to places with crowds or high concentration of people, or places that exceed the allowed capacity.
  • Self-isolation from symptoms, to cut the chain of transmission of SARS-Cov2.
  • Avoid going to parties or social gatherings.

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