{"id":317917,"date":"2024-08-16T06:39:32","date_gmt":"2024-08-16T05:39:32","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=317917"},"modified":"2024-08-16T06:39:52","modified_gmt":"2024-08-16T05:39:52","slug":"z-prvni-ruky-stanovisko-ministerstva-zdravotnictvi-k-situaci-ve-vyskytu-opicich-nestovic-mpox-v-africe","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=317917","title":{"rendered":"Z PRVN\u00cd RUKY: Stanovisko Ministerstva zdravotnictv\u00ed k situaci ve v\u00fdskytu opi\u010d\u00edch ne\u0161tovic (mpox) v Africe"},"content":{"rendered":"<h6><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-201164 alignleft\" src=\"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/24\/ministerstvo-zdravotnictv\u00ed-logo-300x105.png\" alt=\"\" width=\"300\" height=\"105\" srcset=\"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/24\/ministerstvo-zdravotnictv\u00ed-logo-300x105.png 300w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/24\/ministerstvo-zdravotnictv\u00ed-logo.png 379w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/>Ministerstvo zdravotnictv\u00ed spole\u010dn\u011b se St\u00e1tn\u00edm zdravotn\u00edm \u00fastavem situaci ve v\u00fdskytu onemocn\u011bn\u00ed mpox (opi\u010d\u00edch ne\u0161tovic) v\u00a0Africe monitoruje, stejn\u011b tak jako Evropsk\u00e9 st\u0159edisko pro prevenci a kontrolu nemoc\u00ed, kter\u00e9\u00a0<strong>v\u00a0sou\u010dasn\u00e9 dob\u011b hodnot\u00ed celkov\u00e9 riziko t\u00e9to n\u00e1kazy pro obyvatelstvo EU\/EHP jako n\u00edzk\u00e9<\/strong>. Syst\u00e9m surveillance mpox je v\u00a0\u010cR nastaven ji\u017e od roku 2022, kdy byl zaznamen\u00e1m prvn\u00ed neobvykl\u00fd v\u00fdskyt tohoto onemocn\u011bn\u00ed. V\u00a0t\u00e9to souvislosti byl vypracov\u00e1n \u201eDoporu\u010den\u00fd postup p\u0159i v\u00fdskytu p\u0159\u00edpad\u016f onemocn\u011bn\u00ed opi\u010d\u00edmi ne\u0161tovicemi,\u201c kter\u00fd MZ p\u0159ipravilo ve spolupr\u00e1ci se SZ\u00da a experty dot\u010den\u00fdch odbornost\u00ed (<a href=\"https:\/\/szu.cz\/temata-zdravi-a-bezpecnosti\/a-z-infekce\/m\/mpox\/doporuceny-postup-pri-vyskytu-pripadu-onemocneni-opicimi-nestovicemi\/\" target=\"_blank\" rel=\"noopener\">Doporu\u010den\u00fd postup p\u0159i v\u00fdskytu p\u0159\u00edpad\u016f onemocn\u011bn\u00ed opi\u010d\u00edmi ne\u0161tovicemi \u2013 SZ\u00da | Ofici\u00e1ln\u00ed web St\u00e1tn\u00edho zdravotn\u00edho \u00fastavu v Praze (szu.cz)<\/a>).<\/h6>\n<p>V\u00a0p\u0159\u00edpad\u011b, \u017ee se chyst\u00e1te vycestovat do oblast\u00ed, kde je aktu\u00e1ln\u011b hl\u00e1\u0161en v\u00fdskyt mpox (<strong><a href=\"https:\/\/africacdc.org\/news-item\/mpox-situation-in-africa\/\" target=\"_blank\" rel=\"noopener\">Outbreak Report, 30 July 2024: Mpox Situation in Africa \u2013 Africa CDC<\/a><\/strong>), doporu\u010dujeme konzultovat vhodnost o\u010dkov\u00e1n\u00ed a dal\u0161\u00edch preventivn\u00edch opat\u0159en\u00ed proti mpox v\u00a0centrech o\u010dkov\u00e1n\u00ed a cestovn\u00ed medic\u00edny. O\u010dkov\u00e1n\u00ed proti mpox se prov\u00e1d\u00ed na vybran\u00fdch m\u00edstech, jejich\u017e seznam naleznete zde:\u00a0<a href=\"https:\/\/mzd.gov.cz\/seznam-poskytovatelu-zdravotnich-sluzeb-kteri-provadeji-ockovani-proti-onemocneni-opicich-nestovic\/\" target=\"_blank\" rel=\"noopener\"><strong>Seznam poskytovatel\u016f zdravotn\u00edch slu\u017eeb, kte\u0159\u00ed prov\u00e1d\u011bj\u00ed o\u010dkov\u00e1n\u00ed proti onemocn\u011bn\u00ed opi\u010d\u00edch ne\u0161tovic \u2013 Ministerstvo zdravotnictv\u00ed (gov.cz<\/strong>)<\/a>. Dal\u0161\u00ed doporu\u010den\u00ed budou vych\u00e1zet na z\u00e1klad\u011b p\u0159ipravovan\u00e9ho rychl\u00e9ho hodnocen\u00ed rizika Evropsk\u00fdm centrem pro prevenci a kontrolu nemoc\u00ed a doporu\u010den\u00ed Sv\u011btov\u00e9 zdravotnick\u00e9 organizace, kter\u00e9 o\u010dek\u00e1v\u00e1me, dle sd\u011blen\u00ed gener\u00e1ln\u00edho \u0159editele WHO, v\u00a0p\u0159\u00ed\u0161t\u00edch dnech.<\/p>\n<h6>Dopl\u0148uj\u00edc\u00ed informace:<\/h6>\n<ol>\n<li>Mimo\u0159\u00e1dnou ud\u00e1lost v oblasti ve\u0159ejn\u00e9ho zdrav\u00ed mezin\u00e1rodn\u00edho v\u00fdznamu (PHEIC) vyhla\u0161uje WHO v p\u0159\u00edpadech, kdy se jedn\u00e1 o mimo\u0159\u00e1dnou ud\u00e1lost, o n\u00ed\u017e je rozhodnuto, \u017ee p\u0159edstavuje riziko pro ve\u0159ejn\u00e9 zdrav\u00ed jin\u00fdch st\u00e1t\u016f v d\u016fsledku mezin\u00e1rodn\u00edho \u0161\u00ed\u0159en\u00ed n\u00e1kazy a potenci\u00e1ln\u011b vy\u017eaduje koordinovanou mezin\u00e1rodn\u00ed reakci. V p\u0159\u00edpad\u011b MPOX byla mimo\u0159\u00e1dn\u00e1 ud\u00e1lost vyhl\u00e1\u0161ena v roce 2022, kdy se onemocn\u011bn\u00ed mpox roz\u0161\u00ed\u0159ilo i do zem\u00ed mimo africk\u00fd region (ukon\u010deno 2023).<\/li>\n<li>V\u00fdvoj po\u010dtu p\u0159\u00edpad\u016f a dal\u0161\u00ed epidemiologick\u00e9 ukazatele jsou dostupn\u00e9 na webu Sv\u011btov\u00e9 zdravotnick\u00e9 organizace:\u00a0<strong><a href=\"https:\/\/worldhealthorg.shinyapps.io\/mpx_global\/\" target=\"_blank\" rel=\"noopener\">2022-24 Mpox (Monkeypox) Outbreak: Global Trends (shinyapps.io)<\/a><\/strong>\n<ul>\n<li>\u00a0Podle zpr\u00e1vy Africa CDC Epidemic Intelligence Report vydan\u00e9 9. srpna 2024 ( Africa-CDC-Epidemic-Intelligence-Report-09Aug24.pdf) bylo v Africe v roce 2024 hl\u00e1\u0161eno celkem 17 541 p\u0159\u00edpad\u016f mpox, z toho 2 822 potvrzen\u00fdch p\u0159\u00edpad\u016f a 517 \u00famrt\u00ed (ze 13 \u010dlensk\u00fdch st\u00e1t\u016f Africk\u00e9 unie). T\u011bmito \u010dlensk\u00fdmi st\u00e1ty jsou Burundi, Kamerun, St\u0159edoafrick\u00e1 republika , Republika Kongo, Pob\u0159e\u017e\u00ed slonoviny, Demokratick\u00e1 republika Kongo (DRK), Ghana, Lib\u00e9rie, Ke\u0148a, Nig\u00e9rie, Rwanda, Jihoafrick\u00e1 republika a Uganda.<\/li>\n<li>\u00a0Podle dat WHO bylo od roku 2022 do konce \u010dervence 2024 hl\u00e1\u0161eno ze 116 zem\u00ed sv\u011bta 99 176 potvrzen\u00fdch p\u0159\u00edpad\u016f ne\u0161tovic, v\u010detn\u011b 208 \u00famrt\u00ed.<\/li>\n<li>\u00a0V zem\u00edch EU\/EHP bylo k 6. \u010dervenci hl\u00e1\u0161eno 22 658 potvrzen\u00fdch p\u0159\u00edpad\u016f mpox z 29 zem\u00ed. EU\/EHP nehl\u00e1sily \u017e\u00e1dn\u00e9 p\u0159\u00edpady zp\u016fsoben\u00e9 MPXV Clade I.<\/li>\n<li>\u00a0V \u010cR bylo v leto\u0161n\u00edm roce hl\u00e1\u0161eno celkem 12 p\u0159\u00edpad\u016f onemocn\u011bn\u00ed mpox.<\/li>\n<\/ul>\n<\/li>\n<li>Dle dat WHO je 96,4 % (87 189\/90 410) p\u0159\u00edpad\u016f s dostupn\u00fdmi \u00fadaji jsou mu\u017ei, z\u00a0toho p\u0159ev\u00e1\u017en\u011b MSM. Stejn\u011b jako ECDC, tak i WHO, hodnot\u00ed u t\u00e9to skupiny riziko jako st\u0159edn\u00ed, tj. vy\u0161\u0161\u00ed ne\u017e pro b\u011b\u017enou populaci, kter\u00e9 je pro ob\u010dany EU hodnoceno jako n\u00edzk\u00e9.<\/li>\n<li>Nej\u010dast\u011bj\u0161\u00ed klinick\u00e9 projevy \u2013 mpox za\u010d\u00ednaj\u00ed hore\u010dkou, zimnic\u00ed, bolestmi hlavy, sval\u016f, zad a vy\u010derp\u00e1n\u00edm a doch\u00e1z\u00ed ke zdu\u0159en\u00ed lymfatick\u00fdch uzlin (lymfadenopatie). B\u011bhem 1 a\u017e 3 dn\u016f (n\u011bkdy i d\u00e9le) po n\u00e1stupu hore\u010dky se u pacienta objev\u00ed typick\u00e1 vyr\u00e1\u017eka (ne\u0161tovice), kter\u00e1 \u010dasto za\u010d\u00edn\u00e1 na obli\u010deji a pot\u00e9 se \u0161\u00ed\u0159\u00ed na dal\u0161\u00ed \u010d\u00e1sti t\u011bla. Vyr\u00e1\u017eka proch\u00e1z\u00ed r\u016fzn\u00fdmi f\u00e1zemi v\u00fdvoje a m\u016f\u017ee se podobat plan\u00fdm ne\u0161tovic\u00edm nebo syfilis. Onemocn\u011bn\u00ed obvykle trv\u00e1 2\u20134 t\u00fddny, kdy se v\u011bt\u0161ina lid\u00ed uzdrav\u00ed. L\u00e9\u010dba je p\u0159ev\u00e1\u017en\u011b symptomatick\u00e1 a podp\u016frn\u00e1, zahrnuje pod\u00e1v\u00e1n\u00ed antipyretik, p\u0159\u00edpadn\u011b analgetik, antihistaminik a lok\u00e1ln\u00ed o\u0161et\u0159en\u00ed eflorescenc\u00ed. V p\u0159\u00edpad\u011b bakteri\u00e1ln\u00ed superinfekce mohou b\u00fdt pot\u0159ebn\u00e1 antibiotika. U pacient\u016f se z\u00e1va\u017en\u00fdm pr\u016fb\u011bhem \u010di t\u011b\u017ek\u00fdm imunodeficitem mohou b\u00fdt zva\u017eov\u00e1na antivirotika.<\/li>\n<\/ol>\n<p><strong>(mz)<\/strong><\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n<h6>Dnes informujeme:<\/h6>\n<h4><a href=\"https:\/\/zakrasnejsivimperk.cz\/?p=317844\" target=\"_blank\" rel=\"noopener\">Dosavadn\u00ed pomoc \u010ceska Ukrajin\u011b \u010din\u00ed zhruba 120 miliard korun. Sest\u00e1v\u00e1 hlavn\u011b z pomoci uprchl\u00edk\u016fm a dod\u00e1vek zbran\u00ed<\/a><\/h4>\n<hr \/>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ministerstvo zdravotnictv\u00ed <\/p>\n","protected":false},"author":2,"featured_media":317918,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"gallery","meta":{"footnotes":""},"categories":[70],"tags":[],"jetpack_featured_media_url":"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2024\/08\/16\/z-ruky-mz.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/317917"}],"collection":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=317917"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/317917\/revisions"}],"predecessor-version":[{"id":317920,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/317917\/revisions\/317920"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/317918"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=317917"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=317917"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=317917"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}