Mali: 2020 Crimean-Congo Fever

[Shiloh]

Source: https://medicalxpress.com/news/2020-02-dead-congo-fever-outbreak-mali.html

February 5, 2020
7 dead in Congo fever outbreak in Mali

Seven people have died in an outbreak of Crimean-Congo hemorrhagic fever, also known as Congo fever, in a village in central Mali, an official said.

Yacouba Maiga, the spokesperson for the regional government of the central Mopti region, said that a shepherd "contracted the illness from an ox" in the village of Samoa in late January.

He was treated but the disease surfaced again on February 1 infecting 14 people and killing five, the official said.

Two other patients died while being transported to the town of Sevare, in central Mali, for treatment...

 

[kiwibird]

Mali CCHF

https://www.thailandmedical.news/ne...oll-7,-confirmed-infected-20,-more-suspected-

MORE BREAKING NEWS! CCHF Virus Outbreak In Mali, Dead Toll 7, Confirmed Infected 20, More Suspected.
Source: Thailand Medical News Feb 06, 2020
News is emerging that a viral infection that was last seen about 10 years ago has now emerged in the country of Mali as of the Ist Of February. So far 7 people have been confirmed dead and about 20 confirmed infected with many more suspected of being infected as a result of the virus outbreak... snip


https://www.mbs.news/a/2020/02/crim...-dead-in-14-cases-detected-within-5-days.html [h=1]Crimean-Congo Hemorrhagic Fever outbreak in Mali: 7 dead in 14 cases detected within 5 days[/h] snip...7 people who were caught in the Crimean Congo Hemorrhagic Fever (KKKA) died in Mali.

Ministry of Health officials stated that the KKKA epidemic has started in the Central Mopti region since the beginning of February....

 

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WEEKLY BULLETIN ON OUTBREAKS
AND OTHER EMERGENCIES
Week 6: 3-9 February 2020
Data as reported by: 17:00; 9 February 2020
...
Crimean-Congo haemorrhagic fever Mali

14 Cases
7 Deaths
50% CFR

EVENT DESCRIPTION

On 4 February 2020, the Ministry of Health and Social Affairs in
Mali informed WHO of an outbreak of Crimean-Congo haemorrhagic
fever (CCHF) in Mopti District, located in the south-eastern part of
the country, at the border with Burkina Faso. The event was initially
reported to the Mopti health authority on 1 February 2020 when a
cluster of community deaths occurred and case-patients manifesting
haemorrhagic symptoms presented to local health facilities in
Korientz? health area. The index case in this event was a 39-year old
male shepherd from K?ra village who fell ill on 5 January 2020
with symptoms of epistaxis, haematemesis and general fatigue. The
case-patient received unspecified treatment in the community and
later died on 11 January 2020. On 15 January 2020, an aunt of the
index case (who cared for him) developed a similar illness and died
on 23 January 2020 in the community. Between 27 and 30 January
2020, three other family members fell ill with a similar illness and
died in the community. During the same period, nine case-patients
from the same community presented to the local health facilities
with haemorrhagic symptoms. Blood specimens collected from the
nine case-patients in admission were analysed at the National Public
Health Institute. Of the nine specimens, three tested positive for
CCHF virus infection, thus confirming the outbreak.

Between 5 January and 2 February 2020, a total of 14 suspected
CCHF cases, including seven deaths (case fatality ratio 50%) have
been reported. Of the seven deaths, five occurred in the community
and two occurred in a health facility. A total of 13 out the 14 suspected
cases are females. Five case-patients remain admitted in healthcare
facilities and are receiving treatment. Further investigation into this
event is ongoing and updates will be provided as new information
becomes available.

PUBLIC HEALTH ACTIONS

The district rapid response team conducted initial outbreak
investigation in the affected community and commenced
implementing response activities. Preparations are ongoing to
deploy the national rapid response team to carry out detailed
epidemiological investigation and support local response.
Disease surveillance is being strengthened in the affected region
to facilitate early detection of suspected cases in the community
and health facilities.

Healthcare workers are being oriented to improve their capacity
to respond to the outbreak effectively.
Risk communication and community mobilization activities are
ongoing using various approaches and channels.

SITUATION INTERPRETATION

The Ministry of Health in Mali has confirmed an outbreak of CCHF in Mopti
district, an event coming after over a decade of no reported outbreaks of
the disease in the country. However, recent sero-prevalence studies in
both human and other animals demonstrated that the virus is circulating
in the country. The affected region is plagued with intense insecurity
resulting in a complex humanitarian crisis. Provision of and access
to healthcare services is severely compromised, with the region beng
categorised as hard-to-reach due to the deteriorating insecurity. As a
result, several of the initial cases died in the community at the beginning
of the outbreak. Because of these factors, the current outbreak has the
potential to escalate further. The national authorities and partners need
to conduct detained epidemiologic investigation to established the
extent of this event and institute proportionate public health actions to
bring it to a close.

https://apps.who.int/iris/bitstream/handle/10665/330862/OEW06-0309022020.pdf

 

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Translation Google

Hemorrhagic fever from "Crimea Congo": Cases notified in the region of Mopti

Posted on Saturday February 15th, 2020 | today

How? 'Or' What

Cases of hemorrhagic fever from “Crim?e Congo” were notified in early February in Mali, more precisely in the region of Mopti. Out of a total of 18 people affected, 09 died. To find out more about the risks and dangers linked to this disease, we spoke with Dr Dramane Samak?, infectiologist, head of the Medicine department at Somine Dolo hospital in Mopti.
Crimean-Congo hemorrhagic fever is a viral disease that causes a fever that is accompanied by various signs such as fever, headache, vomiting, diarrhea, and sometimes the patient may have bleeding.

According to Dr Dramane Samak?, infectious disease specialist, head of the medicine department at Somine Dolo hospital in Mopti, this is not a new disease. “Crimean-Congo hemorrhagic fever has existed since 1945. The first epidemic was discovered in Crimea and the second in Congo, which is why the disease is called the Crimean-Congo virus. It is an epidemic of which Mali has just recorded its first epidemic in the region of Mopti and a few days ago we recorded patients coming from a health area, especially in Korienz?, in the health district from Mopti.

These patients had fever, vomiting, diarrhea and some of them bleed during vomiting and bleeding in the urine, so we investigated when they were admitted. actually found that it is the Crimea-Congo virus that is at the origin of their disease, “he explained.

Certain measures are implemented for the management of suspicious cases, according to Dr Dramane Samak?: “The first thing is first of all the isolation of the patients when we suspect a case. This isolation makes it possible to limit contact with other people who are not sick. The second is to make analyzes to establish the exact diagnosis of the disease since there are other hemorrhagic fevers, so in front of such a table, we can evoke many causes of hemorrhagic fevers, but these are the investigations , the blood samples, which allow us to attach these signs to a very specific virus and the case here it is the Crimea-Congo virus which has been identified ”, he explained.

Patients are currently being followed in two health facilities in S?var?, including the hospital and another structure. As of February 1, 2020, 18 cases have been reported, including 09 deaths, but among these 18 cases, there are some who reported it from the village of Korienz?. “The 05 cases of death were recorded in the village and during follow-ups in the health district of Mopti, we recorded 03 cases of death and another case in another village. This makes a total of 09 deaths out of the 18 reported cases. It is important to note that not all of these 18 cases tested positive for the virus. We have 07 positive cases and when we know that people have come into contact with the first cases, the risk of contamination means that, subsequently,

Originally, you should know that Crimean Congo hemorrhagic fever is a disease which is transmitted first to animals by ticks and then to humans by handling the biological fluids from these animals during slaughterings. . Also ticks can directly infect humans through the bite. “When the first human case is identified, there is a first person who presents the signs of the disease, it is the latter who can transmit it to others through vomit, blood and any liquid which comes from this sick. When you come into contact with this liquid, you are contaminated ”, he continued.
...
Marie DEMBELE

http://news.abamako.com/h/229501.html