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Philippines: Two dead, 150+ ill after consumption of suspected anthrax infected animal

alert

Senior Moderator
http://hisz.rsoe.hu/alertmap/woalert_read.php?glide=EH-20100228-25149-PHL&cat=dis&lang=eng

http://www.gmanews.tv/story/184981/anthrax-suspected-in-death-of-2-in-cagayan

Two people died while scores were hospitalized in a remote Cagayan village in what authorities said was a case of ingesting contaminated animal meat at the weekend. Doctors at the Cagayan Provincial Hospital feared the deaths might have been caused by the anthrax bacteria following reports that residents in San Pedro village in Lasam town had been downed after eating spoiled meat. Cagayan health officer Danilo Alonzo confirmed that two residents from the village had died, while his deputy, Carlos Cortina, said about 150 more had been hospitalized as of last Friday and were under close monitoring by medical personnel. “The spread [of the disease] has developed into epidemic proportions but we are now doing all we can to contain the situation," Alonzo said on Sunday. The names and ages of the victims were not yet available, but Cortina told GMANews.TV the investigation by the Cagayan health office had found that the victims had all consumed meat from a dead carabao. “This incident is not new in the area considering that the same kind of bacteria has infected several residents of the same town last year," Cortina said, adding that they were still verifying the diagnosis since determining the real cause of the deaths was not easy. He added that the bacteria remain in the soil even after 10 years or more. “We already sent out advisories as early as last year that the public should not eat meat of dead animals because the bacteria stays in the soil for a long time and both grazing and gnawing animals are easily infected by the anthrax’s spore," he said.

Patients infected with anthrax, caused by Bacillus anthracis, have been rushed to the Lasam General Hospital and Cagayan Valley Medical Center in Tuguegarao City. Health officials traced the problem to poverty or lack of available food, noting that the poor get victimized by profiteers who sell cheap meat from unknown sources. Cortina said the patients and villagers had been given anti-anthrax medications, antibiotics and other medicines, while Governor Antonio Alvaro had announced that the provincial government was ready to release funds to mitigate the spread of anthrax. Meanwhile, Alonzo said the provincial veterinary office was already on alert as farm animals in areas suspected of infection were “being butchered and buried immediately." Lethal when not treated properly and immediately, the anthrax bacteria can move to humans that eat the meat of infected animals or those that chew on plants from infected soil. The incubation period ranges from 12 hours to 5 days. Among the signs of infection in humans are headache, fever, abdominal pains, dry cough and itchy skin lesions. The bacteria can survive in harsh conditions for extremely long periods of time and can be found on all continents. When inhaled, ingested, or come into contact with a skin lesion on a host, the spores may reactivate and multiply rapidly.
 
Re: Philippines: Two dead, 150+ ill after consumption of suspected anthrax infected animal

I am wondering whether this really is anthrax. This might just be some kind of food poisoning. 400 cases of gastrointestinal anthrax would likely result in dozens of deaths, not just one.

http://www.promedmail.org/pls/otn/f..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,81619

Archive Number 20100304.0714
Published Date 04-MAR-2010
Subject PRO/AH> Anthrax, human, bovine - Philippines (03): (CG)

ANTHRAX, HUMAN, BOVINE - PHILIPPINES (03): (CAGAYAN)
***********************************************
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: 3 Mar 2010
Source: Sunstar.com [edited]
<http://www.sunstar.com.ph/network/arroyo-orders-doh-address-anthrax-case-702-pm>


President Gloria Macapagal-Arroyo ordered the Department of Health
(DOH) to assist local government units (LGUs) in attending to the
anthrax cases in Cagayan as they investigate how the disease spread
after it has already downed 400 persons and killed one victim.

Deputy Presidential Spokesman Gary Olivar said the President also
directed the Department of Agriculture (DA) to assess the extent of
the anthrax problem [and] its effect on animals. Olivar added that,
at present, anthrax is endemic in Lasam in Cagayan and the nearby
areas. He added that initial reports showed that the anthrax was
found in soil "as spores and herbivores like carabaos get sick from it."

He said Lasam had reported that there are at least 405 suspected
cases of anthrax. "The DOH team is now investigating the outbreaks.
Initial reports traced the source from sick and dying carabaos,
possibly from anthrax. Person-to-person transmission is rare.
Quarantine of cases is not required. Treatment is with
ciprofloxacin," Olivar said, quoting a DOH report.

Cagayan provincial health chief Dr. Danilo Alnozo said of the 400
cases they are handling, only 13 remain under observation at the
Cagayan Valley Medical Center, while one person died of a heart
attack which was aggravated by anthrax
.

The victims reportedly got the disease after eating the meat of a dead carabao.

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

[When the president is on your tail, things happen, and folk lose
sleep. It will be interesting to see what comes of this presidential
push. Anthrax has long been a problem on the island of Luzon, and
common sense would suggest that a programme of active veterinary
surveillance and control would be cost effective. Livestock anthrax
control is something with double benefits; effective control can
result in eradication at no extra cost. - Mod MHJ]

[see also:
Anthrax, human, bovine - Philippines (02): (CG) 20100302.0688
Anthrax, human, bovine - Philippines: (CG) 20100301.0676
2009
----
Anthrax, human, livestock - Philippines: (Luzon) 20091205.4149
2001
----
Anthrax, human - Philippines (Ilocos Norte) 20011124.2878]
..................................................sb/mhj/msp/mpp
 
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