• FluTrackers.com Inc. does not provide medical advice. Information on this web site is collected from various internet resources, and the FluTrackers board of directors makes no warranty to the safety, efficacy, correctness or completeness of the information posted on this site by any author or poster. The information collated here is for instructional and/or discussion purposes only and is NOT intended to diagnose or treat any disease, illness, or other medical condition. Every individual reader or poster should seek advice from their personal physician/healthcare practitioner before considering or using any interventions that are discussed on this website. By continuing to access this website you agree to consult your personal physican before using any interventions posted on this website, and you agree to hold harmless FluTrackers.com Inc., the board of directors, the members, and all authors and posters for any effects from use of any medication, supplement, vitamin or other substance, device, intervention, etc. mentioned in posts on this website, or other internet venues referenced in posts on this website.
  • We are not asking for any donations. Do not donate to any entity who says they are raising funds for us.

Various Illnesses in Bandarban, Bangladesh - diarrhea, chickenpox, measles confirmed

Shiloh

Editor, Senior Moderator
Source: http://english.cri.cn/6966/2011/04/28/2724s634692.htm

At Least 17 People Die of Chickenpox in Bangladesh
2011-04-28 15:53:05 Xinhua Web Editor: Yihang

At least 17 people died of chickenpox in a very hard-to-reach area in Bangladesh's hilly Bandarban district, some 316 km southeast of capital Dhaka, since last week, officials said Thursday.

"Just yesterday we came to know about the outbreak of the disease that has already claimed the lives of 17 people," a district administration official told Xinhua.

The official who preferred to be unnamed said that all the chickenpox victims, who died in the period from April 18 to 26, were aged between 1 and 18 years old.

He said some 22 people infected with chickenpox have already been given treatment and they are now recovering...
 
Re: At Least 17 People Die of Chickenpox (or Measles?) in Bangladesh

Re: At Least 17 People Die of Chickenpox (or Measles?) in Bangladesh

I don't think it's chickenpox - the CFR of chickenpox, even untreated is too low. And chickenpox is more severe in adults; this outbreak is more severe in children. Maybe it's measles. This seems far more believable:

http://www.banglanews24.com/English...4a29b65e29ca38f99f600921ea&nttl=2011042719317

Measles claims 20, infects 200 in Bandarban backwoods

--------------------------------------------------------------------------------
District Correspondent
banglanews24.com



BANDARBAN: At least 20 children died of measles and 200 others were reportedly infected with outbreaks of the disease in five ‘Mro’ communities in the far-flung Poamuhuri area under Alikadam upazila of the hill district over the last two weeks.

As contacted, a government source, however, confirmed only 11 deaths in the wake of the outbreaks of the disease in the backwoods area bordering Myanmar.

Locals said measles has already turned into an “epidemic” at the remote village of Poamuhuri and is spreading alarmingly in the adjacent areas for a lack of proper preventive measures and transportation problem.

“Following the incidents of death, panic gripped the entire inhabitants of the hilly area,” one of the sources said.

According to Bandarabn Civil Surgeon Dr Md. Shakhawat Hussain, a total of four teams drawn from upazila, zila, army and civil surgeon offices have been working in the affected areas since Tuesday morning “to check the spread of the disease”.

BDST: 1708 HRS, APR-26. 2011
 
Re: At Least 17 People Die of Chickenpox (or Measles? or Diarrhea?) in Bangladesh

Re: At Least 17 People Die of Chickenpox (or Measles? or Diarrhea?) in Bangladesh

Could also be this?

http://www.newstoday.com.bd/index.php?option=details&news_id=26017&date=2011-04-27

11 die of diarrhoea in Bandarban
BANDARBAN, Apr 26: At least 11 indigenous people died of diarrhoea since the disease broke out at different villages in Matamuhuri Reserved area in Alikadam upazila on Sunday, reports UNB.
Thirty people in different tribal localities were affected by the water-born disease. They could not be admitted to hospital which is far from the remote area. Locals said their condition is serious.
They said diarrhea killed at least 11 people at five tribal villages in remote Matamuhuri Reserve area and Indu Sindhu area of Alikadam in the last two days ending 6am Tuesday.
Health Department sources said a medical was sent to the affected area from upazila headquarters in the morning.
 
Re: At Least 17 People Die of Illness in Bangladesh - reported as Chickenpox, Measles, or Diarrhea

Re: At Least 17 People Die of Illness in Bangladesh - reported as Chickenpox, Measles, or Diarrhea

6 more die as diarrhea deteriorates in Bandarman
Reported by: UNBconnect
Reported on: April 27, 2011 23:19 PM
Reported in: National
Bandarban, Apr 27 (UNB) - At least six more people died of diarrhea on Wednesday at different villages in Matamuhuri Reserved area in Alikadam upazila. As diarrhea situation worsens, five more medical team left for remote Matamuhuri and Indu Sindhu Reserve area.

Civil Surgeon Dr Sakhawat Hossain said six, mostly children, died in the last 24 hours ending 6pm today at different villages of the two affected areas.

Eleven people died on Monday and Tuesday in 11 tribal inhabited villages of Matamuhuri and Indu Sindhu forest areas.

Thirty people of different tribal localities were affected by the water-born disease today. Serious patients could not be immediately taken to hospital as hospital or health complexes are far from the two remote areas. Locals said condition of the newly-affected are serious.

http://www.unbconnect.com/component/news/task-show/id-46785
 
Re: At Least 17 People Die of Illness in Bangladesh - reported as Chickenpox, Measles, or Diarrhea

Re: At Least 17 People Die of Illness in Bangladesh - reported as Chickenpox, Measles, or Diarrhea

It is not clear to me that the diarrhea outbreaks in Bandarban are in the same place as the incident in posts #1 and #2. The counts and timing seem to differ.

Posts #1 and #2 seem to describe a febrile rash illness in children with a high number of fatalities. While it is possible that the children might have had co-infections of chickenpox and diarrhea, I think the more likely scenario is closer to post #2, that there has been a measles outbreak.

I don't think there is a diagnosing issue here - there seems to be a reporting problem.
 
Re: At Least 17 People Die of Illness in Bangladesh - reported as Chickenpox, Measles, or Diarrhea

Re: At Least 17 People Die of Illness in Bangladesh - reported as Chickenpox, Measles, or Diarrhea

Ali Kadam UpazilaFrom Wikipedia, the free encyclopedia

Ali Kadam (Bengali: আলিকদম) is an Upazila of Bandarban District in the Division of Chittagong, Bangladesh.

Geography
Ali Kadam is located at 21?40′00″N 92?18′20″E / 21.6667?N 92.3056?E / 21.6667; 92.3056 . It has 4923 units of house hold and total area 885.78 km?.

Demographics
As of the 1991 Bangladesh census, Ali Kadam has a population of 24782. Males constitute are 55.21% of the population, and females 44.79%. This Upazila's eighteen up population is 13312. Ali Kadam has an average literacy rate of 20.7% (7+ years), and the national average of 32.4% literate.[1]

Administrative
Alikadam has 2 Unions, 6 Mauzas and 148 villages.

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

Map of Bandarban from http://www.dcbandarban.gov.bd/
bandarban.webp
 
Re: At Least 17 People Die of Illness in Bangladesh - reported as Chickenpox, Measles, or Diarrhea

Re: At Least 17 People Die of Illness in Bangladesh - reported as Chickenpox, Measles, or Diarrhea

And now this source has called the outbreak "small pox", which is almost impossible, but not surprising at this point, IMO. There is very little that does more to add to confusion than using the name of the wrong disease.

Note that this source does not mention any deaths associated with the "pox". More importantly, it contains the reference to "Alikodom", which is where the diarrhea is, so it is likely that this is all the same outbreak, increasing the likelihood that this is a compound outbreak (and the deaths are due to diarrhea).

http://www.newstoday.com.bd/index.php?option=details&news_id=26190&date=2011-04-30

Small pox breaks out in Bandarban
Our Correspondent;
BANDARBAN, Apr 29: Small pox and chicken pox diseases are found at 11 remote villages of Alikodom Upazilla of this district recently.
Civil Surgeon Sources told the Army Medical team sent for giving treatment in 11 tribal villages.
 
Re: At Least 17 People Die of Illness in Bangladesh - reported as Chickenpox, Measles, Diarrhea, and "Small Pox"

Re: At Least 17 People Die of Illness in Bangladesh - reported as Chickenpox, Measles, Diarrhea, and "Small Pox"

Apparently, chickenpox was also errantly reported as smallpox from Bandarban in March 2010, in the bordering upazila of Lama (so perhaps "small pox" as used by the locals there does not mean variola infection as we would understand it, or perhaps someone does not understand that smallpox has been eradicated):

http://www.iedcr.org/Default.aspx?tabid=136

Amader Somoi, March 4, 2010 Lama, Bandarban Small pox (as reported by news paper) 1. Epidemiological investigation 2. Environmental investigation Chicken pox
 
Re: At Least 17 People Die of Illness in Bangladesh - reported as Chickenpox, Measles, Diarrhea, and "Small Pox"

Re: At Least 17 People Die of Illness in Bangladesh - reported as Chickenpox, Measles, Diarrhea, and "Small Pox"

I think that we can be sure that "smallpox" is a translation issue with the correct intent being chicken pox. I would suggest that we remove "small pox" from the thread title.
 
Re: At Least 17 People Die of Illness in Bangladesh - reported as Chickenpox, Measles, Diarrhea, and "Small Pox"

Re: At Least 17 People Die of Illness in Bangladesh - reported as Chickenpox, Measles, Diarrhea, and "Small Pox"

I think that we can be sure that "smallpox" is a translation issue with the correct intent being chicken pox. I would suggest that we remove "small pox" from the thread title.

I have put it in quotes, with the spacing (2 words, not one) as in the above article. It's not a translation issue, per se, as there is an English language article (#8) that explicitly cites smallpox. Someone really is calling this outbreak "smallpox", but we know they are probably wrong. Post #9 indicates that the neghboring upazila had a smallpox scare last year, which was excluded by the IEDCR.

Chicken pox is unlikely to have produced that number of fatalities, so smallpox should still be excluded via testing. The situation here is extremely unclear; none of the articles have even mentioned the symptoms involved.

Also, note that chickenpox, measles, and smallpox all have longer incubation periods (7-14 days) than this outbreak seems to have; the start date for this outbreak appears to be April 18th; there doesn't seem to be enough time to get this many generations of cases. I tend to view this situation as undiagnosed at this point.

I can't find any of the details of last year's incident - Were there any fatalities?
 
Re: At Least 17 People Die of Illness in Bangladesh - reported as Chickenpox, Measles, Diarrhea, and "Small Pox"

Re: At Least 17 People Die of Illness in Bangladesh - reported as Chickenpox, Measles, Diarrhea, and "Small Pox"

This is from Dhaka, not Bandarban, but indicates an overall rise in chickenpox.

Perhaps the chickenpox outbreak is not the cause of the fatalities in Bandarban, and is just background noise?

http://newagebd.com/newspaper1/metro/17055.html

Number of viral patients on the rise in city
Font size:
Sajia Afrin

The number patients with seasonal viral problems including fever, influenza and chicken pox increased in the city hospitals and private clinics, said physicians.

‘We have received more virus infected patients including fever and chicken pox in our hospitals,’ M Shahidullah, pro-vice-chancellor and professor of paediatric neonatology at Bangabandhu Sheikh Mujib Medical University, told New Age on Friday.

He said people, specially the children, get infected with viral diseases usually in spring and summer.

‘The number of infection with chicken pox has been increasing since one month and a half and this trend is continuing,’ Shahidullah said.

Mohammad Mahfuzur Rahman, medical officer of paediatrics department at Dhaka National Medical Institute Hospital, said that they were also receiving an increased number of diarrhoeal and influenza patients.

‘The critical patients need to be admitted to the hospitals. We found the patients with sever respiratory problem, pneumonia, bronchitis and diarrhoea,’ he added.

Shahidullah said that generally no antibiotic was needed for treating chicken pox or viral fever. ‘If the fever patients have no infection in the throat, he or she does not need any antibiotic. Only paracetamol is needed for treating these patients and the fever will come down after three to four days.’

He said some times physicians prescribe antibiotics for the viral patients, which is unnecessary.

The chicken pox patients need antibiotic only if a patient also gets bacterial infection along with the viral infection. In medical term it is called ‘super added infection’, he said.

The experts said chicken pox was mainly self-remitting, but infection could make chicken pox complicated.

Shahidullah said the treatment of chicken pox was mainly symptomatic, that is, if the patient had fever, he or she would need fever treatment but if the patient had itching, antihistamine would be needed.

Health experts said if pregnant women contact chicken pox four days before delivery, it increases the risk of foetal death.

People usually have only one attack of chicken pox in their lifetime, they said. But the chicken pox virus can remain dormant to cause various skin eruptions, called shingles, they said.

Chicken pox being infectious, they suggested that the patients should be kept in isolation as far as possible.

School-going children, with chicken pox, should stay away from school.

The patient can take normal food, but no beef, prawn, aubergine or other allergic items in meals, Shahidullah said.

More fluid should be given to the fever and chicken pox patients, he added.

Doctors advised to keep patients in isolation and cool places. They advised bathing with water boiled with neem leaves, only after cooling it.

The use of soaps is strictly prohibited.

Until healing, which takes five to seven days, the doctors asked the patients to stay at home.

They advised the chicken pox patients to consult doctors, without wasting time, if they complain of severe chest pain, breathing problem, blood in cough, sudden and severe headaches and severe vomiting tendencies.
 
Re: At Least 17 People Die of Illness in Bangladesh - reported as Chickenpox, Measles, Diarrhea, and "Small Pox"

Re: At Least 17 People Die of Illness in Bangladesh - reported as Chickenpox, Measles, Diarrhea, and "Small Pox"

From 2010 Teknaf is in Cox's Bazaar, South of Bandarban.

Chicken pox spreads to border area
Thursday, 18 March 2010 14:36
Teknaf, Bangladesh: Chicken pox has spread to the border area and afflicted children. They are weak with fever, according to sources.

A doctor from the border area said that chicken pox has afflicted many children over five years of age off late.
...
http://kaladanpress.com/v3/index.ph...-to-border-area&catid=118:march-2010&Itemid=2




and 2011;

Topical diseases spread at Leda Camp
Tuesday, 22 March 2011 16:17


Teknaf, Bangladesh: Topical diseases such as chicken pox and measles have spread inside Leda Refugee Camp recently, said a refugee elder from the camp.

A large number of refugee children have been suffering from chicken pox and measles since the second week of March 2011. Affected children are taken to the clinic of Muslim Aid, which is stationed inside the camp, and provided with some medicine by doctors, a refugee said.


...

http://www.kaladanpress.org/v3/inde...ad-at-leda-camp&catid=132:march-2011&Itemid=2
 
Re: At Least 17 People Die of Illness in Bangladesh - reported as Chickenpox, Measles, Diarrhea, and "Small Pox"

Re: At Least 17 People Die of Illness in Bangladesh - reported as Chickenpox, Measles, Diarrhea, and "Small Pox"

Diarrhoea and chicken pox outbreaks also in Bagerhat about 100 miles west of Bandarban.

Diarrhoea, pox break out
Saline sells at high price

Our Correspondent
BAGERHAT, Apr 29: Diarrhoea and pox breaks out in the current season. Women and children are the worst sufferer of the diseases.
Visiting Bagerhat Sadar Hospital this correspondent found Diarriahoea ward is fully packed up, the majorities of them are the children and women. One of the family member of a patient said,'' the treatment quality is not good, a child of 7 days has been died in drug reaction. We are not confident to the nurses and the doctors as they are not found timely."
On the other hand both urban and rural areas chicken pox epidemically breaks out. Visiting the rural area this correspondent found they are not taking proper medical treatment rather.
A patient of chicken pox Ranu Begum said,''''she is a sufferer of pox, her husband and child has cured recently, they need not need the medical treatment as it is not available for the poor like her."
A doctor of Bagerhat sader hospital Abul Kalam Azad said '''' scorching heat and lack of pure drinking water have caused this diseases mainly."
A patient of diarriahoea said branded oral saline are not available in the market so they have to buy saline at high price.


http://www.newstoday-bd.com/home.asp?newsdate=4/30/2009#4846
 
Re: At Least 17 People Die of Illness in Bangladesh - reported as Chickenpox, Measles, Diarrhea, and "Small Pox"

Re: At Least 17 People Die of Illness in Bangladesh - reported as Chickenpox, Measles, Diarrhea, and "Small Pox"

Refugees face unhygienic conditions at Leda Camp
Monday, 28 March 2011 14:30


Teknaf, Bangladesh: Rohingya refugees at Leda Camp have been facing problems from unhygienic conditions for more than two weeks since local villagers in the area blocked the drain which carries wastewater from the refugee camp.

...

On March 26, a two-year-old girl died from a case of the measles at Leda Camp, he added.

...

http://www.kaladanpress.com/v3/inde...ns-at-leda-camp&catid=132:march-2011&Itemid=2
 
Re: At Least 17 People Die of Illness in Bangladesh - reported as Chickenpox, Measles, Diarrhea, and "Small Pox"

Re: At Least 17 People Die of Illness in Bangladesh - reported as Chickenpox, Measles, Diarrhea, and "Small Pox"

Diarrhoea and chicken pox outbreaks also in Bagerhat about 100 miles west of Bandarban.

Diarrhoea, pox break out
Saline sells at high price

Our Correspondent
BAGERHAT, Apr 29: Diarrhoea and pox breaks out in the current season. Women and children are the worst sufferer of the diseases.
Visiting Bagerhat Sadar Hospital this correspondent found Diarriahoea ward is fully packed up, the majorities of them are the children and women. One of the family member of a patient said,'' the treatment quality is not good, a child of 7 days has been died in drug reaction. We are not confident to the nurses and the doctors as they are not found timely."
On the other hand both urban and rural areas chicken pox epidemically breaks out. Visiting the rural area this correspondent found they are not taking proper medical treatment rather.
A patient of chicken pox Ranu Begum said,''''she is a sufferer of pox, her husband and child has cured recently, they need not need the medical treatment as it is not available for the poor like her."
A doctor of Bagerhat sader hospital Abul Kalam Azad said '''' scorching heat and lack of pure drinking water have caused this diseases mainly."
A patient of diarriahoea said branded oral saline are not available in the market so they have to buy saline at high price.


http://www.newstoday-bd.com/home.asp?newsdate=4/30/2009#4846

This particular article is from 2009, not 2011 (see the date in the link), but does indicate that chickenpox is very common in that area this time of year.
 
Re: Bangladesh: At Least 11 People Die of Illness in Bandarban - likely diarrhea - conflicting reports of other illnesses

Re: Bangladesh: At Least 11 People Die of Illness in Bandarban - likely diarrhea - conflicting reports of other illnesses

http://www.promedmail.org/pls/otn/f..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1010,88283

[7] Bangladesh (Bandarban)
Date: Tue 26 Apr 2011
Source: Bangla News 24 [edited]
<http://www.banglanews24.com/English/detailsnews.php?nssl=44de5c4a29b65e29ca38f99f600921ea&nttl=2011042719317>


At least 20 children died of measles, and 200 others were reportedly
infected with outbreaks of the disease in 5 Mro communities in the
far-flung Poamuhuri area under Alikadam upazila [sub-district] of the
hill district over the last 2 weeks. [The Mros are the 2nd largest
tribal group in Bandarban District of the Chittagong Hill Tracts: see,
<http://en.wikipedia.org/wiki/ Mro_people>. - Mod.CP]

A government source, however, confirmed only 11 deaths in the wake of
the outbreaks of the disease in the backwoods area bordering Myanmar.
Locals said measles has already turned into an "epidemic" at the
remote village of Poamuhuri and is spreading alarmingly in the
adjacent areas due to a lack of proper preventive measures and
transportation problems. "Following the deaths, panic has gripped all
of the inhabitants of the hilly area," one of the sources said.

According to Bandarabn Civil Surgeon Dr Md. Shakhawat Hussain, a
total of 4 teams drawn from upazila, zila, army and civil surgeon
offices have been working in the affected areas since Tuesday [26 Apr
2011] morning "to check the spread of the disease."

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

[Bandarban is a district in Southeastern Bangladesh and a part of the
Chittagong Division and Chittagong Hill Tracts. One of the 3 hill
districts of Bangladesh, Bandarban is not only the remotest district
of the country, but also the least populated (population 292 900).
Bandarban can be located in the map at:
<http://en.wikipedia.org/wiki/Bandarban_District>.

This report illustrates the devastating effect and lethality of
measles virus infection in communities with poor access to medical
care. - Mod.CP]
 
Re: Bangladesh: At Least 11 People Die of Illness in Bandarban - likely diarrhea - conflicting reports of other illnesses

Re: Bangladesh: At Least 11 People Die of Illness in Bandarban - likely diarrhea - conflicting reports of other illnesses

http://www.thenewnationbd.com/newsdetails.aspx?newsid=4223

4 children die of pox
. BSS, Bandarban
Four children were died and several others attacked by chicken pox in different hilly areas of the district recently. Civil Surgeon of Bandarban Shakwat Hossain confirmed the death of two children by chicken pox. Local people said two other children died at Lulaing area in the hilly district. Local people said that many others children were attacked by the chickenpox in remote areas. Two medical teams are working there and providing treatment to the affected children now the situation is under control, said Shakwat Hossain
 
Bangladesh: Dozens Die of Various Illnesses in Bandarban - diarrhea, chickenpox, measles confirmed

Bangladesh: Dozens Die of Various Illnesses in Bandarban - diarrhea, chickenpox, measles confirmed

http://www.bdnews24.com/details.php?id=195734&cid=13

Measles infection kills 3 in Bandarban
Sat, May 14th, 2011 10:49 pm BdST Dial 2000 from your GP mobile for latest news



Bandarban, May 14 (bdnews24.com) ? Diseases caused by measles infection have killed at least three children in Amtali area of Lama upazila last week.

Doctors on Saturday said over 100 Murang children of the upazila had been suffering due to the infection.

Bandarban civil surgeon Sakhawat Hossain told bdnews24.com that one child died in the hospital on Friday, while two others at their own residences on Tuesday.

He said they died due to diarrhoea and pneumonia, caused by measles infection.

Hossain said 17 children were still undergoing treatment at the health complex. Many are being treated locally by a medical team. One medical team has been deployed in each upazila.

Acting health and family planning officer of Lama Shafiur Rahman said measles was spreading in the area due to hot and humid weather and lack of safe drinking water.

bdnews24.com/corr/mus/dd/has/nih/mr/2240h
 
Back
Top Bottom