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Bolivia - Unidentified viral disease in La Paz Department - 4-5 cases, 3 deaths - June 30, 2019 - arenavirus, genotype of the Chapare virus confirmed

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  • #16
    Salud Bolivia@MinSaludBolivia FollowFollow
    @MinSaludBolivia


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    #Importante






    1:41 PM - 3 Jul 2019

    "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

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    • #17
      Ministry of Health: symptoms and recommendations for the arenavirus

      2019-07-04

      The arenavirus is transmitted by contact with the rodent calomis or body fluids; food has a very low probability of being infected because the virus is inactivated in contact with the sun, the biosafety level 4 measures are only for doctors who directly treat patients, reported Thursday, Jhemis Molina, national head of the Epidemiology unit of the Ministry of Health.

      Last Wednesday, the Minister of Health, Gabriela Monta?o, reported that the virus that caused the death of two people and left in critical condition two doctors is the arenavirus. However, according to the head of Epidemiology, it is not certain that the current outbreak belongs to the Machupo family because it belongs to the Amazon region.
      ...


      "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

      Comment


      • #18
        Translation Google

        There is still no confirmation of the presence of the rodent carrying the Arenavirus in the north of La Paz and in Chuquisaca it is discarded

        2019-07-04

        The Vice Minister of Health, Alvaro Terrazas, said today that to date there is no confirmation of the presence of the jungle rodent of the genus Calomys callosis, in the northern area of ​​the department of La Paz. Also, health authorities of the department of Chuquisaca also ruled out the presence of the rodent in their region.

        "At the moment we have no confirmation of the presence (of the rodent) in the northern area of ​​La Paz, for the peace of the compatriots of that region," said Terrazas in time to explain that two teams of the Ministry of Health are displaced in the municipality of Caranavi to find the presence of that rodent and know if it carries the virus.

        In addition, Terrazas ruled out "any risk" of contamination in fruit production in the municipality of Caranavi, considering they are not stored.

        At the time, the director of the Departmental Health Service (Sedes) Chuquisaca, Limberth Soruco, also dismissed the presence of "calomys callosis" in that department.

        "We do not have the presence of this rodent in the department of Chuquisaca, yes in six municipalities of the department of Beni," Soruco told a group of journalists, also announced that in September they will conduct a deratization campaign in the Chuquisaca Chaco.

        Arenavirus is a group or family of viruses whose members are generally associated with conditions transmitted by jungle rodents of the genus "calomys" in humans.


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

        Monta?o: No new suspected cases of Arenavirus were reported

        2019-07-05

        The Minister of Health, Gabriela Monta?o, said today that no new suspected case of Arenavirus was reported , rather it was discharged to two people with signs of infection.

        "We are pleased to say that we do not have new suspicious cases, neither in Caranavi nor in the city of La Paz, but rather they are registering two suspicious cases that had a favorable evolution," Monta?o said during an event in Viacha, La Peace.

        Similarly, the Minister said there is a specialized team in Caranavi, municipality of La Paz, which so far ruled out more infections.

        "Our teams take all the actions in epidemiological terms, all the contacts with the initial patients were followed up and studies are made to verify the presence of rodents of this type in the area, until now nothing was detected," confirmed the authority.

        With this recent report there is only one suspicious case in addition to the two doctors who are in intensive care, one with a somewhat stationary evolution and the other with a favorable evolution. /// JCL

        "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

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        • #19
          Translation Google

          After analysis, two patients suspected of carrying Arenavirus are discharged

          2019-07-05

          Two patients suspected of carrying the Arenavirus, who were hospitalized, were discharged after a laboratory analysis that ruled out the infection, so informed the Health Minister, Gabriela Monta?o.
          ...
          The minister explained that at this point only the two doctors, affected by the Arenavirus, are interned; one in intensive therapy with a stationary evolution, and the other with a more favorable diagnosis.

          He also stressed that to date there has not been a single more suspicious case of the Arenavirus in Caranavi, where it supposedly appeared initially, nor in the city of La Paz, and he assured that the country is ready to face any eventuality.

          He remarked that the team of the Ministry of Health, which is located in Caranavi, is working on taking actions in epidemiological terms, in addition to following up on all the contacts that the internal doctor who died in that region of the country had.

          "Studies are being done to verify if there is contamination of rodents and if they are the type that brings the virus," he said.
          ...

          "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

          Comment


          • #20
            Translation Google

            The Ministry of Health confirms the death of Dr Vidales due to Arenavirus

            2019-07-10

            The Minister of Health, Gabriela Monta?o, informed that at 8:15 today Gustavo Vidales Mostajo, an intensive care physician of the National Health Fund (CNS), a product of the Arenavirus, died.

            "According to the medical report, the cause of Dr. Vidales' death is a multiple organ dysfunction that is linked to the infection with Arenavirus," lamented the Minister.

            Similarly, he recalled that once received the report of this case all the mechanisms that merit cases like this were activated, he said that as a Government, no effort was spared to try to save the life of the doctor.

            "The treatment given to Dr. Vidales is the same as that given elsewhere in the world, including the effort to provide hyperimmune serum, the antiviral ribavirin was imported, and with the cooperation of the Pan American Health Organization (OPS) international experts were made available to the treating team to help in the process of treating patients, "Monta?o explained. / JCL




            "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

            Comment


            • #21
              Translation Google

              Result of the first Arenavirus study will be known in 4 days


              According to the Executive, of five cases with this illness, three lost their lives, one is hospitalized and the other was discharged.


              SOCIETY
              Friday, July 12, 2019 ? 00:37
              Siete / La Paz Page

              The result of the first examination to identify the type of Arenavirus that claimed the lives of three people will be sent in three or four days. The test is performed by the Center for Disease Control and Prevention (CDC) in Atlanta (USA).

              In the case of the exams made to the doctors Gustavo Vidales and Marco Ortiz, the results will be sent in the next 10 or 12 days. "There is pressure on the Atlanta CDC, there is still a lapse of time to isolate the type of virus. We can not accelerate, they are laboratory processes that take time, "said Monta?o.

              According to data from the Ministry of Health, of five cases registered as Arenavirus, three lost their lives (a farmer of 65 years, an internal doctor and a gastroenterologist), one is still in intensive care and one was discharged.

              According to the Health report, the zero patient, Macario Gironde, started with the first symptoms of the virus on April 29. He was then admitted on May 7 and finally died on the 12th of that month in the town of Caranavi.

              According to the authorities, the patient who was discharged "came out as dengue positive". "Then, it is treated as a dengue with complications. Enter intensive therapy. He recovers and leaves high, "said Monta?o.

              The specialist of the Pan-American Health Organization (PAHO) Joao Toledo assured that "the outbreaks in Bolivia are few". "We know that in the 50s or 60s there was an outbreak with more than 100 deaths, but they were like 500 people who were affected," he said.

              The Ministry of Health also reported that they developed protocols and contact definitions for Arenavirosis. He indicated that they also carried out an investigation since the outbreak of the first case, or the so-called zero patient, in Caranavi.

              According to the authority, at present, the teams of experts continue with the research work in Guanay and Caranavi. He also indicated that they are still looking for the transmitter vector of the Arenavirus.

              On Wednesday, at 8:15, the doctor Gustavo Vidales died in the intensive care room of the Obrero Hospital due to Arenavirus. He was one of the two professionals who attended the internal doctor Ximena Cuellar, who died of this illness after attending a patient who also followed the same fate in the municipality of Caranavi. According to the medical report, the cause of his death was multiple organ dysfunction, which is linked to infection with Arenavirus.

              The works in Guanay and Caranavi

              From putting traps to enter the mountain are some of the tasks that two teams of specialists perform to catch the mouse of the family of Calomys, transmitter of Arenavirus that claimed the lives of three people. This work has been developed for more than a week, but to date the vector has not been found.

              The groups of experts have as their first task: to identify if the rodent of the genus Calomys is found in Caranavi and nearby areas. As a second mission, if the vector is detected, it must be verified if this rodent is infected by the virus.

              https://www.paginasiete.bo/sociedad/...s-223962.html#!
              "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

              Comment


              • #22
                So here's the issue. Machupo is supposed to have about a 15-30% fatality rate. Three of the four cases that are suspected of having this virus have died, with the fourth still ill. (The fifth case had dengue and has been discharged.) So this illness has a 75-100% CFR in this cluster. There's no evidence that any milder cases have been missed. So might we be dealing with a novel and more severe strain of arenavirus?

                There is some precedent for novel fatal arenavirus discovery. Two new such viruses, Chapare in 2007 and Lujo in 2008, were discovered this century. Lujo in particular is thought to be more severe than some of the other viruses in this family, with four of the five confirmed cases having died. (Lujo is thought to be endemic only in parts of Africa, so is an unlikely suspect here, however.)

                On the other hand, Lassa, which has a stated CFR below that of Machupo (as few as 1% of Lassa infections are assumed fatal, with many of them asymptomatic) has been known to kill entire families or entire medical staffs in West Africa where it is endemic. The explanation given is that these close quarters lead to high viral load infections and worse outcomes than the typical zoonotic exposure. There's also a reporting bias in that a cluster of fatal illnesses is far more likely to attract attention than a cluster with only one or even no fatalities.

                So is this Machupo, or something novel? We'll know in a few days...

                Comment


                • #23
                  Health Bolivia@MinSaludBolivia
                  17h


                  #Now | The minister @GabrielaSCZ

                  He confirmed that the analysis carried out by the CDC Center for Disease Control and Prevention of Atlanta, USA, concluded in "New World Arenavirus which is a Chapare virus genotype".




                  "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

                  Comment


                  • #24
                    Translation Google

                    Results establish that the Caranavi Arenavirus is of the Chapare genotype

                    2019-07-15

                    The results of the analysis conducted by the Center for Disease Control and Prevention (CDC) of Atlanta, United States establish that the Arenavirus that was discovered in Caranavi, which claimed the lives of three people, is of the Chapare genotype. , this was reported today by the Minister of Health, Gabriela Monta?o.

                    "We have received the results obtained so far from the US Centers for Disease Control in Atlanta and the following technical conclusion is drawn, and confirms that he was infected with the new world Arenavirus, which is a genotype of the Chapare virus," he said. press.

                    That virus to date has claimed the lives of three people, a farmer, a medical intern and a physician, while a second doctor, who has that diagnosis, is still hospitalized.

                    The minister explained that the Atlanta report is "conclusive", but that her office will continue with the laboratory and mastozoological investigation process in Caranavi, where those cases were presented.

                    "These are the results that we have as new information that contributes to the entire investigation process of the Arenavirus outbreak," he added.

                    Monta?o took the opportunity to rule out new cases of Arenavirus in that region of the country. / Jcmh.

                    "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

                    Comment


                    • #25
                      Translation google

                      The health of Dr. Marco Ortiz affected by arenavirus improves

                      2019-08-15

                      M arco Ortiz, the doctor affected by arenavirus, has a favorable evolution. The Minister of Health, Gabriela Monta?o, said the doctor stopped breathing with the help of devices and is expected to stop intensive therapy soon.

                      ?Dr. Ortiz presents a better condition in the field of his health. This responds to a great effort of the health personnel who attend it in intensive care. We hope that the evolution of this patient will continue as before, ?said the Minister.

                      He had respiratory, renal, liver failure; All these paintings began to show improvement.

                      Ortiz attended the internal doctor, Ximena Cuellar. She died on June 4 due to a contagion of arenavirus because she treated the ?zero patient?, Macario Gironda, a farmer who died in Caranavi, La Paz. Also the doctor Gustavo Vidales passed away, product of the same contagion.

                      However, the fact that Ortiz shows this favorable evolution in his health, for Monta?o shows that in Bolivia you can treat very complex patients and have good results. / JOC

                      "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

                      Comment

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