The intensivist pulmonologist, Emil Jorge Manzur, said there are mild cases, and his main recommendation is that if a patient has a history of respiratory problems and other diseases, he should pay attention to him and not abandon his medication, especially when they present difficulty breathing.

Covid on the rise

“There are three, and be careful if more viruses are spread because we not only have Covid, which is already three weeks in the rise of cases; we have influenza, metaneumovirus, we have adenovirus, which are very frequent at this time, among others, without counting the bacterial infections that we commonly see,” expressed the respiratory tract specialist.

He explained that almost all these infections are symptomatic, and these symptoms must be treated.

“The patient should be concerned” whether or not they have difficulty breathing or if the symptoms last more than five days because there are specific things that can be done for each of these viruses or bacterial infections that could modify the disease,” added Jorge Manzur.

Do not self-medicate with antibiotics

Faced with the fact that many people say they are using the same medications prescribed to them when they tested positive for Covid-19 on previous occasions, the specialist does not rule it out completely, although without self-medicating with antibiotics.

He said most people used antiallergic and mucolytic and may do so now, as well as some expectorant syrups.

“What is wrong in the case is that they add antibiotic without knowing if it is bacterial, it is wrong that they use Ivermectin, because they are not used in any context” and other drugs they used in the first line.

As for vitamin and mineral supplements (such as vitamin D, zinc, melatonin, and others) indicated when Covid was at its highest peak, the physician understands that it is not wrong to use them either. However, there is nothing to prove that the impact of the disease will be less.

Avoiding contracting viruses collectively

The renowned pulmonologist calls to take care of oneself within the framework of the possible, to value avoiding exaggerated conglomerations of people without mask protection; if you have a respiratory symptom, you must protect “your neighbor” and use a mask.

“Again, it is a very individual issue because what we do not want is that everyone gets it at the same time,” indicated Jorge Manzur, who added that most people will contract one of these viruses, but we must take care of the most sensitive ones, to avoid a severe impact.

Do not be afraid

“We do not recommend that everyone should be afraid, but we must be aware that the problem is individual. Whether it is bad for you or not is your own problem,” the pulmonologist pointed out.

Dr. Jorge Manzur said that for Covid-19, there are currently some drugs, but he acknowledged that they are expensive, one of which costs more than 30,000 pesos.

Bávaro, Punta Cana.- Retired veterans of the United States Armed Forces who visit the Bávaro-Punta Cana area have an outpatient clinic at their service.

With the objective of improving their health and well-being, and honoring their sacrifices, the Veterans Community Care Abroad clinic was inaugurated on Avenida España, Corner Plaza, Bávaro.

Alfredo Cordero, retired Army captain and clinic executive, explained that this center is at the service of veterans who served the US for more than 120 days and who reside in the Dominican Republic, however, they are ready to receive active or retired Dominican soldiers, as well as other members of the local community on specific days.

Medical services are free of charge, as they are managed through a program of the US Armed Forces.

The clinic is an outpatient clinic that goes from an initial intervention with a general practitioner who deduces what conditions veterans suffer from, which have been produced or aggravated during military service.

General medicine, psychology, and rehabilitation of physical therapies are offered, as well as therapeutic and relaxing massages, psychiatry, and orthopedics, among other services.

Opening hours are Monday through Friday from 9:00 a.m. to 5:00 p.m. to 5:00 p.m. and Saturdays from 9:00 a.m. to 1:00 p.m.
Phone: (809) 795-1198
WA: (809) 841-1198
Website: www.vccavet.com

The new specialists were presented during yesterday’s celebration of the forty-eighth promotion of Cardiologists, the twenty-sixth graduation of Cardiologists-Ecocardiographers, and the second promotion of Intensivist Cardiologists.

With this promotion, the Institute of Cardiology joins the delivery of new specialists in the different medical branches that have made this week other teaching hospitals in the country, among them the Salvador B. Gautier and José María Cabral y Báez, which are developing various training programs. The event was headed by the medical director of the Institute of Cardiology, Dr. Mayra Melo, and the deputy director, Dr. Josué Pichardo, among other authorities.

When delivering the central words, Melo exhorted the new cardiologists to practice medicine with the human quality that the health center preaches and that is always focused on the benefit of the patients, “especially at this time when the aftermath of the health crisis that we recently experienced with Covid-19 is severely affecting them”.

“Today we have the satisfaction of duty fulfilled, as we are adding to the Dominican health system, ten specialists in the field of cardiology, two in echocardiography and an intensivist, who have successfully completed the program established by the direction of medical residencies of the Ministry of Public Health, the Ministry of Higher Education, Science and Technology, endorsed by the Autonomous University of Santo Domingo,” he said. They were sworn in by Dr. Aimée Flores, Teaching Coordinator of the AIDC, and Dr. Natividad Díaz, head of the Teaching Department of the AIDC, presented them with the certification.

Under the name “Parade of Generations,” this event will take place this Sunday, July 2, at 4:00 in the afternoon within the framework of the VEST International, an outstanding exhibition on beauty, health, energy, and wellness, which will take place from June 30 to July 2 this year at the Catalonia Hotel & Resort, in Santo Domingo.

With the purchase of a 2,000 pesos ticket, attendees will be able to enjoy the parade, featuring the participation of families with children affected by Cystic Fibrosis. This will be an opportunity to raise awareness in the community about this disease and raise the necessary funds to improve the patient’s quality of life. Alexandra Tabar, president of the foundation, emphasized that they need resources to support their beneficiaries.

The Hospital Materno Infantil de la Altagracia responded to reports that several people are allegedly lying in the same bed due to the lack of this furniture.

In a communication posted on its social networks, the hospital’s management indicated that it is investigating the complaint while informing that its structure is being intervened.

“This center is currently being intervened in the areas of emergency, surgery, pre-delivery, ICU and dentistry to promote improvements in the quality of care,” the note specifies.

Complaint

This week a woman denounced using a video that her sister, who was admitted to the referred health center, was put to bed with another woman who had given birth.

The woman, whose name is unknown, told the doctor on duty, “You put several people in a bed without knowing if the other person has a contagious disease.”

She added that it is one patient per bed and considered this “an abuse and shamelessness what is being committed at the health center.”

The doctor on duty indicated that they put up to four women in the same bed if necessary since the others would not lie on the floor.

The doctor added, “just because she is your cousin, the others will not be left without a bed.”

Diario Libre spoke with the gastroenterologist Carmen Cabral, who affirmed that salmonella is one of the main bacteria causing food poisoning, together with Clostridium perfringens, Escherichia Coli (E. Coli), and Campylobacter.

The specialist acknowledged that, lately, in her professional practice at Centro Medico Moderno, she has seen an increase in positive diagnoses for salmonella and Escherichia coli.

“Could it be that they are in the water, in the vegetables? Could it be that people are eating more in the street? Something is happening!” the specialist commented.

According to Cabral, “before there was a lot of amoeba, but now you do a gastrointestinal panel on patients, and you find Campylobacter, Escherichia coli and salmonella like nothing else. I’m not even surprised anymore.”

“Where there is no good food handling, that’s where you get infected,” she said.

The gastro listed the symptoms: nausea, vomiting, abdominal pain, fever, headache, and sometimes bloody diarrhea.

“When the patient goes to the emergency room it is because he is dehydrated most of the time because he has vomited a lot. Then come the complications where the patient can go into sepsis or septic shock,” she said.

The physician emphasized washing vegetables for salads, washing hands after going to the bathroom, covering food to avoid flies, and not reheating food more than once.

“A lot of pesticides are used and the handling from the field to the final consumption destination is too much. Some people think that vinegar is enough,” he commented.

Cabral recommends using chlorinated water with 20 drops of chlorine per gallon and leaving the products to soak for half an hour.

“They should be washed with bottled water, because if you use tap water, we are not at all,” she specified.

The doctor pointed out that the effects of food poisoning would depend on the organism of each individual but that there is an incubation period depending on the pathogen in the food.

Salmonella, frequent in poultry, eggs, and dairy products, usually lasts between six hours to six days in its incubation period.

Escherichia coli typically lasts three to four days; sometimes, it can take up to 10 days. It is found in raw or undercooked meat, unpasteurized juice or milk, soft cheeses made with unpasteurized milk, fresh fruits and vegetables, and contaminated water and feces of people carrying the bacteria.

In seafood poisoning, the reaction usually takes 30 to 60 minutes and up to 24 hours.

Cabral recommends seeking medical advice since these bacteria can cause intestinal perforation and affect the liver and gall bladder if not adequately treated.

Treatment usually includes antibiotics, usually with metronidazole, and sufficient hydration.

Santo Domingo.- The Technological Institute of Santo Domingo (INTEC) and Macrotech, a specialized company in comprehensive health services, have signed a collaboration agreement to promote educational and scientific initiatives that improve the quality of life and contribute to the sustained development of the Dominican Republic.

Dr. Julio Sánchez Mariñez, the rector of INTEC, and Joaquín Toribio, the founder and general director of Macrotech, signed the agreement. The collaboration aims to support educational and scientific activities for students in the Biomedical Engineering program, including internships for students from various fields of study at the university.

Dr. Sánchez Mariñez expressed his appreciation for Macrotech’s support and highlighted the importance of developing technical capacities to design solutions for complex health issues. He emphasized the positive impact of the collaboration on society and sustainability.

Joaquín Toribio, the general director of Macrotech, expressed satisfaction in contributing to the development of technical skills and offering the company’s laboratory practical training in the Biomedical Engineering program. This commitment reinforces their dedication to societal contributions.

The signing ceremony, held at the university, was attended by Macrotech representatives Melissa Bisonó, the commercial director; Esteban Rodríguez, the regional senior marketing manager; and Norelyn Ramírez, the regional communications manager. INTEC was represented by Alliet Ortega, the Vice Chancellor of Administration and Finance; Arturo del Villar, the academic vice-rector; and several deans and faculty members from various areas of study.

The collaboration between INTEC and Macrotech will foster innovation, research, and the development of skills in the healthcare sector, contributing to the advancement of the country’s healthcare system and the well-being of its population.

According to official data, so far this year, there have been 1,837 cases of dengue fever, a disease transmitted by the bite of the Aedes aegypti mosquito that breeds in clean water, especially in the water that accumulates in or around homes.

The highest number of cases reported up to epidemiological week 20, when 1,341 cases had been registered, was in Greater Santo Domingo, with 523 cases, followed by Santiago with 290 and Monte Cristi with 112 reports in the surveillance system. In the province of Puerto Plata, 83 cases of dengue had been reported up to that date; in Barahona, 65; in La Altagracia and Maria Trinidad Sanchez, 61, respectively; in San Cristobal, 60 cases; in La Romana, 58 and Sanchez Ramirez, 58 cases of dengue. Luis Rosario, director of the Regional and Provincial Health Directorates, assured that dengue, malaria, and other epidemiological surveillance diseases had registered a decrease so far this year.

Humans cannot deny the importance of water as a resource for life, which serves for hydration, daily hygiene, cooking food, and other uses such as irrigation, recreational purposes, and even energy production.

However, when water is contaminated by parasites, it can cause various diseases, especially in the digestive tract.

In the Dominican Republic, it is not uncommon for diarrhea to be caused by parasitic agents detected through stool culture.

“We live with parasites. It is very common in our country that a patient who comes with diarrhea and fever turns out to have a parasitic infection,” said gastroenterologist María Alonzo.

This is due, to a great extent, to four fundamental reasons: impurities that were not eliminated in the source at the moment of drinking water; lack of chlorine; deficient systems of storage of the liquid, and bad hygiene habits on the part of the citizens.

“Many of the pictures we see in the gastro consultation have to do with water that has not been properly processed and transmit parasites, bacteria and viruses,” she added.

According to the specialist at the Center for Advanced Gastroenterology, the most common parasite reports she sees in her practice are from patients infected with amoeba and giardia.

Dr. Maria Alonzo (EXTERNAL SOURCE).

These microscopic agents can cause acute gastroenteritis, consisting of diarrhea with nausea, vomiting, fever, and general malaise.

Alonzo clarifies that it is important to identify which parasitic agent is causing diarrhea, since “each one has a specific type of treatment.” Self-medication is ruled out.

“We cook or clean with non-potable water, thus contaminating the food and then we ingest it. Also, people who do not wash their hands properly, when interacting with food, in the end it is transmitted orally,” the doctor explained about the transmission cycle.

The gastro pointed out that children and elderly people are the most at-risk population, reminding that in case of diarrhea, the main thing is to keep the patient hydrated until he/she receives the corresponding treatment, otherwise, it could lead to renal failure.

More hand washing
Although it may seem a reiterative measure, Alonzo called for more emphasis on hand washing education, a simple action with proven results for the benefit of health.

“The Covid pandemic reminded us of this, but we are becoming increasingly lax. People no longer last the 20 seconds they should be soaping each hand. Only good hygiene prevents these cases (of parasitosis),” she said.

Water crisis
At present, the country is experiencing a water shortage as a consequence of the drought, aggravating the factors that lead to a lack of sanitation, which may cause, in addition to gastroenteritis, an increase of dengue, malaria, and chikungunya due to the storage of water in tanks and gallons that end up becoming mosquito breeding places if they are not hermetically sealed.

Another disease that spreads rapidly due to lack of water is cholera since its transmission is entirely linked to poor hygiene and sanitation habits. It is important to note that cholera cases have decreased and in the last few weeks, Public Health has not reported any new infections.

A direct consequence of the low rainfall is that the Santo Domingo Aqueduct and Sewerage Corporation (Caasd) has stopped producing about 25% less water than it used to, for a deficit of 139 million gallons per day in Greater Santo Domingo.

According to epidemiological surveillance records of notifiable diseases, as of March 25, the system had captured 1,331 cases of dengue, 31% more than last year; 66 of malaria, 24% more and 100 of leptospirosis, 107% more (including 10 deaths).

Also, they report 14 cases of diphtheria, with one death; 12 cases of tetanus in non-neonatal ages, with seven deaths, and two cases of pertussis, including one death from that cause.

While the records for the year 2022 up to the same period, reported 1,007 cases of dengue fever captured by the system; 53 cases of malaria, 48 of leptospirosis and eight deaths; six cases of diphtheria and one death; eight cases of tetanus in non-neonatal age with one death and one case of pertussis.

The data are contained in epidemiological bulletin number 12 of the General Directorate of Epidemiology of the Ministry of Public Health.

The report details that in epidemiological week 12, which ended last March 25, 62 probable cases of dengue were reported, 21% of the cases are distributed in the province of Santo Domingo, and 303 cases were reported during the last four weeks of registration.

In relation to malaria, the accumulated cases as of that date were 66, of which 50% came from the outbreak in the province of Azua.

During week 12, the report indicates that five suspected cases of leptospirosis were reported, in three men residing in María Trinidad Sánchez, Peravia, and Santiago Rodríguez provinces, and one woman in Hermanas Mirabal province.

The provinces with the highest cumulative incidence of this disease, transmitted to humans through contact with the urine of infected animals, especially rats, are Santiago Rodriguez, Peravia, Azua, La Romana, and Monseñor Nouel.

SANITARY PANORAMA
On 10 April, Listín Diario reported that the first three months of this year, between medical protests, cholera outbreak, dengue cases, Covid-19 surveillance, and epidemiological alert for the presence of chikungunya in the region, were the topics that occupied the most attention in the sanitary field in the country. While the health system maintains important challenges aimed at maintaining a low incidence of other diseases.