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  • Fiji Islands: Typhoid outbreak

    Typhoid outbreak

    Monday, April 16, 2007


    A COMMUNITY is in shock as it scrambles to deal with a typhoid outbreak that claimed one life, made more than 60 villagers sick and is feared to have infected many more villagers.

    The Natewa and Tukavesi health centres were specially opened yesterday to treat the file of villagers who complained of diarrhea, body pains and headaches, which are symptomatic of typhoid.

    A team of police officers dispatched to the area yesterday morning said more patients were being transported from villages in Natewa Bay.

    Community policing coordinator Cakaudrove, Sergeant Simione Bale said when they were at the Natewa Health Centre, villagers continued to arrive to see the doctor and nurse at the centre. "Three villagers had to be admitted to one of the government quarters because there are no beds at the Natewa Health Centre," he said.

    Sgt Bale said villagers in Natewa Bay were in a state of shock and were fearful.

    "The villagers are lost and all look worried because they don't know what to do. It's a sudden outbreak that involved a death and they don't know what measures to take to prevent the spread of typhoid."

    He said it was expensive for villagers to travel to the clinic because the road was bad and they had to hire boats to take them instead.

    "It is expensive for them because they don't want to lose any more lives, they have opted to carry the load of the hire boat charges," he said.

    A Methodist church pastor Lepani Vaniqi from Buca bay said the Tukavesi Health Centre was always full. "It's quite dangerous because it's spreading and more villagers are complaining of the same symptoms," Pastor Vaniqi said.

    "This is the time for the health department to get in touch with church leaders and village leaders to we can work together to fight the spread of this disease."

    Sub-Divisional medical officer Cakaudrove, Doctor Mohammed Ishaque said the outbreak was to be blamed on the villagers' attitude.

    "Many did not report to the health centre as early as possible. For three weeks the villagers were suffering from symptoms of typhoid but only when the death happened, then they came in full force and that should change," he said.

    "We have not received any more cases from Natewa so far and that is why we can say that it is under control," Dr Ishaque said.

    "The Public Works Department should fix the roads quickly this week so that our health team can have better access to the villages. However, we have been visiting villages and advising villagers of important measures to take to prevent typhoid and other diseases as a result of the cyclone."

    Dr Ishaque said one of the causes of typhoid in the Natewa Bay area was contaminated water.

    "After the cyclone, the water catchment area to the village and the school was affected and villagers turned to the river for drinking water. We don't know how many villagers boiled their water as advised but contaminated water is one of the causes."

    There were 17 cases of typhoid from Wailevu Village, Tunuloa, reported to the Savusavu Hospital last week with six people admitted. Three were sent back home. Eight other cases were still to be confirmed.

    There were 44 cases reported in Macuata and 20 in Cakaudrove.

    ?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
    Richard Horton, Editor-in-Chief The Lancet

    ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

  • #2
    Re: Fiji Islands: Typhoid outbreak

    Typhoid cloud over 9000

    Tuesday, April 17, 2007

    ALMOST 9000 villagers are at imminent risk of catching typhoid from contaminated water supplies.

    Tests have confirmed that all water sources in the Natewa Bay and Buca Bay area carry the bacteria that causes the disease.

    Health authorities have banned all gatherings of people to try to minimise the spread of the disease which has already killed one man and infected 65 other people.

    The Central and Eastern divisions have been placed on alert for typhoid, dengue fever and leptospirosis, following the outbreak in the North.

    Ministry of Health national advisor on family health Doctor Josaia Samuela said 65 cases of typhoid fever, 34 cases of dengue fever and 22 cases of leptospirosis had been reported in the Northern Division.

    Health teams had been sent to carry out typhoid tests on everyone.

    The Health Ministry has banned all functions traditional, church or private in the Natewa and Buca Bay areas.

    Tests on water samples from three sources and tanks in the 12 villages and 42 settlements of Natewa Bay and other villages in Buca Bay confirmed the presence of the bacteria.

    The health department in Cakaudrove confirmed all water sources in the area were contaminated.

    Sub-divisional medical officer Doctor Mohammed Ishaque said the result was a worry as they worked with police and State officials to fight the outbreak.

    Dr Ishaque urged the 3500 villagers of Buca Bay and 5000 villagers of Natewa to boil all drinking water and to wash their hands after using the toilet and before eating.

    "It is a serious matter and we are concerned about the lives of the villagers as the water sources, including the rivers, are contaminated," he said.

    "We have put a stop to all functions because that is one of the major ways of spreading typhoid through food preparation," he said.

    Northern Division police media liaison officer Ajay Nand said villages in the Tunuloa District at risk of contracting typhoid were Bala Settlement, Salia, Navetau, Wailevu, Muana and Qaravutu; Buca Village in the Natewa District and Nanovu Settlement in Cakaudrove-i-vanua District.

    "The recent death of 32-year-old school teacher Iliesa Ralala of Wailevu District School in Tunuloa, prompted medical authorities to conduct investigations into the matter," Sergeant Nand said.

    "This has resulted in the closure of Wailevu District School and the discovery of existing threat of disease outbreak in the remote area of Tunuloa and Natewa District."

    Dr Ishaque said they had advised the Methodist Church to postpone a conference planned for Natewa.

    He said the health department was working with the chefs of all restaurants and hotels in Savusavu conducting tests as food preparation was a major way of spreading typhoid.

    Dr Ishaque said a team was sent over the weekend to take samples of water from the area.

    "We have received the results of the water samples and they have confirmed presence of bacteria.

    "That is why we had an urgent meeting this morning with the police and the Roko Tui Cakaudrove to discuss ways of dealing with the situation.

    "As a result of that meeting, we have organised two teams that will leave for the affected areas today," Dr Ishaque said.

    He said a team of nine members would visit the Natewa Bay area while the second team of five would visit the Buca Bay area. Dr Ishaque said they were liaising with the Red Cross on possible donations of water to the affected areas.

    "After the flood in February, parts of Cakaudrove that were affected received cartons of Fiji Water bottles from the Red Cross so we are hoping for a similar kind of donation," he said.

    "But, since the weekend, we have not received any new cases from the affected areas in Natewa."

    Seventeen cases of typhoid from Wailevu Village, Tunuloa, were reported to the Savusavu Hospital last week. Six cases have been confirmed as typhoid and three people have been sent home. Eight other cases are to be confirmed.

    So far, there have been 44 typhoid cases in Macuata and 20 in Cakaudrove.

    Dr Samuela said yesterday in response to the possible outbreak of dengue, typhoid and leptospirosis, the Ministry of Health had put out prevention messages through the media.

    He said even though the Colonial War Memorial Hospital had not been able to release figures for the number of patients seen, reports from medical officers in other health facilities in the Central Division showed very few cases of typhoid fever less than five for January and February 2007.

    He said only dengue was caused by a virus, while typhoid and leptospirosis were caused by bacteria.

    "As part of our response to these outbreaks, the Ministry of Health has been putting out media messages on prevention and more seriously on the positive behaviour for people to adopt, like personal hygiene, taking protective measures like proper hand washing, disposal of items that allow mosquitoes to breed and to avoid walking bare-footed outside.

    ?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
    Richard Horton, Editor-in-Chief The Lancet

    ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

    Comment


    • #3
      Re: Fiji Islands: Typhoid outbreak

      Typhoid, mumps in Fiji now

      AAP | Wednesday, 18 April 2007

      SYDNEY: Australia has expanded its warnings about travel to post-coup Fiji to cover outbreaks of typhoid and mumps.


      The Department of Foreign Affairs and Trade says its overall message remains: "Exercise a high degree of caution when travelling in Fiji due to the volatile political and security situation" following the military coup of December 5.

      "The security situation remains uncertain, and reactions to the coup could lead to violent clashes."

      The advisory now adds: "An outbreak of typhoid has been reported in Fiji, affecting the areas around Natewa Bay and Buca Bay on Fiji's northern island of Vanua Levu".

      The department said it encourages visitors to consider having vaccinations before travelling, that they should boil all drinking water or drink only bottled water, and avoid ice cubes, raw and undercooked food.

      As well, an outbreak of mumps has been reported in Fiji affecting a number of areas in the two main islands of Viti Levu and Vanua Levu.

      The Department of Health and Ageing advises travellers to discuss with their doctor whether they need to have a MMR (measles, mumps, rubella) vaccination.

      The advisory also said visitors should take out comprehensive travel insurance.

      Fiji hotel operators and tourism authorities claim the Australian security warnings should be applied only to the capital, Suva, since most tourist resorts are in areas unaffected by the situation

      ?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
      Richard Horton, Editor-in-Chief The Lancet

      ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

      Comment


      • #4
        Re: Fiji Islands: Typhoid outbreak

        Two die from leptospirosis at CWM


        Wednesday, April 18, 2007

        Update: 5.50pm

        Two people have died of leptospirosis in the Central Division.

        This follows the death of a man in the Northern Division from typhoid fever.


        Medical authorities are pleading with people who have any flu-like illnesses to seek medicial help quickly.

        Acting Director of Public Health, Dr Josaia Samuela of the Ministry of Health, said he was told the latest deaths had resulted from the patients not seeking quick treatment for their illness.

        CWM officials have not yet to commented on the deaths which are understood to have been at the hospital this week.

        ''They can confuse the symptoms with typhoid or dengue or the common flu,'' said Dr Samuela.

        ''The person can be staying at home thinking that it is the flu, when complications start setting in.''

        ?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
        Richard Horton, Editor-in-Chief The Lancet

        ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

        Comment


        • #5
          Re: Fiji Islands: Typhoid outbreak

          Police help combat typhoid

          Friday, April 20, 2007

          POLICE have taken the lead role in combating the sudden outbreak of typhoid in the Northern Division by assigning a 16-member team to help allay the fears among villagers in Savusavu.

          Community policing coordinator Cakaudrove Inspector Simione Bale said the team was set up after three villagers were admitted at the Savusavu hospital on Wednesday night for suspected typhoid case.

          He said the team accompanied by health officials visited the Natewa and Buca Bay areas yesterday to help villagers deal with the situation.

          "So far from our visit to the areas, the tense and worried atmosphere we first felt when the outbreak started had eased a bit after talking with the villagers," IP Bale said.

          He said it was good to see more villagers taking prompt action and visiting the health centres to be checked for typhoid.

          "The situation is improving because the villagers are more aware now of the outbreak and are taking precautionary measures." Earlier this week the Health Ministry banned all functions traditional, church or private in the areas after tests on water samples from three sources and tanks in the 12 villages and 42 settlements confirmed the presence of the bacteria.

          In the Central Division no further cases of typhoid or leptospirosis were reported from the medical centres.


          Ministry national adviser on family health Doctor Josaia Samuela said doctors and medical staff in various health centres and hospitals in the division were advised to provide regular feedbacks to the ministry on the number of patients treated.

          "But I did not receive any reports from any of the centres today (yesterday)," he said.

          The Central and Eastern divisions were placed on alert for typhoid, dengue fever and leptospirosis, following the outbreak in the North.

          ?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
          Richard Horton, Editor-in-Chief The Lancet

          ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

          Comment


          • #6
            Re: Fiji Islands: Typhoid outbreak

            Reported Typhoid Cases Increases to 85

            By fijivillage

            Apr 20, 2007, 13:59



            Health Officials are on alert after eight cases of Typhoid were reported in the Suva area over the past two weeks taking the number of people suffering from Typhoid in the Northern and Central Division to 85.

            Officials at the CWM hospital confirm that other people may be suffering from Typhoid but have not seen a doctor. The eight cases are only from the Suva area.

            Officials are still trying to gather figures from other health centres and hospitals in the Central Division.

            These figures do not include the four cases that were reported from Qauia in Lami late last month. According to doctors these people have been treated and sent home.

            Meanwhile, Acting Director Public Health, Doctor Joe Samuela said people should seek medical assistance as soon as possible if they suffer from diarrhea and fever. He also highlighted that the symptoms of Typhoid and Leptospirosis are similar.

            He has also called on the employers and school teachers to send workers and students home if they have any symptoms of Typhoid.

            He warns people that the bacteria is very contagious and can easily spread from one person to another.

            ?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
            Richard Horton, Editor-in-Chief The Lancet

            ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

            Comment


            • #7
              Re: Fiji Islands: Typhoid outbreak

              Radio New Zealand International
              More typhoid and dengue cases confirmed in Fiji

              Posted at 08:20 on 26 April, 2007 UTC

              The number of confirmed typhoid cases in Fiji has now reached 100 and thousands more are at risk.

              The outbreak, which is blamed on contaminated water caused by heavy rains and flooding, has claimed two lives so far.

              The director of public health, Dr Josaia Samuela, says officials have confirmed more cases this week.

              ?For the northern division we have 95 cases up from the initial 77, the central division has not reported any new cases but for the western division we had five new cases reported within the past one or two weeks.?
              Dr Josaia Samuela says there has also been an upsurge of dengue fever with 40 people now affected.

              Meanwhile the Secretariat of the Pacific Community, or SPC epidemiologist, Dr Tom Kiedrzinski, says people need to be aware of how to combat dengue.

              ?Dengue is an episodic problem in the region with epidemic outbreaks from time to time. It is really important that the population in the countries be ready for that, especially during the warm and wet season. It can be tackled with proper education among the population.?

              Dr Tom Kiedrzinski says people should use insect repellent, sleep under a mosquito net and contact their doctors if they discover the symptoms

              Radio New Zealand, RNZ, Public Radio, News, Current Affairs, Audio, Podcasts
              ?Addressing chronic disease is an issue of human rights ? that must be our call to arms"
              Richard Horton, Editor-in-Chief The Lancet

              ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

              Comment

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