Did Vaccinations Give Fatal
Marburg To Angolan
Kids?
From Patricia Doyle, PhD
[EMAIL PROTECTED]
4-2-5
- Excerpt:
-
-
Angola: Further Comment on the Unusual Age
Distribution of Cases
- ----------------------------------------------------------------
- To extend on Dan Bausch's hypothesis of an iatrogenic
explanation for the unusual age distribution in the current Marburg
hemorrhagic fever outbreak [see ProMED-mail post: "Marburg hemorrhagic
fever - Angola (11): age distribution 20050331.0935]: In addition to
in-hospital transmission, the teams in the field may wish to investigate
2 other possibilities for iatrogenic transmission: (1) invasive outreach
activities like vaccination and (2) traditional medical practices like
scarification, provided they target children.
-
- MARBURG HEMORRHAGIC FEVER - ANGOLA (12)
- ***************************************
- A ProMED-mail post
- http://www.promedmail.org
- ProMED-mail is a program of the
- International Society for Infectious Diseases
- http://www.isid.org
-
- [1]
- Date: Fri 1 Apr 2005
- Source: World Health Organisation (WHO), CSR, Disease
Outbreak News, Fri 1
- Apr 2005 [edited]
- http://www.who.int/csr/don/2005_04_01/en/
-
- Angola: Marburg Virus Disease - WHO Update 5
- --------------------------------------------
- As of Thu 31 Mar 2005, 140 cases of Marburg virus
disease have been reported in Angola. Of these, 132 have been fatal.
Cases continue to be concentrated in Uige.
-
- Mobile surveillance teams in Uige continue to follow
up on rumours and conduct active searches for additional cases. Contact
tracing has also been intensified. These activities are now supported by
a mobile laboratory in Uige, which has greatly expedited diagnostic
testing.
-
- WHO is working with the Ministry of Health in the
Democratic Republic of Congo to train local staff in the border area
near Angola in case detection and management.
-
- --
- ProMED-mail
- [EMAIL PROTECTED]
-
- ******
- [2]
- Angola: Marburg Disease Outbreak Is The Deadliest
Ever
- 4-1-5
-
- (Reuters) --The outbreak of Marburg hemorrhagic fever
in Angola has claimed 127 [now 132 -- see above] lives, the highest
number of fatalities ever recorded from the rare deadly disease, the
World Health Organization (WHO) said on Fri 1 Apr 2005.
-
- In a statement, the United Nations agency also said it
was sending more experts to Angola at the weekend, including a medical
anthropologist to teach about preventing the spread of the virus during
traditional burial practices. The WHO has deployed 20 experts to help
combat the viral hemorrhagic fever, characterized by headaches, nausea,
vomiting and bloody diarrhea. It is spread through close contact with
bodily fluids including saliva and perspiration.
-
- Since October there have been 132 cases of Marburg
hemorrhagic fever, causing 127 deaths, mainly in Angola's northern Uige
province. A 15-year-old boy who died on 20 Mar 2005 is the only known
victim in the capital Luanda, WHO spokeswoman Fadela Chaib told a
briefing. "This is the largest number of fatalities ever recorded during
an outbreak of this rare but extremely severe disease," the WHO said.
The previous record was 123 deaths among 149 cases during an epidemic
from late 1998-2000 in the Democratic Republic of Congo. Most victims
were gold miners.
-
- The WHO is also sending a further 500 kilos (1100 lbs)
of protective equipment to protect hospital workers and other front-line
staff in Angola. "Marburg can be controlled if people are put in
isolation and their contacts are traced," Chaib said.
-
- Health officials were also tracing travelers rumored
to have been exposed to the disease in Angola, including 9 people now
isolated in hospital in Italy, according to the WHO spokeswoman. Tests
on two travelers who went from Angola to Portugal showed they did not
have the disease, she added.
-
- -- ProMED-mail
- [EMAIL PROTECTED]
-
- *****
- [3]
- Date: Fri 1 Apr 2005
-
-
Suspected Marburg Fever Cases In Democratic
Republic Of Congo And Italy
-
-
News24.com (South
Africa)
-
4-1-5
-
- Italian hospital staff have put 9 patients in
isolation after they had been suspected of having contact with Marburg
virus, the World Health Organisation (WHO) stated on Fri 1 Apr 2005. A
WHO spokesperson, Fadela Chaib, said 2 other suspected cases had been
reported in the Democratic Republic of Congo (DRC), across the border
from the north Angola area where the outbreak began and has claimed 127
lives out of 132 cases.
-
- "9 people who were in contact with an ill person have
been isolated in an Italian hospital," Chaib said, without giving
details of in which town or the nationality the suspected fever
patients. Last week, an Italian paediatrician died of haemorrhagic fever
in Angola, according to Medici con Africa, the relief organisation for
which she worked. The WHO was unable to say whether the 9 patients in
Italy had been in touch with this woman.
-
- The death toll of 127 out of the 132 people who
contracted Marburg fever in an outbreak that started 6 months ago in the
north of Angola came from data released by the WHO on Fri 1 Apr 2005.
Angolan authorities on Thu 31 Mar 2005 officially put the toll from the
virus at 126, the world's highest, as Canada sent a mobile laboratory to
help investigate suspected cases. The epicentre of the outbreak is
Angola's northern Uige province.
-
- http://www.news24.com/News24/World/News/
0,,2-10-1462_1684040,00.html
- --
- ProMED-mail
- [EMAIL PROTECTED]
-
- ******
- [4]
- Date: Fri 1 Apr 2005
- From: ProMED-mail [EMAIL PROTECTED]
- Source: IOL online, SADC, Agence France Presse report,
Fri 1 Apr 2005 [edited]
-
-
Angola: Marburg Virus Reaches a Fourth Province -
Kwanza Norte
-
- (AFP) -- Marburg virus has reached a 4th province in
Angola, bringing the nationwide toll from the Ebola-like disease to 130,
Angola's Health Ministry and the World Health Organisation said on Fri 1
Apr 2005. "By Thu 31 Mar 2005 a total of 137 cases, 130 of them fatal,
have been recorded," the joint commission monitoring the epidemic said
in a daily briefing document, adding that the virus had spread to Kwanza
Norte province east of the capital. The official death toll from the
disease had stood at 126 on Thursday, since the worst global outbreak of
the virus started 6 months ago.
-
- 3 more deaths have been recorded in the province
surrounding the capital Luanda, in Kwanza Norte province and in Uige --
the northern province which has been worst hit by the virus. No details
were available about a 4th death. The case in Kwanza Norte was recorded
in the town of Camabatela, which lies 85km south of Uige and 300km east
of the coastal capital. The health ministry called on the population to
help control the epidemic by alerting the authorities of any deaths in
the home. It also urged people not to touch the bodies of the deceased
and to keep the authorities informed about individuals who may have been
contact with the sick.
-
- A severe form of haemorrhagic fever akin to Ebola,
Marburg virus was first identified in 1967. It spreads on contact with
the fluids the body produces in reaction to it, such as blood, urine,
excrement, vomit and saliva. The Marburg outbreak has claimed a record
number of lives, overtaking the earlier peak in the Democratic Republic
of Congo, Angola's neighbour.
-
- The WHO is to send medical reinforcements to Angola
over the weekend to help cope with the crisis. The commission tackling
the Angolan epidemic comprises WHO specialists, as well as experts from
Medecins sans Frontieres, and from the US-based Centers for Disease
Control.
-
- http://www.iol.co.za/index.php?set_id=1&click_i
d=84&art_id=qw1112362021616B252
-
- --
- ProMED-mail
- [EMAIL PROTECTED]
-
- ******
- [5]
- Date: Fri 1 Apr 2005
- From: Matthias Borchert
- [EMAIL PROTECTED]
-
-
Angola: Further Comment on the Unusual Age
Distribution of Cases
-
- To extend on Dan Bausch's hypothesis of an iatrogenic
explanation for the unusual age distribution in the current Marburg
hemorrhagic fever outbreak [see ProMED-mail post: "Marburg hemorrhagic
fever - Angola (11): age distribution 20050331.0935]: In addition to
in-hospital transmission, the teams in the field may wish to investigate
2 other possibilities for iatrogenic transmission: (1) invasive outreach
activities like vaccination and (2) traditional medical practices like
scarification, provided they target children.
- _____
-
- Matthias Borchert MD MSc
- Clinical Lecturer
- London School of Hygiene & Tropical
Medicine
- ITD/IDEU
- Keppel Street, room 257
- London WC1E 7HT
- [EMAIL PROTECTED]
-
- (In summary, the death toll in the current Marburg
hemorrhagic fever outbreak in Angola now exceeds that of the previous
highest outbreak total recorded in the Democratic Republic of Congo in
1998-2000. As of Thu 31 Mar 2005, there have been 9 fewer cases but 9
more deaths in Angola. 2 suspected cases have been reported from the
adjacent Democratic Republic of Congo and 9 suspected cases of unknown
provenance hospitalised in Italy. - Mod.CP)...mpp/cp/pg/mpp
-
- Patricia A. Doyle, PhD
- Please visit my "Emerging Diseases" message board at:
http://www.clickitnews.com/ubbthreads/postlist.php?
Cat=&Board=emergingdiseases
- Zhan le Devlesa tai sastimasa
- Go with God and in Good
Health
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