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Orissa - Mystery disease: kills eight in two days

Re: Orissa - Mystery disease kills eight in two days

Re: Orissa - Mystery disease kills eight in two days

Perhaps someone should send this thread to ProMed.
 
Re: Orissa - Mystery disease kills eight in two days

Re: Orissa - Mystery disease kills eight in two days

This would not have no use.

India popular diffusion is for Indians.

Snowy
 
Re: Orissa - Mystery disease kills eight in two days

Re: Orissa - Mystery disease kills eight in two days

This would not have no use.

India popular diffusion is for Indians.

Snowy

I don't understand. I know ProMed has subscribers in India.
 
Re: Orissa - Mystery disease kills eight in two days

Re: Orissa - Mystery disease kills eight in two days

Not cerebral malaria - not malaria at all. Might be a food poisoning, or some other kind of poisoning. The epidemiology of deaths in a few families suggests a local exposure (i.e. not vector-borne - else the whole village would be ill), and the timing seems to be opposed to person-to-person spread as well. This sounds like some kind of toxin. They say they will know more in two days.

http://timesofindia.indiatimes.com/...-disease-in-Kandhamal/articleshow/5043602.cms

Docs yet to identify killer disease in Kandhamal
TNN 23 September 2009, 05:26am IST
Print Email Discuss Bookmark/Share Save Comment Text Size: |

BERHAMPUR: Doctors have yet to identify the "mysterious" disease that has already claimed eight lives in tribal-dominated Kandhamal district's
Gudurigaon village. The victims include six children.

The mystery element of the killer disease has made locals paranoid. So much so that a number families have already left the village, for they think their existence is not safe.

To control the damage, a four-member expert team from Berhampur's MKCG Medical College and Hospital has been sent to the village, where 40 tribal families live.

"We are on the job. No more deaths have been reported," chief district medical officer (in-charge) Kandhamal Jatin Patnaik said on Tuesday. Fourteen others afflicted with the disease have been admitted to Daringibadi hospital. "A woman has been referred to MKCG after her condition deteriorated," the CDMO said.

Initially, doctors suspected that food poisoning or cerebral malaria were the causes of the deaths. The MKCG team of experts, however, holds a different view.

"We don't think cerebral malaria is the cause. In fact, there were absolutely no symptoms of malaria," team leader Chakradhara Majhi said. Even those who died, tested negative for malaria.

Majhi, however, said food poisoning could be a potent cause. "The exact cause will be known only after the admitted patients go through a battery of tests and we get the reports," he said.

The experts' team, which comprises medical, community medicine, paediatric and microbiology specialists, have already travelled across the affected village under Daringibadi blocks Saramula gram panchayat. "We'll submit our report to the government in two days," he said.

"The situation is under control. No fresh case has been reported," the CDMO said. At least four mobile health units have been set up in the areas under Saramula and Gadapur panchayats. There are also field staff engaged to sensitize people, he said.
 
Re: Orissa - Mystery disease kills eight in two days

Re: Orissa - Mystery disease kills eight in two days

And this source reports 11 deaths, and still suspects consumption of some kind of poison.

http://www.ptinews.com/news/296631_Food-poisoning--Death-toll-rises-to-11-in-Orissa

Food poisoning: Death toll rises to 11 in Orissa

--------------------------------------------------------------------------------
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Share Print E-mail Comment[ - ] Text [ + ]STAFF WRITER 18:45 HRS IST
Bhubaneswar,Sept 23 (PTI) The death toll due to suspected food-poisoning after consumption of toxic food stuff in remote Gudrigam village in Orissa's Kandhamal district rose to eleven with two more persons succumbing today even as the state government sent an expert team to probe the incident.

Two more persons from the village who had been admitted to MKCG Medical College and Hospital for treatment died today, taking the toll to 11 so far, official sources said.

While nine persons had died earlier, about 12 people are battling for life at the Daringbadi hospital after they fell ill following consumption of suspected toxic food stuff, including wild mushroom, six days ago.

Worried over the situation in the tribal-dominated district, the state government dispatched another team, including experts from the Regional Centre of Medical Research (RCMR) here, to ascertain the exact reason behind the deaths.
 
Re: Orissa - Mystery disease kills eight in two days

Re: Orissa - Mystery disease kills eight in two days

We seem to be getting wildly different reports of who is ill, how many have died, when, and what the presumptive diagnosis is. Here is another one.

http://www.sindhtoday.net/news/1/53138.htm

Two more die of suspected food poisoning in Orissa
September 23rd, 2009 SindhToday
Bhubaneswar, Sep 23 (IANS) Two more people died of suspected food poisoning Wednesday in Orissa?s Kandhamal district, raising to 10 the death toll in last weekend?s contaminated food tragedy, health authorities said here.

?Two people died at Maharaja Krishna Chandra Gajapati Medical College and Hospital at Berhampur. While one person died Tuesday, another died Wednesday. Both were adults,? Bikash Patnaik, joint director of the health department, told IANS here.

Dozens of people fell ill over the weekend after reportedly consuming some contaminated food in Gudrigaon village under Saramuli gram panchayat, some 200 km from district headquarters Phulbani.

While 8 people, including four children, died within 48 hours, officials said most of the people with signs of the illness were discharged after treatment.

?Doctors are still camping in the village. There is no report of further illness,? Jatin Patnaik, chief district medical officer, told IANS.

Investigations were still on to determine the exact cause of the illness, he added.
 
Re: Orissa - Mystery disease kills eight in two days

Re: Orissa - Mystery disease kills eight in two days

Credit to Alert

http://www.kalingatimes.com/odisha_n...rise_to_10.htm

Kalinga Times Correspondent

Bhubaneswar, Sept 23:



The deaths due to an `unknown' disease in Kandhamal district of Odisha increased to 10 on Wednesday with two more persons breathing their last at the MKCG Hospital at Berhampur.


Although the first death took place at Gudrigaon village of Kandhamal six days ago, the authorities had not been able to conduct the necessary examination to know the cause of the deaths so far.



Even as the state government had sent a medical team, the death toll was likely to rise as more 10 persons were admitted to different hospital.



All the deaths had taken place in Gudrigaon village so far though some people from a neighbouring village had been taken ill with similar symptoms.

While some were of the view that deaths could be due to cerebral malaria, others were suspecting that the deaths were due to consumption of poisonous mushrooms.



Meanwhile, a team of medical experts from the Regional Medical Research Centre in Bhubaneswar left for Kandhamal to inquire about the cause of the deaths as they were suspecting that the deaths could have taken place due to some viral infection.
 
Re: Orissa - Mystery disease kills eight in two days

Re: Orissa - Mystery disease kills eight in two days

Thank you for figuring out how to post that. If that article is correct, this is a very, very bad sign. If this has spread to a second village, then it is obviously person-to-person with a very short (less than 48 hour) incubation period. That would be inconsistent with just about all the potential diagnoses given so far, and be a VERY bad sign.
 
Re: Orissa - Mystery disease kills eight in two days

Re: Orissa - Mystery disease kills eight in two days

Not worse than what we have witness in Hyderabad where the doctors were saying that this H1N1 virus has indeed mutated in a more lethal form, kills before they have time to intervene and has its specific scheme.

Snowy
 
Re: Orissa - Mystery disease kills eight in two days

Re: Orissa - Mystery disease kills eight in two days

Not worse than what we have witness in Hyderabad where the doctors were saying that this H1N1 virus has indeed mutated in a more lethal form, kills before they have time to intervene and has its specific scheme.

Snowy

This would be worse. This thing in Orissa seems to have about a 50% CFR so far.
 
Re: Orissa - Mystery disease kills eight in two days

Re: Orissa - Mystery disease kills eight in two days

Credit to Treyfish

(H1N1) gets more virulent



HYDERABAD: The A(H1N1) virus is showing signs of getting ?mutated? into a more virulent form.
Clinical observation of experts in the State capital indicate that the genetic make up of A(H1N1) virus has ?changed? and is now more ?potent? after coming into contact with the local existing viral forms.
?Second wave?


This is the ?second wave? of swine flu virus, coinciding with the rainy season, which is still active. There is a possibility of onset of a third and more virulent form in the upcoming winter season. The virus is getting more ?time? to stay in the atmosphere because of low temperatures, experts opine.
A pattern, among the swine flu fatalities in twin cities, has been detected. ?Patients are dying within 24 to 48 hours after getting infected with A(H1N1). The virus is not giving any chance to the doctors to treat the patient. The virus has become virulent and that?s why we are losing patients who have good immunity,? said Gandhi Hospital Superintendent E.A. Ashok Kumar.
Between May and August, when A(H1N1) virus was imported from other countries, it did not cause severe illness to patients. ?These days, the patient?s condition is deteriorating within 24 hours. There is a definite shift in the genetic make up of the virus. It might have genetically changed after coming into contact with local influenza virus,? Superintendent of Chest Hospital S.V. Prasad.
Experts assert that authorities and the public should be prepared for the onset of a third wave of swine flu in winter. :tiphat:http://www.hindu.com/2009/09/15/stor...1553320800.htm
 
Re: Orissa - Mystery disease kills eight in two days

Re: Orissa - Mystery disease kills eight in two days

http://www.orissatv.com/NewsDetail.asp?newsId=NS10024

Kandhamal food poisoning toll reaches 11 Source : OTV Bureau
published on : 9/23/2009 8:24:16 PM E-mail to Friend | Print This News


Bhubaneswar: There seems to be no let-up in the suffering of the poor in Kandhamal as two more deaths were reported due to alleged food poisoning on Wednesday taking the death toll 11. The two victims hailed from Gudrikia village.

So far nine people, including children had died in the village. Earlier, eighteen people from the region showing symptoms of food poisoning were admitted to Daringbadi hospital. But three of them were shifted to Berhampur hospital after their conditions deteriorated on Tuesday. Two of them died on Wednesday morning, sources said.

But doctors in the region said the situation is under control. ?Only five to six people were affected. They are okay now. The situation is under control,? Rabindranath Das, a doctor said.

Three medical teams have been camping in the affected regions since last few days. While one more team of doctors would rush to the area from Berhampur, another doctors? team from Bhubaneswar would reach Gudrikia, state health minister Prasan Acharya said.

Meanwhile, the fresh two deaths have pressed the panic button among locals, many of whom are reportedly fleeing from their houses to safer places.

Relief camps have been set up to provide hygienic food to the people. Officials said that the exact cause of deaths can be ascertained after the inquiry of experts.
 
Re: Orissa - Mystery disease kills eight in two days

Re: Orissa - Mystery disease kills eight in two days

Two more die in Gudrigaon village

Staff Reporter

Cause of deaths yet to be ascertained
BERHAMPUR: A team of experts from Regional Medical Research Centre (RMRC) in Bhubaneswar will visit Gudrigaon village in Kandhamal district to investigate the cause behind the death of 11 persons there.

The RMRC experts suspect that some lethal viral infection rather than food poisoning or malaria may have caused the deaths.

Meanwhile, medical experts at MKCG Medical College here have decided to keep the body of one of the victims from Gudrigaon village of Kandhamal district for scientific autopsy.

Two seriously ill persons from Gudrigaon village of Saramuli panchayat in Daringbadi block of Kandhamal district died in the medical college hospital on Wednesday morning.

The deceased were Rasmita Majhi (16) and Saria Majhi (40).

The reason behind their death is yet to be ascertained like the other nine deaths of inhabitants of the same village.

It is yet to be ascertained whether the victims died of food poisoning or some ailments like cerebral malaria.

The administrative officials, including Kandhamal Collector Kishen Kumar, are of the opinion that they might have died of malaria as investigations did not reveal consumption of any food by the victims which may have caused food poisoning. But the medical teams that visited the area including one from MKCG medical college hospital have not got any concrete evidence that the deaths were caused by malaria, according to Chief District Medical Officer of Kandhamal Jatin Patnaik

It is irony that till now no one, including medical experts, is sure about the reason behind deaths at this remote village. Three of the seriously ailing patients from the village had been brought to the medical college hospital for treatment.

One of them is still under treatment.

Both patients, who died in the hospital, had become unconscious and their pupil had got dilated, said the doctors who were treating them here.

Assistant professor of medicine department of the MKCG medical college hospital, Umashankar Mishra, said the body of Rasmita was kept for scientific autopsy.

Portions of her spleen, liver, brain, contents of her stomach and intestine would be put to scientific tests to ascertain the reason behind her death. It is expected to hint at reason behind all the deaths that occurred at her village.

http://www.hindu.com/2009/09/24/stories/2009092451680300.htm
 
Re: Orissa - Mystery disease kills eight in two days

Re: Orissa - Mystery disease kills eight in two days

Yeah, that's what I didn't want to hear. This is a mystery virus. It seems to have about a 50% CFR so far, and seems to have a very short incubation period, perhaps less than 24 hours, as the past five days have had at least four generations of cases.

I knew from the epidemiology of who got ill and when that this could be bad. An entire dead family is always a horrible sign at the start of an outbreak. And an above article indicates spread to another village, so this one spreads easily.

The symptoms mentioned so far include headache, unconsciousness, and dilated pupils. This disease affects the brain.

Oh sh**.
 
Re: Orissa - Mystery disease kills eight in two days

Re: Orissa - Mystery disease kills eight in two days

Kandhamal toll climbs to 11
OUR CORRESPONDENT
Bhubaneswar, Sept. 23: Two more patients today died of suspected food poisoning that has gripped the tribal-dominated Gudrika village in Kandhamal district, taking the toll to 11.

?Two people died at MKCG Medical College and Hospital in Berhampur this morning. Both were adults,? said Jatin Patnaik, the Kandhamal chief district medical officer.

The two were shifted to MKCG hospital yesterday after their condition worsened at Daringbadi hospital where they were admitted earlier. As many as 18 persons are still undergoing treatment at the Daringbadi hospital. The news of the deaths triggered panic among families with most fleeing villages out of fear.

Initially, the disease was suspected to be food poisoning following consumption of wild mushrooms. Later, when more people became victims with symptoms of high fever and vomiting, doctors suspected it to be a case of cerebral malaria.

Yesterday, a four-member expert team from MKCG Medical College and Hospital reached the village to ascertain the cause.

The team, however, rejected cerebral malaria as the cause as patients tested negative for malaria. Doctors, however, believe that food poisoning could be a cause.

?The cause will be known only after the patients go through a battery of tests. We will submit a report to the government in two days,? the CDMO said.

Meanwhile, the government has decided to send a fresh team of doctors to the village from Berhampur and Bhubaneswar. ?A team will rush to Gudikia from Berhampur and Bhubaneswar to investigate the case,? said health minister Prasanna Acharya.

?Doctors are still camping at the village and there is no cause of panic as no fresh cases have been detected,? said Patnaik.

Also, four mobile health units have been pressed into service under Saramula and Gadapur panchayats to meet eventualities. Besides, field staff have been engaged to sensitise people, he said.

http://www.telegraphindia.com/1090924/jsp/nation/story_11533154.jsp
 
Re: Orissa - Mystery disease kills eight in two days

Re: Orissa - Mystery disease kills eight in two days

Also of note is that most of the victims so far have had the last name "Majhi" indicating spread within an extended family. That might be an important clue.

Also, the symptoms rule out the consumption of an anthrax or plague infected animal.
 
Re: Orissa - Mystery disease kills eight in two days

Re: Orissa - Mystery disease kills eight in two days

Well done Alert for tracking this. A red flag will be a health care worker contracting the same infection, and if this occurs it would tend to back a communicable disease. One would hope there would be swift moves to quarantine the area pending a more definite diagnosis, if this should happen.
 
Re: Orissa - Mystery disease kills eight in two days

Re: Orissa - Mystery disease kills eight in two days

HCW is a good point. We need to keep a close eye for an ill or dead HCW. The incubation period appears to be so short, though, that by the time we read about that, it may be far too late to contain. That spread to a second village is a bad sign.
 
Re: Orissa - Mystery disease kills eight in two days

Re: Orissa - Mystery disease kills eight in two days

It could still be an environmental problem, water supply or similar. Neighbouring villages often tap into the same water supply and other key resources. Let us hope that (or something similar) is what it turns out to be. The HCW will be taking extreme precuations I would hope, so until we hear that they are falling ill, this could be one of those many sad and unfortunate localised problems arising out of poverty or similar.
 
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