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  • Pakistan: Suspected cholera outbreak

    Source: http://www.thenews.com.pk/print1.asp?id=120461
    Suspected cases of cholera increasing
    By Muhammad Qasim
    6/25/2008
    Rawalpindi

    The Rawalpindi General Hospital (RGH) received another five suspected patients of cholera Tuesday taking the total number of cases of the infectious disease so far registered at RGH to 40.

    The RGH has received confirmatory reports of 23 suspects of the disease from the National Institute of Health, Islamabad, within past 24 hours. Of the 23 cases, 10 have been tested positive while 13 negative.

    After confirmation of 10 more cases of cholera positive, the total number of confirmed cases of cholera registered at the RGH reached to 14 that is strengthening doubts of health experts regarding outbreak of cholera epidemic.

    The RGH has sent stool samples of five cases, suspected of cholera Tuesday, to NIH, Islamabad for confirmatory reports. The five suspects include Manahil, aged 7 years, Sajid, aged 4, Javeria, aged 5, Awais, aged 3 and Khalid, aged 4. All the five cases suspected of the infectious disease Tuesday belong to Rawalpindi.

    ?Of the total 40 cases suspected as of cholera at the RGH, the NIH has tested 14 positive while 17 negative,? said acting medical superintendent at RGH Dr Fiaz Ahmed Khan while talking to ?The News? Tuesday adding, however, the RGH has yet to receive confirmation reports from NIH in nine cases.


    According to hospital administration, most of the suspected cases of cholera were reported at the Accident and Emergency Department of the hospital. All cases of cholera including suspected and confirmed ones so far reached RGH are below the age of 13 years. At present eight patients including suspected and confirmed ones of cholera are undergoing treatment at the RGH.

    Meanwhile, the number of patients with gastroenteritis reaching the three allied hospitals is increasing consistently. The RGH has so far received a total 527 cases of gastroenteritis within less than past three weeks. According to data available at the hospital, of these 527 cases, 313 are males while 214 females.

    The District Headquarters Hospital has received not a single patient of cholera so far. According to DHQ Hospital administration, the DHQ Hospital is having the least burden of patients with gastroenteritis too. ?On average, we receive less than five patients with gastroenteritis daily,? said the DHQ hospital chief Dr Khalid Iqbal Malik while talking to ?The News? Tuesday.

    The Holy Family Hospital, however, has been dealing with a huge influx of patients with gastroenteritis for almost a month. President, Pakistan Society of Gastroenterology Professor Dr Muhammad Umar who is also consultant Gastroenterologist & Hepatologist at the HFH while talking to ?The News? said that at an average, the HFH receives more than 50 patients with gastroenteritis daily excluding children and the number is continuously on the rise. ?Within past one month, we have given treatment to more than 700 patients with gastroenteritis, however, we have received no patient of cholera so far,? he said while responding to a query.

    Director Emergency at the HFH Dr Raja Shafiq Sarwar, when contacted, said the number of gastroenteritis reaching the HFH is increasing sharply. ?One half of the staff serving at the ER department is busy managing cases of gastroenteritis,? he said adding the steps being taken by the district health office could not control the disease apparently.

    ?The DHO is running campaigns on prevention and control of gastroenteritis but people generally do not follow preventive measures that is resulting in huge influx of gastroenteritis cases at the allied hospitals,? he responded to a query.

    He said the need of the time is to make public aware of different aspects of the disease and take necessary preventive measures instead of emphasising curative means. ?If preventive measures are not taken in time, the situation might become unmanageable,? he said.

  • #2
    Re: Pakistan: Suspected cholera outbreak

    Source: http://www.dailytimes.com.pk/default...-6-2008_pg11_7
    NIH detects just four cholera cases

    RAWALPINDI: Only four cases of cholera have been detected in Rawalpindi district this summer, an official of local health department told Daily Times on Tuesday.

    District Health Officer Dr Khalid Randhawa said there was nothing to be worried about and refuted the report of cholera outbreak in the district. He said they were monitoring the situation carefully. People often take gastroenteritis as cholera, though both the diseases are completely different in nature, he added.

    According to doctors, to avoid loss of lives, proper arrangements were required for the disease at healthcare facilities. After exposure to infection, the body faces deficiency of certain salts, particularly potassium.

    Dr Randhawa said the present rainy conditions may cause rapid spread of the disease, particularly in rural areas. Due to rainwater, bacterium Vibrio Cholerae existing in a patients? stool can easily mix up with drinking water turning the disease into a serious epidemic, he added

    He advised people to avoid junk food, especially burgers, ?kababs?, ?pakoras? and samosas. He said people should use boiled water to avoid complications.


    National Institute of Health (NIH) President Gen Anwar Mehmood told Daily Times that they had received 27 suspected cases of cholera from the Rawalpindi hospitals but so far only four had been tested positive.

    He also refuted the reports of cholera outbreak in the twin cities.He said so far they had received only one suspected case of cholera from Islamabad hospitals and it was tested negative. He said people should develop habit of using clean drinking water and food. Also there should be a proper system of human waste disposal, he added. staff report

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    • #3
      Re: Pakistan: Suspected cholera outbreak

      Source: http://www.thenews.com.pk/daily_detail.asp?id=121591

      RGH receives eight more cholera suspects
      Tuesday, July 01, 2008
      Muhammad Qasim

      Rawalpindi

      Rawalpindi General Hospital received another eight suspected patients of cholera within past three days that has strengthened further doubts of health experts regarding outbreak of the infection.

      Of the recently suspected cases, five belong to Rawalpindi while three others belong to Chakwal, Gujar Khan and Attock that according to health professionals hints that the infection might be epidemic in nature and not endemic (local area).

      ?We have sent stool samples of all the recently suspected eight cases of cholera to National Institute of Health, Islamabad for confirmatory tests,? said RGH acting chief Dr Fiaz Ahmed khan while talking to ?The News? Monday.

      The recently admitted cholera suspects include Khalid, aged 9, Awais, 13, Nimra, 11, Abdullah, 7, Mehwish, 10, Hassan, 2, Fareeda, 6 and eight months old Mehwish. Meanwhile, the RGH has received confirmatory reports of seven other suspects of the disease from the NIH that has tested two more cases positive taking the total number of cholera cases so far confirmed at the RGH to 16.

      Cholera is an acute infectious disease caused by the bacterium Vibrio cholerae that lives and multiplies its colonies in the small intestine. Massive watery diarrhoea is the major symptom of the infectious disease that results in dehydration. Such dramatic water loss, if left untreated, causing severe dehydration leads to thickening of blood, circulatory collapse (shock) and death.

      Studies reveal that a good number of cholera victims die six hours after onset of symptoms if not treated in time. Nearly 60 % of untreated patients die of the disease. To date, a total of 48 patients have been suspected of cholera since June 5. Of the 48 suspects, the NIH has tested 16 positive while 22 negative however the RGH has yet to receive confirmation reports in 10 other cases.

      According to hospital administration, all cases of cholera including suspected and confirmed ones so far reached RGH range between the ages of eight months to 13 years.
      At present five suspected patients of cholera are undergoing treatment at the RGH while all confirmed patients of the infection have been discharged after complete cure.

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