Wednesday, August 22, 2018

PRO/AH/EDR> Crimean-Congo hem. fever - Pakistan (11): (Sindh)

CRIMEAN-CONGO HEMORRHAGIC FEVER - PAKISTAN (11): SINDH
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Date: Mon 20 Aug 2018
Source: The News International (Pakistan) [edited]
<https://www.thenews.com.pk/print/357472-eighth-congo-virus-victim-admitted-to-jpmc>


The administration of the Jinnah Postgraduate Medical Centre (JPMC)
confirmed on [Sun 19 Aug 2018] that a 23-year-old man with
[Crimean-Congo hemorrhagic fever] (CCHF) was admitted to one of its
isolation wards.

"[The man], was brought to JPMC emergency with bruises on his body on
[Sat 18 Aug 2018] and we shifted him to an isolation ward on suspicion
of Congo virus," Dr Seemin Jamali, executive director, said while
talking to The News. On [Sun 19 Aug 2018] he was confirmed to have
contracted CCHF, she added.

CCHF is a tick-borne, potentially lethal viral disease with 30-40 per
cent mortality rate and is usually contracted by people who remain in
contact with cattle and animals.

Dr Jamali said the patient's condition was critical due to extremely
low platelets and total leucocytes counts (TLC). She mentioned that
the patient was being given supportive and anti-viral drugs. She added
that this was the eighth case of Congo virus at JPMC. 2 patients have
already succumbed to the disease earlier.

"Survival rate of CCHF at JPMC is very high and positive if the
patients are brought in during the initial stages of contracting the
disease," she assured, urging people to visit the health facility at
any sign of a sudden onset of high fever, vomiting, muscle ache, and
red spots on the body as well as bleeding from the mouth or nose.

"Animal herders, livestock handlers, and slaughterhouse workers are at
a greater risk of contracting this disease but since a lot of people
are handling sacrificial animals, they should also take extra
precautionary measures," Dr Jamali advised.

Another infectious diseases specialist from Aga Khan University
Hospital, Dr Bushra Jamil, said CCHF can be contracted from a tick
present on the skin of cattle or animals or infected animals but
warned that they show no sign of this disease.

She urged that people dealing with livestock and sacrificial animals
should be extra vigilant and also insisted that children should be
kept away from the animals as much as possible. According to Dr Bushra
Jamil, facilities to diagnose CCHF are only present at 2 places in
Pakistan: Aga Khan University Hospital in Karachi and National
Institute of Health in Islamabad. She concluded that in case of high
fever coupled with body or headache, bleeding from nose or mouth, and
nausea, people should visit the former.

[Byline: M Waqar Bhatti]

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

[The high tick activity season coincides with the ongoing Eid-ul Azha
(Eid al-Adha/Eid al-Kabir/Festival of Sacrifice), of which ritual
sacrifice of cattle is an integral component. There have been reports
of CCHF cases form various provinces of Pakistan since April this year
(Crimean-Congo hem. fever - Pakistan: (PB)
http://promedmail.org/post/20180407.5732040).

Various communication messages have been disseminated at provincial
and national levels (Pakistan NIH advisory
<https://www.nih.org.pk/wp-content/uploads/2018/08/Advisory-for-Prevention-and-Control-of-CCHF-10-AUGUST-2018-1.pdf>]
for improving awareness of the general public regarding CCHF
transmission and protective measures, especially when visiting cattle
markets for purchase and during slaughter. - Mod.UBA

HealthMap/ProMED-mail map of Pakistan:
<http://healthmap.org/promed/p/707>]

[See Also:
Crimean-Congo hem. fever - Pakistan (10): (PB)
http://promedmail.org/post/20180821.5975931
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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