Announcement

**sharon sanders** · February 15, 2022, 06:52 AM

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**Pathfinder** · February 21, 2022, 03:12 PM

Translation Google

The Ministry of Health confirms 4 cases of contamination with Congo-Crimean hemorrhagic fever

Nouakchott, 02/19/2022

After carrying out 31 tests, the Ministry of Health confirmed on Saturday the existence of 4 cases of contamination with Congo-Crimean hemorrhagic fever.

According to information received by the AMI, a case of death has been recorded since the appearance of Congo-Crimean fever, when another case of recovery was noted.

Two cases of contamination are in quarantine, one of which is critical, while the number of community contacts has reached 31 cases.

In a previous joint press release, the Ministries of Health and Livestock indicated that the consumption of pasteurized milk, milk after boiling and cooked meat protects against contamination with Rift fever, cases of which have been observed in the country.

The two ministries urged citizens to promptly inform the health and veterinary services in the event of hemorrhage in humans or abortion in animals.

The statement also invites breeders to limit the movement of herds between pasture areas and to cooperate with veterinary services to prevent the spread of the epidemic.

The ministries advise to follow the following precautionary measures:

- Boil milk before consumption,

- Cook meat well,

- Isolate animals from human habitats,

- Wash hands with soap after any contact with animals,

- Incinerate and bury dead animals,

- Sleep under mosquito nets,

- Inform the health services in the event of the appearance of haemorrhage in humans,

- Inform the veterinary services of any abortion in animals.

Last modification: 02/19/2022 15:57:20

https://fr.ami.mr/Depeche-62788.html

**Pathfinder** · February 23, 2022, 11:30 AM

WEEKLY BULLETIN ON OUTBREAKS
AND OTHER EMERGENCIES

Week 8: 14 – 20 February 2022
Data as reported by: 17:00; 20 February 2022
...

Crimean-Congo Haemorrhagic Fever Mauritania

5 cases
1 Deaths
20.0% CFR

EVENT DESCRIPTION

Five cases of Crimean-Congo haemorrhagic fever (CCHF) have
been reported from Mauritania recently. The first case reported
in week 4 (ending 30 January 2022) had originally consulted at
a local health facility on 27 January 2022, after presenting with
haemorrhagic symptoms: vomiting blood and nose bleeding.
The patient was then referred to a hospital in the capital city
of Nouakchott when symptoms persisted after two days and
then further referred to a national isolation centre at Friendship
Hospital a few days later. The patient is an animal herder who
had several events of contact with animals some of which are
known to have ticks. The case was confirmed positive for CCHF
by the National Institute of Research in Public Health (INRSP) on
4 February 2022.

Four other confirmed cases were reported in weeks 5, 6, and 7,
including one at the Kiffa Regional Hospital Centre and two others
at the Nouakchott National Hospital Centre. All cases are males
with ages ranging from 25-52 years. Furthermore, all cases had a
known history of contact with animals due to their nature of work:
one of the cases is a butcher and the other three are shepherds.
All cases were confirmed to have CCHF by laboratory analysis.

Though profiles are similar for the cases, there has been no
epidemiological linkage between them. Each case comes from
a different area (Moughataas) of the country representing three
different wilayas: Trarza, Nouakchott-Sud, and Hodh el Gharbi.
The latter wilaya borders Mali. As of 15 February 2022, a total of
31 contacts have been listed from the cases and nine tests have
been conducted.

PUBLIC HEALTH ACTIONS

Regular coordination meetings are conducted to make
strategic decisions regarding the outbreak

Response teams have been deployed to conduct
investigations in affected wilayas

Surveillance activities have been reinforced across affected
areas

Ongoing investigations in all areas where cases live including
the listing of contacts for cases

Infection, prevention and control measures have been
reinforced in all health facilities

Community sensitization in areas at risk is ongoing as it is an
endemic disease in Mauritania

Management of cases is being done in referral hospitals at
the national and regional levels.

SITUATION INTERPRETATION

Four cases of CCHF have been confirmed in a relatively short
period of time from different parts of Mauritania. This indicates
potential widespread transmission of CCHF in an already
endemic region. Continued monitoring and interventions need to
be strategically focused for a disease that involves a One Health
approach.

PROPOSED ACTIONS

Enhance surveillance monitoring with a main focus on One
Health initiatives since CCHF can be acquired by the exposure
of infected ticks or through contact with infected animals.

Nosocomial infections are also a possibility with CCHF and
precautions should be taken at all health facilities in order to
prevent infections among health care workers.

Surveillance should be reinforced at points of entry and
there should be good cross-border bilateral communication,
especially with some of the cases coming from near the
border with Mali.

Risk communication should also be intensified since the risk
groups are wide, ranging from agricultural, pastoral, health
care workers, etc.
...

View/Open

OEW08-1420022022.pdf (‎1.760Mb)‎

https://apps.who.int/iris/handle/10665/352056

**Pathfinder** · February 23, 2022, 01:07 PM

Immediate notification
Crimean Congo haemorrhagic fever (2006-), Mauritania
...
General Information

COUNTRY OR ZONE
COUNTRY

DISEASE
Crimean Congo haemorrhagic fever (2006-)

STARTED ON
04-02-2022

ANIMAL TYPE
TERRESTRIAL

CONFIRMED ON
14-02-2022

REASON
Recurrence of an eradicated disease

CAUSAL AGENT
Crimean–Congo haemorrhagic fever virus

ENDED ON
-

DISEASE CATEGORY
OIE-listed

REPORTED ON
23-02-2022

LAST OCCURRENCE
01-01-2019

...

Outbreaks

ob_97963 - Commune de Aghar aghar/Eguenni Najy

OUTBREAK REFERENCE
-

STARTED ON
11-02-2022

EPIDEMIOLOGICAL UNIT
Farm

NUMBER OF OUTBREAKS
-

ENDED ON
-

AFFECTED POPULATION DESCRIPTION
-

APPROXIMATE LOCATION
Commune de Aghar aghar/Eguenni Najy

FIRST ADMINISTRATIVE DIVISION
Hodh el Gharbi

SECOND ADMINISTRATIVE DIVISION
Tintane

THIRD ADMINISTRATIVE DIVISION
-

GEOGRAPHIC COORDINATES
Lat : 16.1816

Long : -10.2498

SPECIES MEASURING UNIT SUSCEPTIBLE CASES DEATHS KILLED AND DISPOSED OF SLAUGHTERED/KILLED FOR COMMERCIAL USE VACCINATED
Sheep/goats (mixed herd) NEW Animal 176 39 0 0 0 0
TOTAL Animal 176 39 0 0 0 0
Cattle NEW Animal 13 11 0 0 0 0
TOTAL Animal 13 11 0 0 0 0
- NEW Animal 189 50 0 0 0 0
TOTAL Animal 189 50 0 0 0 0
...

ob_97964 - Commune de Ouad Naga/Localité de Rebinat

OUTBREAK REFERENCE
-

STARTED ON
14-02-2022

EPIDEMIOLOGICAL UNIT
Farm

NUMBER OF OUTBREAKS
-

ENDED ON
-

AFFECTED POPULATION DESCRIPTION
-

APPROXIMATE LOCATION
Commune de Ouad Naga/Localité de Rebinat

FIRST ADMINISTRATIVE DIVISION
Trarza

SECOND ADMINISTRATIVE DIVISION
Ouad-Naga

THIRD ADMINISTRATIVE DIVISION
-

GEOGRAPHIC COORDINATES
Lat : 17.9578

Long : -15.4814

SPECIES MEASURING UNIT SUSCEPTIBLE CASES DEATHS KILLED AND DISPOSED OF SLAUGHTERED/KILLED FOR COMMERCIAL USE VACCINATED
Sheep/goats (mixed herd) NEW Animal 35 28 0 0 0 0
TOTAL Animal 35 28 0 0 0 0
- NEW Animal 35 28 0 0 0 0
TOTAL Animal 35 28 0 0 0 0

...

ob_97961 - Commune Hassi Ahmed Bechne/localité El Ghotoub

OUTBREAK REFERENCE
-

STARTED ON
04-02-2022

EPIDEMIOLOGICAL UNIT
Farm

NUMBER OF OUTBREAKS
-

ENDED ON
-

AFFECTED POPULATION DESCRIPTION
A sedentary herd belonging to a sick patient and his contacts.

APPROXIMATE LOCATION
Commune Hassi Ahmed Bechne/localité El Ghotoub

FIRST ADMINISTRATIVE DIVISION
Hodh el Gharbi

SECOND ADMINISTRATIVE DIVISION
Kobenni

THIRD ADMINISTRATIVE DIVISION
-

GEOGRAPHIC COORDINATES
Lat : 16.1591

Long : -9.6377

SPECIES MEASURING UNIT SUSCEPTIBLE CASES DEATHS KILLED AND DISPOSED OF SLAUGHTERED/KILLED FOR COMMERCIAL USE VACCINATED
Sheep/goats (mixed herd) NEW Animal 21 20 0 0 0 0
TOTAL Animal 21 20 0 0 0 0
- NEW Animal 21 20 0 0 0 0
TOTAL Animal 21 20 0 0 0 0

...
https://wahis.oie.int/#/report-info?reportId=49358

**sharon sanders** · February 24, 2022, 07:03 AM

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**Pathfinder** · February 28, 2022, 12:19 PM

Translation Google

Ministry of Health: There are no cases of hemorrhagic fever

Nouakchott, , 28/02/2022

the Ministry of Health issued a statement on Monday in which it declared the recovery of the three (3) cases with hemorrhagic fever registered most recently, adding that its services carried out screenings on the people who contacted them and the results are negative.

The statement received by the AMI indicates that the first case of hemorrhagic fever was recorded during the month of February.The health services then proceeded to screen the people contacted, who numbered 51, of whom 5 were declared positive.

The ministry concluded its statement by stating that to date, there are no cases of hemorrhagic fever in our country, explaining that three cases are cured, while two have unfortunately succumbed to the disease.

Last modification: 02/28/2022 16:31:12

https://fr.ami.mr/Depeche-62936.html

**sharon sanders** · March 1, 2022, 08:33 AM

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**Shiloh** · March 20, 2022, 10:27 AM

Source: https://outbreaknewstoday.com/maurit...-update-66698/

Mauritania Crimean-Congo hemorrhagic fever update
by News Desk
March 19, 2022

In a follow-up on the human Crimean-Congo hemorrhagic fever (CCHF) outbreak in the African country of Mauritania, the World Health Organization (WHO) reports a total of six confirmed cases including two deaths as of March 14...

**sharon sanders** · March 21, 2022, 07:24 AM

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**Pathfinder** · March 22, 2022, 07:44 PM

WEEKLY BULLETIN ON OUTBREAKS
AND OTHER EMERGENCIES

Week 12: 14 – 20 March 2022
Data as reported by: 17:00; 20 March 2022
...

Crimean-Congo Haemorrhagic fever Mauritania

6 cases
2 Deaths
33.3% CFR

EVENT DESCRIPTION

A Crimean-Congo hemorrhagic fever (CCHF) outbreak has been
ongoing in Mauritania since 5 February 2022 after confirmation of
the first case. The Nouakchott National Hospital Centre notified this
case during epidemiological week 4 (ending 30 January 2022) and
four additional confirmed cases were subsequently notified: two by
the same hospital, one by Kiffa Regional Hospital Centre and another
by Cheik Zayed Hospital Centre.

The sixth case was notified on 11 March 2022 by Hamed Hospital
of Boutilimit. This is a 35-year-old breastfeeding female residing in
Bir Barka village in Nebakhiya community, near Boutilimit, 157kms
from the capital city Nouakchott. She has no history of contact
with the previous confirmed cases. However, her husband lives in
Nouakchott where a confirmed case was identified and occasionally
comes to visit her. She reported history of travel to Boutilimit where
a confirmed case had been reported, with her last travel date being
28 February 2022. Her family possesses a herd of goats.

On 6 March 2022, she reported onset of fever, diarrhea, body
weakness, gingival and vaginal bleeding, prompting her to visit Bir El
Barka health post two days later. As no significant improvement was
observed, she consulted Hamed Hospital of Boutilimit on 11 March
2022 where she was immediately hospitalized, isolated and a sample
was collected. Laboratory results turned positive for CCHF on 12
March 2022. An investigation was conducted on 13 March and 10
contacts were identified and listed around the case.

As of 14 March 2022, 58 suspected cases have been tested for
CCHF and a cumulative number of six confirmed cases and two
deaths (CFR 33.3%) have been registered. Three cases have fully
recovered, while the sixth case is currently hospitalized and receiving
appropriate care.

The ages of the confirmed cases range from 25 to 80 years, with a
male predominance (66.7%; male/female sex ratio: 2:1). Three of the
four men are shepherds and the other is a butcher. The two females
are housewives.

The epidemic has affected six Moughataas so far, located in three
Waliyas: Kobenni and Tintane Moughataas in Hodh El Gharbi Waliya,
Ouad Naga, R’Kiz and Boutilimit Moughataas in Trarza Waliya, and
Arafat Moughataas in South-Nouakchott Waliya.

PUBLIC HEALTH ACTIONS

A coordination meeting was held on 15 February 2022, involving
the MoH and WHO. In addition, the One-Health Committee held
four meetings, While WHO held a 3-level teleconference on 15
February 2022. These various meetings purposed to organize
and support the response in-country.

A national response plan was developed and is being
implemented.

Teams already deployed in the field for polio surveillance were
briefed on CCHF.

Investigations have been conducted around confirmed cases
and contact tracing is ongoing. Ten contacts were listed around
the last confirmed case and are under follow-up.

A sero-prevalence study of CCHF among domestic animals
belonging to confirmed cases was carried-out to investigate the
potential source of infection.

The Mauritania National Institute of Research in Public Health
continues to receive samples and is using RT-PCR for laboratory
confirmation.

National and regional hospitals have been capacitated to properly
isolate and manage suspected and confirmed cases.

Educational messages are being broadcast to sensitize the
population on preventive measures against the outbreak and
early referral to appropriate care in health care facilities.

SITUATION INTERPRETATION

The CCHF outbreak has affected three regions and six districts, with
no clear history of contact between the confirmed cases. Although the
primary source of infection is not yet clearly identified, the outbreak
seems under control with only six cases reported over the past six
weeks. However, quick activation of the One-Health Committee has
permitted a rapid implementation of a comprehensive response,
with joined interventions by human and animal health authorities.
Response teams on the ground to rapidly identify the various
hotspots.

PROPOSED ACTIONS

The national surveillance system should be reinforced to enable
early detection of CCHF cases and other public health threats.
Multidisciplinary rapid response teams should be trained and
ready to be deployed, both at national, regional and district
levels.

Considering that two of the affected Moughataas share
borders with Mali, there is need to put in place a cross-border
surveillance and collaboration between Mauritania and Mali
local health authorities.

View/Open

OEW12-1420032022.pdf (‎1.957Mb)‎

https://apps.who.int/iris/handle/10665/352570

**sharon sanders** · March 23, 2022, 07:25 AM

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**Pathfinder** · August 31, 2022, 11:20 AM

Translation Google

Mauritania records two cases of Rift Valley fever and Crimean-Congo hemorrhagic fever

- "Monitoring devices to deal with any possible development of the situation have been activated", confirmed the Ministry of Health

31.08.2022

Mauritania
AA/Nouakchott

Anadolu News Agency - Mauritania announced on Wednesday, the registration of an infection by "Rift Valley Fever" and another by "Crimean Fever", more commonly known as "Crimean Hemorrhagic Fever -Congo" in the country.

The Ministry of Health said in a public statement that an infection by Rift Valley fever has been recorded in the Western Basin State, while an infection by Crimean-Congo fever has been recorded in the Brakna wilaya.

"Monitoring devices have been activated, measures have been taken to deal with and assess the situation and to deal with any possible developments in the situation," the ministry said.

In its statement, the ministry also called on people living in high-risk areas (where mosquitoes spread widely) to avoid contact with the animals' blood and biological fluids, separate them from their homes, and burn and bury dead animals.

Rift Valley fever as well as the disease "Crimean-Congo fever, are diseases of the viral system, the virus is transmitted to humans by animals or mosquitoes.

Both diseases are transmitted from one person to another as a result of direct contact with blood or the secretions of the infected person.

The virus is spreading in Africa, Asia, the Middle East and the Balkan countries, while no vaccine is available, neither for humans nor for animals.

*Translated from Arabic by Issa Aliou

https://www.aa.com.tr/fr/monde/la-ma...-congo/2673724

------------------------------------------------------------

Two Cases Of Rift Valley Fever And Crimean-Congo Fever Were Recorded In The Western Basin And Brakna

Nouakchott

August 31, 2022

The Multi-Sectoral Coordination Technical Committee “One Health” announced today, Wednesday, in a statement that the Mauritanian News Agency received a copy of, that two samples of suspected cases of Rift Valley fever (FVR) and Crimean-Congo fever (FHCC) have been confirmed in the states of Western Basin and Brakna. .

Below is the text of the statement:

“Given the early and promising rainy season this year, which often comes with significant health risks; The Ministry of Health, within the “One Health” committee, took the initiative to strengthen monitoring at the national level. As part of the results of this monitoring, two samples of suspected cases of Rift Valley Fever (FVR) and Crimean-Congo Fever (FHCC) were confirmed in Western Basin and Brakna states, respectively.

Since the two mentioned cases were reported, the relevant ministerial sectors; And members of the “One Health” committee to activate monitoring devices, take measures to respond, assess the situation, and check on their capabilities and readiness to face any possible development of the situation.

However, in such a situation, as part of confronting it; Residents in high-risk areas (where mosquitoes infested) are required to comply with the following measures:

1- Avoid contact with blood and biological fluids of animals;

2- Make sure to sleep under a saturated mosquito net;

3- Separation of animals from dwellings;

4- Wash hands regularly with soap before and after touching animals or their products;

5- Cook the meat well and heat the milk before consumption;

6- Immediately contact the nearest health facility in case of fever or bleeding;

7- Informing the veterinary services of any case of abortion in livestock;

8- Wear individual protective equipment (gloves, masks and goggles) in slaughterhouses and during direct contact with the animal;

9- Cremation and burial of dead animals.

finally; The “One Health” technical committee calls on all livestock breeders to limit the movement of herds, report the emergence of any disease and cooperate with veterinary interests for the proper implementation of the measures taken and the prevention of the mentioned diseases.

https://www.ami.mr/archives/135828

**Pathfinder** · September 8, 2022, 09:44 AM

WEEKLY BULLETIN ON OUTBREAKS
AND OTHER EMERGENCIES

Week 36: 29 August - 4 September 2022
Data as reported by: 17:00; 4 September 2022
...
All events currently being monitored by WHO AFRO
...

Mauritania Crimean-Congo haemorrhagic fever (CCHF) Ungraded

Date notified to WCO 31-Aug-22
Start of reporting period 29-Aug-22
End of reporting period 2-Sep-22

Total cases 1
Cases Confirmed 1
Deaths 0
CFR 0,00%

The Mauritanian Ministry of Health reported a new confirmed case of Crimean-Congo haemorrhagic fever (CCHF) on 29 August 2022. The patient was a 28-year-old pregnant woman from the locality of Diabbé located 2 kilometers from M' Bagne city in Brakna region. She presented with a febrile syndrome during the prenatal consultation on 28 August 2022 and a sample was taken the same day. CCHF was confirmed on 29 August 2022 by polymerase chain reaction at the Institut National de Recherche en Santé Publique (INRSP).

https://apps.who.int/iris/bitstream/...0804092022.pdf

Announcement

Mauritania - Crimean-Congo Haemorrhagic Fever outbreak 2022

Mauritania - Crimean-Congo Haemorrhagic Fever outbreak 2022

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