Manipur - Government says "Mystery Disease" in poultry is Colibacillosis, 38 Humans Hospitalized

[Diane Morin]

Re: Manipur - Government says "Mystery Disease" in poultry is Colibacillosis, 38 Humans Hospitalized

<TABLE cellSpacing=0 cellPadding=0 width="100%" border=0><TBODY><TR><TD class=HeadLines>Ccpur disease situation uncertain with 10 discharged and four readmitted

</TD></TR><TR><TD><TABLE cellSpacing=2 cellPadding=1 width="100%" border=0><TBODY><TR><TD class=style12>By : A Staff Reporter</TD><TD class=style12 align=right>1/9/2009 1:03:15 AM</TD></TR></TBODY></TABLE></TD></TR><TR><TD>Lamka, Jan 8: Ten patients of Misao Lhahvom who are undergoing treatment at the district hospital were discharged later yesterday, according to the hospital authorities.

Meanwhile, four persons were readmitted, including one who was discharged yesterday. Another four persons were allowed to go today thus making the total number of patients 28 at the moment.

Meanwhile, four bags of rice as well 33 blankets were supplied today for use by the patients from certain NGOs with light fitting arrangement being made today.

On the other hand, a team of medical experts from the state malaria department yet again paid a visit to the district to investigate the disease.

The team comprised Dr. Nimaichand Singh, the state programme officer for vector borne disease control programme, Dr. Y Krishna Singh, the state entymologist VBD control programme and Dr. T Kamini Singh of the VBDTC.

As per an official source the blood samples taken from the patients have been sent to Guwahati and some other test centres and only upon getting results of the tests the cause of the sicknesses would be ascertained.
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http://www.ifp.co.in/FullStory.asp?NewsID=3909

[Sally Furniss]

Re: Manipur - Government says &quot;Mystery Disease&quot; in poultry is Colibacillosis, 38 Humans Hospitalized

Coliform Infections, Colibacillosis Coliform infections refer to the many and various disease resulting from infection with Escherichia coli bacteria. In recent years these infections have become recognized as a major cause of morbidity, mortality, and condemnations in chickens and turkeys. The incidence and severity of coliform infections have increased rapidly, and current trends indicate they are likely to become an even bigger problem.

The problems attributed to coliform infections are often complex. There is a marked variation in severity. Problems range from severe acute infections with sudden and high mortality to mild infections of a chronic nature with low morbidity and mortality. Infections may result in a respiratory disease from air sac infection, a septicemic disease from generalized infection, an enteritis from intestinal infection, or a combination of any or all of these.

Disease may result from coliform infection alone as in primary infection or in combination with other disease agents as complicating or secondary infection. Secondary infections commonly occur as a part of the classic air sac disease syndrome as a complication of Mycoplasma gallisepticum infections.

All ages may be affected; however, it is more common in young growing birds, especially the acute septicemia in young turkeys and air sacculitis in young chickens. High early mortality may occur as the result of omphalitis or navel infections.

Cause: The disease is caused by E. coli bacteria and from toxins they produce as they grow and multiply. There are many different strains or serological types within the group of E. coli bacteria. Many are considered normal inhabitants of the intestinal tract of chickens and turkeys and consequently are common organisms in the birds’ environment.

The primary routes of invasion by the organism are the respiratory system and the gastrointestinal tract. Omphalitis and infections in young birds may result from entry of the organism through the unhealed navel or penetration of the egg shell prior to or during incubation.

Symptoms: The symptoms vary with the different types of infections. In the acute septicemic form, mortality may begin suddenly and progress rapidly. Morbidity may not be apparent and birds in apparently good condition may die. However, in most cases, morbid birds are evident as listless birds with ruffled feathers and indications of fever.
In the chronic infection, debilitation, and growth retardation are obvious. In the event of respiratory infection, additional symptoms of labored breathing, occasional coughing, and rales may be apparent. In the case of enteritis, diarrhea may be evident. Mortality may be high in recently hatched chicks and poults as a result of omphalitis due to coliform infections.

Diagnosis: Differential diagnosis by laboratory means is necessary since coliform infection in its various forms may resemble and be easily confused with many other diseases. Isolation and identification of the organism by culture procedures can be readily accomplished; however, mere isolation is not sufficient to make a diagnosis. One must take into consideration the organ from which the organisms were isolated, the pathogenicity of the particular isolate and the presence of other disease agents.

Prevention: Management and sanitation practices designed to minimize the exposure level of these types of organisms in the birds’ environment are necessary in any preventive program. In addition, these programs should include avoiding stress factors and other disease agents which may lower the resistance and predispose the birds to infection.

Important points in these management and sanitation practices include providing adequate ventilation, good litter and range conditions, properly cleaned and disinfected equipment and facilities, and feed and water supply free of contamination. In addition, these programs should include avoiding overcrowding and environmental stresses such as chilling and overheating, and avoiding vaccinating and handling at critical times. Proper egg handling, as well as a good hatchery management and sanitation program, are necessary to prevent early exposure.

Treatment: The response of coliform infections to various medications is erratic and often difficult to evaluate. Under practical conditions, treatment is disappointing and the results so variable that no one treatment can be recommended. Drug sensitivity varies with the strains, some of which may be partially or completely resistant to many, if not all, of the commonly used antibiotics. Laboratory tests to determine the sensitivity of the organism to the various drugs may prove useful in selecting the most beneficial drugs. When practical, moving the birds to a clean environment may be of more value than medication. For example, when outbreaks occur in growing turkeys in the brooder house, moving to range is often the best treatment.

http://chickaholic.wordpress.com/2008/12/16/bacterial-diseases-of-poultry/

Colibacillosis in humans

Colibacillosis is caused by Escherichia coli infection. E. coli is a bacteria which normally inhabits the intestinal tract of all animals. There are a number of different strains, many species-specific. Not all strains are pathogenic. In poultry, E. coli infections may cause septicemia, chronic respiratory disease, synovitis (inflammation of the joints which can lead to lameness), pericarditis (inflammation of the sac around the heart), and salpingitis (inflammation of the oviduct).

Humans with colibacillosis usually manifest diarrhea which may be complicated by other syndromes depending on the E. coli serotype. These complications may include fever, dysentery, shock, and purpura (multiple small purplish hemorrhages in the skin and mucous membranes).

The incubation period is 12 hours to 5 days, although 12-72 hours is most common. Transmission is via the fecal-oral route. Colibacillosis is often food- or water-borne.

In most cases, symptomatic treatment (fluids, antidiarrheals) is all that is required. In more severe infections, antibiotics such as tetracycline and chloramphenicol may be necessary.

In Florida, colibacillosis is not a reportable zoonotic disease.

http://edis.ifas.ufl.edu/PS019

[HenryN]

Re: Manipur - Government says &quot;Mystery Disease&quot; in poultry is Colibacillosis, 38 Humans Hospitalized

UNDIAGNOSED ILLNESS - INDIA: (MANIPUR), REQUEST FOR INFORMATION
***********************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Thu 8 Jan 2009
Source: Hueiyen News Service [edited]
<http://e-pao.net/GP.asp?src=22..090109.jan09>


The [Manipur] State Authority has yet to confirm the mysterious
disease that spread among the villagers of Churachandpur district
today [Thu 8 Jan 2009]. The sudden deaths of 17 chickens and
subsequent hospitalisation of 32 villagers, mostly women, with a
mysterious illness since Sunday [4 Jan 2009] has evoked a bird flu
scare in the district, particularly in the affected Misao Lhahvom
village, 72 km south of the state capital.

Though experts confirmed that there's no bird flu [in birds in the
area], they're still collecting blood samples of the hospitalized
villagers to verify the disease. Close on the heels of Additional
Director of the state health services Dr Th Bhubolchandra's visit to
hill district headquarters on Wednesday [7 Jan 2009], a team headed
by State Program Officer Nimaichand from the state vector-borne
diseases [office] came down to Churachandpur town today [8 Jan 2009].
"They collected blood samples of the patients besides visiting the
village today," a villager said.

According to an employee of Churachandpur district hospital, most of
the patients admitted there complained of high fever followed by
unconsciousness. Presently, 28 patients, mostly women, were given
treatment at the hospital after 10 of them were discharged, he added.

Locals believe that the cause of the disease might be related to food
poisoning in the recent Christmas celebration. However, Dr Motilal,
director of state health services, said it was [a] viral fever.
However, there is no report confirming the details of the disease
that hit the remote hill villages [up to the time of] the filing of
this report.

--
Communicated by:
ProMED-mail Rapporteur Mary Marshall

[The description of the symptoms of the disease affecting mainly
female residents in the village of Misao Lhahvom are too vague and
non-specific to suggest a diagnosis with reasonable certainty.
Further information on the progress of the outbreak and its
investigation would be welcomed.

A map of Churachandpur District in Manipur state showing the location
of Churachandpur town can be accessed at:
<http://www.mapsofindia.com/maps/manipur/districts/churachandpur.htm>.
The HealthMap/ProMED-mail interactive map of India is available at:
<http://healthmap.org/promed/en?v=22.9,79.6,5>.
- Mod.CP]

[see also:
2008
----
Undiagnosed disease - India: (Manipur), RFI 20080209.0535
2007
----
Undiagnosed disease - India (Manipur): RFI 20071009.3318
Avian influenza, human (117): India (Manipur), NOT 20070804.2530
Avian influenza, human (115): India (Manipur), susp., RFI 20070801.2487
Avian influenza (131): India (Manipur), RFI 20070718.2303
2004
----
Undiagnosed illness - India (Manipur): RFI 20040721.1980]
.................................................. .cp/msp/dk

[Diane Morin]

Re: Manipur - Government says &quot;Mystery Disease&quot; in poultry is Colibacillosis, 38 Humans Hospitalized

<TABLE height=440 cellSpacing=0 cellPadding=0 width=600 border=0><TBODY><TR><TD height=20>Local News [January 11 2009 ]

</TD></TR><TR><TD vAlign=top bgColor=#333333 height=396><!--- left column ---><CENTER></CENTER><TABLE cellSpacing=0 cellPadding=5 width=600 border=0><TBODY><TR><TD vAlign=top bgColor=#ffffff>Only seven remain in isolation
S Singlianmang Guite

Lamka, Jan 10: Against the backdrop of discharging 15 patients from the hospital today, a mere se-ven ailing villagers inclu- ding a twelve-year-old girl were all that remain in the temporary isolation ward, five days after an avian flu like illness hit a tiny hamlet of Misao Lhahvom, seven kilometres south-east of Lamka.

Forty-two people from the village have undergone treatment in the isolation ward of the district hospital here since Monday after an unknown illness struck them in an epidemic scale.

Though the state medical officials were still at a loss what exactly is behind the mass illness - with symptoms of high fever and cough, Dr L Asha Nanda Singh, Regional Director (H & FW) today claimed that the germ infecting the villagers was air-bone and that it was contacted not from drinking water or the foods they share.

?It is advisable that the village school is closed until the situation is comple- tely under control,? he said.

Advising villagers to co-ver till their nose with the shawl they put on to prevent further spreading of the illness, the director also asked them to scale down social gathering to avoid unnecessary social contact.

In addition to seven patients released yesterday, 15 more headed for homes today taking the number in the isolation ward to seven ? five female and two male. The sole patient who was re-admitted after being discharged was among the seven that were left behind.
Assistance for the villagers that suffered a blow from the unknown disease still pours in as COMFA representatives gifted them five bags of rice and another one by Rural Aid Service.

Visiting the district hospital here to take stock of the efficacy it has established with, Vumlunmang (IAS), Secy Health and Dr Motilal Singh, Director Health were taken aback by the condition of the second biggest state sponsored hospital in the state.

?Too dirty? is their initial comment on seeing the filthy wards. The duo called on the Medical Superintendent to immediately rope in services of youth clubs, NGOs or Philanthropic organizations to sanitise the entire premises besides re-allocating its whooping 72 odd Grade IV employees. They also quizzed the superintendent on why patients have to run for Kerosene oil and petrol every time any form of operation was needed.

A life-size generator set was installed sometime last year but hospital officials said the 20 plus litres of oil needed to run the generator every hour was un-affordable. It is still not clear if the claims were concocted or why it was installed at all if it was that costly.

On witnessing the CT scan still remaining idle Dr Motilal Singh who had witness the expensive equipment in similar condition earlier, was taken aback that no efforts were made to make the machine working.
It is worth mentioning that the hospital management has continued to maintain wicked record in maintaining the establishment despite wide scale media critics.
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http://www.thesangaiexpress.com/News_pages/Local_page-02.html

[Diane Morin]

Re: Manipur - Government says &quot;Mystery Disease&quot; in poultry is Colibacillosis, 38 Humans Hospitalized

CCpur scare : Under control, no fresh cases<!EpnHeading6End>
Source: The Sangai Express

Imphal, January 11 2009: The outbreak of a mysterious disease at Misao Lhahvom village in Churachandpur district has been brought under control with no report of fresh cases.

State Health officials said that the situation is now under control and added that there are no fresh cases.

Out of the 36 patients who were admitted to Churachandpur district hospital with complaints of high fever, severe headache and remaining unconscious for some time, all except two have been discharged.

State Epidemiologist Bhubonchandra Singh said that reports from Churachandpur district hospital conveyed that only two patients are yet to be discharged.

Bhubonchandra added, "Though the disease is yet to be ascertained, we suspect viral fever.

To verify everything, blood samples will be sent to the National Institute of Communicable Disease, New Delhi tomorrow".

On the preparedness of the State Government to face any eventuality in the event of the outbreak of diseases, the official said that under the Integrated Disease Surveillance Project, all Government health employees are on high alert.

Reports of any outbreak or development on health issues are sent to the National Central Surveillance Unit at NICD every week to ensure that in case any disease breaks out it can be contained soon, he said.

http://e-pao.net/GP.asp?src=6..120109.jan09

[Giuseppe]

Re: Manipur - Government says &quot;Mystery Disease&quot; in poultry is Colibacillosis, 38 Humans Hospitalized

India, Manipur. ?Unknown disease? patients discharged

?Unknown disease? patients discharged

Newmai News Network
January 14, 2009 10:21:00
Imphal :

In what could be seen as a move to affirm that the ?mysterious disease? that hit Manipur?s Churachandpur district was nothing related to avian influenza, all the patients have been discharged from the hospital.


The last batch, six of them, was discharged on Tuesday. 48 persons were reportedly hospitalized over the last few days, from a ?mysterious disease?.

The so-called ?mysterious disease? had hit the village of Misao Lhavom over the last few days with a total of 48 in all being admitted to the Churachandpur district hospital.

Reiterating, S. Haojel, chief medical officer of the district informed that it was nothing related to bird flu.

However, he disclosed that the doctors could not diagnose the disease and all the patients had to be treated at the district hospital?s isolation ward.

The first case was reported on Sunday, January 4 when a 15 year old girl from the village was brought for treatment at the hospital. The symptoms of the ?unknown disease? included headache, fever, cough and shivering. However, the result of the blood samples of the infected villagers and the water of the surrounding villages, sent for tests, is still awaited, the CMO informed.

Besides, it is worth mentioning here that there were also reports of fowls dying due to an ?unknown disease?. It drew speculations of spread of bird flu in Manipur.

However, reports have shown the fowls died due to water-borne diseases which are rather common in the district.
-

<cite cite="http://www.morungexpress.com/frontpage/11622.html">?Unknown disease? patients discharged</cite>

[Diane Morin]

Re: Manipur - Government says &quot;Mystery Disease&quot; in poultry is Colibacillosis, 38 Humans Hospitalized

No further bird flu fear<!EpnHeading21End>
Source: Hueiyen News Service / Newmai News Network

Imphal, January 13 2009: IN WHAT could be seen as a move to affirm that the 'mysterious disease' that hit the Misao Lhavom village of south Manipur's Churachandpur district wherein 48 persons were reportedly hospitalised over the last few days, was nothing related to the much speculated bird flu, all the patients have been discharged from the hospital with the last batch, six of them, being discharged today.

A mysterious disease had hit the village of Misao Lhavom over the last few days with a total of 48 in all being admitted to the Churachandpur district hospital.

And affirming once again that it had nothing related to bird flu, S.Haojel, chief medical officer (CMO) of the district informed that it was nothing related to bird flu.

However, he disclosed that as the doctors could not diagnose the disease, all the patients had to be treated at the district hospital isolation ward.

The CMO also informed that the disease had affected the people from the same village.

The first case was reported on Sunday, January 4 when a 15 year old girl from the village was brought for treatment at the hospital.

The symptoms of the unknown disease include headache, fever, cough and shivering.

However, the results of the blood samples of the infected villagers and the water of the surrounding villages which has been sent for checking is still awaited, the CMO informed.

Besides this, it is worth mentioning here there were also reports of fowls dying due to an unknown disease drawing speculations of the spread of bird flu in the state.

However, reports have shown that there was no such thing as bird flu but that the fowls died due to related water borne disease which was rather common in the district.

This once and for all, reportedly ended any speculation of bird flu in the state even with the CMO clarifying that there was no bird flu in the district.

http://e-pao.net/GP.asp?src=21..140109.jan09