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Oro-Ago, Nigeria: Questionable report of dozens of deaths due to undiagnosed hemorrhagic illness - Possible intentional false report due to lack of medical facilities?

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  • Oro-Ago, Nigeria: Questionable report of dozens of deaths due to undiagnosed hemorrhagic illness - Possible intentional false report due to lack of medical facilities?

    Published Date: 2017-08-11 21:19:35
    Subject: PRO/EDR> Hemorrhagic disease - Nigeria: RFI
    Archive Number: 20170811.5244725
    HEMORRHAGIC DISEASE - NIGERIA: 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: Fri 11 Aug 2017
    Source: Punch [edited]
    http://punchng.com/confusion-as-stra...ara-community/


    There is confusion in Oro-Ago community, in the Ifelodun Local Government Area of Kwara State, as leaders and members say no fewer than 70 persons have died of a strange illness.

    They told one of our correspondents that the illness was predominant among the Fulani settlers called the Bororos in the community. It was gathered that a large number of the Bororos had died since the outbreak of the strange illness on 23 Jul 2017.

    Those who spoke with The PUNCH include the Oloro of Oro-Ago, Oba Tafa Dada; the President, Oro-Ago Development Union, Olaniyi Olushosa; a community member, who identified himself simply as Taiwo; and another concerned person, identified as Stephen. According to them, those affected by the illness would 1st vomit blood and some black substances.

    They said families had been devastated and called on government to come to their aid.

    Olushosa said the death toll as a result of the strange illness had hit 70 in 2 weeks. He added that he had reported the matter to the state Ministry of Health in Ilorin through a doctor that he identified simply as Dr. Lawal.

    He said: "It is worrisome that the Oro-Ago General Hospital had been abandoned and left dilapidated. No health workers, nothing; right now, our community lacks health centres."

    The ODU President called on the Kwara State Government as well as other relevant bodies to visit the community and stop the harvest of death.

    He said: "The death toll has reached about 70 in 2 weeks. Those affected are mostly the Fulani people. The matter has been reported to the Ministry of Health.

    Oba Dada also confirmed the outbreak of the strange illness. He said he sent Olushosa to report the sad development to the Ministry of Health in Ilorin. He said: "It is true that a strange illness has hit some members of Oro-Ago. The affected people vomited blood and some black substances. That is the report that I got. I was also told that many people have died; that was why I sent the ODU president to the ministry of health."

    A resident said the strange illness started on 23 Jul 2017. He claimed that no fewer than 120 people had died. He said about 5 persons died on Thu [10 Aug 2017] on the way to the General Hospital, Omu-Oran. He explained that 74 people died in Michede, in Oro-Ago, between 23 Jul and Thu 10 Aug 2017. He added that 36 people died at Gaa Wakil along Oreke Road, Oro-Ago, between Sun 6 Aug and Thu 10 Aug 2017.

    According to him, 14 people died at Orisa via Ahun in Oro. He also said that 4 people died on Wed [9 Aug 2017], while 5 died on Thu [10 Aug 2017]. He said: "Since 23 Jul 2017, we have been experiencing a strange disease around the Oro-Ago area. About 120 people have died. The symptoms are usually intermittent headaches and serious stomach pain. If it starts, between 1-1.5 hours, they would start vomiting blood. Those who were unable to vomit blood will die within 6 hours. But those who vomited blood would stay for about 3 days before they die. We have called the attention of the state Ministry of Health. We have not seen anybody."

    Stephen also said that many people had died in the community.

    But the Kwara State Commissioner for Health, Alhaji Suliaman Aloge, said there was no strange illness in the area.

    He said people were making unnecessary claims because they wanted a functional health centre in the area. He, however, said he got a report that a woman died on Tue [8 Aug 2017] of cancer.

    Aloge said: "The Public Health Department, through the Epidemiological Unit, has investigated, and such a thing is not recorded. There is no outbreak of any strange illness in Oro-Ago. Why some people raised the alarm is that the worker at the health centre in Oro-Ago was transferred and has not been replaced. I have directed relevant units to move another nurse to the health centre.

    "I was informed that only one woman died, on Tue [8 Aug 2017]. She died of a confirmed case of cancer. There is nothing like outbreak of illness in that community."

    However, doctors and experts who spoke to our correspondents on Thu [10 Aug 2017] said the symptoms described by the victims were suggestive of a viral haemorrhagic disease.

    A surgeon, Dr Adekunle Ashimi, said the symptoms could be indicative of Lassa fever.

    Ashimi said: "I know that there was or is a cholera outbreak, but the symptoms described here do not fit cholera. It appears they have another viral haemorrhagic disease from the family of Ebola and Lassa. But samples need to be collected and analysed to get a conclusive diagnosis."

    Corroborating his colleague's view, a medical practitioner, Dr Adeoye Oyewole, said it could either be a situation aggravated by local poisoning or Lassa fever.

    Adeoye said: "I would say a high index for Lassa infection. Also, considering the population and the mortality figure, it could be poisoning. Let's not forget that Lassa itself is poisoning of food by rat faeces and urine. There is a local factor in that place that is poisoning their collective food or water intake. A lot of analyses are required."

    The Director, Institute for Molecular Science and Biotechnology, University of Ilorin, Kwara State, Dr Ayokunle Afolabi-Toye, said a blood toxicological screening would yield some insight into an accurate diagnosis of the disease.

    He noted that epidemiologists and relevant health authorities in the state needed to confirm the deaths.

    Afolabi-Toye said: "I would 1st explore the possibility of chemical poisons in the community. Not enough symptoms are reported, and the sequence and timing of appearance of symptoms is not indicated either. But blood toxicological screening will yield some insights."

    --
    Communicated by:
    ProMED-mail


    [Black vomit is usually caused by bleeding in the upper gastrointestinal tract. Any of the hemorrhagic viruses might cause black vomit. These include Ebola, Lassa, Marburg, and yellow fever, among others.

    Lassa fever, suggested in the report, is a viral disease carried by rats of the genus _Mastomys_ and is endemic in portions of West Africa. Infection occurs through direct contact with, or consumption of food contaminated by, rodent urine or fecal matter containing virus particles; fatality rates can reach 50 percent in epidemic outbreaks.

    In severe cases of yellow fever, in 15 percent of cases, people enter a 2nd, toxic phase of the disease, with recurring fever, accompanied by jaundice due to liver damage, and abdominal pain. Bleeding in the mouth, the eyes, and the gastrointestinal tract cause vomit containing blood, hence the Spanish name for yellow fever, vomito negro ("black vomit").

    ProMED awaits test results from these patients. Any information on these cases that knowledgeable sources may have would be appreciated.

    Last edited by sharon sanders; August 13th, 2017, 05:55 PM. Reason: format

  • #2
    Kwara Government Denies Disease Outbreak in Oro Ago Community

    You are here:Home Press Release Kwara Government Denies Disease Outbreak…

    THE Kwara State government has denied reports of alleged outbreak of a mystery illness that claimed 70 lives in Oro-Ago community in Ifelodun Local Government Area of the state.

    The State’s Commissioner for Health, Alhaji Suleiman Alege, on Friday told newsmen in Ilorin, that the report is a mere rumor as the ministry has no confirmed outbreak of diseaseKr fatalities in any part of the state.

    He noted that there are epidemiological systems for reporting suspected disease outbreak in the state and that if any occurs, the State Health Response team would be the first to know and is always ready to swing into action.

    The Commissioner recalled that when there were reported cases of Cholera in some communities in the State, the State government immediately deployed emergency kits to the affected areas and also commenced vaccination in most of the state primary healthcare centers to forestall outbreak of an epidemic.

    Alhaji Alege noted that immediately the rumour of the strange disease broke last week Thursday, the Ministry of Health deployed a team from the endemic unit under the department of public health to the Gaa Okuta community along Oke-ode road axis in Ifelodun Local Government area who found no evidence of any strange illness or casualties.

    He disclosed that members of the community also insisted that there was no disease outbreak in the area.

    He further explained that when the rumour persisted, the state epidemiology team was redeployed to the community to verify and take samples for laboratory analysis.

    The Commissioner, however, noted that when the team got to the community, residents insisted that there was no record of disease outbreak or death.

    He added that the community’s water source was also tested to ascertain if there was any form of contamination.

    Speaking on the state of the health centre in the community, the commissioner noted that Governor Abdulfatah Ahmed has given the approval for its rehabilitation and posting of medical staff.

    Also addressing pressmen, the Ifelodun council Chairman, Alhaji Mukaila Omoniyi Ayinla insisted that the reports of the alleged disease outbreak In Oro Ago community are false and should be disregarded.

    He said the council is working on posting new medical team to the primary health care facility in the area, following the transfer of the staff at the facility.

    http://www.kwarastate.gov.ng/kwara-g...ago-community/
    "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
    -Nelson Mandela

    Comment


    • #3
      Reporting is all over the place.


      Published Date: 2017-08-13 22:21:33
      Subject: PRO/EDR> Hemorrhagic disease - Nigeria (02): (KW)
      Archive Number: 20170813.5247854
      HEMORRHAGIC DISEASE - NIGERIA (02): (KWARA)
      *******************************************
      A ProMED-mail post
      http://www.promedmail.org
      ProMED-mail is a program of the
      International Society for Infectious Diseases
      http://www.isid.org

      [A request for information (RFI) on the hemorrhagic disease outbreak reported in Nigeria was sent to EpiCore surveillance project volunteers. Below is a synopsis of the responses received. ProMED is grateful for the numerous Epicore and subscriber responses to the request for information on the mysterious disease with hemorrhagic manifestations characterized by "black vomit" that reportedly has killed approximately 74 people, mostly the Fulani people, in the Ifelodun Local Government Area of Kwara State, Nigeria. These responses have fallen into 3 categories. The 1st takes the middle road stating that the outbreak is real, but fewer than 10 people have died and only a single child has exhibited vomiting with hemorrhagic manifestations. The 2nd set is confirmation of the numbers and event; and the 3rd is absolute denial of an outbreak by the government and community. - Mods.LK/JH]

      Responses to RFI:
      [1] Apparent confirmation of outbreak with fewer victims
      [2] Apparent confirmation of outbreak as originally described
      [3] Government statement denying outbreak

      ******
      [1] Apparent confirmation of outbreak with fewer victims
      Date: 12 Aug 2017
      Source: EpiCore Surveillance Project [edited]


      Babalobi Olutayo stated "I am following-up initial information from a Kwara State based Fulani pastoralist who mentioned 17 fresh mortalities, all male, mainly Fulani but including 3 Yorubas, in the last 3 days in Oke-Ode village/settlement in Ifelodun LGA of Kwara State. They suspect ecological poisoning [meaning unclear] and are asking for post-mortem of mortalities. There is no report of animal mortality.

      "I am expecting information from the Sarkin (Fulani Head) of the area.

      "Share is the headquarters of the Ifelodun local government (https://en.wikipedia.org/wiki/Ifelodun,_Kwara). Share (Saare) is an ancient Yoruba town in Ifelodun Local Government Area of Kwara State, Nigeria. The people of Share belong to the Igbomina extract of Yoruba tribe who are mainly harvest crops (including cassava and cocoa) and have had some reported clashes with Fulani pastoral farmers. I suspect some geographical location-related epidemiological factors."

      --
      Communicated by:
      Epicore Surveillance Project member
      Babalobi Olutayo
      Faculty of Veterinary Medicine
      University of Ibadan

      ******
      [2] Apparent confirmation of outbreak as originally described
      Date: 12 Aug 2017
      Source: Epicore Surveillance Project [edited]


      [The following 3 sources were provided in response to the request for information which showed similar reporting to that of the original story. - Mod.JH]
      https://www.olisa.tv/2017/08/strange...nity-in-kwara/
      http://dailypost.ng/2017/08/11/stran...nity-kills-70/
      http://www.blacknaija.com/new-update...wara-community

      --
      Communicated by:
      Epicore Surveillance Project member
      Olayinka

      ******
      [3] Government statement denying outbreak
      Date: 11 Aug 2017
      Source: Premium Times [edited]
      http://www.premiumtimesng.com/region...ase-kwara.html


      The Kwara State Government on Friday denied a report that an outbreak of a mystery illness had claimed 70 lives in Oro-Ago in Ifelodun Local Government Area of the state. Suleiman Alege, the State's Commissioner for Health, said the report is a mere rumour as the ministry has no confirmed outbreak of disease or fatalities in any part of the state.

      Mr. Alege said there are epidemiological systems for reporting suspected disease outbreaks in the state and that if any occurs, the State Health Response team would be the first to know and is always ready to swing into action.

      The commissioner recalled that when there were reported cases of Cholera in some communities in the state, the state government immediately deployed emergency kits to the affected areas and also commenced vaccination in most of the state primary healthcare centers to forestall outbreak of an epidemic.

      There had been unverified reports of outbreak of disease in the community on Thursday [10 Aug 2017].

      But the commissioner noted that immediately the rumour of the strange disease broke on Thursday, the state Ministry of Health deployed a team from the endemic unit under the department of public health to Gaa Okuta community along Oke-ode road in Ifelodun Local Government area.

      The team, however, found no evidence of any strange illness or casualties, he said. He disclosed that members of the community also insisted that there was no disease outbreak in the area.

      He added that the community's water source was also tested to ascertain if there was any form of contamination.

      Similarly, the Ifelodun council Chairman, Mukaila Ayinla, on Friday [11 Aug 2017] said the reports of the alleged disease outbreak in the community are false and should be disregarded.

      A statement by Muideen Akorede, senior special assistant to the State Governor on Media and Communication, quoted Mr. Ayinla as saying the council was working on posting a new medical team to the primary health care facility in the area, following the transfer of the staff at the facility.

      [A similar response was also received from an Epicore Surveillance Project member denying any outbreak was occurring. - Mod.JH]

      [Byline: Oladeinde Olawoyin]

      --
      Communicated by:
      ProMED-mail from HealthMap Alerts


      ProMED-mail also thanks Irene Lai (), affiliation: International SOS, for submission of this report in response to the RFI.

      [If a diagnosis is received for the reported cases or a determination made that the cases are not real, ProMED will post what it learns about this situation in Nigeria. We appreciate Epicore members and ProMED subscribers having taken the time to submit what information they had available to them, and look forward to learning more as it becomes available. At this time, there appears to be no consensus of opinion as to the etiology, or whether there actually is an outbreak.

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