Manejo integral de un brote de dengue en el corregimiento la Buitrera, Santiago de Cali, Colombia

• Published in: Interdisciplinary Journal of Epidemiology and Public Health 2024-10, Vol.7 (2)
• Main Authors: Velásquez Escobar, Olga Lucía, Cuéllar, Olga Lucía, Solís Sandoval, Clara Inés, Correa, Walter, Hinestroza, Nelson, López Velasco, Jaime, Cruz, Eduardo, Martinez, Genny
• Format: Article
• Language: eng ; spa
• Subjects: aedes aegypti; brote; colombia; dengue; salud pública; vigilancia
• ISSN: 2665-427X; 2665-427X
• DOI: 10.18041/2665-427X/ijeph.2.11043

Background: Dengue is a highly prevalent arbovirosis, with great epidemiological, social, and economic impact worldwide. In Cali, this disease presents asynchronous behavior. The Corregimiento La Buitrera, a rural area of Cali, regularly reports cases of dengue, however, during 2022 an unusual increase in cases led the Cali District Health Secretariat to carry out articulated actions to contain the outbreak. Objective: Describe the comprehensive management actions that allowed containing a dengue outbreak in the context of the COVID-19 pandemic. Methods: An active review of the notification of cases of dengue, severe dengue, and death due to dengue in SIVIGILA was carried out. The management was carried out in five institutions where users of the Corregimiento were served and integrated vector management activities were evaluated and monitored. Results: 16 cases of dengue were detected in the La Buitrera district. The percentage of dengue cases reported for 2022 (2.58%) exceeded those of epidemic years (2016 and 2020) in Santiago de Cali. 47.75% of the cases corresponded to DENV-2. 15.9% of the homes and 25% of the human concentrations inspected had at least one Aedes aegypti breeding site. The main difficulty in the IPS evaluation was adherence to the guidelines and management protocols for vector-borne diseases. Conclusion: The articulated and timely actions of the District Public Health Secretariat significantly influenced the containment of the outbreak, which can serve as a model for future epidemiological situations. Antecedentes: El dengue es una arbovirosis de alta prevalencia, con gran impacto epidemiológico, social y económico a nivel mundial. En Cali, esta enfermedad presenta un comportamiento asincrónico. El Corregimiento La Buitrera, área rural de Cali, notifica regularmente casos de dengue, sin embargo, durante 2022 un incremento inusual de casos que conllevó a la Secretaría Distrital de Salud de Cali a realizar acciones articuladas para contener el brote. Objetivo: Describir las acciones de manejo integral que permitieron contener un brote de dengue en el contexto de pandemia COVID-19. Métodos: Se realizó revisión activa de la notificación de casos de dengue, dengue grave y muerte por dengue en SIVIGILA. Se evaluó y acompañó la gestión realizada en cinco instituciones donde fueron atendidos usuarios del Corregimiento y se ejecutaron actividades de manejo integrado del vector. Resultados: Se detectaron 16 casos de dengue en el Corregimiento L