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Egypt on alert after hundreds of cases of diarrhea, gastroenteritis reported in Aswan - Initial tests indicate E. coli bacteria infection

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  • Egypt on alert after hundreds of cases of diarrhea, gastroenteritis reported in Aswan - Initial tests indicate E. coli bacteria infection

    Click image for larger version  Name:	image.png Views:	10 Size:	21.0 KB ID:	997289
    Aswan Governorate
    ​/https://en.wikipedia.org/wiki/Aswan_Governorate

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    Egypt on alert after hundreds of cases of diarrhea, gastroenteritis reported in Aswan

    BY Egypt Today staff
    Fri, 20 Sep 2024 - 11:17 GMT

    CAIRO – 20 September 2024: Hundreds of cases suffering from vomiting, diarrhea, and gastroenteritis have been reported in Upper Egypt’s Aswan over the past few days, pushing the authorities to be on alert in the city and send more medical teams to investigate cause of the spread of these symptoms.

    In a statement released on Thursday, the Ministry of Health said that Minister Khaled Abdel-Ghaffar directed to send a medical team from the preventive medicine sector to Aswan to investigate the cause of this unknown disease.
    ...


    ---------------------------------
    Translation Google

    "No case of cholera has been confirmed in Aswan".. The government settles the controversy and proposes 3 directions for action

    Saturday 09-21-2024 21:29 | Written by: Rana Shawky |

    A state of controversy was raised on social media regarding the possibility of cholera cases in Aswan Governorate, and with it a torrent of questions was launched about “What is happening in Aswan?” and “Are there cholera cases in Aswan now?” which caused panic among citizens. Immediately, awareness posts about cholera and water contamination were launched by non-specialists on the same social media sites.

    However, the situation on the ground is quite different. In response to these concerns, the Egyptian government moved quickly to resolve the controversy and clarify the facts about the health situation in the governorate.

    No cholera cases in Aswan

    "There are no cholera cases in Aswan Governorate, and tests are being conducted on those suffering from intestinal infections, and no cases of cholera have been proven," Major General Ismail Kamal, Governor of Aswan , confirmed during a phone call to the "Tahrir Hall" program on "Sada El Balad" channel, that the health situation in Aswan is stable, and that what has been circulated about the spread of cholera in the governorate is incorrect. The governor stated that some citizens suffer from intestinal infections, which may be the result of consuming contaminated food or water, but he stressed that all tests conducted did not prove any cases of cholera in Aswan. He confirmed that 103 water stations in the governorate have been examined, and all of them meet health specifications.

    Ministry of Health's moves: Three axes to confront intestinal flu

    In a press conference held on the sidelines of his visit to several pharmaceutical factories in 6th of October City, Dr. Khaled Abdel Ghaffar, the Egyptian Minister of Health and Population, explained that the ministry is moving on three main axes to deal with the health situation in Aswan.

    Checking the safety of drinking water: Samples were taken from 103 water stations in Aswan Governorate to check their quality, and all results were reassuring that the water is safe to drink.

    Ensuring hospital readiness: Specialized medical teams visited hospitals in the governorate, including Al-Sadaka Specialized Hospital, Al-Masalla Hospital, and the University Hospital, to ensure their ability to deal with infected cases.
    Through dealing with the cases, it became clear that most of them were suffering from acute intestinal infections resulting from food or drink contamination, and there were no confirmed cases of cholera.

    Investigation of food sources and street vendors: Measures have been taken to monitor food outlets, especially in areas where gastroenteritis has occurred, to ensure that there are no practices that could lead to the spread of contamination.

    Sickness in Aswan

    The situation in Aswan now between exaggerations and rumors


    During the statements, the Egyptian Deputy Prime Minister indicated that what is being circulated about the cholera outbreak in Aswan is considered a kind of exaggeration and rumors, calling on citizens to remain calm and rely on official information issued by the government and the Ministry of Health. He added that the recorded cases have begun to recover, and that the number of new cases is very small, indicating that the health crisis will end in the coming days.

    The Ministry of Health confirmed that medical teams are still in Aswan to closely monitor the health situation, and that a final report will be issued within 48 hours after completing the examination of the internal networks of the homes and villages in which the infections were recorded.

    Despite concerns raised about the spread of cholera in Aswan Governorate, the Egyptian government confirms that the situation is under control and that there are no cholera cases. The Ministry of Health continues to closely monitor the situation, stressing the importance of relying on official information to avoid falling into the trap of rumors.


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    Symptoms of illness" in Aswan, Egypt, raise concerns

    The government has taken measures to uncover the source of infections.

    Cairo: Ahmed Imbaby
    Last update: 12:53 - September 22, 2024 AD - 19 Rabi` al-Awwal 1446 AH
    Published: 18:19-20 September 2024 AD - 17 Rabi` al-Awwal 1446 AH

    "Symptoms of illness" among some residents of the southern Egyptian city of Aswan have raised concerns among citizens, amid government moves to uncover the source of these infections.

    The Egyptian government announced several measures, following the spread of infections with symptoms of "intestinal flu", while the Egyptian Ministry of Health sent specialized medical examination committees to identify the source of the infections and analyze drinking water to ensure its safety.

    While the Ministry of Health ruled out the scenario of an “epidemic threat in the governorate,” parliamentarians and experts gave varying explanations about the reason for the spread of the disease. However, they indicated that the infections may be due to “contamination in water or food, or due to a seasonal infection.”

    The cases of gastroenteritis were concentrated in the village of Abu al-Rish, located about 20 kilometers north of Aswan, according to a resident of the area who preferred to remain anonymous. He said that the increasing number of infected people in recent days “has raised a state of fear among the residents,” explaining to Asharq Al-Awsat that “some families have moved to other areas in Aswan Governorate, after rumors spread that the cause of the infections was water pollution or cholera.”

    However, medical sources in Aswan ruled out that “the cause of the infections was cholera.” They told Asharq Al-Awsat: “If this scenario were true, the infections would have been many times greater, and from different cities and villages in Aswan.” They suggested that the cause of the intestinal flu was “contaminated drinking water.”

    Egyptian Prime Minister Mostafa Madbouly announced the dispatch of medical teams to investigate the source of the disease cases that appeared in Aswan. He pointed out during a press conference on Thursday that "the drinking water in the governorate was tested and its safety was confirmed." He added that the likelihood indicates that "what happened may have been due to contaminated food there, or due to a seasonal infection that spreads in Aswan in the summer," explaining that "the number of infections reached about 200 cases that were received in the governorate's hospitals."

    For its part, the Ministry of Health stated that based on an inspection by a central team from the Preventive Medicine Sector, “a number of patients suffering from symptoms of intestinal flu (diarrhea, nausea, and vomiting) were observed visiting four hospitals in Aswan Governorate.” It said that “63 of them were admitted, while the health condition of the remaining patients did not require hospitalization, after they were given appropriate treatment.”

    The ministry's statement on Thursday evening confirmed that "there is no epidemiological link between all cases so far, as the majority of cases are from the Abu al-Rish and Daraw areas in Aswan, each of which has a separate water station." It noted that "the analysis of drinking water at the two stations showed that it complies with health specifications." The ministry advised citizens to take precautionary measures to avoid contracting intestinal flu, and not to pay attention to widespread rumors regarding the sources of infections.

    For his part, MP Ali Al-Badri, a member of the House of Representatives (Parliament) for Aswan Governorate, said that “there is no specific reason for the spread of intestinal infections in Aswan during the past few days,” noting that the explanations suggest either “contamination of drinking water, which was denied after analyzing water sources at more than one drinking water station in the governorate,” or due to “food contamination or a seasonal infection that usually spreads in Aswan at this time.”

    Procedures for analyzing drinking water in Aswan Governorate (Aswan Drinking Water Company)

    For its part, the Aswan Drinking Water and Wastewater Company denied on Thursday that there was “contamination in drinking water.” Al-Badry explained to Asharq Al-Awsat that “the situation is currently stable, due to the absence of new infections,” noting that he “followed up on the condition of the infected inside hospitals and reviewed government procedures.”

    MP Ahmed Mohamed Saleh, a member of the House of Representatives for Aswan Governorate, confirmed to Asharq Al-Awsat that the situation in the governorate is “stable now after medical teams and the Drinking Water Company’s devices verified the safety of the water in the various water stations in Aswan,” suggesting that the cause of the infections is “high temperature or pollution,” noting that “medical convoys are providing health and medical services to areas where infections are widespread to ensure the stability of health conditions.”

    Aswan Governor during a meeting of hospital directors in the governorate to raise the level of preparedness to deal with disease cases (Aswan Governorate)
    On the ground, Aswan Governor Ismail Kamal held a meeting on Friday with hospital directors in the governorate, in the presence of the Egyptian Deputy Minister of Health, Amr Qandil. He stressed “raising the level of maximum readiness within hospitals to provide all aspects of medical care for any emergency cases of intestinal diseases resulting from viruses or food and drink consumption,” noting that “these infections occur continuously in the summer,” according to a statement from Aswan Governorate.

    Saleh Mohammed Saleh, director of external relations at the Regional Federation of Civil Society Organizations in Aswan, a resident of Abu al-Rish village, believes that “there is no justification for the fear among citizens after the government’s intervention to ensure the safety of water and preventive measures in the governorate.” He explained to Asharq Al-Awsat that “there is no clear reason for the infections,” but he pointed out that “concerns persist among many segments of citizens, in light of what is being said that the source of the infections is water pollution.”


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    Ministry of Health Comments on Wave of Diseases Reported in Aswan

    Saturday، 21 September 2024 - 07:00
    Ministry of Health Comments on Wave of Diseases Reported in Aswan

    The spokesman for the Egyptian Ministry of Health and Population, Hossam Abdel-Ghaffar, commented on the progress of examining samples taken from water stations in Aswan, southern Upper Egypt, following reports of an outbreak of an unspecified disease.

    “The first indicators of examining the samples confirm that there is no change related to the presence of specific bacteria in the water or in food samples taken from street vendors,” he explained.

    Several citizens in Aswan have recently reported fatigue, vomiting and diarrhea for unknown reasons.

    The ministry ordered the dispatch of a central team from the Preventive Medicine Sector to find out the cause of this mysterious disease.

    In a telephone interview with Extra News channel, Abdel-Ghaffar explained the details of the cases suffering from symptoms of nausea and symptoms of the digestive system in Aswan and said: “There is an improvement in cases suffering from symptoms of the digestive system, thanks to the efforts of the ministry to treat these cases.”

    He pointed out that Prime Minister Mostafa Madbouly had ordered all relevant agencies, headed by Aswan Governor Ismail Kamal, to reach the root cause of these symptoms and provide appropriate treatment services.

    Abdel-Ghaffar gave general advice to citizens to prevent symptoms of the digestive system, including washing hands before and after eating, cooking food well, washing fruits and vegetables, ensuring that food is clean, avoiding food from street vendors, and obtaining food only from safe sources.

    https://www.sis.gov.eg/Story/169329/Commentaires-du-minist%C3%A8re-de-la-Sant%C3%A9-sur--la-vague-maladie%2C-signal%C3%A9e-%C3%A0-Assouan?lang=fr​

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    Egypt investigates outbreak of intestinal catarrh cases in Aswan

    Saturday، 21 September 2024 - 09:17 PM



    The Ministry of Health and Population has opened an investigation into an outbreak of intestinal catarrh cases reported over the past few days in the southern governorate of Aswan.

    A final report on the causes behind the rising cases will be released within 48 hours, the Minister of Health and Population Khaled Abdel-Ghaffar told a press conference on Saturday following an inspection tour of pharmaceutical factories in Giza.

    Minister Abdel-Ghaffar said most cases, who presented with diarrhoea as a symptom, were concentrated in the areas of Abu Al-Rish and Daraw.

    The cases were primarily caused by acute intestinal flu, likely due to contaminated food or drink, added Abdel-Ghaffar.

    Hospitals in Aswan, he added, had received 128 cases displaying symptoms similar to those of intestinal flu, with 22 patients already discharged.

    The ministry, Abdel-Ghaffar noted, is investigating several potential causes, including analyzing water samples, visiting the homes of infected families, and examining internal plumbing systems.

    Prime Minister Mostafa Madbouly had previously reported approximately 200 intestinal flu cases in Aswan, assuring that most patients were discharged.

    Earlier today, the health ministry said it has sent medical teams to the country’s southern governorate to investigate the situation.

    According to a health ministry statement on Saturday, a team from the ministry's Preventive Medicine Sector has already visited local hospitals in Aswan, met with patients, and conducted home visits in villages.

    The hospitals included the University Hospital, Al-Masalla Hospital, Al-Sadaka Hospital, and Daraw Central Hospital, where the team examined patients and monitored medical services.

    Additionally, the team has visited homes in some villages within the Daraw administration, meeting with residents and providing them with health awareness and guidance.

    Hossam Abdel-Ghaffar, a spokesperson for the Ministry of Health and Population, also pointed out that a virtual workshop was conducted for physicians and departmental heads at the governorate's hospitals to acquaint them with the protocol for diagnosing, treating, reserving, and referring cases of intestinal flu.

    He added that a meeting will be held to raise the awareness of doctors in primary care units affiliated with the Health Care Authority—responsible for health insurance medical units— on the appropriate management of intestinal flu cases.

    Furthermore, Abdel-Ghaffar said the health minister has instructed hospital directors to ensure the adequate availability of necessary supplies and medications.

    Governor of Aswan Major General Ismail Kamal reassured the public on Saturday that the situation was under control and that the government was handling the recent crisis transparently.

    "There is no need to hide any details," he said.

    In a phone interview with MBC Misr channel, Kamal confirmed that municipal authorities had inspected water stations, including those at homes, to ensure compliance with technical specifications.

    He added that all water networks within the governorate have been disinfected.

    Moreover, campaigns conducted at food and beverage shops resulted in disposing of approximately a ton of spoiled food.

    Ahramonline

    https://www.sis.gov.eg/Story/195944/...wan?lang=en-us

  • #2
    Initial tests suggest E. coli behind spate of gastrointestinal cases in Aswan, health minister says

    By Moataz Hagag
    September 23, 2024

    “We’re afraid to drink tap water, and we can’t afford bottled water,” Nadia Hammad, a resident of Sadaqa al-Gadeeda neighborhood in Aswan, told Mada Masr, expressing a sense of panic and fear spreading about the safety of drinking water as a spate of cases of acute gastroenteritis emerges in Egypt’s south.

    Health Minister Khaled Abdel Ghaffar, who has acknowledged that over 128 people have been hospitalized since September 11 due to the infection, announced on Monday that initial analyses indicate that the cases may be caused by the Escherichia coli (E. coli) bacteria.

    Abdel Ghaffar reassured the public that drinking water has been checked and is safe for consumption.
    ...



    -------------------------------------------

    Translation Google


    Bacteria behind the mysterious Aswan disease.. Authorities explain

    Aswan (Egypt) - Al Arabiya.net
    Published in:September 23, 2024: 04:24 PM GST
    Last update :September 23, 2024: 04:39 PM GST

    After the great confusion experienced by the Egyptian city of Aswan due to the widespread spread of disease symptoms among the population, the Deputy Prime Minister for Human Development and Egyptian Minister of Health and Population, Dr. Khaled Abdel Ghaffar, revealed the results of the analyses and examinations conducted by the ministry regarding what happened.

    He said in a press conference today, Monday, that the visual examination of diarrhea samples confirms the presence of a colonic bacterial infection called "E. coli bacteria", which is present in any contaminated water or food.

    He stressed that this is what the central laboratories in Cairo showed in the results of analyzing samples of diarrhea and vomiting or infected patients, explaining that with the difference in E. coli strains, the severity of the disease varies.

    He also pointed out that it is normal to have cases of diarrhea and vomiting, but in some mutated strains there is a danger.

    Abdel Ghaffar explained that this group of microbes is transmitted through contaminated water or food. It is a group of negative bacteria that cause infections in the digestive system and urinary tract. Sometimes, it causes severe illness, especially for those with weak immunity, and leads to severe stomach cramps, diarrhea, and vomiting. He pointed out that the symptoms range from one to five days, and the infection can be transmitted between people.

    Intestinal flu

    Abdel Ghaffar added that the total number of cases that visited hospitals due to intestinal flu reached about 480 cases so far.

    He stated that the number of cases admitted to hospitals due to intestinal flu was only 168, while 49 cases improved.

    He also pointed out that there are 78 patients in the hospital's internal department who are currently recovering, while there are 36 cases in intermediate and intensive care who may be suffering from chronic diseases and are elderly.

    He stressed that the average frequency of cases in Aswan hospitals is between 18 and 19 cases across all hospitals in the governorate, which is a low rate, and that the first appearance of intestinal flu cases in Aswan was on September 16.

    Water safety

    He stressed that the ministry has a system to ensure the safety of every drop of drinking water that reaches the citizen, and that an analysis of samples from water station packages in Aswan showed that the water is completely safe.

    He revealed the results of the analyses and tests conducted by the ministry on certain sections of the water stations to determine the reasons for the spread of intestinal infections among the residents of Aswan, saying: “We, as the Ministry of Health, took samples from the water station packages, and the results of the samples showed that all samples were safe by chemical examination. This is done on a daily basis across the country in order to respond to rumors about the safety and security of the Nile water.”

    Locals' stories to Al Arabiya.net

    In a related context, a number of residents of the Abu al-Rish area confirmed to Al Arabiya.net that some of their relatives felt very sick and were taken to the hospital without knowing what had happened.

    One of the injured told Al Arabiya.net that he felt severe stomach pain and went to the hospital. After examining him, the doctors confirmed that he had intestinal flu. He pointed out that the number of injured people increased without knowing what happened or what caused the disease.

    He also confirmed that the increase in the number of infected people and the lack of a diagnosis for the disease was behind the concern, while some said that the reason was the lack of chlorine in the water.

    In turn, a medical source in the Aswan Health Directorate confirmed that all cases had symptoms limited to stomach pain and vomiting, stressing that all care was provided to them, and many of them were discharged after their health condition stabilized.

    In this context, Major General Ismail Kamal, Governor of Aswan, stressed in an official statement that the chlorine system at Sheikh Ali Station in Abu Al-Rish village has been updated to keep pace with the latest methods of pumping chlorine during the station’s operation in order to achieve the highest levels of security, safety and security for drinking water and to conform to standard specifications.

    A mysterious disease in Aswan

    It is noteworthy that the Egyptian authorities had monitored, during the past few days, cases of fatigue and intestinal flu in the areas of Abu al-Rish and Daraw in Aswan, as well as other cases of nausea and vomiting.

    Medical teams moved to hospitals and water stations to determine the real causes and examine samples.

    The authorities also decided to launch campaigns on restaurants and markets to monitor the quality and validity of food and beverages.

    https://www.alarabiya.net/arab-and-world/egypt/2024/09/23/%D9%85%D8%B5%D8%B1-%D8%AA%D9%83%D8%B4%D9%81-%D8%AD%D9%82%D9%8A%D9%82%D8%A9-%D8%A7%D9%84%D9%85%D8%B1%D8%B6-%D8%A7%D9%84%D8%BA%D8%A7%D9%85%D8%B5-%D8%A8%D8%A3%D8%B3%D9%88%D8%A7%D9%86-%D8%A8%D9%83%D8%AA%D9%8A%D8%B1%D9%8A%D8%A7-%D8%A7%D9%84%D8%A7%D9%8A%D9%83%D9%88%D9%84%D8%A7%D 9%8A
    -----------------------------------------
    The full story behind the "mysterious diseases" in Aswan

    September 23, 2024, 6:15 AM

    For the first time, Egyptian authorities have revealed the full story of the mass outbreak of a mysterious illness with symptoms resembling intestinal flu in Aswan Governorate, in the south of the country, which has sparked widespread controversy and concern in recent days.

    Dr. Khaled Abdel Ghaffar, Minister of Health and Deputy Prime Minister, explained that the central laboratories in Cairo revealed the presence of patients with E. coli bacteria among the cases discovered in Aswan.

    He pointed out in a press conference a short while ago that the number of cases visiting the governorate's hospitals during the past few days amounted to about 480 cases, 168 cases were detained, 49 of them were discharged, while there are 78 cases recovering, in addition to the presence of 36 cases in intensive and intermediate care for those with chronic diseases.

    The Minister of Health added that the total number of deaths reached 5 cases, and their connection to the event has not been confirmed.
    Samples were taken, and analyses showed that they were negative for microbes.

    He continued, "There is no one responsible for the disease in Aswan, neither the state nor the citizen is responsible."

    He commented on the questions related to the reasons for the delay in announcing the results of the tests of the infected samples for about 6 days, indicating that the authorities were conducting a genetic sequencing of the strains of E. coli bacteria, and a culture of the samples in order to come out with documented scientific information about this bacteria.

    He pointed out that some of the injured were transferred to intensive care due to the loss of fluids in the body for a long period, which leads to dehydration, which has harmful effects on the vital signs in the body, including the kidneys.

    He said that it is normal to have cases of diarrhea and vomiting, but in some mutated strains there is a danger, noting that adherence to personal hygiene rules is necessary to prevent infection with bacteria.

    A state of panic prevailed in Aswan, with a large number of citizens entering hospitals after suffering from symptoms of diarrhea, nausea and vomiting, which led to the spread of news of the outbreak of cholera due to the contamination of drinking water.

    كشفت السلطات المصرية، لأول مرة، القصة الكاملة لظهور حالات من المرض الغامض والأعراض المشتركة التي تشبه نزلات معوية بشكل جماعي في محافظة أسوان

    Comment


    • #3
      September 25, 2024​
      By Kit Redwine

      The cause of a recent outbreak of gastrointestinal symptoms across Aswan, Egypt has been identified as E. coli, a bacterium that can cause severe illness in humans.

      The announcement came during a press conference today by Egyptian Health Minister Khaled Abdel-Ghaffar following the analysis of patient samples, shedding light on a health crisis that has affected hundreds in the region.

      The outbreak has led to a significant influx of patients at Aswan’s hospitals, with 648 individuals seeking treatment for gastrointestinal symptoms. Currently, 168 patients remain hospitalized, including 78 in stable condition and 36 elderly patients requiring intensive care. ...

      https://www.foodpoisoningnews.com/e-...tensive%20care.

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