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ETHIOPIA: Meningitis kills 18 in Amhara region

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Senior Moderator
http://allafrica.com/stories/200907230764.html

Ethiopia: Meningitis Cases Reported in North, 20 Die
Fikremariam Tesfaye
23 July 2009

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Addis Abeba ? The Ministry of Health (MoH) on Tuesday said 147 cases and 20 deaths due to an outbreak of Meningitis symptom illness were reported in northern part of the country.

The illness was reported in July 17, 2009 epidemic week by Regional Health Bureau (RHB) from Kelela woreda of South Wollo zone, in three kebeles, the ministry said.

From 17th to 21st July 2009, a total of 147 cases and 20 deaths have been reported, said Ahmed Yimano, Public Relations Directorates Director in the MoH at the press conference held at his office.

"Even though the symptom is related to meningitis illness, still now the Ministry has not confirmed the case in laboratory. The sample was sent to Ethiopian Health and Nutrition Research Institute. The signs and symptoms are head ache, fever, neck stiffness, diarrhoea and vomiting," he said.

The meningitis illness occurred during hot seasons in April- May months. The ministry alertly follows up the case with RHB experts, WHO and other partner organizations are already in the field to assess the situation, Ahmed added.

He said that, for over 300 thousand people vaccine backup were made available to control the outbreak. Temporary clinics established in the kebele and the vaccination program was begun on Tuesday in six adjacent kebeles and other two woredas.

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Meningitis is inflammation of the protective membranes covering the brain and spinal cord, known collectively as the meninges. The inflammation may be caused by infection with viruses, bacteria, or other microorganisms, and less commonly by certain drugs.

On the other hand, the Ministry said four new cases of Influenza AH1N1 have been reported this week. The total confirmed cases, reported in the country, now reach 8. Two months ago Ethiopia had confirmed its first case of the new influenza.

The ministry said, still now no sign of virus obtained in all regions of the country. Sufficient drugs backup available to treat 104,000 people. Over the country 30 hospitals are ready to treat the flu, it said.
 
Re: Undiagnosed fatal illness - Meningitis suspected

Re: Undiagnosed fatal illness - Meningitis suspected

The timing in this article is more consistent. The first article contains two different time frames (the 17th-21st, and April-May) for the outbreak, both unlikely. Definitely looks like meningitis, at least symptomatically.

http://www.reliefweb.int/rw/rwb.nsf/db900SID/EDIS-7UCKSK?OpenDocument

WHO reports that an outbreak of an unconfirmed illness suspected to be meningitis infected 143 people, with 18 fatalities in two villages in Kelela woreda, South Wollo zone, Amhara Region, between 4 and 21 July 2009. Although the signs and symptoms of the disease include headache, fever, neck stiffness, diarrhoea and vomiting – all related to meningitis – the specific disease has not yet been confirmed. Samples have been sent to the Ethiopian Health and Nutrition Research Institute for testing. Investigations supported by WHO and NGO partners are in progress. Save the Children UK provided emergency drug kits to neighboring Legambo woreda.
 
Re: Undiagnosed fatal illness - Meningitis suspected

Re: Undiagnosed fatal illness - Meningitis suspected

Please move this thread to the Ethiopia forum, not Somalia. I misread where the outbreak was.
 
Re: Undiagnosed fatal illness - Meningitis suspected

Re: Undiagnosed fatal illness - Meningitis suspected

And this gets confirmed as bacterial meningitis. Please change the title of this thread (and move it to the correct forum).

http://www.irinnews.org/Report.aspx?ReportId=85495

ETHIOPIA: Meningitis kills 18 in Amhara region

Photo: ReliefWeb
Africa's meningitis belt: At least 18 people have died and 63 others infected following an outbreak in Ethiopia's Amhara region
ADDIS ABABA, 30 July 2009 (IRIN) - An outbreak of meningitis has killed 18 people and infected 63 in Ethiopia's northern Amhara region, officials said.

"The disease broke out in two villages under Kelela woreda [district] of South Wollo zone,” said Milliyon Wendabeku, a medical expert with the Public Health Emergency Management Sector of the Ministry of Health.

The ministry first received reports of the outbreak on 17 July, detailing the symptoms of the disease as fever, headache, neck stiffness and vomiting.

“The symptoms are related to meningitis diseases,” Milliyon told a news conference in Addis Ababa on 29 July.

He said that upon receipt of the report, the ministry sent a medical team - drawn from its staff and the UN World Health Organization (WHO) - to the area. The team examined 147 suspected cases of meningitis.

"During the medical examination, the team confirmed that 81 people were infected with the disease,” Milliyon said. "Out of the 81 patients, 18 of them have since died."

Ethiopia is one of the countries considered by WHO to be in the “meningitis belt" - stretching from Senegal in West Africa to the Horn of Africa.

According to WHO, "meningitis belt" epidemics typically start during the dry season, from January to March, and end at the onset of the rainy season, from May to June.

Milliyon said the major problem with the latest outbreak - said to have lasted from late June to mid-July - was lack of transportation and communication logistics, which, he said, had delayed treatment efforts.

He said the arrival of the medical team in Amhara region resulted in the opening of a temporary medical station and improved the treatment of the disease. The team also vaccinated an estimated 9,000 people in the area.

"Thirty patients were admitted and recovered in the temporary medical station," Milliyon said. "We have not seen any new patient in the last three days and no death has been reported.”

Ahmed Imano, head of public relations in the Ministry of Health, said Amhara region had the capacity to treat up to 300,000 people.

tw/js/mw
 
Re: Undiagnosed fatal illness - Meningitis suspected

Re: Undiagnosed fatal illness - Meningitis suspected

Someone should send the above article to ProMed, as they just posted (in the East Africa forum) this Undiagnosed Fatalities alert. This has been confirmed as meningitis.

http://eafr.promedmail.org/

Most Recent Alert
View printable version
Published Date
2009-07-30 05:20:02
Subject
PRO/EAFR> Undiagnosed fatalities - Ethiopia: RFI
Archive Number
20090730.200951
Full Text

UNDIAGNOSED FATALITIES - ETHIOPIA: REQUEST FOR INFORMATION
***********************************************
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: 28 Jul 2009
Source: Sudan Tribune [edited]
http://www.sudantribune.com/spip.php?article31949

An unconfirmed disease has killed 18 people and infected another 143
in the central Ethiopian region of Amhara, says a report attributed
to the World Health Organisation (WHO) today [28 Jul 2009].

The outbreak of the mysterious illness occurred between 4 and 21 Jul
2009 in 2 villages in Kelela woreda, South Wollo zone, Amhara region,
said a report issued today [28 Jul 2009] by The Office for the
Co-ordination of Humanitarian Affairs (OCHA).

Suspected to be meningitis, the symptoms of the disease include
headache, fever, neck stiffness, diarrhea and vomiting. Samples have
been sent to the Ethiopian Health and Nutrition Research Institute for testing.

"Investigations supported by WHO and NGO partners are in progress,"
said OCHA. Save the Children UK provided emergency drug kits to
neighboring Legambo district (woreda).

Ethiopia is also facing food shortages in some parts, with over 6
million of its people needing food aid due to poor rains, according to the UN.

Meanwhile, the Ethiopian federal ministry of health reported 579 new
cases of acute watery diarrhea, with 11 deaths in 29 districts
(woredas) across Addis Ababa, Somali, Oromiya, Harari and SNNP
regions between 6 and 12 Jul 2009.

Further, the OCHA reported an outbreak of typhoid fever, which has
killed one person and affected more than 100 in the northern Tigray region.

--
Communicated by:
ProMED-EAFR


[This unconfirmed outbreak has killed 18 out of the 143 infected
individuals, giving a case fatality rate of 12.6 per cent within a
short span of 17 days. This indeed is a worrisome trend that needs
urgent attention. The symptoms point to meningitis as the possible
cause of the outbreak, and considering that Ethiopia lies within the
meningococcal meningitis belt, it is important for the authorities to
make an early diagnosis to confirm or rule out this disease and avoid
further casualties. More information on this outbreak would be appreciated.

A map of the Amhara region of Ethiopia can be found at
http://www.maplandia.com/ethiopia/amhara/. - Mod.BE]
 
Re: Undiagnosed fatal illness - Meningitis suspected

Re: Undiagnosed fatal illness - Meningitis suspected

I wonder if any of these other outreaks are menigitis also?
 
Re: ETHIOPIA: Meningitis kills 18 in Amhara region

And once again ProMed thanks Flutrackers.com.

http://eafr.promedmail.org/

ProMED-EAFR:East Africa

Most Recent Alert
View printable version
Published Date
2009-07-31 01:03:35
Subject
PRO/EAFR> Meningitis meningococcal- Ethiopia (AR): RFI
Archive Number
20090731.200983
Full Text

MENINGITIS MENINGOCOCCAL- ETHIOPIA (AMHARA REGION): REQUEST FOR INFORMATION
**************************************************************
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: 30 Jul 2009
Source: IRIN News [edited]
http://www.irinnews.org/Report.aspx?ReportId=85495

An outbreak of meningitis has killed 18 people and infected 63 in
Ethiopia's northern Amhara region, officials said.

"The disease broke out in 2 villages under Kelela woreda [district]
of South Wollo zone," said Milliyon Wendabeku, a medical expert with
the Public Health Emergency Management Sector of the Ministry of
Health. The ministry 1st received reports of the outbreak on 17 July
[2009], detailing the symptoms of the disease as fever, headache,
neck stiffness and vomiting.

"The symptoms are related to meningitis diseases," Milliyon told a
news conference in Addis Ababa on 29 July [2009]. He said that upon
receipt of the report, the ministry sent a medical team -- drawn from
its staff and the UN World Health Organization (WHO) -- to the area.
The team examined 147 suspected cases of meningitis. "During the
medical examination, the team confirmed that 81 people were infected
with the disease," Milliyon said. "Out of the 81 patients, 18 of them
have since died."

Ethiopia is one of the countries considered by the WHO to be in the
"meningitis belt" -- stretching from Senegal in West Africa to the
Horn of Africa. According to the WHO, "meningitis belt" epidemics
typically start during the dry season, from January to March, and end
at the onset of the rainy season, from May to June.

Milliyon said the major problem with the latest outbreak -- said to
have lasted from late June to mid-July [2009] -- was lack of
transportation and communication logistics, which, he said, had
delayed treatment efforts. He said the arrival of the medical team in
Amhara region resulted in the opening of a temporary medical station
and improved the treatment of the disease. The team also vaccinated
an estimated 9000 people in the area.

"Thirty patients were admitted and recovered in the temporary medical
station," Milliyon said. "We have not seen any new patient in the
last 3 days and no death has been reported."

Ahmed Imano, head of public relations in the Ministry of Health, said
Amhara region had the capacity to treat up to 300 000 people.

--
Communicated by:
Flutrackers.com

[This becomes the latest confirmatory information concerning the
meningitis outbreak earlier reported. Thanks to the team at Flu
Trackers.com
. The most recent Meningitis Vaccine Project report is
for the week ending 21 Jun 2009 and has no data from Ethiopia
http://www.meningvax.org/files/Bulletin-Meningite-2009-S25.pdf.

It is a pity that the IRIN news report does not have the serotype of
the offending organism as yet. It would be appropriate to request for
further information concerning this as well. - Mod.BE]

[see also:
Undiagnosed fatalities - Ethiopia: RFI 20090730.200951
Undiagnosed fatalities - Malawi, Mozambique (02): RFI 20090724.2625
Undiagnosed fatalities - Malawi, Mozambique: RFI 20090711.2489]
Meningitis, bacterial - Africa (02): Nigeria, WHO meningitis
region 20090313.1038
Meningitis, bacterial - Africa: WHO meningitis region, 2008 20090124.0310
2008
----
Meningitis, meningococcal - Africa: meningitis belt 20080225.0756
Meningitis, meningococcal - Africa: W. Africa, Congo DR 20080125.0309
1997
----
Meningitis, meningococcal - West Africa (04) 19970502.0890
Meningitis, meningococcal - West Africa: Correction 19970422.0837
Meningitis, meningococcal - West Africa (03) 19970412.0784
Meningitis, meningococcal - West Africa (02) 19970328.0655
Meningitis, meningococcal - West Africa 19970323.0609
1996
----
Meningitis, meningococcal in miners - S. Africa (2) 19960926.1631
Meningitis, meningococcal in miners - South Africa: RFI 19960830.1488
Cerebrospinal (Meningococcal) meningitis - West Africa 19960216.0314
....................be/ejp

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ProMED-EAFR@promedmail.org
http://eafr.promedmail.org/
 
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