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India - Crimean Congo Haemorrhagic fever 2015

Shiloh

Editor, Senior Moderator
Source: http://www.dnaindia.com/india/report-nurse-dies-of-unknown-virus-in-rajasthan-2054035

Nurse dies of unknown virus in Rajasthan
Monday, 19 January 2015 - 10:59pm IST | Place: Jodhpur | Agency: PTI

A male nurse of a private hospital here died of an unknown disease while another, who displayed similar symptoms, was flown to AIIMS in New Delhi by an air ambulance in critical condition.

Both the attendants were serving in Goel hospital's ICU till Saturday afternoon and fell ill the same day, triggering suspicion that they contracted some infection in the hospital itself.

The family members of the deceased nurse said that five carers were looking after a patient in the ICU who had died three days ago.

"All of them had developed health complications. The day after two of them fell seriously ill and another left for Ahmedabad for treatment," said a family member of the deceased nurse.

The hospital's PRO, Kuldeep Goswami, said the nurse, Dinesh Chouhan, had come to the hospital on Sunday morning.

"We immediately administered a blood test that confirmed that he did not contract dengue, swine flu or any other noticeable virus," Goswami said.

"We started the treatment on the basis of the symptoms using high doses of antibiotics, but the patient reached the stage of multiple organ failure followed by sharp drop in platelet count and died on Sunday night," said Goswami.

A sample of his serum has been sent to a Pune-based microbiology laboratory for detailed study.

"The other patient, Shravan Kumar, was rushed to AIIMS in New Delhi this evening by an air ambulance on the request of his family. His condition was also critical," he said.

Meanwhile, a team of health officials has reached the hospital and initiated an inquiry into the matter...
 
Translation Google

Unknown virus panic, two nurse infected


1/19/2015 10:01:57 AM

Jodhpur. Hemerejik fever (low blood Pletlets internal bleeding into the body) in the care of patients suffering from two of the city appointed Goyal Hospital Nurses have also contracted an unknown virus. Both are admitted to the ICU. One of them is in serious condition. According to sources, the patient is dead Hemerejik suffer. However, it is not confirmed by the hospital administration. Nurses from the patient's family fears that the infection had spread. Hospital administration to identify the virus in the blood sample to check Nurses have sent Pune. Meanwhile, deputy Simaco DR. PR Goel reach the hospital on Sunday began investigating. Jodhpur ... many of virus spread some Hemerejik fever. Dengue is the most common example. Pletlets down the fever in the blood is blood in the body. - DR. Arvind Mathur, former principal, SN Medical College Hemerejik virus reaching the brain is difficult to save the patient. Ansefelaitis dangerous viral Hemerejik died actress Smita Patil. - DR. Ngendra Sharma, senior neurosurgeon at Poona blood samples of patients sent Virology Laboratory. Both patients are being treated in hospital. Detailed investigation team will be sent on Monday. - DR. Yuddhavirsinh Rathore, Simaco, Jodhpur employed in ICU nurses working in the ICU were hearing and Dinesh Chauhan. Coughing up blood for three days before the hearing, had complained of inflammation in the body. Whereas, Dinesh Chauhan seriously. shopkeepers awe: Dinesh's family drama in the hospital on Sunday to spread the news of the virus. The fear has spread to nearby shoppers. They are working by masks.

http://www.patrika.com/news/two-nurses-infected-with-unknown-virus/1073827

------------------------------------------------------------------------------------------------------------------------
Translation Google

Fear of the unknown virus Goyal Jodhpur hospital, a nurse's death

ETV Rajasthan | Shishir Awasthi | Mon Jan 19, 2,015th | nine past two p.m. IST .

# Jodhpur # Rajasthan Jodhpur Goel hospital spread fear of an unknown virus. This particular virus is not known yet. The case traces to light Sunday night, two nurses of the hospital unconscious Goel Admit were in critical condition. Admit nurses provided a nurse was killed Monday morning and the other remains critical. Siacmo the whole team is looking into the matter.

Yet this unknown virus could not be detected. Yet dengue virus is likely to be in check. But the inquiry committee has not yet made a decision to complete.

Doctors say it is a special kind of virus is not known completely. Unknown virus, the virus caused panic among the people due to the death of the nurse said.

http://hindi.news18.com/news/rajast...urs-goyal-hospital-a-nurses-death-413815.html
 
Translation Google

Nurses virus infection deteriorated condition, sent to Delhi

Posted date: January 19, 2015 In: Jodhpur latest news, UP

Goel, hospital patients and staff from the threat of the virus in blood samples of patients sent to a lab for testing Delhi,

Jodhpur death stack of two nursing personnel. Goyal Residency Road deterioration of a nurse in the hospital with a fever Hemerejik air ambulance on Monday moved to Delhi. Prior to the Nurses and the patient died.

Here, Simaco inspected the hospital. However, samples from hospitalized patients were sent for testing are Delhi-based National Pathology Laboratory. The virus is spread Sudomons doctors feared. The hospitalized patients and staff has created panic in.

Goyal Hospital Nurses Hemerejik fever contracted the virus from spreading was six. He was being treated at a hospital within the last four days. Dinesh Chauhan admitted to the ICU last night, killing a male nurse. The second patient deterioration of hearing has been referred to AIIMS in Delhi on Monday. He moved the capital from Monday afternoon air ambulance. Yudvvirsinh Simaco inspect the hospital with the team. The patients' blood samples have been sent to investigate Delhi. However, after taking the information from hospital patients and Nurses Devaram Chaudhry told the deputy Simaco being generated. Hemerejik fever virus to the hospital staff and all the details of his death has been cast.

Fear of the spread of the virus to be microbiology test, according to doctors at the hospital to hospital microbiology test this test is not required but Goyal. This is dangerous because of fear of the spread of the virus Sudomans. In a few moments to spread the virus infection causing bacteria are thousands. Dr. Goyal team because of SN Medical College hospital microbiology tests that require immediate.

Hospital staff in awe Goyal Mrij- Snrkramn dangerous viruses appear to have led to the patient to go home on leave. With nursing and other staff is scared. They are also working with a mask. The private hospital Snkmn spreads are still cautious. He also threatened by dangerous viruses and staff and doctors have advised caution.

http://thepunchlineexpose.com/?p=34016
 
English version of the second article above;

Mysterious illness kills 1 nurse, spreads panic at city hospital
ETV Rajasthan | Shishir Awasthi | Mon Jan 19, 2015 | 13:42 IST
#Jodhpur #Rajasthan One nurse was killed and another is in critical condition after some mysterious virus hit them at Goyal Hospital, Jodhpur
The two nurses were admitted after they fell unconscious on Sunday. While one of the nurse died on Monday morning, the other is said to be in serious condition.
Although the virus has not been identified yet, doctors suspect it to be a case of dengue.
...

http://www.news18.com/news/rajastha...se-spreads-panic-at-city-hospital-674645.html
 
Translation Google

Jodhpur Nrsingkrmi death of hospital infections, the two referred to

Published: Mon, 19 Jan 2015th eleven twenty-nine PM (IST) | Updated: Mon, Jan 19 11:32 PM 2,015 (IST)
By: Editorial Team

Jaipur. Jodhpur in the ICU of a private hospital here a Nrsingkrmi Snkmn died from spreading, while the two others had to be referred to Delhi and Ahmedabad. Three other Nrsingkrmi are vulnerable to infection. The infection is spread in Jodhpur Goyal Hospital ICU. The transition is so fast that these platelets Nrsingkarmion half million came down to a thousand. A Nrsingkrmi kidney failure and was Hartatak. Is said to have died. The two Nrsigkarmion moved the Delhi and Ahmedabad.

Dactoron expert is sent to the medical department and the recruitment of blood samples of patients being sent Wayrolaaaji National Institute Aaf. Patients admitted to the medical department of the last ten days, taking case study. All patients admitted to hospital as a precaution and to the families and employees were told by the masks.

http://naidunia.jagran.com/state/ra...d-due-to-infection-in-jodhpur-hospital-290188
 
Also from alert's link above;
...
The deceased nurse's relatives have alleged that there were 5 nurses on duty on rotational basis in the ICU to look after a patient, who died three days back. "All the 5 nurses attending the patient developed health complications. Two were critical, one of them was our relative who died. One went to Ahmedabad for treatment and the other two were not seriously ill," said a relative, claiming that the nurses had got infection from the patient in ICU.
...
http://timesofindia.indiatimes.com/...unidentified-illness/articleshow/45949063.cms
 
Translation Google

Goyal know the source of the virus is preventing hospital infections

BHASKAR NEWS
Jan 20, 2015, 06:06 AM IST

Jodhpur. Goyal Hospital ICU mortality and the spread of infection after a patient's serious health department team on Monday once again went to the hospital to visit.

A wing of the hospital to meet the team is cleared, but the hospital management is still what it is hiding the infection spread from patient recruitment. His information may be helpful in catching the disease. Avoid him catching the viral treatment may also help.

Recruiting 40 people in the last ten days, 4 Dead

Simaco all patients admitted in the past ten days, and inquired about the investigations is. It turned out that five of 40 patients from January to 17th January, was admitted to the ICU. These Rukdi goddess of cardiac arrest (42) Rajendrasinh accident injured in accidents (56), to be spread Jbbrsinh lever (40) and Dinesh late Sunday night from the serious viral (21) has died.

The investigation will send patients home team took hey patients admitted. ICU are instructed to shut down the entire floor block. The decision has yet to stop recruitment. For patients in their homes on Tuesday will team. All patients will hospital Goyal money. -do. Yuddhavirsinh, Simaco

Everything you need to know

This infection is spread through the air?
No. The patient and his body out of fear of the spread by contact with secretions.

Jodhpur is possible to examine the transition?
No. SN Medical College in Jodhpur machine, but does not check.

How would such a treatment?
If symptoms of viral fever Hemrejik. That treatment was granted. Detected virus will have all the information.

Elsewhere dengue Hemrejik, Congo and Ibola not?
Now come two serious cases, they are all mixed illness.

What kind of impact, how will you know?
Patient fever, body rash and swelling. Be very low platelets count. Pain in the joints.

http://www.bhaskar.com/news/RAJ-JOD-virus-not-found-in-jodhpur-4878121-NOR.html
 
Man suspected to be infected with Ebola admitted to AIIMS

Last Updated: Tuesday, January 20, 2015 - 23:02

New Delhi: A man having severe fever was admitted to AIIMS Tuesday amid fears that he has contracted Ebola, which the hospital authorities are yet to confirm.

The patient, referred by a private hospital in Jodhpur, was admitted to the Medicine department.

"The patient has been admitted in the Medicine department of AIIMS under professor Dr Sanjeev Sinha. He has symptoms of high grade fever and appears to be suffering from viral hemorrhagic fever.
...

http://zeenews.india.com/news/healt...ted-with-ebola-admitted-to-aiims_1533712.html
 
That last article is poorly written and misleading. While this outbreak does appear to be a viral hemorrhagic fever, Ebola is not a consistent diagnosis for this outbreak. First, there's no evidence of any travel to an Ebola-affected region. Secondly, the incubation period of this illness is too short for Ebola. The incubation period for Ebola is 2 to 21 days, with an average of 7 to 10 days. This appears to have an incubation period of closer to 2 to 5 days, more consistent with CCHF.

If CCHF has been excluded, the list of suspects become very short. Other filoviruses and arenaviruses have similar incubation periods as Ebola, so are unlikely for the same reason (and have also not been previously reported in India). Kyansur Forest Disease has been reported elsewhere in India and is hemorrhagic, but never from Jodhpur, as far as I know. Nipah also comes to mind, but the absence of neurological or respiratory symptoms argues against it. The SFTS bunyavirus (or a similar virus) is a remote possibility, having spread H2H in China, Korea, and elsewhere in Asia, but never before in India. There have been reports on ProMED of several cases in the past couple weeks of an undiagnosed hemorrhagic fever in neighboring Nepal (http://promedmail.org/direct.php?id=3085502) that is suspected to be SFTS (although no reports of testing for CCHF).

We await further laboratory results.
 
Translation Google

Goyal stop recruiting patients in hospital, referred the case to AIIMS Delhi awe

bhaskar news
Jan IS 21, 2015, 04:56 AM

Jodhpur / Delhi. Goel Wednesday until further orders in the case of infection in hospital patients have been banned recruiting. Dainik Bhaskar published on Monday after reports that Health Minister Rajendra Rathore instructed to tell the serious matter. The hearing referred to AIIMS Delhi KK is the fear of infection.

Ibola rumor has spread panic once. When the patient does not know the exact cause of the disease until a doctor-nurse was not ready to go. Older doctors treat in the evening after the intervention could begin.

Delhi's AIIMS Director Ibola denied symptoms. The decision in today's issue of Dainik Bhaskar "lethal infection, yet recruiting patients on OPD and titled after news was on the initiative of the Health Minister Rajendra Rathore.

Assuming the matter very seriously Simaco Dr. Rathore. Of patients admitted to hospital to close Yudhvir Singh and directed to investigate the level of infection in the ICU. Delhi, Goel admitted to AIIMS hospital doctors on staff grow platelets in the body of hearing it from a sample to check your Pune is Eja. Integrated Disease Surveillance Programme Central Cell, Delhi has also begun its investigation. Aidispi may come in the next few days the team Jodhpur.

Are exposed continuously infected
Hospital Nurses are exposed to frequent the patient's condition deteriorated. The hospital has also revealed the patient's condition deteriorated. Dr. Simaco. Yudhvir Singh has said that such a case is serious to hide, it should have informed immediately so that it is exposed to high officials. Now they will be sending the information. Swine flu patients admitted to the hospital a few days ago, three days after the information was given to the Department of Health.

Private Nurses at the hospital seeking Seas | Private Nurses Association has opposed the event. Chief Minister of the memorandum to the collector by the name of the hospital demanding seas. Secretary of the Association of Nurses employed Shyamsinh alleged that despite death due to infection case has been hidden.

AMS has informed doctors
are treating doctors at AIIMS Delhi hearing grow platelets sought information from the Health Department in the case of Jodhpur. AIIMS then hearing a sample of blood is sent to investigate the NIV Pune, the report could AIIMS. Director of AIIMS Delhi. MC Mishra himself looking into the matter.

Survey conducted in homes, found infection: Rathore
Goyal on the instructions of the Minister of Health to examine the level of existing infections in the ICU of the hospital DR. SN Medical College, Department of Microbiology, will team. In a year the department level investigation of infections in hospital Rikaard have also been summoned.

http://www.bhaskar.com/news/RAJ-JOD-delhi-aiims-in-terror-of-infection-4879221-PHO.html
 
http://post.jagran.com/man-with-ebo...or-suspect-cchf-await-test-results-1421842329 [h=1]Man with Ebola like symptoms dies at AIIMS; Doctor suspect CCHF, await test results[/h] 21 Jan 2015, 17:42

[snip]

According to AIIMS authorities, the patient appears to have been suffering from Crimean-Congo Haemorrhagic Fever (CCHF) and not Ebola.

"It appears to be a case of CCHF, which is also highly contagious and can spread with close contact with the blood, secretions or other bodily fluids of infected persons.

"It is unlikely that he was suffering from Ebola as he doesn't have any history of travelling," said a doctor at the premier hospital here.
 
http://www.hindustantimes.com/india...nd-crimean-congo-fevers/article1-1309158.aspx

A man died of extensive internal bleeding at All India Institute of Medical Sciences (AIIMS) on Wednesday morning, raising fears of Crimean-Congo Haemorrhagic Fever (CCHF) and Ebola Virus Disease (EVD).

His blood culture report is expected this evening.

The man was referred to AIIMS from a private hospital in Jodhpur, and admitted to the department of medicine in a critical condition late on Tuesday evening.

According to the doctors at AIIMS, he was very sick on arrival and had symptoms such as high fever, vomiting and disorientation.

Since the man was not treated in the isolation ward, the medical staff treating him are waiting for the reports with bated breath,

"Symptoms don?t indicate Ebola, but if it turns out to be, we're in trouble. It's more likely to be CCHF, which is also highly contagious and can spread close contact with the blood, secretions, organs or other bodily fluids of infected persons," said one of the medical staff who was part of the team that treated the man.

Symptoms for haemorrhagic fevers include fever, headache, muscle pain, diarrhoea, vomiting, stomach pain and external internal and external bleeding.

The Crimean-Congo haemorrhagic fever (CCHF) kills up to 40% of those infected.
 
Health ministry denies reports of Ebola death at AIIMS

Durgesh Nandan Jha,TNN | Jan 21, 2015, 07.55 PM IST

NEW DELHI: Health ministry confirmed on Wednesday that the 35-year-old patient, who died at AIIMS due to excessive internal bleeding was not infected by Ebola.

According to AIIMS authorities, the patient appeared to have been suffering from Crimean-Congo Haemorrhagic Fever (CCHF), another disease caused by a tick-borne virus (Nairovirus).
...
The patient was referred to AIIMS by a private hospital in Jodhpur in Rajasthan and was admitted to the department of medicine on Tuesday with symptoms of high-grade fever and vomiting.

His blood sample was sent to NIV (National Institute of Virology) Pune to test whether it was infected by Ebola virus or not.
...

http://timesofindia.indiatimes.com/...Ebola-death-at-AIIMS/articleshow/45969088.cms
 
http://netindian.in/news/2015/01/21...ases-viral-hemorrhagic-fever-reported-jodhpur
[h=1]Two deaths as cases of viral hemorrhagic fever reported in Jodhpur[/h] NetIndian News Network


New Delhi, January 21, 2015

The Government today said authorities in Rajasthan had reported high grade fever in five functionaries working in a private hospital in Jodhpur.



According to the information provided by the Chief Medical Officer of Jodhpur to the state health authorities in Jaipur, two of them developed thrombocytopenia (fall in blood platelet count) and showed hemorrhagic manifestations.

One person died at the Jodhpur hospital on January 18 and the other person, who was airlifted to the All India Institute of Medical Sciences (AIIMS) in Delhi, died today.

Samples have been sent from these patients to the National Institute of Virology (NIV) in Pune for testing, an official press release said.

The release said the health authorities of Gujarat and Rajasthan had been alerted for a possible diagnosis of Crimean Congo Hemorrhagic Fever (CCHF) and guidelines have been shared with them.
 
Jodhpur man who died at AIIMS tests negative for ebola

Wednesday, 21 January 2015 - 9:01pm IST | Agency: PTI

The 35-year-old man from Jodhpur who died in AIIMS today evoking fears that he had contracted Ebola, has tested negative for the deadly virus, Union Health Ministry said today.

"The clinical samples of the patient who died today has tested negative for Ebola Virus Disease as per the tests conducted at the National Centre for Disease Control (NCFC). The patient was referred to AIIMS by a private hospital in Jodhpur, Rajasthan and was admitted yesterday with symptoms of high-grade fever and vomiting. He died today morning due to excessive internal bleeding and doctors at AIIMS suspected that the victim was suffering from Crimean-Congo Haemorrhagic Fever (CCHF)...

The Chief Medical Officer of Jodhpur District has informed the State Health Authorities of Jaipur in Rajasthan regarding reporting of high grade fever in five hospital functionaries (including two deceaseds) working in a private hospital there. They have no travel history to Ebola affected countries.

The health authorities of Gujarat and Rajasthan have been alerted for a possible diagnosis of CCHF and the guidelines have been shared with these states.
...


http://www.dnaindia.com/india/report-jodhpur-man-who-died-at-aiims-tests-negative-for-ebola-2054615
 
Man at AIIMS dies of extensive bleeding, raises fears of Congo fever
Rhythma Kaul and Rakesh Goswami, Hindustan Times, New Delhi/Jaipur | Updated: Jan 22, 2015 12:52 IST

An Ebola trials notebook is seen in a laboratory during trials for an Ebola vaccine at The Jenner Institute in Oxford, southern England. (Reuters)

A 30-year-old nurse from Jodhpur who was admitted to the All India Institute of Medical Sciences in Delhi with Ebola-like symptoms died of extensive internal bleeding on Wednesday but doctors said it was unlikely he was infected with the deadly virus.

Doctors suspect he was suffering from Crimean-Congo Haemorrhagic Fever (CCHF), a contagious disease with a high fatality rate.

India?s last Congo fever outbreak was reported from Gujarat in 2011 with four fatalities. Neighbouring Pakistan has had more regular cases with seven deaths last year. Congo fever kills up to 40% of those infected.
...
?It?s more likely to be Congo fever, also highly contagious. It can spread in close contact with the blood, secretions, organs or other bodily fluids of an infected person,? said a member of the team that treated the patient.
...


http://www.hindustantimes.com/india-...1-1309158.aspx

Comment: For the sake of accuracy, cases & fatalities were also reported from Gujarat in 2013 and 2014. Pakistan reported 154 suspected cases between Weeks 8 an 48 of 2014 with 40 fatalities - Ro
 
Last edited:
Congo fever killed nurse admitted in AIIMS, confirms lab
Rhythma Kaul, Hindustan Times, New Delhi | Updated: Jan 23, 2015 07:26 IST

India?s top virology lab has confirmed a 35-year-old nurse who died of extensive internal bleeding at Delhi?s All India Institute of Medical Sciences (AIIMS) on Wednesday was suffering from Congo fever, a contagious disease with a high fatality rate.

The man, who worked in a private Jodhpur hospital, was among five members of the nursing staff who developed severe flu. Two nurses showed a fall in blood platelet count and suffered internal bleeding with one dying on Sunday in Jodhpur while the other died of multi-organ failure after being admitted to AIIMS with Ebola-like symptoms.

His blood samples were sent to the National Institute of Virology in Pune that ruled out the deadly disease and confirmed Crimean-Congo Haemorrhagic Fever on Thursday. The samples had already tested negative for the Ebola virus at Delhi?s National Centre for Disease Control (NCDC) on late Wednesday.
...
http://www.hindustantimes.com/newde...ongo-fever-lab-confirms/article1-1309695.aspx
 
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