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Archive Number 20091111.3902
Published Date 11-NOV-2009
Subject PRO/EDR> Cholera, diarrhea & dysentery update 2009 (28)
CHOLERA, DIARRHEA AND DYSENTERY UPDATE 2009 (28)
************************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

In this update:
Asia
[1] Cholera - Papua New Guinea (Madang)
[2] Cholera - Azerbaijan (Baku)
Africa
[3] Cholera - Nigeria (Adamawa)
Americas
[4] Gastroenteritis - Brazil (Minas Gerais)
[5] Diarrhea - Bangladesh (Dhaka, Pabna)

*****
[1] Cholera - Papua New Guinea (Madang)
Date: Mon 9 Nov 2009
Source: Radio New Zealand International [edited]
<http://www.rnzi.com/pages/news.php?op=read&id=50203>


The cholera outbreak in Papua New Guinea's Madang is still worsening  
with more than 300 people now being treated for the illness. An  
epidemiologist with the World Health Organization, Alexander Rosewell,  
says local authorities are still considering whether to declare a  
public health emergency as has been done in neighbouring Morobe  
province.

Rosewell says most affected people come from a settlement just outside  
of Madang city. "Approximately 320 cases have come through health  
facilities in Madang, they are suspected cases. In terms of laboratory  
confirmation, we now have 10laboratory confirmed cases from Port  
Moresby's laboratory, as well as 22 confirmations from laboratories  
from Madang."  Rosewell says they hope to establish a longer-term  
special cholera treatment facility in the next few days.

--
Communicated by:
HealthMap Alerts via ProMED-mail
<promed@promedmail.org>

[Madang province can be found on a map of Papua New Guinea at
<http://www.un.org/Depts/Cartographic/map/profile/papua.pdf>
and via the HealthMap/ProMED-mail interactive map at
<http://healthmap.org/r/00Zk>. - Mod.LL]

******
[2] Cholera - Azerbaijan (Baku)
Date: Mon 2 Nov 2009
Source: Vesti.Az [in Russian, trans. Corr.ATS, edited]
<http://www.vesti.az/news.php?id=21845>


The Republican anti-plague station confirmed that the specimen taken  
from a schoolchild from school No. 67 [was positive for] cholera. The  
school's classrooms have been disinfected and additional specimens  
have been taken. The head of the Republican anti-plague station  
informed that only after these tests are analyzed will they take  
additional measures.

[Byline: Vugar Hasanov]

--
Communicated by:
ProMED-RUS
<promed-rus@promedmail.org>

[Maps of Azerbaijan showing Baku in the east bordering on the Caspian  
Sea can be found at
<http://www.un.org/Depts/Cartographic/map/profile/azerbaij.pdf> and
<http://healthmap.org/r/00_z>. - Mod.LL]

******
[3] Cholera - Nigeria (Adamawa)
Date: Wed 4 Nov 2009
Source: Agence France-Presse (AFP) [edited]
<http://uk.news.yahoo.com/18/20091104/thl-cholera-outbreak-in-northern-nigeria-96993ab.html>


A fresh cholera outbreak has killed 20 people and left 200 others  
infected in northern Nigeria's Adamawa State in the past week, a  
senior health official said Wednesday [4 Nov 2009]. The latest deaths  
take to 169 the number of those killed by cholera in 4 northern states.

"We have recorded a resurgence of cholera in 4 local government areas  
in the northern part of the state in the last week, which has claimed  
20 lives with about 200 others infected by the disease," Zainab Baba  
Kwanci, Adamawa State health commissioner told AFP.

"We are doing everything that is necessary to contain the situation,  
including the provision of drugs and vaccines as well as health  
personnel to the affected areas," he added.

The latest deaths take to 169 the number of those killed by the  
disease in 4 northern states, Adamawa, Jigawa, Taraba, and Borno, in  
the past 3 months.

--
Communicated by:
HealthMap Alerts via ProMED-mail
<promed@promedmail.org>

[A map of Nigeria showing the locations of these northern Nigerian  
states can be found at
<http://www.un.org/Depts/Cartographic/map/profile/nigeria.pdf>.
The HealthMap/ProMED-mail interactive map of Nigeria is available at
<http://healthmap.org/r/007*>. - Mod.LL]

******
[4] Gastroenteritis - Brazil (Minas Gerais)
Date: Wed 4 Nov 2009
Source: Terra Networks Brazil [in Portuguese, trans., edited]
<http://noticias.terra.com.br/brasil/noticias/0,,OI4081017-EI8139,00-MG+registra+mais+de+casos+de+surto+de+diarreia+e+vomito.html>


An outbreak of diarrhea and vomiting has hit the city of Cambuquira,  
in the interior of Minas Gerais state. At least 290 people were taken  
to the emergency room of the city showing discomfort and nausea since  
the weekend.

According to the Minas Gerais State Department of Health (SESMG),  
surveillance agents took samples of water from the region, which were  
sent to a laboratory for analysis. The results should be available in  
2 weeks.

--
Communicated by:
HealthMap Alerts via ProMED-mail
<promed@promedmail.org>

[Maps of Brazil showing the state of Minas Gerais can be found at
<http://en.wikipedia.org/wiki/Minas_Gerais> and
<http://healthmap.org/r/00_A>. - Mod.LL]

[5] Diarrhea - Bangladesh (Dhaka, Pabna)
Date: Wed 11 Nov 2009
Source: Daily Star, Bangladesh  [edited]
<http://www.thedailystar.net/newDesign/news-details.php?nid=113575>


Diarrhoea: 484 more hospitalized in 24 hours
--------------------------------------------
Experts blamed contaminated sources of water as well as climate change  
for the sudden outbreak of diarrhoea in different areas of Dhaka and  
Pabna district recently.

A total of 484 diarrhoeal patients were admitted to the International  
Centre for Diarrhoeal Diseases Research in Bangladesh (ICDDR,B)  
hospital yesterday, according to the authorities.

To tackle the outbreak, the ICDDR,B has already established a  
makeshift treatment corner on the premises and discussed with the  
Directorate General of Health Services (DGHS) and Dhaka City  
Corporation to find a place for a mobile or temporary camp to provide  
immediate treatment to the affected people of Badda.

People of Nayanagar at Badda and Jagannathpur -- near Bashundhara  
residential area -- are the worst sufferers of the disease that broke  
out early in the month, said Dr M Shahadat Hossain, scientist and head  
of ICDDR,B long stay unit.

Immediately, the ICDDR,B collected stool, rectal swab and water  
samples from the area and the laboratory investigation found 60  
percent patients suffering from cholera. The report on the water  
samples would be available today, said another scientist of the centre.

60 percent of diarrhoea patients come from Badda, 11 from Gulshan, 7  
percent from Mirpur and 6 percent from Lalbagh area, according to the  
ICDDR,B record.

The immense pressure on water and sanitation due to over-population,  
climate change and contamination of water are the major causes for  
spread of diarrhoea -- even in this off period during the month of  
November, said Dr Shahadat.

Sumona, mother of a 7-year old boy, busy yesterday to find an auto  
rickshaw at the Norda crossing to take her son to ICDDR,B said ?We  
live in a slum at Badda. Last week, diarrhoea inflicted all of my  
family members.?  ?We did not find any smell from the tube well water,  
but there were some very small substances and we thought it would not  
be harmful,? she added.

In another incident, the director of disease control and line director  
of DGHS requested the ICDDR,B to conduct an investigation in Pabna  
district as a large number of people were suffering from diarrhoea in  
the first week of October.

According to an investigation report, due to contaminated water a  
total of 1580 people suffered from diarrhoea in October and 1467 in  
September this year 2009] while the number was only 618 and 668  
respectively in the previous year.


[These are very probably cases of cholera, but Bangladesh does not  
officially report it as such for a well-founded fear of losing seafood  
exports.
Locator map of Bangladesh:
<http://www.daggarjon.com/Pics/Maps/Map%20-%20Bangladesh.gif>
Map of Bangladesh showing capital Dhaka:
<http://iguide.travel/illustrations/Bangladesh-4.png>
- Mod.JW]

--
Communicated by:
ProMED-mail
<promed@promedmail.org>


[see also:
Cholera, diarrhea & dysentery update 2009 (27) 20091103.3795
Cholera, diarrhea & dysentery update 2009 (26) 20091023.3653
Cholera, diarrhea & dysentery update 2009 (25) 20091009.3500
Cholera, diarrhea & dysentery update 2009 (24) 20090930.3411
Cholera, diarrhea & dysentery update 2009 (23) 20090921.3319
Cholera, diarrhea & dysentery update 2009 (22) 20090913.3223
Cholera, diarrhea & dysentery update 2009 (21) 20090819.2939
Cholera, diarrhea & dysentery update 2009 (20) 20090724.2616
Cholera, diarrhea & dysentery update 2009 (10) 20090126.0355
Cholera, diarrhea & dysentery update 2009 (01) 20090102.0015
2008
----
Cholera, diarrhea & dysentery update 2008 (57) 20081231.4125
Cholera, diarrhea & dysentery update 2008 (50) 20081208.3854
Cholera, diarrhea & dysentery update 2008 (30) 20080702.2019
Cholera, diarrhea & dysentery update 2008 (10) 20080212.0563
Cholera, diarrhea & dysentery update 2008 (01) 20080104.0047
2007
---
Cholera, diarrhea & dysentery update 2007 (67) 20071231.4200
Cholera, diarrhea & dysentery update 2007 (60) 20071126.3824
Cholera, diarrhea & dysentery update 2007 (40) 20070924.3164
Cholera, diarrhea & dysentery update 2007 (20) 20070511.1509
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 (30) 20060724.2037
Cholera, diarrhea & dysentery update 2006 (10) 20060303.0675
Cholera, diarrhea & dysentery update 2006 (01) 20060106.0040]
........................................ll/ba/ats/np/ll/mj/jw
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