Published Date: 2005-09-10 23:50:00
Subject: PRO/EDR> Cholera, diarrhea & dysentery update 2005 (35)
Archive Number: 20050910.2681

CHOLERA, DIARRHEA & DYSENTERY UPDATE 2005 (35)
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In this update:
Asia
[1] Cholera - India (Bharuch)
[2] Diarrhea - Philippines (East Nusa Tenggara)
Africa
[3] Cholera - Niger (Tahoua)
[4] Bloody diarrhea, military convoy - Congo DR (Ituri)
[5] Cholera - Worldwide - WHO WER Notifications
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[1] Cholera - India (Bharuch)
Date: Sun, 4 Sep 2005
From: ProMED-mail <promed@promedmail.org>
Source: Ahmedabad Newsline [edited]
<http://cities.expressindia.com/fullstory.php?newsid=147034>

2 talukas of Bharuch district [a taluka is an administrative division in
India below a district; called tahsil/tehsil in northern India - Mod.LL]
including Ankleshwar town have been declared cholera-affected, after 6
confirmed cases of cholera and another 250 suspected cases of
gastroenteritis were reported in the last few weeks.
According to Bharuch district officials, 3 confirmed cases of cholera were
reported first from Amod town and taluka villages. Following that, a case
was confirmed from Nikora village of Bharuch taluka. On Fri, 2 Sep 2005,
another case of cholera was reported from Ankleshwar town. The District
Collector Dr S Murlikrishna declared Bharuch and Amod taluka as
cholera-affected and initiated control measures as specified under the
Epidemic Prevention and Detection Act, 1987.
******
[2] Diarrhea - Philippines (East Nusa Tenggara)
Date: Mon, 5 Sep 2005
From: ProMED-mail <promed@promedmail.org>
Source: Jakarta Post [edited]
<http://www.asean-disease-surveillance.net/ASNNews_Detail.asp?ID=3337>

A recent occurrence of children with severe diarrhea in Indonesia's East
Nusa Tenggara (NTT) province has claimed 21 lives, mostly children, over
the last month. In the worst-hit area, Timor Tengah Selatan regency, 16
children reportedly died due to the diarrhea -- the cause of which was
still unknown to the health agency in the province.
In addition, 851 people were being treated in hospitals and health centers
with similar symptoms. In Kupang regency, 5 people have died, with their
deaths attributed to complications as a result of the same severe diarrhea.
Head of Timor Tengah Selatan regency's Health Office, Markus NG Righuta,
said on Wed, 31 Aug 2005, that 28 children with nearly identical symptoms
were still being treated at hospitals and community health centers.
"The provincial administration has assisted in dealing with the problem by
sending a medical team of 4 doctors and a lab analyst as well as extra
medicine to the regency," Markus said. East Java's environmental health
technology agency also sent in a team of 3 doctors, he added.
******
[3] Cholera - Niger (Tahoua)
Date: Wed, 7 Sep 2005
From: Mary Marshall <tropical.forestry@btinternet.com>
Source: Alertnet.org [edited]
<http://www.alertnet.org/thenews/newsdesk/L07186222.htm>

An outbreak of cholera has killed at least 22 people in Niger's northeast
region of Tahoua, the national health service said on Wed, 7 Sep 2005,
after rains brought further misery to the famished central African state.
Officials had identified 251 cases of the disease between 13 Jul and 5 Sep
2005 in Tahoua, 650 km (400 miles) northeast of the capital Niamey.
Millions of people in land-locked Niger, one of the world's poorest
countries, are still facing severe food shortages after a drought in 2004.
Long-awaited rains have helped crops but brought an epidemic of the deadly
bacterial disease.
--
Mary Marshall
<tropical.forestry@btinternet.com>
******
[4] Bloody diarrhea, military convoy - Congo DR (Ituri)
Date: Thu, 1 Sep 2005
From: ProMED-mail <promed@promedmail.org>
Source: MONOC.org [edited]
<http://www.monuc.org/news.aspx?newsID=8181>

The north eastern part of the Democratic Republic of Congo (DRC) saw an
outbreak of diarrhee sanglante (severe, bloody diarrhea) this week
following last week's cholera plague, a UN official told Xinhua on Thu, 1
Sep 2005.
As of Tue, 30 Aug 2005, 132 cases of diarrhee sanglante have been reported
in the 4th brigade of the government forces, stationed in Bunia, capital of
the Ituri region, confirmed Michel Bonnardeaux, spokesman of the mission of
United Nations Office for the Coordination of Humanitarian Affairs to the DRC.
The brigade, consisting of 2 800 soldiers, was reorganized and deployed to
Ituri, when 800 troops were infected with cholera, leading to 30 deaths.
The Ituri region borders Uganda and is frequently haunted by tribal
violence. At present, the brigade suffers under harsh circumstances. There
are no tents, no food, and no drinking water available in the barracks,
sanitation and survival depending only on the inconsistent relief sent by
NGOs and UN peace-keeping troops.
Due to the impossibility of isolating the infected soldiers and their
family members, totaling up to 1700, under the current circumstances, the
plague may spread throughout the country, the UN mission to DRC warned. The
mission also called for the DRC government to offer necessary supplies to
the troops.
[This outbreak may well be shigellosis. - Mod.LL]
******
[5] Cholera - Worldwide - WHO WER Notifications
Date: Fri, 9 Sep 2005
From: Marianne Hopp <mjhopp12@yahoo.com>
Source: WHO Epidemiological Record, 9 Sep 2005 [edited]
<http://www.who.int/wer/2005/wer8035/en>

Notifications of cholera received from 2 to 9 Sep 2005
------------------------------------------------------
country / dates / cases / deaths
Africa
Guinea / 17 Jul -26 Aug 2005/ 681 / 20
Guinea-Bissau / 16 Aug-2 Sep 2005 / 4 820 / 87
Liberia / 4 July-14 Aug 2005 / 938 / 6
Senegal / 8-28 Aug 2005/ 1 470 / 26
Asia
India / 12 Jun-27 Aug 2005 / 599 / 2
Iran / 8-24 Aug 2005/ 801 / 8
--
ProMED-mail
<promed@promedmail.org>

See Also

Cholera, diarrhea & dysentery update 2005 (34) 20050903.2605
Cholera, diarrhea & dysentery update 2005 (33) 20050826.2526
Cholera, diarrhea & dysentery update 2005 (32) 20050819.2441
Cholera, diarrhea & dysentery update 2005 (31) 20050812.2359
Cholera, diarrhea & dysentery update 2005 (30) 20050805.2280
Cholera, diarrhea & dysentery update 2005 (29) 20050803.2247
Cholera, diarrhea & dysentery update 2005 (28) 20050722.2115
Cholera, diarrhea & dysentery update 2005 (27) 20050715.2022
Cholera, diarrhea & dysentery update 2005 (26) 20050708.1934
Cholera, diarrhea & dysentery update 2005 (25) 20050701.1854
Cholera - Afghanistan (Kabul) (03): WHO 20050621.1741
Cholera, diarrhea & dysentery update 2005 (23) 20050619.1728
Cholera - USA (Hawaii): RFI 20050615.1685
Cholera - Afghanistan (Kabul)(02) 20050614.1659
Cholera - Afghanistan (Kabul) 20050613.1654
Cholera - Kenya (Nairobi) 20050611.1629
Cholera, diarrhea & dysentery update 2005 (22) 20050610.1611
Cholera, diarrhea & dysentery update 2005 (21) 20050603.1552
Cholera, diarrhea & dysentery update 2005 (20) 20050527.1471
Cholera, diarrhea & dysentery update 2005 (19) 20050524.1425
Cholera, diarrhea & dysentery update 2005 (18) 20050513.1316
Cholera, diarrhea & dysentery update 2005 (17) 20050507.1261
Cholera, diarrhea & dysentery update 2005 (16) 20050502.1216
Cholera, diarrhea & dysentery update 2005 (15) 20050422.1123
Cholera, diarrhea & dysentery update 2005 (14) 20050415.1083
Cholera, diarrhea & dysentery update 2005 (13) 20050408.1013
Cholera, diarrhea & dysentery update 2005 (12) 20050404.0966
Cholera, diarrhea & dysentery update 2005 (11) 20050328.0899
Cholera, diarrhea & dysentery update 2005 (10) 20050318.0789
Cholera, diarrhea & dysentery update 2005 (09) 20050311.0714
Cholera, diarrhea & dysentery update 2005 (08) 20050304.0662
Cholera, diarrhea & dysentery update 2005 (07) 20050225.0598
Cholera, diarrhea & dysentery update 2005 (06) 20050215.0512
Cholera, diarrhea & dysentery update 2005 (05) 20050204.0384
Cholera, diarrhea & dysentery update 2005 (04) 20050128.0308
Cholera, diarrhea & dysentery update 2005 (03) 20050123.0240
Cholera, diarrhea & dysentery update 2005 (02) 20050119.0174
Cholera, diarrhea & dysentery update 2005 (01) 20050108.0060
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