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Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+, 38 cases H1N1 confirmed

Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+

Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+

Thanks Alert for your comment; however my point here was that although there is a considerable issue with mosquito bourne diseases (and typhoid in monsoon) the pattern of spread sounds - based on the very vague reports - like it could be infectious i.e passed from human to human and therefore worth identifying.

The reports cite entire families falling ill and in some cases almost entire villages or districts. This seems unlikely for a mosquito borne disease to have such a high attack rate, but water borne disease is possible/ probable. If the usual measures cannot bring 'viral fever' under control, we need to question what in fact this disease is.

It is clearly an unusual situation, whatever it is.
 
Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+

Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+

Viral fever epidemic rages in Mahottari villages
Added At: 2012-09-10 3:26 PM Last Updated At: 2012-09-10 3:26 PM

Health workers said mostly people of Dalit and poor settlements of the VDCs have been suffering from viral fever.
BARDIBAS: Epidemic of viral fever has gripped villages in the southern part of Mahottari district.

According to the District Health Office, Mahottari, number of viral fever patients has increased at Bathnaha, Halkhori, Bhataulia, Anakar, Ekdara and Kolhuwa Bagiya VDCs in the district.

Health Worker at the Office, Girendra Jha, said number of viral fever patients has increased at different health institutions situated in the VDCs and the District Hospital for the past five days after viral fever took the form of an epidemic.
...
http://www.thehimalayantimes.com/fu...mic+rages+in+Mahottari+villages&NewsID=346761
 
Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+

Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+

Contagious viral fever
Added At: 2012-09-10 9:46 PM Last Updated At: 2012-09-10 9:46 PM

SHRADHA PAL
Who takes viral fever seriously? Perhaps not many and the result is evident as it is becoming an epidemic. It is essential to understand that viral fever is caused due to virus.

?Viral fever is an infection caused by virus,? adds Dr Ghanshyam Kharel, Associate professor at Universal College of Medical Science, Bhairahawa. When you have viral fever, you suffer from extremely high temperature as ?virus penetrates your body and spreads through your entire system?.

Some of the symptoms that you should be careful about especially these days are high fever, burning sensation in the eyes, watery eyes, pain in the throat, cold and cough, body and muscle ache, diarrhoea, runny nose, nasal congestion, et cetera. Usually noticing these symptoms may be misunderstood as flu, but if you ignore it, it could lead to complications such as meningitis and encephalitis, which is fatal. ?But this doesn?t happen to everyone. People with less immunity are more vulnerable. Also the cause of death is uncontrollable fever, which can also result in brain damage.?
...
http://www.thehimalayantimes.com/fullNews.php?headline=Contagious+viral+fever&NewsID=346789
 
Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+

Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+

Khotang school shut after viral fever
Added At: 2012-09-11 11:15 PM Last Updated At: 2012-09-11 11:15 PM

HIMALAYAN NEWS SERVICE
KHOTANG: After viral fever gripped most of the students, Khotang?s Jaleswori-based Simle Secondary School has announced that the school shall remain closed till September 16.

Head teacher Nir Kumar Katel said that they had to shut the school after more than half the students were taken ill due to fever.

Teacher Janak Niraula said that sick students were undergoing treatment at the local health post.
...
http://www.thehimalayantimes.com/fu...+school+shut+after+viral+fever+&NewsID=346938
 
Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+

Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+

Docs' absence hits viral patients

Health assistants looking after the ill
Added At: 2012-09-13 11:19 PM Last Updated At: 2012-09-13 11:19 PM

HIMALAYAN NEWS SERVICE
RAUTAHAT: In the absence of doctors, health assistants and assistant health workers (AHW) are treating patients suffering from viral fever in Rautahat district.

Although, Gaur District Hospital has postings for three medical officers, including one medical superintendent, it is being run by only one medical superintendent, who is mostly busy attending meetings and other programmes, locals said.

More than 20 viral cases are reported at the hospital every day.
...
http://www.thehimalayantimes.com/fu...cs'+absence+hits+viral+patients&NewsID=347197
 
Nepal - Mystery disease claims four in Dhanusha

Nepal - Mystery disease claims four in Dhanusha

Mystery disease claims four in Dhanusha

Last Updated At: 2012-09-13 11:47 PM
The Himalayan Times -
BRIJ KUMAR YADAV

JANAKPURDHAM: Four persons have died and over 20 have taken ill in the past four days after a mysterious disease struck a Dhanusha village .

The deceased have been identified as Debo Devi Sada (45), Ful Kumari Sada (37), Dropadi Devi Sada (40) and Dropadi?s 25-year-old son Pradip Sada of Balbakhar, Badhawan Laxmipur.

According to the locals, Devo succumbed to the disease today, while Ful Kumari and Dropadi Devi and her son died on Wednesday and Monday, respectively.

?The deceased first complained of headache and pain in the eye, later they started foaming at their mouth and subsequently died,? Acting Chief District Officer Ghanashyam Nayak quoted the locals as saying.

More...
http://www.thehimalayantimes.com/fu...disease+claims+four+in+Dhanusha&NewsID=347216
 
Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+

Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+

Schools in Khotang closed over viral epidemic
Added At: 2012-09-14 6:17 PM Last Updated At: 2012-09-14 6:17 PM

RSS
KHOTANG: Five schools in Khotang have been closed due to viral fever spread in the district for the past few days.

Many students have fallen sick and the schools here decided to close the schools for some days so as to prevent the disease from further spreading.

The sick students have symptoms like fever, dizziness and weakness. Following an epidemic of viral, the Simle Secondary School, Jaleshwi, the Shanti Lower Secondary School Badahare, the Siddha Lower Secondary School, Khotang Bazaar, the Mahendrodaya Lower Secondary School, Yamkha and the Mahendrodaya Higher Secondary School, Halesi have been closed.
...
http://www.thehimalayantimes.com/fu...ang+closed+over+viral+epidemic+&NewsID=347252
 
Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+

Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+

Source: http://www.thehimalayantimes.com/fullNews.php?headline=Viral+outbreak+&NewsID=347547

Viral outbreak
Added At: 2012-09-16 11:06 PM
Last Updated At: 2012-09-16 11:06 PM


HIMALAYAN NEWS SERVICE

SARLAHI: A village in Sarlahi district has been hit hard by an outbreak of viral fever and diarrhea on Sunday. More than 200 viral fever patients were admitted to a health post today alone in Hajariya VDC, Auxiliary Nurse Midwife Champika Rayamajhi said. She said the health post, which is understaffed, has been overwhel-med by the surge in number of patients...
 
Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+

Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+

Source: http://www.thehimalayantimes.com/fullNews.php?headline=Viral+outbreak+shuts+schools&NewsID=347791

Viral outbreak shuts schools
Last Updated At: 2012-09-18 10:12 PM

HIMALAYAN NEWS SERVICE

KHOTANG: With the viral outbreak sweeping across many parts of the district, seven schools have been closed in Khotang so far, with two more deciding the closure to avoid further spread of the outbreak among the students recently...
 
Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+

Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+

Fever claims minor

PHIDIM: Rajpati Limbu of Tapethok VDC in Taplejung district died of viral fever on Thursday. Limbu, a fifth grader at Tapethok VDC- based Parbati Lower Secondary School, was suffering from viral fever since last week.

...
http://www.thehimalayantimes.com/fullNews.php?headline=Houses+buried+&NewsID=348054
 
Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+

Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+

Source: http://www.myrepublica.com/portal/index.php?action=news_details&news_id=42427

Viral fever claims five within a week
REPUBLICA
Death toll 20 in two months

CHITWAN, BAGLUNG, Sept 25: An outbreak of viral fever that claimed seven lives in just one week in Dailekh district early this month continues to affect people in other parts of the country with five new deaths in a week.

Weeks after the Dailekh fever outbreak seems to have been contained, viral fever has claimed two lives in Chitwan and three in Sindhupalchowk districts in a week...



Published on 2012-09-26 02:23:59
 
Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+

Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+

Viral fever embraces school-going children
Added At: 2012-09-27 11:30 AM Last Updated At: 2012-09-27 11:30 AM

GAIGHAT: A majority of school-going children in Triyuga Municipality and the district headquarters, Gaighat, have fallen ill due to viral fever.

The viral fever which had spread in the eastern and western parts of Udayapur district has now spread to Triyuga Municipality and the district headquarters.

It is stated that students at some 20 private and government schools in the Triyuga Municipality area have caught viral fever.
...
http://www.thehimalayantimes.com/fu...embraces+school-going+children+&NewsID=348833
 
Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+

Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+

Source: http://www.thehimalayantimes.com/fu...+hits+Ramechhap+District+again+&NewsID=349033


Viral fever bout hits Ramechhap District again
Updated September 29, 2012, 4:55 AM NPT
HIMALAYAN NEWS SERVICE

RAMECHHAP: In less than a month viral fever outbreak has hit Ramechhap district once again.

Viral outbreak which had hit the district three weeks ago and had come under control just a week ago has been detected in different VDCs again...
 
Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+

Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+

Docs in Madi to rein in viral fever

Added At: 2012-09-29 11:48 AM Last Updated At: 2012-09-29 11:48 AM

RATNANAGAR: A team of doctors and health workers is in Madi in Chitwan district for controlling viral fever.

The team ran an emergency health camp at Madi, the Public Health Office of Chitwan said.
...
They conducted tests on 242 people on Friday only and one dozen were referred to Bharatpur. Although the District Public Health Office Chitwan said eight people died from viral fever in two months, statistics of various hospitals show 13 people died.
http://www.thehimalayantimes.com/fu...in+Madi+to+rein+in+viral+fever+&NewsID=349064
 
Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+

Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+

Viral fever hits 700 jailbirds

SHANKAR ACHARYA


PARSA, SEP 28 - Viral fever has spread among inmates of the Parsa district prison in Birgunj, the prison authority said on Friday.
Prison officer Dhiraj Marasini said as many as 700 inmates have contracted viral fever in the past one month, while around 200 are still down with the flu.
The prison currently accommodates 1,300 inmates.
Marasini said they are having problems treating the sick due to a shortage of medical staff and medicines.
...
http://www.ekantipur.com/the-kathma...ry/viral-fever-hits-700-jailbirds/240167.html
 
Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+

Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+

It appears that a significant portion of this illness may be due to H1N1:

http://www.flutrackers.com/forum/showthread.php?t=193377

Because of that, I am moving this thread back into the main forum.

It is far more productive to diagnose the cases as H1N1, then to dismiss them as "viral fever".
 
Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+, H1N1 suspected

Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+, H1N1 suspected

Published Date: 2012-10-03 19:33:50
Subject: PRO/EDR> Influenza (96): Nepal (KT) H1N1pdm9
Archive Number: 20121003.1322298

INFLUENZA (96): NEPAL (KATMANDU), H1N1PDM9
******************************************
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: Wed 3 Oct 2012
Source: The Global Times (via Xinhua) [edited]
http://www.globaltimes.cn/content/736422.shtml


Swine flu virus, called pandemic influenza A(H1N1)pdm9, has been detected in the Nepali capital and 3 other districts outside the capital, doctors at the Sukraraj Tropical & Infectious Disease Hospital in Kathmandu said Wednesday [3 Oct 2012]. Doctors confirmed the outbreak of swine flu virus [infection] after the virus was detected in blood samples collected in the capital and the country's mid-western districts of Chitwan, Sindhuli and Khotang. Prior to this outbreak, H1N1 virus was seen in Nepal in 2009.

Doctor Gita Shakya, director of the National Public Health Laboratory of Kathmandu, said that people don't have to be worried about the disease as it can be cured if found in the preliminary stage. Dr. Shakya said the reason behind the resurgence of the virus in Nepal is that several districts of the country have recently been suffering from [an unidentified] viral fever.

Doctors said so far over a dozen people died due to viral fever outbreaks in Nepal. "Of the total 24 deaths from viral fever, some of them might have died due to late diagnosis of the swine flu virus," Dr. Shakya said. According to Dr. Shakya, they have detected the swine flu virus [on the basis of] laboratory tests employing polymerase chain reaction (PCR) technology rather than tests based on rapid kits.

Dr. Sher Bahadur Pun at the Infectious Disease Hospital said some patients have also been diagnosed with both types of influenza A and B influenza virus. The virus usually strikes children and young people who have low immune capability against minor diseases. In 2009, over 40 people were killed during the outbreak of the virus in Nepal.

--
Communicated by:
Lisa J. Krain
PhD Student, Department of Epidemiology
Johns Hopkins Bloomberg School of Public Health
Baltimore
USA


[Lisa Krain has appended the comment that although this press report concerns an outbreak of influenza A/(H1N1)pdm9 influenza in the capital of Nepal and its surroundings, it may be that similar outbreaks of H1N1 pandemic influenza may in part have been responsible for the recent spate of reports of undiagnosed "viral fevers" elsewhere in Nepal. These are recorded in the ProMED-mail posts listed below. Further information would be welcomed.
 
Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+, H1N1 suspected

Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+, H1N1 suspected

http://news.xinhuanet.com/english/health/2012-10/11/c_131898651.htm

38 Nepalese patients suffer from swine flu within week of outbreak

English.news.cn 2012-10-11 07:29:10

KATHAMANDU, Oct. 10 (Xinhua) -- Within a week of the outbreak of Swine Flu virus with influenza A and B called (H1N1) in Nepal, more than 38 patients have been affected by the virus, doctors said.

"We have been able to confirm as many as 38 persons caught with swine flu virus spread in the Kathmandu Valley," Dr Arjun Pant, senior pediatrician at the Shahid Sukraj Tropical and Infectious Disease Hospital.

According to the hospital, among 172 patients undergone blood tests at the hospital, 118 people were infected with influenza A while, 38 with influenza B. But doctors at the hospital said there is no need to panic about the virus.

The Epidemiology and Disease Control Division said the swine flu occurs when one is caught with H1N1 virus.

This is a respiratory disease which exhibits the symptoms of headache, high fever, cough, cold, body pain and vomit.

[snip]
 
Re: Nepal: Multiple outbreaks of "viral fever" and other unidentified illnesses, August 1, 2012+, 38 cases H1N1 confirmed

HIMALAYAN NEWS SERVICE
SOLUKHUMBU: One-year-old child suffering from diarrhea and pneumonia died on Sunday after suffering for a week at Bung-5 in Solukhumbu district. The child?s father Ram Kukung said he had taken him to the Sotang Primary Health Centre but there were no doctors in the health post. ?The child died of pneumonia and diarrhea as he did not receive any treatment on time,? said Assistance Health Worker Shreedhoj Rai of the Primary Health Centre. There are no health workers at Bung sub health post for a long time and patients are compelled to go to Sotang.
http://www.thehimalayantimes.com/fullNews.php?headline=Child+dies+sans+doctor&NewsID=353280
 
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