ABSTRACT
Crimean-Congo haemorrhagic fever [CCHF] is a life-threatening viral haemorrhagic fever. This paper reports on the first multifocal outbreak recorded in the Afghanistan. The outbreak was detected in 2008 in the Western Region of the country and 30 cases [17 males and 13 females] were detected between 10 July and 22 October 2008. Standard case definitions based on World Health Organization sources were used. Most of the cases [27] occurred in Herat province; 25 were aged between 18-55,1 was > 55 years and 4 were12-18 years [median age was 27 years]. The case fatality rate was 33%; 41% among males and 23% among females [P - 0.29]. Significantly more patients infected by contact with meat and body fluids died that those whose contact was through animal husbandry or ticks [P = 0.0048]. Of the 30 cases, 33 close contacts were traced; 3 were positive for CCHF IgM with no symptomatic evidence of the disease
Subject(s)
Humans , Male , Female , Hemorrhagic Fever, Crimean/transmission , Contact Tracing , Prognosis , Hemorrhagic Fever, Crimean/drug therapy , Hemorrhagic Fever, Crimean/diagnosisABSTRACT
The Ministry of Health in Iraq has reported a total of 18 suspected cases of Crimean-Congo hemorrhagic fever [CCHF] since 1 May 2010 from Mosul of Ninawa Governorate. Nine [9] of the cases were laboratory confirmed, and there were 3 related deaths. The cases were confirmed at the Central Public Health Laboratory in Baghdad. The last confirmed case was reported on 5 July 2010. The MOH with support from WHO Country Office has taken appropriate public health measures that included strengthening of surveillance, case investigations, case management and health education to contain and prevent further spread of the outbreak
Subject(s)
Humans , Hemorrhagic Fever, Crimean/diagnosis , Disease Outbreaks , Hemorrhagic Fever, Crimean/transmissionABSTRACT
On 11 August 2008, a suspected case of haemorrhagic fever was admitted at the regional hospital of Herat province in Afghanistan. The case, a married woman of 33 years, was admitted with high fever, headache, vomiting and epistaxis. The patient was, later, laboratory confirmed as suffering from Crimean Congo haemorrhagic fever [CCHF]. The family of the patient has cows, goats and sheep in their house, and the patient had a history of slaughtering sheep and coming in contact with blood and meat of the slaughtered sheep. The patient has recovered and no more cases were reported from the area