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Sudan: Yellow fever outbreak - 171 fatalities; 849 total suspected cases

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  • #16
    Re: Sudan: Unknown Fever up to 37 fatalities - report of haemorrhagic symptoms- Yellow Fever

    It is not clear in any area whether the number of cases includes the number of deaths.

    Yellow fever does not typically spread person-to-person; rather it is spread by mosquitoes. So the spraying of pesticides is consistent with the above diagnosis. The report of yellow fever as an undiagnosed hemorrhagic illness parallels the incident in neighboring Uganda nearly two years ago: http://www.flutrackers.com/forum/sho...d.php?t=155125

    http://www.radiodabanga.org/node/37740

    98 die and 458 infected with unknown fever
    CENTRAL DARFUR (
    30 Oct .) -
    According to news reports 98 citizens have died and another 458 have been infected as a result of an unknown fever over the past three weeks in several areas of Central Darfur, Radio Dabanga has learned on Tuesday October 30.

    The affected areas in Central Darfur are Jebel Ahmar, Umm Shalaya, Khor Ramla and Fasi. The ministry of health questioned the figures, saying they are "inaccurate and exaggerated".

    Saad Ahmed Aseel, a nomad from Jebel Ahmar, told Radio Dabanga that the fever is still spreading and has surfaced in multiple locations. The nomad added that more than 108 people have been infected in Jebel Ahmar and 17 have died in the mean time.

    He added that 75 people have been infected in the area of Umm Shalaya, and 27 of them have died in the mean time. He continued that 275 people have been infected in the area of Khor Ramla and Fasi of whom 54 have died in the mean time.

    Aseel told Radio Dabanga that the authorities refuse to acknowledge that the unknown fever has evolved to an epidemic, he added to Radio Dabanga from Jebel Ahmar, east of Zalingei.

    News reports from residents and witnesses in Nertete highlighted the death of 16 people as a result of the same 'mysterious disease' in Nertete hospital during the past week.

    An activist from Nertete told Radio Dabanga that the town's hospital continuously receives new cases of the disease, adding that mainly nomads are infected in the areas of Jebel Ahmar, West Nertete, Borang south-west of Nertete and the area of Corea, north of Nertete.

    One of the residents added to Radio Dabanga that the residents and displaced people fear the disease will be transmitted to them by nomads, he said to Radio Dabanga from Nertete.

    State health minister: 'no epidemic'

    For its part, Central Darfur state minister of health, Issa Mohamed Moussa, affirmed that 71 people have been infected with the unknown fever, of whom 35 have died in the mean time. The minister explained to Radio Dabanga on Tuesday that the numbers given by residents were “inaccurate and exaggerated”.

    He continued that the state's health ministry has made great efforts to contain the disease, by means of spraying pesticides.

    In addition, Moussa announced the upcoming arrival of a team from the federal health ministry to Zalingei to 'handle' the situation. He emphasized that the team will move on Wednesday to travel across the affected areas.

    The minister explained that "an accurate diagnosis was not made yet and that the disease has not evolved to an epidemic", he added to Radio Dabanga from Zalingei.

    Comment


    • #17
      Re: Sudan: Unknown Fever up to 98 fatalities - report of haemorrhagic symptoms- Yellow Fever

      Sudan (the) Yellow fever hits Central and South Darfur
      Report— World Health Organization
      On 29 October 2012, Sudan’s Federal Ministry of Health (FMoH) notified the World Health Organization (WHO) of a yellow fever outbreak in seven localities in Central and South Darfur. Since the first week of October, a total of 84 suspected cases including 32 deaths have been reported from the districts of Azoom, Kass, Mershing, Nertiti, Nyala, Wadi Salih and Zalingei.

      FMoH said that the immediate priority is to control the vector, reinforcing the disease surveillance system and raising public awareness on the prevention and control of this disease. Preparations for a mass vaccination campaign are underway to vaccinate the at risk population in Darfur.

      Yellow fever is spread by mosquitoes. There is no specific treatment for yellow fever, only supportive care to treat dehydration and fever, and blood transfusion if and when needed. It is a preventable disease with symptoms and severity varying from case to case. Protective measures like the use of bed nets and insect repellent are considered the best ways to contain an outbreak.

      Vaccination is the single most important measure for preventing yellow fever.

      FMoH, WHO, as well as health partners are working on ground to ensure timely containment of the outbreak.
      http://reliefweb.int/report/sudan/ye...d-south-darfur
      Twitter: @RonanKelly13
      The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

      Comment


      • #18
        Re: Sudan: Unknown Fever up to 98 fatalities - report of haemorrhagic symptoms- Yellow Fever

        Published Date: 2012-10-31 16:37:19
        Subject: PRO/AH/EDR> Yellow fever - Africa (09): Sudan (Darfur)
        Archive Number: 20121031.1381886

        YELLOW FEVER - AFRICA (09): SUDAN (DARFUR)
        ******************************************
        A ProMED-mail post
        http://www.promedmail.org
        ProMED-mail is a program of the
        International Society for Infectious Diseases
        http://www.isid.org

        [1]Date: 31 Oct 2012
        Source: MiNews 26 [edited]
        http://www.minews26.com/content/?p=20693


        A previously unknown disease which has claimed more than 30 lives in Sudan's troubled Darfur region this month [October 2012] has been identified as yellow fever, the World Health Organization (WHO) said on Tuesday [30 Oct 2012]. Preparations for a mass vaccination campaign are now underway.

        The outbreak was 1st detected early this month [October 2012] when a number of people in the central and southern regions of Darfur became ill and eventually died. Sudanese media said the victims suffered from a number of symptoms, including diarrhea, vomiting, and bleeding from both the mouth and nose.

        Tarik Jasarevic, a spokesman for the World Health Organization (WHO), on Tuesday [30 Oct 2012] said it had been informed by Sudan's Federal Ministry of Health (FMoH) that the outbreak is being caused by yellow fever. Since the 1st week of October [2012], a total of 84 suspected cases, including 32 deaths, have been reported in the districts of Azoom, Kass, Mershing, Nertiti, Nyala, Wadi Salih and Zalingei.

        "FMoH said that the immediate priority is to control the vector, reinforcing the disease surveillance system and raising public awareness on the prevention and control of this disease," Jasarevic said. "Preparations for a mass vaccination campaign are underway to vaccinate the at risk population in Darfur."

        According to Darfur radio station Dabanga, however, at least 37 people are believed to have died as a result of the disease, while 125 others have been infected. The radio station quoted a resident as saying that local authorities were slow to react and did not immediately take necessary action to contain the outbreak.

        "FMoH, WHO, as well as health partners are working on ground to ensure timely containment of the outbreak," Jasarevic added.

        There is no cure for yellow fever, which is an acute viral haemorrhagic disease transmitted by infected mosquitoes. Treatment is aimed at reducing the symptoms for the comfort of patients, and measures often taken include supportive care to treat dehydration and fever and blood transfusion if needed.

        "It is a preventable disease with symptoms and severity varying from case to case," Jasarevic explained. "Protective measures like the use of bed nets, insect repellent and long clothing are considered the best methods to contain an outbreak. Vaccination is the single most important measure for preventing yellow fever."

        It is estimated some 200 000 people are infected by yellow fever each year, killing approximately 30 000 of them [worldwide estimates]. The virus is endemic in tropical areas of Africa and Latin America, which have a combined population of over 900 million people. Up to half of severely affected persons will die from the disease without treatment.

        --
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        ******
        [2]
        Date: 31 Oct 2012
        Source: Reuters AlertNet [edited]
        http://www.trust.org/alertnet/news/m...nned-in-darfur


        The World Health Organization (WHO) is preparing to vaccinate millions of people in Sudan's troubled Darfur region to stem an outbreak of yellow fever that has led to 84 suspected cases, including 32 deaths, since the 1st week of October [2012].

        Yellow fever is a viral infection that is transmitted by mosquitoes in tropical regions leading to fever, vomiting, liver inflammation and jaundice. It can cause bleeding from the nose, mouth, stomach or eyes.

        Five cases per day have been detected for the last week, according to the WHO representative in Sudan, Anshu Banerjee. "Every day, we have a few new districts that are affected," he told AlertNet. "It has affected a number of localities in Central Darfur. It affected 2 districts in South Darfur, and now we have reports that it also affected 2 districts in West Darfur."

        On Wednesday [31 Oct 2012], WHO sent a sample to Senegal to reconfirm the Sudanese ministry of health's diagnosis. Once this is confirmed, which is expected late next week, it will draw up a vaccination plan.

        The last outbreak of yellow fever in Sudan was in South Kordofan in 2005, where there were 604 cases including 163 deaths over a 4-month period.

        There is no specific treatment for yellow fever, only supportive care to treat dehydration and fever and blood transfusion if needed. Vaccination is the main preventative measure.

        War has ravaged Darfur since rebels took up arms in 2003, saying the central government had neglected the region. Conflict has continued despite the presence of the world's largest peacekeeping operation, the United Nations-African Union Mission in Darfur (UNAMID), with humanitarian workers often targeted.

        "There are of course a lot of security constraints," said Banerjee. "We sometimes need support from UNAMID escorts, things like that, but it doesn't mean we are actually not able to conduct the campaigns."

        It can also be hard to reach remote, mountainous villages in the Jebel Marra region of central Darfur, far from health centres.

        Banerjee also said Sudan has a "well-functioning immunisation programme."

        It gets significant funding from the Global Alliance for Vaccines and Immunisation and from the Global Fund to Fight AIDS, Tuberculosis and Malaria.

        In October [2012], a WHO vaccination campaign against meningitis reached the majority of Darfur's 8 million people.

        "There is a lot of institutional support from the government," said Banerjee. "The difficulties from a security point of view in Darfur will not prevent us from being able to conduct the campaign."

        [Byline: Katy Migiro]

        --
        Communicated by:
        ProMED-mail
        <promed@promedmail.org>

        [On 8 Oct 2012, ProMED-mail posted a report on an as yet undiagnosed outbreak, with fatalities in Zalingei. At that time, the clinical presentation of the cases was described as headaches, vomiting, and fatigue. There were "at least 10 people who died," with cases also being seen in Korley, Tur Kolmey, and Doudou. Cases occurred among gold miners. On 23 Oct 2012, ProMED-mail posted another report on another undiagnosed outbreak associated with fever, with reports of 16 cases and 6 deaths, occurring in South Darfur state. No additional information on the cases, clinical presentation or epidemiologic studies were provided in that report, but given the ongoing outbreaks of viral hemorrhagic fevers (VHF) in neighboring Uganda and the Democratic Republic of the Congo, a VHF etiology to the 2 outbreaks in Sudan was a possibility.

        The southern part of Sudan and South Sudan are in the yellow fever (YF) belt of Africa (see http://www.cdc.gov/yellowfever/maps/africa.html. Given the security constraints in the region, it is not surprising that the identification of yellow fever virus as the etiology of these outbreaks took approximately one month to establish. The remoteness of the involved areas combined with the security challenges and the fact that many of the cases are learned of postmortem (and post burial) means adequate specimens for laboratory testing are difficult to obtain.

        The only treatment for yellow fever at present is supportive care, but the disease is a vaccine preventable disease. Hopefully, the security constraints will not impede the needed vaccination campaign to control the outbreak. - Mod.MPP]

        Comment


        • #19
          Re: Sudan: Unknown Fever up to 98 fatalities - report of haemorrhagic symptoms- Yellow Fever

          And Radio Dabanga finally agrees:

          http://www.radiodabanga.org/node/37797

          Federal Health Ministry: unknown disease is yellow fever
          KHARTOUM (
          1 Nov .) -
          Sudan's Federal Health Ministry described the unknown fever which is spreading rapidly across Central Darfur as a hemorrhagic fever caused by the yellow fever virus, Radio Dabanga learned on Wednesday October 31.

          Dr. Ahmed Hamid, spokesman on behalf of the Federal Health Minister's office, announced in an interview with Radio Dabanga that the number of confirmed cases has reached 84. Of those cases, 29 were found in Zalingei, 13 in Wadi Saleh, 25 in Nertety, nine in Kass and one case in Nyala and one in Mershing and Wadi Azoom.

          He said that 32 people have died as a result of the fever so far, emphasizing that the ministry formed an emergency committee, chaired by Minister Bahr Abu Garda, to follow up on the situation.

          Situation is "under control"

          Dr. Hamid stated the situation is “under control”, after a team of medical specialists from the ministry traveled to the affected areas across Central Darfur. He added that the vaccinations for the disease have also arrived, saying they will start vaccinating people in certain areas of Central Darfur. In addition, pesticides against breeding of mosquitoes will be sprayed.

          He added to Radio Dabanga the disease cannot be described as an epidemic.

          On the same subject, he explained that yellow fever is transmitted by mosquitoes or contaminated blood, not by people.

          He urged citizens to go to the nearest clinic or hospital when feeling sick, adding that the main symptoms of yellow fever are fever and chills (similar to malaria), nausea and increased pressure on the eyes, Dr. Hamid added to Radio Dabanga from Khartoum.

          Comment


          • #20
            Re: Sudan: Unknown Fever up to 98 fatalities - report of haemorrhagic symptoms- Yellow Fever

            Sudan (the) Yellow Fever Outbreak in Darfur Situation Report 1 - 31 October 2012
            Report— World Health Organization
            Download PDF (565.4 KB)

            Epidemiology

            On 29 October 2012, Sudan’s Federal Ministry of Health (FMoH) notified the World Health Organization (WHO) of a yellow fever outbreak in seven localities in Central and South Darfur.
            As of today, a total of 98 suspected cases, including 42 deaths, have been reported from the districts of Zalingei, Nertity, Wadisalih, Azoom, Nyala, Mershing, and Kass. 82.6% of the reported cases are from Central Darfur.
            67% of the cases are males and 33% are females.
            None of the reported cases received vaccination against yellow fever.
            In general, 74.4% of the reported cases are in the age group 2-29.9 years.
            2% are in the age group 2-4.9, 26.6% are in the age group 5-14.9, 45.9% are in the age 15-29.9 and 16.3% are 45 years and above.
            16 samples were collected of which 3 tested positive for yellow fever at the Central Public Health Laboratory in Khartoum. Some of the samples were tested negative for Crimean-Congo haemorrhagic fever (CCHF) and chikungunya.

            Action taken

            Outbreak Investigation and Response has been initiated
            The International Coordination Group (ICG) was alerted for vaccines for a possible reactive vaccination campaign awaiting reconfirmation by Institute Pasteur in Senegal.
            Technical support teams from FMoH are on the ground in Central and South Darfur for immediate/initial support, namely to conduct:
            Training sessions on disease surveillance, case management and infection prevention and control.
            Avail supportive treatment (drugs+ supplies)
            Communication to raise awareness on YF has been initiated

            Recommendations

            Alerting health partners
            Prepare vaccination plan
            http://reliefweb.int/report/sudan/ye...1-october-2012
            Twitter: @RonanKelly13
            The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

            Comment


            • #21
              Re: Sudan: Unknown Fever up to 98 fatalities - report of haemorrhagic symptoms- Yellow Fever

              http://www.radiodabanga.org/node/37844

              Hospital director questions capacity to fight fever
              NYALA (
              2 Nov .) -
              The director of the Nyala teaching hospital in South Darfur, has questioned the establishment’s capacity to fight the spread of yellow fever, he told Radio Dabanga on Wednesday, 31 October.

              Besides, Mohammed al-Fadel, who is also the hospital laboratory’s director, said the weak capacity of the hospital may not be enough to treat all infected patients.

              At the same time, a technical team from the federal health ministry has reportedly arrived in Nyala on Wednesday to make arrangements to contain the spread of yellow fever, Radio Dabanga has learned.

              The federal health minister announced he expects the vaccines against yellow fever to arrive in the affected areas of Darfur within two or three weeks.

              Numbers

              Central Darfur state Minister of Health, Issa Mohamed Moussa said that 41 people died of yellow fever, while 84 got infected in the state.

              The Minister of Health of South Darfur, Ahmed Al-Tayeb, said that until Thursday, six people had died and eight got infected with the yellow fever.

              In West Darfur, Health Minister Ahmed Ishaq said that so far 16 cases of yellow fever have been reported in west Habila and Mornei.

              Comment


              • #22
                Re: Sudan: Unknown Fever up to 98 fatalities - report of haemorrhagic symptoms- Yellow Fever

                Source: http://www.radiodabanga.org/node/37967


                Health Ministry: yellow fever claims 63 lives
                KHARTOUM

                (5 Nov.) -

                Sudan’s Federal Health Ministry announced that the number of yellow fever cases in Darfur has increased to more than 143, including 63 deaths, Radio Dabanga has learned on Sunday November 4.

                The Ministry confirmed the emergence of new cases among the population in the southern regions west of El-Geneina in West Darfur and the adjacent areas in Central Darfur.

                At the same time, the State Health Ministry of South Darfur disclosed their urgent need for approximately 9 million doses of vaccines for the people of Darfur in the battle against the ‘epidemic disease’, adding it could take more than two weeks for the vaccines to arrive...

                Comment


                • #23
                  Re: Sudan: Unknown Fever up to 98 fatalities - report of haemorrhagic symptoms- Yellow Fever

                  Grrr. One of the all-time bad reports for political purposes. First the report, then some comments:

                  http://www.radiodabanga.org/node/37986

                  Dr. Ali El-Haj: ‘Connection between bombings and fever outbreak’
                  - (
                  5 Nov .) -
                  Dr. Ali El-Haj Mohammed, assistant secretary general of the Popular Congress Party, stated in an interview with Radio Dabanga on Saturday November 3, that all signs and evidence point to a connection between the hemorrhagic fever that is spreading in South and Central Darfur, and the remnants of the continuous aerial bombardments of the past two months in several areas of East Jebel Marra. The fever infected hundreds of people and livestock, leading to cases of poisoning and death.

                  In the first part of the interview, the assistant Secretary General said that the connection confirms the Government of Sudan (GoS) used prohibited weapons. Residents from East Jebel Marra claim the aircrafts dropped gas bombs, which reportedly led to poisoning of the eyes and breathing problems. Dr. Ali added that the bombs caused contamination of East Jebel Marra's waterways and valleys.

                  Viruses

                  He emphasized that the spread of the hemorrhagic fever in Wadi Azum; a large valley flowing across Jebel Marra, South, Central and West Darfur, is caused by viruses and he added that the disease might have emerged from the ‘infected’ water. Dr. Ali El-Haj stated: “there is a close connection between the bombing of areas in East Jebel Marra and the spread of the fever among humans and animals in Darfur.” He continued: “I believe it is strongly connected to the spread of the viruses, and therefore an independent body must confirm whether this is correct or not and whether the virus causing the fever is natural, man-made or transplanted.”

                  On the same matter, the assistant Secretary General claimed the existence of another connection promoting and supporting, of what is happening in Darfur and the crash of a Sudanese army aircraft (Antonov). The Antonov aircraft reportedly exploded on October 10 in a neighborhood in west Omdurman.

                  The aircraft was said to be carrying missiles and bombs; gas bombs, to the city of El-Fasher. Dr. Ali said that the pilots preferred to crash the plane in the outskirts of Omdurman instead of returning to Khartoum airport and explode there, as it would cause ‘destruction and waste’. He explained that the area, where the plane crashed, is an open area and expressed his fear that it has been heavily polluted as a result of the crash.

                  'Environmental disaster'

                  The assistant Secretary General warned that an environmental disaster might hit the capital after the shelling of Yarmouk military arms factory. After the shelling, 41 large containers reportedly loaded with weapons, have disappeared “in the depths of the earth”. Dr. Ali said “people, no matter how different their views might be, they all agree that the containers have disappeared”, and he added: “I believe they did not disappear, I believe they went somewhere, via air or water and were used.”

                  He stressed: “this will have consequences for the environment, without a doubt, and on its turn it will have an impact on the people as well, as it has already affected the water and nobody can escape the impact of pollution of the Nile and underground wells. All the people in Sudan will suffer”, he added and continued: “I fear that this disease will spread to other regions than Darfur, it might even spread to Khartoum, who knows; those weapons are manufactured in Khartoum.”

                  He expressed his belief that all weapons in the 41 missing containers were not meant for export, but used against the people of Sudan itself; South Kordofan, Darfur and Blue Bue Nile Sate.

                  At the same time, Dr. Ali demanded the GoS to reveal what kind of the weapons were stored in the 41 missing containers, as well as those used in Darfur, adding that those weapons caused the ongoing disaster in the region. He added that this ongoing disaster calls for an intervention by external parties such as the World Health Organization (WHO), to disclose all facts and provide a protective vaccination for the people in Khartoum and other parts of Sudan to minimize the environmental impact.

                  Dr. Ali expressed his lack of confidence in the GoS and believed it would not reveal what happened, which requires the opposition “to ring the bells in the outside world, to talk about it and ask organizations (led by WHO) to intervene in order to minimize the effects caused by the destruction of Yarmouk factory and what has happened in East Jebel Marra and the spreading fever.”

                  He added that the ministry of health is not capable of conducting such an investigation, due to its inability and lack of freedom in movement, Dr. Ali El-Haj added to Radio Dabanga.

                  Dr. Ali El-Haj is a former top financial manager within the Islamist regime. Also, he served as a government negotiator at peace talks with Southern rebels and as a minister of federal affairs in the past. In recent years he has been actively involved in Hassan Al Turabi’s Popular Congress Party. The PCP was founded as the Popular National Congress Party when it split off from the ruling National Congress Party in 1999.

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

                  OK. The disease has been diagnosed as yellow fever, which is naturally occurring and spread by mosquitoes. It has nothing to do with biological or chemical weapons. Yellow fever would make a poor biological weapon anyway, because there is a readily available vaccine. The mention of the incident with an aircraft is reminiscent of the reports of "chemtrails" in the H1N1 pandemic. And we've had a diagnosis on this outbreak for a week.

                  This is a false report for political purposes, and the man reporting this is some kind of doctor. Reports like this may actually worsen the outbreak as they may cause locals to deny the diagnosis and refuse the vaccine. They had to know this, and they published it anyway.

                  Comment


                  • #24
                    Re: Sudan: Unknown Fever up to 98 fatalities - report of haemorrhagic symptoms- Yellow Fever

                    Yellow Fever Outbreak in Darfur
                    Situation Report 3
                    6 November 2012

                    Epidemiology
                    - The outbreak has now affected 17 localities in Central, South, West and North Darfur.
                    - As of 5 November 2012, 194 suspected cases have been reported, including 67 deaths (case fatality rate of 34.5%). Reports were received since the last week of September 2012 from the districts of Zalingei, Nertity, Wadisalih, Azoom, Mukjer, Nyala, Kass, Kubum, Sharq ALgabal, Mershing, Rehaid Albirdy, Genaina, Kernik, Baidha, Habila, Saraf Omra and Alseraif.
                    - Surveillance shows that 83.3% of the reported cases are from Central Darfur, 7.2% are from South Darfur, 7.2% are from West Darfur and 2.3% are from North Darfur.
                    - Table below shows the age group distribution of affected people.

                    Age group / Percentage
                    2 up to 4.9 / 2.6%
                    5-14.9 / 27.1%
                    15-29.9 / 47.9%
                    30-44.9 / 15.1%
                    45 and above / 7.3%
                    - 25 samples were collected of which 3 were tested positive for yellow fever (2 samples from Nertity locality and 1 from Nyala) at the Central Public Health Laboratory in Khartoum. Some of the samples tested negative for Crimean-Congo haemorrhagic fever (CCHF) and chikungunya.
                    ...
                    Twitter: @RonanKelly13
                    The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

                    Comment


                    • #25
                      Re: Sudan: Unknown Fever up to 98 fatalities - report of haemorrhagic symptoms- Yellow Fever

                      Not sure if this could be Yellow Fever or something else:

                      Source: http://www.radiodabanga.org/node/38067
                      Virus infection kills four in East Jebel Marra
                      EAST JEBEL MARRA

                      (7 Nov.) -

                      A father, two of his sons and a seven-year-old boy died from a virus infection in the Dabanga neighborhood of east Malam in East Jebel Marra, North Darfur, Radio Dabanga has learned.

                      Adam Saleh and two of his sons, Yahya and Mohamed, died on Tuesday November 6 and the seven-year-old boy Mohi al-Deen Abkar, died on Monday in the area of Hillat Dabanga, according to local sources’ reports.

                      Symptoms of the contamination include vomiting, severe diarrhea, heavy coughing, conjunctivitis, blurred vision and infection of the tonsils, they explained.

                      Remnants of bombs

                      Witnesses from East Jebel Marra informed Radio Dabanga that cases of this infection are on the rise in the area. Especially parts that have been exposed to aerial bombardments are affected, as the remnants of the bombs are poisoning the residents, the witnesses added...

                      Comment


                      • #26
                        Re: Sudan: Unknown Fever up to 98 fatalities - report of haemorrhagic symptoms- Yellow Fever

                        Source: http://allafrica.com/stories/201211070710.html

                        Sudan: Death Toll of Darfur's Yellow Fever Outbreak Reaches 67
                        6 November 2012

                        Khartoum — An outbreak of Yellow fever in Sudan's western region of Darfur has killed 67 people so far, according to a new report by the World Health Organization (WHO) and local authorities.

                        The joint report, dated 6 November, says that the outbreak has now affected 17 localities in Central, South, West and North Darfur. "As of 5 November 2012, 194 suspected cases have been reported, including 67 deaths (case fatality rate of 34.5%)" the report stated.

                        According to the report, surveillance shows that 83.3% of the reported cases are from Central Darfur, 7.2% are from South Darfur, 7.2% are from West Darfur and 2.3% are from North Darfur.

                        The new report shows that the rate of yellow fever cases in Darfur has more than doubled after previous reports at the end of October talked of 84 suspected cases and 32 death cases.

                        Meanwhile, the federal ministry of health said on Tuesday that it has been receiving reports of new cases of Yellow fever in Darfur almost on daily basis...

                        Comment


                        • #27
                          Re: Sudan: Unknown Fever up to 98 fatalities - report of haemorrhagic symptoms- Yellow Fever

                          Fever kills 78, reaches 'epidemic level'
                          DARFUR
                          (9 Nov.) -

                          The spread of yellow fever in Darfur reached an 'epidemic level' that requires immediate intervention from the central government, according to an announcement made by Member of Parliament Ibrahim Abbaker on Wednesday, 7 November.

                          According to an official from the Ministry of Health from Khartoum, the number of cases of hemorrhagic fever in Darfur has reached more than 220. He revealed that 78 people have died so far in 18 localities.

                          The official disclosed to Radio Dabanga that the World Health Organization (WHO) sent samples of the virus to Dakar, in Senegal, for examination. This way, he explained, authorities will find out the exact nature of the disease that is spreading across Darfur.

                          The source hopes that the Sudanese Ministry of Health will receive the result of the tests this week still, so that vaccines against the disease can be ordered and a campaign targeting 3.5 million people in Darfur can be launched.

                          He expects that, once ordered, the vaccines would arrive within two weeks in Darfur, Radio Dabanga was informed.
                          ...
                          http://www.radiodabanga.org/node/38147
                          Twitter: @RonanKelly13
                          The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

                          Comment


                          • #28
                            Re: Sudan: Unknown Fever up to 98 fatalities - report of haemorrhagic symptoms- Yellow Fever

                            Published Date: 2012-11-09 08:31:00
                            Subject: PRO/AH/EDR> Yellow fever - Africa (11): Sudan (Darfur)
                            Archive Number: 20121109.1401070

                            YELLOW FEVER - AFRICA (11): SUDAN (DARFUR)
                            ******************************************
                            A ProMED-mail post
                            http://www.promedmail.org
                            ProMED-mail is a program of the
                            International Society for Infectious Diseases
                            http://www.isid.org

                            Date: Wed 7 Nov 2012
                            Source: UN News Centre [edited]
                            http://www.un.org/apps/news/story.as...1#.UJylWqXDiA0


                            A yellow fever [YF] outbreak in Sudan's Darfur region has killed 67 people so far, the United Nations health agency said today [7 Nov 2012], adding that the number of cases has more than doubled since the start of the epidemic last month [October 2012].

                            In a report, the UN World Health Organization (WHO) stated that the outbreak has now affected 17 localities in central, south, west, and north Darfur, with 194 cases reported -- a significant increase from the 84 initial cases reported at the start of the outbreak.

                            An estimated 200 000 cases of yellow fever, which is caused by a virus spread by mosquitoes, are recorded worldwide each year, with as many as 30 000 deaths reported, according to WHO. Patients experience jaundice, as well as other symptoms, such as fever and vomiting. There is no specific treatment for the disease and vaccination is the single most important measure for prevention.

                            In addition to monitoring the disease throughout Darfur, WHO said it is training more than 225 health workers in the region on disease surveillance, case management and infection prevention and control.

                            The health agency is also working with the Sudanese Ministry of Health to dispatch technical teams to help tame the outbreak by conducting investigations on new cases, meeting with local community leaders to raise awareness of the disease, and provide blood bank supplies as well as protective equipment to affected areas.

                            The report's recommendations also include strengthening disease surveillance in eastern Darfur, continuing laboratory testing of patients from newly affected localities, and finalizing a vaccination plan that identifies resources available as well as partners to implement it.

                            --
                            Communicated by:
                            ProMED-mail
                            <promed@promedmail.org>

                            [The YF deaths have increased from 63 on 5 Nov 2012 to 67, 2 days later as reported above. The State Health Ministry of South Darfur indicated the urgent need for approximately 9 million doses of YF vaccine for the people in the affected area of Darfur. The report above indicates that the Ministry of Health is finalizing the YF vaccination plan, but does not indicate if the 9 million doses are on hand or have been ordered. Meanwhile, the outbreak is likely to continue unabated unless vector mosquito control can be quickly implemented while initiation of the vaccination campaign is awaited.

                            As Mod.JW pointed out in the previous ProMED-mail report of this outbreak (archive no. 20121106.1395260), individual immunity will be achieved 10 days after application of the vaccine, so speed in obtaining the vaccine and initiating the vaccination campaign is critical. The remoteness of some of the affected areas, coupled with insecurity of the general region will complicate control efforts. - Mod. TY.

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                            • #29
                              Re: Sudan: Unknown Fever up to 98 fatalities - report of haemorrhagic symptoms- Yellow Fever

                              http://www.radiodabanga.org/node/38199

                              Yellow fever arrives in Khartoum
                              KHARTOUM (
                              10 Nov .) -
                              The Minister of Health from the state of Khartoum revealed the emergence of the first case of yellow fever in the capital of Sudan, according to a press statement from Thursday, 8 November.

                              Minister Mamoun Hamida said this is the same type of fever that has been spreading in Darfur.

                              Hamida explained that the infected patient has been isolated and will be submitted to health care. He advised citizens from Khartoum to use mosquito nets to prevent the disease.

                              The press statement also read that a vaccination campaign against yellow fever will be launched in Khartoum. In addition, the government will reportedly distribute 150 mosquito nets in areas where most mosquitoes are found and it will monitor the movement of people traveling out of Sudan, who will be obliged to get vaccinated in health centers.

                              The Sudanese Council of Ministers appealed that citizens restrict their movement to the affected areas, as the disease is contagious and spreads by mosquitoes.

                              At the same time, the Chairperson of the Committee on Health and Social Affairs of the parliament, Amira al-Sir, announced that airplanes coming from Darfur to Khartoum will be sprayed with pesticide.

                              [snip]

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                              • #30
                                Re: Sudan: Unknown Fever up to 98 fatalities - report of haemorrhagic symptoms- Yellow Fever

                                Yellow fever outbreak in Darfur, 9 November 2012

                                9 November 2012 – The yellow fever outbreak has now affected 20 localities in Central, South, West and North Darfur. As of 8 November 2012, 266 suspected cases have been reported, including 85 deaths (case–fatality rate of 31.8%).
                                Reports were received since the last week of September 2012 from the districts of Zalengei, Nertity, Wadisalih, Azoom, Mukjer, Bendisi, Nyala, Kass, Kubum, Sharq Agabal, Yassin, Mershingm, Rehaid Albirdy, Genaina, Kernik, Baidha, Habila, Forbranga, Saraf Omra and Alseraif.
                                Surveillance shows that 72.9% of the reported cases are from Central Darfur, 10.9% are from South Darfur, 12% are from West Darfur, 4.1% are from North Darfur and 0.1% are from East Darfur
                                WHO has been supporting the technical support teams deployed by the Federal Ministry of Health in Central, South and West Darfur for initial support, and to conduct outbreak investigation and initiate response, entomological surveys, active cases searches, and hold meetings with community leaders in affected areas for awareness raising, as well as provision of blood bank supplies and personal protective equipment to affected states.
                                To date, health cadres in affected areas have been vaccinated against yellow fever. Moreover, WHO and the Ministry of Health have started the training programmes for more than 225 health staff in the affected localities on yellow fever surveillance, case management, outbreak investigation and infection prevention and control. On 6 November, training programmes for medical doctors on yellow fever surveillance, case definition and management have started in Nyala and Kass localities in South Darfur.

                                http://www.emro.who.int/sdn/sudan-ne...6november.html
                                Twitter: @RonanKelly13
                                The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

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