Although talking about aedes aegypti in Holguín does not suppose novelty and seems to be an issue, that in the words of the good Cuban it rains on wet, the eminent need to eliminate it continues.
The hygienic epidemiological situation in the territory is still complex, despite the willingness of the health authorities to eliminate the mosquito, it persists. It has become a declared enemy to which, paradoxically, many people allow to live in their homes.
The focality of the dangerous vector is high and as it has colonized the environment, this has led to resistance to all treatments, however, there have also been gaps related to technical action coupled with recurrent social indiscipline. Such situations have affected the prolonged epidemiological complexity that the territory has presented in recent years.
Although in certain distributions organization is appreciated where the timely warning and the cooperation of the neighbors streamline and confer quality to the fumigation, there is no shortage of irresponsible people who use all kinds of pretexts to avoid the entry of the operator into their homes.
Another approach to the problem is given by the large number of people who are carriers of dengue or Zika without attending any hospital facility, thus violating the necessary principle of isolation, as an effective way to cut transmission.
In epidemiological matters, Zika ceases to be a concern in the capital city, with an incidence rate of 0.3 cases per 100 thousand inhabitants. But it is in dengue that the greatest complexity is concentrated, when presenting a reactivity of 43, 7 percent, being the areas of Máximo Gómez, Julio Grave de Peralta, Alex Urquiola, Pedro del Toro and Díaz Legra the most affected.
This translates into that the four cardinal points of the city are committed, a fact that demonstrates the need to maintain an epidemiological surveillance in the rest of the areas, especially in those that border on the most affected.
On the other hand it is a prevailing need that residents of certain residential districts are responsible for the dumping of solid waste on public roads or the formation of micro dumps, as these become focal points for diseases due to the contamination of surface water or the phreatic mantle that can cause the appearance of digestive diseases, although its behavior is normal at present, if measures are not taken in time epidemic outbreaks could reappear.