Monday, August 20, 2018

PRO/EDR> Vector borne diseases - Pakistan: (NW)

VECTOR BORNE DISEASES - PAKISTAN (KHYBER-PAKHTUNKHWA)
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Date: Sun 19 Aug 2018
Source: Dawn [edited]
<https://www.dawn.com/news/1427827/fear-grips-swat-area-after-outbreak-of-seasonal-fever>


Fear gripped people after score of cases of fever with acute joint
pain were reported in various parts of Swat [Khyber Pakhtunkhwa
province]. However, health experts said that there was nothing serious
as it was a seasonal fever outbreak.

The majority of the people affected with fever belong to Faizabad
union council where over 100 patients were recorded.

"Four days ago I got high fever with acute pain in my bones. I rushed
to hospital where it was found malaria after initial investigation.
However, I recovered after medication and taking rest for some days,"
said a resident of Faizabad area near Saidu Sharif.

Residents of the area said they had experienced dengue fever in the
past and when the present fever spread in the area people feared it
was once again dengue. Meanwhile, cases of fever with pain in bones
were reported in other parts of Swat, including Salampur, Kokrai,
Shagai, Khwazakhela, and Madyan.

A resident of Salampur who accompanied his son admitted in Saidu
Sharif teaching hospital, said that his son got fever with pain in
joints 2 days ago. "The doctors admitted him, saying he got
chikungunya and suggested that he would remain in the hospital for 2
more days for his complete recovery," he told this correspondent.

Doctors at Saidu hospital said that it was a seasonal fever caused by
mosquitoes. They said they had received patients from different areas
of Swat and not from a specific area.

"Actually, the cases are of mosquito-borne fever which is seasonal and
common in this weather. We have received several patients this month
[August 2018] and majority of them were suffering from malaria,
typhoid and chikungunya," said Dr Hameed, who was on duty in the
medical ward of Saidu teaching hospital. He said that the patients
recovered after using simple medicines.

Dr Zeeshan, a focal person for district health office in Swat, said on
contact that there was no serious issue about the disease as it was a
seasonal fever. He said that health teams were also sent to Faizabad
where they conducted investigation.

"Until now we have screened about 174 people in the area and mainly
malaria and typhoid fever were found in them. We have also sent blood
samples of few patients to the National Institute of Health,
Islamabad, for investigation and confirmation," he told Dawn.

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Communicated by:
ProMED-mail
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[The report above mentions chikungunya as 'seasonal fever' due to
mosquitoes. The report does not mention if the chikungunya cases have
been lab confirmed as the facilities for lab confirmation are limited
at present in the country.

It is noteworthy that malaria, dengue, and chikungunya are all vector
borne diseases transmitted through mosquitoes. The clinical
presentation can be quite confusing with some distinctions in fever
patterns, features such as rash or join pains with chikungunya and non
specific symptoms common to all.

This presents a challenge in confirmation of clinical diagnosis which
can direct specific therapy in case of malaria and appropriate
supportive management for the other 2 diseases.

It is recommended that if malaria microscopy and rapid device testing
for dengue can be implemented at basic health facility levels, these 2
diseases can be ruled out and managed at that level reducing the need
for unnecessary referrals. - Mod.UBA

HealthMap/ProMED-mail map of Swat, Pakistan:
<http://healthmap.org/promed/p/40824>]

[See Also:
Dengue/DHF update (15): Asia, Europe, Australia, vector, vaccine
http://promedmail.org/post/20180805.5947027
Dengue/DHF
update (14): Asia, vector mod, vaccine
http://promedmail.org/post/20180718.5912067
Dengue/DHF
update (13): Asia, Pacific, WHO
http://promedmail.org/post/20180627.5878411
Dengue/DHF
update (12): Asia, Oceania, Africa, Europe, WHO, vacc
http://promedmail.org/post/20180607.5843963
Dengue/DHF
update (11): Asia, Pacific, WHO update, persistence in
semen http://promedmail.org/post/20180522.5810322
Dengue/DHF
update (10): Asia (Reunion Island)
http://promedmail.org/post/20180507.5786653
Dengue/DHF
update (09): Asia, Pacific, vaccine, retinopathy
http://promedmail.org/post/20180504.5783178
Dengue/DHF
update (07): Asia, Pacific, Africa, Australia
http://promedmail.org/post/20180416.5749835
Dengue/DHF
update (06): Asia, Pacific, Africa, research
http://promedmail.org/post/20180322.5702645
Dengue/DHF
update (05): Asia, Pacific, Australia, vaccination,
research http://promedmail.org/post/20180225.5649745
Dengue/DHF
update (04): Asia, Pacific, vaccination, research
http://promedmail.org/post/20180209.5618310
Dengue/DHF
update (02): Asia, Pacific, vaccination, research
http://promedmail.org/post/20180126.5585557
Dengue/DHF
update (01): Asia, Pacific, Africa, Europe, vaccine,
research http://promedmail.org/post/20180101.5531177

Chikungunya (03): Asia (Pakistan)
http://promedmail.org/post/20180411.5738944
Chikungunya (01): Americas, Europe, Asia, research
http://promedmail.org/post/20180106.5541396

Malaria - Pakistan: national control plan
http://promedmail.org/post/20180530.5828845

Typhoid fever - Pakistan (06): multidrug resistance, spread, travel
alert http://promedmail.org/post/20180813.5962991
Typhoid fever - Pakistan (05): multidrug resistance, spread
http://promedmail.org/post/20180720.5916006
Typhoid fever - Pakistan (04): multidrug resistance
http://promedmail.org/post/20180415.5747027
Typhoid fever - Pakistan (03): multidrug resistance, fatal
http://promedmail.org/post/20180223.5646599
Typhoid fever - Pakistan (02): (SD) multidrug resistance, fatal
http://promedmail.org/post/20180127.5586255
Typhoid fever - Pakistan: (SD) multidrug resistance, fatal, RFI
http://promedmail.org/post/20180124.5582615
and other items in the archives]
.................................................sb/uba/mj/lxl
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