Friday, July 6, 2018

PRO/EDR> Hepatitis E - Namibia (09): (ER) more cases

HEPATITIS E - NAMIBIA (09): (ERONGO) MORE CASES
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International Society for Infectious Diseases
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Date: Thu 5 Jul 2018
Source: AllAfrica [edited]
<http://allafrica.com/stories/201807050442.html>


The Ministry of Health and Social Services in Erongo Region, various
local authorities and the governor's office are on high alert for more
cases of hepatitis E, after 4 persons tested positive for the disease
in Swakopmund. The cases were detected in Mondesa and DRC (Democratic
Resettlement Community). The acting regional health director, Dr. Amir
Shakir, yesterday indicated there are 32 other suspected cases whose
results are pending. He explained that samples from the cases were
sent to South Africa, and the confirmed diagnosis would take about 2
weeks. Meanwhile, Dr. Shakir says measures to control the spread of
the virus have already started.

Namibia has been battling the disease since October 2017 with more
than 500 confirmed cases and at least 14 deaths since the outbreak
began. Hepatitis E is contracted through fecal-contaminated water and
environmental contamination due to poor sanitation. The governor of
Erongo Region, Cleophas Mutjavikua, yesterday told New Era that he was
briefed by Dr. Shakir, upon which he alerted all towns and settlements
in the region to advise residents.

[Byline: Eveline De Klerk]

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

[Hepatitis E is found worldwide, and different genotypes of the
hepatitis E virus determine differences in epidemiology. For example,
genotype 1 is usually seen in developing countries and causes
community-level outbreaks, whereas genotype 3 is usually seen in
developed countries and does not cause outbreaks. Globally, 57 000
deaths and 3.4 million cases of acute hepatitis E are attributable to
infection with hepatitis E virus genotypes 1 and 2. Many of the deaths
are in pregnant women, characteristic of genotype 1.

The highest seroprevalence rates (number of persons in a population
who test positive for the disease) are observed in regions where low
standards of sanitation increase the risk for transmission of the
virus. More than 60 percent of all hepatitis E infections and 65
percent of all hepatitis E deaths occur in east and south Asia, where
seroprevalence rates of 25 percent are common in some age-groups. In
Egypt, half the population aged above 5 years is serologically
positive for the hepatitis E virus
(<http://www.who.int/mediacentre/factsheets/fs280/en/index.html>).

Erongo is one of the 14 regions of Namibia; its capital is Swakopmund.
The region comprises the Swakopmund magisterial district up to the
Ugab River and includes the Walvis Bay, Omaruru and Karibib
magisterial districts. This region is named after Mount Erongo, a
well-known landmark in Namibia and in this area. It can be seen on a
map at <https://en.m.wikipedia.org/wiki/Erongo_Region>. - Mod.LL

HealthMap/ProMED-mail map: <http://healthmap.org/promed/p/163>]

[See Also:
Hepatitis E - Namibia (08): (OS) more cases
http://promedmail.org/post/20180613.5854954
Hepatitis E - Namibia (07): (OS) fatal
http://promedmail.org/post/20180530.5828842
Hepatitis E - Namibia (06): (KH) fatal
http://promedmail.org/post/20180418.5756055
Hepatitis E - Namibia (05): (KH) fatal
http://promedmail.org/post/20180228.5656294
Hepatitis E - Namibia (04): (KH) fatal
http://promedmail.org/post/20180213.5626670
Hepatitis E - Namibia (03): (KH) fatal
http://promedmail.org/post/20180127.5585264
Hepatitis E - Namibia (02): (KH) fatal
http://promedmail.org/post/20180117.5566623
Hepatitis E - Namibia: (KH) fatal
http://promedmail.org/post/20180106.5542173
2017
----
Hepatitis E - Namibia: (Windhoek)
http://promedmail.org/post/20171225.5522167
Hepatitis E - Nigeria (04): (BO)
http://promedmail.org/post/20171120.5455477
Hepatitis E - Nigeria (03): (BO) IDP camp
http://promedmail.org/post/20170814.5244528
Hepatitis E - Africa: (Lake Chad Basin)
http://promedmail.org/post/20170810.5241448
Hepatitis E - Nigeria (02): (BO) WHO
http://promedmail.org/post/20170712.5168641
Hepatitis E - Nigeria (BO)
http://promedmail.org/post/20170628.5136977
Hepatitis E - Niger (06): (DF) fatal, pregnant women
http://promedmail.org/post/20170620.5118509
Hepatitis E - Niger (05): (DF) fatal, pregnant women
http://promedmail.org/post/20170613.5102098
Hepatitis E - Niger (04): (DF) fatal, pregnant women
http://promedmail.org/post/20170529.5069047
Hepatitis E - Niger (03): (DF) fatal, pregnant women
http://promedmail.org/post/20170506.5017895
Hepatitis E - Niger (02): (DF) fatalities, IDP
http://promedmail.org/post/20170426.4996912
Hepatitis E - Niger: fatalities
http://promedmail.org/post/20170423.4989073
Hepatitis E - Chad (03): (SA)
http://promedmail.org/post/20170226.4866244
Hepatitis E - Chad (02): (SA) WHO
http://promedmail.org/post/20170125.4791758
Hepatitis E - Chad: (SA) effect in pregnancy
http://promedmail.org/post/20170105.4742073]
.................................................sb/ll/rd/jh
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