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Honduras: 8 fatal cases due to undiagnosed neurological illness

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  • Honduras: 8 fatal cases due to undiagnosed neurological illness

    AFP? Guillain-Barre? Polio is unlikely as the disease has been eliminated from the Western Hemisphere.

    http://www.promedmail.org/direct.php?id=20130629.334377

    Published Date: 29/06/2013 18:43:03
    Subject: PRO / AH> Enf. of unknown cause - Honduras (MOS) (02): Kill, probable neurotoxin
    Archive Number: 20130629.334377

    ENF. CAUSE UNKNOWN - HONDURAS (MOS) (02): DEATHS, PROBABLE NEUROTOXIN
    ************************************************** ****
    A ProMED-mail
    http://www.promedmail.org
    ProMED-mail is a program of the
    International Society for Infectious Diseases
    http://www.isid.org

    Date: June 29, 2013
    Source: The Americas News

    [Edited by Jaime Torres]

    Honduras authorities established today in health fence
    La Mosquitia region in the Caribbean country after the death of five
    children because of a strange disease, an official said.

    ? Epidemiological fence was established in the community where they were
    those cases??, said Undersecretary reporters briefly
    Honduran Health, Javier Pastor.

    So far the authorities have failed to identify what
    cause the strange disease that has claimed the lives of five children in
    Plaplaya community, department of Gracias a Dios, and that
    remains in critical condition three other children, for about eight
    days.

    The victims have been identified as Veronica Ruiz, 14;
    Anthony Zeno, 14; Cindy Martinez, 13, Gina Chavez, 14, and Anery
    Martinez, 7 years old. The disease begins to manifest itself
    a little pain in the soles of the feet, followed by paralysis of
    the lower extremities up to the hip with pain
    intense, told reporters last weekend one of the
    members of the Supervisory Commission of the Ministry of Health, Luther
    Castillo.

    Patients also suffer from chills, loss of strength
    muscle, headache, hypertension and difficulty speaking
    due to numbness around the mouth
    . The shadow of the
    saw death and took leaving mourning and consternation among his
    families.

    Five children living in Plaplaya community, municipality of John
    Francisco Bulnes, thank God, have died and three more are
    in difficult conditions due to a mysterious disease
    , said
    Castillo. The doctor explained that this situation has been presented
    for eight days. He added that the first investigations
    suggest that the problem is caused by a neurotoxin.

    The children who had died, according to Castillo, responded to the names of
    Zeno Veronica Ruiz (14), Anthony Zeno (14), Cindy Martinez (13),
    Casildo Gina Chavez Martinez (14) and Anery Casildo Martinez (7). Others
    three children are in delicate condition.

    He added that in the case of those who are in condition
    critical, need to be taken to the intensive care unit
    of a hospital, in this case, the hospital Mario Catarino
    Rivas of San Pedro Sula, because they need mechanical ventilation.

    The Ministry of Health has sent medical personnel to place
    investigate the strange disease that children may have
    contracted by a neurotoxin, Pastor said. He said also
    sent some samples to the Center for Disease Control and Prevention
    Diseases, based in Atlanta (Georgia, USA) and at least
    one weeks will be receiving the results.

    Castillo said that given the situation that exists in the area,
    recommends the establishment of an interagency team and
    multidisciplinary for further research to
    establish which is the genesis of the disease and determine the
    neurotoxin.


    Communicated by: Jaime R. Torres <torresjaime@cantv.net>


    - ProMED-ESP

  • #2
    Re: Honduras: 8 cases, 5 deaths, due to undiagnosed neurological illness

    The previous report:

    http://www.promedmail.org/direct.php?id=20130624.329698

    Published Date: 23/06/2013 23:11:20
    Subject: PRO / AH> disease of unknown cause - Honduras (MOS): deaths, probable neurotoxin
    Archive Number: 20130624.329698

    DISEASE CAUSE UNKNOWN - HONDURAS (MOS): DEATHS, PROBABLE NEUROTOXIN
    ************************************************** ****
    A ProMED-mail
    http://www.promedmail.org
    ProMED-mail is a program of the
    International Society for Infectious Diseases
    http://www.isid.org

    Date: June 23, 2013
    Source: El Nuevo Dia, Puerto Rico

    [Edited by Jaime Torres]


    Health officials are investigating the death of Honduras at least
    five children in the region of La Mosquitia, on the Caribbean, which have
    died of a strange disease that may have
    contracted by a neurotoxin, official sources said today in
    Tegucigalpa.

    One member of the commission set that directs
    temporarily Health Ministry, Luther Castillo, told
    reporters that besides the five children who had died, three other
    with the same symptoms, in serious condition, for about eight
    days.

    He said the cases have been registered in the community of Plaplaya,
    department of Gracias a Dios, bordering Nicaragua.

    According to Castillo, the disease begins to manifest itself with a small
    pain in the soles of the feet, followed by paralysis of the
    lower extremities up to the hip with severe pain.
    The patient also suffers from chills, loss of muscle strength,
    headache, hypertension and difficulty speaking due to a
    numbness around the mouth.

    The situation is complicated because patients living in a region
    remote as the Mosquito, which can only be accessed
    by air or sea.

    The medical staff has been sent to the area has only been able
    discover that patients have the same feature, so
    to conclude that the disease would be caused by a
    neurotoxin.

    The official said a committee is considering creating
    agency to investigate whether some foods that have
    patients consumed contaminated with insecticides or other
    chemical elements.

    The age of the five children who died ranged between seven and
    fourteen, according to the official report.

    Authorities recommend the removal of the other three patients the
    Mario Catarino Rivas Hospital, San Pedro Sula (north), the second
    largest city in Honduras, for better diagnosis
    their cases.


    Communicated by: Jaime R. Torres <torresjaime@cantv.net>


    - ProMED-ESP

    Comment


    • #3
      Re: Honduras: 8 cases, 5 deaths, due to undiagnosed neurological illness

      Sounds a lot like the outbreaks that were never completely explained in Mexico and the Southwestern United States a couple years ago:

      http://www.flutrackers.com/forum/sho...d.php?t=156348

      http://www.flutrackers.com/forum/sho...d.php?t=169725

      Comment


      • #4
        Re: Honduras: 8 cases, 5 deaths, due to undiagnosed neurological illness

        http://www.elnuevodiario.com.ni/inte...cados-honduras

        Google transalation:

        June 23, 2013 | 18:10:15

        Tegucigalpa, Honduras
        Five children die intoxicated in Honduras

        I deaths of children, aged between 7 and 14 years occurred in the last five days in Plaplaya "he told journalists Dr. Luther Castillo, spokesman for the Ministry of Health
        By elnuevodiario.com.ni | Globe

        Five children were killed and three more are severe due to possible contamination by pesticides in the province of Gracias a Dios, northeastern Honduras, authorities said Sunday sector.
        "The deaths of the children, aged between 7 and 14 years occurred in the last five days in Plaplaya" he told journalists Dr. Luther Castillo, spokesman for the Ministry of Health.
        Plaplaya is a community of Gracias a Dios, about 600 kilometers northeast of Tegucigalpa, on the border with Nicaragua.
        "The children had paralysis in his lower extremities, severe pain and then I fell into a respiratory arrest that killed them, which could have been caused by food contaminated with insecticides," said the doctor.
        Castillo said the Secretariat sent a group of experts to investigate the case, while the Minister of Agriculture, Jacobo Regalado, said some toxicologists from that office will join the group.
        “‘i love myself.’ the quietest. simplest. most powerful. revolution ever.” ---- nayyirah waheed

        Avatar: Franz Marc, Liegender Hund im Schnee 1911 (My posts are not intended as advice or professional assessments of any kind.)

        Comment


        • #5
          Re: Honduras: 8 cases, 5 deaths, due to undiagnosed neurological illness

          All 8 children have now died according to this article. This is an enormous tragedy for this small community.

          http://www.radiohrn.hn/l/portada/tox...a-la-mosquitia
          Google translation:
          Unknown lethal toxin have killed 8 children in Plaplaya, Mosquitia
          Submitted by Marja Perez on June 22, 2013 - 6:04 pm

          Agriculture urgent help because they suspect pesticide or toxin linked to natural food, plant or animal
          Dr. Luther Castillo, a member of the Supervisory Commission of Health reported that eight adolescents between 9 and 14 years were killed allegedly by a lethal toxin in Plaplaya community in the department of Gracias a Dios.
          In the explanations of the specialist, fatalities agree neurological symptomatology including respiratory depression, localized pain in the upper and lower extremities and warned that the evolution of the disease lasts only six days.
          In the remote Mosquitia area, already installed a team of toxicologists and epidemiologists from the Health Ministry seeking to identify how many people have the same symptoms and what stage of involvement are found to prevent more deaths, according to the commissioner.
          However, he requested urgent assistance from the Ministry of Agriculture and Natural Resources and Environment, because after technical screening, they suspect that the toxin is linked to a pesticide or natural food, plant or animal.
          Amid the lush natural beauty of Plaplaya, low air shipping and limited emergency care for patients with this deadly disease and family members should try to arrive at a hospital with intensive care equipment, which in this case, the closest would be the Mario Catarino Rivas in the city of San Pedro Sula.
          Internationally there identified many toxins that act on the central nervous system paralysis or contracture determining and in some cases death.
          “‘i love myself.’ the quietest. simplest. most powerful. revolution ever.” ---- nayyirah waheed

          Avatar: Franz Marc, Liegender Hund im Schnee 1911 (My posts are not intended as advice or professional assessments of any kind.)

          Comment


          • #6
            Re: Honduras: 8 cases, 5 deaths, due to undiagnosed neurological illness

            It is unclear the location and direction of paralysis. The original reports described an ascending AFP, something that is consistent with Guillain-Barre syndrome (or something that mimics it). This latest report seems to describe a somewhat different picture, with respiratory paralysis a predominant feature.

            Botulism might be suspected if the paralysis is not an ascending one.

            Comment


            • #7
              Re: Honduras: 8 fatal cases due to undiagnosed neurological illness

              The respiratory distress might be a later symptom. One report I read translated to describing an 'itching' in the feet as being the first symptom, which is a symptom associated with heavy metal poisoning. Other reports translate to pain in the feet, but again the discrepancies could be reflecting a progression of symptoms.

              I read a description of some concerning gold mining done by adventure tourists up the Paulaya River that feeds into the ocean at Plaplaya involving dredging, digging and land clearing.
              “‘i love myself.’ the quietest. simplest. most powerful. revolution ever.” ---- nayyirah waheed

              Avatar: Franz Marc, Liegender Hund im Schnee 1911 (My posts are not intended as advice or professional assessments of any kind.)

              Comment

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