Tajikistan: CCHF hemorrhagic fever outbreak

[alert]

Re: Tajikistan: CCHF hemorrhagic fever outbreak: 24 dead in 2 days

Re: Tajikistan: CCHF hemorrhagic fever outbreak: 24 dead in 2 days

Post #20 is the duplicate of post #1 that started this off. Post #19 is far more believable and would be more consistent with CCHF. I am willing to believe one dead HCW due to nosocomial transmission of CCHF to HCW. I am not willing to believe 24 deaths in 2 days.

 

[DrRugby]

Re: Tajikistan: CCHF hemorrhagic fever outbreak: 24 dead in 2 days

Re: Tajikistan: CCHF hemorrhagic fever outbreak: 24 dead in 2 days

What is that giant factory just to the west of the main town?
Check Google maps under satellite.

 

[alert]

Re: Tajikistan: CCHF hemorrhagic fever outbreak: 24 dead in 2 days

Re: Tajikistan: CCHF hemorrhagic fever outbreak: 24 dead in 2 days

And Promed posts on this. This is an older article they used. I wonder what they will say about the article that started this thread. This article doesn't mention the possible importation from Russia, or the possible 24 deaths.

http://www.promedmail.org/pls/otn/f..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,78703

Archive Number 20090808.2809
Published Date 08-AUG-2009
Subject PRO/AH/EDR> Hemorrhagic fever - Tajikistan: RFI


HEMORRHAGIC FEVER - TAJIKISTAN: REQUEST FOR INFORMATION
*******************************************************
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: Fri 7 Aug 2009
Source: Asia-Plus, news online [edited]
<http://www.asiaplus.tj/en/news/43/55629.html>


Residents die of hemorrhagic fever in Tursunzoda District
---------------------------------------------------------
A total of 3 residents of the Tursunzoda District, some 60 kilometres
[37.3 miles] west of Dushanbe, have died of hemorrhagic fever,
Asia-Plus has learned from Azamjon Mirzoyev, Deputy Health Minister
and Tajikistan Head Sanitary Physician.

The Deputy Minister said that the victims were 2 brothers, aged 50
and 47, from the village of Ziyoratut and the 47-year-old head of the
infectious Diseases Department within the local central district
hospital who died yesterday. According to the Deputy Minister the 1st
case of the disease was reported in the village of Ziyoratut on 27
Jul 2009. "Up to the present, 5 persons have been diagnosed with
hemorrhagic fever and 3 of them died," said. Mirzoyev. "24 persons
that were in contact with those who contracted the disease are
currently under the care of physicians. Antiepidemic measures have
been taken in Ziyoratut." No new cases of hemorrhagic fever have been
reported so far, he added.

The viral hemorrhagic fevers (VHFs) are a diverse group of animal and
human illnesses that are caused viruses classified in 5 different
families of RNA viruses: the _Arenaviridae_, _Filoviridae_,
_Bunyaviridae_, _Togaviridae_, and _Flaviviridae_. All types of VHF
are characterized by fever and bleeding disorders and all can
progress to high fever, shock and death in extreme cases. Some of
the VHF agents cause relatively mild illnesses, such as the
Scandinavian nephropathia epidemica, while others, such as the
African Ebola virus, can cause severe, life-threatening disease.

The _Arenaviridae_ include the viruses responsible for Lassa fever
and Argentine, Bolivian and Venzuelan hemorrhagic fever. The
_Bunyaviridae_ include the members of the genus _Hantavirus_ that
cause hemorrhagic fever with renal syndrome (HFRS), Crimean-Congo
hemorrhagic fever (CCHF) virus classified in the genus _Nairovirus_,
and Rift Valley fever (RVF) virus classified in the genus
_Phlebovirus_. Ebolavirus and marburgvirus are included in the family
_Filoviridae_. The family _Flaviviridae_ includes dengue, yellow
fever, and 2 viruses in the tick-borne encephalitic group Omsk
hemorrhagic fever virus and Kyasanur Forest disease virus.

[Byline: Nargis Hamroboyeva]

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

[The Republic of Tajikistan is a mountainous landlocked country in
Central Asia. Afghanistan borders it to the south, Uzbekistan to the
west, Kyrgyzstan to the north, and People's Republic of China to the
east. The Tursunzoda District and the city of Dushanbe can be located
using the HealthMap/PoME-mail interactive map of Tajikistan at:
<http://healthmap.org/r/00Fa>.

The above report does not identify the etiologic agent. Of the
hemorrhagic fevers listed in the report, the most likely agents
responsible for hemporrhagic fever in this part of the world are one
of the tick-transmitted hantaviruses responsible for HFRS or
Crimean-Congo hemorrhagic fever virus. The high case-fatality ratio
and the probable occurrence of nosocomial transmission favour a
diagnosis of Crimean-Congo hemorrhagive fever. Further information is
requested. - Mod.CP]
....................mpp/cp/ejp/dk

 

[Treyfish]

Re: Tajikistan: CCHF hemorrhagic fever outbreak: 24 dead in 2 days

Re: Tajikistan: CCHF hemorrhagic fever outbreak: 24 dead in 2 days

Can you open these? they seem to be shutdown recently, maybe.:tiphat:

Asia-Plus information agency
URL: http://www.asiaplus.tajnet.com/
Description: Asia-Plus is the first private news agency in Tajikistan. The site covers the latest daily news from Tajikistan, in a variety of subject categories. The site also describes the other services which the news agency offers. There is also an area where readers may subscribe for a fee to the agency's daily e-mail news bulletin AP-Blitz.

Title: Asia-plus
URL: http://www.asiaplus.tj/
Description: The News Agency "Asia-Plus" web site includes current information, daily updated reports on political, economic and cultural developments in Tajikistan and the Central Asian region. Full articles require registration to read.

 

[Sally Furniss]

Re: Tajikistan: CCHF hemorrhagic fever outbreak: 24 dead in 2 days

Re: Tajikistan: CCHF hemorrhagic fever outbreak: 24 dead in 2 days

What are the titles of the articles you are trying to access?

 

[Treyfish]

Re: Tajikistan: CCHF hemorrhagic fever outbreak: 24 dead in 2 days

Re: Tajikistan: CCHF hemorrhagic fever outbreak: 24 dead in 2 days

Tursunzade discovered Hemorrhagic Fever <TABLE class=contentpaneopen><TBODY><TR><TD vAlign=top colSpan=2>

Душанбе, 7 августа.​

Dushanbe, August 7.

(НИАТ ?Ховар?, Ибодат Давлатова).​

(NIAT ?Khovar?, Ibodat Davlatova).

- Из 5 человек, зараженных геморрагической лихорадкой в Турсунзадевском районе, три человека скончались.​

- Of the 5 people infected with hemorrhagic fever in Tursunzadevskom area, three people died.

Об этом сообщили в пресс-центре Министерства здравоохранения республики.​

This was reported in the press center of the Ministry of Health of the Republic.

Как сообщил источник, в данный момент в Турсунзадевском районе 26 человек, подозреваемых в заболевании, госпитализированы и находятся под наблюдением медицинских работников.​

According to the source, at this point in the area Tursunzadevskom 26 people suspected of the disease, hospitalized and under the supervision of health workers.

В связи с этим вчера, 6 августа, Министр Здравоохранения РТ Нусратулло Салимов с рабочей группой выехали в Турсунзадевский район.​

In this regard, yesterday, 6 August, Minister of Health of Tajikistan Nusratullo Salimov with the working group went to the Tursunzadevsky area.

В очаге заражения проводятся противоэпидемические мероприятия, а с местным населением - разъяснительные профилактические беседы.​

As a source of contamination are held up, and with the local population - prevention awareness talks.

Минздрав республики советует в случае появления у людей первых симптомов данного заболевания (высокая температура до 40 градусов, слабость, боли в икроножных мышцах и суставах), немедленно обращаться в больницу, так как своевременное обращение за медицинской помощью может предотвратить летальный исход.​

Ministry of Health of the Board in the case of the people first symptoms of the disease (fever up to 40 degrees, weakness, pain in muscles and joints ikronozhnyh), immediately contact the hospital as early treatment for medical care can prevent death.

Геморрагическая лихорадка протекает в крайне тяжелых формах из-за нарушения свертываемости крови, вызванного воздействием вируса В период разгара заболевания на теле и конечностях появляется геморрагическая сыпь, возникают носовые, маточные, желудочные и другие кровотечения.​

Haemorrhagic fever runs in very severe forms of the breakdown of blood coagulability due to exposure to the virus in the peak period of the disease on the body and limbs haemorrhagic rash appears, there are nasal, uterine, stomach and other bleeding. </TD></TR></TBODY></TABLE>
:tiphat:http://64.233.169.132/translate_c?h...le.com&usg=ALkJrhgKUajCyVqh-N1e689xK_abg6gkvg

 

[Sally Furniss]

Re: Tajikistan: CCHF hemorrhagic fever outbreak: 24 dead in 2 days

Re: Tajikistan: CCHF hemorrhagic fever outbreak: 24 dead in 2 days

Increasing control over the epidemiological situation in Uzbekistan because of the situation in Kazakhstan

27.07.2009 12:14 27.07.2009 12:14

Автор: ИА REGNUM Author: IA REGNUM

Узбекистан усиливает контроль за эпидемиологической обстановкой из -за возникшей сложной ситуации в Казахстане в частности, в Казахстане 6 учащихся заболели гриппом АН1N1, семь жителей Южно-Казахстанской области, граничащей с Узбекистаном, умерли от геморрагической лихорадки Крим-Конго.

Uzbekistan increases the control of the epidemiological situation due to the difficult situation in Kazakhstan in particular, in Kazakhstan, 6 students sick flu AN1N1, seven residents of the South Kazakhstan region, which borders Uzbekistan, died of hemorrhagic fever Crimean-Congo.

По словам заместителя министра здравоохранения Республики Узбекистан, главного санитарного врача страны Бахтиёра Ниязматова, в Узбекистане вспышек таких заболеваний, как грипп, вызванный вирусом АН1N1, геморрагическая лихорадка и брюшной тиф не наблюдалось, сохраняется стабильная эпидемиологическая обстановка.

According to Deputy Minister of Health of the Republic of Uzbekistan, the chief sanitary doctor country Bakhtier Niyazmatova in Uzbekistan outbreaks of diseases such as influenza, caused by a virus AN1N1, hemorrhagic fever and typhoid fever were observed, there is a stable epidemiological situation.

"Несмотря на это, разработан и активно реализуется план дополнительных мер по предупреждению проникновения и распространения таких заболеваний на территории нашей страны. Усилена деятельность противоэпидемиологических штабов, действующих при Министерстве здравоохранения, а также центрах госсанэпиднадзора Республики Каракалпакстан, областей и города Ташкента. Здесь круглосуточно работают лаборатории крайне опасных инфекционных заболеваний", - отметил главный санитарный врач республики.

"Despite this, developed and actively implemented the plan of additional measures to prevent entry and spread of such diseases in the territory of our country. Strengthen epidemiological staff, operating under the Ministry of Health and the Centers gossanepidnadzora the Republic of Karakalpakstan, regions and Tashkent city. Here are twenty-four-hour laboratory most dangerous infectious diseases ", - said the chief sanitary doctor of the country.

По его словам, медработники усиливают бдительность, для них организованы специальные семинары и учебные занятия по этим заболеваниям. According to him, health workers reinforce vigilance for special seminars and training sessions for these diseases. Создан запас медикаментов, веществ и средств дезинфекции по профилактике и лечению гриппа АН1N1.

A supply of medicines, materials and means of disinfection for the prevention and treatment of influenza AN1N1.

http://translate.google.com/transla...BE%D1%81%D1%81%D0%B8%D0%B8&cd=1&hl=en&ct=clnk

 

[Treyfish]

Re: Tajikistan: CCHF hemorrhagic fever outbreak: 24 dead in 2 days

Re: Tajikistan: CCHF hemorrhagic fever outbreak: 24 dead in 2 days

this is one

ASIA-Plus - News Agency. Breaking news Tajikistan...


...as influenza, caused by a virus AN1N1, hemorrhagic fever and typhoid fever are not...Tajik President arrives in Dushanbe for the completion of the CSTO summit in...
www.asiaplus.tj/news/1/55197.html - 75k - Cached

 

[Sally Furniss]

Re: Tajikistan: CCHF hemorrhagic fever outbreak: 24 dead in 2 days

Re: Tajikistan: CCHF hemorrhagic fever outbreak: 24 dead in 2 days

Iḿ having trouble getting google language tools working.

 

[DrRugby]

Re: Tajikistan: CCHF hemorrhagic fever outbreak: 24 dead in 2 days

Re: Tajikistan: CCHF hemorrhagic fever outbreak: 24 dead in 2 days

Here's the latest Asia Plus article from asia-plus.tj
Can't read it and google said it couldn't find it despite the fact I had it on live. HELP. This southern boy from Georgia (bulldogs, not asian) is lost.

http://www.asiaplus.tj/news/43/55647.html

Новых случаев заболевания геморрагической лихорадкой в Турсунзадевском районе нет, А.Мирзоев

08.08.2009 09:54

Автор: Виктория Наумова

Душанбе. 8 августа. ?Азия-Плюс? - Новых случаев смертности и заболевания геморрагической лихорадкой в Турсунзадевском районе нет, заявил сегодня ?АП? заместитель министра здравоохранения, главный санитарный врач страны Азамджон Мирзоев, тем самым опровергнув информацию распространенную рядом СМИ о том, что жертвами заболевания стали семь человек.

Напомним, диагноз ?геморрагическая лихорадка? был подтверждён у 5 больных, из которых трое скончались. Среди них - заведующий инфекционным отделением центральной районной больницы 47-летний Аскар Умаров, а также братья Холмановы ? 50 и 47 лет. Очаг заражения находился в кишлаке Зиёратут джамоата Навобод Турсунзадевского района.

?Состояние двух человек, у которых диагноз подтвердился, стабильное, - отметил он. ? Все контактировавшие с больными 24 человек находятся под наблюдением медицинских работников, и, мы надеемся, что уже завтра или в понедельник они будут выписаны из больницы?.

Справка: Геморрагическая лихорадка ? вирусная природно-очаговая болезнь человека, возбудитель которой передается клещами и их переносчиками - грызунами. Передача возбудителя происходит при укусе клещей, а также при попадании крови больных на слизистые оболочки глаз, ротоглотки, носоглотки и поврежденную кожу людей, контактировавших с больными. Болеют преимущественно люди, занятые сельхозработами, уходом за скотом, заготовкой сена. Хотя вирус известен уже на протяжении полувека, вакцины для его предупреждения пока не существует. Впервые возбудитель лихорадки был выделен в 1956 году в Конго из крови больного ребенка.

 

[Shiloh]

Re: Tajikistan: CCHF hemorrhagic fever outbreak: 24 dead in 2 days

Re: Tajikistan: CCHF hemorrhagic fever outbreak: 24 dead in 2 days

Google Translation of Post #30


New cases of hemorrhagic fever in an area not Tursunzadevskom, A. Mirzoev

08.08.2009 09:54

Author: Victoria Naumova

Dushanbe. 8 August. ?Asia-Plus? - new cases of death and disease in hemorrhagic fever Tursunzadevskom area there, said the ?AP? Deputy Minister of Health, Chief Sanitary Doctor of the country Azamdzhon Mirzoev, thereby denying the information circulated by several media that the victims of the disease were seven people .

Recall diagnosis ?hemorrhagic fever? has been confirmed in 5 patients, of whom three died. Among them - the head of infection of the central regional hospital 47-year-old Askar Umarov, as well as brothers Holmanovy - 50 and 47 years. Hearth infection was in the village Zieratut Jamoat Navobod Tursunzadevskogo area.

?The state of the two people who have the diagnosis confirmed, a stable, - he said. - All contact with patients of 24 persons are under the supervision of health workers, and we hope that tomorrow or Monday, they will be discharged from the hospital ?.

Information: Haemorrhagic fever - viral disease localized natural rights, which the agent is transmitted mites and their vectors - rodents. Transmission occurs when the causative agent of tick bite, and when ingested the blood of patients on the conjunctiva, oropharynx, nasopharynx, and damaged skin of people exposed to sick people. Sick people are mostly engaged in agricultural, caring for livestock, harvesting hay. Although the virus is known already for half a century, a vaccine to prevent it does not exist yet. Incitant fever was first isolated in 1956 in the Congo from the blood of the sick child.

 

[Shiloh]

Re: Tajikistan: CCHF hemorrhagic fever outbreak: 24 dead in 2 days

Re: Tajikistan: CCHF hemorrhagic fever outbreak: 24 dead in 2 days

Source: http://www.khovar.tj/index.php?option=com_content&task=view&id=12890

Dushanbe, 11 August. (NIAT ?Khovar?, Ibodat Davlatova). - Dushanbe registered one case of hemorrhagic fever infection. As NIAT ?Khovar? in the Press Center of the Ministry of Health of RT, the patient contacted the health facility capital on 9 August, after a survey on 10 August the patient was discovered virus haemorrhagic fever.
Recall that in late July in Tursunzadevskom area of hemorrhagic fever 3 people died and 2 patients are under medical supervision. Currently, there 15 people suspected of being infected with the virus, 3 of them have been hospitalized.
The disease of hemorrhagic fever has an extremely severe forms of the breakdown of blood coagulability due to exposure to the virus, during the height of the disease on the body and limbs appear hemorrhagic rash, there are nasal, uterine, stomach and other bleeding.
?According to statistics in Tajikistan in 2007 was found 20 people infected with the virus, while in 2008 14 people?, - said a source in the Ministry of Health of the country.

 

[alert]

Re: Tajikistan: CCHF hemorrhagic fever outbreak: 24 dead in 2 days

Re: Tajikistan: CCHF hemorrhagic fever outbreak: 24 dead in 2 days

I now feel confident that the first post was a bad rumor. There weren't 24 deaths - just the three. The 24 is likely the number of contacts under quarantine. And CCHF is as endemic in Tajikistan as in Russia - there is no need to speculate the importing of a dead body. That is some good background noise level to keep in mind though: 20 and 14 cases per year. Obivously, the cluster in Tursunzade will make this years total a bit higher.

I would simply change this thread to Tajikistan: CCHF cases. It's time to get that alarming rumor out of the title of this thread.

 

[Treyfish]

Re: Tajikistan: CCHF hemorrhagic fever outbreak: 24 dead in 2 days

Re: Tajikistan: CCHF hemorrhagic fever outbreak: 24 dead in 2 days

A. Mirzoev: ?Prevention is better than cure? <TABLE class=contentpaneopen><TBODY><TR><TD vAlign=top colSpan=2> Dushanbe, 12 August.
- Information that Tursunzadevskom area 3 people died of hemorrhagic fever, sow unwarranted anxiety among the population. For explanation of the situation correspondent NIAT ?Khovar? asked Azamdzhonu Mirzoyeva, Deputy Minister of Health of the Republic of Tajikistan.
This is how he commented on the situation:

- ​

Each year the country recorded 20 cases of hemorrhagic fever, but it was not epidemic. For example, in 2007 the country had registered 16 patients in 2008 - 14 and 2009 (to date) - 8 cases, including 5 cases in the area Tursunzadevskom and 1 case in the cities of Kulyab, Dushanbe and Temurmalikskom area.

Vectors is iskodovy mite from the bite of which comes from infecting human. Iskodovye mites belong to the class Arahnida (spiders, scorpions, ticks).
Haemorrhagic fever runs in very severe forms of the breakdown of blood coagulability due to exposure to the virus. During the height of the disease on the body and limbs rights haemorrhagic rash appears, there are nasal, uterine, stomach and other bleeding.
Index contagious (infectiousness) is 95%. Transmission occurs through direct contact with blood, body fluids and tissues of infected. Funeral rites, in which there is direct contact with the body of a deceased person can play a significant role in the spread of fever. The virus is allocated to patients within three weeks. Frequent contamination of health care workers from patients through close contact without using protection.
A similar situation exists in Tursunzadevskom area on 26 July this year, when the head of the department of infectious hospital contracted during the first aid, and his brother were infected with ablution the corpse.On the field work from infected tick bites a resident of the same district. All three died.

​

As a result of the situation in the region left Tursunzadevsky working group chaired by the Minister of Health of the Republic Nusratullo Salimova. As a source of contamination had been held up, is designed epidemiological plan to combat fever, with the local population interview conducted outreach prevention.
A headquarters for the elimination of focus of infection, led by the mayor of Dushanbe Mahmadsaid Uboydullaevym.

In Tursunzadevskom area have been hospitalized 39 people, of whom 10 August, 35 people were released home.

In the case of infection of hemorrhagic fever in the city of Dushanbe, the residents of 9 and 5 health care workers, which in contact with infected, hospitalized. A resident of Dushanbe from the bite of infected mites in the Shaartuz district, where the open protect watermelons.
And in the city of Dushanbe mite occurs very rarely. In the circulation of the virus occurs mainly in areas such as Tursunzade, Rudaki, and Dangara Temurmalik.
However, to date, the situation remains under control, the risk of high prevalence there is no reason to artificially created panic.

If there are people first symptoms of the disease (fever up to 40 degrees, weakness, pain in muscles and joints ikronozhnyh, abdominal pain, severe headache), you should immediately contact the hospital as early treatment for medical care can prevent fatal outcome. Treatment is carried out completely free of charge.
It should be emphasized that, since the penetration of mites on the clothes before the beginning of human krovososaniya takes a few hours. Attaching and suction to the body in most cases go unnoticed. Sadneniya The feeling of a man and itching at the place suction mite occurs only after 6-12 hours and at a later date. Therefore, you need to observe the precautions, particularly in the open field: to wear appropriate clothing, shoes and personal hygiene.
Typical landscapes of natural foci of infection are large and small cattle, floodplain meadows along the river banks of lakes and ponds, forest glade, roadside vegetation, forest paths, creating the conditions for the frequent occurrence of prokormiteley ticks.
In conclusion I would like to reiterate that there is no cause for panic as there is no epidemic in Tajikistan of hemorrhagic fever.

​

Day and night are the services, overseeing the identification of contacts of cases. Remember - prevention is better than cure. :tiphat:http://64.233.169.132/translate_c?h...le.com&usg=ALkJrhhoR-P3tVfxXLQjAqFDYmC6VMGRAg
</TD></TR></TBODY></TABLE>

 

[Treyfish]

Re: Tajikistan: CCHF hemorrhagic fever outbreak: 24 dead in 2 days

Re: Tajikistan: CCHF hemorrhagic fever outbreak: 24 dead in 2 days

In Dushanbe, hemorrhagic fever found in selchanina had been selling watermelons in one of the capital markets



Author: Nargis Hamrabaeva

Dushanbe. August 12. «Asia-Plus» - Dushanbe registered a case of hemorrhagic fever - today Deputy Minister of Health, Chief Sanitary Doctor of the country Azamdzhon Mirzoev.

According to him, this viral disease, which in early August has claimed the lives of three people in Tursunzadevskom area was recorded in visiting a young man, a resident of the Khatlon region, which rented a room in one of the capital's dormitories and selling watermelons on the market.

«The boy suffered from tick bites when he went in for the next installment of watermelons - said Mirzoev. - Already being in Dushanbe, he felt ill, he started bleeding. Doctors Ambulance hospitalized him in the city isolation hospital, where he is now. Contacts with the 5 physicians and 8 residents of the hostel are under constant medical supervision ».

The first case of haemorrhagic fever this year was detected in late July in Tursunzadevskom area (60 km west of Dushanbe). A few days later from the disease have died, three people, including the head of infection of the central regional hospital Tursunzade 47-year-old Askar Umarov, as well as brothers Holmanovy - 50 and 47 years. Hearth infection was in the village Zieratut Jamoat Navobod Tursunzadevskogo area.

According to A. Mirzoyeva, the source of infection are up, and with the local population - raising prevention conversation ».

In the event that people start seeing the symptoms of the disease (fever up to 40 degrees, weakness, pain in muscles and joints ikronozhnyh) A. Mirzoev advised to immediately contact the hospital, because early treatment for medical care can prevent death. The disease runs in the harshest forms, from a lack of blood coagulability due to exposure to the virus, during the height of the disease on the body and limbs haemorrhagic rash appears, there are nasal, uterine, stomach and other bleeding.


:tiphat:http://www.mynet.tj/news/?sahifai=300&clips=27324&clipscat=1

 

[Treyfish]

Re: Tajikistan: CCHF hemorrhagic fever outbreak: 24 dead in 2 days

Re: Tajikistan: CCHF hemorrhagic fever outbreak: 24 dead in 2 days

:tiphat:MMM MM .. Freshly coughed on watermelons for you today!Cheap!!
Brought you directly from an CCHF outbreak 60 klms away! No need to panic as there is no epidemic, AND there are only 13 more new contacts in quarantine under constant monitoring. Now.. about his companions on the trip..or customers he talked to or gave change to..

 

[Treyfish]

Re: Tajikistan: CCHF hemorrhagic fever outbreak: 24 dead in 2 days

Re: Tajikistan: CCHF hemorrhagic fever outbreak: 24 dead in 2 days

Villager selling watermelons in Dushanbe diagnosed with hemorrhagic fever

12.08.2009 12:14

Author: Nargis Hamroboyeva


DUSHANBE, August 12, 2009, Asia-Plus -- Villager from Khatlon selling watermelons at the market in Dushanbe?s Gyprozem area has been diagnosed with hemorrhagic fever, Deputy health Minister, Azamjon Mirzoyev, said in an interview with Asia-Plus today.
According to him, the villager was diagnosed with hemorrhagic fever a couple of days before. ?He probably was bitten by tick when he went to Khatlon for the next consignment of watermelons,? said the deputy minister, ?He is currently in the Dushanbe infectious diseases hospital and five medical workers and eight persons that had contact with him are currently under the care of physicians.?
We will recall that Azamjon Mirzoyev told Asia-Plus on August 7 that three residents of the Tursunzoda district, some 60 kilometers west of Dushanbe, have died of hemorrhagic fever. ?Among them are the brothers Kholmanov, 50 and 47, from the village of Ziyoratut and the 47-year-old head of the infectious diseases department within the local central district hospital Askar Umarov,? the deputy minister said. Umarov died of the disease on August 6.
According to him, the first case of the disease was reported in the village of Ziyoratut on July 27. ?Five persons have been diagnosed with hemorrhagic fever; three of them died,? said Mirzoyev. ?24 persons that had contact with VHF patients are currently under the care of physicians.?
Mirzoyev noted today that two other persons that were diagnosed with hemorrhagic fever and 20 of those 24 persons that were hospitalized in Tursunzoda on suspicion of having contracted the disease have already been discharged from the hospital.
The viral hemorrhagic fevers (VHFs) are a diverse group of animal and human illnesses that are caused by five distinct families of RNA viruses: the Arenaviridae, Filoviridae, Bunyaviridae, Togaviridae, and Flaviviridae. All types of VHF are characterized by fever and bleeding disorders and all can progress to high fever, shock and death in extreme cases. Some of the VHF agents cause relatively mild illnesses, such as the Scandinavian nephropathia epidemica, while others, such as the African Ebola virus, can cause severe, life-threatening disease.
The Arenaviridae include the viruses responsible for Lassa fever and Argentine, Bolivian and Venzuelan hemorrhagic fever. The Bunyaviridae include the members of the Hantavirus genus that cause hemorrhagic fever with renal syndrome (HFRS), the Crimean-Congo hemorrhagic fever (CCHF) virus from the Nairovirus genus, and the Rift Valley fever (RVF) virus from the Phlebovirus genus. The Filoviridae include Ebola and Marburg viruses. Finally, the Flaviviridae include dengue, yellow fever, and two viruses in the tick-borne encephalitic group cause VHF: Omsk hemorrhagic fever virus and Kyasanur Foreist disease virus. :tiphat:http://www.asiaplus.tj/en/news/43/55753.html

 

[Shiloh]

Re: Tajikistan: CCHF hemorrhagic fever outbreak

Source: http://www.khovar.tj/index.php?option=com_content&task=view&id=12935

Google translation:

SSA TAJIKISTAN: ?There is no reason for panic?

Dushanbe, 13 August. (NIAT ?Khovar?, Cristina Ehrlich). - Epidemic hemorrhagic fever in Tajikistan, no. This is the journalists said the Deputy Minister of Health of Tajikistan Azamdzhon Mirzoev at a press conference on 13 August.

?Central haemorrhagic fever in Tajikistan has recorded more than 10 years and still not exceed 20 cases per year. The number of deaths from hemorrhagic fever is very high, reaching 70 per cent of patients, but in the Republic of Tajikistan, the figure does not exceed 30-35 per cent of patients ?, - said A. Mirzoev.

At the press conference it was noted that within 10 years the areas of focus of the disease were recorded: Faizabad, Rudaki, Vahdat, Dzhirgital, Tursunzade, Voss, Dangara, Baldzhuvan and Mountain Kulyab.

For 7 months of this year of suspected haemorrhagic fever have been registered 12 cases in Tursunzade, Kulyab, Dushanbe and districts Temurmalik and Rudaki. In total 3 people died in Tursunzade - two brothers and the head of the department of infectious hospital. The remaining patients were treated and released home.

?In the infectious Tursunzade city hospital not a single patient, and after a complete disinfection of hospital re-start taking patients - said the Deputy Minister. - Treatment of patients free of charge expensive antiviral drugs ribovirinom, which was bought at the expense of the Ministry of Health of the Republic. It also bought the party of special disinfectants.

Currently, the Ministry of Health of Tajikistan, in conjunction with other support agencies, preventive and outreach activities among the population and medical personnel. Therefore, today there is no reason for panic ?.

 

[Treyfish]

Re: Tajikistan: CCHF hemorrhagic fever outbreak

Probability of epidemic hemorrhagic fever in Tajikistan is very small - but Mirzoev



Author: Victoria Naumova

Dushanbe. 13 August. ?Asia-Plus? - The health condition of a young man, hospitalized in the City Hospital with a diagnosis ?hemorrhagic fever?, stable, announced today the Deputy Minister of Health, Chief Sanitary Doctor of the country Azamdzhon Mirzoev.

According to him, a young man who traded in one of the market town of watermelons, was hospitalized on Aug. 9.

?At the moment the patient, as well as the 13 people exposed to him, are under constant control, - he said. - For those people who have contact with patients, we are seeing 6-8 days, during which symptoms must occur. These steps we take to protect against the spread of illness ?.

Meanwhile, speaking about the situation in the area Tursunzadevskom, A. Mirzoev noted that at the moment, two men who were in the central district hospital with a diagnosis ?hemorrhagic fever?, as well as 39 people who directly or indirectly in contact with the patients already discharged . In the hospital, according to Chief Medical Officer, at the moment, a disinfection.

Responding to journalists' questions about that, whether in Tajikistan epidemic hemorrhagic fever, the chief sanitary doctor said that the chance of epidemic is very small, but sporadic cases of haemorrhagic fever in Tajikistan has been and will be. :tiphat:http://www.mynet.tj/news/?sahifai=300&clips=27342&clipscat=1

 

[Treyfish]

Re: Tajikistan: CCHF hemorrhagic fever outbreak

<TABLE border=0 cellSpacing=0 cellPadding=0 width="100%"><TBODY><TR><TD style="LINE-HEIGHT: 22px" class=arial_22_FF6600 colSpan=3>Haemorrhagic fever disease is not new to Tajikistan - SSA </TD></TR><TR><TD vAlign=top rowSpan=4 width=40>

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DUSHANBE, August 13 - Kurbanov.

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- | Haemorrhagic fever is not a new infectious disease in Tajikistan. This is today's press conference in Dushanbe, said Deputy Minister of Health, Chief Sanitary Doctor of the RT countries Azam Mirzoev.




According to him, every year in the country of suspected haemorrhagic fever hospitalized from 10 to 20 people. ?In Soviet times, scholars of medicine arrived in Tajikistan to examine this disease. The risk of the disease lies in its high mortality rate, which is 50%. Some scholars argue that the threshold of death with hemorrhagic fever may be as high as 70% ?, - said Mirzoev. According to him, the mortality rate among patients with hemorrhagic fever in Tajikistan does not exceed 30%.




?Over the past 7 months of this year in Tajikistan registered only 12 cases of haemorrhagic fever in areas of Tursunzade, Temurmalik and Kulyab. Tursunzade registered in 5 patients, three of whom died, including the medical officer, in contact with patients. The remaining hospitalized out ?, - noted Mirzoev.

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In the Ministry of Health also reported that one person with suspected haemorrhagic fever hospital in Dushanbe. ?He contacted 8 persons, including 5 doctors, all of whom are under the supervision of doctors. This patient is a resident of another district, and the capital was selling watermelons. Now the patient is in hospital infection in the city of Dushanbe Zarafshon, and his condition as stable ?, - underlined the country's chief sanitary doctor.

Replying to a question about a possible outbreak of epidemics and the willingness of the Ministry of Public Health in the prevention of the disease, Mirzoev noted that ?the likelihood is small and the Ministry of Health is prepared to prevent it.
The World Health Organization to assist the Republic of medicine?, - he concluded.

Remember, the first information about the discovery of the disease was released prior to August 6, when an information that the suspected disease in the hospital Tursunzade were hospitalized 10 people.

На​

The next day, received official information about the death of the main haemorrhagic fever infection Tursunzade Askarali Umarova and two brothers from the local village Zierattut.

:tiphat:http://64.233.169.132/translate_c?h...le.com&usg=ALkJrhggE1OBioZ5lLOpgaz_hCVCbhU7Xg


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