Bangladesh - 36 dead from Nipah Virus

[Ronan Kelly]

Re: Bangladesh - 30 dead from Nipah Virus, 11 under treatment

Re: Bangladesh - 30 dead from Nipah Virus, 11 under treatment

Fatality list.

Feb 1;

1. Sabina, 3, Saniazan Char Village, Hatibandha
2. Sajjad Hossain, 3, Tongvanga (Tongbhanga) Village, Hatibandha died at Rangpur Medical College Hospital (RMCH)
3. Raijak Miah, 32, Genduguri village, Hatibandha , Dhaka Medical College Hospital)
4. Aronno (Aranya) Ghos (Ghosh), 8, Hatibandha Town

Feb 2;

5. Azizul Islam, 30 (32), Baraipara, died RMCH
6. Anwara Begum, 45
7. Kajol Islam, 8, South Singimari, RMCH
8. Yasmin Akhter, 4, Amjol, RMCH
9. Nishad (Nishat), 3, Kazir Chowra, RMCH
10. Anonya (Annonna, Ananya) Ghosh (Ghos, Ghose), sister of #4, Dhaka Sheikh Mujib Medical University
11. Gourob Roy, 2, Tongvanga village
12. Sadequi, 22, Tongvanga village, RMCH
13. Tamanna, 4, Pirgachha upazilla (Prgachha upazila), Rangpur, Doctor's Clinic
14. Zafar Ali, 40, South Goddimari village, Hatibandha Health Complex

Feb 3;

15. Sudipta Roy, 10, (11), Dhaa Shishu Hospital
16. Abdul Karim, 23, West Bejpur, released from RMCH, died at home
17. Khairul Islam, 50, Tongvanga village

Feb 4;

18. Bachchu Miah (Miya), 55 (56), Baraipara village
19. Asadul Islam, 14 (18), Gendukuri
20. Jaynal Abedin, 42, South Goddimari, RMCH
21. Lubna, 14, South Kolkan village, Rangpur
22. Swarna, 4, Dakshin Goddimari village, RMCH

Feb 5;

23. Mansur Ali, 42, RMCH
24. Mahbub, 16, Dakshin Goddimari village, RMCH

Feb 6;

25. Moyez Uddin, 45, Annodanagar, Pirgachha upazila, adm RMCH Feb 5

Feb 10;

26. Moni, 11, Bilaimari village, Parbatipur upazila, Dinajpur, adm. RMCH Feb 8.
27. Muktar, 45, Gobindaganj upazila, Gaibandha, adm RMCH Feb 9.

Feb 11;

28. Mim, 4, Satighat village, Joldhaka upazila, Nilphamari, RMCH.
29. Hamida, 28, Nilphamari Sadar upazila, RMCH.

Feb 12;

30. Monoranjan, 4, Kaharol upazila, Dinajpur, adm. RMCH Feb 11.


Suspected:

1. Insan Ali, 13, Mirbag died at home - case was initially a nipah suspect, but later found to have died of Typhoid.

2. Anwarul Islam, 16, Hemerkuthi village, Sadar upazila, Kurigram, adm. and died Kurigram Sadar Hospital Feb 6

3. Moon, 1, Gharial Danga, Rajarhat upazila, Kurigram, died Feb 6

 

[Treyfish]

Re: Bangladesh - 30 dead from Nipah Virus, 11 under treatment

Re: Bangladesh - 30 dead from Nipah Virus, 11 under treatment

Scattered incidents of Nipah continue
BSS, Rangpur

Scattered incidents of Nipah virus infection are still continuing till 4 pm on Friday, officials sources said.
Four more Nipah virus infected patients were admitted to the RMCH during the period.
Divisional Director of Health Dr Shahadat Hossain said that the main thrust of Nipah virus infections in Hatibandha upazila of Lalmonirhat district is already over and some scattered incidents of infections were still being reported from the other areas.
Senior Scientific Officer of the Institute of Epidemiology, Disease Control and Research (IEDCR) Dr Mostaq Hossain with other officials and experts have been investigating the situation in every spot of infection in these districts, he said.
He said that the doctors, health workers, officials, administrations and other organisations have been working to contain Nipah virus infections through preventive, measures and building awareness in the affected areas.
"We have engaged our best efforts and are closely monitoring the situation round the clock in all of the affected areas to check further spread of Nipah virus as spate of infection of the virus has been reducing now," Dr Shahadat said.:tiphat:http://www.thebangladeshtoday.com/back page.htm

 

[Shiloh]

Re: Bangladesh - 30 dead from Nipah Virus, 11 under treatment

Re: Bangladesh - 30 dead from Nipah Virus, 11 under treatment

Source: http://bdnews24.com/details.php?id=187142&cid=2

No to referring 'suspected cases' to capital
Sat, Feb 12th, 2011 8:09 pm BdST

Dial 2000 from your GP mobile for latest news
Dhaka, Feb12 (bdnews24.com)?Hospital authorities in the Nipah-affected areas have been asked to refrain from sending patients to the capital on 'suspicion of Nipah infection'...

 

[Vibrant62]

Re: Bangladesh - 30 dead from Nipah Virus, 11 under treatment

Re: Bangladesh - 30 dead from Nipah Virus, 11 under treatment

Curious.

 

[alert]

Re: Bangladesh - 30 dead from Nipah Virus, 11 under treatment

Re: Bangladesh - 30 dead from Nipah Virus, 11 under treatment

Curious.

Makes sense to me. If they suspect a patient of having an illness as virulent and possibly contagious as Nipah, the last thing they would want to do is medically evacuate the patient to the crowded capital and risk an outbreak there.

 

[Vibrant62]

Re: Bangladesh - 30 dead from Nipah Virus, 11 under treatment

Re: Bangladesh - 30 dead from Nipah Virus, 11 under treatment

That is true if the authorities have serious concerns over transmissibility - but the counter argument would be that the central hospital is the one that would be best equipped in terms of equipment, manpower and set up to conduct full isolation and intensive patient care. I doubt there is much in the way of isolation facilities at the local hospitals.

We dont have to look too far for an example of such referrals being standard practice - in the case of H5N1 infections regional hospitals refer patients to the Regional centre of excellence for these reasons.

This action therefore suggests to me that they have concerns on the degree of transmissibility of Nipah in this outbreak, or there are more patients there than we are currently aware of.

What worries me is that local hospitals have already been reported as refusing admission to 'suspect' patients.. which raises the prospect of ill patients out in the community unable to find a hospital bed that will take them. That would be very much more risky if fear of transmission is a driving factor here.

 

[alert]

Re: Bangladesh - 30 dead from Nipah Virus, 11 under treatment

Re: Bangladesh - 30 dead from Nipah Virus, 11 under treatment

That is true if the authorities have serious concerns over transmissibility - but the counter argument would be that the central hospital is the one that would be best equipped in terms of equipment, manpower and set up to conduct full isolation and intensive patient care. I doubt there is much in the way of isolation facilities at the local hospitals.

We dont have to look too far for an example of such referrals being standard practice - in the case of H5N1 infections regional hospitals refer patients to the Regional centre of excellence for these reasons.

This action therefore suggests to me that they have concerns on the degree of transmissibility of Nipah in this outbreak, or there are more patients there than we are currently aware of.

What worries me is that local hospitals have already been reported as refusing admission to 'suspect' patients.. which raises the prospect of ill patients out in the community unable to find a hospital bed that will take them. That would be very much more risky if fear of transmission is a driving factor here.

Considering how crowded the capital may be, even though the hospitals in the capital would likely be superior, it is not worth the risk. Keep in mind that with H5N1, Tamiflu treatment may save lives, so it is important to get them to a good hospital quickly. There isn't much that can be done for a Nipah patient, so they likely won't gain much by evacuating them.

To me, the closer analogy is to an Ebola outbreak, where the isolation unit is put in the most affected village to minimize contagion, because there is little or nothing that can actually be done for the patient beyond supportive care.

 

[sharon sanders]

Re: Bangladesh - 30 dead from Nipah Virus, 11 under treatment

Re: Bangladesh - 30 dead from Nipah Virus, 11 under treatment

That is true if the authorities have serious concerns over transmissibility - but the counter argument would be that the central hospital is the one that would be best equipped in terms of equipment, manpower and set up to conduct full isolation and intensive patient care. I doubt there is much in the way of isolation facilities at the local hospitals.

We dont have to look too far for an example of such referrals being standard practice - in the case of H5N1 infections regional hospitals refer patients to the Regional centre of excellence for these reasons.

This action therefore suggests to me that they have concerns on the degree of transmissibility of Nipah in this outbreak, or there are more patients there than we are currently aware of.

What worries me is that local hospitals have already been reported as refusing admission to 'suspect' patients.. which raises the prospect of ill patients out in the community unable to find a hospital bed that will take them. That would be very much more risky if fear of transmission is a driving factor here.

I agree.

 

[Ronan Kelly]

Re: Bangladesh - 30 dead from Nipah Virus, 11 under treatment

Re: Bangladesh - 30 dead from Nipah Virus, 11 under treatment

Note: See Posts 47/48, Kushtia is on the western border with West Bengal.

Nipah encephalitis claimed one more life at Kushtia General Hospital Sunday morning, raising the death toll to 31.


Fulchand Ali, 30, of Shimulia village in Mirpur upazila of the district, was admitted to the general hospital with high fever Saturday afternoon, reports our Kushtia correspondent.


He died at about 10:00am Sunday, Dr Taposh Kumar Pal, resident medical officer of the hospital, said.


Family sources said Fulchand got the fever after he drank date juice on Friday.
...
http://www.thedailystar.net/newDesign/latest_news.php?nid=28442

 

[alert]

Re: Bangladesh - 31 dead from Nipah Virus, 11 under treatment

Re: Bangladesh - 31 dead from Nipah Virus, 11 under treatment

Note the timing again on the above case - drank the juice on Friday, dead Sunday. I have to think that he had previously drank date juice many times, and Friday was just the last time he drank it before becoming ill.

It is obvious that the locals are getting the link between date juice and Nipah, so when someone gets Nipah, the obvious answer is to blame the most recent date juice exposure, which need not be the source of infection.

I'm actually surprised the sources and the doctors themselves aren't picking up on this timing discrepancy.

 

[Ronan Kelly]

Re: Bangladesh - 31 dead from Nipah Virus, 11 under treatment

Re: Bangladesh - 31 dead from Nipah Virus, 11 under treatment

2 more die from Nipah
Star Online ReportNipah encephalitis claimed two more lives at Rangpur medical College Hospital (RMCH) on Monday, raising the death toll to 33.


Anis, 8, son of Alam Miah of Atowari, Dinajpur died at about 2:30am while Rabiul, 4, son of Nazrul islam of Banshbari village in Lalmonirhat Sadar upazila, around 10:00am, said RMCH director Arifur Rahman

...
http://www.thedailystar.net/newDesign/latest_news.php?nid=28463


Nipah spreads elsewhere
Mon, Feb 14th, 2011 2:59 pm BdST


Dhaka, Feb 14 (bdnews24.com) ? New cases of Nipah infection have been detected in more northern districts apart from Lalmonirhat, where it killed 17 so far.

The results of lab tests at the Institute of Epidemiology Disease Control and Research (IEDCR) confirmed five new infections in five districts -? Kurigram, Rangpur, Nilphamari, Lalmonirhat and Dinajpur ? on Monday.

There has been no report of any fresh case since Feb 5 at Hatiabandha, jolted by Nipah scare. However, experts cannot rule out person-to-person transmission as the incubation period is not over.

The IEDCR urged people not to be worried about the fresh infections in other parts of the region as these cases were sporadic, not in 'cluster'.

....

http://www.bdnews24.com/details.php?id=187286&cid=13

 

[alert]

Re: Bangladesh - 33 dead from Nipah Virus, 11 under treatment

Re: Bangladesh - 33 dead from Nipah Virus, 11 under treatment

http://www.promedmail.org/pls/apex/..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,87083

Archive Number 20110214.0495
Published Date 14-FEB-2011
Subject PRO/AH/EDR> Nipah encephalitis, human - Bangladesh (02)

NIPAH ENCEPHALITIS, HUMAN - BANGLADESH (02)
*******************************************
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 13 Feb 2011
Source: The Daily Star [edited]
<http://www.thedailystar.net/newDesign/latest_news.php?nid=28442>


Nipah encephalitis claimed one more life at Kushtia General Hospital
Sunday morning [13 Feb 2011], raising the death toll to 31. A man aged
30 of Shimulia village in Mirpur upazila of the district was admitted
to the general hospital with high fever Saturday afternoon, reports
our Kushtia correspondent. He died at about 10:00 am Sunday, Dr Taposh
Kumar Pal, resident medical officer of the hospital, said. Family
sources said Fulchand got the fever after he drank date juice on
Friday [11 Feb 2011].

It is the 1st case of Nipah virus encephalitis in Kushtia. 31 people
died from the disease in 7 districts -- Rangpur, Kurigram,
Lalmonirhat, Nilphamari, Gaibandha, Dinajpur and Kushtia -- since 31
Jan 2011.

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

[Date palm juice contaminated with Nipah virus is a frequent source
of human infection in Bangladesh, because virus carrying _Pteropus_
fruit bats drink it from the collecting pots on the tree). A low-cost
preventive measure, locally fabricated bamboo skirts around the date
juice collecting pots, has been an effective measure to prevent
contamination of the juice with Nipah virus from fruit bats. Nipah
virus infections in humans are severe, with case fatality rates of
40-75 percent. This report indicates that human Nipah virus infections
are occurring increasingly widely so far this year (2011), with cases
reported from 7 districts.

 

[alert]

Re: Bangladesh - 33 dead from Nipah Virus, 11 under treatment

Re: Bangladesh - 33 dead from Nipah Virus, 11 under treatment

Other posts, which have presumably not bent sent to ProMED, seem to indicate that it is the juice that is suspected to be the vehicle of transmission, and not the fruit itself.

http://www.promedmail.org/pls/apex/..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,87141

Archive Number 20110218.0539
Published Date 18-FEB-2011
Subject PRO/AH/EDR> Nipah encephalitis, human - Bangladesh: (RP) (03)


NIPAH ENCEPHALITIS, HUMAN - BANGLADESH: (RANGPUR) (03)
******************************************************
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: Tue 15 Feb 2011
Source: The Daily Star [edited]
<http://www.thedailystar.net/newDesign/news-details.php?nid=174246>


Nipah encephalitis claimed 2 more lives at Rangpur Medical College
Hospital (RMCH) yesterday [14 Feb 2011] raising the death toll to 33.
One 8-year-old boy died at about 2:30 am while another, age 4, of
Banshbari village in Lalmonirhat Sadar upazila, [died] around 10:00
am, said RMCH Director Arifur Rahman. They were admitted to the
hospital with high fever on Saturday [12 Feb 2011].

Since 31 Jan [2011], Nipah claimed the lives in 7 districts --
Rangpur, Kurigram, Lalmonirhat, Nilphamari, Gaibandha, Dinajpur and
Kushtia.

--
Communicated by:
ProMED-mail


[The Nipah virus infections and deaths continue to slowly mount in
this area of Bangladesh. The report does not indicated if the exposure
to Nipah virus was from consumption of contaminated date juice or from
eating fruit that the virus hosts, the giant fruit bat _Pteropus_, had
been eating and had contaminated.

 

[Ronan Kelly]

Re: Bangladesh - 33 dead from Nipah Virus, 11 under treatment

Re: Bangladesh - 33 dead from Nipah Virus, 11 under treatment

Two new Nipah virus infected patients admitted to RMCH

RANGPUR, Feb 19 (BSS) - Two Nipah virus infected encephalitis patients were admitted to Rangpur Medical College Hospital (RMCH) during the past 24 hours till 4 pm this afternoon, health officials said.

...

Delwar Hossain, 40, of village Singria under Atoari upazila in Panchagarh was admitted at the RMCH at 10 am while Fazlul Haque, 35, of village Purulia under Hatibandha upazila in Lalmonirhat was admitted there at 3 pm today.

The other two encephalitis patients undergoing treatments at RMCH are Rimi, 3, of village Shibganj in Thakurgaon and Jui, 4, of village Dakshin Goddimari in Lalmonirhat districts.

....

http://www.bssnews.net/newsDetails.php?cat=0&id=162071&date=2011-02-19

 

[alert]

Re: Bangladesh - 33 dead from Nipah Virus, 11 under treatment

Re: Bangladesh - 33 dead from Nipah Virus, 11 under treatment

Two new Nipah virus infected patients admitted to RMCH

RANGPUR, Feb 19 (BSS) - Two Nipah virus infected encephalitis patients were admitted to Rangpur Medical College Hospital (RMCH) during the past 24 hours till 4 pm this afternoon, health officials said.

...

Delwar Hossain, 40, of village Singria under Atoari upazila in Panchagarh was admitted at the RMCH at 10 am while Fazlul Haque, 35, of village Purulia under Hatibandha upazila in Lalmonirhat was admitted there at 3 pm today.

The other two encephalitis patients undergoing treatments at RMCH are Rimi, 3, of village Shibganj in Thakurgaon and Jui, 4, of village Dakshin Goddimari in Lalmonirhat districts.

....

http://www.bssnews.net/newsDetails.php?cat=0&id=162071&date=2011-02-19

It seems the number of ill patients at RMCH is thus down to four, from as many as 23 earlier. The fact that one of the two new cases is from Hatibandha, where the large outbreak was two weeks ago, does suggest that she might have contracted the virus from an earlier patient and not from contaminated juice.

 

[Ronan Kelly]

Re: Bangladesh - 33 dead from Nipah Virus

Re: Bangladesh - 33 dead from Nipah Virus

It is unclear from this document whether the death reported on Feb 21 is a new case or confirmation of a previous fatality. The most recent media reported fatality was Feb 14, so this is probably a new case.


Government of the People?s Republic of Bangladesh
Institute of Epidemiology, Disease Control and Research (IEDCR)
Mohakhali, Dhaka-1212
www.iedcr.org
Nipah Update on February 22, 2011
January 1st week: Faridpur- 5 cases, 4 deaths
January last week: 3 deaths; Kurigram-1, Nilphamari-1, Lalmonirhat Sadar-1

Outbreak at Lalmonirhat, Hatibandha Upz
January 31st - 24 cases
18 deaths (One additional death on 21st Feb)
On February 09, 2011
Sample tested-85
Positive for Nipah -1 (from greater Rangpur district)
One more case was identified
Prepared by, IEDCR

http://www.iedcr.org/images/Nipah/Nipah Update.pdf

 

[Ronan Kelly]

Re: Bangladesh - 33 dead from Nipah Virus

Re: Bangladesh - 33 dead from Nipah Virus

Nipah Outbreak at Lalmonirhat

From February 2011, Nipah outbreak occurred at Hatibandha Upazila under Lalmonirhat district which is in northern part of Bangladesh. Till to date (7th February, 2011) there are 24 cases and 17 deaths. Several joint teams of IEDCR and ICDDRB are working in the field. These teams are epidemiology team, qualitative team and veterinarian team. Laboratory tests were done at IEDCR.

Latest Update(Feb-22)

One additional death from Nipah confirmed at Hatibandha under Lalmonirhat District on 21st February,2011

One more case was identified
http://www.iedcr.org/

 

[Ronan Kelly]

Re: Bangladesh - 34 dead from Nipah Virus

Re: Bangladesh - 34 dead from Nipah Virus

Two more infected with Nipah
RANGPUR, Feb 24: Two more patients were admitted to Rangpur Medical College Hospital (RMCH) today as scattered incidents of Nipah virus infection continue in Rangpur region, officials said, reports BSS.
Maloti Rani, 35, wife of Manoranjan of village Shahapur under Kaharol upazila in Dinajpur, was admitted at 11 am and Rakib, 5, son of Shahabuddin of village Shib Kuthiram under Kawnia upazila in Rangpur, was admitted to RMCH at 2:30 pm.
With the admission of the two suspected Nipah virus infected encephalitis patients, the number of such patients undergoing treatment at RMCH rose to six.
http://www.newstoday.com.bd/index.php?option=details&news_id=20935&date=2011-02-25

Another Nipah patient admitted to RMCH

BSS, Rangpur

One more suspected Nipah infected patient was admitted to Rangpur Medical College Hospital (RMCH) and another released during the past 24 hours till 4 PM on Wednesday, health officials said.

The newly admitted patient to the RMCH is Rabina Begum, 10, daughter of Abdur Razzaque of village Birahimpur Jahangirabad under Pirganj upazila in Rangpur.

Meanwhile, Rimi, 3, daughter of Abdur Rashid of village Shibganj in Thakurgaon district was released from the RMCH yesterday after her recovery. She was admitted there on February 6 last.

Four suspected Nipah infected patients Rabina, 10 and Mamtaz, 35, of Rangpur, Delwar Hossain, 40, of Panchagarh and Fazlul Haque, 35, of Thakurgaon are now undergoing treatment at the RMCH, control room sources said.
http://thenewnationbd.com/index.php...dmitted-to-rmch&catid=86:back-page&Itemid=240

 

[Shiloh]

Re: Bangladesh - 34 dead from Nipah Virus

Re: Bangladesh - 34 dead from Nipah Virus

Source: http://bdnews24.com/details.php?id=188288&cid=2

Nipah claims 2 more lives
Fri, Feb 25th, 2011 8:12 pm BdST


Rangpur, Feb 25 (bdnews24.com) ? Two people, including a child, have died, possibly from Nipah encephalitis in Rangpur.

'Rakib', 5, and Malati Begum died between 10.30am and 11am on Friday at Rangpur Medical College Hospital.

Malati's husband Manoranjan died 11 days ago at the hospital with similar symptoms.

Hospital's chief of medicine professor Zakir Hossain said whether the two had died from Nipah infection could only be confirmed after tests.

"They did have symptoms of Nipah infection however," he added...

 

[Ronan Kelly]

Re: Bangladesh - 34 dead from Nipah Virus

Re: Bangladesh - 34 dead from Nipah Virus

Nipah kills 2 more, deaths reach 35
Star Online ReportNipah encephalitis claimed two more lives in Rangpur on Friday, raising the death toll from the deadly disease to 35.


Maloti Rani, 38, died around 6:00am at Rangpur Medical College Hospital while five-year-old Rakib Hossain at about 9:00am, RMCH medicine department chief Dr Zakir Hossain told The Daily Star.


He said Maloti, wife of Manoranjon of Kaharul upazila in Dinajpur and Rakib, son of Shahabuddin of Kawnia upazila in Rangpur, were admitted to the hospital on Thursday, reports our Rangpur correspondent.


Since January 31, Nipah encephalitis claimed the lives in seven districts -- Rangpur, Kurigram, Lalmonirhat, Nilphamari, Gaibandha, Dinajpur and Kushtia.

http://www.thedailystar.net/newDesign/latest_news.php?nid=28618