Bangladesh: Two sisters die of viral infection in Rajshahi, mother ill - Not Nipah

[Shiloh]

Source: https://www.thedailystar.net/banglad...lation-3546716

Two minor sisters die of ‘viral infection’ in Rajshahi, parents in isolation
UNB, Rajshahi
Sun Feb 18, 2024 01:07 PM
Last update on: Sun Feb 18, 2024 03:15 PM

Two sisters, both below five years of age, died within a span of four days after contracting a "viral infection", and their parents have been placed in isolation at a hospital.

The sisters are Muftaul Mashiya, 4, and Muntaha Marisha, 2.

They were the daughters of Manjur Rahman, a mathematics teacher at Rajshahi Cadet College, residing with his family in the college's quarters in Sarda.

Marisha died on way to Rajshahi Medical College Hospital (RMCH) last Wednesday, while Mashiya passed away yesterday afternoon while undergoing treatment at at the same hospital.

Physicians at RMCH initially suspected a viral infection for their deaths but they have been waiting for the result of a laboratory test on samples sent to Dhaka.

The victims' parents -- Manjur and Poly Khatun -- have been placed in RMCH's isolation ward...

[Shiloh]

Source: https://en.prothomalo.com/bangladesh...ews/xdzftfxiub

Two siblings of Rajshahi did not have Nipah virus: IEDCR
Staff Correspondent
Rajshahi
Published: 18 Feb 2024, 09: 13

The two siblings from Rajshahi named Muntaha Marisha, 2 and Muftaul Masia, 5, who succumbed to an unknown virus at Chuniapara village in Durgapur of Rajshahi after eating Boroi (jujube), did not contract Nipah virus.

Institute of Epidemiology Disease Control and Research (IEDCR) director professor Tahmina Shireen confirmed the development to Prothom Alo on Sunday evening...

[Shiloh]

Source: https://bdnews24.com/health/fo6p1sk45c

Mother catches fever in isolation after mysterious deaths of 2 sisters in Rajshahi
The IEDCR dispatches experts to Rajshahi to find out the cause of their deaths as Nipah virus test result comes out negative
Rajshahi Correspondentbdnews24.com
Published : 18 Feb 2024, 02:14 PM
Updated : 18 Feb 2024, 02:14 PM

The mother of the two girls who died in the space of four days due to an yet unknown disease has fallen sick in isolation at Rajshahi Medical College Hospital.

The father, Manzur Rahman, was still doing well in isolation on Sunday.

The Institute of Epidemiology, Disease Control and Research has dispatched an expert team to Rajshahi to find out the cause of the deaths of the two sisters as the Nipah virus test result came out negative...

[yielddude]

Muntaha Marisha, a two-year-old girl died of unidentified disease on February 14. She suffered symptoms of high fever, vomiting, and black rashes on her skin.

Four days later her five-year-old sister Muftahul Mashia also died with similar symptoms.

But tests at IEDCR showed the children were neither infected with Nipah virus, nor they had tuberculosis encephalitis, nor Japanese encephalitis.

"The IEDCR team came here for further investigation," the director says.

The two children had jujubes (a kind of date) before falling sick, said Roich Uddin, one of the relatives of the family.
https://www.thedailystar.net/health/...jshahi-3547836

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Fear of 'unknown virus' surrounding the death of two children in Rajshahi

After fever, vomiting, spots appeared on the body
Their parents have been kept in isolation

Dulal AbdullahDulal Abdullah
Published: 19 February 2024, 12:33 pm Update : 19 February 2024, 02:47 PM

The fear of "unknown virus" is prevailing in the minds of the locals around the death of two children Muntaha Marisha (2) and Muftaul Masiya (5) in Rajshahi.

Their father's name is Manjur Hossain (35), mother's name is Polly Khatun (30). Their home is in Chuniapara village of Durgapur upazila of the district. Manzoor Rahman is a teacher of mathematics department of Rajshahi Cadet College. He lives in the quarters of Cadet College in Charghat Upazila with his family.

Relatives said that the two dead children were fed by their housekeepers on Tuesday (February 13) by picking plums from the trees of the quarter. The fruits were not washed. The two children fell ill the day after eating the plums. Marisha on the way to the hospital on Thursday and Masia died on Saturday while undergoing treatment at Rajshahi Medical College (Ramek) Hospital.

The two children were buried at the village house in Chuniapara. Their parents have been kept in isolation at Ramek Hospital.

Meanwhile, as the cause of death of two children has not yet been identified, the unknown virus has spread panic among the locals. The doctors are also expressing concern that the two dead children and the parents who are in isolation have tested negative for Nipah virus, coronavirus and dengue.

It is known that after fever and vomiting, the whole body of the two children has black spots. Doctors also think that this may be due to an unknown virus. Ramek authorities said that an expert team from the Institute of Epidemiology, Disease Control and Research (IEDCR) will go to Rajshahi to investigate the matter.

Ramek Hospital ICU in-charge Abu Hena Mostafa Kamal said, “The parents of those two children did not have fever. They also said that they did not eat plums themselves. But they kept both children close. The virus can also be transmitted to parents through children. They have been kept in the hospital due to this fear. As Nipah virus has not been detected in their bodies, they will be cleared anytime.”

A senior doctor from Rajshahi, who did not want to be named, told the Dhaka Tribune, “There are only a few virus testing methods in the country, including Nipah and influenza. And during the Covid-19, the coronavirus testing started. No other virus test has this capability. In this situation, there is uncertainty as to whether it will be known at all which virus the two children were infected with.”

According to family sources, two children ate plums on Tuesday morning. The next day, Wednesday, at around 11 o'clock, the little girl, Marisha, developed a fever. At this time he was repeatedly drinking water. Vomiting starts after noon, black spots appear on the body. Then the Manzoor-Poly couple with their daughter left for Rajshahi's CMH hospital in a microbus. Marisha died before reaching the hospital. From Friday morning, Masiya also showed similar symptoms at his Durgapur home. He was first taken to Upazila Health Complex and later to Rajshahi CMH. At night, Masiar also developed a rash all over his body. Seeing that, CMH doctors advised to take Masiya to Ramek Hospital. When he was brought to Ramek Hospital at 9 pm, the doctors immediately admitted him to the ICU. Masia also died on Saturday afternoon.

Dr. Ramek Hospital ICU in charge associate professor. Abu Hena Mustafa Kamal said, “We were afraid of Nipah virus and Mysheria bacteria. Both these reports came negative in the test. We fear that the two children were infected with an unknown virus after eating unwashed plums. I have never seen a case of such a disease before the fever, vomiting followed by a rash followed by the death of the patient."

He also said, “The government can find out what virus it is. That's why I took out some food from Masia's stomach before she died. If pathology, disease control and research institutes want it, we can provide it. Testing may reveal something.”

Director of Pathology, Disease Control and Research Institute (IEDCR) Professor Dr. Tahmina Shireen said, "Nipah virus report of two children has come negative. It is not immediately clear what virus they contracted. For this, various experiments will continue. An expert medical team from the institute is being sent to Rajshahi.”

Brigadier General AFM Shamim Ahmed, director of Ramek Hospital, said, “When the tests did not find anything, I requested the Additional Director General (Administration) of the Directorate of Health to send an expert team to Rajshahi. This expert team of four-five people may reach Rajshahi on Monday. They will come to the hospital. Go to the area as well. Talk to people. Collect different samples for testing. Try to understand the matter.”

Rajshahi Civil Surgeon Dr. Abu Syed Mohammad Farooq said, “We were already conducting various programs to prevent consumption of raw dates to prevent Nipah infection. I stopped consuming raw date juice. And Nipah was thought to be the cause of death of those two children, it came negative. IEDCR is working on it. However, everyone is being warned not to consume date palm juice and eat the fruit thoroughly clean.”

https://bangla.dhakatribune.com/bangladesh/77363/%E0%A6%B0%E0%A6%BE%E0%A6%9C%E0%A6%B6%E0%A6%BE%E0%A6%B9%E0%A7%80%E0%A6%A4%E0%A7%87-%E0%A6%A6%E0%A7%81%E0%A6%87-%E0%A6%B6%E0%A6%BF%E0%A6%B6%E0%A7%81%E0%A6%B0-%E0%A6%AE%E0%A7%83%E0%A6%A4%E0%A7%8D%E0%A6%AF%E0%A7%81%E0%A6%95%E0%A7%87-%E0%A6%98%E0%A6%BF%E0%A6%B0%E0%A7%87-%E2%80%98%E0%A6%85%E0%A6%9C%E0%A6%BE%E0%A6%A8%E0%A6%BE-%E0%A6%AD%E0%A6%BE%E0%A6%87%E0%A6%B0%E0%A6%BE%E0%A6%B8%E2%80%99

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Two children die of 'virus infection from plums', IEDCER probes

Parents do not have fever. They are not infected with Nipah virus
IEDCR is investigating whether the two children died of food poisoning

Dulal AbdullahDulal Abdullah
Published: 19 February 2024, 08:16 pm Update: 20 February 2024, 12:28 AM

An expert team from the Institute of Epidemiology, Disease Control and Research (IEDCR) has reached Rajshahi to investigate the death of two children due to an "unknown virus". Meanwhile, the parents of the dead children have returned home from Rajshahi Medical College (RAMEC) Hospital.

They were discharged from the hospital on Monday (February 19) afternoon on the advice of IEDCR.

ICU in charge of Dr. Ramek Hospital. Abu Hena Mostafa Kamal said, “The parents of the two dead children had fever on Sunday. Today they no longer have fever. As no virus has been detected yet, they have been instructed to stay in isolation at their homes.”

Director of the hospital Brigadier General AFM Shamim Ahmed said, “The couple is now physically healthy. So they have been given leave."

Meanwhile, the IEDCR delegation has started an on-the-ground investigation following the death of two sisters within two days in Rajshahi . Dr. IEDCR medical officer is in this team. Kya Twai Pru Prince and Dr. Md. Mainul Hasan. Senior Medical Technologist Mohammad Ali Jinnah is doing the sample collection.

They reached Rajshahi on Sunday night and started work. IEDCR representatives spoke to father Manjur Rahman and mother Poli Khatun of the dead children. They inquired about the family's medical case history in detail. They also collected samples from the bodies of two dead children. At noon on this day, the team left the hospital and went to Rajshahi Cadet College in Sarada, Charghat.

Brigadier General AFM Shamim Ahmed, director of Ramek Hospital, said, “The IEDCR has come for further investigation into the ailment of the two deceased children and their parents. The delegation came for on-site investigation as nothing was detected in the lab tests. Further testing of samples will continue as well. They are working to find out the exact cause of death. The previous samples sent to Dhaka are being re-tested. Besides, the food sample of the dead child's stomach has been kept in the hospital. The stomach will be sent to Dhaka to check whether there was poisoning or not. We all want to know the cause of death of the two children. Everything necessary is being done for that.”

Dr. IEDCR Medical Officer. Kyaw Twai Pru Prince said, “We have started an investigation. But I can't comment. Whatever we get from the on-site investigation, we will inform our authorities.”

Manjur Rahman is a mathematics teacher at Rajshahi Cadet College in Sarada, Charghat. His village home is in Chuniapara village of Durgapur. He lived in the college quarters with his wife and two children.

On February 13, the housekeeper picked plums from the trees of the college campus and gave them to two-year-old Muntaha Marisha and five-year-old Muftaul Mashiya, Manjur's baby daughters. On February 14, Marisha, the youngest daughter, developed a fever, accompanied by vomiting, the day after eating unwashed plums. He died on the way to the hospital. Two days later on February 16, Mashiya also developed fever and vomiting. He was admitted to Intensive Care Unit (ICU) of Ramek Hospital through CMH, Upazila Health Complex, Rajshahi. On the afternoon of February 17, Mashiya also died.

In this situation, the parents of the two children were not allowed to leave the hospital due to the fear of infection of the deadly virus. They were kept in isolation. Before death, both children had black marks on their bodies. Although this was not a symptom of Nipah virus, the doctors feared that the two children had died due to the virus. Therefore, the samples of the dead child and his parents were sent to Dhaka for testing.

The sample test report on Sunday showed that none of them were infected with Nipah virus. A bacterial test also came back negative. So it is not known till now why the two children died in this way.

https://bangla.dhakatribune.com/bangladesh/77387/%E2%80%98%E0%A6%AC%E0%A6%B0%E0%A6%87-%E0%A6%A5%E0%A7%87%E0%A6%95%E0%A7%87-%E0%A6%AD%E0%A6%BE%E0%A6%87%E0%A6%B0%E0%A6%BE%E0%A6%B8-%E0%A6%B8%E0%A6%82%E0%A6%95%E0%A7%8D%E0%A6%B0%E0%A6%AE%E0%A6%A3%E0%A7%87%E2%80%99-%E0%A6%A6%E0%A7%81%E0%A6%87-%E0%A6%B6%E0%A6%BF%E0%A6%B6%E0%A7%81%E0%A6%B0-%E0%A6%AE%E0%A7%83%E0%A6%A4%E0%A7%8D%E0%A6%AF%E0%A7%81

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Death of two children in Rajshahi: Expert team returned to Dhaka with data and samples

Rajshahi representative
Published: 21:12, 20 February 2024
Update: 21:13, 20 February 2024

Two children died of an 'unknown virus' after eating unwashed plums in Rajshahi. After this incident, a three-member expert team of the Institute of Epidemiology, Disease Control and Research (IEDCR) came to Rajshahi from Dhaka on Sunday. After collecting data and samples, the team left for Dhaka on Tuesday.

Before returning to Dhaka, this delegation met the director of Rajshahi Medical College (RAMEC) Hospital this morning. The members of this party did not talk to the media.

However, Brigadier General AFM Shamim Ahmed, director of Ramek Hospital, said that the IEDCR team came to Rajshahi to investigate the cause of death of the two children. They did not talk to us about any results. But they shared where and what they did in Rajshahi. They took all the records of her parents including the two dead children from the hospital. Talked to the parents of the children. Talked to the concerned doctors. They also collected suspicious samples. We cooperated with them.

Earlier, on Monday, members of the delegation spoke for the first time to the parents of the children in isolation at the hospital. At that time, he recommended them to stay in isolation at home as they did not have any physical complications. On their recommendation, the parents of the children went home from the hospital. They are currently in isolation at home. They do not have any physical complications. This expert team also advised to inform the doctors as soon as the complications occur.

The delegation was - Dr. IEDCA medical officer. Kya Twai Pru Prince and Dr. Md. Mainul Hasan. Besides, Senior Medical Technologist Muhammad Ali Jinnah came to collect various samples.

On the morning of February 13, two children were picked by their housekeeper to eat plums from a tree in Rajshahi Cadet College premises. Two children ate that plum without washing it. Then they fell ill. The next day around 11 o'clock Marisha, the younger daughter of Manjur Rahman-Poli Khatun couple, suddenly developed a severe fever. At that time they were drinking water again and again. Vomiting started from noon. Then they came to CMH hospital in Rajshahi in a microbus with their daughter. In the microbus Marisha drinks mother's breast milk. However, Marisha died in Katakhali area near the city.

And on the morning of February 16, Mashiya's body also developed fever. Vomiting started at the same time. He was quickly taken to Upazila Health Complex from his village home in Durgapur. From there he was later taken to Rajshahi CMH. After that, as the night progressed, Mashiya's whole body started to get sore spots. Later the doctors advised Mashiya to be taken to Ramek Hospital. He was taken to the emergency department of Ramek Hospital around 9 pm and the doctors shifted him to the ICU. Mashiah, who was under observation in the ICU, died the next day on Saturday afternoon.

In the afternoon of the same day, Mashiya's body was sent to the village house through the close relatives. Later in the evening, the body was buried at the village house in Durgapur upazila of Rajshahi. Marisha was also buried there last Wednesday night. In this incident, the children's parents are kept under observation.


Daily-Bangladesh/ HN

https://www.daily-bangladesh.com/country/452032

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Health Children are sick with a slight fever

Raju Ahmed, Rajshahi


Published: 23 February 2024 08:37 AM
Update : 23 February 2024 11:14 AM

Recently, the number of child patients has increased in Rajshahi. Rajshahi Medical College (RAMEC) Hospital has three times more patients than the number of beds allocated for children. Apart from this, the number of child patients has also increased in private hospitals and private chambers of doctors. Doctors said that many antibiotics in the country are not working on patients. Apart from this, children suffering from mild fever and cold require intensive care unit (ICU). In such a situation, parents as well as doctors are worried.

After the death of two baby sisters in Rajshahi on February 13 and 17, the health department has not yet ascertained the cause of their death. Although the disease samples of the dead children along with their parents have been collected, the diagnosis may take 10 to 15 days now, doctors said. In such a situation, they are expressing doubt about the new virus. For this reason, doctors have been asked to carefully monitor and advise patients.

According to the information given by the doctors of children's ward of Ramek Hospital, there is more patient pressure in children's ward of Ramek Hospital in winter or summer. However, the number of patients suffering from respiratory inflammation, pneumonia, typhoid, asthma, diarrhea and jaundice increases during winter. Same picture this year too. The hospital has 150 beds in three designated pediatric wards. In contrast, the admitted child patients are about 500.

https://protidinerbangladesh.com/health/88334/%E0%A6%B8%E0%A6%BE%E0%A6%AE%E0%A6%BE%E0%A6%A8%E0%A7%8D%E0%A6%AF-%E0%A6%9C%E0%A7%8D%E0%A6%AC%E0%A6%B0%E0%A7%87%E0%A6%87-%E0%A6%95%E0%A6%BE%E0%A6%B9%E0%A6%BF%E0%A6%B2-%E0%A6%B9%E0%A6%9A%E0%A7%8D%E0%A6%9B%E0%A7%87-%E0%A6%B6%E0%A6%BF%E0%A6%B6%E0%A7%81%E0%A6%B0%E0%A6%BE

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In Rajshahi, children are dying of a slight fever

Published: February 24, 2024, 11:11 am
Update Time : February 24, 2024 at 11:11 am

Rajshahi representative: [1] Recently, the number of child patients has increased in Rajshahi. Rajshahi Medical College (RAMEC) Hospital has three times more patients than the number of beds allocated for children. Apart from this, the number of child patients has also increased in private hospitals and private chambers of doctors. Doctors said that many antibiotics in the country are not working on patients. Apart from this, children suffering from mild fever and cold require intensive care unit (ICU). In such a situation, parents as well as doctors are worried.

[2] After the death of two baby sisters in Rajshahi on February 13 and 17, the health department has not yet determined the cause of their death. Although the disease samples of the dead children along with their parents have been collected, the diagnosis may take 10 to 15 days now, doctors said. In such a situation, they are expressing doubt about the new virus. For this reason, doctors have been asked to carefully monitor and advise patients. [3] According to the information given by the doctors of children's ward of Ramek Hospital, the patient pressure in children's ward of Ramek Hospital is more in winter or summer. However, the number of patients suffering from respiratory inflammation, pneumonia, typhoid, asthma, diarrhea and jaundice increases during winter. Same picture this year too. The hospital has 150 beds in three designated pediatric wards. In contrast, the admitted child patients are about 500.

[4] On Thursday, it was seen that Ramek Hospital had 200 patients as opposed to 34 beds in No. 10 Children's Ward. Apart from this, a total of 2,781 patients were admitted in 60 wards of this 1,200-bed hospital on Thursday. Every day, twice as many patients are re-admitted to the hospital than the average number of patients returning home after recovery.

[5] Dr. Ramek Hospital Pediatrician. Shahida Yasmin said, new viruses may come. Corona is the best example. In addition, the old virus-bacteria is changing its form. The number of patients with pneumonia and hepatitis has increased. As the number of such patients was less before Corona, the CVR or seriousness rate of these patients was also less. But now children with mild fever are also in ICU. Viruses and bacteria seem to have changed their form. [6] Noting that antibiotics are losing their effectiveness, this doctor says that antibiotics are a big reason. These drugs are becoming drug resistant. Some antibiotics don't work at all. When an antibiotic becomes drug resistant, a higher antibiotic is needed. How many more antibiotics do we have? Its number is also limited in the country. These are making doctors like us think.

[7] Dr. Ramek's head of microbiology department. Khandaker Md. Faisal Alam said, nowadays there is an increase in the incidence of diseases like pneumonia, typhoid, diarrhea and jaundice (hepatitis A) among children. Although the incidence rate is increasing, the death rate is low. However, the cause of death of two baby sisters is yet to be identified. If the cause of their death is a virus, it is important to identify it.

[8] Older viruses cannot cause them to die. Also, if it is contagious, that would be a cause for further concern. Different types of samples need to be tested for each virus. Testing is catching most typhoid. There is no testing system in the country to identify novel (new or special) viruses. The US CDC works on these. Our IEDCR has taken action on this.

[9] This doctor said that the main cause of the disease is water and air. Pneumonia spreads through the air, he said. Jaundice and typhoid are waterborne diseases. Besides whether the Wasar Suarez water is leaking or not, there are also doubts about the bottled water. We have requested WASA to look into the matter.

[10] Ramek Principal Professor Dr. Naushad Ali said, the disease pattern is changing. Infecting microbes are also changing. Corona, Dengue and Nipah – These are viral diseases. Two children died recently. We thought they died of Nipah virus. Later it turned out not to be Nipah. This raised questions among us. Knowing the pattern of a disease helps us to treat it. Now if you have any fever, you have to be careful. Now even if children are admitted with slight fever-cold or convulsions, we doctors are also getting scared. I am treating the patient with caution. If such a case happens, we have to make separate preparations. Separate research must be done for this.

https://amaderorthoneeti.com/new/2024/02/24/377852/

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Outbreak of children's fever in Rajshahi; Antibiotics are not decreasing! | Rajshahi Child Fever | Jamuna TV

Jamuna TV
16.6M subscribers
...
25 Feb 2024

High-temperature fever in children has suddenly increased in Rajshahi. In most cases, the symptoms are cause for concern, even if they are identified as viral fevers. The number of patients in hospitals has increased several times. Children are also suffering from viral fever, cough, sore throat and convulsions, typhoid, pneumonia and jaundice. Antibiotics are not working in many people's bodies. Doctors say that some new symptoms of this virus fever are appearing. Pathologists are still not sure what exactly causes this change.


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