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Flu-like illness kills four - H1N1 suspected?

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Senior Moderator
This sounds like it could just as easily be dengue or something else (including H5N1 even), especially since no denominator is given. This is an extremely remote area, so confirmation of this is unlikely to follow anytime soon.

http://www.monnews-imna.com/newsupdate.php?ID=1470

Four deaths in Mon State spreads fear of Swine Flu
Wed 08 Jul 2009, Rai Maraoh, Mon Son, IMNA
Four people have died over the last two weeks in Mudon Town, Mon State. Residents fear the cause was A/H1N1, commonly known as Swine Flu.

Two grade (10) standard students died from high school No.(1), along with another student from grade (5) standard and also a teacher.

A grade (10) student from the same high school told IMNA, “I am afraid the A/H1N1 disease will spread to me. Even though we didn’t know exactly what kind of disease the students and teacher died from, this disease is not like other diseases. If you suffer [from it] you can die immediately.”

The student added that the Mon State health department came to their school and provided a training on how students and faculty could protect themselves from the disease and identify the symptoms. The health department did these trainings in many Mon State schools during the month of June.

A speech from the Mudon school’s principal was paraphrased to IMNA by one of the student’s family members: “the students and a teacher got seriously sick [in the course of] two days and were sent to Moulmein hospital, and died there. Before they died, the victims showed symptoms of A/H1N1 disease. They had high temperatures, headaches, and their whole bodies hurt.”

The principal added that the hospital in Moulmein made no statement about the disease causing the four deaths, and that the families of the victims worry that the disease will spread.

A resident Mudon resident said that, “we are afraid the A/H1N1 disease will spread; this disease is stronger than other diseases. If we get A/H1N1 disease, we will die at once. How can we protect [ourselves] from this disease? We just know a little information from other people talking.”

“After the students and a teacher died in Mudon, we are also worried this disease will spread into our school,” said a teacher from Thanbyuzayat. In May, two students in Thanbyuzayat Township also died, but nobody knew from what type of disease.

A breath of fresh air did however arrive from a Radio Free Asia report of a 13-year-old Rangoon girl who suffered from A/H1N1 but recovered and will soon leave the hospital.

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Re: Flu-like illness kills four - H1N1 suspected?

This sounds like it could just as easily be dengue or something else (including H5N1 even), especially since no denominator is given. This is an extremely remote area, so confirmation of this is unlikely to follow anytime soon.

http://www.monnews-imna.com/newsupdate.php?ID=1470

Four deaths in Mon State spreads fear of Swine Flu
Wed 08 Jul 2009, Rai Maraoh, Mon Son, IMNA
Four people have died over the last two weeks in Mudon Town, Mon State. Residents fear the cause was A/H1N1, commonly known as Swine Flu.

Two grade (10) standard students died from high school No.(1), along with another student from grade (5) standard and also a teacher.

A grade (10) student from the same high school told IMNA, ?I am afraid the A/H1N1 disease will spread to me. Even though we didn?t know exactly what kind of disease the students and teacher died from, this disease is not like other diseases. If you suffer [from it] you can die immediately.?

The student added that the Mon State health department came to their school and provided a training on how students and faculty could protect themselves from the disease and identify the symptoms. The health department did these trainings in many Mon State schools during the month of June.

A speech from the Mudon school?s principal was paraphrased to IMNA by one of the student?s family members: ?the students and a teacher got seriously sick [in the course of] two days and were sent to Moulmein hospital, and died there. Before they died, the victims showed symptoms of A/H1N1 disease. They had high temperatures, headaches, and their whole bodies hurt.?

The principal added that the hospital in Moulmein made no statement about the disease causing the four deaths, and that the families of the victims worry that the disease will spread.

A resident Mudon resident said that, ?we are afraid the A/H1N1 disease will spread; this disease is stronger than other diseases. If we get A/H1N1 disease, we will die at once. How can we protect [ourselves] from this disease? We just know a little information from other people talking.?

?After the students and a teacher died in Mudon, we are also worried this disease will spread into our school,? said a teacher from Thanbyuzayat. In May, two students in Thanbyuzayat Township also died, but nobody knew from what type of disease.

A breath of fresh air did however arrive from a Radio Free Asia report of a 13-year-old Rangoon girl who suffered from A/H1N1 but recovered and will soon leave the hospital.

--------------------------------------------------------------------------------
If it walks like a duck and talks like a duck, its a duck. Rapid death is a symptom of H1N1 as is efficient transmission. I think H1N1 is at the top of mosts lists and a cluster of four dead in two weeks in a small town is a major concern.
 
Re: Flu-like illness kills four - H1N1 suspected?

Maybe. But no respiratory symptoms are mentioned, nor any mention of illness in a family member, both of which would be likely for H1N1. There are a lot of diseases with symptoms of headache, fever, and body aches. Only laboratory testing would tell us for sure, and in that area, there doesn't seem to be much of that at all.

There is no mention of any non-fatal cases, which is a little odd for H1N1.
 
Re: Flu-like illness kills four - H1N1 suspected?

There is a lot of dengue in that area, including an outbreak in that town. Of course, they could be diagnosing H1N1 as dengue, but I think this probably is dengue.

http://www.bnionline.net/news/imna/6530-dengue-continues-to-spread-in-mon-state.html

Dengue continues to spread in Mon State PDF | Print | E-mail
News - Independent Mon News Agency
Report by Rai Maraoh
Friday, 19 June 2009 13:55


This month more people are suffering from dengue fever, said a doctor in Mudon Town, Mon State. The beginning of June has shown the highest incidence of fever in Mon State for 2009.

?There are a lot of patients in my clinic. At least 80 people visit my clinic [Mudon Clinic] every day.? The doctor added that the larger hospital is similarly overcrowded and that the number of patients has steadily increased in the last couple of weeks.

?Every year people suffer from fever at the beginning of the rainy season. However the people suffering fever [this year] have different symptoms,? added the same Mudon Town doctor.

The common symptoms of fevers now include high temperatures, body aches, red spots on the skin and irritation in the eyes, said a medical worker from the Thanbyuzayat Town clinic.

IMNA first reported on children contracting Dengue fever in a May 29 story concerning Bago Division, in which three children died. Contrastingly, in Mudon Town many adults are contracting fever.
A resident of Thanbyuzayat said that ?many people are ill, catching fever, although not many have died.? The Thanbyuzayat resident did confirm that one small child succumbed to fever.

While Mudon Township residents told IMNA that many people in the town and villages are suffering from fever, and echoed concerns about the crowded clinics and hospitals, there are no confirmed deaths as yet.

Cases of patients with fever have also been reported in Moulmein and Ye Townships, as well as in Three Pagodas Pass Town and various areas in Karen State.
 
Re: Flu-like illness kills four - H1N1 suspected?

http://wwwn.cdc.gov/travel/content/outbreak-notice/dengue-tropical-sub-tropical.aspx

In 2009, several areas of Central and South America have seen rising cases of dengue fever:

* Argentina: As of May 19, 2009, the Ministry of Health has reported over 25,000 dengue cases and 5 deaths. The provinces most affected are Catamarca and Chaco.
* Bolivia: As of May 20, 2009, over 59,900 suspected cases of dengue have been reported, and 25 deaths from dengue hemorrhagic fever. For additional information, listen to this podcast from the World Health Organization (WHO).
* Brazil: Over 226,500 suspected cases of dengue and 87 deaths were reported through April 15, 2009. The state of Bahia has been particularly hard hit, with over 56,000 reported cases.
* Mexico: On April 24, 2009 the Secretary of Health for the Mexican state of Sinaloa reported 255 cases of dengue.
* Paraguay: As of May 20, 2009, the Ministry of Health has confirmed over 3,000 dengue cases, of which over 1,100 are from the Central department..

Since the beginning of 2009, cases of dengue have been increasing in the Pacific region:

* Australia: As of May 5, 2009, Queensland Health reported 993 confirmed cases of dengue fever in the northern part of that state, which is located in northeastern Australia. Additionally, it was reported on March 4, 2009, that an elderly woman in the city of Cairns became the first dengue-associated death from this outbreak.
* French Polynesia: As of April 12, 2009, just over 300 cases of dengue have been confirmed on the islands of Tahiti, Tahaa, Bora-Bora, Raiatea, Moorea, Tahaa, and Ua Pou.
* Malaysia: As of May 11, 2009, health officials have reported over 19,200 dengue cases and 48 deaths from dengue fever.
 
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