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  • EAST AFRICA: H1N1 cases on the increase

    Source: http://www.irinnews.org/Report.aspx?ReportId=86386

    EAST AFRICA: H1N1 cases on the increase

    NAIROBI, 1 October 2009 (IRIN) - There has been an increase in the number of pandemic HIN1 influenza cases being reported in the East African region, say medical officials. Some of the new cases have been recorded in schools.

    "Some 350 H1N1 influenza cases have been confirmed in Kenya," Shahnaaz Sharif, the Director of Public Health, told IRIN, adding that the cases had been mild. "There may be more cases out there."

    The first case in Kenya was that of a visiting British student on 29 June. So far, no deaths have been reported.

    "The most affected are younger people between 14 and 26 years," Sharif said. Children, young adults and pregnant women, as well as those with pre-existing medical conditions, such as asthma, HIV/AIDS, diabetes, heart and blood diseases, are at increased risk of severe and sometimes fatal illness.

    Sharif said the affected schools in the Nairobi and Central regions had been provided with guidelines and other assistance on disease control.

    H1N1 symptoms are flu-like and include fever, headache, cough, sore throat and muscle and joint pain. It is caused by a new influenza virus, which most people have no or little immunity against and could thus cause more infections than are seen with seasonal flu.

    In Uganda, at least 33 H1N1 cases have been confirmed, mainly in the western district of Bushenyi. Health ministry spokesman Paul Kagwa told IRIN that nine seminarians at the Kitabi Catholic Seminary in Bushenyi had tested positive for H1N1 while another 300 people were undergoing treatment for flu-related symptoms.

    "A team of experts is in the area to help fight the pandemic; fortunately we have not yet lost anybody," Kagwa said.

    Sam Zaramba, the director-general of health services, told IRIN the health ministry was intensifying an awareness campaign because "the disease was quickly spreading in the country".

    Uganda confirmed its first case of H1N1 on 2 July - of a British visitor to the country.

    As of 28 September, 24 countries in Africa had officially reported 12,018 laboratory-confirmed human cases of H1N1, including 58 deaths, according to a UN World Health Organization (WHO) update. South Africa was leading with 11,253 cases and 47 deaths in the week ending 14 September - statistics are compiled weekly and there is also stronger surveillance in that country.

    Tanzania had 143 cases and Ethiopia four.

    Paul Garwood, a communications officer with WHO, told IRIN that control measures were ongoing. Vaccines would also be sent to developing countries.

    Initially, an estimated 300 million doses of vaccine will be distributed to more than 90 countries, he said.

    "Distribution of the first batches of donated vaccines is expected to begin in November," he said. "WHO continues to recommend that health workers be given high priority for early vaccination."

    WHO, with the International Federation of the Red Cross/Crescent, the UN Children's Fund and the UN Office for the Coordination of Humanitarian Affairs, in August launched an initiative to reduce the threat posed by H1N1 in developing countries.

    The initiative, which calls for the identification of populations at increased risk of disease and death, treating acute respiratory illness and pneumonia and continued critical services provision, among other measures, will initially be applied in Zimbabwe, borrowing on lessons learned there in the 2008-09 cholera outbreak that infected almost 100,000 people and killed 4,000.

    As of 20 September, 300,000 H1N1 cases with 3,917 deaths had been confirmed in 191 countries and territories. "As more and more countries have stopped counting individual cases, particularly of milder illness, the case count is significantly lower than the [actual] number of cases that have occurred," noted WHO.

    vm-aw/mw

  • #2
    Re: EAST AFRICA: H1N1 cases on the increase

    Swine flu now endemic in East Africa, says WHO
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    Personnel from the Kisumu District Hospital examine a student of Otieno Oyoo Secondary School for symptoms of swine flu. Photo/TOM OTIENO
    <FORM id=emailForm_email_author action=/page/email_author/TheEastAfrican/news/-/2558/673394/-/view/emailForm/-/fwh2r1z/-/index.html method=post>By DAGI KIMANI
    Posted Monday, October 19 2009 at 00:00
    </FORM>



    H1N1 has probably become endemic in East Africa, with statistics from the World Health Organisation showing that the region has reported the highest number of confirmed cases on the continent outside South Africa.


    According to the WHO figures for the period running to October 4, Tanzania has reported the highest number of confirmed cases in the East African Community, with 174 people having been diagnosed with the so-called swine flu. Kenya had reported 154 cases in the same period, while Uganda had confirmed 61, giving a total of 389 cases for the three EAC countries.


    No cases had been confirmed to the WHO by Rwanda or Burundi, but by last week, Rwanda had however reported 15 cases.


    The number of confirmed cases in East Africa however pales in comparison to those detected in South Africa, which had by October 4 confirmed 11,545 infections out of the 12,442 total reported to the WHO from 24 African countries.


    According to the global health agency, the infections across the continent have caused at least 70 deaths, although the number is probably higher due to under-reporting.


    Going by the WHO data, the rate of infection across East Africa is picking up, with 31 of Tanzania?s cases alone being reported between September 28 and October 4.


    In Uganda 26 cases, or about 40 per cent of the country?s confirmed cases were also reported within the same short period.

    EAC countries also became the first countries in Africa to receive the first batch of H1N1 vaccine from the WHO.


    Last Wednesday, in a sign that H1N1 had reached a critical threshold, Ugandan education authorities ordered all schools to cancel visitations and inter-school activities for their students following outbreaks in several institutions.


    Other measures ordered by the ministry included the isolation of suspected cases, and reducing over-crowding by maintaining a 0.6 metre gap between beds.


    The measures announced by the Ugandan authorities followed the confirmation of infections in three schools ? Ndejje SS in Luwero district, Katabi Seminary in Bushenyi, and Nyakasura School in Kabarole.


    The WHO recognises schools and colleges as potential hotspots for H1N1, and recently issued guidelines on how to handle the situation in these environments.

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