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Five cases of plague confirmed in Tobruk, Libya, 2009

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  • #31
    Re: Plague in Libya & Ministry of Health in Egypt is Preparing Procedures

    <TABLE style="TEXT-ALIGN: left; DIRECTION: ltr" class=contentpaneopen><TBODY><TR><TD class=contentheading width="100%">«Plague» threatens the borders of Egypt, the West ..
    ووزارة الصحة تشدد إجراءات الحجر الصحي علي منفذ السلوم
    And the Ministry of Health tighten quarantine port SALLUM </TD><TD class=buttonheading width="100%" align=right> </TD><TD class=buttonheading width="100%" align=right> </TD><TD class=buttonheading width="100%" align=right> </TD></TR></TBODY></TABLE><TABLE style="TEXT-ALIGN: left; DIRECTION: ltr" class=contentpaneopen><TBODY><TR><TD class=createdate vAlign=top colSpan=2>
    16/06/2009
    16/06/2009 </TD></TR><TR><TD vAlign=top colSpan=2>
    كتب - طارق عبد العزيز ومحمد بخات:
    Books - Tariq Abdul-Aziz Mohammed Boukhat:



    شددت وزارة الصحة إجراءات الحجر الصحي علي منفذ السلوم البري بعد وفاة شخصين وإصابة 24 آخرين بمرض الطاعون بمنطقة الطرشة - 40 كيلو جنوب مدينة طبرق الليبية علي الحدود المصرية الليبية وأكد عادل أبوزيد- وكيل وزارة الصحة بمطروح- أنه قد تم رفع حالة الطوارئ بالحجر الصحي بمنفذ السلوم لتوقيع الكشف الطبي علي جميع العائدين من ليبيا بعد ظهور مرض الطاعون بها، وقال أبوزيد لـ « الدستور» إنه متواجد حاليا بالسلوم لمتابعة الإجراءات الوقائية التي بدأت وزارة الصحة في اتخاذها للمسافرين عبر منفذ السلوم خاصة العائدين من ليبيا.
    The Ministry of Health and quarantine procedures on SALLUM access road after the death of two people and injuring 24 others, the disease plague Trcp - 40 kilometers south of the Libyan city of Tobruk on the Libyan-Egyptian border, and he just AbuZayd - Undersecretary of the Ministry of Health Bmatarouh - that has been lifted a state of emergency quarantine port SALLUM for a medical check on all returnees from Libya after the outbreak of the plague, said AbuZayd of «constitution» Balsalum that currently resides in the follow-up preventive action, which started in the Ministry of Health to take passengers through the port SALLUM especially returnees from Libya.



    وحول الإجراءات التي اتخذها منفذ السلوم البري للقادمين من ليبيا من مصريين وعرب وأجانب نفي اللواء علي الخزرجي- مدير عام منفذ السلوم البري- ورود تعليمات رسمية له عن طريق وزارة الصحه بأي إجراءات وقائية يتم اتخاذها حول المرض وقال لـ«الدستور» ان وزارة الصحة لديها حجر صحي بمنفذ السلوم وأنها وزارة سيادية تتخذ إجراءاتها بنفسها.
    And on the actions taken by the port SALLUM land from Libya, Egyptian, Arab and foreign Rear Khazraji Ali - General Manager SALLUM access road - and the role of official instructions by the Ministry of Health of any preventive action taken on the disease, saying, «constitution» The Ministry of Health has a stone SALLUM port health ministry and that it take its own sovereign.



    فيما بدأت وزارة الصحة الليبية بتطعيم سكان مدينة طبرق والمناطق التي حولها ضد المرض وقامت الأجهزة الحكومية الليبية بمنع دخول وخروج الأفراد بمنطقة الطرشة التي ظهر بها المرض، وقد انتقل إلي مدينة طبرق الليبية كل من الدكتور محمد حجازي -أمين اللجنة الشعبية للصحة بليبيا «وزير الصحة»- ومصطفي عبد الجليل- أمين اللجنة الشعبية العامة للعدل «وزير الداخلية»- وأبي بكر المنصوري- أمين اللجنة الشعبية العامة للزراعة «وزير الزراعة»..
    While the Ministry of Health in vaccinating the population of the Libyan city of Tobruk and regions around the disease and against the Libyan government agencies to prevent the entry and exit of individuals in which Trcp hit by the disease, has moved to the Libyan city of Tobruk, by Dr. Mohamed Hijazi - Secretary of the People's Committee for Health, Libya, «Minister of Health» - and Mustafa Abdul Jalil - Secretary of the General People's Committee for Justice «The Minister of the Interior» - and Abu Bakr al-Mansuri - Secretary of the General People's Committee for Agriculture «Minister of Agriculture» ..
    لمتابعة المصابين وأسباب المرض.
    For follow-up to the injured and the causes of the disease.



    ويسبب بكتيريا يعرف باسم (يرسينيا بيستس) الطاعون الدملي الذي يؤدي إلي تضخم الغدد الليمفاوية ويعد الطاعون الرئوي أكثر خطورة حيث ينتشر من شخص لآخر من خلال السعال أو العطس.
    Causing bacteria, known as (Yersinia Bests) bubonic plague, which leads to swollen lymph nodes is more dangerous pneumonic plague, which spreads from person to person through coughing or sneezing.



    وتتمثل أعراض الطاعون بظهور نتوءات سوداء تظهر أحيانا علي أجسام ضحاياه أما الأعراض العامه فتتمثل في ارتفاع درجة الحرارة، والإعياء الشديد، والرجفة، وآلام العضلات والمفاصل، والغثيان وآلام الحلق والبلعوم، واضطرابات ذهنية وغيبوبة.
    The emergence of the symptoms of plague black protrusions appear on the bodies of his victims, sometimes the symptoms are the high degree of heat, exhaustion, and a chill, and the pains of muscles and joints, nausea and sore throat, pharynx, and mental disorders and coma.
    وقيء وحمي.
    The vomiting and fever.
    كشف وزير الصحة «حاتم الجبلي» في بيان ألقاه أمس عن أنه قد تلقي بلاغات عن انتشار حالات مصابة بمرض الطاعون علي بعد 250 كيلو متراً من الحدود المصرية مع ليبيا، وقال الوزير رداً علي بيان للنائب «محمد الصحفي» إن الطاعون يعالج بالمضادات الحيوية والنوع الذي ظهر علي الحدود هو أقل الأنواع ضرراً، وكشف الوزير عن أنه تحدث هاتفياً مع وزير الصحة الليبي الذي أخبره بأن المرض ظهر في إحدي القري وسجل 11 حالة التهاب رئوي وقد عولجت 7 حالات وخرجوا من المستشفي، وتم استدعاء إحدي الشركات المتخصصة التي قامت برش المنطقة بالكامل للقضاء علي الفئران والبراغيث، وهذه المنطقة بالذات كان قد ظهر فيها المرض من قبل عام 1977.
    Minister of Health revealed «woman» in a statement yesterday that it had received reports of the spread of disease, plague-infected cases, 250 kilometers from the Egyptian border with Libya, the minister said in response to a statement by the Deputy «journalist Mohamed» The Plague treated with antibiotics and the type appeared at the borders is the least harmful species, the minister disclosed that he had spoken by telephone with the Libyan Minister of Health, who told him that the disease appeared on a village recorded 11 cases of pneumonia, 7 cases have been addressed and discharged from the hospital, was called in a specialized company that had sprayed the entire area to eliminate on rats and fleas, and this particular region had been hit by the disease by 1977.


    وذكر الوزير أنه اتصل بمحافظ مرسي مطروح وشدد عليه ضرورة حرق القمامة في المحافظة تحسباً واحتياطاً ضد أي انتشار للمرض.
    The minister said he contacted the Governor of Mersa Matrouh, stressed the need to maintain the burning of garbage in the anticipation and the reserve against any spread of the disease.

    http://translate.google.com/translat...F%2Fdostor.org

    </TD></TR></TBODY></TABLE>
    CSI:WORLD http://swineflumagazine.blogspot.com/

    treyfish2004@yahoo.com

    Comment


    • #32
      Re: Plague in Libya &amp; Ministry of Health in Egypt is Preparing Procedures

      Another nice find. Bubonic plague is certainly strongly suspected, but not necessarily confirmed. These sources do have a lot of inconsistencies, including the numbers of deaths and cases, whether the plague is bubonic or pneumonic, and even the distance to the Egyptian border.

      The source that RSOE is quoting mentions a suspect case in Egypt, something that no other source mentions. And the first post in this thread mentions a family with one death and the others critically ill, that it considers undiagnosed, something else that I have not seen in any other source. It almost seems like there might be two separate outbreaks here - one about 50-100 km from the border with 13 cases inlcuding one death (of which 10 might be excluded as plague), and a second outbreak 250 km from the border with 11 cases, one death and 7 discharges (which sounds like pneumonia, not bubonic plague).

      That would add up to the 24 cases quoted. I believe so far we have read of the death of an 18yr old man (June 10?), and a middle-aged woman.

      Information here is a little difficult to determine.
      Last edited by alert; June 16th, 2009, 04:52 PM. Reason: spelling

      Comment


      • #33
        Re: Plague in Libya &amp; Ministry of Health in Egypt is Preparing Procedures

        http://www.pr-inside.com/libya-1-per...c-r1326468.htm

        I believe this is one of the original sources for the RSOE posting. It appears to be taken from an AP report.

        Comment


        • #34
          Re: Plague in Libya &amp; Ministry of Health in Egypt is Preparing Procedures

          <TABLE style="TEXT-ALIGN: left; DIRECTION: ltr" border=0 cellSpacing=4 cellPadding=0 width="95%"><TBODY><TR><TD class=titles align=middle>Egyptian authorities shut down the bomber, "Salloum", before fleeing from the plague, and Libya is holding thousands of 4 Egyptian family to leave while the payment of fees

          </TD></TR><TR><TD class=redLink align=right>
          كتب أحمد حسن بكر (المصريون): : بتاريخ 17 - 6 - 2009
          Ahmed Hassan Bakr wrote (Egypt):: On 17-6 - 2009 </TD></TR><TR vAlign=top align=right><TD class=textheightLeft2>
          أغلقت السلطات المصرية منفذ السلوم الحدودي بين مصر وليبيا، اعتبارا من أمس، بعد الإعلان رسميا عن ظهور وباء الطاعون في منطقة طبرق الليبية، نتيجة تسرب البكتريا المسببة للمرض من بقايا مخزون الأسلحة البيولوجية الليبية في أحد معسكرات الجيش في منطقة الطرشة جنوب مدينة طبرق، التي تبعد 150 كم عن الحدود المصرية.
          Egyptian authorities closed the port Salloum border crossing between Egypt and Libya, as of yesterday, after the official announcement on the appearance of plague in the region of Tobruk Libyan, as a result of leakage of bacteria causing the disease from the remains of stocks of biological weapons in one of the Libyan military camps in the region of Trcp south of the city of Tobruk, which is 150 kilometers from the Egyptian border.
          يأتي ذلك فيما تسود حالة من الفوضى والارتباك الشديدين المنطقة الحدودية، في ظل توافد المصريين العاملين في ليبيا بكثافة على المنفذ الحدودي للعودة إلى مصر، خوفا من الإصابة بالطاعون، في الوقت الذي تحتجز فيه السلطات الليبية أربعة آلاف أسرة مصرية قررت العودة لمصر بعد انتشار الطاعون هناك، حيث يفترشون الأرض ويقيمون في العراء منذ أربعة أيام في الجانب الليبي.
          This comes as there is a situation of utter chaos and confusion, the border area, in the influx of Egyptian workers in Libya heavily on performing the border to return to Egypt, for fear of plague, at a time when the Libyan authorities are holding thousands of Egyptian family of four decided to return to Egypt after the spread of plague there , where the land and the squatters living in the open for four days in the Libyan side.
          وتطالب السلطات الليبية من المصريين العائدين سداد رسوم جديدة كانت قد أقرتها منذ ثلاثة أيام، تحت مسمى رسوم مغادرة لتنمية موارد الخزانة الليبية، دون الإعلان عنها في وسائل الإعلام هناك، وهو ما يمثل أزمة كبيرة للغالبية العظمى من المصريين، في ظل عدم امتلاك الأسر العائدة ما يكفى لسداد الرسوم المقررة، وهي 500 دينار ليبي عن الفرد، و1500 دينار عن كل أسرة.
          Libyan authorities have demanded that the Egyptians returning from the new fees were approved in three days, under the name of exit fees for the development of the Libyan treasury resources, without advertising in the media there, which is a major crisis for the vast majority of Egyptians, in the absence of ownership of the returnee families enough to pay the fee, a 500 LD of the individual, and 1500 dinars for each family.
          وعلاوة على ذلك، فرضت السلطات الليبية رسوم على السيارات التي تستقلها أسر مصرية بواقع 75 دينارا ليبيا عن كل سيارة ملاكي، و75 دينارا عن كل سيارة نقل تحت مسمى ضرائب جمركية.
          Furthermore, the Libyan authorities have imposed fees on cars traveling at 75 Egyptian families of Libyan dinars for each car owners, and 75 dinars for each car under the pretext of the transfer of customs taxes.
          وكشفت المصادر أن الأسر المصرية المحتجزة في العراء اتصلت بالسفارة المصرية في ليبيا، وبالعديد من الجهات في مصر لإنقاذهم بعد أن نفذ منهم الماء والطعام، إلا أنهم لم يتلقوا أي إجابة حتى الآن، رغم الظروف غير الإنسانية التي يعانونها.
          The sources revealed that Egyptian families held in the open, contacted the Egyptian embassy in Libya, and many of the actors in Egypt for medical treatment after it had run out of them water and food, but they had not received any answer so far, despite the inhumane conditions they are enduring.
          ويُخشى إصابة هؤلاء بالطاعون، نظرا لإقامتهم في منطقة يكثر بها القوارض والحشرات التي قد تكون حاملة لبكتريا الطاعون القاتل، ومن المقرر في حال السماح لها بالعبور إلى داخل الحدود المصرية أن تخضع لإجراءات حجر صحي إجباري، لحين التأكد من خلوهم من المرض القاتل.
          They fear the injury plague, because of their residence in an area infested by rodents and insects that may be carriers of the deadly plague bacteria, and in the event to allow them to cross into the Egyptian border be subject to compulsory quarantine measures, while making sure they are free from the deadly disease.
          وعززت السلطات الصحية في منفذ السلوم من الإجراءات الصحية الوقائية، تحسبا لانتشار الطاعون بين العابرين للحدود، فيما علمت "المصريون" أن وفدين من وزارة الصحة المصرية، ومنظمة الصحة العالمية سافرا إلى ليبيا، للوقوف على مدى انتشار وباء الطاعون هناك لوضع الخطط الصحية المناسبة للحد من انتشاره.
          And strengthened the health authorities in the port SALLUM of preventive health measures, in anticipation of the spread of plague among the cross-border, Al "The Egyptians," and that the delegations from the Egyptian Ministry of Health, the World Health Organization traveled to Libya, to determine the extent of the spread of the plague are to develop appropriate health plans to reduce the spread. </TD></TR></TBODY></TABLE>
          http://74.125.113.132/translate_c?hl...RCZFp4AokTLavA
          CSI:WORLD http://swineflumagazine.blogspot.com/

          treyfish2004@yahoo.com

          Comment


          • #35
            Re: Plague in Libya &amp; Ministry of Health in Egypt is Preparing Procedures

            Originally posted by Treyfish View Post
            <TABLE style="TEXT-ALIGN: left; DIRECTION: ltr" border=0 cellSpacing=4 cellPadding=0 width="95&#37;"><TBODY><TR><TD class=titles align=middle>Egyptian authorities shut down the bomber, "Salloum", before fleeing from the plague, and Libya is holding thousands of 4 Egyptian family to leave while the payment of fees

            </TD></TR><TR><TD class=redLink align=right>
            كتب أحمد حسن بكر (المصريون): : بتاريخ 17 - 6 - 2009
            Ahmed Hassan Bakr wrote (Egypt):: On 17-6 - 2009 </TD></TR><TR vAlign=top align=right><TD class=textheightLeft2>
            أغلقت السلطات المصرية منفذ السلوم الحدودي بين مصر وليبيا، اعتبارا من أمس، بعد الإعلان رسميا عن ظهور وباء الطاعون في منطقة طبرق الليبية، نتيجة تسرب البكتريا المسببة للمرض من بقايا مخزون الأسلحة البيولوجية الليبية في أحد معسكرات الجيش في منطقة الطرشة جنوب مدينة طبرق، التي تبعد 150 كم عن الحدود المصرية.
            Egyptian authorities closed the port Salloum border crossing between Egypt and Libya, as of yesterday, after the official announcement on the appearance of plague in the region of Tobruk Libyan, as a result of leakage of bacteria causing the disease from the remains of stocks of biological weapons in one of the Libyan military camps in the region of Trcp south of the city of Tobruk, which is 150 kilometers from the Egyptian border.
            يأتي ذلك فيما تسود حالة من الفوضى والارتباك الشديدين المنطقة الحدودية، في ظل توافد المصريين العاملين في ليبيا بكثافة على المنفذ الحدودي للعودة إلى مصر، خوفا من الإصابة بالطاعون، في الوقت الذي تحتجز فيه السلطات الليبية أربعة آلاف أسرة مصرية قررت العودة لمصر بعد انتشار الطاعون هناك، حيث يفترشون الأرض ويقيمون في العراء منذ أربعة أيام في الجانب الليبي.
            This comes as there is a situation of utter chaos and confusion, the border area, in the influx of Egyptian workers in Libya heavily on performing the border to return to Egypt, for fear of plague, at a time when the Libyan authorities are holding thousands of Egyptian family of four decided to return to Egypt after the spread of plague there , where the land and the squatters living in the open for four days in the Libyan side.
            وتطالب السلطات الليبية من المصريين العائدين سداد رسوم جديدة كانت قد أقرتها منذ ثلاثة أيام، تحت مسمى رسوم مغادرة لتنمية موارد الخزانة الليبية، دون الإعلان عنها في وسائل الإعلام هناك، وهو ما يمثل أزمة كبيرة للغالبية العظمى من المصريين، في ظل عدم امتلاك الأسر العائدة ما يكفى لسداد الرسوم المقررة، وهي 500 دينار ليبي عن الفرد، و1500 دينار عن كل أسرة.
            Libyan authorities have demanded that the Egyptians returning from the new fees were approved in three days, under the name of exit fees for the development of the Libyan treasury resources, without advertising in the media there, which is a major crisis for the vast majority of Egyptians, in the absence of ownership of the returnee families enough to pay the fee, a 500 LD of the individual, and 1500 dinars for each family.
            وعلاوة على ذلك، فرضت السلطات الليبية رسوم على السيارات التي تستقلها أسر مصرية بواقع 75 دينارا ليبيا عن كل سيارة ملاكي، و75 دينارا عن كل سيارة نقل تحت مسمى ضرائب جمركية.
            Furthermore, the Libyan authorities have imposed fees on cars traveling at 75 Egyptian families of Libyan dinars for each car owners, and 75 dinars for each car under the pretext of the transfer of customs taxes.
            وكشفت المصادر أن الأسر المصرية المحتجزة في العراء اتصلت بالسفارة المصرية في ليبيا، وبالعديد من الجهات في مصر لإنقاذهم بعد أن نفذ منهم الماء والطعام، إلا أنهم لم يتلقوا أي إجابة حتى الآن، رغم الظروف غير الإنسانية التي يعانونها.
            The sources revealed that Egyptian families held in the open, contacted the Egyptian embassy in Libya, and many of the actors in Egypt for medical treatment after it had run out of them water and food, but they had not received any answer so far, despite the inhumane conditions they are enduring.
            ويُخشى إصابة هؤلاء بالطاعون، نظرا لإقامتهم في منطقة يكثر بها القوارض والحشرات التي قد تكون حاملة لبكتريا الطاعون القاتل، ومن المقرر في حال السماح لها بالعبور إلى داخل الحدود المصرية أن تخضع لإجراءات حجر صحي إجباري، لحين التأكد من خلوهم من المرض القاتل.
            They fear the injury plague, because of their residence in an area infested by rodents and insects that may be carriers of the deadly plague bacteria, and in the event to allow them to cross into the Egyptian border be subject to compulsory quarantine measures, while making sure they are free from the deadly disease.
            وعززت السلطات الصحية في منفذ السلوم من الإجراءات الصحية الوقائية، تحسبا لانتشار الطاعون بين العابرين للحدود، فيما علمت "المصريون" أن وفدين من وزارة الصحة المصرية، ومنظمة الصحة العالمية سافرا إلى ليبيا، للوقوف على مدى انتشار وباء الطاعون هناك لوضع الخطط الصحية المناسبة للحد من انتشاره.
            And strengthened the health authorities in the port SALLUM of preventive health measures, in anticipation of the spread of plague among the cross-border, Al "The Egyptians," and that the delegations from the Egyptian Ministry of Health, the World Health Organization traveled to Libya, to determine the extent of the spread of the plague are to develop appropriate health plans to reduce the spread. </TD></TR></TBODY></TABLE>
            http://74.125.113.132/translate_c?hl...RCZFp4AokTLavA
            Ouch. Leakage of biological weapons? That's a new one, and that would be bad. That would also explain why there might be more than one illness at work here, and would potentially be very alarming.

            It is important though, not to jump to conclusions about that. Plague naturally was reported from that area twice in the past 35 years.

            IMO, the WHO can't get to this one fast enough!!!

            Comment


            • #36
              Re: Plague in Libya &amp; Ministry of Health in Egypt is Preparing Procedures

              Particular - Libya Today reported a medical source, "Libya Today" for the discovery of the first swine flu infection in Libya and in the city of Benghazi, east of the country.
              وأشار المصدر أن الإصابة تتعلق بشاب ليبي قدم مؤخرا من جمهورية مصر
              The source of infection related to Libby, a young man recently submitted by the Republic of Egypt http://www.libya-alyoum.com/look/art...=1&NrSection=3
              CSI:WORLD http://swineflumagazine.blogspot.com/

              treyfish2004@yahoo.com

              Comment


              • #37
                Re: Plague in Libya &amp; Ministry of Health in Egypt is Preparing Procedures

                Reported the discovery of the first Halhalat deaths and injuries because of the plague in the city of Tobruk

                14/06/2009


                Tobruk - (special) to Libya today
                Sources familiar with the newspaper (today's Libya) said that two deaths have been recorded due to the illness of the plague that has spread in the Trcp (40 kilometers south of the city of Tobruk) among 13 cases booked for treatment at the hospital.

                Al-libya day management of Hospital TOBRUK that the government is exerting great effort to contain the disease, since vaccination began in the population of the city of Tobruk, and areas around it against the disease that he had passed through some insects, as the prohibition of entry and exit from the Trcp.
                The sources said that both Dr. Mohamed Hijazi Secretary (Minister) of the General People's Committee of Health, and Mustafa Abdul Jalil, Secretary of General People's Committee for Justice, and General Secretary of Younis Abdel-Fattah, the General People's Committee for Public Security, in addition to the Abu Bakr al-Mansouri, Secretary General People's Committee of Agriculture is currently online TOBRUK to follow up the matter.http://www.libya-alyoum.com/look/art...=1&NrSection=3
                CSI:WORLD http://swineflumagazine.blogspot.com/

                treyfish2004@yahoo.com

                Comment


                • #38
                  Re: Plague in Libya &amp; Ministry of Health in Egypt is Preparing Procedures

                  The only "plague" in Libya is A/(novel)H1N1.

                  Plague, due to Yersinia Pestis is endemic worldwide but is easily treatable by controlling the rat population which carries fleas that transmit the disease to humans. In the event the rats can not be controlled, then a host of cheap generic antibiotics are very effective treatment for this disease. These include the tetracycline compounds and Cipro derivatives.

                  These news reports are propaganda pure and simple. There is no chance that the plague could become epidemic in any country today. Of course, if there were a breakdown in civilization caused by a severe influenza pandemic, yes we could once again see epidemic plague but not today; it is too early for that. This is why these reports are not credible.

                  GW
                  The Doctor

                  Comment


                  • #39
                    Re: Plague in Libya &amp; Ministry of Health in Egypt is Preparing Procedures

                    Originally posted by the doctor View Post
                    The only "plague" in Libya is A/(novel)H1N1.

                    Plague, due to Yersinia Pestis is endemic worldwide but is easily treatable by controlling the rat population which carries fleas that transmit the disease to humans. In the event the rats can not be controlled, then a host of cheap generic antibiotics are very effective treatment for this disease. These include the tetracycline compounds and Cipro derivatives.

                    These news reports are propaganda pure and simple. There is no chance that the plague could become epidemic in any country today. Of course, if there were a breakdown in civilization caused by a severe influenza pandemic, yes we could once again see epidemic plague but not today; it is too early for that. This is why these reports are not credible.

                    GW
                    Several things seem to be occurring here. I agree with you there is more fear in that area than would seem to be warranted, and some of the countermeasures seem extreme. However, a couple things are clear.

                    First, there is some kind of outbreak in that area, as there have been a couple dozen cases within two weeks. It is possible that this is due to rats and fleas, but it has been 25 years since plague has been reported in that area. It is also possible that there is an outbreak of pneumonic plague due to the accidental release of a biological weapon (see above post). The 11 cases of "pneumonia" mentioned would be unusual for a natural bubonic plague outbreak as only a tiny minority of bubonic plague cases develop pneumonic plague.

                    The other thing that is not clear is exactly the etiological agent involved. It might be yersinia pestis, but it could just as easily be anthrax in the livestock (with the pneumonia being inhalation anthrax), or some hemorrhagic fever, or even H5N1 could be mistaken for pneumonic plague. It is also possible that more than one agent is involved. Laboratory confirmation of the agent(s) involved would explain a lot.

                    Comment


                    • #40
                      Re: Plague in Libya &amp; Ministry of Health in Egypt is Preparing Procedures

                      We knew this was coming This article does mention several other (natural) scenarios that could produce a large plague outbreak (infected meat, etc.).

                      http://www.promedmail.org/pls/otn/f?..._ID:1000,77994

                      PLAGUE, BUBONIC - LIBYA: (AL BUTNAN)
                      ************************************
                      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: Tue 16 Jun 2009
                      Source: Reuters [edited]
                      <http://www.reuters.com/article/healthNews/idUSTRE55F42820090616>


                      Libyan authorities have reported an outbreak of bubonic plague in the
                      Mediterranean coastal town of Tubruq, and the World Health
                      Organization (WHO) was sending a team to investigate, a WHO official
                      said on Tuesday [16 Jun 2009].

                      The cases, approximately 16 to 18 have been reported, would be the
                      1st in more than 2 decades in Libya of the disease known in medieval
                      times as the Black Death, according to John Jabbour, a Cairo-based
                      emerging diseases specialist at WHO.

                      "It is reported as bubonic plague," Jabbour said, adding WHO still
                      didn't have "a full picture" of the situation. "It is officially
                      reported by Libya... Tomorrow [17 Jun 2009], the WHO is deploying a
                      mission to Libya to investigate the whole situation, to see how many
                      of the cases are confirmed, or not confirmed."

                      He said preliminary information from Libyan authorities showed 16 to
                      18 reported cases including one death, and that Tripoli had asked for
                      assistance from the global health body.

                      Tubruq, where the new cases were reported, is approximately 125 km
                      [78 miles] from the Egyptian border and was the scene of previous
                      plague cases decades ago, Jabbour said. Egypt, already fighting to
                      contain an outbreak of the H1N1 flu virus, said it had no reported
                      cases of plague.

                      Globally the WHO reports about 1000 to 3000 plague cases each year,
                      with most in the last 5 years occurring in Madagascar, Tanzania,
                      Mozambique, Malawi, Uganda and the Democratic Republic of Congo. The
                      USA sees about 10 to 20 cases each year.

                      [Byline: Cynthia Johnston]

                      --
                      Communicated by:
                      ProMED-mail
                      <promed@promedmail.org>

                      [Tobruk or Tubruq is a town, seaport, and peninsula in northeastern
                      Libya, near the border with Egypt, in North Africa. It is the capital
                      of Al Butnan District (formerly Tobruk District). Its location can be
                      found on a map at:
                      <http://en.wikipedia.org/wiki/Tobruk>

                      Consumption of the meat of an infected camel has been reported to
                      cause plague in Libya in 1976 (1). The abstract of the paper is:
                      "In 1976, in a small, remote Libyan village, an apparently sick camel
                      was slaughtered and skinned, and the camel meat was distributed for
                      human comsumption. A few days later, 15 villagers suffered a severe
                      febrile illness. Of the 5 individuals who had participated in the
                      killing and dispensation of the camel, all were dead within 4 days.
                      When samples of serum from 9 of the remaining patients were examined,
                      7 were found to be positive for plague as determined by the passive
                      hemagglutination test. Another 6 persons became ill after killing 2
                      goats, and the serum of one goat contained antibodies to _Yersinia
                      pestis_. Because all of the remaining patients except one were
                      treated early enough, they recovered. These incidents confirm
                      previous reports that the camel and the goat are susceptible to
                      naturally occurring plague infection and have a significant role in
                      the dissemination of human plague."

                      Two more recent outbreaks in the Arab world have been reported in
                      2005. In Saudi Arabia (2), a cluster of 5 plague cases were reported
                      including 4 with severe pharyngitis and submandibular lymphadenitis.
                      These 4 case-patients had eaten raw camel liver. _Yersinia pestis_
                      was isolated from bone marrow of the camel and from jirds (_Meriones
                      libycus_) and fleas (_Xenopsylla cheopis_) captured at the camel
                      corral. In Jordon (3), a 1997 outbreak of plague was reported,
                      associated with cervical lymphadenopathy and fever, occurred in the
                      Jordanian village of Azraq ad-Druze, 50 km [31 miles] west of the
                      border with Saudi Arabia. The 12 cases who presented at hospital were
                      initially assumed to have tularaemia, and all were successfully
                      treated with gentamicin. But all 12 were found to have anti-_Y.
                      pestis_ IgM. 11 of the 12 patients reported that, 2-4 days before
                      their symptoms appeared, they had eaten the meat cut from the carcass
                      of the same camel, either raw (10 cases) or cooked (one case). All 12
                      patients were diagnosed as cases of pharyngeal plague (the 1st cases
                      of plague reported in Jordan for more than 80 years), caused by _Y.
                      pestis_ that most had acquired when they ate raw meat from a camel
                      that was infected with the pathogen.

                      The source of the cases of bubonic plague in northeastern Libya is
                      not reported in this posting but may be related to camels and camel
                      fleas.

                      1. Christie AB, Chen TH, Elberg SS. Plague in camels and goats: their
                      role in human epidemics. J Infect Dis 1980;141: 724-726.
                      2. Bin Saeed AA, Al-Hamdan NA, Fontaine RE: Plague from eating raw
                      camel liver. Emerg Infect Dis. 2005;11: 1456-1457.
                      3. Arbaji A, Kharabsheh S, Al-Azab S, et al: A 12-case outbreak of
                      pharyngeal plague following the consumption of camel meat, in
                      north-eastern Jordan. Ann Trop Med Parasitol. 2005;99: 789-793.
                      - Mod.LL]

                      [see also:
                      Plague, fatal - Algeria (04): NOT 20090206.0534
                      Plague, fatal - Algeria 20090119.0237
                      2003
                      ----
                      Plague - Algeria (Oran) (05) 20030710.1689
                      Plague - Algeria (Oran) (02): confirmed 20030624.1556
                      Plague, bubonic - Algeria (Oran) 20030622.1537]
                      ...............mpp/ll/ejp/lm

                      Comment


                      • #41
                        Re: Plague in Libya &amp; Ministry of Health in Egypt is Preparing Procedures

                        The Pro-Med report and the fact that the Libyans have called in the WHO to investigate gives me pause.

                        It suggests that they really do have a plague outbreak.

                        Despite what some might think of Libyan health care, their doctors are very well trained and are not dummies. They know the difference between bubonic plague and pneumonia from pandemic flu. So, IMO, if doctors in Lybia have made these diagnosis, then I think we can rely on them being accurate.

                        Given this new information, I think my previous opinion may well be incorrect.

                        Thanks Alert.

                        GW
                        The Doctor

                        Comment


                        • #42
                          Re: Plague in Libya &amp; Ministry of Health in Egypt is Preparing Procedures

                          Hi. Does anyone have any URLs to official government statements or statements from the WHO on this (even in Arabic)?
                          Many thanks.

                          Comment


                          • #43
                            Re: Plague in Libya &amp; Ministry of Health in Egypt is Preparing Procedures

                            Originally posted by the doctor View Post
                            The Pro-Med report and the fact that the Libyans have called in the WHO to investigate gives me pause.

                            It suggests that they really do have a plague outbreak.

                            Despite what some might think of Libyan health care, their doctors are very well trained and are not dummies. They know the difference between bubonic plague and pneumonia from pandemic flu. So, IMO, if doctors in Lybia have made these diagnosis, then I think we can rely on them being accurate.

                            Given this new information, I think my previous opinion may well be incorrect.

                            Thanks Alert.

                            GW
                            Your welcome. I know for many FT members, what we track is pandemic flu, but FT does track other outbreaks. I think this probably is yersinia pestis plague, but it could be anthrax, hantavirus, hemorrhagic fever, or some other similar agent. I think H1N1 and H5N1 are fairly unlikely here.

                            There is some kind of outbreak here, even if not flu related.

                            Comment


                            • #44
                              Re: Plague in Libya &amp; Ministry of Health in Egypt is Preparing Procedures

                              Negotiations with Libya to Solve Problem of 6000 Egyptians Stranded on the Border



                              By Gomaa Hamdallah and Wael Ali 17/ 6/ 2009


                              The Egyptian Foreign Ministry is following up on a problem whereby 6000 Egyptians are stranded on the borders with Libya because the Libyan authorities of the Mossaed crossing have requested them to pay 500 dinars before allowing them to leave.

                              Foreign Ministry Spokesman Hossam Zaki said Foreign Minister Ahmed Abul-Gheit gave instructions to immediately solve the problem of the Egyptians that are stranded on the borders with Libya and give them their full rights, as the Libyan government is collecting fines from the foreigners who have violated the Libyan residence laws.

                              Zaki has affirmed that this issue gets the attention of the competent members of the government and at the highest level, as it is keen on safeguarding the interests of the Egyptians abroad.

                              He said the Egyptian authorities are making intensive contacts with the Libyan side to reach a quick and appropriate solution.

                              Libya requires the foreigners to pay 500 dinars before allowing them to leave.

                              Comment


                              • #45
                                Re: Plague in Libya &amp; Ministry of Health in Egypt is Preparing Procedures

                                Chaos in the port SALLUM amid concerns over the transmission of plague Libya ..
                                ومعلومات تشير إلى تسرب كيميائى
                                The information refers to the chemical leak
                                الثلاثاء، 16 يونيو 2009 - 20:15
                                Tuesday, June 16, 2009 - 20:15
                                السلطات نشرت مصائد للفئران بمناطق مختلفة على الحدود لكشف أسباب الطاعون من خلالها
                                Authorities deployed fisheries in different regions of the rats on the border to uncover the reasons for the plague which
                                السلوم ـ حسن مشالى
                                Hassan Salloum Mashaly
                                <!-- AddThis Button BEGIN --><SCRIPT type=text/javascript>var addthis_pub="tonyawad";</SCRIPT><SCRIPT type=text/javascript src="http://s7.addthis.com/js/200/addthis_widget.js"></SCRIPT> <!-- AddThis Button END -->
                                نساء عجائز وأطفال وشباب ورجال ومعوقون يحملون أثقالاً كبيرة من البضائع قادمين من منفذ مساعد الليبى وسط صخب أشبه بسوق العتبة أيام زمان لعبة "حلق حوش" بين الأمن والتجار الذين يطلق عليهم اسم "مهربين" وعجز سلطات المنفذ عن السيطرة التامة فى ضبط الحركة داخله، هو أول ما تلحظه عند دخولك إلى منطقة الوصول من ليبيا.
                                Women, children and the elderly, men and youth with disabilities have great weights of goods from the port aide amid the clamor of the Libyan market, like the days when the threshold for the game of "beasts of hours" between security and traders who are called "smugglers" and the inability of the authorities performing control in full control of movement within it, is The first thing signified when you log in to access the area from Libya.

                                عند دخولنا المنفذ صباح اليوم، كان أول من قابلنا فرقة التطهير وإبادة الحشرات بملابسهم الواقية الذين أرسلتهم وزارة الصحة اليوم وهم يستعدون لرش المبيدات وبودرة الحشرات قبل زيارة وزير الصحة المرتقبة للمنفذ خلال الأيام القادمة.
                                When we entered the port this morning, we met the first task of the clean-up and exterminating protective clothes sent by the Ministry of Health said they were preparing to spray pesticides and insect powder prior to the visit of the Minister of Health of the upcoming port in the coming days.

                                تجول اليوم السابع داخل المنفذ للوقوف على حقيقة الاستعدادات والاحتياطات التى تتخذها سلطات المنفذ والسلطات الصحية لفرض الرقابة الصحية، ورغم التضييق الأمنى والرقابة اللصيقة لمنع التقاط الصور أو الحصول على معلومات توصلنا إلى حقائق خطيرة.
                                Seventh day of curfew in the port to see the reality of the preparations and precautions taken by the port authorities and health authorities to impose control over health, despite the security restrictions and close monitoring to prevent a photo or information on the facts we have to be serious.

                                الحقيقة الأخطر والأهم كانت عن الحجر الصحى بالمنفذ الذى يمر خلاله حوالى 3000 مسافر لم يكن به سوى طبيب واحد فقط بدون بديل، وعقب رفع حالة الطوارئ تم رفع عدد الأطباء إلى ثلاثة أطباء وتوقيع الكشف بشكل عشوائى بواقع ركاب سيارة واحدة من بين ركاب 10 سيارات، كما أن مئات المترجلين بين منفذ السلوم ومنفذ مساعد لا يمرون على الحجر الصحى مطلقا.
                                Indeed, the most serious and most important port on the quarantine, which is about 3000 passengers, which was not only by a doctor and only one without an alternative, following the lifting of the state of emergency was lifted the number of doctors to three doctors and check at random by a passenger car and one of the 10 passenger cars, as Hundreds of pedestrians between the outlet port SALLUM assistant did not go through the quarantine at all.

                                كما أن الحجر الصحى ليس به أجهزة مسح حرارى للكشف على المسافرين الحاملين للأنفلونزا، وعقب التطورات الأخيرة قررت وزارة الصحة تركيب أجهزة خلال الأسبوع القادم حسب تصريحات مسئول بالمنفذ.
                                The quarantine is not the thermal scanners to detect passengers carrying influenza, following the recent developments and the installation of the Ministry of Health during the next week, according to official statements port.

                                مسئول آخر أبدى استياءه من التعامل مع الموقف فى ظل فوضى التنقل بين البلدين وعدم السيطرة الصحية وتطبق الفحوصات الطبية بشكل يتناسب مع الحدث، وأشار إلى أن التصرف الأمثل هو إغلاق المنفذ خلال الفترة الحالية.
                                Another official expressed his displeasure to deal with the situation in the chaos of movement between the two countries and the lack of control of health and medical tests are applied commensurate with the event, and pointed out that the optimal disposition of the closure is implemented during the current period.

                                المفاجأة الثانية كشفها أحد سكان مدينة السلوم الذى يتردد على منطقة الطرشة التى ظهرت فيها الإصابات، وهى أن هذه المنطقة تقع على بعد 25 كيلو فقط من الحدود المصرية جنوب السلوم بحوالى 120 كيلو، فى حين أن التركيز كله على منفذ السلوم فقط..
                                Surprisingly, the second detection of a resident of the town of Salloum, who frequented the area Trcp the injuries that have emerged, namely, that this region is located about 25 kilometers from the border just south of the Egyptian SALLUM about 120 kilometers, while the whole focus only on the port SALLUM ..
                                كما أكد أن ما ظهر من إصابات فى منطقة الطرشة جنوب طبرق ليس سببها الطاعون، وإنما بسبب تحلل بعض الأسلحة القديمة التى تحيط بالمنطقة.
                                He also stressed that what emerged from the injuries in the area south of Tobruk Trcp not caused by the plague, but because of the decomposition of some of the old weapons that surround the region.

                                هذا دفعنا لمطالبة أحد مصادرنا الموثوق فيها بالاتصال بأحد أقاربه فى ليبيا الذى أكد أن المنطقة المصابة تقع فى محيط مطار طبرق، وبالقرب منها مخازن أسلحة سوفيتية قديمة تسربت منها مواد كيميائية تسببت فى الإصابات، ونفى أن تكون ناتجة عن مرض الطاعون، وأن هذا هو التبرير السائد والشائع بين الليبيين، واستشهد المصدر الليبى بوقوع هذه الإصابات أكثر من مرة من قبل بهذه المنطقة بالذات خلال الفترات السابقة.
                                This led us to ask one of our reliable contact with a relative in Libya, which confirmed that the affected area is located in the vicinity of Tobruk airport, and near the old Soviet weapons caches, including leaked chemicals caused the injury, and denied that the illness resulting from the plague, and that this is the prevailing justification commonly Libyans, and Libyan cited source of these infections more than once before in this particular region during the previous periods.

                                على جانب آخر صرح المسئولون بالمنفذ، أن وزارة الصحة والطب البيطرى ستقوم خلال الأيام القادمة بنشر مصائد للفئران بمناطق مختلفة على الحدود وداخل المنفذ لاصطياد الفئران وتشريحها، لمعرفة هل هناك إصابات بالطاعون بينها من عدمه.
                                On the other hand, said port officials, the Ministry of Health and Veterinary Medicine will be in the coming days to deploy traps in different regions of the mice at the border and inside the port to catch mice and the autopsy, to determine whether there are injuries, including the plague or not.
                                http://translate.google.com/translate?hl=en&langpair=ar%7Cen&u=http://www.alyoum7.com/News.asp%3FNewsID%3D109387%26SecID%3D12%26IssueID% 3D62&prev=/translate_s%3Fhl%3Den%26q%3D%2Bbird%2Bflu%2B%2Bapr il%2B6%2B2009%26tq%3D%25D8%25A7%25D9%2586%25D9%258 1%25D9%2584%25D9%2588%25D9%2586%25D8%25B2%25D8%25A 7%2B%25D8%25A7%25D9%2584%25D8%25B7%25D9%258A%25D9% 2588%25D8%25B1%2B6%2B%25D8%25A3%25D8%25A8%25D8%25B 1%25D9%258A%25D9%2584%2B2009%26sl%3Den%26tl%3Dar%2 6start%3D40&rurl=translate.google.com
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