Hospitalizations of children rise 41% and Curitiba has a new protocol on respiratory infections

After a meeting of the Medical Technique and Ethics Committee of the Municipal Health Department (SMS), which carefully evaluated the data on the search for care for respiratory symptoms in the city, including children, the secretariat prepared a protocol (list below) with measures of prevention for diseases of communicable acute respiratory infections.

“The actions listed are the responsibility of each citizen and also of commercial institutions and service providers. Health is playing its role, reorganizing the service and providing guidance, but everyone needs to adopt preventive habits”, says the municipal secretary of Health, Beatriz Battistella.

SMS data show a 41% increase in the number of pediatric hospitalizations in March this year compared to the same period in 2021. There were 1,961 hospitalizations of children aged 0 to 9 years by the SUS in March 2022, while in the same period last year there were 1,391 hospitalizations.

The numbers of pediatric hospitalizations are within the average recorded before the pandemic: in March 2019 there were two thousand hospitalizations. But after two years of absolute dominance of the coronavirus, other respiratory viruses have returned to circulate and compete for space.

At this time of year, it is common for the circulation of viruses that cause respiratory infections to increase, which end up affecting mainly children. This increase has also been observed in the Emergency Care Units (UPAs). In January, of the 93,248 consultations performed, 19% were for children. In April, of the 82,541 visits, 34% were for children.

According to monitoring by the Epidemiology Center, the movement was already expected, especially with the arrival of autumn and winter. “At the height of the pandemic, we already warned that when covid-19 regressed, other viruses would circulate again, we didn’t know which one. This, associated with the climate profile of the city, favors the illness of a greater number of people, especially children who spent a long time at home”, explains Beatriz.

According to the Influenza Epidemiological Surveillance Information System (Sivep), the main circulating respiratory viruses are Sars-CoV-2, Syncytial, Rhinovirus and Influenza.

Health services had already been reorganized to absorb this increase in care for respiratory symptoms. Since April 30, Central 3350-9000 has been reinforced and 11 health units have started to work as an emergency service for people with respiratory symptoms.

When to wear a mask
In Curitiba, the use of a face mask remains mandatory in all health services and also for people with respiratory symptoms, regardless of positive for covid-19 or other viruses.

“We have already seen the efficiency of the use of masks in the prevention of respiratory diseases. This learning is here to stay, we have to get used to using this protection. Another habit we should take to life is constant hand hygiene”, says Beatriz.

Another important action is to keep testing, the covid-19 virus has not stopped circulating, in case of respiratory symptoms, the orientation is to stay in isolation and take the exam.

Curitiba residents with mild respiratory symptoms should opt for teleconsultation by phone 3350-9000. The call center is open from Sunday to Sunday, from 8 am to 8 pm. The person can go through a telephone consultation with the nurses and doctors if necessary. The center can also issue an isolation term and medication prescription, if necessary.

What does the protocol say?
– The use of mask is mandatory for admission and stay in all health services in Curitiba.

– People with respiratory symptoms should wear a mask regardless of the type of establishment they frequent.

– Keep the vaccination calendar up to date, that is, with all doses up to date.

– Maintain respiratory etiquette – cover mouth and nose with your arm or tissue when coughing and sneezing.

– Hygienize your hands with 70% alcohol gel or water and liquid soap whenever you touch your nose, mouth and eyes, when touching possibly contaminated surfaces and objects.

– Do not share personal objects (cutlery, towels, plates, cups and bottles).

– Make 70% gel alcohol available at different points in the establishments, especially at the entrance for use by customers and employees.

– Keep environments always airy and ventilated preferably naturally. If air conditioning equipment is used, the components must be kept clean and preventive maintenance must be up-to-date.

– Maintain the cleanliness of internal and external environments, especially on surfaces that are widely touched, with products duly regularized with Anvisa, such as bleach.

– People who have respiratory symptoms or are contacts of confirmed cases of Covid-19 and / or Influenza should remain in isolation.

– People with a confirmed diagnosis of covid-19 and Influenza must comply with the isolation time.

– Avoid agglomeration of people especially in closed environments. If it is essential to remain in this type of environment, the use of a mask is recommended.

– The inclined jet type drinkers must be adapted so that the consumption of water is only possible with the use of cups or other utensils for individual use.

– Frequently sanitize children’s toys and do not share personal objects (cutlery, towels, plates, cups and bottles).

– Children who have respiratory symptoms should not go to school until they improve.

– If the child presents the beginning of symptoms at school, he must be taken to a reserved room to wait for the parents or guardian to arrive to pick him up.


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