Published Date: 2007-10-11 18:00:08
Subject: PRO/EDR> Cholera, diarrhea & dysentery update 2007 (47)
Archive Number: 20071011.3340
CHOLERA, DIARRHEA & DYSENTERY UPDATE 2007 (47)
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In this update:
Asia
[1] Cholera - Iraq: WHO situation report
[2] Diarrhea, fatal - Nepal (Midwestern)
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[1] Cholera - Iraq: WHO situation report
Date: Tue 9 Oct 2007
Source: UN Office for the Coordination of Humanitarian Affairs (OCHA),
ReliefWeb, WHO [edited]
<http://www.reliefweb.int/rw/rwb.nsf/db900sid/LSGZ-77VBUF?OpenDocument&rc=3&cc=irq>
As of 7 Oct 2007, 25 districts of Northern Iraq and 14 districts in the
south and center have reported laboratory confirmed cases of cholera.
In north Iraq: 13 out of the 14 districts of Sulaymaniyah governorate, all
5 districts of Kirkuk governorate, 6 out of the 7 districts of Erbil
governorate, one district in Dahuk.
As for the center and south, the affected districts are: 3 districts in
each of Tikrit, Mosul, and Diala, 2 districts in Basra as well as one
district in each of Wasit, Baghdad, and Anbar.
The results of the samples of _Vibrio cholerae_ isolates from Sulaymaniyah
were received from US Navy Advanced Research Unit Laboratory in Cairo.
NAMRU3 (US Naval Medical Research Unit No. 3) results confirmed
Sulaymaniyah and CPHL (Central Public Health Laboratory) results. Another
54 cholera isolates (some dating back to the 2000 outbreak) sent by the
CPHL in Baghdad were received in NAMRU3 in Cairo.
96 per cent of Iraq's cholera cases were reported from Sulaymaniyah and
Kirkuk in north Iraq, the outbreak seems to be slowly spreading to the
neighboring provinces of Erbil and Diala with 147 laboratory confirmed
cases in Erbil and 44 cases from Diala (3 laboratory confirmed and the
remaining 41 diagnosed on clinical and epidemiological grounds).
Sporadic cases with definite history of travel and food consumption in
Kirkuk were reported from Tikrit provinces; however, isolated cases with no
epidemiological link to north Iraq were also confirmed in Mosul, Wasit,
Baghdad, Anbar and Basra.
One of the important features in this outbreak is that most of the cases
seen have mild to moderate signs and symptoms. The traditional signs and
symptoms of severe dehydrating diarrhea were seen only very occasionally.
Specific control measures to contain this ongoing outbreak and limit its
spread to other areas have been reinforced by the concerned governmental
departments of the affected provinces with technical support from WHO.
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[The full report can be found at
<http://www.reliefweb.int/rw/RWB.NSF/db900SID/LSGZ-77VBUF/$File/Full_Report.pdf>
and contains these updated statistics on laboratory confirmed cholera in Iraq:
Province / Districts Affected / Date of 1st case / Deaths / Confirmed cases
Kirkuk / 5 / 14 Aug 2007 / 4 / 2651
Sulaymaniyah / 13 / 23 Aug 2007 / 11 / 1035
Erbil / 6 / 6 Sep 2007 / 0 / 151
Dahuk / 1 / 7 Sep 2007 / 0 / 1
Tikrit / 3 / 12 Sep 2007 / 0 / 5
Mosul / 3 / 15 Sep 2007 / 1 / 3
Baghdad-Resafa / 1 / 19 Sep 2007 / 1 / 4
Basra / 2 / 19 Sep 2007 / 0 / 2
Wasit / 1 / 20 Sep 2007 / 0 / 1
Anbar / 1 / 3 Oct 2007 / 1 / 1
Diala / 3 / 3 Oct 2007 / 0 / 3
New provinces with confirmed cases: none
Total confirmed cases: 3857 (up from 3770 in the last posted situation
report 6 Oct 2007)
Total deaths reported: 18
A map of Iraq showing the provinces can be found at
<http://www.un.org/Depts/Cartographic/map/profile/iraq.pdf>. - Mod.LL]
******
[2] Diarrhea, fatal - Nepal (Midwestern)
Date: Wed 10 Oct 2007
Source: Nepal News [edited]
<http://www.nepalnews.com/archive/2007/oct/oct10/news08.php>
A serious diarrhea outbreak has claimed the lives of 6 people in Foimahadev
VDC of remote Kalikot in the past week.
Saying that the those falling sick with diarrhea are not getting any
treatment due to lack of any medicine at the local health center, former
VDC chairman Ain Bahadur Shahi said that more than 200 others in different
wards of the village have been suffering with the disease.
--
communicated by:
ProMED-mail
<promed@promedmail.org>
[Cholera does occur in Nepal. A map of the mountainous country of Nepal
showing the location of the Kalikot District in the Midwestern region
(between the Farwestern and Western regions) can be found at
<http://ncthakur.itgo.com/map04.htm>. - Mod.LL]
See Also
Cholera, diarrhea & dysentery update 2007 (46) 20071009.3316Cholera, diarrhea & dysentery update 2007 (45) 20071008.3309
Cholera, diarrhea & dysentery update 2007 (44) 20071006.3300
Cholera, diarrhea & dysentery update 2007 (43) 20071004.3286
Cholera, diarrhea & dysentery update 2007 (42) 20071002.3254
Cholera, diarrhea & dysentery update 2007 (41) 20070925.3175
Cholera, diarrhea & dysentery update 2007 (40) 20070924.3164
Cholera, diarrhea & dysentery update 2007 (30) 20070830.2856
Cholera, diarrhea & dysentery update 2007 (20) 20070511.1509
Cholera, diarrhea & dysentery update 2007 (10) 20070302.0737
Cholera, diarrhea & dysentery update 2007 (01) 20070105.0047
2006
---
Cholera, diarrhea & dysentery update 2006 (52) 20061229.3646
Cholera, diarrhea & dysentery update 2006 (50) 20061215.3528
Cholera, diarrhea & dysentery update 2006 (40) 20061006.2862
Cholera, diarrhea & dysentery update 2006 (30) 20060724.2037
Cholera, diarrhea & dysentery update 2006 (20) 20060512.1352
Cholera, diarrhea & dysentery update 2006 (10) 20060303.0675
Cholera, diarrhea & dysentery update 2006 (01) 20060106.0040
.................ll/mj/sh
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