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Mystery illness kills three more in Moruca (Guyana)

alert

Senior Moderator
http://www.stabroeknews.com/2009/news/local/08/18/moruca-mystery-illness-claims-three-more-lives/

Moruca mystery illness claims three more lives
By Stabroek staff | August 18, 2009 in Local News The Ministry of Health (MoH) continues to monitor a gastro-like illness affecting residents in Region One (Barima/Waini) even as new reports surface of recent deaths in the Moruca Sub-Region .

Minister within the MoH, Dr Bheri Ramsarran, told Stabroek News yesterday that he has observed reports in the media about new cases and had spoken to his staff at the Ministry, advising them ?to get coordinates together? as the unit monitors the illness. He said some of the cases may be from the past but may have been reported as new cases. When questioned about the analyses of tests conducted on samples taken from affected persons in the area by health team officials who visited Region One last month, Ramsarran said that the Director of the Regional Health Services (RHS), Dr Narine Singh was dealing with the issue. When contacted yesterday, RHS staff told this newspaper that Dr Singh was on vacation leave.

This newspaper was informed by a resident in the Moruca Sub-Region yesterday that there had been three recent deaths within the past two weeks in the area. The resident said that the deceased were from the village of Kariaco, located several miles away from Santa Rosa along the Barama River. Two of the three persons were identified as Compton Toney and John Charles, both middle-age men who had been experiencing symptoms of diarrhoea and vomiting prior to their deaths. The other person was identified as a toddler and according to a source at the Kumaka District Hospital, at Moruca, one of the two men was taken to that medical institution for treatment prior to his death.

Stabroek News understands that officials from the health department, including medex Lalita Rebeiro, who is attached to the hospital at Moruca, has since ventured into the Kariaco area to distribute medicine. Residents in the Moruca-Sub Region told this newspaper that the situation is worrisome noting that they are still to receive information on the results of sample tests conducted by a visiting RHS team last month. One resident informed that persons displaying symptoms of the ailment are still being admitted to the hospital at Moruca while there are also reports of similar cases at the Mabaruma District hospital. Attempts to obtain a comment from Regional Chairman Fermin Singh yesterday were in vain, while a staff member of the Administrative Office of Region One, located at Mabaruma, said that Regional Executive Officer for the region, Mary Williams was in Georgetown.

Early last month, this newspaper first reported on the deaths of four persons from the Moruca Sub-Region who had complained of feeling unwell and displayed symptoms of vomiting and diarrhoea. These included 32-year-old Moruca resident Calvin Charlie and his 63-year-old mother, Helena Charlie, who passed away one week after her son died. At the time the Regional Chairman reported that two other persons from Port Kaituma, also in the North West District, succumbed to the ailment. Richard Allen, Vice chairman of the Neighbourhood Democratic Council at Port Kaituma, had told this newspaper around that time that 15 persons were admitted to the hospital in the area suffering from dehydration due to diarrhoea and vomiting but were discharged a few days later after being treated.

Calvin Charlie?s death, according to his death certificate which was seen by this newspaper, was as a result of dehydration, even though he had been hospitalized for four days and given IV drips. His mother?s cause of death was listed as a result of diarrhoea and vomiting.
Several days later, 10 month- old Troydon Thornhill and pensioner Albert De La Cruz, both of Moruca, passed away after experiencing bouts of diarrhoea and vomiting. The deaths of the two Moruca residents were disputed by the Ministry of Health, with the RHS Director stating that Thornhill?s death related to a kidney problem while De La Cruz succumbed to heart failure.

Dr Singh had said that the Moruca Sub-Region was usually affected by diarrhoea and vomiting whenever the rainy season begins as persons there usually use water from nearby creeks and rivers for cooking and consumption. He urged residents living in outlying areas to take precautionary measures where the use and consumption of water is concerned.

A Cuban doctor has since been placed at the hospital in Moruca while plans are in place to have students, who recently completed studies in Cuba, sent into outlying areas.
 
Re: Mystery illness kills three more in Moruca (Guyana)

The comments on the above article from people in the area:

Alekuna/Macushi says:
August 18, 2009 at 10:03 am
Diarrhoea and vomitting is not a ?mystry illness?. It should be cured medically.

Reply
BORAPORK says:
August 18, 2009 at 11:39 am
Diarrhea and vomiting are the symptoms. The disease still remain a mystery.

Sranan says:
August 18, 2009 at 1:36 pm
I don?t understand this, you don?t know what ills them but you?re giving them medicine.

Reply
cargie says:
August 18, 2009 at 6:23 pm
Sounds like its a waterborne illness.

Reply
Caesar Agustus says:
August 18, 2009 at 9:13 pm
What the hell is taking the ministry so long to minister diagnosis?
 
Re: Mystery illness kills three more in Moruca (Guyana)

http://www.flutrackers.com/forum/showthread.php?p=268240

The above post (almost two months ago) mentions six deaths from the same illness in the same area. Laboratory results would be very informative. This really seems like cholera or bacterial dysentery, not a mystery illness, but the local media there keeps calling it a mystery illness. Perhaps the problem is a parasite or something of that nature.

ProMed completely has missed this one. Perhaps someone should send some of the articles there.
 
Re: Mystery illness kills three more in Moruca (Guyana)

Almost anything is possible here, given the symptoms. Alert, we should call you the "mystery disease guy." :D
 
Re: Mystery illness kills three more in Moruca (Guyana)

The symptoms don't tell us much, but the epidemiology does. An outbreak of diarrhea and vomitting in a fairly large area that goes on for over two months with sporadic fatalities (mostly due to dehydration) is almost certainly waterborne. Cholera and bacterial dysentery are the leading candidates, with a parasitic illness also possible. One of the earlier articles mentions Rotavirus as a possiblility, but that is not consistent with the age distribution of these cases. That would primarily infect little kids, which is not what we see here.

Also of note is that EVERY article on this outbreak has come from a single source, and this new article speaks disapprovingly of the local health professionals. One source repeatedly talking about a mystery illness and bashing the local health response is often code for political motives to expose the lack of health infrastructure.

And I don't want to be the mystery illness person...
 
Re: Mystery illness kills three more in Moruca (Guyana)

Almost anything is possible here, given the symptoms. Alert, we should call you the "mystery disease guy." :D

. . . And I don't want to be the mystery illness person...

alert, you do seem to have a knack for finding "mystery" illnesses in obscure corners of the world. Usually they are "mystery" illnesses only during the initial outbreaks while we try and sort out what it actually is. Your contributions here are very much appreciated, so please keep posting those "mystery" illnesses.
 
Re: Mystery illness kills three more in Moruca (Guyana)

What's that saying about infectious diseases, "If you hear the sound of horse hoofs in Central Park - it's probably just horses. But in this day and age, it might be a zebra." And if it's not a horse or a zebra but a unicorn (something never seen before) then you'll probably read about on Flutrackers! Thanks alert. :)
 
Re: Mystery illness kills three more in Moruca (Guyana)

By unicorn, do you mean an illness that doesn't exist? Because we try not to post those...

But if unicorn means simply something EXTREMELY unusual, then yeah, we do try to post those here. But this outbreak doesn't nearly qualify as a unicorn.

It is becoming obvious to me, though, that I am posting undiagnosed outbreaks that would not have been posted on FT before I joined. I find that extremely odd, as I have no special knowledge and no special sources...
 
Re: Mystery illness kills three more in Moruca (Guyana)

. . . It is becoming obvious to me, though, that I am posting undiagnosed outbreaks that would not have been posted on FT before I joined. I find that extremely odd, as I have no special knowledge and no special sources...

Dedication, diligence, and a desire to contribute count for a lot here at FT.
 
Re: Mystery illness kills three more in Moruca (Guyana)

By unicorn, do you mean an illness that doesn't exist? Because we try not to post those...

But if unicorn means simply something EXTREMELY unusual, then yeah, we do try to post those here. But this outbreak doesn't nearly qualify as a unicorn.

It is becoming obvious to me, though, that I am posting undiagnosed outbreaks that would not have been posted on FT before I joined. I find that extremely odd, as I have no special knowledge and no special sources...

Yes, by unicorn I mean something extremely unusual.
Thank you Alert for all these postings! :applause:
 
Re: Mystery illness kills three more in Moruca (Guyana)

http://www.stabroeknews.com/2009/stories/09/01/eight-newly-trained-doctors-for-northwest/

Eight newly-trained doctors for northwest
By Alva Solomon | September 1, 2009 in Local News -as concerns continue over gastro-like illness
Eight Cuba-trained Guyanese doctors will be sent to the northwest in the coming days with a team from the Ministry of Health (MoH) as reports continue of a gastro-like illness that has claimed several lives but which the authorities since June have been unable to clearly identify.

However, Minister in the Minister of Health, Dr Bheri Ramsaran said there had not been any new cases of persons suffering from the ailment and the ministry is currently monitoring the situation.

Ramsaran dispelled reports of the death of a 20-year-old male resident of Matthews Ridge, located in the Matarkai sub-region, of the illness, noting that a medical team, which included Chief Medical Officer, Dr Shamdeo Persaud, only returned from the area on Friday.

The minister told Stabroek News that the MoH is examining ways to upgrade the medical capacity of Community Health Workers (CHW) in the region. The Minister said that health officers are taking samples from residents in the area on a frequent basis to be on top of the situation.

Ramsaran said that it was discovered, following tests conducted on persons who succumbed to the illness that most of the deaths were related to dehydration. He said this is one of the major reasons why the Health Ministry is working on upgrading the standard of the services offered by CHWs in the area.

The Health Minister also stated that a team from the MoH, including eight Cuban trained medical doctors who recently returned from studies, will be dispatched to the North West in the coming days to assist medical staff stationed there. The team will be accompanied by several Cuban doctors who will be on hand to provide medical support.

When contacted yesterday, Ramsaran said that he had just completed discussions on the illness with Toshao James of the village of Kariaco, located in the Moruca sub-region. Stabroek News had reported two weeks ago on the deaths of three persons from Kariaco, who succumbed to vomiting and diarrhoea, symptoms associated with the ailment.

The three persons were identified as Compton Toney, John Charles, both middle-aged men, as well as a toddler. Staff of the health department, including medex Lalita Rebeiro, who is stationed at Moruca, subsequently went into the Kariaco area to distribute medicine.

A resident of Citrus Grove, Port Kaituma, told Stabroek News yesterday there has been a reduction in the number of persons seeking treatment at the Port Kaituma Hospital, noting that residents in the area have been taking precautionary measures in dealing with the ailment.

The illness has been affecting residents in the Region One area since June, particularly in the Moruca sub-region.

This prompted the MoH to immediately dispatch teams from the Regional Health Services (RHS) of the Ministry to Region One to ascertain the extent and cause of the illness.

Following the earlier deaths of Moruca residents Calvin Charlie, 32, his 63-year-old mother, Helena Charlie, pensioner Albert De La Cruz and a toddler, Troydon Thornhill, residents in the area had expressed concern about the safety of their health. Calvin Charlie?s death, according to his death certificate, which was seen by this newspaper, was as a result of dehydration, even though he had been hospitalized for four days and given IV drips. His mother?s cause of death was listed as a result of diarrhoea and vomiting.

The MoH had disputed the cause of the deaths of De La Cruz and Thornhill noting that the latter had a kidney problem which led to his death and stated that De La Cruz died after suffering heart failure. There had also been several deaths at Port Kaituma, as well as cases of persons seeking treatment for the ailment at the Mabaruma District Hospital.

RHS teams which have since been dispatched to Region One had initially concentrated their efforts in the Moruca sub-region where the cases were more prevalent. The teams then fanned out to other areas in the region including Koriabo, in the Mabaruma sub-region, where there reports of persons suffering from the ailment. RHS Director Dr Narine Singh, told Stabroek News several weeks ago that the illness was as a result of persons in the area using water from nearby rivers and creeks.

He said at the time that the root of the problem related to persons in outlying areas being reluctant to seek medical attention at hospitals in the area in a timely manner.
 
Re: Mystery illness kills three more in Moruca (Guyana)

Does it really take three months to confirm cholera or dysentery in this area???

http://www.stabroeknews.com/2009/stories/09/30/north-west-still-awaits-word-on-mystery-deaths/

North West still awaits word on mystery deaths
By Stabroek staff | September 30, 2009 in Local News -reports down

Three months after a gastro-like infection surfaced in the North West District and claimed the lives of several persons in the Moruca sub-region, the results of tests conducted on some afflicted persons are still being analyzed.

Dr Narine Singh, Director of the Regional Health Services (RHS) of the Ministry of Health (MoH), told Stabroek News yesterday that the illness ?appears to have calm[ed] down,? noting that the department has not received any recent reports of persons being affected by the illness within the Region One area. Singh said the RHS is awaiting a report on the results of tests conducted by the MoH through the National Reference Labora-tory of the Georgetown Public Hospital, where the tests are being analyzed.

He said the cause may be an infectious agent, either causing a viral or bacterial infection but he noted that the test results would give a better indication. He said that in the case of a bacterial infection, a significant amount of time may be expended to carry out such analyses.

In the meantime, the RHS director stated that the department is continuing to monitor the affected region as well as other regions across the country, carrying out what he termed, ?continued daily surveillance.? He said the RHS base in Georgetown would generally undertake weekly checks with the various regions but noted that daily checks are currently in place to be on top of health issues across the country.

Residents in the Moruca sub-region, where the cases were prevalent two months ago, told this newspaper recently that there were fewer cases of persons seeking treatment at nearby medical institutions. They said that the present dry weather being experienced in the area may be one of the reasons why the spread of the illness may have abated.

A resident of Santa Rosa told Stabroek News yesterday that the medex who is based at the Kumaka District Hospital in the area had been visiting several areas within the Barama River to carry out medical inspections. At the same time, the resident said that persons in the area are awaiting the results of tests conducted on affected persons by health officers several weeks ago, noting that persons will be better prepared to deal with the illness if its causes are known.

Minister within the MOH, Dr Bheri Ramsarran told Stabroek News late last month that the MoH is examining ways to upgrade the medical capacity of Community Health Workers (CHW) in the region. Ramsarran said that it was discovered, following tests conducted on persons who succumbed to the illness, that most of the deaths were related to dehydration.

He said this was one of the major reasons why the MoH was working on upgrading the standard of the services offered by CHWs in the area.

After the first reports of deaths relating to the illness by this newspaper, the MoH immediately dispatched teams from the RHS to Region One to ascertain the extent and cause of the illness.

Following the earlier deaths of Moruca residents Calvin Charlie, 32; his mother, Helena Charlie, 63; pensioner Albert De La Cruz and a toddler, Troydon Thornhill; residents in the area had expressed concern about the safety of their health. Calvin Charlie?s death, according to a death certificate seen by this newspaper, was as a result of dehydration, even though he had been hospitalized for four days and given IV drips. His mother?s cause of death was listed as a result of diarrhoea and vomiting.

The MoH had disputed the cause of the deaths of De La Cruz and Thornhill, stating that the latter had a kidney problem which led to his death while De La Cruz died after suffering a heart failure. There had also been several deaths at Port Kaituma, as well as cases of persons seeking treatment for the ailment at the Mabaruma District Hospital. RHS teams had fanned out to other areas in the region including Koriabo, in the Mabaruma sub-region, where there were reports of persons suffering from the ailment.

There were also reports of the illness spreading to the Matthews Ridge area, within the Matakai sub-region, including the death of a 20-year-old male who reports indicated, had been suffering from symptoms associated with the illness. Those reports were however dispelled by the MoH.

The RHS Director told Stabroek News earlier that the illness was as a result of the manner in which persons in the area used water sourced from nearby rivers and creeks.

He also said at the time that the root of the problem related to persons in outlying areas being reluctant to seek medical attention at hospitals in the area in a timely manner.
 
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