Uganda: Hemorrhagic fever outbreak- Yellow Fever

[alert]

Re: Uganda: Hemorrhagic fever outbreak- 13 dead

Re: Uganda: Hemorrhagic fever outbreak- 13 dead

One other fact to keep in mind:

Uganda's national lab in Kampala is testing for Ebola using kits obtained from the United States CDC. There are at least three known strains of Ebola that could be responsible for this outbreak (Bundibugyo, Zaire, Sudan) given its location. It may be possible that the Kampala lab cannot detect all of them. Alternatively, it may also be possible that the local testing is not good; no Ebola or Marburg cases have ever been confirmed (as far as I am aware) by that lab outside of an externally confirmed outbreak, and no Ebola or Marburg cases with onset later than January 1, 2009 have been confirmed anywhere in the world.

The situation remains very unclear.

 

[alert]

Re: Uganda: Hemorrhagic fever outbreak- 16 dead

Re: Uganda: Hemorrhagic fever outbreak- 16 dead

This report brings Agago to 10 cases with seven deaths, although if this is dysentery, these would just be the msot severe cases.

Note that the two fatalities here are not the two quarantined cases from post #1, as those cases were in Abim, and these two are in Agago.



http://www.newvision.co.ug/D/8/16/739215

Dysentery kills 2 more in Agago
Wednesday, 24th November, 2010 E-mail article Print article

By David Labeja

TWO more people in Agago district have died of dysentery. This brings the number of people who have died of the disease since the outbreak last month to 15.

Three other people have been quarantined at Kalongo after presenting symptoms of the disease.

The district health officer, Dr Emmanuel Otto, said the two people, who had been quarantined at Dr Ambrossoli Hospital in Kalongo town council, died over the weekend.

“All the five victims are from Paimol sub-county, which borders Abim district,” Otto said.

Last week, 13 people died of the disease, five from Paimol and Omiya P’Chua sub-counties in Agago district and eight from the neighbouring Abim district, where the disease is said to have originated.

The health ministry spokesman, Paul Kaggwa, recently said preliminary laboratory tests revealed that the disease was dysentery.

“We are collecting samples from victims and their relatives. We want to get the facts on the ground,” Otto said.

He said the ministry, together with officials from the World Health Organisation, was closely monitoring the conditions of the quarantined patients.

Otto said they had also taken blood samples from people close to the patients.

The district health team has urged residents to desist from congregating for funerals and ensure a speedy burial of the victims.

Residents have also been warned against eating wild game.

Traditionally, communities of Paimol and Omiya P’Chua sub-counties are hunters since they live close to mountain ranges with a variety of wild animals.

 

[alert]

Re: Uganda: Hemorrhagic fever outbreak- 16 dead

Re: Uganda: Hemorrhagic fever outbreak- 16 dead

A bit about the hospital where the three ill patients in Agago are quarantined:

http://www.viasarfatti25.unibocconi.it/index.php?PassRub=12

The hospital, now a private non-profit organization, was founded in 1957 by Father Joseph Ambrosoli surgeon and Comboni missionary who devoted himself to the care of the Ugandan population. Kalongo is located in northern Uganda, the Acholi tribe's territory, an extremely poor, with few roads and no developed centers. The hospital now provides health care to about 50,000 people each year, of which almost half of them children under the age of 5 years, and has 345 beds and 7 units (including maternity, paediatrics, malnutrition, tuberculosis and AIDS). Was formed in 1998 by the Comboni Missionaries and the family of Father Joseph Ambrosoli the Foundation Dr. Ambrosoli Memorial Hospital , which supports the hospital and the St. Mary's School of Midwifery Kalongo.

 

[alert]

Re: Uganda: Hemorrhagic fever outbreak- 16 dead

Re: Uganda: Hemorrhagic fever outbreak- 16 dead

Transmission to HCW is a bad sign, and spread to Kitgum as well is not good either. November 8th is finally given as the start date of the outbreak, which is a bit more recent than I would have guessed (and may only be the start of the outbreak in Agago - the disease may have hit Abim earlier).

The numbers do not quite add up (32 cases so far is only an increase of 2 cases sinces the last report, but the number in isolation has increased to 19 from 3), but that is to be expected at this point (and if the 32 cases are only those in Agago, then it is an increase of 22 cases).

Headache is a new reported symptom.

http://www.monitor.co.ug/News/National/-/688334/1062420/-/ckm7v9z/-/

Strange disease breaks out in Acholi

Posted Monday, November 29 2010 at 14:52

A strange disease has hit Kitgum, Abim and Agago districts killing 8 people and infecting dozen others since November 8. A Health Situation Report of November 26, puts accumulative cases of the disease to 32.

The disease, which some sources suspect to be the deadly Ebola was reported in Balang Village in Agago District early this month.

Other cases were found in Odiyo Village while other cases were reported in in Patongo, in the same district.
The National Professional Officer of the World Health Organizationbased in Gulu District, Dr Emmanuel Tenywa said 19 people are currently admitted in an isolation ward at Kalongo Hospital.

He said those admitted experience acute diarrhea, vomiting and severe headache.

Dr Tenywa said in the report that a health worker at Kolongo Hospital contracted the disease after a suspected patient vomited on her.

 

[sharon sanders]

Re: Uganda: Hemorrhagic fever outbreak- 16 dead

Re: Uganda: Hemorrhagic fever outbreak- 16 dead

Submitted to ProMed again.

 

[alert]

Re: Uganda: Hemorrhagic fever outbreak- 16 dead

Re: Uganda: Hemorrhagic fever outbreak- 16 dead

Google news gives the following description on the following feed, supporting the case counts above, but I can't find the full article.

http://epaper.monitor.co.ug/DM/DM/RSSFeed/News.xml

The strange disease that broke out in the newly-created Agago District has now killed up to seven people and infecting 18 others in a week

---------

The link below has a picture of the article. The text is as much of it as I can make out:

http://epaper.monitor.co.ug/DM/DM/2010/11/24/index.shtml?Search=Y&ArtId=008_005

The strange disease that broke out in the newly-created Agago District has now killed up to seven people and infecting 18 others in a week. The areas most affected by the strange disease that has bloody [illegible] and headache as its signs include Paimol and [illegible] sub-counties, while Kalongo Town Council has also started registering some cases. The infected people have been admitted to Ambrosoli Hospital, Kalongo, and Paimol Health Centre. Stool specimens of the patients is now at the government hospital in Entebbe.

 

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Re: Uganda: Hemorrhagic fever outbreak- 16 dead

Re: Uganda: Hemorrhagic fever outbreak- 16 dead

Google maps puts Acholi and Kitgum about 10 miles north of Agago, and about 20 miles northwest of Abim.

The latest reports indicate that Agago seems to be the center of the outbreak.

 

[alert]

Re: Uganda: Hemorrhagic fever outbreak- 16 dead

Re: Uganda: Hemorrhagic fever outbreak- 16 dead

http://www.promedmail.org/pls/apex/..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,86040

Archive Number 20101129.4297
Published Date 29-NOV-2010
Subject PRO/EDR> Undiagnosed disease - Uganda: Acholi, RFI


UNDIAGNOSED DISEASE - UGANDA: ACHOLI, REQUEST FOR INFORMATION
*************************************************************
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: Mon 29 Nov 2010
Source: The Monitor, via allAfrica.com [edited]
<http://allafrica.com/stories/201011291952.html>


A strange disease has hit Kitgum, Abim, and Agago districts, killing 8
people and infecting a dozen others since Mon 8 Nov 2010. A Health
Situation Report of Fri 26 Nov 2010 puts the cumulative number of cases of
the disease [at] 32.

The disease, which some sources suspect to be the deadly Ebola [hemorrhagic
fever], was reported in Balang Village in Agago District early this month
[November 2010]. Other cases were found in Odiyo Village, while other cases
were reported in Patongo, in the same district.

The national professional officer of the World Health Organization based in
Gulu District, Dr Emmanuel Tenywa, said 19 people are currently admitted in
an isolation ward at Kalongo Hospital. He said those admitted experience
acute diarrhea, vomiting, and severe headache.

Dr Tenywa said in the report that a health worker at Kolongo Hospital
contracted the disease after a suspected patient vomited on her.

[byline: Sam Lawino]

--
communicated by:
Thomas James Allen <tjallen@pipeline.com>

[The districts of Kitgum, Abim and Agago in the Northern Region of Uganda
can be located in the map at
<http://en.wikipedia.org/wiki/Districts_of_Uganda>. This region of Uganda
is populated mainly by people of the Achol ethnic group and has suffered
frequent incursions of refugees from Sudan in the north.

In 2008, the region suffered an extensive outbreak of hepatitis E virus
infection causing some fatalities (see the ProMED-mail archived reports
below). The characteristics of the disease described in the current report
are poorly defined but not dissimilar from those experienced by patients in
the hepatitis E outbreak. Ebola hemorrhagic fever has been suggested as a
possible cause of the outbreak. While not implausible, hemorrhage as a
feature of the disease is not mentioned in the press report. Precise
information from the region would be welcomed.

The HealthMap/ProMED-mail interactive map of Uganda can be accessed at
<http://healthmap.org/r/0089>. - Mod.CP]

 

[alert]

Re: Uganda: Hemorrhagic fever outbreak- 16 dead

Re: Uganda: Hemorrhagic fever outbreak- 16 dead

Not good. Spread to other districts as well.

http://www.newvision.co.ug/D/8/13/739715

Strange disease spreads to Kitgum
Monday, 29th November, 2010 E-mail article Print article

By Wokorach-Oboi
Anne Mugisa and
David Labeja

THE mysterious disease affecting Agago and Abim districts has reportedly spread to Kitgum.

The health ministry yesterday said the disease had not been identified yet, but medical officers had been giving people “supportive treatment”.

Dr. Issa Makumbi, the ministry’s head of disease surveillance, said Entebbe-based Centre for Disease Control was today expected to release results from samples received last week.

In the middle of this month, ministry officials, quoting preliminary laboratory results, identified the disease as amoebic dysentery. Yesterday, the ministry put the death toll in Kitgum at five.

But Sr. Grace Ogwang, the Kitgum district disease surveillance officer, said eight people died of the disease in Kitgum.

This brings the death toll in the three districts to 36.

The disease has also reportedly spread to Pader.

The Kitgum victims included Robert Salongo, a mechanic.

Salongo was hurriedly buried at the Kitgum Hospital cemetery on Sunday under the strict supervision of medical personnel from the World Health Organisation.

Ogwang said Salongo travelled to Wol in Agago district a week before his death. He is suspected to have contracted the disease there. Ogwang warned people against getting into contact with the bodies of victims and to avoid handshakes, communal handwashing and sharing of food.

 

[sharon sanders]

Re: Uganda: Hemorrhagic fever outbreak- 16 dead

Re: Uganda: Hemorrhagic fever outbreak- 16 dead

Sent to ProMED again.

 

[sharon sanders]

Re: Uganda: Hemorrhagic fever outbreak- 16 dead

Re: Uganda: Hemorrhagic fever outbreak- 16 dead

A friend of FT sent this to me via email tonight for consideration:

Detection of Novel Sequences Related to African Swine Fever Virus in Human Serum and Sewage ^†
Joy Loh,¹ Guoyan Zhao,¹ Rachel M. Presti,² Lori R. Holtz,³ Stacy R. Finkbeiner,¹ Lindsay Droit,¹ Zoilmar Villasana,¹ Collin Todd,¹ James M. Pipas,⁴ Byron Calgua,⁵ Rosina Girones,⁵ David Wang,¹ and Herbert W. Virgin¹^*

snip

We report here the discovery of novel viral sequences in human serum and sewage which are clearly related to the asfarvirus family but highly divergent from ASFV. Detection of these sequences suggests that greater genetic diversity may exist among asfarviruses than previously thought and raises the possibility that human infection by asfarviruses may occur.

snip

ASFV infection of wild swine typically causes persistent infection with few symptoms (9, 17, 24, 25), but domesticated pigs can develop severe disease including acute hemorrhagic fever with nearly 100% mortality. As there is no vaccine and disease is contained by animal quarantine and slaughter, ASFV outbreaks can decimate pig populations and have significant economic impact. A 2007 outbreak in the former Soviet republic of Georgia resulted in the death and slaughter of over 80,000 pigs (20).


http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2786824/


----------------------
In Uganda -

<table width="480" border="0" cellpadding="4" cellspacing="0"><tbody><tr><td colspan="2" class="headline1">Gulu district imposes quarantine on pigs </td> </tr> <tr> <td>Sunday, 28th November, 2010</td> <td align="right"> <table style="border-collapse: collapse; margin-left: auto; margin-right: 0px;"> <tbody><tr> <td style="vertical-align: middle;">
</td> <td style="vertical-align: middle;">
</td> <td style="vertical-align: middle;">
</td> <td style="vertical-align: middle;">
</td> <td style="vertical-align: middle;">
</td> </tr> </tbody></table> </td> </tr> <tr> <td colspan="2"> By Chris Ocowun

GULU has imposed a quarantine on pigs and restricted their movement in the district.This was after over 150 pigs died of African swine fever in Odek, Lakwana, Koro and Bardege sub-counties in the last five months.
</td></tr></tbody></table>
more..

http://www.newvision.co.ug/D/8/16/739568


--------------------------------------

In Uganda -

Suspected Swine Flu Kills 100 Pigs - (edit from Alert - fever, not flu)

9 August 2010

Kampala — Over 140 pigs have died in Binya and Ora-Pwoyo in Odek sub-counties in Gulu district in the last one week following an outbreak of African swine fever.

more...

http://www.flutrackers.com/forum/showthread.php?t=150776

 

[alert]

Re: Uganda: Hemorrhagic fever outbreak- 16 dead

Re: Uganda: Hemorrhagic fever outbreak- 16 dead

http://www.promedmail.org/pls/apex/..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,86046

Archive Number 20101130.4302
Published Date 30-NOV-2010
Subject PRO/EDR> Undiagnosed disease - Uganda (02): (TG)


UNDIAGNOSED DISEASE - UGANDA (02): (KITGUM)
*******************************************
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: Mon 29 Nov 2310
Source: AllAfrica, The New Vision (Uganda) report [edited]
<http://allafrica.com/stories/201011300096.html>


Uganda: strange disease spreads to Kitgum
-----------------------------------------
The mysterious disease affecting Agago and Abim districts has
reportedly spread to Kitgum. The [Ugandan] Health Ministry yesterday
[28 Nov 2010] said the disease had not been identified yet, but
medical officers had been giving people "supportive treatment". Dr
Issa Makumbi, the Ministry's head of disease surveillance, said the
Entebbe-based Centre for Disease Control was today [29 Nov 2010]
expected to release results from samples received last week.

In the middle of this month [November 2010], Ministry officials,
quoting preliminary laboratory results, identified the disease as
amoebic dysentery. Yesterday [28 Nov 2010], the ministry put the
death toll in Kitgum at 5. But Sr Grace Ogwang, the Kitgum district
disease surveillance officer, said 8 people died of the disease in
Kitgum. This brings the death toll in the 3 districts to 36. The
disease has also reportedly spread to Pader.

The Kitgum victims included a mechanic who was hurriedly buried at
the Kitgum Hospital cemetery on [Sun 28 Nov 2010] under the strict
supervision of medical personnel from the World Health Organisation.
Ogwang said [the deceased] had travelled to Wol in Agago district a
week before his death. He is suspected to have contracted the disease
there. Ogwang warned people against getting into contact with the
bodies of victims and to avoid handshakes, communal handwashing, and
sharing of food.

[Byline: Anne Mugisa, David Labeja]

--
Communicated by:
Thomas James Allen

[Since the previous press report from the region, the outbreak of
this unidentified disease has spread to include Kitgum and the
overall death toll has in creased from 32 to 36. 8 of the fatalities
have occurred in Kitgum. No further information is available yet
regarding the nature of the disease, other than that initially
amoebic dysentery was suspected, rather than any form of haemorrhagic
disease as rumoured previously. A precise diagnosis is awaited.

The districts of Kitgum, Abim, and Agago in the Northern Region of
Uganda can be located on the map at
<http://en.wikipedia.org/wiki/Districts_of_Uganda>.
The HealthMap/ProMED-mail interactive map of Uganda can be accessed at
<http://healthmap.org/r/0089>. - Mod.CP]

 

[alert]

Re: Uganda: Hemorrhagic fever outbreak- 16 dead

Re: Uganda: Hemorrhagic fever outbreak- 16 dead

Ouch. Bad timing. This is from today's ProMED cholera, diarrhea, and dysentery report, and was published before yesterday's articles. There has been transmission to an HCW, and the fatality rate seems far too high.

http://www.promedmail.org/pls/apex/..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,86055

[1] Dysentery, amoebic - Uganda (northeast)
Date: Wed 24 Nov 2010
Source: The New Vision (Uganda) [edited]
<http: www.newvision.co.ug="" d="" 8="" 16="" 739215="">


Two more people in Agago district have died of [amoebic] dysentery.
This brings the number of people who have died of the disease since
the outbreak begun in October 2010 to 15. 3 other people have been
quarantined at Kalongo after presenting symptoms of the disease.

The district health officer, Dr Emmanuel Otto, said the 2 people, who
had been quarantined at Dr Ambrossoli Hospital in Kalongo town
council, died over the weekend [20-21 Nov 2010]. "All the 5 victims
are from Paimol sub-county, which borders Abim district," Otto said.

Last week [week of 15 Nov 2010], 13 people died of the disease, 5
from Paimol and Omiya P'Chua sub-counties in Agago district and 8
from the neighbouring Abim district, where the disease is said to
have originated.

The health ministry spokesman, Paul Kaggwa, recently said preliminary
laboratory tests revealed that the disease was [amoebic] dysentery.

[Byline: David Labeja]

--
Communicated by:
HealthMap Alerts via ProMED-mail



[Although not specifically stated in this report, the previous report
stated that the outbreak was due to amoebiasis rather than
shigellosis. - Mod.LL]</promed@promedmail.org></http:>

 

[alert]

Re: Uganda: Hemorrhagic fever outbreak- 16 dead - Novel ebolavirus suspected

Re: Uganda: Hemorrhagic fever outbreak- 16 dead - Novel ebolavirus suspected

edit

There is a map at the link; this outbreak is actually nowhere near the Tanzanian border. The RSOE update for this article errantly puts this outbreak in Tanzania.

This is the second report (#24 was the first) that refers to a WHO report on this outbreak, one that I cannot find.

This report of eight cases with four deaths in Kitgum differs slightly from the above reports of eight deaths.

http://www.africareview.com/News/Medics%20on%20alert%20over%20ebola%20scare/-/979180/1063770/-/k3txcl/-/

By THE CITIZEN REPORTER (email the author)

Your Email
Message
Send Cancel

Posted Wednesday, December 1 2010 at 15:16
The Government of Tanzania is sending a team of medical experts to Kagera region in the north to investigate reports of an outbreak of a deadly disease suspected to be ebola in border villages in neighbouring Uganda.
The deputy minister for Health and Social Welfare, Dr Lucy Nkya, said in Dar es Salaam Wednesday that the team will comprise medical experts from her ministry, the National Institute for Medical Research (NIMR) and the Muhimbili National Hospital (MNH).

“You are just breaking the news (on the outbreak of the disease in Uganda) to me. Thanks, and I will make sure that a medical team is dispatched to Kagera region as soon as possible,” she told Tanzania's The Citizen daily in a telephone interview.

Reports from Uganda quoted health officials as saying that a disease that has been killing people in Kitgum, Abim and Agago districts could be a new strain of ebola.

Frontal headache

The situation report of November 26 indicated a cumulative figure of 32 cases, with fatality rate of 25 per cent since its outbreak in Balang village in Mutu parish in Paimol Sub-County, Agago district early this month.

A National Professional Officer with the World Health Organisation in Gulu, Dr Emmanuel Tenywa, said a total of 19 people were currently admitted at an isolation ward in Kalongo Hospital with acute signs and symptoms of diarrhoea, vomiting, and severe frontal headache, sometimes associated with pain in the eye without conjunctivitis and blood stains on their stool.

He said already one of the health workers in the hospital had developed the disease symptoms after she accidentally came into contact with vomit of a patient.

The Kitgum district Surveillance Officer, Ms Grace Ogwang, said four people had so far died of the disease from their homes, while four others were still admitted at St. Joseph’s Hospital.

 

[alert]

Re: Uganda: Hemorrhagic fever outbreak- 16 dead

Re: Uganda: Hemorrhagic fever outbreak- 16 dead

This is a similar article to the one above it, but this description also includes the following phrase;

For comparison, I have posted the wikipedia description of typhoid below.

http://www.nation.co.ke/News/africa/Tanzania%20sends%20team%20to%20border%20amid%20fears%20of%20Ebola%20in%20Uganda%20/-/1066/1064086/-/gu1idqz/-/

[snip]

“The illness thus progresses with patients reporting abdominal pain localized in the epigastrium and as it progresses, patients develop restlessness and mental confusion, aggressive behaviuor and eventually results into coma and death” he said.

----------

http://en.wikipedia.org/wiki/Typhoid

Signs and symptoms
Typhoid fever is characterized by a slowly progressive fever as high as 40 °C (104 °F), profuse sweating, gastroenteritis, and nonbloody diarrhea. Less commonly, a rash of flat, rose-colored spots may appear.[4]

Classically, the course of untreated typhoid fever is divided into four individual stages, each lasting approximately one week. In the first week, there is a slowly rising temperature with relative bradycardia, malaise, headache and cough. A bloody nose (epistaxis) is seen in a quarter of cases and abdominal pain is also possible. There is leukopenia, a decrease in the number of circulating white blood cells, with eosinopenia and relative lymphocytosis, a positive diazo reaction and blood cultures are positive for Salmonella typhi or paratyphi. The classic Widal test is negative in the first week.

In the second week of the infection, the patient lies prostrate with high fever in plateau around 40 °C (104 °F) and bradycardia (sphygmothermic dissociation), classically with a dicrotic pulse wave. Delirium is frequent, frequently calm, but sometimes agitated. This delirium gives to typhoid the nickname of "nervous fever". Rose spots appear on the lower chest and abdomen in around a third of patients. There are rhonchi in lung bases. The abdomen is distended and painful in the right lower quadrant where borborygmi can be heard. Diarrhea can occur in this stage: six to eight stools in a day, green with a characteristic smell, comparable to pea soup. However, constipation is also frequent. The spleen and liver are enlarged (hepatosplenomegaly) and tender, and there is elevation of liver transaminases. The Widal reaction is strongly positive with antiO and antiH antibodies. Blood cultures are sometimes still positive at this stage. (The major symptom of this fever is the fever usually rises in the afternoon up to the first and second week.)

In the third week of typhoid fever, a number of complications can occur:

Intestinal hemorrhage due to bleeding in congested Peyer's patches; this can be very serious but is usually not fatal.
Intestinal perforation in the distal ileum: this is a very serious complication and is frequently fatal. It may occur without alarming symptoms until septicaemia or diffuse peritonitis sets in.
Encephalitis
Metastatic abscesses, cholecystitis, endocarditis and osteitis
The fever is still very high and oscillates very little over 24 hours. Dehydration ensues and the patient is delirious (typhoid state). By the end of third week the fever has started reducing this (defervescence). This carries on into the fourth and final week.

 

[alert]

Re: Uganda: Hemorrhagic fever outbreak- 16 dead

Re: Uganda: Hemorrhagic fever outbreak- 16 dead

Another variation on the above articles, but with the mention of no new admissions in the past two days, and the mention of the donation of food to the isolation unit (and the fact that is even necessary).

http://thecitizen.co.tz/general-elections-news/6028-tanzania-on-alert-as-ebola-hits-uganda.html

Tanzania on alert as ebola hits Uganda Send to a friend
Wednesday, 01 December 2010 23:17
digg
By The Citizen Reporter
Dar es Salaam. The government has moved to assess the situation following reports of outbreak of a deadly disease suspected to be Ebola in some districts in Uganda.

Reports from Uganda quoted health officials as saying that has been killing people Kitgum, Abim and Agago districts could be a new strain of Ebola. However, the three districts do no border Kagera region.

But the deputy Minister for Healthm, Dr Lucy Nkya, said yesterday that they were not going to take and chances ahe she she would ensure that a team of medical experts is dispatched to Kagera region to investigate the reports and assess the situation.

Dr Nkya, said in Dar es Salaam yesterday that the team will comprise medical experts from her ministry, the National Institute for Medical Research (NIMR) and the Muhimbili National Hospital (MNH).

“You are just breaking the news (on the outbreak of the disease in Uganda) to me. Thanks and I will make sure that a medical team is dispatched to Kagera region as soon as possible,” she told The Citizen in a telephone interview.

She said they will summon his senior lieutenants at the ministry and make immediate arrangements to send the medical team to Kagera region.

The situation report of November 26 indicates a cumulative figure of 32 cases with fatality rate of 25 percent since its outbreak in Balang village in Mutu parish in Paimol Sub County, Agago district early this month.

A National Professional Officer with World Health Organization in Gulu, Dr Emmanuel Tenywa said a total of 19 people are currently admitted at an isolation ward in Kalongo Hospital with acute signs and symptoms of diarrhea, vomiting, and severe frontal headache sometimes associated with pain in the eye without conjunctivitis and blood stained on their stool.

He said already one of the health workers in the hospital has developed the disease after she accidentally came into contact with a vomit of a patient suffering from the disease.

“The illness thus progress with patients reporting abdominal pain localized in the epigastrium and as it progresses, patients develop restlessness and mental confusion, aggressive behavior and eventually results into coma and death” he said.

The Kitgum district Surveillance Officer, Ms Grace Ogwang said in her district four people have so far died of the disease from their homes while four others were still admitted in St. Joseph’s hospital.

“Some of them die from their homes although we have not registered any admission over the last two days yet,” Ms Ogwang said.

Meanwhile World Food Program has already donated maize, beans and cooking oil to support those in the isolation ward at Kalongo Hospital.

In October 2000, Ebola killed hundreds of people including a medical officer, Doctor Lukwiya Mathew of St. Mary’s Hospital Lacor.

 

[Treyfish]

Re: Uganda: Hemorrhagic fever outbreak- 16 dead

Re: Uganda: Hemorrhagic fever outbreak- 16 dead

<TABLE id=apex_layout_271110100662109808 class=formlayout border=0 summary=""><TBODY><TR><TD noWrap align=left>02-DEC-2010</TD></TR><TR><TD noWrap align=right>Subject</TD><TD noWrap align=left>PRO/EDR> Undiagnosed disease - Uganda (03)</TD></TR></TBODY></TABLE>

UNDIAGNOSED DISEASE - UGANDA (03)***********************************A ProMED-mail post<http://www.promedmail.org>ProMED-mail is a program of theInternational Society for Infectious Diseases<http://www.isid.org>Date: Wed 1 Dec 2010Source: Daily Nation [edited]<http://www.nation.co.ke/News/africa/Tanzania%20sends%20team%20to%20border%20amid%20fears%20of%20Ebola%20in%20Uganda%20/-/1066/1064086/-/gu1idqz/-/>The government [of] Tanzania is sending a team of medical experts to Kagera region to investigate reports of an outbreak of a deadly disease suspected to be Ebola [haemorrhagic fever] in border villages in neighbouring Uganda. The Deputy Minister for Health and Social Welfare, Dr Lucy Nkya, said in Dar es Salaam on Wednesday [1 Dec 2010] that the team will comprise medical experts from her Ministry, the National Institute for Medical Research (NIMR) and the Muhimbili National Hospital (MNH)."You are just breaking the news (on the outbreak of the disease in Uganda) to me. Thanks, and I will make sure that a medical team is dispatched to Kagera region as soon as possible," she told The Citizen in a telephone interview. She said they will summon his senior lieutenants at the ministry and make immediate arrangements to send the medical team to Kagera region.Reports from Uganda quoted health officials as saying that a disease that has been killing people [in] Kitgum, Abim and Agago districts could be a new strain of Ebola [haemorrhagic fever].The situation report of 26 Nov 2010 indicates a cumulative figure of 32 cases with a fatality rate of 25 per cent since its outbreak in Balang village in Mutu parish in Paimol Sub County, Agago district early this month [November 2010].A National Professional Officer with World Health Organization in Gulu, Dr Emmanuel Tenywa, said a total of 19 people are currently admitted at an isolation ward in Kalongo Hospital with acute signs and symptoms of diarrhoea, vomiting, and severe frontal headache, sometimes associated with pain in the eye without conjunctivitis and blood in their stool. He said already one of the health workers in the hospital has developed the disease after she accidentally came into contact with vomit of a patient suffering from the disease."The illness thus progresses, with patients reporting abdominal pain localized in the epigastrium, and as it progresses, patients develop restlessness, mental confusion, and aggressive behavior which eventually results in coma and death," he said.--Communicated byroMED-mail <promed@promedmail.org>[This press report provides a more detailed description of the condition of the patients in the Ugandan outbreak and states that the cumulative number of cases is now 32 with a fatality rate of 25 percent. The symptoms of the patients do not resemble those associated with haemorrhagic fever, and the outcomes are more severe than expected for a diagnosis of amoebic dysentery currently favoured in Uganda. Clarification is awaited.The districts of Kitgum, Abim, and Agago in the Northern Region of Uganda where the outbreak is located can found in the map at <http://en.wikipedia.org/wiki/Districts_of_Uganda>. The HealthMap/ProMED-mail interactive map of Uganda can be accessed at <http://healthmap.org/r/0089>. - Mod.CP]:tiphat:http://www.promedmail.org/pls/otn/f..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,86086</PRE>

 

[Treyfish]

Re: Uganda: Hemorrhagic fever outbreak- 16 dead

Re: Uganda: Hemorrhagic fever outbreak- 16 dead

<TABLE border=0 cellSpacing=0 cellPadding=4 width=480><TBODY><TR><TD class=headline1>20 gutoo</TD></TR><TR><TD align=middle>

YIK: Wadi pa lutoo ma pe guruke pi yik man gitye ka konyo dano adek ma guruke pi yiko kom lyel pa Charles Otto, 26 i limo
</TD></TR><TR><TD>Justin Moro & Wokorach Oboi
DANO aboro i Kitgum ki Lamwo distrik dong gutyeko too ki two ma pud pe ki niang ikome maber kun oneko dano mukene i Agago ki Abim distrik ni.

Man dong kelo wel dano ma gutoo wa i 24 ocake ma two man ocop Agago cabit aryo angec pi man oweko kityeko juko moto cing woko ikin lwak pien bye tye ni two man kobo ka dano ogudu lawote ma
tye ki two.

Ladit maloyo lok me ngiyo two i Kitgum, mego Sister Grace Ogwang otito ki Rupiny ni lamony UPDF, latin Orom ma nyinge onongo pud pe ononge i kare me coc man tye i kin jo ma gutoo i cabit ma okato ni.

Anywali acel me Luwero, Kigozi Robert Ssalongo ma onongo tye mekanika bot Aquatech, ma tye ka tucu pii i Kitgum bene oto i ceng abic ki io yat St Jospeh?s ka kiyike cut i limo me otyat meno i ceng abicel.

En onongo bedo i Gangdyan i but taun Kitgum. Daktar Ogwang owaco i gin gibyeko ni Kigozi nen calo onongo two man ki i Wol matye i Agago kama
en onongo ocito kayubu mutoka ma obale.:magnify:

?Wabyeko ni en onongo two man ki i Wol pien ikine ka cabit acel inge dwgo ne en ocako winyo arem ,? en owaco.
</TD></TR></TBODY></TABLE>
:tiphat:http://www.rupiny.co.ug/detail.php?mainNewsCategoryId=6&newsCategoryId=107&newsId=739807

 

[sharon sanders]

Re: Uganda: Hemorrhagic fever outbreak- 16 dead

Re: Uganda: Hemorrhagic fever outbreak- 16 dead

<http: www.newvision.co.ug="" d="" 8="" 16="" 739215="">Two more people in Agago district have died of [amoebic] dysentery. This brings the number of people who have died of the disease since the outbreak begun in October 2010 to 15. 3 other people have been quarantined at Kalongo after presenting symptoms of the disease.

The numbers are all over the place. The above quote says 15 fatalities in post #33.

The latest ProMed quotes 32 total cases and a 25% fatality rate which would be 8 deaths.



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[sharon sanders]

Re: Uganda: Hemorrhagic fever outbreak- 13 dead

Re: Uganda: Hemorrhagic fever outbreak- 13 dead

The medical workers say victims pass blood stool, vomiting, high temperatures and blood discharge from the nose and other parts of the body and over 16 people have so far been killed by this disease.
But the Ministry of health is yet to confirm the nature of the disease outbreak.

This article in post #20 says 16 deaths which is reflected in the title of this thread.