- Twice as many rotavirus gastroenteritis cases this year, halted vaccine supplies may be to blame
- However, the school year starts calmly – there is no peak of infections among children
Between two and five patients with nausea, fever and body aches take the jeeps a day. So far, they have returned from a holiday at the sea, complaining of vomiting, diarrhea and fever. It is most often between 37.5 and 38 degrees and
lasts from four to five days, accompanied by fatigue
Some of the patients have a sore throat, and others have a cough, experts note. Children, adults, and whole families get sick from the virus.
An acute viral infection stopped the star of our rhythmic gymnastics, Boryana Kalein, from starting at the World Cup in Sofia as well. The championship in our country is also the first qualification for the Olympic Games in Paris. Our gymnast was even admitted to hospital and thus said goodbye to her dream of a world title in front of her home audience. “He is in the hospital with a very high temperature – 39.4 degrees. I’m so sorry. In all likelihood, there is some sort of viral infection. The team doctor and doctor Sirakova are categorical that she cannot take part with such a high temperature”, the head of the rhythmic gymnastics federation Iliana Raeva announced with great regret on Wednesday afternoon.
The symptoms are quite similar to those of the current variants of omicron and this is stressful for patients. However, for the first time in 3 years, the school year started relatively calmly – without COVID, after some earlier predictions of how an autumn wave would darken September 15 did not come true.
General practitioners also reassure that, in general, there is a calm period in terms of seasonal infections. In years past, fall viruses rolled in right in the middle of September, knocking down children and adults alike.
Against this background, however, experts have registered another alarming trend – an increase in the number of people infected with rotavirus gastroenteritis.
38 cases were registered for the previous week alone,
show data from the National Center for Infectious and Parasitic Diseases. Since the beginning of the year, 544 cases have been registered in the country, while for the same period last year, there were 154 infected. This means that there are 390 more infected than last year, and only on the basis of the samples sent to the national center.
The reason, according to some doctors, may be because of the stopped supply of the rotavirus vaccine in February this year. In winter
thousands of children in our country were left without a second dose
The National Association of General Practitioners then sent a letter to the Minister of Health, in which they signaled the lack of the vaccine. Although it is not on the mandatory calendar, it is applied to nearly 40% of newborns, according to data from the association. Since it is applied according to a certain scheme, as a result of the refusal from the Bulgarian market of one importer of the preparation, many children who took the first dose were left with an incomplete vaccination course.
There are two types of rotavirus vaccines in our country, but they are not interchangeable. The Jeeps insisted on urgent measures and quick delivery of the required quantities. As of today, the supply of the vaccine has been restored and there are no problems, the health department told “24 Chasa”.
Rotavirus is the most common cause of viral gastroenteritis in children. Its symptoms are a temperature above 39 degrees, vomiting, diarrhea, inflammation of the upper respiratory tract – runny nose, sore throat, acute dry cough and subsequent dehydration. For now, however, there is no peak of the infected, personal doctors are categorical. A new national rotavirus prevention program was adopted in July and is implemented by the health insurance fund and the jeeps.
“There is no increased frequency of such cases, at least in my practice. But there is no month of the year, in summer or winter, in which there are no colds”, explained to “24 Chasa” the deputy chairman of the Bulgarian Medical Union, Dr. Nikolay Brunzalov. “At the moment, I definitely cannot report an increased incidence of any respiratory disease,” added the general practitioner.
However, experts expect a boom in infected children after the start of the school year.
“People carry viruses from the sea all summer, now they are no more than in previous years.
When the children go to school, there will be more”,
claims infectious disease specialist and pediatrician Assoc. Dr. Atanas Mangerov. He summarizes that during the summer in the children’s ward of the Infectious Disease Hospital, where he is the chief, there were patients from different parts of the Black Sea, as well as from Greece and Turkey. They had vomiting, fever and diarrhea. Intestinal infections are caused by various viruses – adenoviruses or enteroviruses, as well as bacteria. They spread not only through the water in the sea, but also through close contact. At the moment, however, the ward at the Infectious Diseases Hospital is only 1/3 full, Mangerov said.
With the summer, the tail of the coxsackie virus that broke out also goes away
and this year among the children. Most often, coxsackievirus infection occurs with flu-like symptoms and passes without specific treatment. In some cases, however, the disease affects the skin, the digestive system, the respiratory system, the muscles and the heart. The infection is transmitted by airborne droplets most often in kindergartens and nurseries. But from her
adults with weak immune systems also get sick. In such cases, the patient raises the temperature to 40 degrees,
there is severe headache, nausea, vomiting, and painful sores in the throat, which make eating and drinking even water painful. Rashes also appear on the hands, feet, face, and sometimes on the head and private parts. That is why the disease caused by the coxsackie virus is called “hand, foot, mouth”. Patients are most contagious during the first week of illness. Uncomplicated cases resolve within about a week, and more severe cases within 10-14 days.
WHO saw the end of the pandemic for the first time
From 15.IX: without masks and tests, distance and disinfection remain
For the first time since the outbreak of the COVID-19 pandemic in 2020, the World Health Organization has come out with an optimistic prediction that it may soon end.
“The world has never been in a better position to end the COVID-19 pandemic,” said WHO director-general Tedros Adhanom Ghebreyesus. At the same time, he called on countries not to reduce their efforts to fight against the spread of the coronavirus, Reuters reported.
“We haven’t gotten there yet. However, the end of the pandemic is approaching,” the WHO chief told reporters at a virtual press conference.
This comment is the most optimistic from the UN health agency since it declared the situation a pandemic in March 2020, Reuters commented.
The virus that emerged in China in late 2019,
killed nearly 6.5 million people out of a total of 606 million infected,
which led to powerful tremors in the world economy and an overload of health care systems.
With the invention of coronavirus vaccines and mass vaccination, the severity of the disease has decreased. Globally, deaths from COVID-19 last week were at their lowest level since March 2020, WHO data showed.
“Nevertheless, countries need to scrutinize their policies and strengthen them to counter COVID-19 and future viruses,” Ghebreyesus said. Acting Health Minister Asen Medzhidiev announced relaxed measures against COVID before the first bell.
Pupils will not be required to wear masks in schools, and the tests that were carried out on all children until now will be dropped. However, measures such as distance, disinfection and personal hygiene will be observed.
The hot first days of school allow frequent airing of classrooms – one of the most important measures against infection, especially when children gather for the first time after the holidays.
The staggered schedule remains as prevention,
Dr. Medzhidiev announced last week.
The lessons of the different classes start at different times, so do the breaks. According to the Minister’s order, wherever possible, two shifts should be taught so that they do not accumulate at the same time. Each class should have a classroom, and students should enter through multiple entrances. It is mandatory to maintain physical distance both between classmates and between teachers and parents and staff.
For nurseries and kindergartens, the recommendation is that the same staff enter in one group, the streams of children are led through different entrances. Psychologists, speech therapists and resource teachers will work individually or in small groups.
In the first month after the start of the school year, those attending schools and centers for special educational support will eat according to the schedule, without gathering from different classes.
Starting today, the morning filter is getting stronger
to exclude students with clinical symptoms of COVID, as well as other acute infectious diseases.