Global & Disaster Medicine

Brazil is suffering its worst outbreak of yellow fever in decades and is now circling the megacities of Rio de Janeiro and São Paulo, threatening to become this country’s first-blown urban epidemic since 1942.

NY Times

  • The virus kills 3 percent to 8 percent of those who are infected
  • There have been 237 deaths since the hot season began
  • The fatality rate will explode if the virus reaches the slums and the clouds of Aedes aegypti mosquitoes swarming there.
  • Health officials are struggling to vaccinate 23 million people.
  • “…..The vaccine….is highly effective — one dose normally provides lifetime protection. But it is not harmless. It cannot be given to newborns or anyone with a compromised immune system. It is given to people older than 60, pregnant women, or children younger than 8 months only when the risk of infection is high.

    About one recipient in 100,000 suffers a dangerous reaction like jaundice, hepatitis or encephalitis, Dr. Marques said, and about one in a million dies…..”

Map: South America showing areas at risk for Yellow Fever Transmision in Columbia, Venezuela, Guyana, Suriname, French Guiana, Brazil, Paraguay, and parts of Ecuador, Peru, Bolivia, Argentina, and Uruguay

 


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