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Mystery fever kills 5 Reangs

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    replied
    Re: Mystery fever kills 5 Reangs



    Just a heads up to people who check other flu forums - Flu Wiki has linked two other stories of "mystery" illnesses to this one. But the one in Manipur was from January 2009, not 2010 (and had no deaths in it - was likely seasonal flu - FT covered it here: http://www.flutrackers.com/forum/sho...t=90534&page=2), and the one from Bangladesh was originally posted on January 2, and the symptoms and pattern of illness (all young children) were markedly different than this one. My guess, given the cold snap in early January, was that the Bangladesh "outbreak" was the result of simultaneous outbreaks of respiratory illness (H1N1?) and diarrheal illness, although ProMED has speculated that it might have been a measles outbreak.

    South Asia has always been the area of the world with the most "mystery illnesses", and there are several good reasons for that, including high population density, lack of lab facilities, large (known) disease burdens, and a weak health system.

    Leave a comment:


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    replied
    Re: Mystery fever kills 5 Reangs

    And ProMED picks up the story, 8 days later with the above article. Leptospirosis might be a good diagnosis here, as would falciparum malaria. The epidemiolgy (mostly adults) is not consistent with Nipah infection, and I suspect we would be seeing descriptions of seizures if Nipah were invovled.

    Bacterial meningitis should also be considered, as that area had a large outbreak last year (2009), and a purple rash on the body can be a symptom of that disease.

    Given that the article indicates that everything happened within 12 days, and it has already been nine more days since the article was published, I doubt we will hear further.



    Archive Number 20100130.0328
    Published Date 30-JAN-2010
    Subject PRO/EDR> Undiagnosed illness, fatal, adults - India: (AS) RFI


    UNDIAGNOSED ILLNESS, FATAL, ADULTS - INDIA: (ASSAM) REQUEST FOR INFORMATION
    ************************************************** *************************
    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: Sat 23 Jan 2010
    Source: The Telegraph [edited]
    <http://www.telegraphindia.com/1100123/jsp/northeast/story_12016261.jsp>


    A group of 3 doctors and a few paramedical personnel equipped with
    life-saving medicines and saline drips today [23 Jan 2010] moved out
    of the state hospital at the block headquarters town of Lala to set
    up medical camps at Kundanala and Nunai villages where an unknown
    fever has claimed the lives of 5 tribals in 12 days; 4 of the dead
    were women. The Reang-inhabited villages are nearly 40 km [25 miles]
    from Hailakandi town.

    Hailakandi Deputy Commissioner T.C. Goswami today [23 Jan 2010] said
    over phone that he had instructed the joint director of health
    services in the district headquarters town to arrange the despatch of
    the team of doctors and paramedical staff besides consignments of
    medicines to the affected places under Lala block town under
    Katlicherra Assembly constituency in the district on its boundary with Mizoram.

    High fever accompanied by inflammations on the body of the victims
    and severe pain were the symptoms, Goswami said, adding the virus was
    yet to be properly diagnosed.

    The in-charge of the Lala primary hospital, Jayanta Das, denied that
    the villagers had died of malaria. He said Jahidul Islam, who is
    heading the team of 3 doctors, had been specially instructed to
    collect blood samples of the tribals afflicted with the "mystery
    disease" for proper diagnosis at Silchar Medical College and Hospital.

    The 5 who had died over the past 12 days in the Reang-inhabited
    villages are individuals, 32, 38, 40, 50 and 55 years of age. Except
    one who belonged to Channighat village, the rest were from Kundanala,
    official sources in Hailakandi town said today.

    Sources said a woman was 1st treated at the civil hospital in
    Hailakandi from where she was shifted to Silchar Medical College and
    Hospital. She died there on 17 Jan 2010. Her ailment could not be
    diagnosed at the medical college hospital as no blood culture was
    conducted there.

    At least 20 Reang tribals, with high fever, are battling for life in
    Durgapur, Bander-cherra, Yakubnala and Lalch-erra villages near Nunai.

    The president of the District Tribal Sangha, Ramendra Reang, had
    demanded a mini-hospital and quick economic development in the Reang
    enclaves of Lala block.

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

    [Given the non-specific symptoms of these cases, it is difficult to
    make a definitive diagnosis. The Deputy Commissioner T.C. Goswami is
    quoted as saying that the etiologic agent is a virus. No evidence is
    provided to support that general diagnosis. Since this area is
    adjacent to Bangladesh and part of that broad plain, Nipah virus
    might be suspected, as this virus has been a problem in Bangladesh in
    recent years. Falciparum malaria and leptospirosis should be ruled
    out as well, although the physician in charge of the Lala hospital
    indicated that malaria was not involved. ProMED awaits further
    information with interest.

    Leave a comment:


  • Shiloh
    started a topic Mystery fever kills 5 Reangs

    Mystery fever kills 5 Reangs

    Source: http://www.telegraphindia.com/110012...y_12016261.jsp

    Mystery fever kills 5 Reangs
    OUR CORRESPONDENT

    Silchar, Jan. 22: A group of three doctors and a few paramedical personnel equipped with life-saving medicines and saline drips today moved out of the state hospital at the block headquarters town of Lala to set up medical camps at Kundanala and Nunai villages where an unknown fever has claimed the lives of five tribals in 12 days.

    The Reang-inhabited villages are nearly 40km from Hailakandi town. Four of the dead were women.

    Hailakandi deputy commissioner T.C. Goswami today said over phone that he had instructed the joint director of health services in the district headquarters town to arrange the despatch of the team of doctors and paramedical staff besides consignments of medicines to the affected places under Lala block town under Katlicherra Assembly constituency in the district on its boundary with Mizoram.

    High fever accompanied by inflammations on the body of the victims and severe pain were the symptoms, Goswami said, adding the virus was yet to be properly diagnosed.

    The in-charge of the Lala primary hospital, Jayanta Das, denied that the villagers had died of malaria.


    He said Jahidul Islam, who is heading the team of three doctors, had been specially instructed to collect blood samples of the tribals afflicted with the ?mystery disease? for proper diagnosis at Silchar Medical College and Hospital.

    The five who had died over the past 12 days in the Reang-inhabited villages are Janu Reang, 32, Dhanyamani Reang, 40, Mulyabati Reang, 55, Albati Reang, 38, and Dhaniram Reang, 50. The first four were women.

    Except Janu who belonged to Channighat village, the rest were from Kundanala, official sources in Hailakandi town said today.

    Sources said Janu was first treated at the civil hospital in Hailakandi from where she was shifted to Silchar Medical College and Hospital. She died there on January 17. Her ailment could not be diagnosed at the medical college hospital as no blood culture was conducted there.

    At least 20 Reang tribals, with high fever, are battling for life in Durgapur, Bander-cherra, Yakubnala and Lalch-erra villages near Nunai.


    The president of the District Tribal Sangha, Ramendra Reang, had demanded a mini-hospital and quick economic development in the Reang enclaves of Lala block.
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