4 cases of plague in Libya, and fears of moving to Egypt - Denied by WHO

[Treyfish]

Sunday, May 29, 2011 - 11:47

Fears of disease transmission to Egypt

كتب محمود نصر

Books Mahmoud Nasr
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Recorded the Libyan city of Tobruk the emergence of several infectious disease, injuries plague, and a medical source said the city's central hospital, said that at least four cases have been isolated medical hospital.

He pointed out that there are 17 other case being the work of medical tests her on suspicion of being infected with the disease, said medical source, who preferred anonymity, that the state of panic and fear, which hit the city is not the first, which occurred before, in mid-June 2009, when it hit the Plague "14" state in the region Trcp on the outskirts of Tobruk, and resulted in deaths and one.

.

The source added that the Egyptian authorities to take necessary action on the Egyptian-Libyan border to prevent the transmission of the disease in Egypt.

An official quarantine alternate port Salloum, The fear of the spread of the disease in Egypt will be the biggest focus of the emergence of the former in 2009, and attributed to the Egyptian official lawlessness taking place in the Libyan-Egyptian border at the moment.

And suffer the border city of Tobruk, many difficulties in the field of health services, where it lost contact in the capital Tripoli since the outbreak of the revolution on February 17 last year.
http://translate.googleusercontent.c...vgXCOvJFQaqmXA

[Treyfish]

Re: 4 goals of plague in Libya, and fears of moving to Egypt

Health Minister: Egypt free of the plague

Monday, May 30, 2011 - 14:51

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Dr. Ashraf Hatem, Minister of Health and Population, Egypt is totally free from disease, plague, pointing out that there are preventive measures carried out by the ministry in case of a new epidemic in the world to prevent entry into the country.

.

He added that the plague is a bacterial disease can be cured, nor reason to fear him, and for bird flu pointed out that the Supreme Committee for Avian Influenza will meet next Thursday to discuss the amendment and the means to protect citizens from the disease, pointing out that all of the immunization campaigns are continuing to prevent the spread of any epidemic of any type. http://translate.googleusercontent.c...WsMwLBD6-qGBmg

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Re: 4 goals of plague in Libya, and fears of moving to Egypt

Great find, Treyfish. Here we go again...

The thread from 2009 is here:

http://www.flutrackers.com/forum/showthread.php?p=251006

As a warning, that thread is full of errant reports. The consensus seems to be that there were five plague cases, one fatal, in 2009, but the reports were all over the place, including errant reports of other illnesses, speculation about pandemic flu involvement, spread to Egypt, and hundreds of deaths.

[Treyfish]

Re: 4 goals of plague in Libya, and fears of moving to Egypt

World Health form a committee to investigate the emergence of 4 cases of plague Btabrq
Monday, May 30, 2011 - 13:11


Minister of Health. Ashraf Hatem
Dana wrote railway


In response to the report published by the "seventh day" yesterday for the emergence of 4 cases of plague city of Tobruk, Libya, which lies on the border with Egypt, stressed Dr. Naeema Deputy Regional Director of WHO, the organization began yesterday to investigate the health of the emergence of people with the plague in collaboration with the Center for Disease Control transition in Tripoli.

She added that this action is taken immediately after the announcement of the appearance of any cases of infectious disease to ensure the accuracy of the declaration, and non-infected to take preventive measures to prevent transmission, and for the possibility of transmission of Egypt, stressed that Egypt is one of the countries that have strict procedures to prevent the transmission of any diseases through its borders to the absence of any health problem on the Egyptian-Libyan border.
http://www.youm7.com/News.asp?NewsID...mp;IssueID=168

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Re: 4 cases of plague in Libya, and fears of moving to Egypt

http://libya-free.livejournal.com/58361.html

spreading diseases of plague (Black death) in the city of Tobruk
Recorded the Libyan city of Tobruk spreading of (Black death) plague contagious, and a medical source said the hospital's central city, four cases have at least entered the segregation of medical hospital, according to Al-Watan newspaper free of in Benghazi, and close to the Transitional National Assembly, and added medical source who preferred anonymity that the situation Hit the panic patients may present in hospital and is expected to be the state of fear permeated the city, such as those that were in the middle of the month of June 2009, when the plague hit (1914) the situation in the region Trcp on the outskirts of Tobruk and the case resulted in one death.
An official at the Egyptian quarantine alternate port Salloum The fear of the spread of this disease in Egypt will be the biggest focus of the emergence of the former in 2009 and attributed to the Egyptian official lawlessness witnessed by the Egyptian-Libyan border, thanks to the outbreak of the crisis in Libya.
And suffer the border city of Tobruk, many difficulties in the field of health services where you lose your connection in the capital Tripoli since the outbreak of the so called the Revolution of 17 February last

In Tobruk - the plague. The city seized with fear, because such was the case in June 2009. Now there is no connection with Tripoli, with no place to ask. Rats, of course, will not do anything. Egypt alert - the boundary in fact transparent. It is difficult to say, it's biological weapons or simply unsanitary.

[Treyfish]

Re: 4 cases of plague in Libya, and fears of moving to Egypt

Watch a plague on Libyan border
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Monday, May 30, 2011 16: 49 </TD></TR><TR><TD vAlign=top>

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Ahmed Heba wrote:
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The Ministry official said that the Health Ministry will wait 24 hours to discuss whether there is injury to the plague on the Libyan border. This comes at a time when health has taken all precautions and preventive Libyan borders to prevent entry to Egypt and the comprehensive examinations for all citizens coming from Libya.
The source confirmed that Egyptian border quarantine in alert and monitoring emergency situations may arise in the period ahead, after the outbreak of plague in Libya and this comes at a time the Health Ministry did not declare any data that monitored any casualties so far on the boundaries with Libya or any accidents in Egypt from Libya and quarantine no case so far.
On a related level, Dr. Amr Kandil told Assistant Secretary of health for preventive Affairs no epidemic outbreaks of any disease with the Red Sea with no viral disease as no other similar cases.
He was given a position with the team Wizard and probe Panel and results samples notes that only joint working between children living and the deceased is entering one hospital; it was subject to prosecution.
The Ministry of health had established a fact-finding Commission to investigate the death of three children and wounded the El Gouna earlier after an unknown disease


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[Treyfish]

Re: 4 cases of plague in Libya, and fears of moving to Egypt

Health Organization and the World: No truth to the outbreak of plague or Btabrq Egyptian border
Books: Hossam Zayed
244

Dr. Amr Kandil, head of the Preventive Affairs, Ministry of Health that there was no plague, disease, injuries on the Libyan-Egyptian border and there are strict measures to prevent the transmission of the disease or prevent its entry into Egypt.


Where a state of emergency is lifted, as happened Mundaamin, noting that the plague is endemic Libyan city of Tobruk, which is located near the Egyptian border, and denied the appearance of city of Tobruk.

He had been rumored that there are 4 cases infected with the plague city of Tobruk, Libya, but Dr. Naeema Deputy Regional Director for the World Health Organization has denied this initially, where appeared yesterday for the commission to investigate the validity of the emergence of people with the plague in collaboration with the Center for Disease Control transition in Tripoli, noting that the Committee still doing its job, stressing that the transmission of the disease difficult to Egypt where it has strict procedures to prevent the transmission of any diseases across borders. http://www.ahram.org.eg/The-First/News/80948.aspx

[alert]

Re: 4 cases of plague in Libya, and fears of moving to Egypt

Health Organization and the World: No truth to the outbreak of plague or Btabrq Egyptian border
Books: Hossam Zayed
244

Dr. Amr Kandil, head of the Preventive Affairs, Ministry of Health that there was no plague, disease, injuries on the Libyan-Egyptian border and there are strict measures to prevent the transmission of the disease or prevent its entry into Egypt.


Where a state of emergency is lifted, as happened Mundaamin, noting that the plague is endemic Libyan city of Tobruk, which is located near the Egyptian border, and denied the appearance of city of Tobruk.

He had been rumored that there are 4 cases infected with the plague city of Tobruk, Libya, but Dr. Naeema Deputy Regional Director for the World Health Organization has denied this initially, where appeared yesterday for the commission to investigate the validity of the emergence of people with the plague in collaboration with the Center for Disease Control transition in Tripoli, noting that the Committee still doing its job, stressing that the transmission of the disease difficult to Egypt where it has strict procedures to prevent the transmission of any diseases across borders. http://www.ahram.org.eg/The-First/News/80948.aspx

Serious deja vu. Obviously, there is no plague on the border, as Tobruk is about 150 miles from the border. It may also appear that the cases in Tobruk itself are being denied.

Plague in Tobruk should not be that surprising; the area has had at least two previous plague outbreaks in the past 30 years.

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Re: 4 cases of plague in Libya, and fears of moving to Egypt - Denied By WHO

"Enzootic" might be a better word than "endemic" here...

http://news.maktoob.com/article/6288234/&#37;D8%A7%D9%84%D8%B5%D8%AD%D8%A9:-%D8%AA%D9%88%D8%B7%D9%86-%D8%A7%D9%84%D8%B7%D8%A7%D8%B9%D9%88%D9%86

Health: endemic plague "Btabrq" on the Libyan-Egyptian border

05/29/2011 at 14:45 GMT


He added. Amr Kandil, head of the Preventive Affairs, Ministry of Health, that the plague is endemic Libyan city of Tobruk, which is located near the Egyptian border, but that there are no
Fears of disease transmission to Egypt, especially with the absence of any cases so far in the city.

He added that he will raise the degree of emergency on the border in case of any cases of the disease, as happened two years ago, to prevent transmission of the disease in Egypt, especially with the onset of summer, but the situation is stable now and there are no concerns.

For its part, noted d. Naeema, Deputy Regional Director of WHO, that the city of Tobruk, known Ptotun a number of diseases by, especially those spread by the summer plague and malaria, but it did not show any cases of plague in the current period, pointing out that the Organization lifted a state of emergency in the city, especially in light of the current difficult conditions experienced by Libya, where he was launching a campaign to educate citizens through the prevention of these diseases.

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Re: 4 cases of plague in Libya, and fears of moving to Egypt - Denied by WHO

Another denial.

The case referenced in 2009 in Alexandria was actually only a suspected case (see the above linked thread) and was reportedly caused by Klebsiella bacteria, not plague.

http://translate.googleusercontent.com/translate_c?hl=en&ie=UTF8&prev=_t&rurl=translate.google.com&sl=ar&tl=en&u=http://www.egynews.net/wps/portal/news&#37;3Fparams%3D126466&usg=ALkJrhjIasNJf3IMz_7bkszoUKSsI9hvHg

Health denies the detection of any cases of plague in Egypt

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الدكتور عمرو قنديل وكيل وزارة الصحة
Dr. Amr Kandil, Undersecretary of the Ministry of Health القاهرة - أ ش أ Cairo - ASHA

Denied Dr. Amr Kandil, Undersecretary of the Ministry of Health for Preventive Medicine to discover any cases of plague during the current period in Egypt, pointing out that the last case was discovered was a Libyan citizen coming from Libya where he was booked in Alexandria in the month of June 2009.

Qandeel said, in his remarks Monday evening, "The Ministry of Health has contacted the World Health Organization to determine the validity and existence of cases of the disease in the Libyan city of Tobruk, The organization reported that there were no cases in the city so far."

"He was sent to the committee of the sector of preventive health sector to support the taking of preventive measures and strengthening surveillance for infection of wild animals in the border area with Libya, as well as surveillance of mortality among these animals."

The Undersecretary of the Ministry of Health for Preventive Medicine has been taking several measures for the possible emergence of the disease in Libya is to monitor the disease, and processing of isolation in the port of Salloum to isolate and treat any cases suspected of being infected, as well as the implementation of the plan to eliminate the insect vectors of disease on the border with the Libyan.

The plague of common bacterial diseases transmitted from animals to humans, which infects rodents, mainly mountainous, and is transmitted from the rodents to humans by insects such as flea bites by these insects, a key factor for transmission of the disease.

Range from the incubation period between two to seven days, and is characterized by high fever, body aches and throat, headache, general weakness, nausea, vomiting and chronic cough, in addition to inflammation of the lymph nodes in the vicinity of fleabite of the body.

As the symptoms of the disease in shortness of breath and irregular heart beat and a drop in blood pressure . And several types of plague, including bubonic plague, which is the most prevalent, and toxic plague and pneumonic plague.

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Re: 4 cases of plague in Libya, and fears of moving to Egypt - Denied by WHO

Apparently, this was a false report for political reasons.

http://translate.googleusercontent.com/translate_c?hl=en&ie=UTF8&prev=_t&rurl=translate.google.com&sl=ar&tl=en&u=http://www.shorouknews.com/contentdata.aspx%3Fid%3D467378&usg=ALkJrhgkB1wTCiBvEaq0IGVCNxZe81XB3g

WHO: did not show any cases of plague in Libya

Last Updated: Tuesday, May 31, 2011 12:50 GMT

World Health Organization


World Health Organization confirmed that the city of Tobruk, known Ptotun a number of diseases by, especially those spread by the summer plague and malaria, but it did not show any cases of plague in the current period, and that the organization lifted a state of emergency in the city, especially in light of the difficult conditions the current experienced by the Libyan Arab Jamahiriya, as d. Naeema, Deputy Regional Director of the organization.


Said Dr.. Naima during the workshop held by the organization yesterday: ?We have a number of actions to investigate and monitoring official in Egypt and Libya to cope with a pandemic especially plague?, stressing the need not to intimidate the citizens of a new epidemic, but must publicize ways of prevention ?.

The Directorate of Veterinary Medicine confirmed the province is the absence of any ?practical guide to outbreaks of plague from Libya?.
The Deputy Director of the Directorate, Dr. Mohamed Abdel Meguid: ?so far did not show any cases of port Salloum Salloum or city or on the western border or the General Hospital there?.

According to the interpretation of Abdul Majeed for the emergence of the plague in the eastern border of Libya bordering Egypt, what happens now is ?just rumors and political maneuvering from the Libyan government to penetrate the area liberated by the rebels Libyans on the one hand, and does not allow Egypt to enter the rebel Libyans and restricting them to release those rumors?.

He added: year before last, when he appeared plague, Egyptian government took all precautions, including the work of the campaigns, spraying against the epidemic, and the province and the Directorate of Health Bmatarouh procedures spray coming from Libya, and it seemed at the time that it was just rumors and amplification of the epidemic, which had not spread to the extent announced by Libya.

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Re: 4 cases of plague in Libya, and fears of moving to Egypt - Denied by WHO

Can we send some of the denials to ProMED?

http://www.promedmail.org/pls/apex/f?p=2400:1001:3456210131615914::NO::F2400_P1001_BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,88691

Archive Number 20110531.1669
Published Date 31-MAY-2011
Subject PRO/AH/EDR> Plague, bubonic - Libya: (BN)

PLAGUE, BUBONIC - LIBYA: (AL BUTNAN)
************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Sun 29 May 2011
Source: Youm7.com [in Arabic, trans. Corr.SB, edited]
<http://www.youm7.com/News.asp?NewsID=423226&SecID=97&IssueID=0>


The emergence of several infectious diseases, including plague, has
been reported in the Libyan city of Tobruk. A medical source at the
city's central hospital, said that at least 4 cases [of plague] have
been isolated at the medical hospital.

He pointed out that there are 17 other cases which are undergoing
medical tests on suspicion of being infected with the disease, said
the medical source, who preferred anonymity. There is a state of panic
and fear, which has hit the city, and it is not the 1st time this has
occurred, as, in mid-June 2009, there was an outbreak of bubonic
plague on the outskirts of Tobruk, which resulted in deaths.

The source added that the Egyptian authorities are taking necessary
action on the Egyptian-Libyan border to prevent the transmission of
the disease into Egypt.

An official quarantine [has been imposed] at the alternate port of
Salloum. The fear of the spread of the disease in Egypt will be the
biggest focus with the re-emergence of the disease plague, and this
has contributed to the lawlessness taking place on the Libyan-Egyptian
border at the moment.

The border city of Tobruk is experiencing many difficulties in the
field of health services because it has lost contact with the capital,
Tripoli, since the outbreak of the revolution on 17 Feb 2011.

[Byline: Mahmoud Nasr]

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

[The manifestations of plague in these cases are not stated but are
likely to be bubonic in nature causing exquisitely painful
lymphadenopathy (the bubo). In the absence of pneumonia spread from
the local node, person-to-person transmission in bubonic plague does
not occur.

Tobruk or Tubruq is a town, seaport, and peninsula in northeastern
Libya, near the border with Egypt, in North Africa. It is the capital
of Al Butnan District (formerly Tobruk District). Its location can be
found on a map at: <http://en.wikipedia.org/wiki/Tobruk>. The last
cluster of _Yersinia pestis_ infection occurred in 2009 in the same
area of northeastern Libya. The following contains a description of
previous outbreaks in the Saharan Africa area.

Consumption of the meat of an infected camel has been reported to
cause plague in Libya in 1976 (1). The abstract of the paper is: "In
1976, in a small, remote Libyan village, an apparently sick camel was
slaughtered and skinned, and the camel meat was distributed for human
consumption. A few days later, 15 villagers suffered a severe febrile
illness. Of the 5 individuals who had participated in the killing and
dispensation of the camel, all were dead within 4 days. When samples
of serum from 9 of the remaining patients were examined, 7 were found
to be positive for plague as determined by the passive
hemagglutination test. Another 6 persons became ill after killing 2
goats, and the serum of one goat contained antibodies to _Yersinia
pestis_. Because all of the remaining patients except one were treated
early enough, they recovered. These incidents confirm previous reports
that the camel and the goat are susceptible to naturally occurring
plague infection and have a significant role in the dissemination of
human plague."

Two more recent outbreaks in the Arab world have been reported in
2005. In Saudi Arabia (2), a cluster of 5 plague cases were reported
including 4 with severe pharyngitis and submandibular lymphadenitis.
These 4 case-patients had eaten raw camel liver. _Yersinia pestis_ was
isolated from bone marrow of the camel and from jirds [rodents]
(_Meriones libycus_) and fleas (_Xenopsylla cheopis_) captured at the
camel corral. In Jordon (3), a 1997 outbreak of plague was reported
associated with cervical lymphadenopathy and fever that occurred in
the Jordanian village of Azraq ad-Druze, 50 km [31 miles] west of the
border with Saudi Arabia. The 12 cases who presented at hospital were
initially assumed to have tularaemia, and all were successfully
treated with gentamicin. But all 12 were found to have anti-_Y.
pestis_ IgM. 11 of the 12 patients reported that, 2-4 days before
their symptoms appeared, they had eaten the meat cut from the carcass
of the same camel, either raw (10 cases) or cooked (one case). All 12
patients were diagnosed as cases of pharyngeal plague (the 1st cases
of plague reported in Jordan for more than 80 years) caused by _Y.
pestis_ that most had acquired when they ate raw meat from a camel
that was infected with the pathogen.

The source of the cases of bubonic plague in northeastern Libya is
not reported in this posting but may be related to camels and camel
fleas. ProMED awaits further documentation of this outbreak.

Plague outbreaks in North Africa may bring to mind the novel written
by Nobel Prize-winning novelist Albert Camus, "The Plague," which
chronicled a 1940s plague outbreak in Oran, Algeria, which began with
a rat die-off in and around the apartment building of the protagonist
Dr. Bernard Rieux.

1. Christie AB, Chen TH, Elberg SS. Plague in camels and goats: their
role in human epidemics. J Infect Dis 1980;141: 724-726.
2. Bin Saeed AA, Al-Hamdan NA, Fontaine RE: Plague from eating raw
camel liver. Emerg Infect Dis. 2005;11: 1456-1457.
3. Arbaji A, Kharabsheh S, Al-Azab S, et al: A 12-case outbreak of
pharyngeal plague following the consumption of camel meat, in
north-eastern Jordan. Ann Trop Med Parasitol. 2005;99: 789-793. -
Mod.LL]

[The interactive ProMED/HealthMap map showing Tobruk (Tubruq) is at
<http://healthmap.org/r/0VFe>
Zoom in step by step to see city names. - Mod.JW]