Re: Pakistan: 2014 CCHF cases
Week 31;
http://www.emro.who.int/images/stor...Epidemiological-Bulletin-31-06082014.pdf?ua=1
...
Crimean Congo Haemorrhagic Fever (CCHF) cases are reported continuously from epidemiological week 8, 2014. So far total 63
suspected cases, 25 laboratory confirmed, and 20 deaths (of these 11 laboratory confirmed) have been reported. Most of the cases are from
Balochistan province 27 suspected (11 cases belongs to Afghanistan), 9 Laboratory confirmed and 5 deaths. 21 suspected, 11 Laboratory
confirmed (6 from Afghanistan) and 8 deaths (6 Lab confirmed) were reported from Khyber Pakhtunkhwa province. 3 suspected cases (1
from Afghanistan), 2 Laboratory confirmed and 2 deaths were reported from Islamabad. 12 suspected CCHF cases (4 Laboratory confirmed),
4 deaths were reported from Punjab province. While 1 suspected case was from district Sudhnuti (AJK) and was negative for CCHF.
...
27‐Jul CCHF Punjab Rawalpindi
Village Mori Sher,Kahuta, Rawalpindi
Suspected case 17 years old boy reported from HF Hospital Rawalpindi
emergency on 27th July, admitted in medical isolation ward.
Patient get fever and vomiting on one week back, treated locally but
did not improved. Referred by THQ Kahuta to HFH when developed
haematemisis on 25th July. Blood sample sent to NIH. Patient platelets
count was 19000.Patient has cows and goats in his house, no
travel history. DDHO with livestock department has visited patients
house and aware the community about the CCHF preventions. SO
DEWS visited the patient and discussed with the hospital staff about
management and prevention. Patient is recovering.
31‐Jul CCHF Balochistan Loralai DHQ Hospital, Loralai
2 suspected cases reported from DHQ hospital. Investigation was
completed. The index case was a pregnant woman brought with
complication to the labor ward of civil hospital where she was attended
by a LMO and staff nurse. However case was referred but
could not survive and expired. The contact of the case "staff nurse"
also found with typical symptoms of high grade fever, severe headache
and body ache. This case was diagnosed as suspected CCHF and
brought to Multan where she was discharged. After few days, this
case was brought to service hospital Lahore with unconscious status.
Sample was taken and sent to NIH, treatment started and now she is
improving.
31‐Jul CCHF Balochistan Loralai Village Sinjavi, Ziarat district
One case was reported from Loralai. Investigation was done. Case
was belonging to Ziarat district. History shows that case was animal
trader and had acute contact with animals. Case was referred to
Loralai where he was further referred to Nishter Multan. This case
was under treatment.
2‐Aug CCHF Khyber Pakhtunkhwa Peshawar Domel, Bannu
A 40 years old man, Butcher by profession, resident of Domel, Bannu
got sick on 26th July when he was in Bannu and had fever, malaise
and headache. He was brought to KTH Peshawar on 1st August 2014.
He developed Petechial Hemorrhages and massive haematemisis
later on. His platelet count declined to 36000/cmm. Blood sample
was taken and sent to NIH which came out positive for CCHF. He was
receiving supportive treatment but his condition did not improve and
he expired on 4th August 2014. SO WHO for Bannu Division and DHO
Bannu was informed about the case.
Week 32;
http://www.emro.who.int/images/stor...Epidemiological-Bulletin-32-13082014.pdf?ua=1
Crimean Congo Haemorrhagic Fever (CCHF) cases are reported continuously from epidemiological week 8, 2014.
So far total 68
suspected cases, 25 laboratory confirmed, and 20 deaths (of these 11 laboratory confirmed) have been reported. Most of the cases are from
Balochistan province 31 suspected (11 cases belongs to Afghanistan), 9 Laboratory confirmed and 5 deaths. 21 suspected, 11 Laboratory
confirmed (6 from Afghanistan) and 8 deaths (6 Lab confirmed) were reported from Khyber Pakhtunkhwa province. 3 suspected cases (1
from Afghanistan), 2 Laboratory confirmed and 2 deaths were reported from Islamabad. 12 suspected CCHF cases (4 Laboratory confirmed),
4 deaths were reported from Punjab province. While 1 suspected case was from district Sudhnuti (AJK) and was negative for CCHF.
The CCHF cases from Afghanistan are detected and reported from Quetta and Peshawar because the patients are referred for
treatment (mostly self referrals) to the Tertiary Care hospitals in both these cities. The list of CCHF cases with addresses shared with concerned
person at the Ministry of Public Health Afghanistan for preventive measures at community level.
...
5‐Aug CCHF Punjab Multan Sanjavi, Ziarat, Baluchistan
A 35 year old male patient referred by DHQ Loralai to Nishter Hospital Multan was
reported. The patient was originally admitted in Nishter Hospital with suspected
Leptospirosis/CCHF. The onset of fever was 15 days back. The patient had four
residential addresses in Ziarat, Loralai, Chowk Munda and Muzaffargarh. The patient
was presently living in Sanjavi, Ziarat for the last 2 months. His occupation
there was trading cattle. His blood samples were collected and sent to NIH for
confirmation which was found positive for CCHF. Health education and counseling
session was conducted with patient and his attendants. His brother, who also
attended to him during his stay in DHQ Hospital Loralai also developed fever was
quarantined in isolation ward Nishter Hospital and is being kept under observation.
WHO provided antiviral for the treatment of suspected case. Hospital staff
who attended to the case was also counseled for signs of CCHF and was advised to
inform immediately if they develop any symptoms. PPEs, hand sanitizers and
surface disinfectants were already provided to hospital by WHO.
5‐Aug CCHF Punjab Rawalpindi Mankiyala , Gujar Khan , Rawalpindi
75 years old male patient from Gujar Khan was in his usual state of health when 15
days back complaints of Fever, vomiting and generalized body aches started. He
was taken to a Local private hospital where he was given antibiotics and IV infusion
. But his condition did not improved and later was referred to MH Rwp. ICU
Medicine Department. Where he was treated for suspected CCHF and his condition
improved. Samples send to NIH came out positive for CCHF. Field visit was
arranged in coordination with Live stock department and DDHO Gujar Khan. Cattle
found in house having tick and were disinfected. Health education session was
conducted with the family members.
...
