It spreads a little, but the phenomenon has months: the rabies vaccine for humans since mid-2018. It is missing in all provinces, in all jurisdictions, in all public and private health centers.
Translated into everyday life means that if you are not lucky enough to find a health center that has a certain dose, after a canine bite, you will have to put the chips into: a) find the biting dog, b) difficulties that involves a specific zoonosis center and c) cross the fingers so that they do not have anger.
Sanitary authorities explains that the problem is not local but regional: that the Sanofi Pasteur lab, which produces and distributes it to Latin America through the Pan American Health Organization, he has reduced his production and no one knows exactly why.
bugle He contacted the lab, but so far he could not get an answer. The truth is that if someone is, for example, in Jujuy, the anti-rabies vaccine for humans is almost nothing. And if someone is in Lomas de Zamora, either. In a zoonosis center in the southern area (where they asked to remain anonymous), they assured that they received "sometimes ten, sometimes forty doses, and sometimes just nobody and then you have to hang the sign that there is no stock. Before you have between 300 and 400 weekly doses ".
In the city of Buenos Aires, which needs to apply human rabbits and to search for a place available in the Stamboulian lab, for example, you will see that it is not an easy figure.
Verorab's search for Stamboulian lab centers.
From the National Health Portfolio and the Province of Buenos Aires, they responded initially: "It is the first news we have about the subject. I did not report it. But later, they admitted that "there is a theme" that is not new, which has already had several months and that affects all Latin America.
However, the Ministry of Health of the Nation has noted this do not be alarmed and there are enough doses: "Missing does not exist, just a restriction. There are 14,000 doses in the country and the vaccine is not in the official timetable. It is only given when there is a prescribed treatment. If a province needs it, it is sent. Lack is global due to a decrease in laboratory production and therefore its use is limited to medical indication; is reserved for specific cases. "
One problem that worries the authorities is that, after a dog's bite, people "just in case" go out to be vaccinated. In the health portfolio of Buenos Aires, they noted that "For every 100 people bitten by a dog, 85 are vaccinated. And I do without checking whether the dog was vaccinated, if they had an owner … these are unnecessary applications when the problem is in canine vaccination. "
"There is also the issue of bats that are the ones who deliver rabies to dogs," they added, pointing out that the population should be careful, especially in rural areas: "If you see bats on the floor, amazed or dead, take them with tweezers and take them for analysis. "
A vaccination of Lomas de Zamora warns about the lack of anti-rabies vaccine for humans.
Now, if Sanofi almost does not deliver vaccines, What is the "plan" b for who is bitten by a dog that might have rabies? In the province of Buenos Aires, it plans to increase local production, that is, doses from the Biological Institute Dr. Tomás Perón: "This vaccine I have already had, but has been used as a supplement to Verorab because it produces more side effects. Given the situation, it is planned for 2019 to produce 90,000 doses per year instead of 10,000 current ones. "
And in the rest of the country? The only province that raised its voice these months was Jujuy, who issued a health alert. The figures in that province are eloquent: in 2016 Jujuy received 21,338 doses. For the first quarter of 2019, only 250.
In dialogue with bugle, the health minister in that province, Gustavo Bouhid, said that "in August, the nation warned that anti-rabies for humans would be lacking. In this context, obviously all patients with dog bites that might have rabies are exposed the risk of death. It seemed prudent for me to declare the alert, which I consulted with the governor[[[[Gerardo Morales]".
The subject is the geographical particularity of his province: "Jujuy is bordering Salta and Bolivia, and in both places there have been cases of canine rabies. In Salta, in Salvador Maza and Bolivia, both rabies and human race have been reported by the Government . A street does not save me from transmitting a disease".
"I think in the Nation they were going to see the possibility of requesting vaccines in other countries, but this involved logistics and an inexact period," the minister said. In the province of Buenos Aires they also speculated: "By 2020, the production of the Perón Institute can be increased to 200,000 doses per year and transferred to other parts of the country, but to say that it is futurology."