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Senegal - 3 imported cases of Crimean-Congo haemorrhagic fever from Mauritania

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  • Senegal - 3 imported cases of Crimean-Congo haemorrhagic fever from Mauritania

    Source: Outbreaks and other emergencies updates
    Week 19: 06 – 12 May 2017

    http://www.afro.who.int/en/clusters-...s-updates.html



    WEEKLY BULLETIN ON OUTBREAKS
    AND OTHER EMERGENCIES
    Week 19: 06 – 12 May 2017
    Data as reported by 17:00 12 May 2017

    Excerpt:

    Crimean-Congo haemorrhagic fever Senegal
    Event description
    2
    Cases
    0
    Deaths
    0%
    CFR

    On 08 May 2017, the Senegalese Ministry of Health and Social Welfare
    notified WHO of two imported cases of Crimean-Congo haemorrhagic
    fever (CCHF) at the National University Hospital Center Le
    Dantec in Dakar. The index case, a 16 year old female patient from
    Nouakchott in Mauritania,
    developed intense pain in the left ear and
    diffuse headache on 16 April 2017. She presented to Nouakchott
    Friendship hospital in Mauritania from where a tick was extracted
    from the left ear. On 21 April 2017, the case-patient developed fever,
    followed by multiple bleeding tendencies (epistaxis, bleeding from the
    gum, melena, metrorrhagia, and vomiting blood), and was admitted
    at the Nouakchott Friendship hospital. Slow clinical improvement was
    however observed. On 29 April 2017, the case-patient was evacuated
    by air to Dakar (accompanied by four relatives) and was admitted at
    the Dantec University Hospital. The hospital carried out clinical investigations
    with inconclusive findings. On 04 May 2017, blood sample
    was obtained and shipped to the Pasteur Institute in Dakar. Laboratory
    result released on 05 May 2017 was positive for Crimean-Congo
    hemorrhagic fever virus.

    The second case, a 48 year old mother to the index case, developed
    fever, headache, muscle and joint pains, weakness, ecchymosis,
    vomiting and insomnia on 19 April 2017 (from Mauritania).
    Blood sample
    obtained from the case-patient on 06 May 2017 tested positive for
    Crimean-Congo hemorrhagic fever virus.

    As of 08 May 2017, 2 cases with zero death have been reported. Fifteen
    close contacts have been listed (including the four relatives, two
    patients who shared the same room, two intern doctors, four nurses
    and three students) and are being followed up. Epidemiological investigation
    established the presence of sheep with many ticks in the
    family environment. The national authorities in Mauritania have been
    notified and are conducting detailed investigations.

    Public health actions

    • The Ministry of Health made formal declaration and notification of the outbreak, in line with the International Health Regulations (IHR
    2005) requirements.
    • The Ministry of Health activated the Emergency Operations Center to coordinate response to the outbreak.
    • Health care workers in the hospital have been sensitized on infection prevention and control (IPC) practices including the use of personal
    protective materials. Personal protective equipment and IPC materials have been provided.
    • Health workers in the hospital have been trained on arboviruses and viral haemorrhagic fevers in order to enhance surveillance including
    identification of suspected cases and contacts, and sampling procedures. Active case search for suspected cases and contacts is
    ongoing.
    • Further epidemiological investigations are ongoing.

    Situation interpretation

    Crimean-Congo haemorrhagic fever is a tick-borne viral disease that is endemic in Africa, the Balkans, the Middle East and Asian countries.
    The hosts of the CCHF virus include a wide range of wild and domestic animals such as cattle, sheep and goats. The CCHF virus is transmitted
    to people either by tick bites or through contact with infected animal blood or tissues during and immediately after slaughter. The majority
    of cases have occurred in people involved in the livestock industry, such as agricultural workers, slaughterhouse workers and veterinarians.

    The index case in this outbreak reported close interactions with sheep as the potential risk factor for infection.
    More epidemiological and entomological investigations are required, especially in Mauritania, to establish the full picture of the outbreak in
    the country. The Senegalese authorities also need to monitor the situation very closely to avoid further escalation.
    "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
    -Nelson Mandela

  • #2
    Translation Google


    13-06-2017 15:51 -

    Senegal: 3 cases of Crimean-Congo fever from Mauritania

    Alakhbar - The Senegalese Ministry of Health has detected three cases of Crimean-Congo haemorrhagic fever (CHFC). The patients all came from neighboring Mauritania, reported sources of Alakhbar.

    The last case concerns a woman who recently arrived in the Senegalese capital Dakar from Nouakchott. She lived in the Teyarett district in the east of the Mauritanian capital.

    A month ago, the other two cases of Crimean-Congo fever were reversed at the Friendship Hospital and at a private clinic in Nouakchott. Transferred to Dakar for in-depth analysis, the presence of the virus was confirmed in the persons concerned.
    ...
    http://cridem.org/C_Info.php?article=699098
    "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
    -Nelson Mandela

    Comment


    • #3
      "To date, no epidemic of haemorrhagic fever of any form is detected in our health structures" (Ministry of Health)

      Nouakchott, 28/06/2017 - The Ministry of Health denies the appearance of any case of Crimean Congo haemorrhagic fever in Mauritania in a communiqué released on Wednesday, a copy of which reached the MAI, while ensuring The public opinion of the performance of the technical platform of the National Institute of Public Health Research (INRSP), allowing the diagnosis of all forms of endemic and pandemic viral haemorrhagic fevers. Here is the full text of this press release:

      "In response to information published on some private sites relating to the occurrence of cases of Crimean Congo haemorrhagic fever in our country, the Ministry of Health wishes to reassure public opinion of the following facts:

      1. To date, no epidemic of haemorrhagic fever in any form is detected in our health facilities;

      2. Any suspected case of hemorrhagic fevers is systematically tested, diagnosed and managed;

      3. The National Reference Structure (National Institute for Public Health Research) has an effective technical platform to diagnose all forms of endemic and pandemic viral haemorrhagic fevers;

      4. The Ministry of Health wishes to inform the epidemiological situation regularly whenever there is a need.

      In the end, the national epidemiological situation is reassuring and under control ".

      Last modification: 28/06/2017 16:51:16

      http://fr.ami.mr/Depeche-41264.html
      "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
      -Nelson Mandela

      Comment

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