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Karimnagar, Andhra Pradesh: Hantavirus ruled out in the death of 2 - rumours persist in other cases

Emily

Editor, Senior Moderator
http://www.thehindu.com/news/cities/Hyderabad/article2593929.ece
HYDERABAD, November 3, 2011
Patient with suspected ?Hanta virus' dead
T. Lalith Singh

A patient suspected to be afflicted with ?Hanta virus' and described as the first case of the virus in the State, died in a private hospital here on Wednesday morning. However, the medical and health department officials refused to treat it as a case of ?Hanta virus' till the test reports authenticating the same were received...
 
Re: Karimnagar, Andhra Pradesh: Victim has died from suspected but not officially confirmed Hanta virus

Re: Karimnagar, Andhra Pradesh: Victim has died from suspected but not officially confirmed Hanta virus

There has been an increase in reports of hantavirus in AP recently beginning with this one from October 18;

Two Hantavirus cases detected in NelloreOctober 18, 2011 By pathri rajasekhar | DC Nellore

Detection of the dreaded Hantavirus in two persons belonging to SPSR Nellore district, led a team headed by Dr Ramesh from Integrated Disease Surveillance Project of National Institute of Epidemiology, Chennai, to visit the habitations of the patients on Friday and Saturday.

Detection of the dreaded Hantavirus in two persons belonging to SPSR Nellore district, led a team headed by Dr Ramesh from Integrated Disease Surveillance Project of National Institute of Epidemiology, Chennai, to visit the habitations of the patients on Friday and Saturday.

...
A 66-year-old woman belonging to Nawabpeta area of Nellore town succumbed to the disease, after three weeks treatment in a corporate hospital at Chennai few days ago. (Private hospital means that the State never has to acknowledge this case - Ro)

However, an agriculture labourer of Nellipudi village in Vakadu mandal, survived with treatment at the same hospital, although he too was tested positive for Hantavirus.

In-charge epidemiologist, Dr Veera Pratap, has denied report of a vernacular daily about the death of a 50-year-old woman due to the virus, at Chinnapadug-upadu village near Nellore. Dr Pratap, who assisted Dr Ramesh and his team, during their visit to the district said that the woman tested negative for Hantavirus. However, she was also treated at the same hospital in Chennai, where the other two cases were under treatment.

...

Meanwhile, the medical and health wing officials, have started collecting blood samples from the family members of the patients, and people living in the locality as a precautionary measure. The district medical and health officer, Dr N. Dasaradha-ramaiah, told this newspaper that they will send the samples for testing.
http://www.deccanchronicle.com/chan...ore/two-hantavirus-cases-detected-nellore-440

Again at the end of the month;

No Hanta tests, patients hit
October 31, 2011 DC Hyderabad .

Since the state does not have a single testing facility for hantavirus, blood samples of suspected hantivirus cases are being sent to the National Institute of Virology in Pune.

It takes four to five days to get the test results, which is way too long when a patient affected by the deadly virus can go from normal to critical within 10 to 24 hours.

...

Delay in confirmation affects treatment options in a big way. Fifty-two-year-old Bhagavana Rao from Karimnagar district, who is currently undergoing treatment for hantavirus in a private hospital in the city, had suffered cardiac arrest while the doctors were attending to him.

“The patient could be revived when he suffered a cardiac arrest but his condition had deteriorated suddenly. In hantavirus patients, it takes very little time for the patient to go from normal to suffering a cardiac arrest or a kidney failure,” said Dr M.V. Rao, senior general physician at Yashoda Hospital, who treated the patient.

Also, with a number of suspected cases being reported from the State and as the awareness about the disease increases, more and more samples will be directed to the NIV, which will increase the time taken to complete the tests.

...

http://www.deccanchronicle.com/channels/cities/hyderabad/no-hanta-tests-patients-hit-757

Type of H-virus not identified
November 1, 2011 By Syed Akbar DC Hyderabad .

The Hantavirus cases reported from Karimnagar and Nellore districts will remain a “scientific mystery” as no virus culture or polymerase chain reaction tests were conducted on the blood samples obtained from patients.

Lab tests of blood samples from three patients in Nellore and one patient from Karimnagar were limited to just identifying the anti-Hantavirus IgM. No tests were conducted to identify the serotype or strain of the Hantavirus.

...
Dr K. Ramesh, research fellow from the National Institute of Epidemio-logy, Chennai, said they did not send the samples for virus strain identification. “We diagnosed the disease through antibodies,” he added.

Thus the strain or serotype of Hantavirus that had infected these four persons will remain a mystery. Senior virologist Dr Yogesh K. Gurav from the National Institute of Virology, who visited Hyderabad and other places, could not collect the blood samples from the patient as it would not help in identification of the virus. The only way to identify the strain is to catch infected rodents from the areas where the patients live.

“We have been advised to collect blood samples from patients with fever reporting from Karimnagar. Analysis of these samples by NIV will help in identification of the strain of the virus,” said Dr MV Rao, senior physician in Yashoda Hospital.

http://www.deccanchronicle.com/channels/cities/hyderabad/type-h-virus-not-identified-944

Hantavirus case turns out to be leptospirosisNovember 3, 2011 By DC Correspondent Nellore

The suspected hantavirus case in Brahmanapalli of Podalakur mandal turned out to be leptospirosis during tests in Chennai.

The victim, Abhinash of the village was taken to Chennai for treatment for continuous fever about 10 days ago. Initially it was suspected to be hantavirus. The medical reports of Vijaya Hospital, Chennai where he was treated indicate that the ailment is because of leptospirosis. He was brought back to the village on Wednesday as he responded to treatment and is recovering.

The district medical and health officer, Dr P. Dasaradharami Reddy, said that the report related to Hantavirus was negative. He said that both Hantavirus and leptospirosis are spread by rodents, pointing to similar symptoms. He said that leptospirosis cases were reported in the district in the past too.

Reacting to a question about the death of a 66-year-old woman of Nellore because of hantavirus about a month ago, he said that she was treated in Chennai and they did not have any reports to confirm the case. (that same woman from the first report in this post)

...

The DMHO also denied reports in vernacular dailies about hantavirus reported at Nayudupalli village in Marripadu mandal in a 65-year-old man. He said that he had examined the patient and records related to the treatment he took at Hyderabad. The reports indicate that he was treated for malaria and he was proved negative for hantavirus, the DMHO said.
http://www.deccanchronicle.com/chan...antavirus-case-turns-out-be-leptospirosis-458

There seems to be some misidentification going on largely due to the lack of a testing facility. However a second factor is the State's choice to count cases from public hospitals only. Both of these factors add a certain fuzziness to any outbreak reports in India.
 
Re: Karimnagar, Andhra Pradesh: Victim has died from suspected but not officially confirmed Hanta virus

Re: Karimnagar, Andhra Pradesh: Victim has died from suspected but not officially confirmed Hanta virus

Notice to hospital for Hantavirus claim
TNN | Nov 5, 2011, 04.42AM IST


HYDERABAD: District health authorities slapped a notice on a private hospital on Friday for declaring that it had a patient suffering from the rare Hantavirus and creating panic among people. The authorities served the notice to Yashoda Hospital after they received the patient's sample report from Manipal Medical College, that tested him negative for the virus. The 52-year-old man died of his medical condition on Wednesday. The hospital maintained it did not go wrong on the virus detection, but health authorities said they were now awaiting a report from the National Institute of Communicable Diseases, New Delhi, on the patient's sample.

...

However, Dr M V Rao, physician, Yashoda Hospital, who was treating Bhagavan Rao, who died two days ago after 'testing positive' for Hantavirus, said that the NABL recognized lab - Metropolis Laboratory, Mumbai - confirmed the virus after testing IGM antibodies. The samples were taken on October 21 by the hospital and the district health authorities drew samples on the night of October 30. There was a gap of 10 days. "The samples have not been analysed by NIV, Pune, so far. Unless and until we get a confirmation from NIV, conclusions cannot be drawn," said Dr Rao. Besides, the Yashoda Hospital authorities said that they had not received the notice till late evening on Friday.

However, later in the day, DHMO informed that since NIV could give the report only after a week due to the heavy workload, the samples were transferred to NICD from NIV on Friday. The officials said that the report is expected to come on Monday.

http://timesofindia.indiatimes.com/articleshow/10613850.cms
 
Re: Karimnagar, Andhra Pradesh: Victim has died from suspected but not officially confirmed Hanta virus

Re: Karimnagar, Andhra Pradesh: Victim has died from suspected but not officially confirmed Hanta virus

Andhra Pradesh | Updated Nov 02, 2011 at 06:01pm IST
A worrisome reality or hyped scare?
Express News Service , The New Indian Express

...

NIV Expert in hyderabad to Study Hanta Cases
The state government has invited an expert from the National Institute of Virology, Pune in Maharashtra following reports of Hanta virus in the state.
He is expected to reach here by Sunday evening.
According to sources in the department of health, the government has decided to invite the expert after watching the news of a corporate hospital claiming on October 28 that it was treating a first ?Hanta-infected patient? in the state.
There are also reports of two alleged deaths due to the mysterious virus in Nellore district.
The NIV expert will confirm whether the three patients were infected with Hanta or not.
He will also discuss with officials the symptoms of Hanta.

http://ibnlive.in.com/news/a-worrisome-reality-or-hyped-scare/198170-60-114.html
 
Re: Karimnagar, Andhra Pradesh: Victim has died from suspected but not officially confirmed Hanta virus

Re: Karimnagar, Andhra Pradesh: Victim has died from suspected but not officially confirmed Hanta virus

Andhra Pradesh | Updated Nov 12, 2011 at 12:00pm IST
NIV: No Hantavirus in Karimnagar
Express News Service , The New Indian Express

KARIMNAGAR: The National Institute of Virology, Pune on has confirmed that there was no Hantavirus in Karimnagar people but said that people were suffering from Viral Hemorrhagic Fevers (VHFs), said Karimnagar district medical and health officer Dr.Vishnu Mohan here on Wednesday night.


The NIV had recently collected blood samples from Choppadandi and Illannkunta mandals after two persons, suspected to be attacked with Hantavirus, died.

http://ibnlive.in.com/news/niv-no-hantavirus-in-karimnagar/201347-60-114.html
 
Re: Karimnagar, Andhra Pradesh: Victim has died from suspected but not officially confirmed Hanta virus

Re: Karimnagar, Andhra Pradesh: Victim has died from suspected but not officially confirmed Hanta virus

Andhra Pradesh | Updated Nov 12, 2011 at 12:00pm IST
NIV: No Hantavirus in Karimnagar
Express News Service , The New Indian Express

KARIMNAGAR: The National Institute of Virology, Pune on has confirmed that there was no Hantavirus in Karimnagar people but said that people were suffering from Viral Hemorrhagic Fevers (VHFs), said Karimnagar district medical and health officer Dr.Vishnu Mohan here on Wednesday night.


The NIV had recently collected blood samples from Choppadandi and Illannkunta mandals after two persons, suspected to be attacked with Hantavirus, died.

http://ibnlive.in.com/news/niv-no-hantavirus-in-karimnagar/201347-60-114.html

Viral hemorrhagic fevers? Which ones? One of the more likely VHFs in India would be HFRS, which is indeed caused by a hantavirus. Or might this be another CCHF outbreak?
 
Re: Karimnagar, Andhra Pradesh: Hantavirus ruled out in the death of 2

Re: Karimnagar, Andhra Pradesh: Hantavirus ruled out in the death of 2

Hanta virus threat to Warangal- Hyderabaddailynews.com
November 19, 2011
By hyderabad-news
Warangal: Now Hanta virus takes its turn after the Dengue mocking at the medical and health officials in the state in general and the district in particular. The name sounds quite new to the people. Rats act as vectors for the virus. When the virus enters man it causes severe fever with uncertain symptoms . The doctors have not yet officially established the effects of Hanta Virus but peculiar symptoms of typical viral fever could be attributed to it. The Virus sounds quite fatal if unattended by professionals so the rural people fall victims to it as they lack proper medical facilities. It does not allow for ‘wait and see’ casual attitude as the virus rapidly multiplies spreading toxins a effecting vital organs of the body. Dommati Satish Goud (32) belonging to Lohitha Village in Sangem mandal was admitted in MGM Hospital in Warangal with symptoms of severe fever where the doctors could not diagnose but doubted it to be due to Hanta Virus as fever did not subside . He was rushed to Gandhi Hospital where he succumbed to the disease. However, the district officials deny it to be due to Hanta Virus as the rumour was making rounds in the district. In this connection DMHO Dr Sambashivarao revealed to the Press persons that medical team would be sent to Lohitha Village to promote awareness among the villagers convincing them not to believe such rumours. The medical officer appealed to the people in the immedite environment and location of stay to sanitise regularly to keep the viruses affecting the people at bay

http://www.hyderabaddailynews.com/2011/11/19/hanta-virus-threat-to-warangal-hyderabaddailynews-com/


Hanta virus: Is it the new scare in the city?
Nov 19, 2011, 04.55AM IST TNN


SANGEM (WARANGAL): A toddytapper of Warangal district died on Friday, reportedly due to Hanta virus infection. However, medical and health department officials have refused to count it as a case of Hanta virus.

Dommati Satish, 28, of Sangem mandal who was suffering from viral fever since a fortnight, died while undergoing treatment at Gandhi hospital in Secunderabad.

He was shifted to Gandhi hospital on November 6. His body was shifted to his native village of Lohita for the final rites.

While the hospital officials claimed he was suffering from dengue, parents and relatives alleged that medical experts falsified the test reports, following pressure from the government.

Satish is survived by wife and two children. Some 'Hanta virus' deaths were reported from Karimnagar and Nellore districts, but authorities dismissed them as viral fever deaths.

http://m.timesofindia.com/PDATOI/articleshow/10788035.cms
 
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