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Unknown outbreak - Chechnya - Mystery Illness

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  • Unknown outbreak - Chechnya - Mystery Illness

    Since December, there have been reports about a mystery illness, mostly in school children, in Cheznya. The stories disappeared for a while, with the conclusion that the illnesses were psychosomatic, due to hysteria. But today this story appeared:


    <table border="0" cellpadding="0" cellspacing="0" height="257" width="509"><tbody><tr class="news"><td style="text-align: justify;"> GROZNY, February 27 (Itar-Tass) - The government of the Chechen republic has allocated from its reserve fund five million roubles for medical treatment of children from the Shelkovskoi district of the republic that have been diagnosed with ?pseudoasthma syndrome of psychogenic nature.?
    ?A part of this sum will be spent to pay for treatment course of 60 children, mainly girls from 12 to 15 years of age at the Stavropol-based clinic of borderline cases. It makes some 1.7 million roubles,? Chechen Deputy Health Minister Zurab Musluyev told Itar-Tass on Monday.
    According to the minister, the issue of the airlifting of a girl in a grave condition to the Moscow-based Republican Children?s Clinical Hospital is currently being considered.
    The deputy health minister once again confirmed that ?there are no grounds to say that the illness of children in three settlements of the Shelkovskoi district is linked with toxic agents used by the military. None of the conducted tests has proved it.?
    Musluyev also said that a group of specialists of the Moscow-based Serbsky Institute for Forensic Psychiatry is arriving in Chechnya for providing treatment to the children. Besides, the institute?s specialists will read lectures to the republican psychotherapeutists and toxicologists in which will give recommendations how to treat the children.
    A total of 89 cases of illness of children and adults from the Starogladovskaya, Shelkozavodskaya and Shelkovskaya settlements in the Shelkovskoi district of Chechnya was registered in December last year.




    </td><td></td></tr><tr><td colspan="3" width="100%">
    </td></tr><tr><td colspan="3"></td></tr></tbody></table>Also today:
    Feb 27 2006 1:14PMH5N1 virus confirmed in Stavropol territory



    STAVROPOL. Feb 27 (Interfax) - Tests have confirmed bird flu deaths in the city of Kislovodsk and the Izobilnoye district of the Stavropol territory, chief regional veterinarian inspector Viktor Parakhin told Interfax on Monday.
    Parakhin said the Vladimir virology laboratory found H5N1 virus in the samples.
    "The deaths are not numerous, yet we are assessing the situation in order to prevent the spread of the infection," he said.

  • #2
    Re: cheznya illness

    Condition of Chechen children suffering from unknown disease worsens

    Feb 21 2006 12:56PM



    GROZNY. Feb 21 (Interfax) - The health of children from Chechnya's Shelkovskoi district diagnosed with a pseudo-asthmatic condition a few weeks ago has worsened after they returned home following treatment at hospitals in Stavropol and other North Caucasus towns, Chechen state television reported on Monday evening.

    The children have now started to experience nose bleeds, which did not happened before.

    "We were given medicines, after which we could not control ourselves for hours and felt intoxicated. We do not know what medicines we were given," a woman, who underwent treatment in Stavropol together with the children, told a local television station.

    The Chechen Health Ministry, together with the federal Education and Emergency Situations Ministries and the other agencies concerned, is investigating the cause of the outbreak.

    and ~~~~~~~~~~~~~~~~~~~~~

    Mysterious 'hysterical' illness afflicts war-zone Chechens
    Published: 2/26/2006



    GROZNY - Chechen human rights groups on Sunday appealed to a senior European official to help raise awareness of a mysterious epidemic that one doctor attributed to hysteria induced by living in a war zone.

    Chechen Mothers for Peace leader Madina Mogomadova told Council of Europe human rights commissioner Alvaro Gil-Robles that 117 people from Chelkovskaya, 75 kilometres (46 miles) from the capital Grozny, were affected.

    "On February 21 another 17 people fell ill," she said, adding that some were hospitalised in the southern Russian city of Stavropol.

    All but 36 of the patients were children and adolescents seemed particularly prone, she said.

    Clinic director Igor Boev told AFP 54 Chechens were treated between January 1 and February 20 for "pseudo-asthmatic" attacks.

    "These patients have been in a stressed state for 15 to 20 years and their nervous, endocrinological and vascular systems have deteriorated," the psychiatrist said.

    He added that they seemed to suffer from "a condition of hysterical origin".

    Although Chechen television reported that the condition of some patients hospitalised in Stavropol had worsened, Boev said all patients had left his clinic and were in good health.

    The rights groups want patients transferred to Moscow, arguing local hospitals are ill-equipped to analyse the causes of the outbreak.

    "There are more and more falling sick, above all adolescents. The doctors are unable to make a diagnosis and have linked this epidemic to psychosis but people don't believe it," said Ali Turpan Djabrailov, member of a regional human rights council.

    Chechen separatists continue to wage guerrilla war in the oil-rich southern republic six years after Russian forces returned following defeat in the 1994-1996 war.

    Russian and international human rights groups say the population still lives in fear of harassment, arbitrary detention, torture and executions by federal forces while rebels also target civilians working for the local administration.

    02/26/2006 16:59 GMT

    Comment


    • #3
      Unknown outbreak - Chechnya - Mystery Illness

      http://kavkazcenter.com/eng/content/.../10/4506.shtml

      The official diagnosis for 93 violently ill victims, mostly children, is the stress of chronic fear. Parents and some doctors have doubts.<O:p</O:p
      It started just after the midafternoon recess. As they lined up to return to class, Zareta Chimiyeva saw a girl in front of her collapse and begin convulsing wildly. Only a few minutes later, Zareta was at her desk when she smelled "a bad smell," and started feeling ill.<O:p</O:p
      <O:p</O:p
      She rushed out of the classroom but made it only as far as the stairs. "Darkness surrounded me, and there was darkness in my eyes, and I fell," said the 12-year-old from this small town in eastern Chechnya.
      <O:p</O:p
      When Zareta woke up in a hospital, it took three adults to hold her down. She was thrashing and clutching her throat, unable to get a breath, screaming in terror. She wasn't alone. Thirteen other girls were in nearby hospital rooms, also saying they were unable to breathe, many of them shrieking and crying.<O:p</O:p
      <O:p</O:p
      The next day, 23 students and seven teachers in a neighboring village fell ill with similar symptoms. About the same time, four dozen children in two towns a little farther away also began clutching their throats, screaming and convulsing.<O:p</O:p
      <O:p</O:p
      They have yet to get better. The outbreak began Dec. 16, and doctors and parents say the children are still suffering fits day and night. The list of victims has grown to 93, including several teachers and janitors, with a small number of cases reported as far away as the Chechen capital, Grozny</ST1:p, and Urus-Martan, </O:p
      <O:p</O:p
      With the diagnosis caught up in the suspicion, politics and fear that surround most of what happens in this fractured separatist republic, the answer to what happened to Shelkovskaya's children may never be fully known.<O:p</O:p
      <O:p</O:p
      What is clear, officials say, is that a new generation has fallen victim to the unexpected and devastating effects of a war that began before many of them were born.<O:p</O:p
      <O:p</O:p
      After exhaustive chemical and radiation tests, authorities with the Moscow-backed government announced that the culprit was not poison, but a form of mass hysteria. The whole episode was triggered, most doctors now believe, by the extreme and chronic levels of stress among children who have experienced a war with <?xml:namespace prefix = st1 ns = "urn:schemas-microsoft-com<ST160 miles</st1:metricconverter> to the southwest
      .<O<ST1:pMoscow</ST1:p</st1:City> that lasted more than 10 years and its devastating economic aftermath.<O:p</O:p
      <O:p</O:p
      Yet with Chechen rebel leaders issuing proclamations that the Russian military has secretly poisoned the schools with nerve gas, and public health officials at a loss to explain why after months of treatment the children are only getting worse, parents — and some local physicians — are not ready to accept the official diagnosis. Very few are willing to send their children back to the schools where they were first afflicted.<O:p</O:p
      <O:p</O:p
      "The fact is that the children are getting worse. No treatment helps them," said Khazman Bachayeva, principal at School No. 2 here, where only 30 of 998 students showed up for school recently. "And as of today, nobody has given us a concrete explanation. All they say is, it's psychological stress. Well, the parents don't buy that, and I don't buy it either."<O:p</O:p
      <O:p</O:p
      Sultan <ST1:p<st1:City w:st="on">Alimkhadzhiyev</st1:City>, <st1:country-region w:st="on">Chechnya</st1:country-region></ST1:p's deputy health minister, said it was difficult to explain to parents that their children had become living specimens of what it means to grow up with the constant threat of violence and chronic joblessness and poverty.<O:p</O:p
      <O:p</O:p
      "Our children have seen bombings, artillery attacks, large-caliber bombardment. They saw houses, schools and hospitals burning. They lost parents, brothers, sisters, neighbors," he said. "And they still see tanks and armored vehicles every day in the street.<O:p</O:p
      <O:p</O:p
      "In this case, what we have seen are not symptoms of poisoning … but of psychosis. A state of panic. Children are feeling constant fear, a premonition of tragedy."<O:p</O:p
      <O:p</O:p
      The ability of the human mind to convert psychological stress into physical symptoms, officially known as "mass sociogenic illness" or "conversion disorder," is well documented but not completely understood. Why, for example, are chiefly girls affected? Only four of the Chechen victims were boys. And why were there families in which one girl was afflicted, but a sister who was in the same room with her showed no symptoms?<O:p</O:p
      <O:p</O:p
      Through the centuries, mass hysteria has been a medically accepted but publicly doubted diagnosis. Young nuns at convents in medieval France who began twitching and shouting were thought to be diabolically possessed.<O:p</O:p
      <O:p</O:p
      In recent years, scientists have recorded cases in <st1:State w:st="on">Rhode Island</st1:State>, <ST1:p<st1:City w:st="on">Washington</st1:City>, <st1:State w:st="on">California</st1:State></ST1:p and elsewhere in which people exposed to harmless smells or food were suddenly beset with real but baseless symptoms of poisoning, often brought on by hyperventilation.<O:p</O:p
      <O:p</O:p
      The most acute outbreaks involve victims who are already suffering unusual levels of stress and living in "intolerable social settings," Australian and British researchers <st1:PersonName w:st="on">Robert</st1:PersonName> E. Bartholomew and Simon Wessely concluded in a 2001 study published in the British Journal of Psychiatry. The issue of wartime stress was documented during the 1991 Persian Gulf War, they said, when many Israelis reported symptoms of chemical weapons exposure even though the Scud missiles fired at Tel Aviv contained no chemical warheads.<O:p</O:p
      <O:p</O:p
      The two researchers also saw a possible link between the respiratory symptoms reported by rescuers and lower <st1:City w:st="on">Manhattan</st1:City> residents after the Sept. 11 attacks on the <ST1:p<st1:PlaceName w:st="on">World</st1:PlaceName> <st1:PlaceName w:st="on">Trade</st1:PlaceName> <st1:PlaceType w:st="on">Center</st1:PlaceType></ST1:p and a form of psychogenic illness.<O:p</O:p
      <O:p</O:p
      In <st1:City w:st="on"><ST1:pGrozny</ST1:p</st1:City>, where Shelkovskaya victims were transferred in December, doctors tried music therapy and set up concerts in the basement of the main children's hospital for as long as seven hours a day for two weeks. The fits improved, but when a television journalist began filming one of the sessions, 12 girls immediately fell into new seizures.<O:p</O:p
      <O:p</O:p
      Next, the victims were moved to a clinic in <st1:City w:st="on">Stavropol</st1:City>, outside <st1:country-region w:st="on"><ST1:pChechnya</ST1:p</st1:country-region>. Doctors there treated some of the patients with medication they refused to identify that caused some of the girls to gain as much as <st1:metricconverter w:st="on" ProductID="19 pounds">19 pounds</st1:metricconverter> in three weeks. For many patients, the number of fits was substantially reduced, or even eliminated. But many others returned home in mid-February only to begin having nosebleeds and hallucinations, in addition to their twitching and asthmatic fits.<O:p</O:p
      </B>

      Comment


      • #4
        Re: Chechnya: Mystery Illness

        This realy does seem to be a nerve gas or other chemical accident that the Russian authorities are denying and/or covering up. It is almost certainly not a hysteria or any other "illness" given the rapid and sudden onset of choking and convulsions.

        Comment


        • #5
          Re: Chechnya: Mystery Illness

          --------------------------------------------------------------------------------

          The L.A. Times is a leading source of breaking news, entertainment, sports, politics, and more for Southern California and the world.


          From the Los Angeles Times
          COLUMN ONE

          A Mystery Malady in Chechnya

          The official diagnosis for 93 violently ill victims, mostly children, is the stress of chronic fear. Parents and some doctors have doubts.

          By Kim Murphy
          Times Staff Writer

          March 10, 2006

          <SNIP>
          (same story as first above, but this one continues here):

          On Feb. 22, just when parents were beginning to feel confident enough to send their children back to School No. 2, three teachers fell ill with symptoms slightly resembling those of the original victims. The school quickly emptied again, and 11 new people showed up at a hospital with breathing difficulties. Three were admitted.

          "If it was merely stress, this case would be the starting point for a massive spread of the illness, creating a chain reaction. But it's not spreading to those outside the schools," said Ruslan Kokanayev, regional head of administration. "I think the government doesn't want to get to the bottom of this, because if they do, they know they will be facing a level of public indignation that they're not prepared to handle."

          Complicating the psychology diagnosis are blood tests showing the presence in five victims — three in Shelkovskaya, two in a neighboring village — of ethylene glycol, a highly toxic substance used in antifreeze, glass sterilization and a variety of industrial processes.

          Doctors can't explain how the children might have been exposed to the chemical, although the general level of environmental pollution in Chechnya is so high that it is perhaps not surprising. Still, health officials believe the traces were so small that they could not have been a factor.

          Parents are not convinced.

          "It's a clear case of chemical poisoning," said Elim Nogamevzuyev, a resident who showed up for a meeting last week with senior Chechen health officials at School No. 2. "They tested new chemical weapons on our children here."

          Principal Bachayeva said she was at a loss to explain why nothing was found when investigators pulled up the floorboards, scanned the basement and tested the air around the school.

          "I would agree with the psychological diagnosis. But I have just one question: Why didn't children get sick on that day in the first shift? Why did the children get sick only during the second shift?" she said. "That's why I can't agree with that opinion.

          "The children went out into the yard for a break between classes, they were healthy. And when they got back, they started to collapse."

          Shelkovskaya has escaped much of the war's violence. But health officials say many of its residents are refugees from war elsewhere. The region is one of the most economically depressed in Chechnya, with large numbers of families living on government stipends and handouts from humanitarian organizations.

          Fourteen-year-old Dinara Damayeva was 8 when her family fled Grozny under artillery fire during the separatist republic's second war with Moscow. They took refuge in what appeared to be a safe village, only to come under repeated missile attack, including one strike that killed a boy next door.

          Uprooted again, Dinara and her six sisters moved with their parents into a rented house in Shelkovskaya.

          Dinara was already having frequent epileptic seizures, said her father, Beslan Damayev, but had never experienced anything as violent as the fits that began when she went to school on the afternoon of Dec. 19.

          The girl said she felt a powdery substance in her throat after coming in from recess, and smelled an odor in the hallway that resembled a mixture of gasoline and the chlorine-based fluid that is commonly used for washing floors in Chechnya.

          "I couldn't breathe, it was so bad. I didn't have enough air," Dinara said.

          Some of the other students reported memory loss and hallucinations, along with panic attacks.

          "At one point, she didn't recognize her father when he came into the hospital room," said Zareta's mother, Aiza Askhabova. "She asked me, 'Who are you?' And she came out onto the balcony of the hospital with me and she's looking at the street and she sees a dog, and she says, 'What's this?' This lasted four days.

          "She was having a fit almost every hour, up to 25 times a day, from 20 to 25 minutes each, and they tell us it's — here, look at this paper they gave us: 'Conversion reaction of psychogenic genesis.'

          "Let me tell you, we don't understand head or tail of this diagnosis."

          Authorities in Grozny and Moscow say the Shelkovskaya events highlight years of inattention to the psychological effects of the war.

          Even now, Chechnya's only children's psychological rehabilitation center lies in a cramped, donated apartment in Grozny with no room for residential care. Its outpatient clients include children who sit in the corner and do not communicate at all, some who have strong aggressive streaks and some who are convinced that they are responsible for the deaths of their loved ones.

          "We have children who witnessed the death of their own parents. There are children who were strongly traumatized by the first war, and then they had to live all over again through the second war, which was even worse," said Milana Dashayeva, a psychologist at the center. "It has been layer upon layer of extreme stress."

          Doctors at the government-run Serbsky Forensic Psychiatry Institute in Moscow have organized emergency training programs in Moscow for Chechen psychologists and will begin mental health training for regional doctors in Chechnya next month.

          "You see, it would have been much easier to have found some toxicological problems," said Zurab Kikalidze, the Serbsky Institute's deputy director, who traveled to Chechnya to help diagnose the victims in the Shelkovskaya area. "Much more difficult is to rebuild the system of psychological support in Chechnya."

          Comment


          • #6
            Chechnya Mystery Ilness or Nerve gas ?

            Last Updated: Tuesday, 20 December 2005, 17:03 GMT
            E-mail this to a friend Printable version
            Chechens ill due to 'nerve gas'
            Ruined buildings in Chechen capital Grozny
            Chechnya has been torn apart by nearly a decade of war
            Thirty-nine people in the Russian republic of Chechnya have been admitted to hospital suffering from suspected nerve gas poisoning, officials said.

            The first outbreaks of an unknown illness were reported on Friday in the republic's Shelkovskoi district.

            Those affected include school pupils, teachers and workers from a school in Starogladovskaya village. Four people are said to be in a serious condition.

            Symptoms include breathing problems, fever, headaches and numbness in limbs.

            The head of the Shelkovskoi district administration, Khusein Nukhayev, has said the illnesses were likely to have been caused by a poison gas, but was unable to say which type.

            A mobile laboratory from the Russian city of Rostov-on-the-Don is carrying out tests.

            Chechnya's prosecutor-general Valery Kuznetsov said "to speak about a terrorist act is premature" but "all possibilities are being considered", Russian news agency Tass reported.

            Separatist fighters have waged a bitter war against Russian federal forces for a decade, with attacks taking place both inside the republic and elsewhere in southern Russia.

            Comment


            • #7
              Re: Chechnya Mystery Ilness or Nerve gas ?

              Date on this story: 20 December 2005

              Guess what? It wasn't nerve gas ;-)

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