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Uganda: Crimean Congo Fever 2018

Shiloh

Editor, Senior Moderator
Source: https://ugandaradionetwork.com/story/girl-dies-in-nakaseke-after-showing-crimean-congo-fever-signs

Girl Dies in Nakaseke After Showing Crimean Congo Fever Signs
12 Jan 2018, 13:35
Health workers under protective gears disinfecting the dead body before they transferred to Nakaseke Hospital Mortuary.
Brian Luwaga


In short
Bridget Nalunkuuma, the deceased came from Kagugo village in Luweero district and went to Buswagiro village in Butalangu town council in Nakaseke on December 23rd to celebrate Christmas with her auntie identified as Harriet Nassimbwa. However, on Thursday Nalunkuuma developed severe fever, headache coughed and vomited blood among other signs before she died less than an hour later...
 
SATURDAY JANUARY 13 2018

Shock as 9-year-old dies of strange disease in Nakaseke


By DAN WANDERA
NAKASEKE.

Fresh fears of an attack by a strange disease with signs similar to the Crimean Congo Hemorrhagic fever are fast spreading in Nakaseke District after a 9-year old girl collapsed and died at Butalangu village just about 1km from the District headquarters on Thursday evening.

A rapid response health team from Nakaseke Hospital was later dispatched at the scene with full body protective gear and a body bag to collect the body at Butalangu village. The Health teams disinfected the home and promised to get back to the family members regarding the burial arrangements.
...
Nakaseke District Health Officer Dr Badru Ssesimba confirmed to Journalists that blood samples from the deceased body had been handed over to the Uganda Virus Research Institute but refused to give details on what happened.?
...
Last week, the Ministry of Health denied claims by Nakaseke District officials that the deadly Crimean Congo Hemorrhagic fever had broken out in Nakaseke. The PS, MOH Dr Diana Atwine said the claims made the politicians in Nakaseke were baseless because the officials have no mandate to announce an outbreak of an epidemic. She clarified that the UVRI had not issued any positive results for the CCHF.

The Permanent Secretary MOH Dr Diana Atwine in a telephone interview with the Daily Monitor on Friday confirmed that fluid and blood samples from the body of a child who died in Nakaseke on Thursday were taken to the Uganda Virus Research Institute to verify and report back on the case.
...
http://www.monitor.co.ug/News/Natio...in-Nakaseke/688334-4262394-f8apdhz/index.html
 
Source: http://www.xinhuanet.com/english/2018-01/15/c_136897128.htm


Uganda confirms Crimean-Congo Hemorrhagic Fever outbreak in central region
Source: Xinhua| 2018-01-15 17:35:21|Editor: Liangyu

KAMPALA, Jan. 15 (Xinhua) -- Uganda's health ministry on Monday confirmed an outbreak of Crimean-Congo Hemorrhagic Fever (CCHF) in the central district of Nakaseke.

Sarah Opendi, state minister for health, told Xinhua that the laboratory results of the samples taken from a 9-year-old suspected case who has been under isolation at Kiwoko Hospital, Nakaseke tested positive of the fever.

She said a National Rapid Response team from the Ministry of Health and that of Agriculture, Animal Industry and Fisheries has been dispatched to Nakaseke and Luweero districts to handle the outbreak...
 
  • Ministry of HealthUG@MinofHealthUG 10h10 hours ago More

    Hon. Opendi: Doctors please use personal protective gear at all times when handling patients.

    ...​
  • Ministry of HealthUG@MinofHealthUG 10h10 hours ago More


    Hon. Opendi: I appeal to @TheUMAofficial to work closely with Ministry of Health rather than raising alarms among the public. We have a National Task Force that sits weekly, please join them in their meetings rather than creating fear among the population.
    ...​
  • Ministry of HealthUG@MinofHealthUG 10h10 hours ago More

    Hon. Opendi: The Ministry of Health always informs the public when there is an outbreak in the country. It is NOT true, as alleged, that the Ministry is concealing an outbreak.

    DTp4OxGXcAANRkD.jpg

    ...
  • Ministry of HealthUG@MinofHealthUG 10h10 hours ago More



    Hon. Opendi: I want to inform the public that we do NOT have any suspected cases of Crimean Congo Hemorrhagic Fever (CCHF) in communities. In case, there is anyone in the community who has fever
    1f912.png
    ,headache
    1f915.png
    , vomiting,diarrhea,body ache,please report to nearest health facility
    ...​
  • Ministry of HealthUG@MinofHealthUG 10h10 hours ago More



    Hon. Opendi: There is no Crimean Congo Hemorrhagic Fever in Uganda as earlier reported by @TheUMAofficial
    ...

    https://twitter.com/@minofhealthUG

 
Source: http://ntv.co.ug/news/health/23/jan...-outbreak-nakaseke-22381#sthash.Hc57vMoJ.dpbs


Government confirms Crimean-Congo hemorrhagic fever outbreak in Nakaseke
Government has confirmed one death from the Crimean Congo Haemorrhagic fever and three others to the Rift valley fever
Added: 3 min 58 sec ago

On 5th January, the Health Minister dismissed reports of an outbreak of the Crimean- Congo Hemorrhagic Fever in the central district of Nakaseke as had been reported by the district authorities. The Ministry?s Permanent Secretary Dr. Diana Atwine advised the public to ignore the announcement of the disease caused by a tick-borne virus.

The Ministry later made a U-turn and confirmed an outbreak the Hemorrhagic Fever (CCHF) in Nakaseke after samples were taken from a 9-year-old who was under isolation at Kiwoko Hospital and who later positive for the fever.

A day later, doctors under the Uganda Medical Association accused the Ministry of Health of failing to handle the Crimean- Congo Hemorrhagic fever in Nakaseke district and putting the lives of health workers at risk. State Minister for Health Sarah Opendi responded.

Today, the minister for health Dr. Jane Ruth Aceng has said that since reports of the outbreak surfaced last August, four cases can be confirmed. She spoke at a press conference in Kampala, in the company of officials from the world health organization and Food and Agricultural Organization...
 
THE REPUBLIC OF UGANDA

GOVERNMENT STATEMENT ON THE RISK OF RIFT VALLEY
HEMORRHAGIC FEVER (RVF) AND CRIMEAN-CONGO HEMORRHAGIC
FEVER (CCHF) IN THE CATTLE CORRIDOR DISTRICTS OF UGANDA


Hon. Dr. Jane Ruth Aceng
Minister of Health
January 23, 2018.

Further to the previous statements issued by the Ministry of Health, Government informs
the general public that there have been sporadic cases of Crimean-Congo Hemorrhagic
Fever (CCHF)
and Rift Valley Fever (RVF) in some districts along the cattle corridor.

Government would like to inform the general public that rapid intervention to manage
and control the situation is well under way.

An inter-ministerial committee, coordinated by the Ministry of Health has been
undertaking measures, including the following:

1. A National Rapid Response team of expert epidemiologists, clinicians,
veterinarians, communicators and laboratory specialists (jointly from Ministry of
Health and Ministry of Agriculture Animal Industry and Fisheries) has been
constituted and dispatched to Nakaseke and Luwero to support the district to set up
appropriate response structures.
2. Spraying of ticks and biting insects is already ongoing in selected districts within
the cattle corridor, including; Nakaseke, Sembabule, Kyegegwa, Lyantonde,
Mubende, and Gomba. Assessment of other districts is in the process.
3. There is ongoing dissemination of IEC materials in the local dialect and English
for sensitization of the public.

Since August, 2017 when suspected cases were reported, 4 cases of the CCHF have been
confirmed
and 5 cases of the RVF, the latest cases being reported on the 19th of January
2018 in Nakaseke and Buikwe, respectively. To date, unfortunately, we have lost one case
of CCHF from Nakaseke district
and 3 cases of the RVF from Kiboga, Buikwe and
Mityana districts.

The general public is, therefore, informed as follows;
I. Cooked meat and boiled milk do not transmit the above diseases;
II. Handlers of these products are advised to use personal protective gear;
III. The inter- ministerial committee will keep the public informed of any new
development.

I thank you,
Hon. Dr. Jane Ruth Aceng
Minister of Health
FOR GOD AND MY COUNTRY

file:///C:/Users/admin/Downloads/JOINT%20STATEMENT%20RVF_CCHF%20in%20Cattle%20Corridor%20Districts%20of%20Uganda%20.pdf

http://health.go.ug/press-release
 
Bleeding eyes fever COVER UP? Doctor confirms 11 deaths after authorities DENIED outbreak
DOCTORS claim the horrific ?bleeding-eyes fever? sweeping Uganda has killed 11 people and accused health authorities of playing down the outbreak.

Health authorities in Uganda, in central Africa, have been accused of ?concealing? cases of deadly Crimean-Congo Hemorrhagic Fever (CCHF).

In a blazing tweet, Sarah Opendi, Uganda?s minister for health, categorically stated ?there is no Crimean Congo Hemorrhagic Fever in Uganda?.

But the Health Ministry was forced to admit there was an outbreak after a nine-year-old girl from a village in the Nakaseke district tested positive for CCHF.
...
https://www.dailystar.co.uk/news/la...ngo-hemorrhagic-fever-outbreak-doctors-latest
 
Outbreaks and Emergencies Bulletin, Week 5: 27 January - 2 February 2018

Crimean-Congo haemorrhagic fever Uganda

2
Cases

0
Deaths

0%
CFR

EVENT DESCRIPTION

On 26 December 2017, the Ugandan Ministry of health was notified
of a suspected case of Crimean-Congo haemorrhagic fever (CCHF).
The case was a 9 year-old boy from Luweero district who sought
care from district health facilities after experiencing symptoms of
vomiting, diarrhoea, abdominal pain, fatigue and high grade fever
since 17 December 2017. On 23 December 2018, he was isolated at
Kiwoko hospital in Nakaseke district where a whole blood sample was
collected and shipped to the Uganda Virus Research Institute (UVRI).
The sample was confirmed positive for CCHF virus by PCR on 27
December 2017. He was discharged from isolation on 5 January 2018.

On 17 January 2018, a second suspected CCHF case was reported
from Nakaseke district. The case, a 12 year-old boy, presented to
Kiwoko hospital after experiencing a high grade fever on 11 January
2018. He was transferred to Nakaseke Hospital isolation ward on 17
January 2018 and blood samples sent to UVRI tested positive for the
CCHF virus by PCR on 18 January 2018. He was discharged from
isolation on 31 January 2018.

As of 31 January 2018, six cases have been reported (2 confirmed,
1 probable, and 3 suspected). The probable and suspected cases
tested negative for CCHF, Ebola, Marburg, Sosuga and Rift Valley fever
viruses at the UVRI laboratory and are now considered non-cases. As
of 31 January 2018, 32 contacts including 19 health workers were
under follow up and 56 contacts had completed follow up.
...
SITUATION INTERPRETATION

This is the third outbreak of CCHF reported in Nakaseke district since 2015. This outbreak is occurring in an area described as a ?cattle corridor?,
which covers 52 districts cutting across the centre of the country from southwest to northeast. The uncontrolled movement of animals across the
cattle corridor and inadequate tick control due to widespread resistance to acaricides (anti-tick chemicals) are key risk factors for the spread of this
outbreak to new areas. Integrated control measures that address both human and animal health are therefore needed to bring this outbreak to a close.

...
http://apps.who.int/iris/bitstream/10665/260122/1/OEW5-2701222018.pdf
http://www.afro.who.int/publication...es-bulletin-week-5-27-january-2-february-2018
 
PRESS STATEMENT ON RUMOURED EBOLA OUTBREAK IN
MUBENDE DISTRICT

HON. SARAH OPENDI

STATE MINISTER OF HEALTH ? GENERAL DUTIES
27th May, 2018

The Ministry of Health has noted with concern reports of an Ebola outbreak in
Mubende district making rounds across the different media platforms.

We would like to inform the public that there is no Ebola outbreak in Mubende
or any other part of the country.

What was quoted in the media is rather a case of Crimean-Congo Haemorrhagic
Fever (CCHF). It is worth noting that the CCHF outbreak in the districts of Luwero
and Nakaseke - which share a boarder with Mubende district - was declared on
January 4th this year, and efforts to contain it are still ongoing.

Crimean-Congo Haemorrhagic Fever (CCHF) is a viral zoonosis (Animal to
Human) caused by infection with a tick-borne virus. The hosts of the CCHF virus
are mostly wild and domestic animals including cattle, sheep and goats. These
animals become infected after being bitten by infected ticks and the virus
remains in their bloodstream for about two weeks after infection, allowing the
tick-animal-tick cycle to continue when another tick bites.

Human transmission may occur when human beings get into contact with
infected ticks (through tick bites) or direct contact with blood or tissues of an
infected animal. CCHF can be transmitted from one infected human to another
by contact with infectious blood or body fluids. In humans, CCHF can present
with several symptoms including sudden onset of high-grade fever, muscle
aches, neck pains, neck stiffness, backache, headache, sore eyes, vomiting,
diarrhoea, abdominal pain, and sometimes bleeding from body openings.
In Uganda, the risk of acquiring and spread of CCHF is high among communities
within the cattle corridor (occupational exposure). CCHF is known to be
ENDEMIC (always present) in Africa among cattle, and OCCASIONALLY shows up
in humans.

There is no known effective vaccine or definitive treatment among humans.
General supportive care with treatment of symptoms is the main approach to
managing CCHF infected patients.

Prevention of human to human transmission is through isolation of patients, use
of Personal Protective Equipment (PPE), and application of universal
precautions for Infection Prevention and Control (IPC) including hand-washing
hygiene, safe injection practices, in healthcare setting as well as safe and
dignified burial of deceased cases.

THE CRIMEAN-CONGO HEMORRHAGIC FEVER (CCHF) SITUATION IN
MUBENDE DISTRICT

On the night of 21st May 2018, a 35-year-old male from Nkoko subcounty in
Bugangaizi county, Kakumiro district presented at Melt Care Clinic with a high
fever and vomiting and was admitted for two days.

Since he was not improving, the relatives transferred him to Galde medical clinic
in Kakumiro district on 23rd May from where he was referred to Mubende
Regional Referral Hospital.

The clinician on duty at Mubende RRH immediately transferred the patient to
the hospital isolation room where he received intravenous fluids.

Unfortunately, he died during that same night at around 1am. Samples were
taken off the body and were sent to the Uganda Virus Research Institute (UVRI).
The attendants of the diseased who included his expectant wife and 4 others
were immediately quarantined and they are closely being monitored.

To mitigate any possible exposure from contact with the suspect, all material
used by the deceased, including a trolley and beddings used by the deceased
were burnt.

All the hospital staff who got in contact with the deceased were provided with
digital thermometers and were instructed to take their body temperatures on a
daily basis twice.

The following actions have been undertaken to mitigate the spread of CCHF:
 A National Rapid Response Team jointly from Ministry of Health and
World Health Organization has been dispatched to Mubende with clear
terms of reference to collect more information and assist the district to
mount an appropriate response.
 Sensitization programs to educate communities about the signs,
symptoms and dangers of CCHF have been initiated to raise awareness
across the cattle corridor districts
We appeal to the general public to observe the following measures:
 Immediately report any cases presenting with high grade fevers and
bleeding tendencies to the nearest health facility. Reporting can be done
by sending a free-text message to 8228 OR calling the Ministry of Health
toll-free line: 0800-100-066
 Bodies of people who may have died from CCHF should be handled only
by trained burial teams, who are equipped to properly bury the dead,
safely and with dignity.
 Use protective wear while slaughtering and handling animals to prevent
transmission of animal diseases to humans
 Always wash your hands with soap and water

The Government of Uganda is working towards the control of ticks which are
the main agents in the transmission of CCHF from animals to humans.

...
The public is advised to report any suspected cases to the nearest health facility,
or call our toll-free number 0800- 100-066
For God and my country
HON. SARAH OPENDI
STATE MINISTER OF HEALTH ? GENERAL DUTIES
27th May, 2018

https://reliefweb.int/sites/reliefw...SS STATEMENT - SUSPECTED EBOLA IN MUBENDE.pdf
 
Source: http://www.monitor.co.ug/News/Natio...ed-one-dead/688334-4727184-d11hxoz/index.html


Friday August 24 2018
Crimean Congo Fever confirmed, one dead
By LILIAN NAMAGEMBE

KAMPALA: One person has died of Crimean Congo Heamorrhagic Fever (CCHF) at Naguru Hospital in Kampala today, ministry of Health has confirmed.

Mr Emmanuel Ainebyoona the ministry?s senior spokesperson said the late is a 32-year-old female from Kireka, in Kira Municipality, Wakiso district.

?The ministry of health has dispatched rapid response teams to trace her contacts. She will be accorded a safe burial by our medical teams to avoid future spread of the disease. The burial will take place in Lwengo District,? Mr Ainebyoona said.

Blood samples were collected on Wednesday and taken to the Uganda Virus Research Institute (UVRI) in Entebbe where they tested positive of CCHF...
 
Source: http://www.xinhuanet.com/english/2018-10/31/c_137572329.htm

Uganda confirms Crimean-Congo hemorrhagic fever case in western district
Source: Xinhua| 2018-10-31 20:40:47|Editor: xuxin

KAMPALA, Oct. 31 (Xinhua) -- Uganda's ministry of health on Wednesday confirmed a case of Crimean-Congo hemorrhagic fever (CCHF) in the western district of Kabarole.

Emmanuel Ainebyoona, senior public relation officer for the ministry of health, told Xinhua by telephone that laboratory results from samples taken from a female patient under isolation at Fort Portal regional referral hospital tested positive of the fever...
 
Source: https://ugandaradionetwork.com/story/one-tests-positive-for-crimean-congo-fever-in-rukungiri


One Tests Positive for Crimean-Congo Fever in Rukungiri
12 Nov 2018, 16:35
In short
Dr Akasiima Mucunguzi, the Rukungiri District Health Officer, says that all people who got in contact with the two victims have also been isolated for surveillance. Mucunguzi also says that the Rapid Response Team has identified Bugangari Health Centre IV in Bugangari Sub County as the treatment Centre.

One person has tested positive for Crimean-Congo fever in Rukungiri district.

According to Dan Kaguta, the Rukungiri Resident District Commissioner, the samples of the female victim submitted to Uganda Virus Research Institute- UVRI tested positive...
 
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