Una aplicación móvil que permite reportar criaderos de dengue en Costa Rica, mejor app del mundo

Em 2013, a Costa Rica registrou o maior índice de casos de dengue de sua história, com 49.993 infectados. No entanto, em 2012, o número de casos foi alto demais, o que levou a empresa nacional Geotecnologías, dedicada ao desenvolvimento, suporte, instalação, treinamento e implementação de sistemas de informação geográfica e GPS, a criar o aplicativo “Reporte criaderos dengue” (Denuncie focos da dengue).

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Imagem: Geotecnologías


“O Ministério da saúde estava muito preocupado com isso. Nós tínhamos tudo o que precisávamos para contribuir com a nossa parte, então decidimos criar um aplicativo para que o Ministério pudesse centralizar denúncias de focos da dengue e, no futuro, usar esses dados para planejar onde fazer a pulverização, as campanhas etc.», explica Sebastián Damazzio, da empresa Geotecnologías.
O aplicativo inclui quatro módulos diferentes. O mais importante é o que serve para denunciar focos da dengue. O usuário pode localizar no mapa (de satélite, topográfico ou rodoviário) onde está o foco da dengue, sinalizando o local com uma cruz vermelha. Isso serve para coletar diversos dados, como qual o tipo de foco ou quando ele foi detectado. Também é possível adicionar uma breve descrição e publicar uma foto.
Além deste módulo, há também um módulo de prevenção com informações sobre como evitar situações que trazem riscos de infecção pelo mosquito transmissor da doença. Nos dois outros módulos, são disponibilizadas informações sobre o Ministério da Saúde, a empresa criadora do aplicativo e também sobre a dengue.
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Imagem: Geotecnologías


O aplicativo “Reporte criaderos dengue” (Denuncie focos da dengue) foi eleito em 25 de junho o “Melhor aplicativo do mundo” pelo NJTC (Conselho de Tecnologia de Nova Jersey) e pela Universidade de Princeton, durante o evento “Forum App”. “Foi muito gratificante ter recebido o prêmio e saber que ele concedido a um aplicativo que criamos com uma visão social”, diz Damazzio, acrescentando que, até então, nem mesmo os próprios criadores do aplicativo tinham noção da «dimensão da importância deste aplicativo”.
O aplicativo foi criado com o objetivo de apoiar a luta contra a dengue, capacitando o cidadão e o Ministério da Saúde no combate à dengue, como a própria empresa define. Para Damazzio, o mais importante de tudo isso “é saber que a tecnologia é uma ferramenta muito boa e importante na luta contra a dengue. Ou seja, conscientizar as pessoas de que a tecnologia existe, ela é útil e vamos continuar na mesma linha”.
Uma inspiração para outros países e outras doenças
Em 2013, a iniciativa foi incluída como plano piloto na campanha de pulverização regional realizada pelo Ministério da Saúde da Costa Rica. De acordo com os dados fornecidos pelo Ministério, o número de casos de dengue no país diminuiu em 74% até agora em 2014, em comparação com o mesmo período do ano passado.
A ideia da empresa é continuar trabalhando com o Ministério no combate à dengue. “E também para combater o vírus chikungunya, que é outra doença que também causa muitos prejuízos aqui e parece estar aumentando», diz Damazzio. Este aplicativo pode servir para o chikungunya, a malária, a dengue… para todas as doenças, para que seja possível detectar onde estão os focos de infecção”, acrescenta.
Embora atualmente não esteja em contato com outras empresas ou organizações, a Geotecnologías reconhece que a experiência pode servir de referência para outros países com o mesmo tipo de necessidade e sofrimento.

Using environmental factors to predict dengue outbreaks

Dengue flourishes primarily in poor communities where resources are limited. However, if outbreaks are identified early, the resources that are available can be used to maximum effect.
A project by the California-based Brazil Health and Air Quality Team aims to use readily available environmental data to predict the potential for outbreaks, giving those affected a head start in deploying resources to control the vector (mosquitoes).
The ultimate goal of the project is to map the risk of dengue outbreaks, but to do that they first needed to understand the relationship between environmental factors such as temperature and humidity, and the risk of outbreaks.
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The team began by building a model of the epidemic potential of dengue across urban areas of Brazil between 2003 and 2012. Epidemic potential is defined as “The capacity of a disease to remain in a population as a function of vector lifestyle and activity, mortality and the required incubation period of the disease.”
Using historical data on humidity and temperature, they found a correlation between outbreaks, low temperatures, and high humidity: outbreaks increase significantly two to three months after a period of lower than average temperature and one to two months after a period of higher than average humidity.
The team will be using this insight to map the risk of dengue outbreaks, but first they are looking to further understand the correlation and also analyze the role that other environmental factors can play, such as surface hydrology and vegetation.
Scientists hope that by pulling together data from several sources and taking a smarter approach to dengue control, they can keep us one step ahead of the disease.

Dengue in Bolivia: are Brazilian dams aggravating it?

Deep in Brazil’s Amazon basin, construction is progressing on the third biggest hydropower plant in the world: the Belo Monte hydroelectric dam. Situated on the Xingu River in the state of Pará, it was commissioned by the Brazilian government to help guarantee sustainable energy security for the country’s rapidly growing economy.
brasilBrazil’s neighbors, particularly Bolivia, have deep concerns about the health and environmental impact of the dam. Quoted in Germany’s Spiegel Online, Bishop Erwin Kräutler (the current prelate of the Territorial Prelature of Xingu) believes the dam will cause the Xingu River to flood upstream, flooding the city of Altamira. Vast volumes of standing water would lead to a rise in dengue fever, among other health risks.
Elsewhere in Brazil the recently-completed Jirau and Santo Antônio dams – situated 50 and 110 miles, respectively, from Brazil’s Bolivian border – are the first part of a planned four-dam complex. These mega-dams are being blamed for flooding across Bolivia’s Amazonian region this year – the most disastrous flooding of the past 100 years, according to the North American Congress on Latin America (NACLA). Flooding is so bad that a state of emergency has been declared, reported Christian Aid.
NACLA also highlights the strong debate over whether there is any real connection between Brazil’s dams and Bolivia’s flooding. Víctor Paranhos, head of Brazil’s Sustainable Energy Consortium, told the Inter Press Service that the dams neither caused nor aggravated the flooding in Bolivia. Instead he attributed the floods to recent heavy rainfalls saying, “It has never rained so much.”
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Bolivian President Evo Morales, noted water levels were not dropping as they should have after the heavy rains had subsided and ordered an immediate investigation. The preliminary results, we are led to understand, showed the dams were pushing floodwaters back into Bolivia, instead of flowing out towards the Atlantic Ocean. Further investigations are being carried out.
Mega hydroelectric dams are being built as sustainable energy alternatives across Brazil, the Amazon, and other tropical regions. But are the dams causing flooding upstream substantially increasing the risk and spread of dengue and other diseases?

Dengue’s disappearing from Argentina’s headlines

dengueBack in 2009, Argentina suffered from its worst ever dengue outbreak. With cases reported in 16 of Argentina’s 23 provinces, there were more than 26,000 cases of the disease – and five people died that year.
A year later, the country totally turned this around: healthcare officials reported just 900 cases of dengue in 2010, and as of April 2014, not a single death has been attributed to the disease since then. So what happened? How did Argentina see a 90% reduction in dengue cases between 2009 and 2013?
It’s partly thanks to the support of the World Bank and the Pan American Health Organization. With their financial help, Argentina’s Ministry of Health has tightened up dengue surveillance, increased public awareness, and has sped up access to treatment. Now the average number of dengue cases stands at around 250 a year, and according to the Ministry of Health, in the first four months of 2014, there were only 27 cases reported in the country.
Even children have been included in the government’s health information campaigns, with stories reminding them to turn over any containers that could turn into mosquito breeding grounds.
Argentina is now reaping the benefits of slowing dengue in its tracks at the prevention and the treatment stages. With their success, it wouldn’t be surprising if neighboring countries follow their lead.