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Uganda: Crimean Congo Fever 2018

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  • Uganda: Crimean Congo Fever 2018


    Girl Dies in Nakaseke After Showing Crimean Congo Fever Signs
    12 Jan 2018, 13:35
    Health workers under protective gears disinfecting the dead body before they transferred to Nakaseke Hospital Mortuary.
    Brian Luwaga

    In short
    Bridget Nalunkuuma, the deceased came from Kagugo village in Luweero district and went to Buswagiro village in Butalangu town council in Nakaseke on December 23rd to celebrate Christmas with her auntie identified as Harriet Nassimbwa. However, on Thursday Nalunkuuma developed severe fever, headache coughed and vomited blood among other signs before she died less than an hour later...

  • #2


    Shock as 9-year-old dies of strange disease in Nakaseke


    Fresh fears of an attack by a strange disease with signs similar to the Crimean Congo Hemorrhagic fever are fast spreading in Nakaseke District after a 9-year old girl collapsed and died at Butalangu village just about 1km from the District headquarters on Thursday evening.

    A rapid response health team from Nakaseke Hospital was later dispatched at the scene with full body protective gear and a body bag to collect the body at Butalangu village. The Health teams disinfected the home and promised to get back to the family members regarding the burial arrangements.
    Nakaseke District Health Officer Dr Badru Ssesimba confirmed to Journalists that blood samples from the deceased body had been handed over to the Uganda Virus Research Institute but refused to give details on what happened.’
    Last week, the Ministry of Health denied claims by Nakaseke District officials that the deadly Crimean Congo Hemorrhagic fever had broken out in Nakaseke. The PS, MOH Dr Diana Atwine said the claims made the politicians in Nakaseke were baseless because the officials have no mandate to announce an outbreak of an epidemic. She clarified that the UVRI had not issued any positive results for the CCHF.

    The Permanent Secretary MOH Dr Diana Atwine in a telephone interview with the Daily Monitor on Friday confirmed that fluid and blood samples from the body of a child who died in Nakaseke on Thursday were taken to the Uganda Virus Research Institute to verify and report back on the case.
    "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


    • #3

      Uganda confirms Crimean-Congo Hemorrhagic Fever outbreak in central region
      Source: Xinhua| 2018-01-15 17:35:21|Editor: Liangyu

      KAMPALA, Jan. 15 (Xinhua) -- Uganda's health ministry on Monday confirmed an outbreak of Crimean-Congo Hemorrhagic Fever (CCHF) in the central district of Nakaseke.

      Sarah Opendi, state minister for health, told Xinhua that the laboratory results of the samples taken from a 9-year-old suspected case who has been under isolation at Kiwoko Hospital, Nakaseke tested positive of the fever.

      She said a National Rapid Response team from the Ministry of Health and that of Agriculture, Animal Industry and Fisheries has been dispatched to Nakaseke and Luweero districts to handle the outbreak...


      • #4
        "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


        • #5

          Government confirms Crimean-Congo hemorrhagic fever outbreak in Nakaseke
          Government has confirmed one death from the Crimean Congo Haemorrhagic fever and three others to the Rift valley fever
          Added: 3 min 58 sec ago

          On 5th January, the Health Minister dismissed reports of an outbreak of the Crimean- Congo Hemorrhagic Fever in the central district of Nakaseke as had been reported by the district authorities. The Ministry’s Permanent Secretary Dr. Diana Atwine advised the public to ignore the announcement of the disease caused by a tick-borne virus.

          The Ministry later made a U-turn and confirmed an outbreak the Hemorrhagic Fever (CCHF) in Nakaseke after samples were taken from a 9-year-old who was under isolation at Kiwoko Hospital and who later positive for the fever.

          A day later, doctors under the Uganda Medical Association accused the Ministry of Health of failing to handle the Crimean- Congo Hemorrhagic fever in Nakaseke district and putting the lives of health workers at risk. State Minister for Health Sarah Opendi responded.

          Today, the minister for health Dr. Jane Ruth Aceng has said that since reports of the outbreak surfaced last August, four cases can be confirmed. She spoke at a press conference in Kampala, in the company of officials from the world health organization and Food and Agricultural Organization...


          • #6


            Hon. Dr. Jane Ruth Aceng
            Minister of Health
            January 23, 2018.

            Further to the previous statements issued by the Ministry of Health, Government informs
            the general public that there have been sporadic cases of Crimean-Congo Hemorrhagic
            Fever (CCHF)
            and Rift Valley Fever (RVF) in some districts along the cattle corridor.

            Government would like to inform the general public that rapid intervention to manage
            and control the situation is well under way.

            An inter-ministerial committee, coordinated by the Ministry of Health has been
            undertaking measures, including the following:

            1. A National Rapid Response team of expert epidemiologists, clinicians,
            veterinarians, communicators and laboratory specialists (jointly from Ministry of
            Health and Ministry of Agriculture Animal Industry and Fisheries) has been
            constituted and dispatched to Nakaseke and Luwero to support the district to set up
            appropriate response structures.
            2. Spraying of ticks and biting insects is already ongoing in selected districts within
            the cattle corridor, including; Nakaseke, Sembabule, Kyegegwa, Lyantonde,
            Mubende, and Gomba. Assessment of other districts is in the process.
            3. There is ongoing dissemination of IEC materials in the local dialect and English
            for sensitization of the public.

            Since August, 2017 when suspected cases were reported, 4 cases of the CCHF have been
            and 5 cases of the RVF, the latest cases being reported on the 19th of January
            2018 in Nakaseke and Buikwe, respectively. To date, unfortunately, we have lost one case
            of CCHF from Nakaseke district
            and 3 cases of the RVF from Kiboga, Buikwe and
            Mityana districts.

            The general public is, therefore, informed as follows;
            I. Cooked meat and boiled milk do not transmit the above diseases;
            II. Handlers of these products are advised to use personal protective gear;
            III. The inter- ministerial committee will keep the public informed of any new

            I thank you,
            Hon. Dr. Jane Ruth Aceng
            Minister of Health

            file:///C:/Users/admin/Downloads/JOINT%20STATEMENT%20RVF_CCHF%20in%20Cattle%20Corri dor%20Districts%20of%20Uganda%20.pdf

            "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


            • #7
              Bleeding eyes fever COVER UP? Doctor confirms 11 deaths after authorities DENIED outbreak
              DOCTORS claim the horrific “bleeding-eyes fever” sweeping Uganda has killed 11 people and accused health authorities of playing down the outbreak.

              Health authorities in Uganda, in central Africa, have been accused of “concealing” cases of deadly Crimean-Congo Hemorrhagic Fever (CCHF).

              In a blazing tweet, Sarah Opendi, Uganda’s minister for health, categorically stated “there is no Crimean Congo Hemorrhagic Fever in Uganda”.

              But the Health Ministry was forced to admit there was an outbreak after a nine-year-old girl from a village in the Nakaseke district tested positive for CCHF.

              Twitter: @RonanKelly13
              The views expressed are mine alone and do not represent the views of my employer or any other person or organization.


              • #8
                Outbreaks and Emergencies Bulletin, Week 5: 27 January - 2 February 2018

                Crimean-Congo haemorrhagic fever Uganda




                EVENT DESCRIPTION

                On 26 December 2017, the Ugandan Ministry of health was notified
                of a suspected case of Crimean-Congo haemorrhagic fever (CCHF).
                The case was a 9 year-old boy from Luweero district who sought
                care from district health facilities after experiencing symptoms of
                vomiting, diarrhoea, abdominal pain, fatigue and high grade fever
                since 17 December 2017. On 23 December 2018, he was isolated at
                Kiwoko hospital in Nakaseke district where a whole blood sample was
                collected and shipped to the Uganda Virus Research Institute (UVRI).
                The sample was confirmed positive for CCHF virus by PCR on 27
                December 2017. He was discharged from isolation on 5 January 2018.

                On 17 January 2018, a second suspected CCHF case was reported
                from Nakaseke district. The case, a 12 year-old boy, presented to
                Kiwoko hospital after experiencing a high grade fever on 11 January
                2018. He was transferred to Nakaseke Hospital isolation ward on 17
                January 2018 and blood samples sent to UVRI tested positive for the
                CCHF virus by PCR on 18 January 2018. He was discharged from
                isolation on 31 January 2018.

                As of 31 January 2018, six cases have been reported (2 confirmed,
                1 probable, and 3 suspected). The probable and suspected cases
                tested negative for CCHF, Ebola, Marburg, Sosuga and Rift Valley fever
                viruses at the UVRI laboratory and are now considered non-cases. As
                of 31 January 2018, 32 contacts including 19 health workers were
                under follow up and 56 contacts had completed follow up.

                This is the third outbreak of CCHF reported in Nakaseke district since 2015. This outbreak is occurring in an area described as a ‘cattle corridor’,
                which covers 52 districts cutting across the centre of the country from southwest to northeast. The uncontrolled movement of animals across the
                cattle corridor and inadequate tick control due to widespread resistance to acaricides (anti-tick chemicals) are key risk factors for the spread of this
                outbreak to new areas. Integrated control measures that address both human and animal health are therefore needed to bring this outbreak to a close.

                "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


                • #9
                  MUBENDE DISTRICT

                  HON. SARAH OPENDI

                  27th May, 2018

                  The Ministry of Health has noted with concern reports of an Ebola outbreak in
                  Mubende district making rounds across the different media platforms.

                  We would like to inform the public that there is no Ebola outbreak in Mubende
                  or any other part of the country.

                  What was quoted in the media is rather a case of Crimean-Congo Haemorrhagic
                  Fever (CCHF). It is worth noting that the CCHF outbreak in the districts of Luwero
                  and Nakaseke - which share a boarder with Mubende district - was declared on
                  January 4th this year, and efforts to contain it are still ongoing.

                  Crimean-Congo Haemorrhagic Fever (CCHF) is a viral zoonosis (Animal to
                  Human) caused by infection with a tick-borne virus. The hosts of the CCHF virus
                  are mostly wild and domestic animals including cattle, sheep and goats. These
                  animals become infected after being bitten by infected ticks and the virus
                  remains in their bloodstream for about two weeks after infection, allowing the
                  tick-animal-tick cycle to continue when another tick bites.

                  Human transmission may occur when human beings get into contact with
                  infected ticks (through tick bites) or direct contact with blood or tissues of an
                  infected animal. CCHF can be transmitted from one infected human to another
                  by contact with infectious blood or body fluids. In humans, CCHF can present
                  with several symptoms including sudden onset of high-grade fever, muscle
                  aches, neck pains, neck stiffness, backache, headache, sore eyes, vomiting,
                  diarrhoea, abdominal pain, and sometimes bleeding from body openings.
                  In Uganda, the risk of acquiring and spread of CCHF is high among communities
                  within the cattle corridor (occupational exposure). CCHF is known to be
                  ENDEMIC (always present) in Africa among cattle, and OCCASIONALLY shows up
                  in humans.

                  There is no known effective vaccine or definitive treatment among humans.
                  General supportive care with treatment of symptoms is the main approach to
                  managing CCHF infected patients.

                  Prevention of human to human transmission is through isolation of patients, use
                  of Personal Protective Equipment (PPE), and application of universal
                  precautions for Infection Prevention and Control (IPC) including hand-washing
                  hygiene, safe injection practices, in healthcare setting as well as safe and
                  dignified burial of deceased cases.

                  MUBENDE DISTRICT

                  On the night of 21st May 2018, a 35-year-old male from Nkoko subcounty in
                  Bugangaizi county, Kakumiro district presented at Melt Care Clinic with a high
                  fever and vomiting and was admitted for two days.

                  Since he was not improving, the relatives transferred him to Galde medical clinic
                  in Kakumiro district on 23rd May from where he was referred to Mubende
                  Regional Referral Hospital.

                  The clinician on duty at Mubende RRH immediately transferred the patient to
                  the hospital isolation room where he received intravenous fluids.

                  Unfortunately, he died during that same night at around 1am. Samples were
                  taken off the body and were sent to the Uganda Virus Research Institute (UVRI).
                  The attendants of the diseased who included his expectant wife and 4 others
                  were immediately quarantined and they are closely being monitored.

                  To mitigate any possible exposure from contact with the suspect, all material
                  used by the deceased, including a trolley and beddings used by the deceased
                  were burnt.

                  All the hospital staff who got in contact with the deceased were provided with
                  digital thermometers and were instructed to take their body temperatures on a
                  daily basis twice.

                  The following actions have been undertaken to mitigate the spread of CCHF:
                   A National Rapid Response Team jointly from Ministry of Health and
                  World Health Organization has been dispatched to Mubende with clear
                  terms of reference to collect more information and assist the district to
                  mount an appropriate response.
                   Sensitization programs to educate communities about the signs,
                  symptoms and dangers of CCHF have been initiated to raise awareness
                  across the cattle corridor districts
                  We appeal to the general public to observe the following measures:
                   Immediately report any cases presenting with high grade fevers and
                  bleeding tendencies to the nearest health facility. Reporting can be done
                  by sending a free-text message to 8228 OR calling the Ministry of Health
                  toll-free line: 0800-100-066
                   Bodies of people who may have died from CCHF should be handled only
                  by trained burial teams, who are equipped to properly bury the dead,
                  safely and with dignity.
                   Use protective wear while slaughtering and handling animals to prevent
                  transmission of animal diseases to humans
                   Always wash your hands with soap and water

                  The Government of Uganda is working towards the control of ticks which are
                  the main agents in the transmission of CCHF from animals to humans.

                  The public is advised to report any suspected cases to the nearest health facility,
                  or call our toll-free number 0800- 100-066
                  For God and my country
                  HON. SARAH OPENDI
                  27th May, 2018

                  "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