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Uganda: 2021 Crimean Congo Fever

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  • Uganda: 2021 Crimean Congo Fever


    Crimean Congo Fever Reported in Kyangwali Refugee Settlement Area
    Kikube, Uganda
    Dr Nicholas Kwikiriza, the Kikuube District Health officer-DHO confirmed the outbreak of the disease in an interview with Uganda Radio Network on Friday afternoon. This came after a 16-year old girl, a refugee and resident of Musiinsa A Village in the Kyangwali Refugee settlement area tested positive for the disease on April 28, 2021.
    30 Apr 2021 14:59

  • #2

    Week 19: 3-9 May 2021
    Data as reported by: 17:00; 9 May 2021

    Crimean-Congo haemorrhagic fever in Uganda

    Cases 2
    Deaths 0

    A case of Crimean-Congo haemorrhagic fever (CCHF) was
    confirmed on 28 April 2021 in a 16-year-old female from
    Munsiinsa-A village in the Kyangwali Refugee Settlement,
    Kikuube district on 27 April 2021. She presented at the Kagoma
    health facility with a two-day history of fever, with a temperature
    of 38?C, as well as a history of headache, fatigue, vomiting blood
    and nose bleeds. There was no history of recent travel to a place
    with a CCHF outbreak, but her family raises goats. She was
    isolated in the Kasonga Treatment Centre as a suspected viral
    haemorrhagic fever case. Laboratory results returned positive for
    CCHF by polymerase chain reaction (PCR) testing at the Uganda
    Virus Research Institute (UVRI) on 28 April 2021.

    A second case, epidemiologically linked to the case patient as a
    primary contact, is a 13-year-old male from Busisa-Kyangwali,
    who was admitted on 29 April 2021 with a high grade fever, blood
    in his urine and vomiting blood. A sample was shipped to the
    UVRI and returned PCR positive for CCHF on 4 May 2021.
    Both patients are currently stable and showing signs of
    improvement, and samples have been taken for repeat PCR

    As of 4 May 2021, there are two confirmed cases of CCHF and
    no deaths. No new suspected cases have been reported. A total
    of 144 contacts have been listed for both cases and are being
    followed up. Samples from patients admitted in the isolation unit
    have been sent for CCHF PCR testing.


    Coordination meetings are being held and WHO and UNHCR
    are coordinating the inter-agency response in the refugee

    The Animal Health and food production sector are active
    in the refugee camp and a joint plan of action has been
    established across pillars and agencies.

    There is ongoing surveillance, with contact tracing and follow
    up, along with an alert system in the camp, that includes
    rumour monitoring and reporting.

    Households in Munsiinsa-A are being mapped, identifying
    households with animals.

    There is ongoing sensitization of voluntary community
    workers on CCHF surveillance, risk communication, and
    infection prevention and control practices.

    Personal protective equipment is available, with sufficient
    stock for one month.

    Stocks of ribavirin have been procured and delivered.

    Environmental assessment is underway, with listing of
    households with animals and livestock, along with random
    sampling of cows and goats for analysis at UVRI.

    UNHCR has scheduled mass spraying of domestic livestock
    from Munsiisa A and B villages within the refugee camp, led
    by the district veterinary officer.

    Infection prevention and control activities included training
    health workers on CCHF IPC measures, with the support of
    WHO and Care Uganda.

    Risk communication and community engagement (RCCE)
    activities have reached eight villages, with ongoing
    community drives through communication teams.


    Crimean-Congo haemorrhagic fever is known to be present in
    livestock in Uganda and the country is experienced in responding
    to outbreaks of infectious diseases, as evidenced by the
    prompt diagnosis, isolation and treatment of the two cases so
    far. In addition, a One Health approach has immediately been
    implemented, with inter-Agency collaboration including animal
    health and veterinary authorities in the response. Stocks of
    personal protective equipment and the drug ribavirin are available
    and health workers are being trained in case management and
    IPC measures. However, challenges remain in timely sample
    transportation, the need for a contingency plan for the treatment
    unit in Kasonga in the event of any other disease outbreak in
    the refugee camp and the need for more medical and logistical
    supplies for the outbreak. More RCCE materials are needed and
    funding needs to be supplied for district outbreak response.
    "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