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(Adnkronos Salute) - Cresce la preoccupazione anche in Italia per la febbre Dengue. Sono 24 le nuove infezioni in 1 mese riportate nell’ultimo bollettino dell’Istituto superiore di sanità. Nel mirino, l’epidemia record in Sudamerica: oltre 3 milioni di casi dall'inizio di quest'anno, come riferisce l'Organizzazione mondiale della sanità. Da inizio 2024, sono 283 i casi confermati di Dengue segnalati all’Iss, con un picco tra i mesi di febbraio e aprile, tutti associati a viaggi all'estero. La febbre Dengue è una malattia infettiva diffusa dalla zanzara Aedes. Le manifestazioni del virus includono: febbre alta, mal di testa con dolore attorno e dietro agli occhi, forti dolori muscolari e alle articolazioni, nausea e vomito, e in alcuni casi un esantema diffuso che compare dopo 3-4 giorni dall’insorgenza della febbre. Di recente è stata segnalata una grande epidemia in Sudamerica, in particolare in Brasile e Argentina. La maggior parte dei casi si manifesta con una lieve malattia, simile a un’influenza. Il 5% dei pazienti è colpito da una forma più acuta, che può provocare complicazioni gravi con danni alle funzioni vitali degli organi, fino alla morte. La sua diffusione è preoccupante anche in Paesi come l'Italia, dove – pur se assente la zanzara Aedes - la presenza della zanzara tigre aumenta il rischio di trasmissione locale, in quanto anche quest’ultima può fungere da vettore. Nel 2023, infatti, i casi autoctoni di Dengue in Italia sono stati 82.Da un corso diretto ai medici (‘Febbre Dengue: facciamo chiarezza’ - 1.5 Ecm) tenuto da Massimo Andreoni, direttore scientifico della Società italiana di malattie infettive e tropicali (Simit) e organizzato da Consulcesi Club, sono arrivati preziosi consigli per i viaggiatori e coloro che ritornano da zone a rischio di febbre Dengue. Per soggiorni brevi, sono consigliati repellenti cutanei, abbigliamento protettivo e altre misure cautelative per ridurre il rischio di punture di zanzare; abiti, vestiti a manica lunga, pantaloni lunghi soprattutto nelle ore in cui le zanzare sono più aggressive, quindi la mattina presto oppure nella tarda serata. Preferire colori chiari perché non è amato dalle zanzare. Per chi rientra da zone a rischio è essenziale essere consapevoli dei sintomi e consultare immediatamente un medico in caso di manifestazione entro cinque-sei giorni dal ritorno da viaggi in zone endemiche. Andreoni ha anche dato delle raccomandazioni rivolte alle Istituzioni e alle strutture Sanitarie. Tra queste: vaccinazione, quando si viaggia in zone ad alta endemia come il Brasile per lavoro, la vaccinazione è raccomandata come prima indicazione. In Italia - continua il decalogo - è fondamentale adottare misure di controllo ambientale per prevenire la trasmissione locale della malattia. Questo include l'isolamento dei pazienti infetti, la disinfestazione ambientale e il monitoraggio attivo dei casi. Altro consiglio è il monitoraggio attivo dei casi: è essenziale che i medici di medicina generale siano in grado di individuare precocemente i casi di dengue, tenendo comunque presente che il 50% dei soggetti infettati rimangono asintomatici. Nella comunicazione medico-paziente, ai primi sintomi sospetti bisogna parlare con il proprio medico curante. Ricordargli che si è rientrati da un viaggio in una zona in cui c'era endemicamente la dengue. Questo è molto importante, perché oltre a essere curati in maniera tempestiva, riduciamo la diffusione. Infatti, il paziente deve fare attenzione ed evitare di essere punto da una zanzara che può trasmettere la malattia ad altre persone. Per contrastare l'endemicità in Italia, le strategie richiedono un approccio complesso e mirato. È fondamentale ridurre al minimo la circolazione delle zanzare attraverso la disinfestazione ambientale e il monitoraggio attivo dei casi di dengue. Nella gestione dei pazienti contagiati, quando si identifica un paziente infetto, è cruciale l’isolamento per prevenire ulteriori punture di zanzara che potrebbero trasmettere la malattia ad altre persone. E’ anche importante bonificare l'ambiente in cui il paziente vive, utilizzando insetticidi per eliminare le zanzare.Sul coinvolgimento delle autorità sanitarie, è necessario un coordinamento internazionale stretto tra autorità sanitarie, operatori sanitari e cittadini per implementare efficacemente le misure preventive e di controllo della dengue. L’ultimo punto riguarda l’informazione e la sensibilizzazione, cioè educare la popolazione sull'importanza della prevenzione della dengue e sulle misure da adottare per proteggere sé stessi e gli altri dalla malattia. Per informare i pazienti, è necessario innanzitutto formare i medici e i professionisti sanitari. di Adnkronos   18-07-2024 - 17:40 Link copiato Commenti Leggi la Netiquette

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