Tuesday, August 21, 2018

PRO/AH/EDR> Crimean-Congo hem. fever - Pakistan (10): (PB)

CRIMEAN-CONGO HEMORRHAGIC FEVER - PAKISTAN (10): (PUNJAB)
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A ProMED-mail post
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International Society for Infectious Diseases
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Date: Sat 18 Aug 2018
Source: The News International (Pakistan) [edited]
<https://www.thenews.com.pk/print/356728-three-tested-positive-at-hfh-one-died-in-2018>


The Department of Infectious Diseases [DID] at Holy Family Hospital
[HFH] in town [Rawalpindi, Punjab] received a total of 17 suspected
patients of Crimean-Congo hemorrhagic fever (CCHF) so far in the year
2018, of which only 3 were tested positive for CCHF; however experts
still believe that people must follow preventive measures while
dealing with sacrificial animals ahead of Eidul Azha [22 Aug 2018].

Data collected by 'The News' on Friday [17 Aug 2018] has revealed that
from January this year to date, the HFH received a total of 17
suspects of CCHF including 7 suspects from district Rawalpindi, 4 from
Chakwal, 2 each from Mianwali and Attock, and one each from Gujrat and
AJK [Azad Jammu and Kashmir]. Of these suspects, one each from
Rawalpindi, Mianwali, and Chakwal were confirmed positive for the
infection while 14 were tested negative.

Of the 3 confirmed CCHF patients, 2 were discharged by the hospital
after complete cure while a female patient who was taken to HFH from
Mianwali on [21 Jun 2018] in critical condition expired at the
emergency department of the hospital the next day. The HFH sent her
blood sample to National Institute of Health, Islamabad that tested
her positive for CCHF after her death.

The HFH received the last patient of CCHF on [25 Jul 2018] who was
taken to the hospital from Chakwal. The patient was discharged on [3
Aug 2018] after achieving complete cure and at present, no CCHF
suspect is undergoing treatment at the HFH, said Head of DID at HFH
Professor Dr Muhammad Mujeeb Khan when contacted by 'The News' on [Fri
17 Aug 2018].

He, however, like other health experts said that people should not
take panic but must follow proper preventive measures while handling
with sacrificial animals.

[Byline: Muhammad Qasim]

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

["For the purposes of the R&D Blueprint, WHO has developed a special
tool for determining which diseases and pathogens to prioritize for
research and development in public health emergency contexts. This
tool seeks to identify those diseases that pose a public health risk
because of their epidemic potential and for which there are no, or
insufficient, countermeasures. The diseases identified through this
process are the focus of the work of R&D Blueprint."
(<http://www.who.int/blueprint/priority-diseases/en/>).

"The 2nd annual review was conducted on 6-7 Feb 2018. Of the
epidemic-prone diseases prioritized by the R&D Blueprint, CCHF is the
most widespread: found in around 30 countries, CCHF is endemic in all
of Africa, the Balkans, the Middle East and Asia, south of the 50th
parallel north (the geographic limit of the genus _Hyalomma_, the
principal tick vector), and is expected to continue to expand its
range. Because of its epidemic potential, its high case fatality ratio
(10-40 percent), its potential for nosocomial outbreaks, and the
difficulties in treatment and prevention, CCHF constitutes a threat to
public health services, and the WHO R&D Blueprint has prioritized it
for research and development in public health emergency."
(<http://www.who.int/blueprint/priority-diseases/key-action/crimean-congo-haemorrhagic-fever/en/>).

In endemic countries (where capability exists) there is delay when
relying on molecular diagnostics like RT-PCR which have to be
undertaken in centralised reference labs. This delays time to
treatment and isolation and increases risk to contacts and healthcare
workers.

There is need for a commercially available, bio-safe, rapid, point of
care test with the operational characteristics suited to field use or
in low-resource and/or low capacity settings.

Active collaboration between endemic countries such as Iran, Pakistan,
Russia, and Turkey for CCHF therapeutics research, with sharing of
information across the health and research communities, can be helpful
towards finding locally applicable solutions to this important
zoonotic pathogen. - Mod.UBA

Maps of Pakistan:
<http://pakistanmap.facts.co/pakistanmapof/PakistanAdministrativeMap.jpg>
and <http://healthmap.org/promed/p/941>]

[See Also:
Crimean-Congo hem. fever - Pakistan (09): (ICT) case, advice
http://promedmail.org/post/20180809.5956849
Crimean-Congo
hem. fever - Pakistan (08): (SD)
http://promedmail.org/post/20180612.5852925
Crimean-Congo
hem. fever - Pakistan (07): (BA)
http://promedmail.org/post/20180609.5847730
Crimean-Congo
hem. fever - Pakistan (06): (BA)
http://promedmail.org/post/20180526.5820141
Crimean-Congo
hem. fever - Pakistan (05): (PB) update
http://promedmail.org/post/20180508.5789417
Crimean-Congo
hem. fever - Pakistan (04): (SD)
http://promedmail.org/post/20180506.5786591
Crimean-Congo
hem. fever - Pakistan (03): (PB), update
http://promedmail.org/post/20180427.5771054
Crimean-Congo
hem. fever - Pakistan (02): (PB)
http://promedmail.org/post/20180424.5766580
Crimean-Congo
hem. fever - Pakistan: (PB)
http://promedmail.org/post/20180407.5732040
2017
----
Crimean-Congo hem. fever - Pakistan (19): (NW)
http://promedmail.org/post/20171102.5419698
Crimean-Congo
hem. fever - Pakistan (18): (SD)
http://promedmail.org/post/20171022.5395569
Crimean-Congo
hem. fever - Pakistan (17): (BA)
http://promedmail.org/post/20171009.5367524
Crimean-Congo
hem. fever - Pakistan (16): (BA) RFI
http://promedmail.org/post/20171008.5365206
Crimean-Congo
hem. fever - Pakistan (15): (SD)
http://promedmail.org/post/20170924.5337360
Crimean-Congo
hem. fever - Pakistan (14): (SD)
http://promedmail.org/post/20170923.5335688
Crimean-Congo
hem. fever - Pakistan (13): (BA)
http://promedmail.org/post/20170916.5318214
Crimean-Congo
hem. fever - Pakistan (12): susp
http://promedmail.org/post/20170904.5293026
Crimean-Congo
hem. fever - Pakistan (11): (BA)
http://promedmail.org/post/20170830.5278789
Crimean-Congo
hem. fever - Pakistan (10): (PB) advice issued
http://promedmail.org/post/20170821.5261727
Crimean-Congo
hem. fever - Pakistan (09): (PB)
http://promedmail.org/post/20170806.5229643
Crimean-Congo
hem. fever - Pakistan (08): (PB)
http://promedmail.org/post/20170724.5200783
Crimean-Congo
hem. fever - Pakistan (07): Balochistan
http://promedmail.org/post/20170706.5154318
Crimean-Congo
hem. fever - Pakistan (06): Islamabad ex Khyber
Pakhtunkhwa http://promedmail.org/post/20170611.5094216
Undiagnosed illness - Pakistan (02): (NW) Crimean-Congo hem. fever
CCHF conf. http://promedmail.org/post/20170606.5087887
Crimean-Congo
hem. fever - Pakistan (05): (BA)
http://promedmail.org/post/20170508.5019548
Crimean-Congo
hem. fever - Pakistan (04): (BA)
http://promedmail.org/post/20170424.4989435
Crimean-Congo
hem. fever - Pakistan (03): (PB)
http://promedmail.org/post/20170420.4981151
Crimean-Congo
hem. fever - Pakistan (02): (PB)
http://promedmail.org/post/20170317.4906841
Crimean-Congo
hem. fever - Pakistan: (IS) susp, not
http://promedmail.org/post/20170316.4904498
2016
----
Crimean-Congo hem. fever - Pakistan (25): (SD) new case
http://promedmail.org/post/20161101.4598918
Crimean-Congo
hem. fever - Pakistan (24): (SD) new case, fatal
http://promedmail.org/post/20161017.4564439
Crimean-Congo
hem. fever - Pakistan (23): (SD) new case, fatal
http://promedmail.org/post/20161005.4536108
Crimean-Congo
hem. fever - Pakistan (22): (NW, PB) new cases
http://promedmail.org/post/20160927.4516191
Crimean-Congo
hem. fever - Pakistan (21): (PB) new case
http://promedmail.org/post/20160922.4508287
Crimean-Congo
hem. fever - Pakistan (20): (PB, BA) fatal
http://promedmail.org/post/20160919.4499623
Crimean-Congo
hem. fever - Pakistan (15): (BA)
http://promedmail.org/post/20160905.4465412
Crimean-Congo
hem. fever - Pakistan (10): cases, emergency measures
http://promedmail.org/post/20160825.4436463
Crimean-Congo
hem. fever - Pakistan (05): (PB)
http://promedmail.org/post/20160801.4383881
Crimean-Congo
hem. fever - Pakistan: (PB)
http://promedmail.org/post/20160319.4106315
2015
----
Crimean-Congo hem. fever - Pakistan (20): (PB)
http://promedmail.org/post/20151208.3849322
Crimean-Congo
hem. fever - Pakistan (10): (BA)
http://promedmail.org/post/20150918.3653698
Crimean-Congo
hem. fever - Pakistan (05): ex Afghanistan, Iran
http://promedmail.org/post/20150625.3465423
Crimean-Congo
hem. fever - Pakistan: (SD)
http://promedmail.org/post/20150115.3095371
and other items in the archives]
.................................................sb/uba/mj/lxl
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