Madagascar - Plague 2015 -16

[Pathfinder]

Translation Google

Moramanga - Suspected pneumonic plague killed seven people

The CHRD Moramanga is overwhelmed because of the suspected outbreak of pneumonic plague.

08.26.2015 | 8:46 News

A suspected outbreak of pneumonic plague killed seven people in two days. The stock of medicines dry up the CHRD and pharmacy.

The "plague" hits the city of Moramanga. Since Monday, the Hospital District Reference (CHRD) of this town is overwhelmed because of a suspected outbreak, forcing it to isolate some of his patients.

In two days, four deaths were registered in the hospital but the district chief, Alain Mparany Rasolofonjatovo reports seven, three of which occurred outside of the hospital. Symptoms of diseases and tests performed by the doctors of CHRD let them deduce that these are cases of pulmonary plague.

"Quick Diagnostics Tests were conducted on patients admitted to hospital and the results indicate cases of pneumonic plague. Patients with symptoms such as fever, headaches, coughing up blood tinted and sudden death, "says Dr. Perfect Rakotoarisoa, attending physician at CHRD Moramanga.

According to him, since Sunday, eighty thousand doses of antibiotic Cotrim were sent to the hospital staff, patients and their entourages. The rural municipality of Ampasimpotsy station, located a half hour drive from the city is the most affected by this epidemic. The admission of patients to hospital is linked together.
...
"Four other persons are currently under treatment, but there is fear for the health of two of them. It was reported that other patients will be admitted to the hospital while treatment medications are inadequate or non-existent, but we have already made a request to Tana "added the doctor, yesterday, at the end of 'afternoon.

The people panic especially because the hospital is not the only one to run out of medicine, but also pharmacies. The Moramanga district chief reassures that local authorities do what they can. He recommends cleaning up the city, awareness of hygiene and attendance of the hospital in case of suspicious symptoms. He calls, however, the Ministry of Public Health to accelerate the supply of treatment drugs.

Apparently the plague season arrives early as the previous who made a hundred deaths throughout the country. Nevertheless, the unit Plague from the Pasteur Institute of Madagascar (IPM) claims not to have received samples of analyzes to confirm if it is actually cases of pneumonic plague.

Michella Raharisoa

http://www.lexpressmada.com/blog/ac...on-de-peste-pulmonaire-fait-sept-morts-41592/

 

[Pathfinder]

Translation Google

Madagascar: 8 deaths from plague , the epidemic under control

Put online 5 hours ago

Pneumonic plague has killed eight people in two days in central Madagascar, a country where the disease recurs almost every year, but the epidemic is under control, said Wednesday the Malagasy Ministry of Health.

Four people died in the village of Antsahatsihanarina, where the last case dates back to 2002, according to the Pasteur Institute of Madagascar. Four others died in hospital in the nearest town, Moramanga.

http://www.lesoir.be/972685/article...r-peste-fait-8-morts-l-epidemie-sous-controle

 

[Pathfinder]

Translation Google

Moramanga - Eight dead in twelve suspected cases of plague

Pneumonic plague is rampant in the city of Moramanga.

08.27.2015 | 8:45 News

Twelve suspected cases of pneumonic plague, including eight deaths are registered in the city of Moramanga. A delegation from the Ministry of Health is on site.

The toll mounts in Moramanga where a suspected pneumonic plague spreads psychosis, since Monday. According to a statement from the Ministry of Health yesterday, twelve suspected cases of plague are recorded in this locality, including eight deaths. Four of them occurred in the Hospital District Reference (CHRD) Moramanga since Monday, while the other four are recorded in the fokontany Tsiazompody, in the rural commune of Ampasimpotsy Station, a half hour drive from the city.

At the hospital, Dr. Perfect Rakotoarisoa, attending physician at Moramanga CHRD, is far from being less overwhelmed. "Today (yesterday), I have received three patients with symptoms of pneumonic plague including, fever, headache and blood stained sputum. I do not know if other patients go elsewhere, "he notes, confident that the epidemic now raging in his locality is pneumonic plague, as indicated by the results of Rapid Diagnostic Tests (RDTs).

Negligence

A massive delegation led by Secretary General of the Ministry of Public Health, Dr. Damoela Randriantsimaniry, management of health surveillance and epidemiological surveillance (DVSSE), the emergency and responses to epidemics and disasters (Sureca) the struggle against epidemic service and neglected diseases (plague Slmen-division), the central plague laboratory of the Pasteur Institute of Madagascar, ... is on site since yesterday. The descent is to, detect suspicious people in the area and take them over. Furthermore, identification of the epidemic is a priority of the delegation if the origin was the bubonic plague, or if it is purely pneumonic plague and so take the necessary measures.

Some people accuse, however, the delegation of neglecting the situation they deem, yet serious. "Instead of caring for the sick and provide drugs, the authorities came to speak to us on site to capture rats, to confirm the plague which is already in our city and kills! "Protested Meltine Ravao, a resident of Antanamandroso. The nerves are fried in this city, especially that the lack of medicines is not yet filled. Yesterday, WHO announced provision of twenty-one thousand bottles of streptomycin, to control the epidemic.

Michella Raharisoa


http://www.lexpressmada.com/blog/ac...-morts-sur-douze-cas-suspects-de-peste-41648/

 

[Pathfinder]

Translation Google

Plague in Moramanga - The Ministry of Health minimizes the danger

The CHRD Moramanga is overwhelmed because of the suspected outbreak of pneumonic plague.

08.28.2015 | 9:11

No drastic action is taken by the Ministry of Public Health facing the epidemic that has killed eight people. A doctor supports the risk of spread.

Calm. This expression summed up the attitude of the director of health surveillance and epidemiological surveillance (DSSVE) with the Ministry of Public Health, Dr. Maherison Ratsitorahina.

On the sidelines of a staffing hemodialysis generators University Hospital Joseph Ravoahangy Andrianavalona (CHUJRA) to Ampefiloha, yesterday, the President of the Republic, Hery Rajaonarimampianina said that the "plague raging in Moramanga is now under control , there is nothing to fear and that travelers can cross the intersection Moramanga without concerns. "

No action is thus taken to prevent further contamination of the plague in Moramanga. He reassures, however, that monitoring of the place of origin of the epidemic, the population in contact with sick and dead of the plague, by a multidisciplinary team will take place.

Since Monday, the epidemic of the Middle Ages killed eight people on twelve cases recorded in the health facilities of Moramanga. Yesterday, the attending physician at the Hospital District Reference (CHRD) Moramanga, Dr. Parfait Rakotoarisoa confirmed the deaths of two other people, one in the city and the other in the periphery.

Worry

To listen to the doctor, the dead are from the same family as the previous ones. The doctor does not hide his concern about the situation. He fears that the epidemic is already spread to neighboring towns "I think people have caught the disease in Antananarivo, in Anosibe An'Ala, in Ambatondrazaka and in Toamasina. Every day, about five hundred people are coming and going in our city. Know that pneumonic plague is transmitted even at a distance of 3 to 4m of a victim and not necessarily because of coughing but a simple breath, "says the doctor. He suggests to passersby in the Moramanga crossroads to take the medication necessary to prevent contamination of the epidemic.

The panic among some residents remains. Dishonest people are taking advantage of the situation to profit by increasing the cost of drugs for the treatment of plague. Fortunately, the Ministry of Health and WHO have filled the lack in health facilities.

http://www.lexpressmada.com/blog/ac...nistere-de-la-sante-minimise-le-danger-41721/

 

[Shiloh]

Source: http://www.who.int/csr/don/06-september-2015-plague/en/
[h=1]Plague ? Madagascar[/h] Disease outbreak news
6 September 2015

The Ministry of Health of Madagascar has notified WHO of an outbreak of plague. The first case was identified on 17 August in a rural township in Moramanga district. The case passed away on 19 August. As of 30 August, 14 cases, including 10 deaths, were reported. All confirmed cases are of the pneumonic form. Since 27 August, no new cases have been reported from the affected or neighbouring districts.
[h=3]Public health response[/h] The national task force has been activated to manage the outbreak. With support from partners ? including WHO and the Pasteur Institute of Madagascar ? the government of Madagascar is implementing thorough public health measures, including active case and contact finding, provision of chemoprophylaxis, case and contact management, enhanced epidemiologic surveillance, infection prevention and control (house disinfection), vector control activities, social mobilization, coordination and resource mobilization.
[h=3]WHO risk assessment[/h] WHO does not recommend any travel or trade restriction based on the current information available. In urban areas, such as Antananarivo, the surveillance of epidemic risk indicators is highly recommended for the implementation of preventive vector control activities.
[h=3]Background[/h] Plague is a bacterial disease caused by Yersinia pestis, which primarily affects wild rodents. It is spread from one rodent to another by fleas. Humans bitten by an infected flea usually develop a bubonic form of plague, which produces the characteristic plague bubo (a swelling of the lymph node). If the bacteria reach the lungs, the patient develops pneumonia (pneumonic plague), which is then transmissible from person to person through infected droplets spread by coughing. If diagnosed early, bubonic plague can be successfully treated with antibiotics. Pneumonic plague, on the other hand, is one of the most deadly infectious diseases; patients can die 24 hours after infection. The mortality rate depends on how soon treatment is started, but is always very high.
The current outbreak follows another plague outbreak that occurred in Madagascar between 2014 and 2015, with a peak in November 2014 when over 335 cases and 79 deaths were reported.

 

[Pathfinder]

Translation Google

And back (again) the plague, two children died

Friday, September 11, 2015, by L?a Ratsiazo

Apparently, plague leaves us no respite. The season of the plague, between the months of September to March, starts on hats wheel. We have a regular plague season as the rainy season or the season of harvest of vanilla! After pneumonic plague in Moramanga last month, two children of a the same family suffering from bubonic plague just died in Ambohidratrimo, Analamanga region. Their mother is still treated in hospital. Health authorities reassured the population and inform that the situation is under control. Medicines were distributed to relatives of the victims.

According to the health authorities, the absence of reliable diagnostic since the onset of the disease explains the deaths. They were treated for all other diseases except the plague. It is only when the two children died and the mother very weak that relatives were frightened, suspecting an outbreak.

Researchers and other scientists have been trying for a certain time to find answers to the persistence of this medieval epidemic in Madagascar.
...

http://www.madagascar-tribune.com/Et-revoila-encore-la-peste-deux,21447.html

 

[Pathfinder]

Translation Google

The plague affects five regions

The Ambalavao district was hit by the plague that left two deaths

10.29.2015 | 8:45

Rats infected with the plague arrived in the villages. Five regions namely Sofia, Vakinankaratra, Bongolava, Haute Matsiatra and Amoron'i mania have been affected in one week. The epidemic has killed four people. "Suspected cases of bubonic plague have been detected in the districts of Mandritsara, region Sofia, with a case in Faratsiho, Vakinankaratra region, another case in Tsiroanomandidy, Bongolava region. Eleven cases and two deaths were detected in Ambalavao, High Matsiatra region, with three cases, including two deaths in Manandriana, region Amoron'i mania "has declared the Ministry of Health yesterday. "the two patients registered in the district of Faratsiho and Mandritsara are on the road to recovery," says a statement from the Ministry of Public Health.

Action plan

Most disturbing is that the epidemic has already struck twice in four months, the districts of Manandriana, High Matsiatra region, Tsiroanomandidy, Bongolava region and Faratsiho in the region Vakinankaratra.
...

http://www.lexpressmada.com/blog/actualites/la-peste-touche-cinq-regions-46733/

 

[Pathfinder]

Translation Google

Miarinarivo - Two people succumb to the plague

11.12.2015 | 8:34 News, Social0

The plague makes more victims again. Two people from two separate municipalities of the district of Miarinarivo died on October 31, 2015, according to the accuracy of Dr. Bruno Randrema Marcellin, communications manager of the Division of the Plague Ministry of Health yesterday. "These individuals have died of a bubonic plague," he said. The cause of death has been confirmed by the Pasteur Institute of Madagascar, according to the report of the Ministry of Public Health. No other facts have been detected in two municipalities to date. ...

http://www.lexpressmada.com/blog/actualites/miarinarivo-deux-personnes-succombent-a-la-peste-48173/

 

[Pathfinder]

Translation Google

Health - At least thirty-two died of the plague in five months

01.05.2016 | 8:35

In five months, the plague killed at least thirty-two victims in Madagascar. The plague season should however only end around April.

Information that went almost unnoticed. Twelve people died from bubonic plague in Amparafaravola in December. This brings to at least thirty-two deaths due to this seasonal epidemics since the beginning of the plague season in August 2015.

The first cases of the plague season 2015-2016 were detected in Moramanga during the last week of August. Eight people had been reported dead of pulmonary plague. Twelve cases had been identified but the other four patients were quickly isolated to prevent the spread of disease, especially as pneumonic plague seems much more contagious than bubonic plague. Placed under surveillance and isolation, patients could go home once recovered well, and without risk of infecting others.

The situation appears to be under control quickly in Moramanga, but from September, two fatal cases were recorded in Tsiroanomandidy and two others in Ambohidratrimo. Then, on 18 and 24 September, two men aged 20 and 50 year old respectively have succumbed to the plague at Faratsiho in the Vakinankaratra. Eleven cases were detected, but supported on time, the other nine patients were saved.

Towards the end of October, the Ministry of Public Health has yet announced two deaths in Ambalavao, in the Haute Matsiatra, and two others in Manandriana in Amoron'i Mania. Other cases have been reported in other regions, but there were no deaths. Two days later, the "announcement" of official deaths from the plague concern Miarinarivo district. Until this famous report of the gendarmerie reporting twelve deaths in Amparafaravola, the number of plague victims thus amounted officially to twenty people.

Big panic

Two other people were admitted to hospital at the time when the twelve fatal cases reported by the police and confirmed by the Ministry of Health have been reported. But "they were able to go home after getting the necessary care," held to indicate Randrema Dr. Bruno, head of communication of the division plague from the Ministry of Health. The cases had been recorded since 15 December, but in the euphoria of celebrations, no public official communication on the subject had been made by the Ministry.
...
http://www.lexpressmada.com/blog/ac...te-deux-morts-de-la-peste-en-cinq-mois-52184/

 

[Pathfinder]

Translation Google

Epidemic - A most alarming report on plague

01.07.2016 | 8:35

Many plague cases are recorded throughout the island since the beginning of the plague season. Faced with this scourge, we must always remain vigilant.

Sixty-three patients died. This is the number of victims of plague recorded since August 2015. Of 174 recorded cases, 63 were fatal. A report more alarming that we had recently reported on the basis of official figures since August. According to Dr. Maherisoa Randriatsitorahina, director of the Directorate for monitoring and epidemiology surveillance (DVSSE), Tsiroanomandidy was the most affected district. Amparafaravola and Moramanga also paid a heavy price with respectively twelve and eight deaths, according to reports released.

This same doctor confirmed, however, that "compared to the previous year, the number of recorded deaths declined, although the figure is still important." Last year, the plague killed 79 patients out of 335 registered. And the danger has not yet passed. The end of the plague season corresponds to the rainy period.

...
http://www.lexpressmada.com/blog/actualites/epidemie-un-bilan-plus-alarmant-sur-la-peste-52403/

 

[Pathfinder]

Translation Google

Mahitsy - A boy victim of the plague

01.18.2016 | 8:35

After Amparafaravola, Tsiroanomandidy, Ankazobe, plague returns to Ambohidratrimo. A 10 year old boy is the victim.

The plague epidemic continues to wreak havoc. Tsiory Rakotojaona Arnaud, a 10 year old boy living in the fokontany Miadapaonina in the town and Mahitsy Ambohidratrimo district, died of the plague in the hospital Bejofo Mahitsy, January 14th, 2016 at 5 in the morning of According to a statement of the gendarmerie. This would be the bubonic plague, according to our source. Plague epidemic officials have mobilized to disinfect the hospital and the child was buried in a common grave. No other patient has been declared or in the village of the deceased or in the Bejofo hospital until yesterday.

"The problem is the delay in care. The victims prefer to consult traditional healers rather than join hospitals. Yet over the treatment of the plague is delayed, the greater the risk of death, "adds a doctor who declined to reveal his identity.

This boy is a victim of this support behind. "His family has taken time to reach the hospital," says one.

Threatening

During the week of January 7, 2016, the Ministry of Public Health has provided sixty three deaths since August 2015. This figure rose to sixty-four, with the last case happened in Ambohidratrimo.
...


http://www.lexpressmada.com/blog/actualites/mahitsy-un-garcon-victime-de-la-peste-53253/

 

[Pathfinder]

Translation Google

Epidemic of plague - Sixty eight deaths in five months

02/04/2016 | 8:30 News, Social
...
High mortality caused by the plague. Dr Charlotte Ndiaye, Resident Representative of the World Health Organization in Madagascar, has brought to light the situation of the epidemic of plague. "This year we had a hundred and eighty patients, especially in the highlands, with high mortality: sixty eight deaths," she revealed to reporters yesterday at the presentation of equipment and inputs for the fight against the plague and Ebola, at the university hospital Joseph Ravoahangy Andrianavalona.

According to the Ministry of Health, these data date from August 2015 start of the season of the plague, to January 2016. "This January 2016, there were twenty-one patients and four deaths suspected of being caused by this disease. The last case was two weeks ago . Ambohidratrimo, Antanifotsy, Ambohimahasoa, Ambatondrazaka, Arivonimamo, Manandriana are districts that are affected by this epidemic this year, "was explained.

Moramanga has been most affected by this epidemic in this season, with pneumonic plague that killed ten people in August 2015. The outbreak was also reported in other cities, namely Amparafaravola, Tsiroanomandidy and Fandriana.
...
http://www.lexpressmada.com/blog/ac...peste-soixante-huit-deces-en-cinq-mois-54664/