Santo Domingo, DR
The director of the San Lorenzo de Los Mina Maternity and Children’s Hospital, Leonardo Aquino, indicated yesterday that between 90 and 100 children are admitted daily to the center, of which 45% are for “respiratory phenomena.”

While the other pediatric ailments are febrile syndromes (high fevers), acute diarrheal diseases, and other pathologies.

Aquino also stated that the cases of respiratory diseases “have always predominated,” mainly in hospitals, because they are located in areas close to neighborhoods and sectors where there is little awareness of “proper health care.”

He also indicated that fewer patients were admitted with respiratory ailments last year because, in previous years, the vestiges of Covid-19 and its variants were still felt.

She also revealed that the health system is taking “adequate” measures to prevent these diseases through the influenza vaccine, one of the leading “producing agents” of these phenomena. In that order, the person in charge of Pediatric Emergency, Marlene Perez, indicated that most respiratory problems are asthma or acute respiratory infections.

Half of the people consulted in the Pediatric Emergency Department of this hospital, located on San Vicente de Paul Street, Santo Domingo East, pointed out that the patients came for flu-like processes and fever, among whom two had severe congestion.

“She woke up with no strength in her body, with no spirit. She has had the flu and fever for several days,” said a mother with her little girl in the emergency room.

“Since last night she has been coughing a lot with a little cough and congestion. She is already on her third nebulization,” explained another mother named Julissa, who had her six-month-old baby with her.

Like them, other parents accompanied by their children occupied the spaces in the emergency room of this health center, seeking attention for their ailments.

At the Reid Cabral

During the tour made by journalists of this media, at least 15 patients waiting for attention at the Robert Reid Cabral Children’s Hospital were consulted. Two presented flu-like processes and congestion, while two others presented fever.

The others came for routine consultations, vomiting, stomach problems, sore throats, and other ailments that afflicted their children.

In Event Hall A of the Pontificia Universidad Católica Madre y Maestras (Pucmm), the venue of the event, its rector, Presbítero Secilio Espinal, highlighted prior to the invocation the role played by higher education institutions, schools, and colleges in a moment of “uncertainty”, as the one experienced in the Covid-19 pandemic. “Higher Education institutions saw the need to design policies and procedures, as well as organize the different environments for the development of academic, administrative, research, and extension activities with the highest possible quality, preserving physical and emotional health of those involved,” Espinal said.

Secilio Espinal added that a great innovation in the educational field was the implementation of the Flipped Classroom teaching-learning Methodology, aimed at guaranteeing a competency-based approach and meaningful learning, ensuring that the student uses time outside the classroom to learn theory and concepts independently, and time within class sessions to apply, analyze, evaluate, and create knowledge. He also called for a minute of silence for all those who have died from the virus. Immediately afterward, the director of the newspaper Listín Diario, Miguel Franjul, gave some introductory words for reflection in which he reaffirmed the commitment assumed by the authorities and citizens of the nation at that moment of crisis, taking the case of the same medium.

“The Listín Diario sighted what could come here and since February 5 it has focused on this threat. In this forum, it is necessary for the population to know how we accepted it, how we reacted, to what extent we were resilient… which gave rise to the idea of holding this forum last December,” said Franjul. Franjul took advantage of the moment of his address to thank the Minister of Public Health, Dr. Daniel Rivera, for making an appointment and collaborating so that many health specialists and experts could come to explain his ideas; in addition, to the scientists, academics, and authorities who decided to participate. He also paid tribute to the doctors and nurses for their hard work.

Then Dr. Daniel Rivera, in his opening remarks, stated that the Dominican Republic has been a benchmark for management in all areas of the COVID-19 pandemic for other countries, a feat that has even been recognized internationally. At least five exhibitors and 11 panelists will present the experiences and actions adopted by the country in the face of the pandemic. The first speakers will be Dr. Mario Lama and Chanel Rosa, director, and deputy director of the National Health Service (SNS), respectively, under the moderation of Eddy Pérez Then, director of the Research Center and presidential adviser for COVID-19.

The information was offered by the director of Risks and Disasters of the Ministry of Public Health, Gina Estrella. Estrella indicated that there are no new reports of patients infected with this bacterial disease, with the total number of cases detected since the beginning of the outbreak in October 2022 remaining at 91.

The director of Immunopreventable by Vaccines, Luchy Vargas, said that a total of 36,784 people have already been vaccinated against cholera in the country.

Santo Domingo, DR.
The Dominican Republic continues with low records of coronavirus cases, a disease that has caused 4,384 deaths and 660,814 affected in three years.

The General Directorate of Epidemiology of the Ministry of Public Health notified 14 new cases of covid-19 after processing 935 samples, of which 249 were PCR and 686 were antigenic.

Bulletin #1079 indicates that the daily positivity stands at 2.29 % and that there are now only 53 active cases.

Regarding hospitalizations, no persons are in Covid beds or Intensive Care Units.

Lessons from Covid

On March 1, 2020, the first case of Covid-19 was diagnosed in the country, and for three years, it has been fighting against the disease.

To know the experience, Listín Diario will gather four speakers and 12 panelists who have played essential roles in the fight against Covid-19 to expose the experiences and actions adopted by the country in front of the pandemic during the National Forum Covid-19, which will take place next Friday, March 10.

The activity, organized by Listín Diario together with the Pontificia Universidad Católica Madre y Maestra (PUCMM) and the Ministry of Public Health, is aimed at presenting the experiences of the work carried out in the management of the Covid-19 pandemic to see the lessons learned and the strengths left to the health system, three years after the diagnosis of the first imported case in the Dominican Republic.

The forum, which will have three large panels, will include the participation of the Minister of Public Health, Daniel Rivera, who will speak on the Management of the Public, Private, and Citizen Alliance, and Mr. Chanel Rosa Chupany, who headed the SNS, among others.

It should be noted that the latest variant of covid’s severity has lessened substantially, with mild symptoms and no hospitalizations. Also, the natural immunity produced by an infection prevents further contraction or spread of the virus.

To avoid situations like the one that occurred a decade ago when hundreds of thousands of Dominicans contracted chikungunya, the doctor understands that it is necessary to protect oneself from the bite of the Aedes aegypti.
The also director of the Robert Reid Cabral hospital warned that chikungunya could cause lesions in different body organs, such as the heart and kidneys. By way of example, he cited meningoencephalitis, myocarditis, and pericarditis, among others.

Greater danger

Children and adolescents could be at greater risk should chikungunya spread in the country as it did in 2014.
The Dominican Republic has been under epidemiological alert since the World Health Organization spoke of the presence of the disease in The Americas.

Mosquito control Authorities advise eliminating standing water where mosquitoes could lay their eggs.

Once a week, empty, scrub, turn over, cover, or throw away any items that accumulate water, such as tires, buckets, flower pots, toys, swimming pools, birdbaths, flower pot dishes, and garbage containers.
Mosquitoes lay their eggs near water.

Protecting yourself from mosquitoes

The U.S. Centers for Disease Control and Prevention (CDC) recommends controlling mosquitoes inside and outside your home. These include using window and door screens; using air conditioning if one is available; sleeping under mosquito netting if rooms don’t have air conditioning or screens on doors and windows, or if you sleep outside.

“Once a week, empty, scrub, turn over, cover or throw away any items that collect water such as tires, buckets, flower pots, toys, swimming pools, birdbaths, planter dishes and garbage containers. Check inside and outside your home. Mosquitoes lay their eggs near water.”

For children and infants, CDC recommends protecting infants and children from mosquito bites and dressing in clothing that covers the arms and legs. “When using insect repellent on children: Always follow directions when applying insect repellent to children.

Do not use products containing oil of lemon eucalyptus (OLE) or para-menthane-diol (PMD) on children under three years of age.”

It also urges not to apply insect repellent to children’s hands and eyes or cut or irritated skin.

Although the behavior of these diseases cannot be viewed on the Epidemiology Directorate website, because it is outdated, one death from leptospirosis and six reports have already been observed in just one week, the first in 2023. Although the numbers are not available to make comparisons of the behavior of dengue, as of the first week of this year, 70 cases of dengue had been reported, a viral disease that requires epidemiological surveillance and that greatly affects children under 15 years of age.

For the same period last year, 68 cases had been reported. No deaths had been reported as of this date. Hospitals such as Robert Reid Cabral and Hugo Mendoza report a low amount of patients. However, the disease is a latent threat and community collaboration is required to prevent it.

Pérez explained that the alert is issued in a preventive mode, since, in countries of the Southern Cone, such as Brazil and Paraguay, there has been an exponential increase in affected patients.

In this context, the director of Epidemiology, Ronald Skewes, indicated that by the year 2021, in the region of the Americas, 137,000 cases of chikungunya were recorded; 271 thousand cases in 2022, and 30,707 cases during the first four weeks of 2023, marking a pattern of accelerated growth. “That it arrives in the country is a matter of time,” highlighted the doctor.

Swekes indicated that the term “chikungunya” means “The bent man”, alluding to the severe pain that this disease produces throughout the body, making it difficult to walk upright and whose conditions can persist for long months. Other symptoms are fever, rash, and general malaise.

In less than 15 years, the country has gone from less than 25% of its people being overweight to more than 70%, according to the latest survey carried out by the Health authorities in 2021, and that, without the rigor of a scientific study, serves as an indicator of the need to act against a problem that is worsening and causes diabetes and hypertension. 

“31% of schoolchildren are overweight. In less than 15 years, the country has gone from less than 25% of people overweight to more than 70%.” With the causes documented in more than one report and much more consequences, even the economic cost of being overweight has been analyzed, the country has to apply measures so that the balance begins to decline.

But the recommended actions have not yet materialized and the Dominican Republic experiencing the failure of the goals set, despite the millionaire burden that being overweight implies for the State. Controlling overweight will require national policies that go beyond training and information. One first step could be to tax sugary drinks in the country.

Santo Domingo, DR.
The National Health Service (SNS) clarified yesterday that the Padre Billini Teaching Hospital, handed over in the middle of last year by President Luis Abinader, is functioning at full capacity, with its areas and services available to citizens who come to the health center in search of health care.

As announced in a press release last week, the Intensive Care Unit, Operating Theatres, and Admission areas, which completed 100 percent of the iconic hospital’s services, were enabled the previous week.

It is recalled that the modern dental area of Padre Billini was put into service in January. It has two dental units, two periapical X-rays, a sterilizer, and a panoramic X-ray.

The portfolio of services of the health center, available to the public, includes Emergency, Outpatient, Laboratory, Imaging, Haemodialysis Unit, Blood Bank, Pharmacy, Tuberculosis Unit, Nutrition, Pathology, Endoscopy, High-Cost Programme (Rheumatology and Haematology) and Liver Programme. From its inauguration in August 2022 to January 2023, the Padre Billini Hospital has offered 101,174 services, such as emergencies, imaging, and laboratories.

Villa Hermosa

The SNS reported that the Villa Hermosa Hospital in La Romana has the necessary staff and equipment to offer services.

As announced during the inauguration, work is based on a schedule for opening services that begins on 13 March with outpatient consultations (six clinics), laboratory, imaging (ultrasound and X-rays), and dentistry.

On 3 April, the emergency room will come into service; on 17 April, the in-patient ward and the intensive care unit, while on 1 May, the operating theatres will be ready for use, leaving the commissioning process at 100%, just two months after its handover.

During the handover, which took place on the 24th of this month, the SNS announced that the health center has now entered the qualification stage by the Ministry of Public Hea. In this protocol phase, each process is supervised to qualify it and affiliate it to the various Health Risk Administrators (ARS) and thus guarantee the hospital’s and its structure’s sustainability.

The SNS is working on training staff in the proper handling of the advanced equipment available at the facility, and this induction began once the equipment was installed.

The National Health Service reported that as soon as other health centers intervened under the Ministry of Housing and Building (MIVED) management delivered, the commissioning process will begin, which is continuously published during inaugurations.

In recent years there has been an improvement in the application of diagnostic techniques and the use of precision medicine to enhace the efficiency of treatments and patient care and the best strategy in the fight against cancer is multi-disciplinary management: prevention controls, early detection, and equal access.

The topic was exposed by patients and oncology specialists during the discussion “Comprehensive Vision and Cancer Challenges in the Dominican Republic”, held at the Santo Domingo Technological Institute (INTEC). The president of Fundación Un Amigo Como Tú, Juan Manuel Pérez, shared his experience as a survivor of non-Hodgkin Lymphoma. He said that these limitations are compounded by the emotional impact of receiving the diagnosis and the lack of information about the causes of the disease.

He added that cancer patients face late diagnoses and insufficient coverage for drugs and services. In turn, Dr. Mariel Pacheco del Castillo, pathologist and master’s degree in Molecular Oncology, said that today the objective of cancer treatment must be to restore a state of complete physical, mental, and social well-being in patients and not only eradicate the tumor burden.