Pakistan CCHF 2013

[Ronan Kelly]

Link to 2012 thread - http://www.flutrackers.com/forum/sho...d.php?t=185658

Patient at PIMS confirmed for CCHF


Shahina Maqbool
Sunday, February 03, 2013
From Print Edition

Islamabad

A female patient who got admitted at the Pakistan Institute of Medical Sciences (PIMS) five days ago is confirmed as being afflicted with Crimean Congo Hemorrhagic Fever (CCHF).

According to the treating physician, Dr. Jamal Zafar, the 35 year-old patient, who is a resident of Sector G-8, Islamabad, had a platelet count of zero. ?Other symptoms included bleeding from multiple sights and fever. She is completely out of danger now,? he said.

When asked about the source of the infection, Dr. Jamal said, the contact is unclear. ?She did go to her village for Eid, but since the virus does not have such a long incubation period, it is unclear where she contracted the disease from,? Dr. Jamal said.
...

http://www.thenews.com.pk/Todays-News-6-157813-Patient-at-PIMS-confirmed-for-CCHF

[Catbird]

Re: Pakistan CCHF 2013

Pak Observer:
Two patients at PIMS infected with Congo-virus


"Monday, February 04, 2013 - Islamabad?Congo-virus had been conformed in two patients of PIMS (Pakistan Institute of Medical Sciences).

Hospital sources conformed the presence of virus in one female resident of Capitol City, while the other patient had come from Saudi Arabia"

[Gert van der Hoek]

Re: Pakistan CCHF 2013

Another patient dies of Congo fever in Nishtar

LAHORE, April 10: Another man has died of fatal tropical disease — Crimean-Congo Hemorrhagic Fever (CCHF) — at the Nishtar Hospital in Multan.

Muhammad Yasin (28), a resident of House No 150, Block E, Dera Ghazi Khan, was shifted to the Nishtar Hospital a few days back with massive bleeding from his nose, mouth and ears. He was kept in an isolated intensive care ward, but he died on Tuesday.

An official privy to the information told Dawn that it was the fourth CCHF-related death in South Punjab during the past six months.

He said six out of 16 suspected people were diagnosed as CCHF patients after the laboratory and clinical investigations during the period.

Of the four who lost their lives, three belonged to Dera Ghazi Khan and one to Bhakar district, he said and added they had been dealing in cattle trade.

Surveillance officers of the World Health Organization at DG Khan and Multan have been alerted for case-investigation after reporting of a fresh death.

Health officials in areas concerned have also been directed to thoroughly investigate the matter and take preventive measures to stop the spread of the disease to other districts of the province.

Initially, the patients are diagnosed through common symptoms of the disease, including headache and joint pain, and in the later stage, they are confirmed as CCHF patients through particular symptoms, including red eyes, flushed face, red throat, and red spots on the mouth, besides laboratory reports.

The official said that Yasin was hospitalized with a five-day history of constant and rising fever, four-day of vomiting and with two-day history of bleeding from various parts of the body.

Quoting some reports, he says the CCHF is a widespread tick-borne viral disease that can be transmitted either from wild animals or infected patients through direct contact with their blood or body fluids.

The disease is particularly common in East and West Africa and fatal in about 50 per cent of human cases which is an alarming ratio, he said.

The official said the patient needed immediate attention or constant follow up during the specified period — three to seven days — of the onset of the disease. Any delay in this regard can lead to a severe hemorrhagic syndrome or uncontrolled bleeding — called as extremely advanced stage of the deadly disease.

Shortly after receiving fresh victim of the tropical disease at Nishtar Hospital in Multan, health authorities issued directions to officials concerned to keep under observation family members of the diseased person and those who remained close to him during the entire period of the onset of the CCHF.

According to the laid down protocol, he said the health management should send blood samples of doctors and other staff, who provided treatment to the CCHF patient, as a preventive measure.

A separate team of health experts will also visit the ‘affected areas’ to gather epidemiological information and facts.

Dawn

[Shiloh]

Re: Pakistan CCHF 2013

Source: http://www.pakistantoday.com.pk/2013...another-virus/

Another day, another virus
ONLINE 3 hrs ago |
KARACHI -

Six people contracted the lethal Congo virus in Karachi this year, five of whom lost their lives, it was reported on Monday...

[Shiloh]

Re: Pakistan CCHF 2013

Source: http://www.nation.com.pk/pakistan-ne...irus-in-quetta

QUETTA - Deadly Congo virus has once again terrified people in Quetta as one patient suffering from the virus died in a hospital of the provincial capital on Wednesday.
As per details, a patient identified as Walid was admitted to the isolation ward of Fatima Jinnah General and Chest Hospital after he contracted Congo virus. Walid could not recover and breathed his last on the hospital?s bed. Family sources of Walid said he was working as a butcher at Frontier Corps Headquarters.
Fatima Jinnah General and Chest Hospital administration confirmed that several other patients with Congo virus were being treated in the hospital...

[Shiloh]

Re: Pakistan CCHF 2013

Source: http://centralasiaonline.com/en_GB/a...0/newsbrief-14

Khyber Pakhtunkhwa to isolate virus victims
By Ashfaq Yusufzai
2013-07-20

PESHAWAR ? The Khyber Pakhtunkhwa (KP) Health Department has ordered the establishment of isolation wards to cope with a possible outbreak of Crimean-Congo haemorrhagic fever (CCHF), a frequently deadly tick-borne disease, officials said...

[Ronan Kelly]

Re: Pakistan CCHF 2013

Patient at HFH confirmed having Congo
FROM THE NEWSPAPER

2013-08-17 07:47:19
RAWALPINDI, Aug 16: Blood test reports have confirmed that a patient admitted to the Holy Family Hospital (HFH) on August 8 is suffering from Congo Crimean Haemorrhagic Fever (CCHF).

However, National Institute of Health (NIH) has cleared another patient, who was admitted on same date, of congo virus and she will likely to be discharged within next few days.
...

http://dawn.com/news/1036385/patient-at-hfh-confirmed-having-congo

Pakistan has reported a total of 47 suspected, 30 confirmed CCHF cases and 10 deaths to July 27th http://www.flutrackers.com/forum/sho...053#post507053

[Shiloh]

Re: Pakistan CCHF 2013

Source: http://pakobserver.net/detailnews.asp?id=217928


Congo virus-infected patients die in hospital

Friday, September 13, 2013 - Havelian?Two real brothers, who had been infected with Congo virus, died in hospitals on Thursday. According to hospital sources, Shahzad and Asif, who were infected with Congo virus, died in PIMS Hospital Islamabad and ATH Hospital Abbottabad respectively.

The third brother Asif and their father Yousuf have also been admitted in PIMS Hospital, Islamabad...

...The other fifteen family members, including males and females, have also been admitted in Tehsil Headquarters Hospital (THQ) Havelian.?APP

[Shiloh]

Re: Pakistan CCHF 2013

Source: http://tribune.com.pk/story/604005/h...f-congo-virus/

Health hazard: Five patients discharged from AMC after being cleared of Congo virus
By Our Correspondent
Published: September 13, 2013

ABBOTABAD: Five members of a family including three women suspected of being infected with Congo virus were discharged from Ayub Medical Complex (AMC) after initial medical reports revealed they were not suffering from the disease.

Four others from the same family, of which two have already died, had approached the hospital earlier this week in a related case...

...Muhammad Yousaf and his three sons Muhammad Asif, Shiraz and Muhammad Arif were brought to the hospital on Tuesday afternoon after they complained of stomach problems and high fever. However, they left soon after treatment started and went to Combined Military Hospital (CMH), Abbottabad where Asif, 27, died.

The other three were then referred to Military Hospital Rawalpindi, from where they were shifted to Pakistan Institute of Medical Sciences Islamabad (PIMS). Family and hospital sources confirmed Shiraz also died on Thursday morning, while Yousaf and his son Arif are presently being kept in isolation. Their blood samples have been sent to National Institute of Health (NIH). The tests will confirm whether the father and son are infected with Congo virus.

Abbottabad District Health Officer (DHO) Dr Zafeer said though Asif and Shiraz did not die at AMC, the initial reports he collected from PIMS suggest they may have been infected. ?The two remaining patients are being treated under the Congo virus protocol, although it is not yet confirmed whether they are suffering from the disease,? he added...

[Shiloh]

Re: Pakistan CCHF 2013

Source: http://www.thenews.com.pk/article-11...t-dies-at-PIMS


Second Congo virus patient dies at PIMS
September 14, 2013 - Updated 620 PKT
From Web Edition


ISLAMABAD: Another Congo virus patient, identified as Muhamamd Yousuf died in Islamabad on Saturday, brining the death toll at two, Geo News reported...

[Ronan Kelly]

Re: Pakistan CCHF 2013

Another congo virus patient dies in Islamabad
Last Updated On 14 September,2013 About 5 hours ago All four patients belonged to a family of butchers and were residing in Abbottabad.

Islamabad (Dunya News) ? Another person of the same family has died of Crimean Congo haemorrhagic fever (CCHF) at the Pakistan Institute of Medical Sciences (PIMS) on Saturday.
Deceased?s father and brother have already lost their life to CCHF. While, another brother Arif is being treated at PIMS hospital.
...

http://dunyanews.tv/index.php/en/Pakistan/192135-Another-congo-virus-patient-dies-in-Islamabad

[Ronan Kelly]

Re: Pakistan CCHF 2013

Fourth person dies of Congo fever
A REPORTER

2013-09-16 07:02:21
ISLAMABAD, Sept 15: Another Crimean Congo Hemorrhagic Fever (Congo fever) patient died at the Pakistan Institute of Medical Sciences (Pims) on Sunday.

According to sources, Arif Khan, 28, a resident of Abbottabad, was under treatment in the hospital since September 11.

According to a doctor of Pims, a few days back Shahzad Ahmed, 21, died of the deadly virus in Abbottabad. His brothers Shiraz Ahmed, 25, Arif Khan, 28, along with their father Mohammad Yousuf, 60, was brought to Pims where they died.

?All four patients belonged to the same family and were butchers. They had been in close contact with animals which resulted in the spread of the disease,? he said.
...

http://www.dawn.com/news/1043233/fourth-person-dies-of-congo-fever

[Gert van der Hoek]

Re: Pakistan CCHF 2013

First Congo fever case in Hangu

Thursday, October 10, 2013

HANGU: The Health Department officials on Wednesday said the first case of Crimean-Congo hemorrhagic fever has been confirmed in Hangu district.Medical Superintendent of the District Headquarters Hospital, Dr Azam, said a 25-year-old butcher is suffering from Congo Crimean Haemorrhagic Fever (CCHF).

?Amanullah, a resident of Alwara Mela, was brought to the hospital and the doctors suspected that he has Congo fever. Therefore, his blood samples were sent for tests, which confirmed that he is a patient of the fever,? Dr Azam said.

He said that Amanullah was shifted to Pakistan Institute of Medical Sciences Islamabad for treatment. The doctor said a team of doctors and World Health Organisation visited Aman?s residence and collected blood samples of his family.

The News

[Shiloh]

Re: Pakistan CCHF 2013

Source: http://www.pakistantoday.com.pk/2013...rus-in-lahore/

Man dies of Congo virus in Lahore
ONLINE 2 hrs ago

A patient who had symptoms of the Crimean-Congo Hemorrhagic Fever (Congo fever) died on Tuesday in Lahore according to local reports...

...According to media reports, 31-year-old Zeeshan, a suspected patient of the fever was under treatment at a private clinic in Lahore?s Ferozepur Road area. He was brought to the hospital five days back, but died of the illness on Tuesday morning...

[Biological]

Re: Pakistan CCHF 2013

CCHF Adapted updated table from EMRO resources 22 October 2013
Table 1. Suspected cases of CCHF reported in Pakistan, 2000–2012

Year Cases Deaths Case–fatality rate (&#37
2000-2002 191 59 26.2
2003-2006 328 42 12.8
2010 29 3 4.9
2012 62 18 29.0
2013 77 15 19.4

Updated table as of 29 September 2013 See Table 1. Suspected cases of CCHF reported about in Pakistan, in 2012 and 2013

WHO EMRO | Crimean-Congo haemorrhagic fever (CCHF) in Pakistan, 14 June 2013 | Surveillance-news | Surveillance, forecasting and response

http://www.emro.who.int/surveillance-forecasting-response/outbreaks/cchf-pakistan-june-2013.html

EMRO- Crimean-Congo haemorrhagic fever in Pakistan: update
OMS | Crimean-Congo haemorrhagic fever in Pakistan: update | Surveillance-news | Surveillance, prévision et action

Clip:
06 October 2013 - From 1 January to 29 September 2013, a total of 77 Suspected cases of Crimean-Congo haemorrhagic fever (CCHF), Including 15 deaths (case-fatality rate 19.4%) Were reported about from Pakistan. So far, 48 cases of These Have Been reported about laboratory-confirmed. The laboratory tests Have Been Performed at the National Institute of Health in Islamabad.

http://www.emro.who.int/fr/surveillance-prevision-et-action/surveillance-news/crimean-congo-haemorrhagic-fever-in-pakistan-update.html

EMRO Weekly Epidemiological Monitor

1. Crimean–Congo haemorrhagic fever in Pakistan,Volume 5 Issue 33 Sunday 12 August 2012

http://applications.emro.who.int/dsaf/epi/2012/Epi_Monitor_2012_5_33.pdf

2. Crimean-Congo haemorrhagic fever (CCHF) in Pakistan Volume 6 Issue 13 Sunday 31 March 2013

http://applications.emro.who.int/dsaf/epi/2013/Epi_Monitor_2013_6_13.pdf

Clip:
Editorial note
Since it was recognized for the first time in Pakistan in 1976, there have been a biannual surge of CCHF cases in the country. Cases usually appear between March and May and again between August and October. Furthermore, it has been shown that the disease is more prevalent in specific areas of Balochistan.

3. CCHF continues to claim lives in Pakistan Weekly Epidemiological Monitor, Volume 6, Issue 40, 06 October 2013

http://applications.emro.who.int/dsaf/epi/2013/Epi_Monitor_2013_6_40.pdf

Clip:
Update on outbreaks in the Eastern Mediterranean Region Volume 6 Issue 40 Sunday 06 October 2013
The current outbreak of CCHF in Pakistan could well be the worst in its history given the size and scale of the outbreak as well as the geographic distribution of cases.

Also see
NaTHNaC | Outbreak Surveillance: Country Information

http://www.nathnac.org/CountrySearch.aspx?AREAID=0&COUNTRYID=0&DISEASEID=5&PERIODID=3&ANIMALINDICATOR=2

Disease Report

http://www.nathnac.org/DiseaseReport.aspx?DISEASEID=5&COUNTRYID=0&PERIODID=3&ANIMALINDICATOR=2&SHORTLIST=false&AREAID=0