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Nepal - Emerging Disease

Re: 'Mystery' disease kills 8 in Nepal

Re: 'Mystery' disease kills 8 in Nepal

Dept refutes mystery disease news
The Rising - Oct 18 2006

KATHMANDU, Oct. 18: The Department of Health Services, Epidemiology and Disease Control Division has refuted any mystery disease behind the recent deaths that took place at Belapur VDC of Dadeldhuda District.

Talking to the RSS, Chief of the Division Dr. Manas Kumar Banerjee said that the study conducted by the public health administrator, medical officer from the District Health Office, Dadeldhuda and two local journalists who were assigned in the area following the news published in some newspaper reporting that more than 400 persons have been infected and nine deaths due to a mystery disease in the area did not find such disease in the area.

The medical examination carried out by the team to a total of 278 persons of Belapur VDC-4 found out that of those falling in the village, 40 per cent were suffering from the chronic stomach ailment, 40 per cent with respiratory disease and 20 per cent with normal cough and cold.

Regarding the death, the investigation team found out that five persons who died in the area after September 22 were not due to any mystery disease but were suffering from hepatitis, asthma, paralysis, epilepsy and kidney problems, the Division stated.

Back to Indonesia ...
 
Re: 'Mystery' disease kills 8 in Nepal

Re: 'Mystery' disease kills 8 in Nepal

So...people with those ailments were out in the fields tending to livestock? Paralysis?!...weren't 4 of the 8 children?

christian said:
Dept refutes mystery disease news
The Rising - Oct 18 2006

Regarding the death, the investigation team found out that five persons who died in the area after September 22 were not due to any mystery disease but were suffering from hepatitis, asthma, paralysis, epilepsy and kidney problems, the Division stated.

Back to Indonesia ...
Click to expand...
 
Re: 'Mystery' disease kills 8 in Nepal

Re: 'Mystery' disease kills 8 in Nepal

Thanks to Steveosteen form the French FT forum
The story made Agence France Presse (AFP) news.

Wordlingo seem down today but I manage to find a related news in english from a local nepal paper.

http://www.kantipuronline.com/kolnews.php?nid=90030

[FONT=Verdana,Arial]36 die of unknown illness in Banke
[/FONT]


BY JANAK NEPAL
BANKE, Oct 31 - Thirty-six people have died of an "unknown" disease that has spread in six villages in the district in the last two weeks, according to latest updates.

More than 50 people have been affected by the ailment.

In Phattepur VDC alone, 23 people have died due to the disease. According to Nedeer Khan, a local, 11 people from Prirahawa village of ward number 4 and 5 of the VDC; seven from Nagakaipur village; three from Phattepur village and two from Hardaiwa village have died.

Likewise, 10 people died of the disease in Gangapur and three in Narainapur village-one died during treatment in Nepalgunj Hospital on Sunday, while two had died in the Gangapur earlier.

Viral fever, body ache, shivering and sudden unconsciousness are some of the symptoms of the "mysterious ailment", locals said.

Almost every household in these villages has at least one member suffering from the ailment, locals claimed. Many victims have not received any medical care so far due to the poor financial condition of these impoverished families.

Several patients have been going to local drugstores asking for help. "About 30-35 patients come to us daily. As we do not have any means to diagnose the ailment, we have been giving antibiotics to the patients assuming it is common cold," said a local pharmacist, requesting anonymity.

Meanwhile, health agencies are yet to send medical teams to the villages in the region. Doctors and medicines had still not reached the region even until Tuesday afternoon.

The district health office had received information that the disease had spread in the region on Friday. Although the medical team was scheduled to arrive at the area today, latest reports state that the doctors are yet to leave Nepalgunj.

Although the "mystery" disease that has affected over 150 people in six villages of four VDCs is suspected of being Malaria, blood tests conducted by a team of Malaria inspectors and lab assistants yesterday failed to identify aliment.

"In the absence of electricity, our equipments failed to identify the disease", the team was quoted saying.

However, malaria medicine has already been administered to patients whose condition has become critical, Gangapur Health post in charge Narayan Sharma said.

Meanwhile, the seven party leaders of Banke have accused their respective parties of neglecting the possibly epidemic nature of the situation. An emergency meet of the leaders is going on in Banke.

"We are shocked at the disregard shown by the health agencies," secretary of CPN-UML Banke Devraj Bhar said, adding, "A team of specialists should be immediately dispatched to the region." .



Posted on: 2006-10-30 22:06:29 (Server Time)
 
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Re: 'Mystery' disease kills 8 in Nepal

Re: 'Mystery' disease kills 8 in Nepal

http://fallingrain.com/world/NP/0/Banke.html
Here is a map showing where Banke is in Nepal. It sits just across the border from Uttar Pradesh in India.
map.cgi


Here is a map of Malaria and the different vectors. (CDC: http://www.cdc.gov/Malaria/biology/mosquito/map.htm)


map.gif
<!-- #################################### --><!-- BEGIN SiteCatalyst/Omniture code here--><!-- Version: 1.2 - Date Created: 08/04/2004--><SCRIPT language=JavaScript type=text/javascript><!--var s_pageName=document.titlevar s_channel="CDC Malaria"var s_prop1= s_pageName + " ^ " + s_channelvar s_code=' '//--></SCRIPT><SCRIPT language=JavaScript src="http://www.cdc.gov/JScript/s_code.js" type=text/javascript></SCRIPT><SCRIPT language=JavaScript type=text/javascript><!--var s_wd=window,s_tm=new Date;if(s_code!=' '){s_code=s_dc('cdcgov');if(s_code)document.write(s_code)}elsedocument.write('<im'+'g src="http://mtrics.cdc.gov/b/ss/cdcgov/1/G.5--FB/s'+s_tm.getTime()+'?[AQB]'+'&j=1.0&[AQE]" height="1" width="1" border="0" alt="" />')//--></SCRIPT>




According to the CDC map Banke is within a region that can get Malaria.


http://www8.fallingrain.com/wx.cgi?lat=28.0333&long=81.6167&name=Banke&what=TMP

According to the temperature readings from Banke, it appears they are bouncing between 75 degrees farenheit during the day and 45 during the night.

The conditions do lend themselves to the possiblity of the Malaria, although the fact that they have been unable to detect Malaria is cause for concern.
 
Re: 'Mystery' disease kills 8 in Nepal

Re: 'Mystery' disease kills 8 in Nepal

Couple days old:

Mystery disease stalks Banke

Himalayan News Service
12 people in remote villages die in 10 days

Banke, October 29 :

Twelve persons have died and around 400 others have fallen sick from an unknown disease in the past ten days which has spread in the eastern parts of Banke district.
Gangapur, Fattehpur, Narainapur VDCs are badly hit by the disease. Twelve people have died from the disease in Gangapur and Fattehpur VDCs till today, Banke, District Public Health Office, said. A total of 150 have fallen sick in Gangapur alone, it added.
Meanwhile, INSEC facilitator Sohan Lal Yadav, who arrived in Nepalgunj today, confirmed three deaths from the unknown disease in Kotarbetuwa of Gangapur VDC, five deaths in Sonbarsha and nine in Fattehpur?s Piprahawa, two in Narainapur. Every household is affected by the disease, he added.
Ram Bahadur Chand, the head of the Epidemiology Control Programme under the DPHO said three persons including Dataram Dhobi died from the disease in ward no 8 of Gangapur VDC, three including Sabitram Pachhi, Dukhiram Pachhi and a woman died in ward no 2 and one person died in ward no 7 of the same VDC.
Five persons died of the disease in ward no 5 in Piprahawa and Jhagariya of Fattehpur VDC. Three of them were from a single family, he said. Chand said the exact casualty figure is yet to reach because the affected places are remote.
?A health worker Narayan Prasad Sharma reported over telephone that people are dying and the exact figure is yet to arrive,? he said, adding that a team of five health workers equipped with lab test kits and medicines have left. ?The team will conduct blood tests and confirm the reports after which an expert team will visit the place?, he added.
Patients are suffering from fever, shivering, stomach-ache and respiratory problems,
he said.
 
Re: 'Mystery' disease kills 8 in Nepal

Re: 'Mystery' disease kills 8 in Nepal

If the numbers of dead is at least 36, as reported in post 9, and the number of infected as of October 29th was about 400, as reported in post 11, then we are looking at a disease that is having a CFR of roughly 10%.

It would be really nice to get some news on what exactly is going on in Nepal.
 
Re: 'Mystery' disease kills 8 in Nepal

Re: 'Mystery' disease kills 8 in Nepal

I am thankful for your efforts here. While this still may or may not be related to pandemic influenza it is still something to *watch*. My heart goes out to those suffering in Nepal.

Anyway, I just wanted to say thank you.
 
Re: Nepal - Emerging Disease - Malaria Suspected

Re: Nepal - Emerging Disease - Malaria Suspected

UNDIAGNOSED DEATHS - NEPAL (BANKE) (02): MALARIA SUSPECTED
***************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases <http://www.isid.org>
Date: 2 Nov 2006
From: Joe Dudley <JDUDLEY@EAICORP.COM>
Source: Times of India [edited]
<http://timesofindia.indiatimes.com/articleshow/291259.cms>

The mystery disease that has spread in some villages of Banke district in mid-western Nepal for the past 2 weeks was diagnosed as cerebral malaria, The Himalayan Times reported on Thursday [2 Nov 2006].
Talking to the daily, advisor to the Health Ministry Mahesh Maskey said a medical team reached the affected villages with essential equipment and medicines on Wednesday [1 Nov 2006] to examine the patients.
"The disease was diagnosed as cerebral malaria (a severe type of malaria), after examining blood samples of some patients," Maskey said. Fifteen of the patients were found infected with malaria.
"Cerebral malaria is transmitted after being bitten by a female mosquito of 'anopheles' species. This kind of malaria directly affects the brain so a person infected with this malaria dies within few days, " Maskey said.
According to the daily, as many as 36 people have died of an "unknown" disease that has spread in 6 villages in Banke district.
 
Re: Nepal - Emerging Disease - Malaria Suspected

Re: Nepal - Emerging Disease - Malaria Suspected

Just highlighting some key points.

Laidback Al said:
UNDIAGNOSED DEATHS - NEPAL (BANKE) (02): MALARIA SUSPECTED
***************************************
A ProMED-mail post

..."The disease was diagnosed as cerebral malaria (a severe type of malaria), after examining blood samples of some patients," Maskey said. Fifteen of the patients were found infected with malaria
According to the daily, as many as 36 people have died of an "unknown" disease that has spread in 6 villages
....
Click to expand...
 
Re: Mystery illness kills at least 20 in Nepal in the last 10 days

Re: Mystery illness kills at least 20 in Nepal in the last 10 days

Any body know what happened to our Mystery Illnesss? The lab reports of some knd should be back by now I woudl guess and are others sick? I get concerned about the silence.
TM


Snowy Owl said:
Mystery illness kills at least 20 in Nepal
http://today.reuters.com/News/CrisesArticle.aspx?storyId=B145880

All thanks to Reuters for their Public Health Information Services

KATHMANDU, Oct 31 (Reuters) - A mysterious disease has killed at least 20 people in two villages of west Nepal over the past 10 days, and hundreds more are sick, a health official said on Tuesday.

"People suddenly catch high fever, start shivering, faint and then die," said Ram Bahadur Chand, a senior official the district public health office in Nepalgunj, 321 km (201 miles) west of the capital, Kathmandu.

Local media reports put the death toll at 36 from four remote villages near Nepalgunj.

"We have 20 confirmed deaths so far and more than 300 people are suffering from the unknown disease," Chand told Reuters.

He said 200 blood samples had been collected and medical workers had reached the affected villages.

Each year Nepal's rickety health infrastructure run by a mere 1300 doctors in 87 hospitals around the country deals with hundreds of thousands of cases of pneumonia, cholera, fever, diarrhoea and tuberculosis.

Many of the poor Himalayan nation's 26 million people are either unable to afford the cost of medical treatment or do not have access to basic health care.​
Click to expand...
 
Re: Mystery illness kills at least 20 in Nepal in the last 10 days

Re: Mystery illness kills at least 20 in Nepal in the last 10 days

The diagnosis does not fit the classical symptoms, but malaria has been called the "great imitator" (also used to described 1918 influenza). Cough was one of the symptoms mentioned in previous reports on this outbreak :confused:

http://www.kantipuronline.com/kolnews.php?&nid=90199

Banke epidemic is ?cerebral malaria?

PR

GANGAPUR (BANKE), Nov 1 - A team of doctors, who reached here Wednesday, have diagnosed the "unidentified" epidemic that has already claimed 36 lives in the area as 'cerebral malaria', after examining blood samples from the patients.

"After tests we are fully convinced that it is malaria. We have referred the seriously ill to hospitals," said Dr Mahesh Maskey, advisor to the Ministry of Health.

Medical teams have been running health camps at Piprahawa of Phattepur VDC and Sonbarsa village of Gangapur VDC. Hundreds of locals at Phattepur, Gangapur, Holiya and Narainapur have been suffering from the malady doctors said.

3 more die

The epidemic claimed three more lives in Phattepur and Narainapur villages on Wednesday. According to locals, Baur Khan, 40, and Satan Baskor, 4, of Narainapur and Kebal Nau, 8, of Phattepur-5 died of the illness.

Posted on: 2006-11-01 21:33:12 (Server Time)
Click to expand...
What are the characteristics of a malaria attack?

* Fever and shivering. The attack begins with fever, with the temperature rising as high as 40?C and falling again over a period of several hours.

* A poor general condition, feeling unwell and having headaches like influenza.

* Diarrhoea, nausea and vomiting often occur as well.
http://www.netdoctor.co.uk/travel/diseases/malaria_disease.htm
Click to expand...
 
Re: Mystery illness kills at least 20 in Nepal in the last 10 days

Re: Mystery illness kills at least 20 in Nepal in the last 10 days

Looks like it was/is "malaria"... yet while I know what cerebral malaria is, I'm not sure about "plus modem falsifoam." See the following article, at least for what's being reported...

[ 2006-11-3 ]
Disease diagnosed as Cerebral Malaria, 31 died, 700 affected

NEPALGUNJ, Nov. 2: The unidentified epidemic that spread in five VDCs of Banke district across the Rapti River has been identified as cerebral malaria infected from a plus modem falsifoam, a virus. [...]

http://www.gorkhapatra.org.np/content.php?nid=5592

TMF
 
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Re: Mystery illness kills at least 20 in Nepal in the last 10 days

Re: Mystery illness kills at least 20 in Nepal in the last 10 days

Since malaria is endemic in this area, shouldn't the people know what it's symptoms are. I would question what the authorites do rather than what they say.
 
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Re: Nepal - Emerging Disease

http://www.malariasite.com/malaria/asia.htm

From site above: Distribution of Malaria in Asia....

Nepal: Rural areas in the Terai and Hill Districts of Bara, Dhanukha, Kapilvastu, Mahotari, Parsa, Rautahat, Rupendehi and Sarlahi, and especially along the Indian border; at altitudes lower than 1,200 meters; no risk in Kathmandu and typical Himalayan treks; Predominantly due to P. vivax, also P. falciparum
Click to expand...


What is the altitude of villages involved?
http://fallingrain.com/world/NP/0/Dadeldhura.html

1745 Meters.....

Also some confusion about where villages are. Dadeldhura is in extreme far west of Nepal, not Midwest.

Snowy Owl said:
'Mystery' disease kills 8 in Nepal
http://news.webindia123.com/news/Articles/Health/20061015/480106.html

Kathmandu | October 15, 2006 11:15:06 AM IST
An outbreak of an unidentified "mystery" disease in a remote village claimed eight lives including four children in far west Nepal in the past two weeks, a newspaper reported Sunday.

The English language daily Kathmandu Post said that the outbreak of the disease in Belapur village in Dadeldhura district, about 525-km west of the capital, created "lots of problems" for the villagers there and in adjoining villages, as over 400 people were reported sick with the disease.

Kathmandu Post reported that there were no health workers to staff the village health post in Belapur village, and even the district hospital at the district headquarters in Dadeldhura was without a doctor.


​
Click to expand...


http://en.wikipedia.org/wiki/Banke_District

Wikipedia says Banke District is in Mid Western section of Nepal

http://timesofindia.indiatimes.com/articleshow/291259.cms

KATHMANDU: The mystery disease that has spread in some villages of Banke district in mid-western Nepal for the past two weeks was diagnosed as cerebral malaria, The Himalayan Times reported on Thursday.


Sorry for my pathetic quoting capability....Still you get the point. Did they diagnosis cerebral malaria in the far western district from the mid western district?
 
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