Pakistan: 2 more Crimean-Congo Fever patients - total 29 for 2010

[Shiloh]

Source: http://www.nation.com.pk/pakistan-n...0/3-Congo-virus-patients-admitted-to-hospital

3 Congo virus patients admitted to hospital
By: Bari Baloch | Published: June 09, 2010

QUETTA - Three people including an Afghan national suffering from Congo virus have been admitted to hospital in Quetta here on Tuesday.
Three patients, including Abdul Rehman and Abdullah, resident of Goharabad in the suburb of Quetta and Muhammad Ghani an Afghan national were admitted to the Fatima Jinnah Hospital in Quetta. Talking to the newsmen, Dr. Adnan Khan Nasir, confirmed that the patients contain symptoms of Congo virus and ,added, that patients were admitted in a special isolation ward and were receiving treatment. He further said that the blood samples of the patients have been sought and would be sent to Islamabad for clinical tests. The family sources disclose to this scribe that, two persons namely Abdul Qadir and Muhammad Nabi who died on Tuesday at their homes without getting medical aid. They said that the blood were oozing out from their body holes including the mouth and nose and family suspected that two of their relatives Abdul Rehman and Abdullah also fell victim to the fatal disease for being close to the deceased.
The sources further said that they were immediately shifted to the hospital suspecting them for having Congo virus.
The sources said that deceased Abdul Qadir and Muhammad Nabi were traders and dealing in supplying cows and buffaloes to Iran and suspected they got the virus from the cattle.
They said that a girl namely, Razia Bibi, 16, who lived in the neighbourhood of victims is also being suspected of having same virus and has also been admitted to Civil Hospital.

 

[alert]

Re: Pakistan: 3 Congo virus patients admitted to hospital

Re: Pakistan: 3 Congo virus patients admitted to hospital

http://hisz.rsoe.hu/alertmap/woalert_read.php?glide=EH-20100613-26481-PAK

After about 10 months, panic has once again gripped Quetta, Chaman and some other parts of Balochistan, after three persons, including women and children, died of hemorrhagic fever - clinically known as the Congo virus - after the recent onset of the epidemic. Officials in the Health Department, Balochistan, say that the Congo virus infected a total of nine people in a fresh wave after 2009. Out of them, three patients including two of a family, who belonged to Quetta, succumbed to the disease in the first week of June 2010. The rest of the patients have been shifted to Quetta's Fatima Jinnah TB Sanatorium. Sources, however, dispute the official version. They say that the official tendency is to downplay serious situations. They claim that the death toll has risen to over three and there are several other cases of hemorrhagic fever in the far flung areas of other districts that have not been reported because of poor communications and a general lack of awareness about health affairs. Although, officials of the health department claim to have isolated the Congo virus patients from those suffering from other ailments in Quetta and other parts of the province, most of those attending the patients complain that the doctors were apprehensive and try avoiding contact with the afflicted.

 

[Treyfish]

Re: Pakistan: 3 Congo virus patients admitted to hospital

Re: Pakistan: 3 Congo virus patients admitted to hospital

Helmand Congo virus outbreak prompts alert in KP, FATA


Peshawar : Pakistan | Jun 26, 2010





PESHAWAR: In the wake of breaking out of Congo virus in the border areas of neighbouring Afghanistan, Health Ministry has alerted the health departments of Khyber Pakhtunkhwa and FATA against the fatal virus.
Sources told that the deadly virus broke out in Afghan province Helmand where the germs of Crimean Congo Hemorrhagic Fever (CCHF) had been confirmed in seven persons.
They said that the ministry had directed the provincial health authorities to remain vigilant and collect the data of those Afghan refugees who were under treatment in various hospitals of the province, adding that the authorities had been also directed to send the blood samples of suspected patients of the lethal disease for laboratory test in the federal capital.

Sources revealed that after receiving the alert call all the public sectors hospitals of the province have been directed to take precautionary measures for avoiding the spread of the virus.
Security officials at Torkham border have also been ordered to strictly monitor the movement of refugees at the border.
An endemic tick-borne viral disease, CCHF is transferred to humans through tick bite or through direct contact with blood or other infected tissues from livestock infected with the virus. Symptoms include fever, aching muscles, dizziness, neck pain and stiffness, backache, headache, sore eyes and sensitivity to light.
Other clinical signs that may emerge include fast heart rate, dramatic drop in platelet and white blood cell counts, bleeding from the upper bowel, blood in the urine, nosebleeds, and bleeding from the gums.
The severely ill may develop liver and kidney failure after the fifth day of illness. In patients who recover, improvement generally begins on the ninth or tenth day after the onset of illness:tiphat:http://www.allvoices.com/contribute...congo-virus-outbreak-prompts-alert-in-kp-fata

 

[Ronan Kelly]

Re: Pakistan: 3 Congo virus patients admitted to hospital

Re: Pakistan: 3 Congo virus patients admitted to hospital

KU discusses death of Congo Virus-infected butcher



Monday, July 12, 2010
By By our correspondent

Karachi

In order to discuss the recent death of a Congo Crimean Haemorrhagic Virus (CCHV) infected butcher at Landhi Abattoir, who visited several hospitals for treatment and eventually expired, a joint meeting of the Pakistan Society for Microbiology (PSM), the Infection Control Society of Pakistan (ICSP) and the Bio-Safety Association of Pakistan (BSAP) was held at the University of Karachi (KU).

The meeting was held with special reference to exposure of healthcare personnel who may have attended this patient and the possible source from where he contracted the infection, said a press release issued here on Sunday.

Prof. Dr Shahana Kazmi (KU) and Dr Rafique Khanani (DOW), who attended a meeting in the Health Department Sindh on July 9, informed the participants about the measures taken by the government to control the spread of CCHV in Karachi.

All the participants, including Sikandar Sherwani (FUUAST), Dr Ghulam Fatima (Civil), and Prof Dr Aqeel Ahmad (KU) agreed that CCHV is endemic in some parts of Pakistan. According to them, such cases are reported sporadically and there is nothing to worry.

They, however, stressed on the need of an effective national strategy to contain such infections. The participants highlighted that Crimean-Congo Haemorrhagic Fever (CCHF) is a widespread tick-borne zoonotic viral infection caused by Nairo Virus that may affect humans seriously with mortality rate of 30 per cent.

In 75 per cent cases, signs of haemorrhage appear within three to five days of the onset of illness, mood instability, mental confusion, bleeding nose, bleeding gums, vomiting, bloody urine, bloody stool.

Diagnosis is suggested on clinical grounds when the patient has a tick bite or exposure to the infected products of blood, body secretions or excretions of the patients. For diagnosis, IgG and IgM antibodies can be detected in the laboratory from sera samples of the infected individuals by ELIZA method. PCR is a more sensitive and reliable diagnostic tool for CCHF, which is currently available at very few centres in Karachi, they said.

There is a vaccine available for this infection except an antiviral drug called ribavirin. Most of the participants recommended, ?In order to control the spread we should organise awareness and Bio-safety training sessions for health care workers, lab technicians and paramedical staff, butchers, livestock and agriculture farmers to enhanced capacity for the proper surveillance?.

Diagnosis of CCHF should be established at designated centres to avoid unnecessary exposure of healthy citizens to the infected and to control such spreading infections, they added.

During the discussion Prof. Shahana Kazmi also disclosed that the KU has developed a comprehensive project on ?Emerging Zoonotic Pathogen Surveillance Program (EZPSP), in view of increasing incidence and deaths due to zoonotic or vector borne viral and bacterial diseases.

She said, ?The problems cause is especially severe in underdeveloped and developing countries like Pakistan where surveillance and monitoring of pathogens is poor and our public health infrastructure is not optimally developed?.

All bacterial and viral pathogens represent potential public safety threats; however, some of them ?especially dangerous pathogens? or EDPs - Plague, Anthrax, Dengue and CCHF are of particular concern because of their ability to cause lethal infections which spread rapidly and trigger outbreaks or epidemics with potential of neurodegenerative complications like Multiple Sclerosis(MS), Sub-acute Sclerosing Pan-encephalitis (SSPE), she further said.

According to her there is an urgent need to improve knowledge concerning the prevalence, distribution, and basic biological properties of EDPs worldwide. The emergence and spread can be rapidly detected and closely monitored, and appropriate science-based prevention, treatment, and containment strategies should be developed, she told the participants.

The primary objective of the proposed multi-pathogen project is to determine the baseline of occurrence and the basic biological characteristics of selected EDPs of concern in Pakistan, she said. The appropriate education, eradication and treatment efforts can be planned to protect the Pakistani citizenry and economy from the effects of disease outbreaks, she mentioned.

Dr Shahana added that a very significant aspect of the proposed project is that it will stipulate surveying and studying multiple EDPs at the same time, which will enable a comprehensive and simultaneous screening for several highly virulent bacterial and viral pathogens.

http://www.thenews.com.pk/print1.asp?id=250193

 

[sharon sanders]

Re: Pakistan: 3 Congo virus patients admitted to hospital

Re: Pakistan: 3 Congo virus patients admitted to hospital

"...CCHV is endemic in some parts of Pakistan. According to them, such cases are reported sporadically and there is nothing to worry.

They, however, stressed on the need of an effective national strategy to contain such infections. The participants highlighted that Crimean-Congo Haemorrhagic Fever (CCHF) is a widespread tick-borne zoonotic viral infection caused by Nairo Virus that may affect humans seriously with mortality rate of 30 per cent.

In 75 per cent cases, signs of haemorrhage appear within three to five days of the onset of illness, mood instability, mental confusion, bleeding nose, bleeding gums, vomiting, bloody urine, bloody stool..."

 

[Ronan Kelly]

Re: Pakistan: 3 Congo virus patients admitted to hospital

Re: Pakistan: 3 Congo virus patients admitted to hospital

Seminar on congo haemorrhagic fever
PPI 15 July 2010 Thursday | 13:07:00 Font size:
KARACHI, Professional Development Centre (PDC) of Dow University of Health Sciences (DUHS) Karachi in collaboration with Health Department, Govt. of Sindh to educate the general practitioners and public on the outbreak of Congo Haemorrhagic Fever in Karachi organized a Seminar on ``Congo Haemorrhagic Fever'' today at Arag Auditorium of Dow Medical College, Karachi.

Dr.Mansoor Alam Halipota Additional Secretary (Public Health), Govt of Sindh speaking as the Chief Guest on the occasion said that government of Sindh is a step ahead for the sake of protection of public health in each emerging population health issues. He said that ``No doubt, our country especially our province Sindh has been facing many challenges of emerging population issues and outbreak of epidemic''. ``With the combined efforts of stakeholders and community participants, the Health Department will soon overcome this challenge. The trained team to handle Congo virus threat will further train more staff and healthcare providers and personnel as well as increase community awareness about Congo fever'', he added. Prof. Khursheed Hashmi, Professor of Pathology, Liaquat National Hospital in his presentation on ``Epidemiology of Congo Haemorrhagic Fever'' said that Crimean-Congo haemorrhagic fever (CCHF) is a tick-born disease caused by a Nairovirus of the Family Bunyaviridae.

Infection is transmitted to humans by direct contact with the blood or tissues of infected humans or viraemic livestock. CCHF fatality ranges from 5 -50% depending upon the availability of modern medical care. In 1976, 17 cases are reported in both Rawalpindi and Balochistan in which 3 dies. The cases are document sporadically every year, mostly at around the time of Eid-ul-Aza. Talking about preventives measure includes awareness, he said that training of healthcare, establishment of early warning system, Biosafety training of butchers and protection of hospital staff is very important. There is need to introduce body sustains isolation in each hospital to reduce the chance of the epidemic. Prof. Shahana Urooj, Pro-Vice Chancellor, University of Karachi spoke on CCHF is caused by a virus which was isolated first in 1944. In Pakistan, first case was reported in January 1976 in Rawalpindi, followed by several cases and lase of them is seen in Abottabad Dec 2005. The Biosafety issues related to Congo Haemorrhagic depends upon Disease severity, Transmissibility to laboratory workers, availability of treatment and availability of vaccine.

The problem related to the spread of CCF includes, poor infrastructure laboratories, inappropriate functioning of laboratories, absence of policy legislation. She stressed on the need to sensitize the masses regarding preventive measures so that they could protect themselves from the disease by adopting precautionary steps. Dr. Iftikhar Ahmed, Director OJHA Institute of Chest Diseases said that CCHF symptoms include fever, aching muscles, dizziness, neck pain and stiffness, backache, headache, sore eyes and sensitivity to light. Other clinical signs that may emerge include fast heart rate, dramatic drop in platelet and white blood cell counts, bleeding from the upper bowel, blood in the urine, nosebleeds, and bleeding from the gums. The severely ill may develop liver and kidney failures after the fifth day of illness.

In patients who recover, improvement generally begins on the ninth or tenth day after the onset of illness. CCVF required antiviral treatment and isolation to protect contacts. DHF, on the other hand does not require isolation as it is spread by mosquito bite and cannot be treated with antiviral drugs, they added. Prof. M. Umar Farooq, Pro-VC, DUHS & Principle SMC said that appreciated the efforts of Govt of Sindh in organizing his informative workshop. He said that basic knowledge and safety precaution should be given to every student in medical college which will help to prevent cross-infection. Earlier, Mr. Sikandar Sherwani, Faculty, Federal Urdu University gave a hands-on demonstration of Protecting yourself through personal protective equipment. The seminar concluded with a vote of thanks by Dr. Rafiq Khanai of Dow Diagnostic laboratory and shield distribution among the participants.
http://www.onepakistan.com/news/health/53147-Seminar-congo-haemorrhagic-fever.html

 

[Ronan Kelly]

Re: Pakistan: 3 Congo virus patients admitted to hospital

Re: Pakistan: 3 Congo virus patients admitted to hospital

:tiphat: Promed
Archive Number 20100917.3372
Published Date 17-SEP-2010
Subject PRO/AH/EDR> Crimean-Congo hem. fever - Pakistan (02): (KI)

CRIMEAN-CONGO HEMORRHAGIC FEVER - PAKISTAN (02): (KARACHI)
**********************************************************
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: Thu 16 Sep 2010
Source: Dawn, local news [edited]
<http://www.dawn.com/wps/wcm/connect/dawn-content-library/dawn/the-newspaper/local/second-congo-fever-case-reported-in-two-weeks-690>


Another Congo fever case reported in 2 weeks
--------------------------------------------
A young tannery worker who was admitted to the city government-run
Abbasi Shaheed Hospital (ASH) for the treatment of dengue fever has
tested positive for viral Crimean-Congo haemorrhagic fever (CCHF)
virus infection as well. It was the 2nd such case of CCHF reported
from the city hospitals during the short span of 2 weeks, said
medical circles, adding that the 1st patient had been discharged from
a private hospital after his recovery.

Reports about 2 deaths from CCHF in July [2010] and the preceding
months this year set alarm bells ringing and the city and health
practitioners and relevant authorities have stressed the need [to
undertake] urgent preventive measures.
The medical superintendent of the ASH, Dr Hamid Zaheer, told the Dawn
[newspaper] on Wednesday [15 Sep 2010] that a 23-year-old patient, a
resident of Sector 9/E, Orangi Town, [had been] brought to the
hospital with pain, high-grade fever and respiratory problems. "As I
have been told by doctors, the patients bled 2 days back, following
which in addition to initial tests and symptomatic treatment, some
serological tests were conducted and it was known by Tuesday [14 Sep
2010] that the patient had tested positive both for dengue fever
[virus] and CCHF [virus] infections. Initially he was kept in the
intensive care unit, but now [he is being treated] in an isolation
ward of the hospital, while the doctors and paramedics have also been
asked to observe the appropriate protocol while [treating] the
patients in question," Dr Zaheer stated.

Of the 5 patients tested positive for the viral disease [CCHF} since
March [2010], 2 have survived, while one is under treatment at the
ASH.

The death of a patient, in his mid-thirties, a resident of Bismillah
Colony, Landhi, was confirmed by the Indus Hospital, Korangi, in July
[2010]. This patient was a butcher by profession -- said to be one of
the most vulnerable jobs to contract the highly infectious disease.
The occupation of the other patient who died from CCHF in May was not
known.

Some of the experts after knowing about the CCHF [cases] in July had
highlighted the need to undertake a retrospective study of CCHF
patients, [to determine] their occupations and their contact with
other people during the period of incubation of the virus, and to
determine the sensitivity of lab results and [communication of] a
timely update by the hospitals on the cases to the health authorities.

The deputy medical superintendent of the ASH, Dr Javed Akhtar, said
that the [23-year-old patient currently being treated], a worker at
tannery, was admitted to the hospital on Sat 11 Sep 2010 and was kept
in the Medical-III [ward] initially and then was transferred to the
medical intensive care unit (ICU) in view of his deteriorating
condition.

The laboratory of the Aga Khan University Hospital (AKUH) informed
the hospital on Tue 14 Sep 2010 of positive test results for dengue
fever virus infection and CCHF virus infection, and as a result the
patient was transferred to an isolation ward.

Relatives of of the patient had also been debarred from meeting him,
the doctor said, adding that the patient was being provided with
blood platelets, which had critically decreased. Replying to a
question, Dr Akhtar said that the AKUH laboratory handed over the
formal serology test report to the ASH on Wednesday [15 Sep 2010] for
this patient, who is now being given all possible care and is now in
a stable condition and conscious.

The head of the infections control committee of the AKUH, Dr Bushra
Jamil, told Dawn that the AKUH lab had tested 2 samples positive in
recent days for CCHF -- one pertained to a patient admitted to the
AKUH and discharged after recovery a week ago, and the other the
sample received from the ASH.

An expert said that the doctors and paramedics [known] to have come
into contact with these patient during treatment, and relatives of
the patients, also needed to be kept under observation as a
preventive measure. It is worth noting that a few years back a doctor
handling a patient suffering from CCHF later died of the same
disease. [Nosocomial transmission of infection in hospitals in
Pakistan has been recorded previously. In 2002, a female doctor
contracted CCHF virus infection from a patient and died. 2 doctors
involved in her treatment also contracted infection; both survived
(see: ProMED-mail post - Crimean-Congo hemorrhagic fever - Pakistan
(02) 20020313.3735).]

Previously, in 1974, a physician died in Rawalpindi General Hospital
as a result of CCHFV infection contracted from patients. - Mod.CP]

[Byline: Mukhtar Alam]

--
Communicated by:
ProMED-mail
<promed@promedmail.org>

[The geographical distribution of CCHF virus, like that of its tick
vectors (_Hyalomma_ spp.), is widespread. Evidence of CCHF virus has
been found in Africa, Asia, the Middle East and Eastern Europe.
Health care workers in endemic areas should be aware of the illness
and the correct infection control procedures to protect themselves
and their patients from the risk of nosocomial (hospital-acquired)
infection.

Humans who become infected with CCHF acquire the virus from contact
with blood or other infected tissues from livestock, or they may
become infected directly from a tick bite. The majority of cases have
occurred in those involved with the livestock industry, such as
agricultural workers, slaughterhouse workers and veterinarians.
Following infection via tick bite, the incubation period is usually
one to 3 days, with a maximum of 9 days.

The incubation period following contact with infected blood or
tissues is usually 5 to 6 days. Onset of symptoms is sudden, with
fever, myalgia (aching muscles), dizziness, neck pain and stiffness,
backache, headache, sore eyes and photophobia (sensitivity to light).
There may be nausea, vomiting and sore throat early on, which may be
accompanied by diarrhoea and generalised abdominal pain. Details of
the subsequent course of the illness can be found at:
<http://www.who.int/mediacentre/factsheets/fs208/en/index.html>.

The mortality rate from CCHF is approximately 30 percent, with death
occurring in the 2nd week of illness. In those patients who recover,
improvement generally begins on the 9th or 10th day after the onset
of illness.

Of the 5 CCHF patients treated in the city of Karachi in recent
months, 2 (a butcher and a tannery worker) have worked with livestock
or livestock products. The case of the 23-year-old tannery worker
described in the above report is exceptional in that the patient has
tested positive for 2 unrelated hemorrhagic fever viruses -- dengue
fever virus (a flavivirus) and CCHF virus (a bunyavirus). Further
information on the course, treatment and outcome of the tannery
worker's illness are matters of general interest and would be
welcomed.

The HealthMap/ProMED-mail interactive map of Pakistan, showing the
location of the city of Karachi can be accessed at:
<http://healthmap.org/r/00tj>. - Mod.CP]

[see also:
Crimean-Congo hem. fever - Pakistan ex Afghanistan: RFI 20100629.2161
2009
----
Crimean-Congo hem. fever - Pakistan (03): differential 20091012.3527
Crimean-Congo hem. fever - Pakistan (02): ex Saudi Arabia, susp. 20091011.3516
Crimean-Congo hem. fever - Pakistan (Abottabad): RFI 20090927.3377
2008
----
Crimean-Congo hem. fever - Pakistan (03): (PB), susp. 20081121.3678
Crimean-Congo hem. fever - Pakistan (02): (PB), susp. 20081117.3630
Crimean-Congo hem. fever - Pakistan: (BA) 20081027.3392]
...................arn/lm/cp/ejp/lm

http://promedmail.org/pls/apex/f?p=..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,84874

 

[Ronan Kelly]

Re: Pakistan: 2 new patients, 5 total for 2010

Re: Pakistan: 2 new patients, 5 total for 2010

:tiphat: Promed
Archive Number 20100923.3440
Published Date 23-SEP-2010
Subject PRO/AH/EDR> Crimean-Congo hem. fever - Pakistan (03): (PB)

CRIMEAN-CONGO HEMORRHAGIC FEVER - PAKISTAN (03): (PUNJAB)
***********************************************
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: Wed 22 Sep 2010
Source: The News International [abbreviated & edited]
<http://www.thenews.com.pk/22-09-2010/islamabad/5981.htm>


A female patient, who has been undergoing treatment at the Shifa
International Hospital after being suspected as a patient with
Crimean-Congo haemorrhagic fever (CCHF), has been confirmed positive
for the infection by the National Institute of Health (NIH).

The female patient who belongs to Village Toot, Dhoke Golguppa of
Tehsil Pindigheb, Attock [district, Punjab province] was brought to
the Holy Family Hospital [HFH], Rawalpindi, on 14 Sep 2010 with
high-grade fever and continued, uncontrolled nasal and throat
bleeding, while bleeding from her skin and rectum was also reported.
The patient, aged 35, had earlier undergone treatment at a private
hospital in her native town for 2 days, but her fever did not subside.

The HFH, after suspecting the female patient to be a case of CCHF,
sent her blood sample to the NIH, Islamabad, which declared the
patient positive for the infection on Mon 20 Sep 2010. "At HFH, blood
transfusions were administered to the patient, but she was not
improving significantly," said the patient's brother while talking to
The News on Tue 21 Sep 2010. "One of our acquaintances advised us to
take her to Shifa International Hospital." He added that they took
the patient to Shifa International Hospital on 16 Sep 2010, where she
is now improving. "We have gone beyond our limits and have spent
nearly Rs 0.2 million [USD 2350] so far on treatment of the patient,
who has 2 daughters and 2 sons."

The mortality rate for hemorrhagic fevers [such as CCHF] ranges from
50 to 90 per cent. Persons with [such infections] experience
headache, high fever, muscle pain and vomiting along with internal
and external bleeding. According to the NIH guidelines, CCHF is
caused by a nairovirus (family _Bunyaviridae_) transmitted to humans
by the bite of _Hyalomma_ spp. ticks or by direct contact with blood
of an infected animal or human. CCHF was 1st described in Crimea in
1944 and identified in 1956 in the Congo. Nearly 300 confirmed cases
of CCHF have so far been reported in Pakistan from 1976 to 2003. The
disease was 1st reported in Pakistan in 1976, but the number of cases
has shown a dramatic rise since 2000.

The News has learnt that the victim, who has been undergoing
treatment in the Intensive Care unit of Shifa International Hospital
in strict isolation, is improving. When she was taken to Shifa
International Hospital, she was bleeding from the nose, mouth and
rectum and had bruises on her skin. Her haemoglobin level had dropped
to 5 from 14. At Shifa hospital, she has been given blood and
platelets along with treatment, and now she is improving, said Fateh
Khan. He said, however, that treatment costs from Rs 30 000 to Rs 35
000 [USD 350-400] per day, and the family is not in a position of
retaining treatment at Shifa Hospital. "We want to shift the patient
to some public sector hospital like the Pakistan Institute of Medical
Sciences (PIMS), Islamabad, but it seems difficult, keeping in view
the condition of the patient" [At the time of this report, the
funding of the patient's further treatment had not been resolved. - Mod.CP].

CCHF is a highly infectious disease. It is relevant that nearly 7
years back, a female doctor of Holy Family Hospital died after
developing CCHF while treating a CCHF patient. Earlier, some 3
decades back, a renowned health professional in the city also died of
the infection while trying to treat a CCHF patient.

[Byline: Muhammad Qasim]

--
Communicated by:
HealthMap Alerts via ProMED-mail
<promed@promedmail.org>

[The circumstances whereby the patient became infected are not
stated, but she resided in a rural area of Pakistan and could have
been exposed to infected ticks or had contact with the blood of
infected animals. Further information on the background to this case
and the outcome of her treatment would be welcomed.

A map showing the location of the Attock district of Punjab province
can be accessed at: <http://en.wikipedia.org/wiki/Attock_District>.
The HealthMap/ProMED-mail interactive map of Pakistan is available
at: <http://healthmap.org/r/00tj>. - Mod.CP]

[see also:
Crimean-Congo hem. fever - Pakistan (02): (KI) 20100917.3372
Crimean-Congo hem. fever - Pakistan ex Afghanistan: RFI 20100629.2161
2009
----
Crimean-Congo hem. fever - Pakistan (03): differential 20091012.3527
Crimean-Congo hem. fever - Pakistan (02): ex Saudi Arabia, susp. 20091011.3516
Crimean-Congo hem. fever - Pakistan (Abottabad): RFI 20090927.3377
2008
----
Crimean-Congo hem. fever - Pakistan (03): (PB), susp. 20081121.3678
Crimean-Congo hem. fever - Pakistan (02): (PB), susp. 20081117.3630
Crimean-Congo hem. fever - Pakistan: (BA) 20081027.3392]
...................................................sb/cp/msp/mpp

http://promedmail.com/pls/apex/f?p=..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,84958

 

[Ronan Kelly]

Re: Pakistan: another patient, 6 total for 2010

Re: Pakistan: another patient, 6 total for 2010

Congo virus detected in two patients
Upadated on: 02 Nov 10 05:29 PM


Staff Report

KARACHI: After dengue, Congo virus has been detected in two patients at a private hospital in Karachi on Thursday.

According to sources, so far 29 patients of Congo virus have been reported across the country.

Source close to the Sindh Health Department told SAMAA that two Congo virus patients have been admitted to a private hospital.

A special Congo ward has also been set up in the same hospital, sparking fear among staff and other patients.

Sources say that the hospital is trying to hide the information about the patients? condition.

Congo virus is transmitted to human blood through cattle and goats. SAMAA
http://www.samaa.tv/News27391-Congo_virus_detected_in_two_patients.aspx