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Published Date: 2010-05-24 19:00:04
Subject: PRO/EDR> Cholera, diarrhea and dysentery update 2010 (08): Asia
Archive Number: 20100524.1723

CHOLERA, DIARRHEA AND DYSENTERY UPDATE 2010 (08): ASIA
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In this update:
[1] Cholera - Papua New Guinea
[2] Gastroenteritis, fatal - Pakistan (Punjab)
[3] Cholera - Viet Nam (south)
[4] Cholera - Viet Nam (north)
[5] Cholera, gastroenteritis - India (Gujarat)
[6] Cholera, diarrhea - India (Tamil Nadu)
[7] Dysentery - Nepal (Eastern region)
[8] Cholera - China (Hong Kong) ex Singapore
[9] Cholera - China (Hong Kong) ex India

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[1] Cholera - Papua New Guinea
Date: Thu 20 May 2010
Source: Radio New Zealand International [edited]
<http://www.rnzi.com/pages/news.php?op=read&id=53669>

Papua New Guinea's Minister of Health has declared a public health
emergency in Central Province following criticism of the government's
response to the latest cholera outbreak. The announcement follows a
public health emergency declaration in Port Moresby in the latest
flare-up of an outbreak 1st detected in remote provinces in August 2009.

Sasa Zibe says 3 people in the capital have died from the disease,
which has infected 132 people there, and there have been 2 deaths in
Central Province, where there are another 117 cases of infection.

The Papua New Guinea Secretary for Education, Dr Joseph Pagelio, says
awareness is being carried out on preventative hygiene measures to
stop the spread of cholera in Port Moresby's schools. Dr Pagelio says
awareness is being carried out by education, health and local
government officials.

--
Communicated by:
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[For the interactive HealthMap/ProMED map of Papua New Guinea, see
<http://healthmap.org/r/0179>. The provinces can be seen at
<http://en.wikipedia.org/wiki/Provinces_of_Papua_New_Guinea#List_of_provinces>.
- Mod.MPP]

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[2] Gastroenteritis, fatal - Pakistan (Punjab)
Date: Tue 18 May 2010
Source: The International News [edited]
<http://www.thenews.com.pk/updates.asp?id=104980>

Three people including a woman were killed during the last few days
as district Rahim Yar Khan once again is in the grip of a
gastroenteritis epidemic.

At least 40 to 50 gastroenteritis patients have been brought to
hospitals on a daily basis. Three people including a woman have died,
and 3 more are reported to be in a critical state, Shaikh Zaid
Hospital sources said. Doctors have urged the people to use clean
water and avoid consuming unhygienic items from the vendors.

--
Communicated by:
Healthmap Alerts via ProMED-mail
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[For a map of Pakistan with provinces, see
<http://en.wikipedia.org/wiki/Administrative_units_of_Pakistan>. For
the interactive HealthMap/ProMED map of Pakistan, see
<http://healthmap.org/r/00tj>. - Mod.MPP]

******
[3] Cholera - Viet Nam (south)
Date: Sat 22 May 2010
Source: Thanh Nien News [edited]
<http://www.thanhniennews.com/2010/Pages/20100522102159.aspx>

Three more patients with cholera have been recorded in Ben Tre,
increasing the number of patients with the disease in the Mekong
Delta province to 25 this year [2010], a health official said Fri 21 May 2010.

The provincial Preventive Health Center is cooperating with health
clinics at districts where the patients live to test water samples
and instruct local people about preventive measures, said Nguyen Van
Thang, vice director of the Ben Tre Department of Health.

Ben Tre is one of 8 provinces and cities to be hit by cholera so far
in 2009. Hanoi and Ho Chi Minh City are among the affected
localities. Seven cases have been recorded in the southern metro,
while the capital has reported one patient so far.

Cholera infected hundreds of people in northern Viet Nam in 2008 and 2009.

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[For the interactive HealthMap/ProMED map of Viet Nam, see
<http://healthmap.org/r/008c>. For a map of Viet Nam with provinces,
see <http://en.wikipedia.org/wiki/Provinces_of_Vietnam> - Mod.MPP]

*****
[4] Cholera - Viet Nam (north)
Date: Sat 15 May 2010
Source: VietNamNet Bridge [edited]
<http://english.vietnamnet.vn/social/201005/Cholera-threatens-North-Vietnam-910004/>

More cholera patients have been discovered in some northern
provinces, said Dr. Tran Nhu Duong, Central Institute for
Epidemiology Vice-Director, on 12 May 2010. The latest case was
reported on 8 May 2010, when a 65-year-old woman from Hanoi's Dong Da
District was hospitalized at the Central Hospital for Tropical
Diseases for cholera.

Since early March 2010, a total of 106 cholera patients have been
recorded in 5 northern provinces, including Hanoi, Ha Nam, Hai Duong,
Hai Phong and Bac Ninh. The southern provinces of An Giang, Tay Ninh
and HCM City have also detected cholera patients in the last 2 months.

Area water sources transmitted cholera in An Giang province, but the
reasons for cholera in other locations have not been identified.

--
Communicated by:
HealthMap alerts via ProMED-mail
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[For the interactive HealthMap/ProMED map of Viet Nam, see
<http://healthmap.org/r/008c>. For a map of Viet Nam with provinces,
see <http://en.wikipedia.org/wiki/Provinces_of_Vietnam> - Mod.MPP]

******
[5] Cholera, gastroenteritis - India (Gujarat)
Date: Wed 12 May 2010
Source: Indian Express [edited]
<http://www.indianexpress.com/news/seven-cholera-cases-reported-in-vadoda=ra-village/617707/>

After 7 cholera cases were detected in Choranda village of Karjan
taluka, the Vadodara district health department has declared the
village cholera-hit. A 26-year-old woman is reported to have died of
the disease.

A Health department team has detected 46 cases of gastroenteritis in
the village in the past week. Sources said a leak in a sewage water
pipeline in the village a week ago contaminated the drinking water
supply, leading to an outbreak of diarrhea and vomiting cases.

"Eight medical teams are constantly monitoring the area. Only a part
of the village has been affected by the disease. We have taken all
measures to prevent the spread of the disease," said B R Solanki,
Chief District Health Officer, Vadodara.

Four patients have been admitted in a Karjan hospital, and 3 others
are under observation at a nearby Community Healthcare Centre (CHC).
Water is being supplied through tankers, and the damaged water
connection is yet to be fixed.

--
Communicated by:
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[For the interactive HealthMap/ProMED map of India, see
<http://healthmap.org/r/008o>. For a map of India with states, see
<http://en.wikipedia.org/wiki/States_and_territories_of_India>. For
a map of Gujarat with districts, see
<http://en.wikipedia.org/wiki/Gujarat>. - Mod.MPP]

******
[6] Cholera, diarrhea - India (Tamil Nadu)
Date: Mon 17 May 2010
Source: Times of India [edited]
<http://timesofindia.indiatimes.com/City/Chennai/4-die-of-cholera-in-Theni-panic-up-as-diarrhoea-spreads/articleshow/5938561.cms>

Four persons have died due to cholera in Theni district, and over 600
people have been treated for diarrhea in the last 6 days, causing
fear in Uthamapalayam and surrounding regions of the district.

"Four deaths were confirmed cases of cholera. Seven samples were
tested in the last few days, and 4 tested positive for cholera," Dr S
Chelladurai, deputy director of health services, Theni, told TOI. As
many as 234 patients in Theni and 186 in Uthamapalayam and its
neighboring villages had been treated for diarrhea-related diseases.

Outbreaks of diarrhea were also reported from Chinnamanur, Bodi and
other areas of Theni district. More than 100 persons were admitted to
the government medical college in Theni and government hospitals,
PHCs and private hospitals.

--
Communicated by:
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[Whether cholera is responsible for all the illness is not clear from
the posting. - Mod.LL]

[For the interactive HealthMap/ProMED map of India, see
<http://healthmap.org/r/008o>. For a map of India with states, see
<http://en.wikipedia.org/wiki/States_and_territories_of_India>. For
a map of Tamil Nadu with districts, see
<http://en.wikipedia.org/wiki/Tamil_Nadu>. - Mod.MPP]

******
[7] Dysentery - Nepal (Eastern region)
Date: Mon 10 May 2010
Source: My Republica [edited]
<http://www.myrepublica.com/portal/index.php?action=news_details&news_id=18454>

Cases of dysentery have been reported in Ikhabu VDC in the northern
belt of Taplejung district. The outbreak has affected 7 or 8 persons
in every village of the VDC, said Ram Maya Budha Kshetri, a maternal
child health worker. "If the cases reach 12-14 in each locality, then
the outbreak will be considered epidemic," she said.

"Patients are being treated at the local level," said Budha Kshetri.
She said they have still not reported the problem to the district
hospital as they think that they can contain it on their own. Most of
the areas in the VDC have been affected by the disease.

--
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[Dysentery is usually caused by bacteria, especially _Shigella_, and
the protozoan _Entamoeba histolytica. - Mod.LL]

[For the interactive HealthMap/ProMED map of Nepal, see
<http://healthmap.org/r/018D>. For a map of Nepal with regions, see
<http://en.wikipedia.org/wiki/Nepal>. Taplejung district is in the
Mechi zone, and can be seen on the map of Mechi zone available at
<http://en.wikipedia.org/wiki/Districts_of_Nepal> - Mod.MPP]

******
[8] Cholera - China (Hong Kong) ex Singapore
Date: Mon 24 May 2010
Source: XinHuaNet [edited]
<http://english.people.com.cn/90001/90782/90880/6997516.html>

A 46-year-old HK woman was found to have contracted cholera during
her trip to Singapore, the city's Center for Health Protection (CHP)
said on Mon 24 May 2010.

The patient involved developed watery diarrhea starting on 16 May
2010. She sought medical consultation on 18 May 2010 and was given
symptomatic treatment, the CHP said. She is now in an isolation unit
at the Princess Margaret Hospital and is in stable condition.

Test on Monday [24 May 2010] showed the woman's stool specimen
yielded _Vibrio cholerae_ O1 stereotype Inaba. Her home contacts have
no cholera symptoms.

The CHP's investigation revealed that the patient had traveled alone
to Singapore between 10 and 17 May 2010. This is the 2nd case of
cholera reported this year [2010].

--
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[The 1st case of imported cholera in 2010 is below. - Mod.LL]

[For a map of Southeast Asia showing Hong Kong and Singapore, see
<http://www.reliefweb.int/mapc/asi_se/reg/seasia.html>. - Mod.MPP]

******
[9] Cholera - China (Hong Kong) ex India
Date: Sat 8 May 2010
Source: News.gov.hk [edited]
<http://www.news.gov.hk/en/category/healthandcommunity/100508/html/100508en05004.htm>

The Centre for Health Protection is investigating a cholera case
involving a 53-year-old man who joined a tour group to India from 24
Apr 2010 to 1 May 2010.

He developed stomach pain and diarrhea on 30 Apr 2010 and sought
medical advice on 4 May 2010. He is now in isolation in Princess
Margaret Hospital for treatment and is stable.

Laboratory tests showed he had cholera. His family members have no
symptoms. The centre is contacting his tour group members. This is
the 1st cholera case reported in 2010. There were 7 cholera cases in
2008, 3 cholera cases in 2007, one in 2006 and 5 in 2005.

--
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[For a map of East Asia showing Hong Kong and India, see
<http://www.lib.utexas.edu/maps/middle_east_and_asia/asia_east_pol_2004.jpg>.
- Mod.MPP]

See Also