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Pakistan: Doctors struggling to identify virus which claimed five lives in Karak (CCHF suspected)

Shiloh

Editor, Senior Moderator
Source: https://tribune.com.pk/story/142744...struggling-identify-virus-claimed-five-lives/


The Express Tribune > Pakistan > KP & FATA
Mysterious disease in Karak: Doctors struggling to identify virus which claimed five lives
By Umer Farooq
Published: June 5, 2017

PESHAWAR:
Four days after a suspected outbreak claimed five lives in Karak, authorities are still clueless as to what exactly the disease is. Health experts in the region are divided over what the disease is. Some suspect it to be an outbreak of Acute Watery Diarrhea (AWD) while others, after visiting the affected areas, believe that it is a strain of the Crimean-Congo Haemorrhagic
Fever (CCHF).
Cases of the still mysterious disease were first reported on May 30. But doctors sat up and took notice when on June 4, two cases were reported from Lakki Marwat district.
Different teams of medical experts from the area and the health department in Peshawar were dispatched to Karak and Lakki Marwat to probe the issue.?Earlier, it looked like AWD but with the symptoms, we can say these are CCHF cases,? a senior health official said, adding that they have ?sent samples to the National Institute of Health (NIH) and the results are awaited.? In late May, six people had slaughtered a cow in Bubbal Khail village and distributed the meat among 180 people. Those who were involved in the slaughter or skinning the cow were reportedly infected.
Four died on the spot while a fifth died while receiving treatment at the Lady Reading Hospital (LRH). The sixth man, who was also shifted to LRH in critical condition, is still receiving treatment at the facility?s Intensive Care Unit (ICU).
Officials stated that initially, it looked like the men suffered from an outbreak of diarrhoea or gastroenteritis which had later converted into a viral haemorrhagic fever since four of six patients, who lived close together, died while exhibiting similar symptoms.
A team of doctors who visited Bubbal Khail village were told by locals that the cases were probably related to slaughtered cow, now believed to have been ill when it was slaughtered...
 
Published Date: 2017-06-06 17:02:12
Subject: PRO/AH/EDR> Undiagnosed illness - Pakistan (02): (NW) Crimean-Congo hem. fever CCHF conf.
Archive Number: 20170606.5087887

UNDIAGNOSED ILLNESS - PAKISTAN (02): (KHYBER PAKHTUNKHWA), CCHF CONFIRMED
*************************************************************************
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: TuE 6 Jun 2017
Source: EpiCore Surveillance Project [edited]


A total of 4 persons named RJ, N, AH, and AR have died while a relative of N is hospitalized and found positive for CCHF.

--
Communicated by:
EpiCore Surveillance Project member
Sher Bahadar
Assistant Professor
The University of Agriculture
Peshawar
Khyber Pakhtunkhwa

[ProMED thanks Assistant Prof. Bahadar from the EpiCore network for the information confirming the diagnosis of CCHF as follow-up to our posting on suspected CCHF cases in Khyber Pakhtunkhwa. Availability of early and rapid diagnostic tools is vital to control of zoonoses such as CCHF. - Mod.UBA

A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/promed/p/140.]
...
http://www.promedmail.org/direct.php?id=20170606.5087887
 
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