Undiagnosed fatal illness in Angola - Diarrheal illness, cholera, or VHF??

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Published Date
2009-10-23 01:04:28
Subject
PRO/EAFR> Undiagnosed diarrheal illness - Angola: (Quilengues),
Archive Number
20091023.203231
Full Text
UNDIAGNOSED DIARRHEAL ILLNESS - ANGOLA: (QUILENGUES), FATAL
************************************************** *********
Date: 20 Oct 2009
Source: ANGOP (Angola Press Agency) [Trans. by Mod.MPP, edited]

http://www.portalangop.co.ao/motix/pt_pt/noticias/saude/2009/9/43/Surto-diarreico-provoca-morte-pessoas-Quilengues,d5a7781d-4fc6-428a-a852-fdcc48f97795.html

Diarrhea outbreak causes the death of 22 people in Quilengues
------------------------------------------------------------
A total of 22 people died this month [October 2009] in the city of
Quilengues, [located] 140 kilometers north of Lubango, in Huila
province, victims of a diarrheal outbreak, according to information
provided to ANGOP by the Deputy Administrator, Abel Wandi Andre.

The official made it clear that the most recent cases occurred in
commune Dinde of the village Tchituli, where 16 people were infected
with the disease, 9 of whom died. Another 4 cases were reported at
headquarters, with one death.

The municipality of Impul is the most affected part of the district,
where 39 cases with 12 deaths were reported. The administrator
reported that in this constituency, cases occurred in the villages of
Vombo, Kandombe, Kavissaka and in the District headquarters.

At this point, according to the head of the Health Division, Gabriel
Adriano, there are technical staff working in the villages most
affected, in order to provide treatment to the existing cases and
conduct campaigns aimed at awareness and disease prevention.


The causes of the disease are still unknown, according to the deputy
administrator; they only know that it is not cholera. He said that
samples were taken by trained health technicians from Huila and were
sent to laboratories outside the country in order to diagnose [the
disease] and determine the etiology of the disease, a disease
considered "highly dangerous" by rapidly infecting people and causing
death within 24 hours.

Quilengues has an area of 4464 square kilometers and a population
estimated at 134 050 people who live mainly from agriculture and livestock.

--
Communicated by:
ProMED-EAFR



[This is a report of fatal diarrheal illness yet to be diagnosed
according to authorities in this region. There is no description of
the type of diarrhea, whether accompanied by fever or any other
features. They seem to be sure that it is not cholera but this is not
accompanied by any other evidence to prove it. More information would
be appreciated.

[alert]

Re: Undiagnosed fatal illness in Angola - Diarrheal illness, cholera, or VHF??

They seem to think this is a diarrheal outbreak other than cholera (bacterial dysentery), but the CFR of 12 fatalities in 39 cases (>30%) is way too high. Untreated cholera could also have such a high CFR, but they seem to think it isn't cholera. VHF (Ebola, Marburg, etc.) would also do it and has been reported from Angola, and can present as diarrheal illness, but hemorrhagic symptoms have not yet been reported, and neither has fever.

[alert]

Re: Undiagnosed fatal illness in Angola - Diarrheal illness, cholera, or VHF??

We seem to have a higher CFR than even that in the town with 9 deaths out of 16 cases (CFR 56.2%). So that makes 21 deaths out of those 55 cases between the two locations. Adding the four cases with one death at headquarters, makes 22 deaths in 59 cases overall (CFR about 36%).

http://www.portalangop.co.ao/motix/fr_fr/noticias/saude/2009/9/43/Une-epidemie-diarrhee-tue-personnes-Huila,10b67d82-26dc-4ae2-bb80-75519188ab87.html

Quilengues
Une ?pid?mie de diarrh?e tue 22 personnes ? Huila An outbreak of diarrhea kills 22 people in Huila

Quilengues (Angola) ? Vingt-deux personnes sont d?c?d?es des suites d'une ?pidemie de diarrh?e en octobre ? Quilengues, dans la province de Hu?la (sud), a appris l'Angop mardi aupr?s de l'administrateur adjoint, Abel Wandi Andr?. Quilengues (Angola) - Twenty-two people have died from an outbreak of diarrhea in October Quilengues in the province of Huila (south), Angop learned Tuesday from the Deputy Administrator, Andrew Abel Wandi.



Selon la source, les cas les plus r?cents sont survenus la semaine derni?re dans le village de Tchituli, dans la commune de Dinde, o? 16 personnes ont ?t? infect?es par la maladie, dont neuf sont d?c?d?es. The source said the most recent case occurred last week in the village of Tchituli in the town of Turkey, where 16 people have been infected by the disease, nine died.


La commune d'Impulo est la plus affect?e, o? les autorit?s sanitaires ont identifi? 39 cas, dont 12 d?c?s. The common Impulo is most affected, where health authorities have identified 39 cases including 12 deaths.


Des ?quipes techniques travaillent dans les localit?s les plus affect?es, afin de secourir les malades et r?aliser des campagnes de pr?vention et sensibilisation. Technical teams are working in communities most affected, to help the sick and conduct prevention campaigns and awareness.



Jusqu'? pr?sent les causes de la maladie sont encore m?connues, a affirm? l'administrateur adjoint, cependant il a assur? qu'il ne s'agissaitt pas de chol?ra. Until now the causes of the disease are still unknown, said the deputy administrator, but he assured that he does not s'agissaitt cholera.

[alert]

Re: Undiagnosed fatal illness in Angola - Diarrheal illness, cholera, or VHF??

From ProMed Portuguese. Note the red text - apparently there was a cholera outbreak in that area earlier this year:

http://www.promedmail.org/pls/otn/f?p=2400:1001:481232931167987::NO::F2400_P1001_BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1050,79711

DIARRHEA, OUTBREAK - ANGOLA (03) (QUILENGUESA, HUILA) ************************************* ************ A message / Una mensaje / of ProMED-mail <http://www.promedmail.org> ProMED-mail and a program of / es un programa de la International Society for Infectious Diseases <http://www.isid.org> Date: Wednesday / Miercoles, Oct. 21 / Octubre 2009 From: ProMED-PORT <Promed-Port@promedmail.org> Source: Angola Press [20/10/2009] http://www.portalangop.co.ao/motix/p...oas-Quilengues, d5a7781d-428th-4fc6-A852-fdcc48f97795.html Outbreak diarrhea causes the death of 22 people Quilengues Quilengues - Twenty-two people died this month in the city of Quilengues, 140 kilometers north of Lubango, Huila province, victims of an outbreak of diarrhea, today reported an interview to the Deputy Administrator Andrew Abel Wandi. The official made it clear that the most recent cases occurred in the village of Tchituli, commune Dinde last week, where 16 people were infected with the disease, nine of which ended up dead. Outros quatro casos foram registados na sede, resultando num ?bito. A comuna do Impulo ? a mais afectada da circunscri??o, registando 39 casos, com 12 mortes. Another four cases were reported at headquarters, resulting in death. Impul The commune is the most affected part of the district recorded 39 cases with 12 deaths. O administrador informou que nesta circunscri??o os casos tiveram lugar nas aldeias do Vombo, Kandombe, Kavissaka e na sede. Neste momento, segundo o chefe de reparti??o de Sa?de, Gabriel Adriano, existem equipas t?cnicas a trabalhar nas localidades mais afectadas, a fim de socorrer os casos j? existentes e realizar campanhas de preven??o e sensibiliza??o. As causas da doen?a, segundo o administrador adjunto, ainda s?o desconhecidas, sabendo apenas n?o se tratar de c?lera. Disse que as amostras recolhidas por t?cnicos da sa?de da Hu?la foram enviadas para laborat?rios no exterior do pa?s para se diagnosticar e apurar a origem da doen?a, considerado a enfermidade "altamente perigosa" por infectar rapidamente as pessoas e causar morte em menos de 24 horas. Quilengues possui uma superf?cie de quatro mil e 464 quil?metros quadrados e uma popula??o estimada em 134 mil e 50 habitantes que vivem, sobretudo, da agricultura e cria??o de gado. Comentario: [Isso parece ser colera, considerando-se os obitos e os casos anteriores na provincia - ljs] [veja: Diarreia, surto - Angola (02) (Chibia, Huila) 20090204.0499 Diarreia, surto - Angola (Chibia, Huila) 20090203.0476 ] ------------------------------------------------- ProMED-Port [Visite nosso site, com versao em portugues e mecanismo de busca, tambem em portugues: http://www.promedmail.org [clique na bandeira portuguesa] - ljs] .................................................. .................ljs *################################################# ########## ProMED-mail faz o maior esforco possivel para que os relatorios colocados em nossos envios sejam verificados, mas nao podemos garantir a veracidade nem comprovar quao completa e' a informacao ou qualquer declaracao ou opiniao baseada na mesma. The administrator reported that this constituency cases took place in the villages of Vombo, Kandombe, Kavissaka and at headquarters. At this point, the head of the division of Health, Gabriel Adriano, there are technical staff working in the villages most affected, in order to assist cases and existing campaigns for prevention and awareness. The causes of the disease, according to the deputy administrator, are still unknown, just knowing it is not cholera. He said samples taken by trained health Huila were sent to laboratories in outside the country to diagnose and determine the origin of the disease, a disease considered "highly dangerous" by rapidly infect people and cause death within 24 hours. Quilengues has an area of four thousand and 464 square kilometers and a population of around 50 and 134 thousand inhabitants living mainly from agriculture and livestock. Comment: [This appears to be [cholera], considering the Deaths and previous cases in the province - ljs] [see: Diarrhea, outbreak - Angola (02) (Chibia, Huila) 20090204.0499 Diarrhea, outbreak - Angola (Chibia, Huila) 20090203.0476] -------------------------------- ----------------- ProMED-Port [Visit our website, with version in Portuguese and search engine, also in Portuguese: http://www.promedmail.org [click on Portuguese flag] - ljs] ............................................ ....................... ljs *######################### ################################## ProMED-mail makes the greatest effort possible to put the reports in our items be verified, but we can not guarantee the accuracy or demonstrate how thorough and 'information to any statements or opinions based thereon. O leitor assume todos os riscos ao usar a informacao presentada ou arquivada por ProMED-mail. A Sociedade Internacional de Doencas Infecciosas (Inter- national Society of Infectious Diseases - ISID) e seus proveedores de servico associados nao podem ser considerados responsaveis por erros ou omissoes, nem estar sujeitos a qualquer acao legal por danos ocorridos a consequencia do uso ou da confianca que se tenha tido em algum material apresentado ou arquivado por ProMED-mail. ************************************************** *********** ProMED-mail hace el maximo esfuerzo posible para verificar los informes que son colocados en nuestros envios, sin embargo, no podemos garantizar la veracidad ni comprobar que tan completa es la informacion o cualquier declaracion u opinion basada en la misma. The reader assumes all risks in using information posted or archived by ProMED-mail. 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International Society for Infectious Diseases (International Society of Infectious Diseases ISID) y sus asociados proveedores de servicio no pueden be considered by responsables errores u omisi?n, ni cualquier accion sujetos a legal damages incurr the consecuencia del uso o de la confianza that haya tenido en algun material presentado archive by ProMED-mail. ************************************** *********************** Mensajes ProMED-PORT to send promed-port@promedmail.org Administrative Information request majordomo@promedmail.org. Asistencia humana enviar mensaje a owner-promed-port@promedmail.org .................................................. ........... Mensagens para ProMED-mail em portugues deverao ser enviadas enviadas para: promed-port@promedmail.org . Asistencia human send a message owner-promed-port@promedmail.org .................................... ......................... Messages to ProMED-mail in Portuguese should be sent sent to: promed-port@promedmail.org. 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[alert]

Re: Undiagnosed fatal illness in Angola - Diarrheal illness, cholera, or VHF??

And here is the posting from the previous outbreak. Note the mention of both cholera and a poisoning which had some hemorrhagic symptoms as well.

http://www.promedmail.org/pls/otn/f?p=2400:1001:481232931167987::::F2400_P1001_BACK_PAGE,F2400_P1001_ARCHIVE_NUMBER,F2400_P1001_USE_ARCHIVE:1001,20090204.0499,Y

DIARRHEA, OUTBREAK - ANGOLA (02) (Chiba, HUILA) ************************************* ******** A message / Una mensaje / of ProMED-mail <http://www.promedmail.org> ProMED-mail and a program of / es un programa de la International Society for Infectious Diseases <http: / / www.isid.org> Date: Wednesday / Miercoles, 04 February / Febrero 2009 From: ProMED-PORT <Promed-Port@promedmail.org> Source: Angola Press [04/02/2009] http:// www.portalangop.co.ao / motix / en_GB / news / health / Identified-cause relapsing diarrhea-registered-Chibia, afbab1fd-C018-4a57-8BCF-6e0a4ed420a5.html Identified cause of the outbreak of diarrhea recorded in Chibia Lubango -- The outbreak of diarrhea and blood has been registered since the week Transact population of the town of Muhit, a town of Jau, Chibia district, southern Huila province, is caused by poisoning due to excessive use of a tuber in the region. The This was revealed today at a press conference, the provincial health director, ?scar Isalino, who know that after having examined the samples in laboratories here, the experts have concluded that the disease is caused by the replacement of some roots in the diet of the population, which is causing the disease. Isalino Oscar said that currently 20 patients admitted to the Municipal Hospital are being treated with serum and other drugs in order to recover, and eventually a citizen die in 30 days, a victim of the disease. In addition, says the head of health, sent a team of experts armed with medicines and other means to the town of Muhit, to nursing the sick. more to deal with the situation, said Oscar Isalino were also assembled five tents health in the local hospital in order to meet the cholera cases that may arise. Chibia The municipality has a population of 131 thousand and 540. Comment: [We live and learn. Quais seriam esses tub?rculos? What are these edible? - ljs] [veja: PRO/POR> Diarreia, surto - Angola (Chibia, Huila) 20090203.0476 ] ------------------------------------------------- ProMED-Port [Visite nosso site, com versao em portugues e mecanismo de busca, tambem em portugues: http://www.promedmail.org [clique na bandeira portuguesa] - ljs] .................................................. .................ljs *################################################# ########## ProMED-mail faz o maior esforco possivel para que os relatorios colocados em nossos envios sejam verificados, mas nao podemos garantir a veracidade nem comprovar quao completa e' a informacao ou qualquer declaracao ou opiniao baseada na mesma. - Ljs] [see: PRO / EDR> Diarrhea, outbreak - Angola (Chibia, Huila) 20090203.0476] ---------------------------- --------------------- ProMED-Port [Visit our website, with version in Portuguese and search engine, also in Portuguese: http://www.promedmail. org [click on the flag Portuguese] - ljs] ........................................ ........................... ljs *##################### ###################################### ProMED-mail makes the greatest effort possible to ensure that the reports placed on our items are checked, but we can not guarantee the accuracy or demonstrate how thorough and 'information to any statements or opinions based thereon. O leitor assume todos os riscos ao usar a informacao presentada ou arquivada por ProMED-mail. A Sociedade Internacional de Doencas Infecciosas (Inter- national Society of Infectious Diseases - ISID) e seus proveedores de servico associados nao podem ser considerados responsaveis por erros ou omissoes, nem estar sujeitos a qualquer acao legal por danos ocorridos a consequencia do uso ou da confianca que se tenha tido em algum material apresentado ou arquivado por ProMED-mail. ************************************************** ***********

[alert]

Re: Undiagnosed fatal illness in Angola - Diarrheal illness, cholera, or VHF??

And this is the original post from the previous outbreak. The previous outbreak was apparently just the poisoning (with 20 cases and one death), but cholera is endemic in the area.

http://www.promedmail.org/pls/otn/f?p=2400:1001:481232931167987::::F2400_P1001_BACK_PAGE,F2400_P1001_ARCHIVE_NUMBER,F2400_P1001_USE_ARCHIVE:1001,20090203.0476,Y

DIARRHEA, OUTBREAK - ANGOLA (Chiba, HUILA) **************************************** * A message / Una mensaje / of ProMED-mail <http://www.promedmail.org> ProMED-mail and a program of / es un programa de la International Society for Infectious Diseases <http://www.isid.org > Date: Tuesday / Martes, 03 February / Febrero 2009 From: Rodrigo Nogueira Angerami <rodrigoang@uol.com.br> Source: Angola Press [03/02/2009] http://www.portalangop.co.ao / motix / en_GB / news / sports / Disease-diarrhea-causing-victim-Chibia ,95551687-8896-4A2C-bb02-aa3bd625eaed. html diarrheal disease caused victims in Chibia Lubango - An outbreak of diarrhea is strange, since last year, to plague the Chibia district 45 km south of Lubango, Huila province, which has caused the death of a citizen. This was revealed today to Angop by the head of the municipal health, Ant&#243;nio Sebasti&#227;o, which made it clear that this currently 20 popular with the disease are admitted to the local hospital, where they receive treatment. Sebasti&#227;o Ant&#243;nio said that the principle of local health authorities assumed it was the resurgence of cholera in the area who had come to the conclusion that could be a different disease , given that their symptoms are different. The person took the opportunity to urge all householders to compliance with the measures to combat cholera: how to wash hands before meals and boil water, and approaching the clinic most similar cases of being attacked by diarrhea. Comment: [Diarrhea is never strange or mysterious, can be unpleasant or serious. A probabilidade de ser c&#243;lera ou uma shiguelose &#233; grande - ljs] ------------------------------------------------- ProMED-Port [Visite nosso site, com versao em portugues e mecanismo de busca, tambem em portugues: http://www.promedmail.org [clique na bandeira portuguesa] - ljs] .................................................. .................ljs *################################################# ########## ProMED-mail faz o maior esforco possivel para que os relatorios colocados em nossos envios sejam verificados, mas nao podemos garantir a veracidade nem comprovar quao completa e' a informacao ou qualquer declaracao ou opiniao baseada na mesma. The probability of getting a cholera or shigellosis is great - ljs] ------------------------------------- ------------ ProMED-Port [Visit our website, with version in Portuguese and search engine, also in Portuguese: http://www.promedmail.org [click on the flag Portuguese] - ljs ] ................................................. .................. ljs *##############################

[alert]

Re: Undiagnosed fatal illness in Angola - Diarrheal illness, cholera, or VHF??

We will have to see what else develops, but the ProMed Portuguese moderators apparently think this is a cholera outbreak, despite the denial in the article.

[alert]

Re: Undiagnosed fatal illness in Angola - Diarrheal illness, cholera, or VHF??

And the ProMed posting:

http://www.promedmail.org/pls/otn/f?p=2400:1001:122390553654880::NO::F2400_P1001_BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,79758

[1] Diarrhea, fatal - Angola (Huila)
Date: 20 Oct 2009
Source: ANGOP (Angola Press Agency) [Trans. by Mod.MPP, edited]
<http://www.portalangop.co.ao/motix/pt_pt/noticias/saude/2009/9/43/Surto-diarreico-provoca-morte-pessoas-Quilengues,d5a7781d-4fc6-428a-a852-fdcc48f97795.html>


So far in October 2009, 22 people have died in the city of
Quilengues, [located] 140 kilometers [87 miles] north of Lubango, in
Huila province, victims of a diarrheal outbreak, according to
information provided to ANGOP by the Deputy Administrator, Abel Wandi
Andre. The official made it clear that the most recent cases occurred
in commune Dinde of the village Tchituli, where 16 people were
infected with the disease, 9 of whom died. Another 4 cases were
reported at headquarters, with one death.

The municipality of Impul is the most affected part of the district,
where 39 cases with 12 deaths were reported. The administrator
reported that in this constituency, cases occurred in the villages of
Vombo, Kandombe, Kavissaka and in the District headquarters.

At this point, according to the head of the Health Division, Gabriel
Adriano, there are technical staff working in the villages most
affected, in order to provide treatment to the existing cases and
conduct campaigns aimed at awareness and disease prevention.

The causes of the disease are still unknown, according to the deputy
administrator, they only know that it is not cholera. He said that
samples were taken by trained health technicians from Huila and were
sent to laboratories outside the country in order to diagnose [the
disease] and determine the etiology of the disease, a disease
considered "highly dangerous" by rapidly infecting people and causing
death within 24 hours.

Quilengues has an area of 4464 square kilometers and a population
estimated at 134 050 people who live mainly from agriculture and livestock.

--
Communicated by:
HealthMap Alerts via ProMED-mail
<promed@promedmail.org>

[Although it is stated that "it is not cholera", a potentially
rapidly fatal diarrheal disease in an area where cholera has been
found in the no so distant past is likely to be cholera. Huila
province is in southwestern Angola and can be found on a map of the
country at:
<http://www.un.org/Depts/Cartographic/map/profile/angola.pdf>. - Mod.LL]

[alert]

Re: Undiagnosed fatal illness in Angola - Diarrheal illness, cholera, or VHF??

Cholera confirmed. Change the title of the thread. Note also the increase in the number of cases, which reduces the actual CFR.

http://www.portalangop.co.ao/motix/pt_pt/noticias/saude/2009/9/44/Saude-identifica-causas-morte-pessoas-Quilengues,f8de17eb-93f4-40f7-8c40-458fc7594f01.html

Hu&#237;la
Sa&#250;de identifica causas da morte de pessoas em Quilengues Health identifies causes of death of people in Quilengues



Quilengues - O surto de diarreia que causou, este m&#234;s, a morte a 22 pessoas no munic&#237;pio de Quilengues, a 140 quil&#243;metros a norte do Lubango, prov&#237;ncia da Hu&#237;la, &#233; c&#243;lera, segundo revelou hoje &#224; Angop o chefe de Sec&#231;&#227;o Municipal de Sa&#250;de, Gabriel Mapombo. Quilengues - The outbreak of diarrhea that caused this month, the deaths of 22 people in the town of Quilengues, 140 kilometers north of Lubango, Huila province, the [cholera], as revealed today an interview to the Head of Section Department of Health, Gabriel Mapombo.


O respons&#225;vel disse que ap&#243;s a an&#225;lise das amostras no pa&#237;s e no exterior, os t&#233;cnicos chegaram a conclus&#227;o que se tratava de c&#243;lera, uma vez que foi detectado o bacilo causador da doen&#231;a. The official said that after analyzing the samples at home and abroad, experts have concluded that it was cholera, since it was discovered the bacillus that causes the disease.


"A situa&#231;&#227;o est&#225; controlada. Temos apenas 12 pessoas internadas, com perspectiva de receberem alta nos pr&#243;ximos dias", disse Gabriel Mapombo, adiantando que nas &#250;ltimas 72 horas n&#227;o se registou nenhum caso de epidemia nas diferentes unidades sanit&#225;rias da regi&#227;o. "The situation is under control. We only have 12 people hospitalized, with the prospect of receiving higher in coming days," said Gabriel Mapombo, adding that the last 72 hours there has been no case of epidemic in different health facilities in the region.


A fonte fez saber que, neste momento, est&#227;o mobilizados 60 t&#233;cnicos de sa&#250;de a n&#237;vel de toda a circunscri&#231;&#227;o, tendo sido tamb&#233;m disponibilizados medicamentos para combater a doen&#231;a (soro de reidrata&#231;&#227;o, material gast&#225;vel e de higiene), tendo elogiado o empenho dos mesmos no tratamento dos casos. The source stated that, currently, are deployed 60 health workers at all the district and was also given medication to combat the disease (rehydration, material wastage and hygiene), and praised the commitment of the same treatment of cases.


O respons&#225;vel disse que a Administra&#231;&#227;o Municipal criou uma comiss&#227;o de luta contra a doen&#231;a, liderada pelo administrador Salom&#227;o Agostinho e integra outros membros do executivo local. The official said that the City Administration created a committee to combat the disease, led by administrator Solomon Augustine and integrates other members of the local executive.


Desde o registo do primeiro caso da enfermidade, a 14 desde m&#234;s at&#233; a presente data, foram j&#225; diagnosticados, na aludida circunscri&#231;&#227;o, 80 ocorr&#234;ncias, nas localidades de Kavissaka, Vombo, nas sedes das comunas do Dinde e Impulo, bem como em Sokobal (sede municipal). Since the registration of the first case of illness, from 14 months to date, have been diagnosed in the aforesaid area, 80 incidents in the towns of Kavissaka, Vombo, the headquarters of communes of Dinde and momentum as well as Sokobal ( municipal seat).

O munic&#237;pio de Quilengues, com uma popula&#231;&#227;o estimada em 134 mil e 50 habitantes, possui uma rede sanit&#225;ria composta por 14 unidades, cujo funcionamento &#233; assegurado por cem t&#233;cnicos m&#233;dios e b&#225;sicos. The municipality of Quilengues, with a population estimated at 134 thousand and 50 people, has a health network consists of 14 units, whose operation is carried out by one hundred technicians and basic medium.

[alert]

Re: Undiagnosed fatal illness in Angola - Diarrheal illness, cholera, or VHF??

A ProMed French post. Would someone please send ProMed the article above this one that confirms this outbreak is due to cholera (and change the title of this thread)?

http://www.promedmail.org/pls/otn/f?p=2400:1001:469952200561074::NO::F2400_P1001_BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1030,79829

DIARRHEAL DISEASE UNKNOWN, FATAL - ANGOLA: (OIL) ADDITIONAL INFORMATION REQUIRED ************************************ *************************************** A ProMED communication address <http:// www.promedmail.org> ProMED-mail is a program of the International Society for Infectious Diseases <http://www.isid.org> Date: Tues, October 20th, 2009 Source: ANGOP (Angola Press Agency) [edited] <http : / / https://www.portalangop.co.ao/motix/...ersonnes-Huila, 10b67d82-26dc-4ae2-BB80-75519188ab87.html> A diarrhea epidemic kills 22 people in Huila ------------------------------------------ ------- Twenty-two people have died from an outbreak of diarrhea in October [2009] In Quilengues in the province of Huila (south), learned Angop [Tues, October 20th, 2009] with the Deputy Administrator, Andrew Abel Wandi. According to the source, the most recent case occurred last week in the village of Tchituli in the town of Turkey, where 16 people have been infected by the disease, nine died . Impulo The joint is most affected, where health authorities have identified 39 cases including 12 deaths. Technical teams are working in communities most affected, to help the sick and conduct prevention campaigns and awareness. Until 'now the causes of the disease are still unknown, said the deputy administrator, but he assured it was not cholera. - Communicated by: ProMED-FRA <promed-fra@promedmail.com > [If cholera has been formally excluded, it is necessary that the authorities would investigate deeper to locate us on the cause of this disease has a high mortality rate (30.8 per cent in the joint Impulo and 56.52 percent in that of Turkey). Huila province in southern Angola may be located on the administrative map <http://www.un.org/Depts/Cartographic/map/profile/angola.pdf>. Interactive Map of HealthMap / ProMED-mail is available at Angola <http://healthmap.org/r/00XF>. - Mod.SC]