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Diseases That Could Come |
From
Patricia Doyle |
| The following are only a couple of diseases that are now circulating
in countries that could possibly supply Europe and N America with refugees.
Yellow Fever and Cholera are quite serious. The US has had outbreaks
of Yellow Fever as far north as NYC and Boston Mass. It was once a
big killer in the US South. It took many soldiers lives on both sides of
the Civil War. Many POW camps like Andersonville lost Guards and Prisoners
and Medical staff to Yellow Fever. Also Cholera in Yemen. Cholera is still killing thousands in Haiti since 2010. Of course there are still the ongoing diseases of chagas, Leishmaniasis, Leprosy and ALL FORMS OF TB. We must stop allowing refugees and illegals to continue to immigrate to the US without medical screening and allowing those with diseases to enter the US. Many have come in with HIV Aids, resistant STDs, HCV, Chagas, Leishmaniasis, Lassa Fever, even we allowed Ebola infected too. We hide the fact that diseases get localized like Chagas by blaming it on cardboard boxes, or Leprosy on Armadillos, etc. Patty Date: Sun 15 Jan 2017 Source: UN Office for the Coordination of Humanitarian Affairs (OCHA), ReliefWeb [edited] http://reliefweb.int/report/yemen/yemen-cholera-outbreak-situation-report-15-jan-2017 Yemen: Cholera outbreak situation report ---------------------------------------- Key figures ----------- - As of 11 Jan 2017, 15 658 suspected cholera cases have been reported in 156 districts. - A total of 180 out of 841 cases have tested positive for _Vibrio cholera_, serotype Ogawa. - Overall, the epidemic curve shows a declining trend from week 51 [18 to 24 Dec 2016] onwards, while the attack rate remains high in some high risk districts. - Health response is underway through 26 Diarrhea Treatment Centres (DTC) in 24 districts; while WASH [Water, Sanitation and Hygiene] partners are undertaking response in 29 districts. - An additional USD 3 million is being allocated through the 2017 HPF [Humanitarian Pooled Fund] reserve allocation to address outstanding gaps. Situation overview ------------------ - The cholera/acute watery diarrhea (AWD) epidemic curve shows a declining trend of incidences from week 51 onwards (18 to 24 Dec 2016). The downward trend is occurring in most affected districts, while in some the outbreak is stabilizing. Similarly, the case fatality rate (CFR) of 0.6 percent has been declining steadily since week 41 of 2016 (9 to 15 Oct 2016), when it peaked at 8.6 percent. - As of 11 Jan 2017, a total of 15 658 suspected cholera/AWD cases were reported from 157 districts in 15 governorates: Al Hudaydah (23 percent), Taiz (14.7 percent), Aden (10.2 percent), Ibb (9.5 percent), Al Bayda (8.9 percent), Al Dhale'e (8.2 percent), Hajjah (7.1 percent), Sana'a (6.7 percent), Lahj (5.2 percent), Raymah (3.7 percent), Amanat Al Asimah (1.6 percent), and 1.3 percent from Abyan, Dhamar, Amran, Al Jawf governorates. An estimated 34 percent of the total suspected cholera/AWD cases are children below five years of age. Cumulatively, 180 (21 percent) of the samples from 46 districts tested positive for _V. cholerae_, serotype Ogawa. - A total of 99 deaths associated with cholera/AWD have been reported from Aden, Abyan, Al Bayda, Dhamar, Al Dhale'e, Al Hudaydah, Amanat Al Asimah, Hajjah, Ibb, Sana'a, and Taizz, of which 11 deaths in Aden, Amran, Hajjah, Raymah, Ibb and Sana'a have been confirmed by laboratory to be cholera. The cumulative cholera case fatality rate (CFR) as of 11 Jan is 0.6 percent. - The attack rate as of 11 Jan 2017 is 6.7 per 10 000 of population compared to 6 per 10 000 of population as of 31 Dec 2016. The high risk districts based on the attack rate and number of cholera/AWD cases are Mukayras in Al Bayda (187 per 10 000); Al Hali in Al Hudaydah (96 per 10 000); Sa'fan in Sana'a (92 per 10 000); Al Mahabishah in Hajjah (90 per 10 000); and Al Husha in Al Dhale'e (55 per 10 000). The high attack rate indicates the need to scale up response in these priority districts. - More than 20 months of conflict has caused the collapse of basic services and institutions. Only 45 percent of health facilities are functioning, and even these face severe shortages in medicines, equipment, and staff. The lack of capacity, coupled with predisposing conditions such as population displacement, overcrowding and inadequate sanitation have contributed to the occurrence and spread of the cholera/AWD outbreak. -- Communicated by: ProMED-mail <promed@promedmail.org> [Poverty, flooding, drought, and war are the 4 horsemen of cholera. The conditions in the impoverished Arabian Peninsula country of Yemen are ideal for the rapid spread of _Vibrio cholerae_. Numbers are no doubt underreported and are likely to continue to rise dramatically in this country of more than 24 million inhabitants. Spread northward with importations across the border to Saudi Arabia is likely, as well as eastward to Oman. Yemen is divided into 21 governorates (muhafazah), which can be seen on the map at https://en.wikipedia.org/wiki/Governorates_of_Yemen. A HealthMap/ProMED-mail map can be accessed at http://healthmap.org/promed/p/126. - Mod.LL] YELLOW FEVER BRAZIL In this report: [1] Bahia state [2] Espirito Santo state confirmed [3] Minas Gerais state [4] Sao Paulo state ****** [1] Bahia state Date: Mon 23 Jan 2017, 11:24 PM Source: GI [in Portuguese, trans. & summ. Mod.TY, edited] http://g1.globo.com/bahia/noticia/2017/01/bahia-tem-caso-confirmado-de-febre-amarela-diz-ministerio-da-saude.html The Ministry of Health stated tonight [Mon 23 Jan 2017] that Bahia state has 7 reported yellow fever cases [suspected, locally acquired or imported? - Mod.RNA]. Of these, 1 was confirmed [where? Teixeira de Fretas? Sylvatic? - Mod.RNA], 1 was discarded and the other 5 are under investigation. Currently, the Bahia state Secretariat of Health [SESAB] stated that there are just 3 suspected cases of the disease registered in the city of Teixeira de Freitas that is located in the south of the state [all locally acquired? An outbreak? - Mod.RNA]. Moreover, in the case totals released by the Ministry of Health there is no record of deaths in Bahia, and those cases were reported in 3 municipalities, though they did not say which ones. The Ministry pointed out that it sent 400 000 extra doses [of vaccine] to Bahia for preventive vaccination of the population in the recommended area. SESAB also stated that the recommendation included booster vaccinations for the municipality of Vitória da Conquista, a city at an important highway route to the north and northeast of Minas Gerais, where the municipalities with the occurrence of yellow fever cases and deaths are located. The populace of Vitória da Conquista issued a complaint about the lack of vaccine against the disease in the region. According to the Secretariat, although the road flow is not an indication for population vaccination, due to the daily migratory intensity and the strong health relations between the 2 regions, Vitória da Conquista was included in the list of cities for a selective vaccination intensification. The other municipalities that must vaccinate 100 percent of their populations are: Angical, Baianópolis, Barra, Barreiras, Bom Jesus da Lapa, Brejolandia, Buritirama, Campo Alegre de Lourdes, Canápolis, Carinhanha, Casa Nova, Catolandia, Cocos, Coribe, Correntina, Cotegipe, Cristópolis, Feira da Mata, Formosa do Rio Preto, Ibotirama, Itaguaçu da Bahia, Iuiú, Jaborandi, Luiz Eduardo Magalhaes, Malhada, Mansidao, Morpará, Muquém de Sao Francisco, Paratinga, Pilao Arcado, Remanso, Riachao das Neves, Santa Maria da Vitória, Santa Rita de Cássia, Santana, Sao Desidério, Sao Félix do Coribe, Sento Sé, Serra do Ramalho, Serra Dourada, Sítio do Mato, Sobradinho, Tabocas do Brejo Velho, Wanderley, Xique-Xique. -- Communicated by: ProMED-PORT <promed-port@promedmail.org> ****** [2] Espirito Santo state confirmed Date: Tue 24 Jan 2017, 7:07 AM Source: G1 [in Portuguese, trans. Mod.TY, edited] http://g1.globo.com/espirito-santo/noticia/2017/01/secretaria-de-saude-confirma-1-caso-de-febre-amarela-no-es.html On [Mon 23 Jan 2017] night (the state Secretariat of Health (SESA) confirmed the 1st case of yellow fever in humans in Espirito Santo [locally acquired? Sylvan? in which municipality? - Mod.RNA] The patient is hospitalized receiving care in a public hospital. Laboratory tests confirmed that the disease is sylvatic [forest] type [there is no test that can characterize the sylvatic disease without an epidemiological investigation. - Mod.RNA]. More information about the case will be issued this [Tue 24 Jan 2017]. The number of cases in the state [in which municipalities? - Mod.RNA] under investigation by the Secretariat of SESA increased to 18 patients with yellow fever symptoms. The secretariat also investigates patients that have dengue, leptospirosis and other diseases. The agency confirmed the death of monkeys from yellow fever in the municipalities of Colatina and Irupi, based on laboratory tests. Last [Fri 20 Jan 2017], 2 patients died suspected of having yellow fever. A 33 year old brick layer, resident of the Santa Clara locality, within Ibatiba [forest?] The cause of death is still under investigation by SESA. [Byline: Brunela Alves & Katilaine Chagas] -- Communicated by: ProMED-PORT <promed-port@promedmail.org> ****** [3] Minas Gerais state Date: Mon 23 Jan 2017, 7:01 PM Source: G1 [in Portuguese, trans. Mod.TY, edited] http://g1.globo.com/minas-gerais/noticia/governo-de-mg-investiga-83-mortes-por-febre-amarela-obitos-confirmados-sao-32.ghtml The Minas Gerais state Secretariat of Health (SES-MG) reported this [Tue 23 Jan 2017] on the investigation of 83 deaths suspected of yellow fever; of which there are now 32 confirmed deaths. The state government considers this to be the worst outbreak of the disease registered in Minas Gerais. The number of cases notified in Minas Gerais is 391 of which 58 are currently confirmed. The case numbers are increased over those of the [Fri 20 Jan 2017] bulletin. According to the Secretariat there were 71 suspected deaths and 25 confirmed and 272 suspected cases with 47 confirmed. According to SES-MG, the confirmed cases have already undergone laboratory examination detecting yellow fever; laboratory examination that did not detect dengue; vaccination history (unvaccinated / vaccinated ignored); signs and symptoms compatible with the case definition; and exams that characterize renal and hepatic dysfunction. According to the secretariat, confirmed deaths are related to the cities of the Rio Doce and Mucuri valleys: Ladainha (8 cases), Ipanema (5), Teófilo Otoni (3), Piedade de Caratinga (2), Malacacheta (2) , Imbé de Minas (2), Sao Sebastiao do Maranhao (2), Itambacuri (2), Poté (1), Conceiçao de Ipanema (1), Setubinha (1), José Raydan (1) and Ubaporanga (1). The 32nd death is related to the city of Januaria, in the north of the state. SES is still investigating the site of the infection. The victim died in Brasilia. There is also a confirmed death of a person who contracted the disease in Minas Gerais, Teófilo Otoni Region, and died in Sao Paulo. The secretariat says that death is among the 31 confirmed. -- Communicated by: ProMED-PORT <promed-port@promedmail.org> ****** [4] Sao Paulo state Date: Mon 23 Jan 2017, 1:09 PM Source: G1 [in Portuguese, trans. Mod.TY, edited] http://g1.globo.com/sao-paulo/noticia/secretaria-da-saude-investiga-13-casos-suspeitos-de-febre-amarela-em-sp.ghtml The state Secretariat of Health is investigating 10 suspected cases of yellow fever in Sao Paulo state. Of these [suspected cases] 3 people died. All of these fatal victims occurred this year [2017] [one?] in Minas Gerais, a state that is confronting an outbreak of the disease. According to the agency, there are 3 confirmed deaths from the disease, being 1 case imported from Minas Gerais (with notification from Santana do Parnaíba) and 2 contracted locally in Batatais and Américo Brasiliense municipalities, in the interior [of Sao Paulo state]. Yellow fever cases in Sao Paulo state: Under Investigation: 10 cases Deaths under investigation: 3 Confirmed deaths: 3 The Secretariat also reports that in the last 6 months of 2016, it received 1 700 000 doses of the vaccine from the Ministry of Health and just now 400 000 more doses were sent this month [January 2017]. |
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