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Thailand: MOH orders reporting of Meningococcal cases

Ronan Kelly

Retired 2020
Ministry of Public Health announcements (23/5/2011)

Ministry of Public Health ordered all provinces to report on cases of Meningococcal Meningitis 24 hours following the death of a young Thai patient in the United States who had symptoms of the disease. In Thailand this year symptoms Meningococcal Meningitis similar had been reported in 9 patients


Dr. Paichit Varachit, Permanent Secretary, Ministry of Public Health, stated with regard to the case of Ms. Sorocha Niam Bunnam and Ms. Gao, the latter a 4th year student at Thammasat University who died in the United States, that the symptoms of diseases that led to the death of both women were similar to the symptoms of Meningococcal Meningitis. At present, the Office of Epidemiology, Ministry of Public Health is coordinating with officials in the United States to find out the cause of death in order to educate the public on how to protect themselves and prevent the spread of this illness. In any case, the Ministry has ordered that all of the Provincial Public Health Office across the country to continue to survey and report on any further cases nationwide. If there are sick patients, it can be reported 24 hours and the immediate area be controlled. The disease is caused by bacteria meningitis that leads to the swelling of the brain and the spinal cord. 25% to 40% of patients infected with this around the age 15 years. There are 13 strains of Meningococcal Meningitis and symptoms after 3-4 days of infection includes fever, severe headache, neck stiffness, vomiting, rash, bruise skin and may lead to shock. In severe cases, those infected that have internal bleeding including in the intestines and adrenal gland. While there are curs for disease, patients experiencing symptoms should consult with a doctor without delay.



In terms of the surveillance since 1 of January ? to 20 March 2011, it was discovered that a total of from 7 provinces were infected Meningococcal Meningitis- 3 in Chonburi, and 1 each from Bangkok, Pathum Thani, Maha Sarakham, Chiang Rai and Phetchaburi respectively.



On a separate matter, the Ministry of Public Health warmed farmers of being infected by mouse urine after 548 have already been infected of those numbers 12 people have died from the infection. The Permanent Secretary of the Ministry of Public Health ordered the Provincial Health Office to throughout the country to warm farmers about the harmful effects of mouse urine careful, which has already infected 548 people throughout the country and claimed 12 lives.



Dr. Supan Si Thamma spokesperson of the Ministry of Public Health spokesman said that with the start of the rainy season, farmers will begin plant their crops and thus increasing the risk of being infected by mice urine, which is also known Leptospirosis. It appears that the risk from infection is higher than other seasons. Therefore, the Permanent Secretary, Ministry of Public Health instructed the Provincial Health Offices throughout the country, in addition to local hospitals and volunteers throughout the country to promote public awareness, especially to farmers, on how to protect themselves as infection from this disease can be found in all parts of the country. To prevent further losses of life, the Public Health Ministry also instructed hospitals to screen patients and check their patient history, especially patients with a history of treading wet and muddy places due to their profession.



Dr. Supan said that the disease is caused by bacteria in mice urine. It can survive in the water for 3 weeks and can enter a human body through the skin if exposed in water for a period of time. It can also enter the human body via the eyes or mucous membrane lesions and scratches. When entering the body. The infection enters the bloodstream quickly. The most common symptoms from infection are fever, chills, headache, fatigue, nausea, vomiting, pains to the eye. Those with such symptoms are asked to seek medical attention.


http://media.thaigov.go.th/pageconf....asp?pageid=472&directory=1944&contents=57650
 
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