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Central African Republic - Outbreak of Monkey Pox in Mingala in Basse-Kotto

Pathfinder

Editor, Senior Moderator
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Central African Republic: The epidemic of Monkey Pox resurfaced in Mingala in Basse-Kotto

BY THE FRIDOLIN Ngoulou September 21, 2016 HUMANITARIAN / HEALTH HEALTH

Bangui, 21 September 2016 (RJDH) -At least 14 cases including one death, the balance sheet of the epidemic of Smallpox Monkey (Monkey Pox), reported by humanitarian in four villages in the sub-prefecture of Mingala in Basse-Kotto.

According to information in our possession, the first case was registered 14 August and 1 death 15 September 2016. 10 cases of unexplained deaths, according to a medical source in the area have been reported by the community during the same period .

Some cases are supported at the health post Irra Banda about 50 km from Mingala, Mingala axis while others were transferred to the hospital Alindao, reports OCHA humanitarian in its preview of this week.

No official reaction from the government is still registered about this epidemic although some sources at the Health Ministry say that the department is taking steps to organize the response.

This is the fourth time that Monkey Pox appears in CAR. The first time was in Mbomou in 2001, the second in the Haute-Kotto in 2014, the third time in Mbomou in January 2016 and this time. If the Ministry of Health confirms these suspicions, it will be the fourth case.
...

http://rjdh.org/centrafrique-lepide...key-pox-rafait-surface-a-mingala-basse-kotto/
 
Source: http://medicalxpress.com/news/2016-09-outbreak-deadly-monkeypox-central-africa.html


Outbreak of deadly monkeypox in Central Africa Republic
September 28, 2016

At least 10 people have died in an outbreak of monkeypox in western Central African Republic, a country already hit by cholera, the health ministry announced Wednesday.

"We have logged 10 deaths out of 19 patients," in the southern province of Basse-Kotto, said Dr Joachim Tenguere of the public health emergencies operations centre.

Further deaths have been reported from other villages in Haute-Kotto,the country's largest province...
 
Source: http://www.who.int/csr/don/2016_10_13/en/

Monkeypox in Central African Republic 13 October 2016 - On 6 September 2016, the Ministry of Health staff from Haute-Kotto health district alerted the central level of suspected monkeypox cases admitted at Ira Banda health centre. The index case was a hunter who fell ill on 17 August and died in his village without specimens being collected for laboratory testing. Between 4 September and 7 October, 26 cases have been admitted and of these, three have been laboratory confirmed for monkeypox. Epidemiological investigations are currently on-going to evaluate the magnitude of the outbreak.
[h=3]Public Health Response[/h]
  • Strengthening public health surveillance for possible cases.
  • Training healthcare workers on using personal protective equipment, and advocating proper hand hygiene and cleaning procedures in the health care setting.
  • Installing two isolation units for case management.
  • Provision of free care for patients affected with monkeypox.
  • Increasing public awareness to take precautionary measure to prevent monkeypox transmission.
  • Engaging International Medical Corps and the Catholic Organisation for Relief and Development Aid (CORDAID) to support case management and prevention measures.
[h=3]WHO Risk Assessment[/h] Small scale monkeypox outbreaks regularly occur in tropical Africa. Monkeypox is usually transmitted to humans through contact with an infected animal or through infected animal bites. Person-to-person transmission can also occur during outbreaks through close contact with patients but there is no evidence to date that person-to-person transmission alone can sustain monkeypox transmission in humans.
Given the lack of adequately equipped isolation units in healthcare facilities in the area and the known transmission dynamics of monkeypox between humans, the WHO encourages individuals and healthcare workers to follow infection prevention and control procedures when caring for patients, to prevent transmission of disease.
Given the location of the outbreak in a relatively remote and sparsely populated area at this stage the risk of international spread seems limited.
The WHO does not recommend any restriction for travel and trade to Central African Republic based on available information at this point in time.


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