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Darien, Panama: Outbreak is not caused by Venezuelan equine encephalitis virus, EEE suspected

alert

Senior Moderator
http://www.promedmail.org/pls/apex/..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1060,83276

Spanish to English translationShow romanization

Archive Number 20100618.2040
Published Date 18-JUN-2010
Subject PRO / ESP> EEA outbreak, highly lethal - Panama (Darien): no EEV

Eastern equine encephalitis, [outbreak], high fatality - PANAMA (DARIEN)
: NO Venezuelan Equine Encephalitis
************************************************** ****
A statement by ProMED-mail
<http://www.promedmail.org>
ProMED-mail is a program
International Society for Infectious Diseases
<http://www.isid.org>

Date: June 17, 2010
Source: Yahoo Health Noicias
<http://espanol.news.yahoo.com/s/ap/100617/salud/amc_med_panama_encefalitis>
[Edited by J. Torres]

The strain of equine encephalitis outbreak that has spread in the
eastern sector of the country has a fatality rate of 65% in humans and up
90% in horses according to preliminary reports, warned the
Health authorities in making a fervent appeal to Panamanians
to extreme health measures to prevent disease
progress.

The disease is transmitted to humans through the bite of
_Culex_ mosquito and affects mostly children and adolescents
around 15 years old, said the Ministry of Health.

The country has no new cases have been detected in people from
last week when he totaled five affected children,
including the death of a child. But new infections among horse
increased to 68 cases, of which 45 have died, said the most
recent Health Ministry report issued Thursday
.

Preliminary results issued by the Memorial Institute
Gorgas (ICG), supported by the Center for Disease Research
Atlanta, United States, "revealed that the variety of encephalitis
equine has been in the country is that of 'this', as
is 65% lethality in humans and between 75% and 90% in horses, "
said Health Minister Franklin Vergara.

For his part, director of ICG in a radio interview with RPC
said that although current evidence indicates that this strain
of 'this' should be further investigated.

"The first evidence appeared out 'Venezuela', then we
deeper tests and scored more positive for equine encephalitis
'This' ... the evidence points to there, but still this is not
Finally, we must continue working even be a variant
new or a virus that is not documented in our country and we must
a little conservative, "he said.

The first cases of the outbreak became known in early June between
horses rural communities in the eastern province of Darien
border with Colombia. Then other cases were detected
rural areas of the neighboring province of Panama
.

The Ministry of Health made a fervent appeal to the Panamanian
take sanitary measures such as eliminating breeding sites, use
mosquito nets, clean the latrines with lime and use repellents, including
others.

"There is no vaccine against the human disease, so
the only way to attack is to vaccinate horses, "said
press release.

After a visit to Mexico this week, Vergara reported that succeeded
with appropriate authorities in that country a total of 20,000 doses
to vaccinate horses. These vaccines are effective against rabies
strains of equine encephalitis 'this' and 'Venezuela'.

To date the authorities have implemented 780 horses and have vaccine
the conference reinforced spraying in affected areas.

Equine encephalitis is an inflammation of the brain mass,
caused by a virus. The disease is characterized by fever
are high and pains throughout the body, specifically in the
eyes.

The most recent outbreaks of the disease in Panama, took place in
Between 1998 and 2001. But this has been the largest in terms of
affected horses.


Reported by: Jaime R. Torres <torresjaime@cantv.net>

- ProMED-ESP


[See also:

EEV, human cases, control measures - Panama (02) 20100617.2038
EEV, human cases, control measures - Panama (Darien) 20100612.1975]

-----

ProMED-mail
 
Re: Darien, Panama: Outbreak is not caused by Venezuelan equine encephalitis virus, EEE suspected

http://www.promedmail.org/pls/apex/..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1060,83309

Spanish to English translationShow romanization

Archive Number 20100620.2065
Published Date 20-JUN-2010
Subject PRO / ESP> EEA outbreak, human cases - Panam? ?? ? ??

Eastern Equine Encephalitis, OUTBREAK, HUMAN CASES - PANAMA
************************************************** ****
A statement by ProMED-mail
<http://www.promedmail.org>
ProMED-mail is a program
International Society for Infectious Diseases
<http://www.isid.org>

Date: June 20, 2010
Source: Prensa Latina
<http://www.prensa-latina.cu/index.php?option=com_content&task=view&id=198924&Itemid=1>
[Edited by J. Torres]

Panamanian health authorities reported the detection of three
cases of equine encephalitis in humans, and raising to 11 the
number of positives detected to date.

According to the Ministry of Health, the victims were admitted to
medical center in the capital and are currently
stable condition.

Of the total infected, seven remain hospitalized (two
them in serious condition), three were discharged and a minor
two years died of the disease.

The presence of evil is located in Darien (border with Colombia) and
eastern areas of the province of Panama.

Preliminary investigations show that the registered variety
in the country is called Eastern encephalitis, whose lethality is
65 percent in people and up to 90 percent in horses
.

As a preventive measure, intensified actions
spraying against mosquito breeding sites which are vectors
of the disease.

In addition, the Agricultural Development Ministry ordered the alert
animal health for the whole country and prohibited the movement of horses
from areas where equine encephalitis was found.
 
Re: Darien, Panama: Outbreak is not caused by Venezuelan equine encephalitis virus, EEE suspected

Presumably, this ProMED post and the ProMED Spanish post above are about the same outbreak, but they present different suspected diagnoses, and drastically different case counts.

http://www.promedmail.org/pls/apex/..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,83314

Archive Number 20100620.2070
Published Date 20-JUN-2010
Subject PRO/AH/EDR> Venezuelan equine encephalitis - Panama (03): (DR) fatal


VENEZUELAN EQUINE ENCEPHALITIS - PANAMA (03): (DARIEN) FATAL
************************************************************
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: Sat 19 Jun 2010
Source: Hora Cero [in Spanish, trans. Mod.TY, edited]
<http://horacero.com.pa/index.php?option=com_content&view=article&id=24250:hora-cero&catid=82:ultima-hora&Itemid=111129>


The [Panama] Ministry of Health has confirmed that 2 children from Darien
province have been added to the group of 8 individuals hospitalized with
equine encephalitis. The ministry indicated that they are children of 3
months and 13 years of age residing in Santa Librada de Yaviza and Punuloso
de Meteto. 6 of the ill individuals are under medical observation. The
total number of ill people is 28, most without serious illnesses.

This week [week of 14 Jun 2010], the Ministries of Health and of
Agricultural Development declared public health and animal health alerts.

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

[The total number of ill individuals in this report is not clear, but it
appears that out of a total of 28, 10 have needed hospital treatment. A 17
Jun 2010 report indicated that 5 children and "a number" of horses had
contracted equine encephalitis in the Darien area (see ProMED-mail archive
no. 20100617.2034). In any event, the number of individuals reported ill
with equine encephalitis has increased. As in previous reports, the
specific etiological agent is not mentioned, but presumably it is
Venezuelan equine encephalitis virus (VEEV), as has been reported to OIE
for horses in Panama with VEEV, subtype unspecified
(<http://www.oie.int/wahis/public.php?page=single_report&pop=1&reportid=9350>).

It would be of interest, assuming that the disease is VEEV, to know which
VEEV subtype is involved, as subtype IAB or IC can cause massive equine
epizootics over wide geographic areas with spillover to many humans.
Subtype ID usually causes a few sporadic cases. Mod.TG has an excellent
summary of VEE in ProMED-mail archive no. 20100617.2034. It is worth noting
that eastern equine encephalitis has also been detected in Panama.

Darien in southernmost Panama can be seen on the HealthMap/ProMED-mail
interactive map at <http://healthmap.org/r/01v5>. - Mod.TY]
 
Re: Darien, Panama: Outbreak is caused by Venezuelan equine encephalitis virus and EEE as well

Re: Darien, Panama: Outbreak is caused by Venezuelan equine encephalitis virus and EEE as well

This post is from right across the Venezuelan border, but it indicates that both viruses are involved.

http://promedmail.org/pls/otn/f?p=2..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1060,83482

Spanish to English translationShow romanization

Archive Number 20100702.2205
Published Date 02-JUL-2010
Subject PRO / ESP> VEE, EEE, re-emergence: warning unofficial - Venezuela

Venezuelan equine encephalitis, Eastern equine encephalitis,
Re-EMERGENCY ALERT NO-OFICIAL - VENEZUELA
************************************************** ****
A statement by ProMED-mail
<http://www.promedmail.org>
ProMED-mail is a program
International Society for Infectious Diseases
<http://www.isid.org>

Date: July 2, 2010
Source: El Universal, Venezuela
<http://www.eluniversal.com/2010/07/02/pol_ava_denuncian-repunte-de_02A4124973.shtml>
[Edited by J. Torres]

Several medical societies, including the Red Defend
National Epidemiology, the Veterinary Epidemiology Alert Network
and the Venezuelan Observatory of Health, warned about [the occurrence
of an outbreak] of Venezuelan equine encephalitis and Eastern equine encephalitis
of this in the country.

Jose Felix Oletta, former health minister, stated that there is [a
re-emergence] of several diseases, including encephalitis
Venezuelan equine encephalitis, eastern equine and said that according to
research undertaken by medical institutions there are 13
people in the country who have the disease.
"These are cases that have been confirmed since the virological point of view
using special techniques, which states that of 294 cases
encephalitis in the country 13 are humans and other animals. Of
13 people six are cases of eastern equine encephalitis and 7
Venezuelan equine encephalitis
, "he said.

He said no one knows the location of people with encephalitis
Eastern equine but cases of equine encephalitis, are
located in Portuguesa state.


He noted that in week 14 of this year, obtained
Epidemiological Information Bulletin, Ministry of Health, "which
had not been disclosed, but noting the existence in a
editorial concern of the authorities of the Ministry of
a non-human outbreak of the disease in the area Caicara del Orinoco,
Bolivar State.

The epidemiology of Venezuela Companies, asking the Ministry of
Health take steps to prevent this disease
spread in the country.


Reported by: Jaime R. Torres <torresjaime@cantv.net>
 
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