Santo Domingo.- The Dominican Republic’s Ministry of Public Health issued a new epidemiological alert for dengue on Monday, responding to an uptick in cases across the Americas region. In 2023, the region experienced its most severe year for the disease, with over 4.5 million people affected and 2,340 deaths.

Despite a sustained decline in dengue cases in the country over the last 22 weeks, there is concern that the situation could change in 2024 due to significant global climate changes. Consequently, the ministry declared an epidemiological alert, recommending the implementation of strategies to control the Aedes aegypti mosquito, which reduces the transmission of the dengue virus, and the reinforcement of epidemiological surveillance.

The alert also calls for the establishment of a rapid response mechanism and the assurance of quality care for individuals with dengue. This decision comes as 3,889 suspected cases of dengue were reported in the first five weeks of the year.

Dengue incidence typically rises during the summer months, coinciding with the most humid season in the Caribbean. This favorable environment facilitates the proliferation of the Aedes aegypti mosquito, which also carries other diseases such as chikungunya and Zika.

Recalling the epidemic outbreak of dengue in the Dominican Republic last year, which saw 27,972 confirmed cases and 34 deaths, the ministry is taking proactive measures to address the potential risks in the current year.

Source: EFE

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Santo Domingo.- The Minister of Public Health, Víctor Atallah, held a meeting with Alba María Ropero Álvarez, the representative of the Pan American Health Organization (PAHO) for the Dominican Republic. The purpose of this meeting was to coordinate and formulate a strategic plan for the prevention and control of dengue.

This meeting is part of the ongoing collaborative efforts between both entities, where plans are systematically developed to combat and prevent the spread of the disease within the Dominican Republic.

The collaboration agreement stems from a request by the Ministry of Health to the World Health Organization (WHO), seeking support from this international entity in the prevention and control of dengue—a vector-borne disease that has significantly impacted the region.

In response, both the Ministry of Health and PAHO recognized the urgency of establishing a collective health program management group, focusing on the most affected provinces. This group will be responsible for continuous monitoring and evaluation of the action plan to eliminate dengue vectors.

PAHO has also committed to providing technical cooperation support to enhance services, including training personnel at all levels of care, including the private sector. This involves the visit of international experts in the Management of Arbovirosis Clinic (RENACAR), with an official launch scheduled for March 2024.

Furthermore, the agreement includes the development and launch of an entomological survey application, educational campaigns in schools, community dialogues, and empowerment initiatives through various educational and communication programs.

The Vice Minister of Collective Health, Eladio Pérez, and the Director of Prevention and Promotion, Dr. Miguel Brujan, were also present at the meeting. They emphasized the need for regional epidemiological training workshops to address the new dengue surveillance protocol, considering that the disease’s behavior, influenced by climatic factors, deviates from regular epidemiological patterns.

Minister Atallah reaffirmed the commitment to the health and well-being of all Dominicans and expressed gratitude to PAHO/WHO for its ongoing support in these critical initiatives. The coordinated efforts aim for an effective and sustained response against dengue.

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Santo Domingo.- The president of the Dominican Medical College, Waldo Ariel Suero, announced that they, along with the Specialized Medical Societies, will appeal to the National Social Security Council (CNSS) for reconsideration of provisions in the Regulations on Infractions and Sanctions approved on February 15, 2024, through resolution 584-03.

Suero expressed suspicion regarding the regulations, pointing out that of the 37 infractions listed for the ARS/IDOPPRIL, only 6 are classified as serious, 15 as moderate, and 16 as minor. For the providers, out of the 28 listed, 9 are considered serious, 12 moderate, and only 7 mild. He suggested that this reflects a bias in favor of ARS/IDOPRIL, which operate as intermediaries in Social Security.

The regulations, developed by the Permanent Commission of Regulations of the CNSS, were prepared without representation from doctors and the CMD. Suero argued that the regulations include sanctions for Health Service Providers that directly impact the medical profession and health centers.

He criticized the lack of distinction between institutional providers (Health Centers) and Medical Professionals in the regulations, noting that they contain sanctions, including criminal ones and fines of up to 5.8 million pesos, without specifying who will receive the withheld money.

Suero argued that the regulations implicitly violate the right of Specialized Medical Societies and the Dominican Medical Association to initiate actions for collective claims for rate improvements and professional fees. The appeal contends that the regulations and the procedure for their approval violate due process, the right to collective claims, the right to participate in deliberations for administrative provisions, and the right to health recognized in the constitution’s article 61.

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