El sistema de salud pública de Bogotá enfrenta una emergencia epidemiológica por el repunte de casos de tos ferina, enfermedad infecciosa causada por la bacteria Bordetella pertussis. De acuerdo con el secretario de Salud de Bogotá, Gerson Bermont, en lo que va del 2025 se han confirmado 107 contagios, en comparación con solo 11 registrados durante todo el 2024. Este aumento representa una multiplicación casi diez veces en menos de cuatro meses, lo que ha encendido las alarmas de las autoridades sanitarias.
Adicionalmente, se han identificado 390 casos probables mediante el sistema de vigilancia epidemiológica, una cifra que cuadruplica los registros del mismo periodo del año anterior. Esta situación ha llevado a las entidades distritales a reforzar las acciones preventivas, en especial en las poblaciones más vulnerables.
Niños menores de cinco años: el grupo más afectado
Según datos oficiales de la Secretaría de Salud de Bogotá, los menores de cinco años concentran la mayoría de los contagios. De los 107 casos confirmados, 70 corresponden a este grupo etario, seguido de 12 casos en menores entre 5 y 14 años, y 18 en adultos. Aunque los niños pequeños son quienes presentan mayor riesgo de complicaciones, los adolescentes y adultos pueden actuar como vectores silenciosos, lo que plantea un desafío adicional para el control del brote.
Diana Walteros, subdirectora de Vigilancia en Salud Pública, explicó en un medio de comunicación que la enfermedad puede ser particularmente grave en menores de seis meses:
“Se presenta con accesos de tos, dificultad para respirar, el niño se puede poner morado. Por eso, es vital que los padres busquen atención médica inmediata ante cualquier síntoma sospechoso”.
Localidades con mayor incidencia
El análisis geográfico del brote revela una distribución desigual en Bogotá, con San Cristóbal (19 casos) y Ciudad Bolívar (17 casos) como las localidades más afectadas. También se han reportado cifras significativas en Usme y Kennedy, con 9 casos cada una.
Este patrón coincide con zonas con alta densidad poblacional y acceso limitado a servicios de salud, lo que podría estar contribuyendo a una mayor propagación de la enfermedad. Las autoridades sanitarias instan a reforzar la vigilancia comunitaria y priorizar la inmunización en estos sectores.
Vacunación y prevención: respuesta del Distrito
Ante la magnitud del brote, la Secretaría de Salud de Bogotá ha intensificado su estrategia de vacunación gratuita contra la tos ferina, disponible en más de 200 puntos distribuidos en toda la ciudad. Esta vacuna, incluida en el esquema regular para menores y mujeres embarazadas, constituye la principal herramienta de prevención.
Además, se han fortalecido campañas educativas dirigidas a la población general sobre medidas como:
- Uso de mascarilla en personas con síntomas respiratorios
- Lavado frecuente de manos
- Evitar el contacto cercano con personas enfermas
En el caso de las mujeres gestantes, las autoridades insisten en la importancia de recibir la vacuna durante el tercer trimestre, ya que esto permite transmitir anticuerpos protectores al recién nacido, especialmente en sus primeros meses de vida.
La tosferina es una infección respiratoria altamente contagiosa que actualmente ha generado una alerta epidemiológica en la región de las Américas.
— Secretaría Distrital de Salud (@SectorSalud) April 11, 2025
Para prevenirla, es clave la vacunación, especialmente en niñas y niños, así como otras medidas de prevención. Toma nota👇🏻 pic.twitter.com/izVrGSp78G
Medellín: vigilancia activa ante aumento de infecciones respiratorias
Mientras Bogotá enfrenta un brote confirmado, la situación en Medellín es contrastante, aunque no exenta de preocupación. Hasta el momento, la Secretaría de Salud de la capital antioqueña ha reportado solo seis casos de tos ferina en 2025, sin indicios de propagación comunitaria ni brote activo.
Sin embargo, el incremento de las infecciones respiratorias agudas (IRA) sí ha generado un nivel de alerta. De acuerdo con cifras oficiales, se han registrado más de 138.600 consultas ambulatorias por IRA, lo que representa un incremento del 10 % respecto al mismo periodo de 2024.
Las autoridades locales han activado estrategias de vigilancia en tiempo real y promueven acciones de prevención similares a las de Bogotá, con énfasis en la vacunación y atención temprana de los síntomas respiratorios.
Perspectivas y retos para el sistema de salud
El comportamiento reciente de la tos ferina en Colombia pone de manifiesto la necesidad de fortalecer las coberturas de vacunación, especialmente en zonas con mayor vulnerabilidad socioeconómica. Asimismo, el repunte de enfermedades respiratorias en general, tanto en Bogotá como en Medellín, subraya la importancia de mantener activa la vigilancia epidemiológica y de anticipar posibles picos estacionales.
Si bien la tos ferina es prevenible mediante inmunización, su rápida propagación puede tener consecuencias severas si no se controla a tiempo. El llamado a los profesionales de la salud es claro: reforzar la educación en prevención, asegurar la aplicación oportuna de vacunas, y mantener un alto índice de sospecha clínica, particularmente en niños con síntomas respiratorios persistentes.
El brote en Bogotá debe ser interpretado no solo como una emergencia puntual, sino como un recordatorio del papel esencial que juega la salud pública en la contención de enfermedades transmisibles que, aunque conocidas, siguen representando un riesgo latente.
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