FWers While Cholera is much dreaded, it does not have to be since it can be dealt with by constantly rehydrating a person for three or four days [enormous manpower delays even though you do not have to use clean salt-sugar-citrus solution].
Still, it shows the chaos that civil war can cause and the kind of challenges US troops would face. I support Bush's decision to help train a Liberian army and helping to build an Africa-wide force rather than sending US troops. Bill CHOLERA - LIBERIA (MONROVIA) (02) ******************************** A ProMED-mail post <http://www.promedmail.org> ProMED-mail is a program of the International Society for Infectious Diseases <http://www.isid.org> Date: Wed, 9 Jul 2003 19:50:19 -0500 From: Richard A. Nisbett <[EMAIL PROTECTED]> Source: UN Integrated Regional Information Networks (IRIN) [edited] <www.allafrica.com> Concerning the complex emergency in Liberia, while I have no specific numbers to update your most recent posting on cholera (4 Jul 2003, posting 20030704.1644) here is some germane information I have edited from a UN/IRIN release. According to the IRIN report, Acting Minister of Health Nathanial Bartee said on Wed, 9 Jul 2003 that the John F. Kennedy Medical Center in the capital of Monrovia ..."can no longer maintain the influx of cholera patients, most of whom are internally displaced persons (IDPs)." Bartee stated that, while cholera cases always peak in the rainy season of July and August, the present situation is exacerbated by the current civil instability. He confirmed that JFK was recording at least 5 cases per day and that 10 cases per week have been reported from Samuel K Doe Stadium, where perhaps 10 000 displaced persons are congregated. Aid workers continue to report (cholera) outbreaks at most shelters (as well as other communicable diseases including measles). Based on various internet sources, the number of IDPs in Monrovia is estimated at 100 000 to perhaps several hundred thousand. In the IRIN release, Francis Matsanga of the UN OCHA is quoted as saying the hospitals are overwhelmed and relief agencies such as MSF-Belgium and MERLIN are flying in more staff and opening additional treatment centers in Central Monrovia and at Greystone, respectively. The latter is a compound near the US Embassy that apparently received incoming shells from rebels during the assault on the Mamba Point area in late June. After a shaky start yesterday, IRIN is reporting that the US military assessment team presently on the ground in Liberia will be permitted to visit hospitals, clinics and camps in areas controlled by government militia. -- Richard A. "Ran" Nisbett, PhD, MSPH Department of Sociology, Anthropology and Social Work Research Associate, Center for Zoonoses and Epidemiology Texas Tech University Lubbock, TX <[EMAIL PROTECTED]> [see also: Cholera - Liberia (Monrovia) 20030704.1644 Cholera, diarrhea & dysentery update: 2003 (07) 20030630.1610 Cholera, diarrhea & dysentery update 2003 (06) 20030531.1330 Cholera - Iraq (Basra) (04) 20030514.1202 Cholera - Iraq (Basra) 20030509.1158 Cholera, diarrhea & dysentery update 2003 (05) 20030228.0502 Cholera, diarrhea & dysentery update 2003 (04)20030218.0419 Cholera - Chile: alert 20030215.0399 Cholera, diarrhea & dysentery update 2003 (03)20030118.0149 Cholera, diarrhea & dysentery update 2003 (02) 20030112.0101 Cholera, diarrhea & dysentery update 2003 (01)20030106.0042 2002 ---- Cholera - Uganda (Kampala) (02) 20021213.6057 Cholera - Uganda (Kampala) 20021210.6030 Cholera, diarrhea & dysentery update: 2002 (18)20021207.5995 Cholera, diarrhea & dysentery update: 2002 (11)20020816.5073 Cholera, diarrhea & dysentery update: Aug 2002 20020801.4909 Cholera, diarrhea & dysentery update: Jul 2002 (04)20020721.4821 Cholera, diarrhea & dysentery update: Jun 2002 (02)20020618.4529 Cholera, diarrhea & dysentery update: May 2002 20020515.4207 Cholera, diarrhea & dysentery update: Mar 2002 20020310.3724 Cholera, diarrhea & dysentery update: Jan 2002 20020120.3329] ....................ll/pg/dk *##########################################################* ProMED-mail makes every effort to verify the reports that are posted, but the accuracy and completeness of the information, and of any statements or opinions based thereon, are not guaranteed. 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