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Namibia: 2018/2019 Hepatitis E

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  • Namibia: 2018/2019 Hepatitis E

    Source: https://www.namibian.com.na/62759/re...us-in-Windhoek

    Outbreak of Hepatitis E virus in Windhoek
    News - National | 2017-12-20

    THE health ministry this morning announced the death of one person from Hepatitis E virus while 26 others tested positive for the virus in Windhoek.

    According to health minister Bernard Haufiku, eight more cases are pending as authorities are still waiting for results...

  • #2
    Source: http://allafrica.com/stories/201801050630.html

    Namibia: More Than 150 Test Positive for Hepatitis E
    By Nomhle Kangootui

    THE health ministry yesterday said the number of people diagnosed with hepatitis E has increased to 152 since the outbreak about three weeks ago in Windhoek.

    Health minister Bernard Haufiku declared the outbreak on 14 December.

    At the time, Haufiku said the disease had killed one person, a pregnant mother, who died at the Katutura Intermediate Hospital.

    The health ministry's chief medical superintendent Dr David Uirab, who is also the acting permanent secretary, said things are not going as expected...

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    • #3
      Source: http://who.int/csr/don/15-january-20...-e-namibia/en/

      Hepatitis E – Namibia

      Disease outbreak news
      15 January 2018

      During the week ending on 13 October 2017, the first identified case was admitted to a public hospital in Windhoek district, with signs and symptoms of hepatitis E. During the week ending on 8 January 2018, a total of 237 probable and confirmed cases have been seen at various health facilities in Windhoek district with the same signs and symptoms. All suspected patients tested negative for hepatitis A, B, and C. A total of 41 of the 237 cases were sent for further testing, and on 8 January 2018, the results showed 21 were IgM positive for hepatitis E. On 19 November 2017, there was one confirmed deceased case, a 26 year-old female, and four days prior to her death she had delivered a baby. The status of the baby is unknown. The majority of the cases were from Windhoek district, Khomas region.
      Figure 1: The number of patients seen with acute clinical jaundice in Windhoek district by week, from September 2017 to 8 January 2018 (n = 237)




      Public health response
      • On 14 December 2017, the national, regional, and district Health Emergency Management Committees were activated and the government of the city of Windhoek was informed of the outbreak.
      • Five different working groups have been formed to strengthen coordination and plan response activities under the following thematic areas; surveillance and laboratory, case management, coordination and logistics, WASH, environmental health, and social mobilization.
      • On 20 December 2017, the Minister of Health held a media briefing to educate the public about the outbreak with the participation of WHO and partners.
      • The Ministry of Health is currently leading the case management teams and all suspected cases have been referred to hospitals for treatment. To further strengthen surveillance and laboratory response activities, data collection and reporting tools have been distributed to health facilities. Case reporting and investigation, and line listing of cases have been enhanced.
      • An environmental health team from the Ministry of Health and Social Services and the City of Windhoek are currently conducting environmental investigations to identify exposures that led to the outbreak.
      • A national radio campaign to sensitize the affected communities to the risk of hepatitis E is ongoing as well as regular briefings of the public regarding the outbreak. The city of Windhoek has tested the water quality of the affected area and continues to monitor routinely.
      • The Ministry of Health has deployed a field epidemiologist to support the community engagement teams to ensure active case search and coordinated targeting of areas with active transmission. Beginning on 23 December 2017, orientations have been conducted to train Red Cross volunteers and community health workers to implement community sensitization and mobilization activities in areas at high risk of hepatitis E.
      • On 31 December 2017 a community engagement exercise was done to empower community leaders. The aim was to increase leaders’ awareness of disease prevention measures and also develop culturally acceptable interventions to change behavior and practices which were contributing to the spread of the disease in the community.
      • Community leaders and health extension workers were also oriented to educate the community on early care seeking for individuals having signs and symptoms compatible with hepatitis E.
      WHO risk assessment

      Although hepatitis A, B, and C are common in Namibia, hepatitis E is rarely diagnosed in the country. As a result, the country has limited capacity for hepatitis E laboratory diagnosis. Additionally, the majority of hepatitis E cases have been reported from informal settlements within the capital district, Windhoek, where living conditions are poor. These areas are overcrowded, and have limited access to safe drinking water, sanitation, and hygiene. Moreover, the holiday season will likely increase the movement of people within the country. All of these could be major contributing factors to this outbreak.
      Additionally, during the rainy season, people often use rainwater or other surface water for drinking and domestic uses. This likely increases the risk of hepatitis E infection. Therefore, the above-mentioned factors might lead to the propagation of the cases from this area to other informal settlements and its distribution to other towns or districts, with similar poor environmental health conditions. Thus, the overall risk is assessed as high at the national level and low at regional and global levels.
      WHO advice

      WHO recommends the improvement of access to safe water and proper sanitation through different methods, including at-home water purification techniques. The water quality should be regularly monitored in the affected areas. The number of latrines in different settlements should be increased to address the issue of open defecation. In addition, the waste management and the overall hygiene practices should be improved.
      Furthermore, the ongoing interventions should target at-risk population through the establishment of antenatal counseling for pregnant women, improving housing conditions for those living in these informal settlements and supporting the improvement of health facilities and patients care. The local and national reference laboratory capacities should be improved for timely confirmation of suspected cases.
      WHO does not recommend any restriction on travel and trade to Namibia on the basis of the information available on the current event. The implementation of general hygiene practices and other preventive measures listed above should be sufficient to prevent the disease.

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      • #4
        Source: http://www.xinhuanet.com/english/201..._136924873.htm

        Hepatitis E cases in Namibia rise to 490
        Source: Xinhua| 2018-01-25 21:52:10|Editor: Yurou

        WINDHOEK, Jan. 25 (Xinhua) -- Hepatitis E case in Windhoek's informal sector have risen to 490, Namibia's health ministry said Thursday, while blaming poor sanitation for fueling the spread of diseases.

        Health Minister Bernard Haufiku told a media conference that to date the outbreak has caused two maternal deaths, with majority of the cases coming from Havana and Goreangab settlements...

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        • #5
          Source: https://www.namibian.com.na/63996/re...another-victim


          Hepatitis E claims another victim
          News - National | 2018-02-02
          by Sakeus Iikela

          A PREGNANT woman has been confirmed dead from a suspected Hepatitis E related illness in Windhoek last week.

          Dr Lilliane Kahuika from the health ministry confirmed the death to The Namibian today. It occurred on 25 January 2018.

          This brings the number of deaths caused by Hepatitis related illness to three since the disease was declared an outbreak late last year.

          So far, all those who have died from the disease were all postpartum women...

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          • #6
            Source: https://www.namibian.com.na/69032/re...tis-E-outbreak

            Swakop reports Hepatitis E outbreak
            News - National | 2018-07-03
            by Adam Hartman

            THE Ministry of Health today confirmed four cases of Hepatitis E in the DRC informal settlement at Swakopmund.

            The chief medical officer - who is also the acting regional health director - Dr Amir Shaker said an additional 32 cases are being tested...

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            • #7
              Source: https://neweralive.na/posts/hepatiti...homas-governor

              Hepatitis not only endemic to Khomas - Governor
              Alvine Kapitako Health Khomas
              2019-02-11 09:59:20 14 hours ago

              WINDHOEK - The Governor of the Khomas region, Laura McLeod-Katjirua, says the hepatitis E outbreak, which has now spread to 12 of the country’s 14 regions, is not a Windhoek issue.

              “Namibians say it was a Windhoek issue. It never was by invitation,” said McLeod-Katjirua, adding that the disease could have started anywhere else in the country.

              The Ministry of Health and Social Services declared hepatitis E an outbreak on 14 December 2017 and the disease has since spread to other regions except for the Zambezi and //Kharas regions.

              Statistics from the Ministry of Health and Social Services show that as of 27 January 2019, a total 4 432 hepatitis E cases had been reported in Namibia.

              So far, 40 deaths have been reported and the death toll is disproportionately highest among pregnant women and those who have given birth, constituting 17 cases, which translates to 42.5 percent of deaths...

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