• FluTrackers.com Inc. does not provide medical advice. Information on this web site is collected from various internet resources, and the FluTrackers board of directors makes no warranty to the safety, efficacy, correctness or completeness of the information posted on this site by any author or poster. The information collated here is for instructional and/or discussion purposes only and is NOT intended to diagnose or treat any disease, illness, or other medical condition. Every individual reader or poster should seek advice from their personal physician/healthcare practitioner before considering or using any interventions that are discussed on this website. By continuing to access this website you agree to consult your personal physican before using any interventions posted on this website, and you agree to hold harmless FluTrackers.com Inc., the board of directors, the members, and all authors and posters for any effects from use of any medication, supplement, vitamin or other substance, device, intervention, etc. mentioned in posts on this website, or other internet venues referenced in posts on this website.
  • We are not asking for any donations. Do not donate to any entity who says they are raising funds for us.

Angola: Anonymous disease kills seven

Gert van der Hoek

In Memoriam - Editor, Senior Moderator
Wed. December 20, 2006 09:38 am

Angola has been attacked by an anonymous disease, which has left seven natives dead, Angola?s government has confirmed.

Angola?s Health Minister, Sebastiao Velaso, said that, "there have been 15 cases, including seven deaths. All have been affected by the contagious illness which was first recorded 30 days ago in Uige.?

It was earlier suspected that the seven had died to Marburg virus, only to be discovered that it was not true. "We have sent samples to laboratories in South Africa and the United States, According to the results, no sign of Marburg virus has been discovered," said the minister.

Symptoms of the disease are yellow eyes and headache.

"We are going to continue with our research, with help from the WHO, in order to work out precisely what kind of virus is behind this illness," added Veloso.

In 2004, Angola lost over 200 natives to Marburg. Uige was among the most affected areas.

http://somalinet.com/news/world/Africa/5983
 
Re: Angola: Anonymous disease kills seven

Symptoms Marburg Hemorrhagic Fever:
After an incubation period of 5-10 days, the onset of the disease is sudden and is marked by fever, chills, headache, and myalgia. Around the fifth day after the onset of symptoms, a maculopapular rash, most prominent on the trunk (chest, back, stomach), may occur. Nausea, vomiting, chest pain, a sore throat, abdominal pain, and diarrhea then may appear. Symptoms become increasingly severe and may include jaundice, inflammation of the pancreas, severe weight loss, delirium, shock, liver failure, massive hemorrhaging, and multi-organ dysfunction. (Source: excerpt from Marburg Hemorrhagic Fever: DVRD)
 
Re: Angola: Anonymous disease kills seven

Angola: Health Experts Battle Unknown Disease Outbreaks in North And South


December 21, 2006
Posted to the web December 21, 2006

Johannesburg

Health organisations in Angola are scrambling to identify a disease that has surfaced in Uige Province, in the north, and in Huila Province, in the south, to prevent further transmission and treat fatally ill patients - half of whom have already died.

"We have seen more than 35 cases since November and 50 percent of the patients were dying," Karen Godley, head of mission in Angola for Medecins Sans Frontieres (MSF)-Switzerland, told IRIN.


Although located at opposite ends of Angola, Uige and Huila both have a growing number of patients with symptoms like "bloody diarrhoea", Godly said. "We have no idea what we are dealing with - there is an urgency to identify the pathogen to protect communities and health workers, and to provide the best treatment for patients." Pathogens are disease-causing agents, such as bacteria or viruses.

Of the 16 cases in Uige, six have been fatal, according to Monica Camacho, head of mission in Angola for MSF-Spain. "There are few patients, but the fatality rate is high."

Health organisations are still in the dark as to how the disease is spread. "We are trying to find out, together with the government and the World Health organisation [WHO], if there is a common link to determine how the illness is transmitted - experts are trying to find out if it is water, food or mosquitoes," Camacho said.

According to Dr Satounata Diallo, WHO country representative in Angola, "this is not Ebola or Marburg". In 2005 Angola saw the largest-ever recorded outbreak of Marburg haemorrhagic fever, a rare but fatal disease caused by a virus from the same family as the Ebola virus.

Patients have shown bleeding of the gastro-intestinal tract and perforations in the stomach. Diallo said, "judging by the symptoms, doctors suspect yellow fever, typhoid or leptospirosis, with yellow fever as the main suspect." Leptospirosis is a bacterial disease, with symptoms that include high fever, muscle aches, vomiting, and sometimes jaundice, with abdominal pain, diarrhoea, or a rash. Left untreated, it can lead to kidney damage, meningitis, liver failure and respiratory distress.

Large outbreaks of yellow fever, a viral disease spread by mosquitoes, have occurred in Africa. According to the WHO, infection can cause a wide spectrum of symptoms, from mild discomfort to severe illness and death, but 15 percent of patients enter a "toxic phase" within 24 hours and complain of abdominal pain with vomiting. Bleeding can occur from the mouth, nose, eyes and/or stomach and, once that happens, blood appears in the vomit and faeces.

Godley said there was no indication to suggest that the outbreaks in Huila and Uige were related. "We are probably looking at two different things, but it is urgent that the pathogens are identified. We do not believe that we are dealing with a viral hemorrhagic fever [like Marburg] in Huila, but we cannot completely rule out the possibility without proper and highly sophisticated laboratory testing."


Angola lacks the capacity to conduct adequate testing and epidemiological surveillance. Disease samples were sent to the US National Health Services Centers for Disease Control and Prevention laboratories in Dakar, in Senegal, and Atlanta, in the United States, earlier this week. "We are waiting for results and remain on high alert," Camacho said.

http://allafrica.com/stories/200612210519.html
 
Re: Angola: Anonymous disease kills seven

Archive Number 20061224.3597
Published Date 24-DEC-2006
Subject PRO/AH/EDR> Yellow fever - Angola (Uige, Huila)(02): susp.


YELLOW FEVER - ANGOLA (UIGE, HUILA) (02): SUSPECTED***************************************************
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: 23 Dec 2006
From: Jean-Jacques Muyembe <jjmuyembe@yahoo.fr>


It is difficult to say what the etiologic agent of the current
outbreak in this part of Angola is, but I would like to suggest the
possibility of typhoid fever, given the reported cases of intestinal
perforation among some patients.


Two years ago, there was an epidemic of intestinal perforation due to
typhoid fever in Kinshasa [Democratic Republic of the Congo], with a
high case fatality rate. The strains of _Salmonella typhi_ isolated
from hospitalized patients were all resistant to chloramphenicol,
ampicillin, tetracycline and cotrimoxazol, but sensitive to
quinolones.

As you know, yellow fever never causes intestinal perforation.

--
Prof. Jean-Jacques Muyembe-tamfum
<jjmuyembe@yahoo.fr>

[ProMED is grateful to Professor Muyembe for sharing his experience
with typhoid fever in Kinshasa, DRC with us and for reminding us that
intestinal perforations are not characteristic of yellow fever. This
is another example of the absolute need for laboratory diagnosis, and
the Angolan health authorities and Medecins Sans Frontieres
(MSF)-Switzerland are to be commended for having sent specimens to
reference laboratories promptly. - Mod.TY]

http://www.promedmail.org/pls/askus...CHECK_DISPLAY,F2400_P1202_PUB_MAIL_ID:X,35601
 
Re: Angola: Anonymous disease kills seven

Angola: Uige - Over 30 Cases of Cholera Recorded in Eight Days

December 24, 2006
Posted to the web December 24, 2006

Uige

Around 32 cases of cholera were registered in the province of Uige during the last eight days by the health authorities.

According to Kunzica Duarte, a nurse of Uige Provincial Hospital, 185 cases were Notified in the first fortnight of December.


Kunzica Duarte added also that in the next days the cases might increase, considering that the authorities have been recording an average of five cases per day.

http://allafrica.com/stories/200612240120.html
 
Re: Angola: Anonymous disease kills seven

Angola: Angola's Oil Not Flowing for Safer Water


December 23, 2006
Posted to the web December 23, 2006

The cholera epidemic which has been plaguing Angola for nearly a year has placed the spotlight on the continuing lack of safe drinking water in that country.

Over the past 11 months, the illness has spread to 16 of the 18 provinces and claimed the lives of more than 2,440 people, according to official estimates. But health workers in the country say the figure is probably much higher as many cases are not reported.

Cholera is an illness caused by contaminated water and characterised by severe diarrhoea and vomiting. It is easily treatable if there is health care infrastructure, an efficient transport system which ensures speedy travel to health care centres, and if safe drinking water is accessible.

But as these prerequisites are lacking in Angola, many there are dying.

This seems strange in a country with the fastest growing economy in Africa and one of the fastest growing economies in the world. The International Monetary Fund (IMF) predicts that the economy will expand by a staggering 31.4 percent in 2007. The reason: rising oil production.

Angola is the largest supplier of crude oil to China and the seventh largest supplier to the U.S.

Many of the poor still do not have access to clean drinking water or sanitation. A recent United Nations Development Programme report states that Angola's infrastructure presently only covers 31 percent of sewage produced. Only about half of the population, 54 percent, have access to safe water.

U.N. Millennium Development Goal seven includes halving the proportion of people without sustainable access to safe drinking water and sanitation by 2015. This seems out of reach for Angola, regardless of the billions of dollars pouring into the country.

About 1.4 million barrels of oil are produced daily, a figure which is expected to rise to two million in 2007. But the poor in rural areas see little of the money generated.

Back in the capital, Luanda, President Jos? Eduardo dos Santos and a core group of allies live in luxury. Their lifestyles are allegedly supported by money siphoned off from the oil industry.

In 2002, the IMF ascertained that around 1.4 billion dollars of oil revenue in Angola was unaccounted for. In 2004, Human Rights Watch said 4.2 billion dollars of oil revenue had disappeared over a period of five years.

Fingers were pointed at those in government. Global Witness, a non-governmental organisation that investigates the corrupt use of natural resources, called this wholesale state theft.

Anti-graft watchdog Transparency International ranked Angola 142 of the 163 states surveyed for its 2006 Corruption Perceptions Index (163 being the worst ranking, for the country where graft was seen as most pervasive).

"Angola is a post-crisis country which not only has to overcome political turmoil, but also has to supply and invest in basic services," says Nairobi-based Matthias Johannsson, communication officer for the U.N. Millennium Project, an independent advisory body commissioned by the U.N. to develop an action plan against poverty.

"What is happening in Angola is the same as what is happening in countries like Kenya and Nigeria where there is steady economic growth. Raw materials are being shipped out of the country but the population sees few positive results."

According to Peter Kagwanja, director of the democracy and governance programme at South Africa's Human Sciences Research Council, the rural-urban divide in Angola is sharper than ever.

This is mirrored by the sanitation divide in the country which translates into a lack of sewerage and safe drinking water in the rural areas, which in turn led to the cholera outbreak.

"Luanda, where Dos Santos and other high ranking government and private sector officials are based, is booming. But very little development is taking place in the rest of the country," says Kagwanja.

"After many years of war, Angolan civil society is weak. There is little pressure on the Angolan government to develop the country outside of the capital. As elsewhere on the continent, the lack of clean water and toilets is taking a toll on human security. These conditions can be deadlier than the endemic conflicts on the continent."

The presence of China as the primary investor in Angola does not change anything. "The Chinese are not concerned with issues of transparency and accountability," Kagwanja points out. According to him, the Chinese stick to a position of mutual non-interference in their dealings with other states.

Similarly, the U.S. and France -- which also has strong oil interests in Angola -- seem reluctant to pressurise the Luanda government.

According to Frederik Van Zyl Slabbert, a South African political analyst, "they do not rock the boat because they know that one does not stand a chance of doing business in Angola if you do not make a good impression on Dos Santos.


"International leaders seldom put pressure on national and transnational companies. As we all know, if one aspires to become an influential politician in the West one has to be able to count on the goodwill of the big companies," he argues.

Kagwanja underscores Slabbert's statements: "The West does not want to rattle the snake. They have lost their grip on the situation in Angola."

But, he does not feel all is lost. "As a colleague said, Angola is a country under construction. Although there is currently a lack of political will and vision, I believe the gap between the poor and the rich can be bridged by introducing a more transparent and accountable political system."

http://allafrica.com/stories/200612230123.html
 
Re: Angola: Anonymous disease kills seven

Archive Number 20061227.3625
Published Date 27-DEC-2006
Subject PRO/AH/EDR> Yellow fever - Angola (Uige, Huila)(03): susp.



YELLOW FEVER - ANGOLA (UIGE, HUILA) (03): SUSPECTED
***********************************************
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: Sun 24 Dec 2006
From: Steve Berger <mberger@post.tau.ac.il>


Regarding Yellow fever - Angola (Uige, Huila)(02): susp. [ProMED
20061224.3597], the cluster of patients with gastrointestinal
bleeding in Angola is suggestive of anthrax, given the high
case-fatality rate and frequency of intestinal perforation.
Outbreaks
associated with ingestion of contaminated beef or goat meat are not
uncommon in sub-Saharan Africa.

--
Steve Berger
Geographic Medicine
Tel Aviv Medical Center
<mberger@post.tau.ac.il>

[From the very brief description given in the original posting,
20061221.3580, and the 50 percent case fatality rate, it might well
be gastrointestinal anthrax.

As the more common cutaneous cases -- normally seen in such events from the initial butchering of affected animals -- are absent from the reports, one might hypothesize that these cases in both areas at opposite ends of the country came from meat sold in town street markets.

And if the Reuters report was based on ministerial briefings in Luanda, everyone is comfortably distant from the action. Anthrax is not uncommon in Angola, though they tend to forget to report cases in small ruminants, which have an historic relationship with human deaths in Angola.

For statistics on Angola, go to <http://www.vetmed.lsu.edu/whocc/>. - Mod.MHJ]

http://www.promedmail.org/pls/askus..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,35634
 
Back
Top