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Chikungunya in Belgium

DB

Valued Member
http://www.promedmail.org/pls/promed/f?p=2400:1001:9557845473288321863::NO::F2400_P1001_BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,32777

CHIKUNGUNYA - INDIAN OCEAN UPDATE (19): SPREAD TO BELGIUM
*********************************************************
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: Wed 26 Apr 2006
From: Marjan Van Esbroeck <mvesbroeck@itg.be>


The following imported cases of chikungunya (CHIK) virus infection have
been reported during the past months in Belgium. The serology has been
performed by IFAT in the laboratory of Prof Dr B Fleischer and Dr C
Drosten, Robert Nocht Institute, Hamburg, Germany. All patients were
positive for IgM and IgG antibodies.

[2005]
December
46 year old male, source of infection: Reunion
40 year old female, source of infection: Reunion
[2006]
January
40 year old male, source of infection: Reunion
41 year old female, source of infection: Reunion
34 year old female, source of infection: Mauritius
39 year old female, source of infection: Reunion
59 year old male, source of infection: Reunion
February
48 year old female, source of infection: Mauritius
28 year old female, source of infection: Madagascar
61 year old female, source of infection: Mauritius/Reunion
March
44 year old female, source of infection: Mauritius
April
49 year old male, source of infection: Mauritius

--
Marjan Van Esbroeck, MD
Medical Services
Institute of Tropical Medicine Antwerp
Nationalestraat 155
B-2000
Belgium
<http://www.itg.be>
<mvesbroeck@itg.be>

[ProMED-mail is most grateful for Dr Marjan Van Esbroeck's contribution of
the report of the imported cases of CHIK in Belgium. As of the beginning of
2005, besides the countries within the Indian Ocean basin, CHIK cases have
also been reported in Germany, France, Switzerland, China (Hong Kong, SAR),
and Belgium. Undoubtedly, all these cases are imported cases from the
endemic Indian Ocean region. Fortunately, so far, no secondary
dissemination of CHIK has been found
. - Mod.RY]
 
Re: Chikungunya in Belgium

"Undoubtedly, all these cases are imported cases from the
endemic Indian Ocean region. Fortunately, so far, no secondary
dissemination of CHIK has been found. - Mod.RY"


It is nice to know that Mod.RY has proclaimed himself omnipotent.

I see nothing in this report that proves beyond a shadow of a doubt that all these cases were imported.

Furthermore I see nothing in this report to disprove secondary dissemination of CHIK.
 
Re: Chikungunya in Belgium

Re. secondary dissemination -- a HCW came down with Chik somewhere in France last month -- they had a hard time explaining why:

babelfished from French:

Chikungunya: first contamination confirmed in metropolis
vendredi 31 mars 2006, 12h00

Can the disease be transmitted by blood way? The assumption is advanced in any case by the experts. Because a nurse having carried out a blood levy on a person infected by the chikungunya is carrying the virus today.

Another possibility selected: the puncture of an arrived mosquito of the Meeting in the luggage of the patient.
At all events, the ministry for Health very takes this business with the serious one. Xavier Bertrand asked the medical Institute of Day before besides "to lead without delay an investigation of contamination".

The Ministry in addition points out "the importance of the usual precautions which the professionals of health must follow when they practise blood taking away, in particular the wearing of gloves". Eh yes apparently it is still not a natural gesture...

http://fr.news.yahoo.com/31032006/185/chikungunya-premiere-contamination-confirmee-en-metropole.html

vendredi 31 mars 2006, 12h00
Chikungunya : première contamination confirmée en métropole

La maladie peut-elle se transmettre par voie sanguine ? L'hypothèse est avancée en tout cas par les experts. Car une infirmière ayant procédé à un prélèvement sanguin sur une personne infectée par le chikungunya est aujourd'hui porteuse du virus.

Autre possibilité retenue : la piqûre d'un moustique arrivé de la Réunion dans les bagages de la patiente. Quoi qu'il en soit, le ministère de la Santé prend cette affaire très au sérieux. Xavier Bertrand a d'ailleurs demandé à l'Institut de Veille sanitaire "de conduire sans délai une enquête de contamination".

Le Ministère rappelle par ailleurs "l'importance des précautions habituelles que doivent suivre les professionnels de santé lorsqu'ils pratiquent des prélèvements sanguins, notamment le port de gants". Eh oui apparemment ce n'est toujours pas un geste naturel...

Sources: Ministère de la Santé, 30 mars 2006
 
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